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
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
of the Sight did not proceed from any Fault of the Sight or of the Medinum or the Object II. This Malady by the Physicians is called Vertigo or Giddiness And is a Deception of the Sight which makes that visible Objects seem to turn round arising from a kind of Whirl-pit Motion of the Animal Spirits in the Brain III. The remote Cause is the External Motion refrigerating the Brain and streightning the Passages of it appointed for the evacuating of Excrements so that Flegm abounding in the Body and copiously collected in the Ventricles of the Brain constitutes the containing Cause IV. By those flegmatic Humors the Ventricles are first distended thence the heavy Pain This Flegm augmenting stops up the Passages of the Brain through which the Spirits ought to pass partly by repletion partly by compression so that the Spirits missing their direct Passage and lighting upon the obstructed Passage gets thorough in a circular Motion as Water falling with violence if it meet a Dam in its way recoils three or four times in Circles before it run by V. These whirling Spirits thus circularly carried to the Seat of the Mind intermixing with the Images of visible things which are carried to the same Mind are offered to the common Sensory with the same circular Motion and so occasion that Fallacy of Sight by which all visible Objects seem to be whirled about in the same manner as the Images of visible things VI. But this same whirling of the Spirits does not last partly because the narrowness of the Passages of the Brain is sometimes more sometimes less partly because the Spirits are sometimes thicker and sometimes thinner and pass through sometimes with more sometimes less violence which is the reason the Vertigo comes by Fits For in the Motion of the Body the Spirits are moved with more violence and in greater abundance which if they cannot pass freely and directly through the ordinary Passages of the Brain but light here and there upon the obstructed Passages causes the Fit whether they be thin or thick For the Repulse of the Obstruction puts them into a Circumgyration and the plenty and violent rushing of the thin Spirits makes them they cannot pass but the thick are stoped by reason of their thickness and therefore Drunkards and young People that abound with thin Spirits are as much liable to Giddiness as old Men whose Spirits are thicker But the Giddiness of old Men is more frequent and lasts longer because of their more abounding Flegm longer and more frequently streightens the Passages of the Choroid-Fold Therefore the Vertigo seldom happens when the Body is in Motion and is generally abated and cured by rest VII But because there are not enough of those whirling Spirits that make their way through the Passages of the Brain besides that their â—…ircumrotation hinders them from entring in sufficient quantity into the Nerves This was the reason that this Patient for want of Animal Spirits in the Muscles often fell to the Ground without being able to rise before the Vertigos ceasing the Animal Spirits flowed more copiously again into the Muscles VIII Then the Fit returns again upon the Sight of Wheels turning round Precipices c. because the Images of those things being carried to the inner Parts with that same whirling and unequal Motion affects the Animal Spirits with the same circular and unequal Motion Upon the Sight of Precipices the Vertigo returns in regard the Sight of them striking a Terror into the Beholder the Affright streightens the Passages and by that means puts a sudden stop upon the Spirits which being forced forward by those that come behind because they have not a free Passage are agitated by the Repulse of the Obstruction and forced into a circular Motion IX This Malady is hard to be cured and many times turns to an Epilepsie or Apoplexie or some other grievous Distemper of the Brain and therefore the Cure of it is not to be delay'd X. The Cure consists in removing the primary antecedent and continuing Cause and Corroboration of the Brain XI First Therefore let her be purged with these Pills â„ž Mass of Pill Cochiae ℈ j. Extract of Catholicon ℈ s. Diagridion gr ij Syrup of Stoechas a little For vij Pills XII Though not much good can be expected from Blood-letting yet least the Blood should fly up to the Head in too great a quantity it may be taken from the Arm or if it happen in the time of her monthly Customs out of a Vein of the Foot Let the Vein be opened the Patient lying in Bed and let her not see her own Blood XIII Then let her drink three or four times a day a Draught of this Apozem â„ž Root of Acorus â„¥ j. Elecampane Fennel an â„¥ s. Herbs Betony Marjoram Rosemary Calaminth â—…hyme an M. j. Sage Leaves of Lawrel Flowers of Stoechas an Ms. Seeds of Anise Fennel Caroways an Ê’j s. Cleansed Raisins â„¥ ij Water q. s. Boil them according to Art adding toward the end White-wine lb s. Make an Apozem of about lbj. s. Sometimes instead of the Apozem she may take a small quantity of this Apozem â„ž Specier Diambrae Ê’j Sweet Diamosch ℈ j. Candied Root of Acorus Conserve of Flowers of Sage Anthos Baum an â„¥ s. Syrup of Stoechas q. s. XIV In the mean time let her use this Masticatory â„ž Root of Pellitory Elecampane an Ê’j Herbs Marjoram Hyssop an Ê’s Black Pepper ℈ s. Mastich Ê’v Reduce these into a Powder and then make them into Trochischs with a little Turpentine and Wax XV. Let her Temples Nostrils and Top of her Head be anointed twice a day with this Oyl â„ž Oyl of Nutmegs distilled Ê’j Oyls of Rosemary Amber Marjoram an ℈ s. She may also wear the following Quilt upon her Head for some Months â„ž Leaves of Rosemary Melilot Sage Flowers of Melilot an one little handful Nutmeg ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them grossly for a Quilt XVI Let her have a warm Room and good Air. Let her feed sparing and let her Food be easie of Digestion not flatulent and seasoned with hot Cephalics and carminative Seeds Her Drink must be small wherein if a little Bag of Marjoram Rosemary and a little Cinnamon be hung 't will be so much the better Moderate Sleep and Exercise is best when the Giddiness is off but let her Rest in the time of the Fit Keep her Body soluble and take care that all Evacuations be regular and natural HISTORY XI Of the Night-Mare A Woman of fifty years of age in good plight fleshy strong and plethoric sometimes troubled with the Head-ach and Catarrhs falling upon her Breast in the Winter the last Winter molested with no Catarrhs but very sore in the Day-time but in the Night-time when she was composing her self to Sleep sometimes she believed the Devil lay upon her and held her down sometimes that she was choaked by some great Dog or Thief lying upon her Breast so that she
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-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
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
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
come to be obstructed by any Accident or that the Liquor bred in 'em concerning which see something in the preceding Chapter l. 2. c. 2. and which is to be of necessity mix'd with the milkie Iuice has by any accident acquir'd an over acid Sharpness then the milkie Iuice within 'em becomes coagulated in the Form of a Cheese and by reason of its abundant Overflowing swells very much By which means the Passage is obstructed to the Chylus that comes next whence such People as are troubled with this Distempet by reason of the Distribution of the Chylus is obstructed are troubled with the Coeliac Flux and grip'd with Pains in the Belly and by reason of Passage deny'd to the Nourishment labour under an Atrophie and by degrees are wasted to death Of which I have already given three Examples IX The first was of a Scotch Souldier who during his stay in India and a long tedious Voyage upon his return having fed upon unwholesom Dyet all the while fell into a languishing Sickness and labouring under a Coeliac Flux with Gripings of the Guts tho' his Appetite was still indifferent good was brought to our Hospital where after he had lain three or four Months and that all this had been try'd in vain to cure his Coeliac Flux at length he dy'd as lean as a Rake The Body being opened first there was to be seen an overgrowing Spleen hard and black a Pancreas extreamly swell'd hard and of an Ash-Colour we also found the innumerable Glandules in the Mesenterie which in some Persons are hardly discernable to be very tumid and somewhat hard insomuch that some were as big as a Bean but most of 'em as big as a Filberd and some few as big as a Nutmeg But when they came to be dissected there was nothing in 'em but a certain white Cream coagulated into a milkie Substance X. The second Example was of a poor Girl of about eleven Years of Age who dying of such a Flux of the Belly accompanied with rumbling and Pain in the Belly was reduced to nothing but Skin and Bone I open'd her Body in November 1656. at the request of her Parents who believed her to have been bewitch'd and kill'd by diabolical Arts and by the murmuring and hissing in her Guts believ'd Snakes Toads and other Creatures to have bin bred in her Bowels But when she came to be open'd we found as in the former innumerable Glandules of the Mesenterie very tumid and somewhat hard of which many were as big as a Filbert and some somewhat bigger Their outward Colour in some was white in others speckled like black and white Marble But within fide as well in these as in all the rest was contained a very white milkie Juice curdl'd into the form of a Cheese The Spleen and Pancreas somewhat exceeded their due Proportion XI The third Example was of a noble Danish Child called Nicholas Retz between seven and eight Years of Age who having lain under a great Atrophie for several Months accompanied with griping in the Guts at length reduced to Skin and Bone dy'd in June 1662. Whereupon being desired by his Friends and others who had the Care of him to examine the cause of the Child's Death for the Satisfaction of his Parents I opened the Body in the Presence of several Spectators and there I shew'd the Liver Spleen Heart Lungs Kidneys Ventricle and Guts all in good Order and well Condition Only the Pancreas was somewhat swell'd and ill coloured But in the Mesenterie appear'd the certain Cause of his Death For that the innumerable Glandules of the Mesenterie were swell'd to such a wonderful degree with an extraordinary hardness some as big as a Filberd others somewhat bigger and many as big as a Bean They were all of a white Colour and contained in 'em a white Cream coagulated to the hardness of a dryer sort of Cheese which hindring the Passage of the succeding Chylus was the cause of the Atrophie and consequently of the Death of the Child that ensu'd XII From whence it is sufficiently apparent that the Coeliac Flux and Atrophie is occasioned by the Obstruction of those Glandules or Kernels Nor is that their Use which Anatomists commonly ascribe to 'em that is to say to prop the Veins and Arteries carried through the Mesenterie but in them as in all Glandules there is something of a particular fermentaceous Liquor bred to be mix'd with the milkie Chylus and for that Reason they become serviceable to the milkie Vessels not the Sanguiferous and hence by reason of their Obstruction or something else amiss such as is occasioned by a vitious Ferment mingled with the Duodenum many times the Membranes of the Mesenterium are stuft with a world of ill Humors the occasion of languishing Fevers and several obstinate and diuturnal Distempers XIII Riolanus has conceiv'd a strange Opinion of these Glandules Anthropog c. 15. while he asserts that by reason of them the Root and Foundation of all Strumas is in the Mesenterie And that never any Strumas appeared without the Body unless the Mesenterie were strumous Which he says was also the Opinion of Guido and Iulius Pollux with whom it seems he rather chose to mistake than to understand by physical Practice and Philosophy that Strumas have no Affinity at all with the Glandules of the Mesentery being only design'd for the farther Preparation of the Chylus alone Neither can those Strumas that break out on the outside of the Body pretend in any manner to any Cause or Original in the Mesenterie Since daily Experience tells us that most People who are troubled with Struma's are sound in all other Parts of their Bodys nor do they complain of any Distemper in the lower part of the Belly whereas the Diseases of the Mesenterie are usually very fatal to the Patient And the very Cure it self instructs us in the contrary which is chiefly perform'd by Topics that would never prevail if the original Cause of the Distemper lay concealed in the Mesenterie Lastly in the Dissections of Persons troubled with Strumas the same thing manifestly appears who are for the most part seen to have a sound Mesenterie XIV The Mesenterie derives its Nerves from the Plexure of the inner Nerves of the sixth Pair and the Nerves proceeding from the Marrow of the Loyns which causes it to be so sensible in its membranous Part tho' it be more dull of Feeling in its Fat and glandulous Part for which Reason Apostemes ly long conceal'd in it before they be discern'd as they should be either by the Patient or Physician XV. Its Arteries proceed from the mesenterie Branch of the great Arterie the Right and Left or the Upper and Lower XVI It has several Veins running between its Membranes call'd the Mesaraic which rising with very small roots from the Tunicles of the Guts and mutually opening one into another as they frequently meet in the Mesentery at
superficial contiguous or disjoyn'd white or ruddy livid violet or other colored soft or hard high or low quick or slowly coming forth External or Internal CHAP. III. Of the Causes of the Small Pox. THE Causes of the Small Pox are External or Internal Concerning which there are various and great Contentions among the most Eminent Physitians so much the more vainly eager because of little or no use in regard that whatsoever be the cause of the Distempers the cure is still the same Avicen and most of the Arabians the first most accurate Describers of these Diseases refer the material Cause to the Impurity of the Mothers Blood slagnant in the Woman with Child and with which the Birth was nourished in the Womb. Which Corruption they write lyes dormant so long in the Body till by vertue of some specific efficient Cause it be provoked to a fermentaceous Effervescency and being powred forth into the Mass of the Blood it sets it all in a boiling Condition and by that means separates that Defilment adhering from the Birth to some minute Particles of the Body and being so separated pushes it forward together with the Particles of the Blood so defiled by it to the Extream Parts of the Body and there raises up those Wheals as in new Wine the Heterogeneal Parts are separated from the Homogeneal Parts of the Wine by Fermentaceous Ebullition Avenzoar seems to differ somewhat from Avicen for observing that the Birth in the Womb without hazard of Life can hardly be nourished by the impure menstruous Blood restagnant therein but with some other Blood good of it self only by reason of its Fellowship with the menstruous Blood defiled by its Superior Corruption and farther that Men in the Womb must be nourished either with some such menstruous Blood or some other impure Blood and for that reason contracted that Impurity from the first Nutrition of the Parts Hence it was that the Arabians believed that all Men were subject to the Small-Pox in regard that Impurity was again to be separated from the Parts So that if that Specific Fermentaceous Effervescency be strongly and efficiently performed at the first coming of the Small-Pox then that Impurity becomes totally evacuated and then the Person to whom that Disease happens lives free from that Distemper all the rest of his Life as when Butter is once by a strong Churming separated from Milk turning sowr no Churming how violent soever can separate any more Butter from it But if that Effervescency be not violent enough that Impurity happens not to be totally expelled and so the same Person when the Reliques of that Defilement ferment again upon some other Cause may happen to have the same Distemper a second and third time but rarely a fourth Duncanus Liddelius stoutly defends the Opinion of the Arabians which is also followed by Fracastorius Amatus Forestus and several other Physitians and among the rest by Thomas Willis Lib. de Feb. c. 15. Where among other Reasons for greater Confirmation he adds these Words In the Womb of Woman says he as in most other Creatures there is generated a certain Ferment which being communicated to the Mass of Blood gives it Vigor and Spirit and causes it to swell at certain Periods of Time and procures an Expulsion of the Superstâ—…ous Blood But at the time of Conception when the Flowers cease to â—…low the chiefest Part of this Ferment is expended upon the Birth and the Particles of it heterogeneous from some of the rest as it were somewhat of foreign Substance are confused with the Mass of the Blood and Humors where they lye dormant a long time Afterwards being stirred and provoked by some evident Cause they ferment with the Blood and make it first boyl and then congeal from whence various Symptoms of this Disease arise Gentilis rejects this Opinion of the Arabians not believing the Birth to be nourished in the Womb with any Impure Blood nor that so much Impurity could abide for so many years in Men grown up and old People when they are seized with the Small-Pox after so many Purgations by Sweat Fevers Itches and other intervening Diseases besides the Cure of the Great Pox nor can he think but that Women must be cleared of those Impurities in so long a time by their monthly Evacuations Mercurialis complies with Gentilis who also asserts that the Small Pox is a Hereditary Disease and consequently that there is hardly any Man who can escape them because all Men are born of Parents vitiated by this Distemper and he endeavours to confirm this Opinion of his by several sinewy Reasons which however Daniel Sennnertus overthrows by others much the stronger Fernelius observing something occult in the Productions of the Small Pox besides the various Reasons propounded by Gentilis and others affirms that they are produced by sâ—…me Celestial and hidden Causes which when Infants and Children are less able to withstand than People grown up Hence he says it happens that the one are much more Subject to this Disease than the other But this Opinion of Fernelius is notably refuted by Mercurialis Lib. de Morb. Puer Sennertus grants the Small Pox to rise and be thrust forth by some certain and determined putrid Ebullition of the Humors but he will have this Ebullition to arise from three Causes from the Malignant Air from the Mothers Blood and vitious Nourishment and labours in a large Explanation of his this his own and the Opinion of the Arabians and Fernelius But to speak the truth none of these Opinions please me Not that of the Arabians because besides the Reasons alledged by Gentilis there is this one more For that seeing that Defilement contracted from the Mothers Blood is asserted to be common to all Men there would be no Man excused from this Disease which is contrary to Experience when several that have liv'd to an extream old Age never had the Small-Pox in their Lives as we have known several in our own Family Besides if the Impurity of the Menstruous Blood communicated to the Birth were the Cause of the Small-Pox why are not those Women themselves subject to it whose Flowers stop beyond the Course of Nature especially they who never had their Courses in all their Lives yet for all that were fruitful and had several Children of which Women there are several Examples to be found in Trincavellius Guainerius Bertinus Marcellus Donatus Ioubert Fabricius and several others Besides that private Defilement of every Woman could very hardly infect others by Contagion or excite a latent Contamination in the Bodies of others to a like Ebullition If you say it may then give me a Reason why all they that fit by and attend upon People when the Pox is come forth and endure their Stenches are not infected with the Small Pox though they never had them before Why has not that Contagion infected me that am near seventy years of Age who have visited thousands in the height
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
in the first place the Preservation and Life of the whole Body some few things are to be said concerning the special Cure of some parts which in this Disease are more Afflicted then others Because that the Morbific matter either is more especially troublesom to them or falls upon them with greater force and in greater abundance Now the Parts more then others Afflicted are either Internal or External The principal Internal Parts are the Lungs the Stomach the Guts the Liver and the Reins and that they are Affected and greivously Prejudic'd is discern'd by the bad Performance of their Functions But although when these Parts whether one or more be particularly afflicted the danger of the Patients is so great that very few so seiz'd recover from the Disease and escape nevertheless because all do not dye but some are sav'd it behoves the Physitian to Devise what Cure may be done in these desperate Cases and as much as may be to lessen the cause of the Disease and asswage the Symptoms that so he may either restore the Patient to Health or procure him a more easie Death In General the Decoctions of Lentils Lack and Tragacanth relieve all these Parts and Bowels so Afflicted For Lack preserves the Liver Spleen and Kidneys Lentils Corroborate the Intestines and Tragacanth defends the spiritual Parts Particularly sweet things are proper for the Lungs Labouring under Sickness as being those things which promote Maturation asswage Coughing and facilitate Spitting Such are Syrup of Colts-foot Licorice Jujubes Wild Poppies Violets Roses cold Diatragacanth Diapendium Powder and Juice of Licorice Conserves of Roses Borage Violets and the like of which as occasion requires sometimes Loches sometimes Trochischs sometimes Electuaries are made Or else Pectoral Decoctions of Barley cleans'd Colts-foot Althea Violet Leaves Figs Raisins Jujubes c. are sweeten'd by their mixture Treacle at the beginning powerfully asswages Vomiting of the Stomach and Pains of the Heart Afterwards some such kind of Emulsion is to be Administer'd â„ž Sweet Almonds cleans'd â„¥ j. four greater Cold seeds an Ê’j s. Lettice and Columbine seed an Ê’j s. White Poppy seed Ê’ij s. Barley water q. s. make an Emulsion for one pint To which add Syrup of Poppies Ê’ij Syrup of Borage â„¥ s. Mix them Outwardly a Fomentation may be applyed to the Region of the Stomach of a Decoction of Mallows Althea Mint Sage Thyme Marjoram Flowers of Roses Camomil and Melilot seeds of Anise and Cumin After Fomentation for the greater Corroboration of the Part anoint with this Liniments â„ž Oyl of Mint and Anise an â„¥ j. Expression of Nutmegs Ê’j s. Oyl of Spike and Bricks an Ê’j Mix them for a Liniment After Unction let this little Bag be lay'd on sprinkled with hot Wine or else boyl'd a little in Wine and gently squeez'd â„ž Ledves of Majoram Rosemary Sage Flowers of Melilot and Roses an half â—… handful Seeds of Dill Lovage Cumin Nutmegs an Ê’j Clove Gilliflowers ℈ ij make a gross Powder and sow it in a little Linnen bag according to Art Treacle Mithridate Diascordium Hart's-horn burnt Crabes Eyes Powdred Terra Sigellata or sealed Earth red Coral conserve of red Roses or else the first Decoction of Avicen in the foregoing Chapter asswage the Gripings of the Guts and stop the Flux of the Belly Or else some such kind of Almond Composition â„ž White Poppy seed Ê’iij Sweet Almonds cleansed â„¥ ij Decoction of Barley q. s. make an Emulsion to a Pint to which add Syrup of Poppies and dry Roses an Ê’iij mix them together for an Almond composition When the Liver is affected the same Amygdalate will be very proper adding the four cold Seeds Or else a Decoction of Barley with red Roses and red Saunders sweetned with Syrup of wild Poppies Roses and Violets Or else an Electuary of Citron Rinds condited Conserve of Roses Borage Violets and Powder of the three Saunders with an addition of Syrup of wild Poppies For the Kindneys if the Patient makes Bloody Water the following Emulsion is to be prescribed â„ž Sweet Almonds cleansed â„¥ j. s. the four cold Seeds an Ê’j White Poppy seed Ê’iij Decoction of Barley q. s. make an Emulsion to a Pint. In which dissolve Tragacanth powdered ℈ ij Syrups of Wild Poppy dryed Roses and Cumphry an â„¥ s. Mix them together for an Almond composition Liddelius in this case commends powder of Amber Trochischs of Yellow Amber or Alkakengy with an Emulsion of the four greater cold Seeds These are the primary and cheif things which can be prescribed and administred in these most dangerous cases when the inner Bowels are greivously affected according to which method Physiclans may and ought to devise many others of the same Nature For a Patient is not presently to be abandond as uttterly lost in the pangs of extremity and danger of Death which would be an uncharitable act in Christanity but it behoves a Physitian to try his utmost and leave the rest to God who has many times restored to Health such as have lain in a desperate condition CHAP. XII Of the Cure of the External Parts THE External Parts which are usually most afflicted by this Distemper are the Hands and Feet the Mouth and Chaps the Nose the Ears the Eyes and Face At the coming forth of the small-Pox or when they begin to ripen many times an extraordinary Pain and Itching afflicts the Persons diseased in the hollow of their Hands and the Soles of their Feet because the thickness of the Skin in those Parts prevents their coming forth You shall cure this symptom by somenting those Parts in warm water or in warm water mixt with Sweet Milk or in a mollifying Decoction If the small Pox are come out very thick about the Mouth and Chaps they cause a difficulty of Respiration and swallowing In this case the Mouth is frequently to be washed and the Throat also frequently gargl'd with the simple Decoction of Figgs or if there be any Inflammation or violent heat the same Decoction may be thus prescribed â„ž Barley cleansed â„¥ j. s. sliced Figs no. xvij Raisins of the Sun stoned â„¥ j. s. Leaves of Althea Violets Endive Lettice an one handful and a half flowers of pale Roses one handful of Elder one handful Water q. s. make a Decoction of two pints to wash the Mouth When the Pox are ripe to render the act of swallowing more easie and cause a swifter breaking of the Pox let the Patient frequently swallow a Pill about the biggness of a filbeard of new Butter without any Salt wrapt up in Sugar for this wonderfully dissolves the Swelling Pox of the Jaws But if this happen to fail and that the Pox remain wholâ—… and that the difficulty of Breathing and Swallowing still increases then take a small Spunge fastened to a little stick and having dipped it in Syrup of Violets squeeze it strongly against the Jaws to the end thereby the Pox may be forcibly broken and the narrowness of the Passage
Noble French Man about thirty Years of Age Plethoric no great Drinker yet a Lover of unmixed Wine upon the Tenth of November going to Bed began to complain of difficulty of breathing yet without any pain in his Breast soon after a redness seized his Face especially his Cheeks and his Eyes also appeared swelled and inflamed This difficulty of breathing within two hours was so encreased that he could hardly draw his Breath insomuch that he was afraid of a Suffocation Wherefore about Midnight he sent for me bidding the Messenger tell me withal that he should dye unless I could help him with some present Remedy By the redness of his Face and his little frothy and flowry spitting as also by his difficulty of Breathing which was without any pain yet with a kind of heaviness in his Breast I judged this Distemper to be an Inflammation in his Lungs so much the rather because I found by his Pulse that he was in a strong Fever Thereupon I ordered a pint of Blood to be taken from the Basilic Vein of his right Arm by which he felt very much ease To drink for he was very thirsty I gave him a Ptisan of Barly cleansed and Licorice boyl'd in Water In the mean time the following Glister was prepared and given by six a Clock the next Morning â„ž Emâ—…llient Decoction â„¥ x. Elect. Diacatholici Diaphoenici an â„¥ j. common Salt Ê’j Oyl of Violets â„¥ ij for a Glister This gave him two sufficient Stools But because the difficulty of breathing still continued very oppressive about ten o Clock we took away a pint of Blood out of his left Arm. The Blood appeared indifferent good only that it had a great deal of Yellowish froth at the top Then besides the Ptisan he drank of the following Apozem now and then every day â„ž Barley cleansed Ê’ij 〈◊〉 Licoriâ—…e Ê’j â—… Endive Sorrel an one handful Violet Leaves two handfuls Flowers of Poppy Rheas two little handfuls the four greater Cold-seeds and Lettice-seeds an Ê’ij Currants Ê’ij Common-water q. s. Boyl this according to Art to two Pints In the straining dissolve Syrup of Poppy Rheas Violets and Limons an â„¥ j. mix them for an Apozem For his nourishment I prescribed him Broths with Chervil Endive clensed Barley and the like boiled therein The next day because the Patient would admit no more Glisters I gave him a Laxative Medicin which gave him four stools with great ease In the mean time he breathed much more freely and his Fever very much abated The following days the foresaid Apozem was five times repeated the seventh day of the Disease he fell into a very great Sweat of his own 〈◊〉 and so the force of the Disease being broken by a Crisis the â—…ever with the difficulty of breathing went off and the Patient was restored to his former Health ANNOTATIONS SAys Gallen when an acute Fever happens with difficulty of breathing accompanied with streightness and heaviness that Distemper is an Inslammation of the Lungs Now this Inflammation sometimes happens of it self sometimes it succeeds a Squinancy or 〈◊〉 when a Humor is carry'd from the Chaps or side into the Lungs by way of Mutation Whence Hippocrates An Inflammation in the Lungs from a Distemter in the sides is bad For it is a dangerous thing for one acute Disease to accompany or follow another But an Inflammation of the Lungs that does not proceed from any other Distemper but grows of it self proceeds from a thin and Choleric Blood flowing in a greater quantity then can be circulated into the Substance of the Lungs and there inflamed This Inflammation of the Lungs Fernelius asserts to be the less frequent of the two And it is much less frequent then the Pleurisie from which it differs because the one seizes with a most acute pain the other with a little pain but an oppressing heaviness for that the one inflames and distends the Pleura Membrane which is endued with an Exquisite Sence the other inflames and dilates the Lungs which are nothing so Sensitive In other things as acuteness of the Fever difficulty of breathing and other signs as also in the Cause and Cure of the Disease they both agree But besides the foresaid Inflmamation of the Lungs there is another sort more frequent which differs very much from the other in the excess of the Symptoms and the Cause as arising either from Flegm collected and putrified in the Lungs or from a thin sharp and copious distillation falling down upon the Lungs from the Brain and there preternaturally glowing and causing a Fever and by degrees wasting the Patient with a Cough difficulty of Breathing and a slow Fever without any spitting of Blood An Inflammation of the Lungs therefore is an acute Distemper which as Celsus testifies is more dangerous than painful Now this Distemper does not always seize the whole Lungs but sometimes one particular Lobe which Iacotius testifies he has seen in the opening of a Peripneumonic Body So says Iouberâ—… also In a Peripneumony there is no necessity that the whole Lungs should be always enflamed but many times some one of the Lobes only suffers as we have found by the Dissection of an Infinite number of Bodies This Hippocrates plainly declares where he teaches us how to know the differences of this Distemper in these words In an Inflammation of the Lungs if the whole Tongue be white and rough both parts of the Lungs are vext with an Inflammation but where but half the Tongue is so effected on that side where it is discoloured and rough there the Inflammation lyes A pain under one Clavicle denotes an Inflammation of one of the upper VVings of the Lungs but the pain extending under both Clavicles denotes that both the upper Wings of the Lungs are inflamed if the pain lye in the middle of the Ribs the middle part of the Lungs suffers but if the pain comes to that part to which the Lungs extends it self the lower wing of the Lungs is effected Where one whole Part is affected there all that answer to that Part must of necessity suffer The most certain and proper sign besides others of a true Peripneumâ—…ny is a redness of the â—…aws according to the Testimony of Galen Paulus Aegineta and Aviceâ—… with an acute Fever and extream difficulty of Breathing if accompanied with none or very little oppressive pain All which when they appeared so manifestly in our Patient there was no question to be made of the Distemper which Disease went off the seventh day upon an extraordidinary spontaneous Sweat which Forestus observes to be customary in a true Peripneumony Though sometimes as Aetius tistifies in young People it uses to go off with a violent Bleeding at the Nose or Flux of the Monthly Evacuaations which nevertheless I find that Riolanus denies Gregory Horstius has observed that a Peripneumony has gone off the seventh day with a Critical Flux Which however seems to be contrary to Reason when a Flux of
I found by many Signs that there was no Virulency but only a Mischeif contracted by the more violent use of Venery which had weakened the seminary Vessels Wherefore I prescribed him a diet moderately heating and drying meats of good juice and quick nourishment to drink unmixed Wine moderately and to take some other corroborating and nourishing things Then after I had purged his Body twice with a gentle Purge that the Viscous humours might be first expelled the seminary Vessels before the use of other Medicaments every Morning and about five a Clock in the Afternoon I gave him â—…ij s. of Salt Prunella in a Draught of red Wine which when he had taken for eight days together he was perfectly Cured without having need of any more remedies which I had ordered him to use All this while I ordered his Loyns to be anointed with the following Oyntment â„ž Martiat Oyntment Ê’ij Oyl of Foxes â„¥ s. Oyl of Turpentine Ê’ij Oyl of squeezed Nut-megâ—… Ê’j make an Oyntment ANNOTATIONS A Gonorrhea according to Galen Aetius and others is an unvoluntary Excretion of the Seed of which some make two others three we four differences First by reason of the heat of the Reins and plenty of Seed and this is called Pollution It happens with some Pleasure and Erection wherein it differs from other Gonorrheas because they are accompanied with neither It is cur'd by Blood-letting slender Dyet refrigerating Medicaments and Nourishments as also drying and gentle Astringents The second is caus'd by the falling down of evil and corrupt Humors and Phlegm from the Brain and Liver and other Bowels to the Spermatic Vessels the retentive faculty of which is thereby endamaged and so those putrid Humors flow forth with the Seed This as it seldom happens to Men so is it very frequent among Women and hard to be Cured nor is it to be Cured until you can first remove the vitious Distemper of the Bowels which sends those humours thither The third proceeds from the excessive use of Venery by which the Spermatic Parts being weary'd and extinguish'd are refrigerated grow languid and gather together crude and cold Humours by which their concoctive and retentive faculty being loosened they can neither concoct nor retain the Seminal matter This is easily got by Elderly People less used to Venery who not meeting so often with Opportunities to delight themselves force all their Nerves so strenuously when they come to it that they weaken the strength of the whole Body and having wasted the strength of the Seminal Parts such a Gonorrhea ensues accompany'd with a weakness of the Loins This is Cured by corroborating Medicaments and Nourishment hot and gentle Asâ—…ringents having made use before of Purgatives and Diuretics to free the Urinary and Seminary Passages from the Crude and Viscous Humours collected therein which done the Cure easily proceeds The fourth which they call virulent is contracted by coition with those that have the Pox of which Infection it is often a fore-runner and as often a most faithful Companion as being deriv'd from the same Cause and which cannot be safely cured before the perfect Cure of the Pox. In this there is a stinking Poyson of a White and Greenish colour that distills insensibly from the Seminary Vessels and frequently corrods the Pipe of the Yard which causes sharp pains upon Erection and making Water and thence also Ulcers and Caruncles grow in the Urinary passage And besides if this virulent Running be stopped unskilfully for the most Part it occasions Aposthumes either about the Testicles which then begin to swell very much or else about the Seminary vessels and thence Veneral Buboes Many times also the Venom ascending inward and infecting the Liver and other Bowels communicates the Contamination to the whole Body OBSERVATION V. A Scald WIggerd Simonis was melting a good quantity of Rosin upon a quick Fire which being too hot the Flame got hold of the Kettle now as he was going to put out the Flame and cover the Kettle with a Pillow unwarily he thrust both his hands into the scalding and boyling Rosin and the same thing happened to him that went about to help him to put out the same Flame so that both most greviously complained of the pain that their hands were in A present remedy was requisite but having none at hand I bethought my self of a whole Bottle of Ink that I had in my Study this I powred forth into a Pot and bid them both plunge their hands into it and for some time to wash and foment with it which when they had done for half an hour the Heat and Pain ceased nor did any Blisters rise nor did they receive any damage by so terrible a Scald OBSERVATION VI. The closing of the Eye-lid by reason of a Wound A Young Country Girl had fallen from a high place and with the fall had received a great wound in the right Eye-brow that is to say in the inner part next the Eye by which wound the Bone of the Cranium was laid half bare and the Eye-brow being cut cross-ways the upper Eye-lid hung over the lower A certain Chyrurgeon had quickly Cured the wound but after the Cure of the wound the upper Eye-lid would never rise of it 's own accord nor could the Maid open her Eye but by the Assistance of her Fingers many Topics were apply'd by several Chyrugeons to remedy this defect but none of them availing after some Months my Assistance was desired When I had viewed the Place affected I perceived the Mischeif was incurable and therefore advised them to forbear any further Applications However the Maid by the advice of others who put her in great hopes for a whole Year together applied sometimes one thing sometimes another till at length receiving no benefits he quite gave over ANNOTATIONS HEre the streight Muscle of the Eye-lid was cut Moreover the unskilful Chyrurgeon at the beginning had not sufficiently clos'd the Lips of the wound so that afterwards a thick Scar being grown over it the Muscle could no longer preform it's Duty so that there was no Man that understood Anatomy but might perceive the Wound to be incurable OBSERVATION VII A Dysury or difficulty of making Water A Young Son of N. a Domestic Servant of the Lord Dolre a Boy of five Years of Age made Water for some Months with great difficulty and in extream pain and misery and which also many times stopped at the time it should have Evacuated The Parents had taken the Advices sometimes of Chyrurgeons sometimes of Old Women and sometimes of Strowling Mountebanks but at length in December my advice was desired Thereupon after I had gently Purged his Body with Powder of Diacarthamum and Syrup of Succory with Rhubarb ordered him to take a Draught several times a day of the following Apozem which the Boy impatient of the pain greedily suckt up â„ž Roots of rest Harrow or Cammock Sea Holly sliced Licorice an â„¥ s. Flowers of Cammomil
two handfuls Seeds of Lettice Parsley Dill an Ê’ij Fat Figs. noÌ„ vij new Milk and Water an 〈◊〉 ij boyl them to the Consumption of the third part then strain them After he had used this Apozem two days he voided every day much viscous and tough Matter together with his Urin and after he had made use of two of these Decoctions he was quite freed from his troublesome Distemper ANNOTATIONS THere are various Causes of the difficulty of making water Inflammation Imposthume Stone in the Bladder the Flesh grown over a cold Distemper of the Bladder and Sphincter thick and viscous humors either mixed with Urine or sticking close to the Bladder and it's Sphincter with several others of the same Nature of which the two latter are the most frequent But all in particular do not only cause a difficulty of Urine but sometimes absolutely stop the Urine as it happened to the Boy before mentioned which they who cut off the Stone had viewed and thought he had the Stone and judged him to be cut But I believing his Distemper arose not from the Stone but from a thick and tenacious Flegm that stopped up the Bladder and the passage of it as I had observed had frequently happened to younger Children rather chose to begin the Cure with attenuating lenifying and Diuretic Medicaments seeing that many times such Medicaments expel little stones also But in this case when Children cannot swallow ungrateful Medicines I have known flowers oâ—… Camomil boyl'd in new Milk with Figsâ—… do a great deal of good especially iâ—… after the boiling and the straining the said Flowers be lay'd to hot to the Region of the Hair and the Decoction at the same time given to drink Forestus in the same case commends Pellitory and Chervil boiled and applied hot to the Region of the Hair with Butter and Oyl of Scorpions Mercurialis applauds Garlick bruised and applied to the Bladder Amatus of Portugal extols a Turnep hollow'd and fill'd with Oyl of Dill and then roasted in the Embers afterwards bruised and laid on OBSERVATION VIII Suppression of the Courses JOan Elberty a strong Maid of about twenty four Years of Age complained that her Purgations had stopped for four Months so that she was in a very bad Condition tortured with pains in her left side and Head sometimes troubled with Suffocations and her Stomach quite gone After I had ordered her an attenuating and heating Diet and forbid her all things that generate tough and viscous Humours the sixth of Ianuary I Purged her with Electuary of Hiera Picra then I prescribed her this Apozem to drink three times a day â„ž Roots of Lovage Master-wort Fennel stone Parsley Valerian an â„¥ s. Sassafrass-wood Ê’iij Nep Mag-wort Peny-royal white-Mint Fever-few an one handful Flowers of Camomil half a handful Seeds of Lovage wild Carrots Gith an Ê’ij Laurel Berry Ê’j s. Tartar of Rhenish-wine Ê’vj stoned Raisins â„¥ ij common Water q. s. boyl these for an Apozem of two pints The 11th of Ianuary I Purged her again with an Infusion of the Flowers of Senna and Agaric with a mixture of Hiera Picra The next day I prescribed her another Apozem to drink like the former â„ž Root of Master-wort â„¥ j. of Elecampane Valerian Parsley an â„¥ s. Dittany round Birth-wort an Ê’iij Mug-wort Nep Savio Foverifew Rue Peny-Royal an one handful Southernwood Flowers of Camomil an one handful Seeds of Parsley Gith Lovage wild Carrots an Ê’j s. red Vetches â„¥ j. s. common Salt and White-wine an equal parts make an Apozem for two pints Fourteenth of Ianuary I prescribed her this Electuary of which she was to take the quantity of a Filberd before she drank of her Apozem â„ž Specier Diacurcume Cremor Tartar Trochists of Myrrh Hoglice prepared Steel prepared an Ê’j seeds of Parsley Nep Venetian Borax an Ê’ s. Salt Prunella Eastern Saffron an ℈ j. reduce all these into a very fine Powder to which add Oyl of Iuniper Amber an ℈ j. of Dill drops vij Electuary of Hiera Picra â„¥ s. Syrup of preserved Elecampane Roots q. s. make an Electuary Moreover because she felt a hardness at the bottom of her Belly about her Navel I prescribed this Sere-cloth â„ž Gum Opoponax Galbanum dissolved in Vinegar Emplaster de Cumino of Melilot an Ê’ij of Castor Pulverized Ê’j mix them and make them into a Roll to be spread q. s. upon red Leather The nineteenth of Ianuary she was let Blood in the Saphena Vein of the left Foot and bled indifferent well The last Apozem was repeated again which she took together with her Electuary till the twenty eight of Ianuary at what time her courses came down very copious after that she was very well in Health ANNOTATIONS A Long suppression of the Courses is oft-times the Cause of very great Distempers For from hence arise Suffocations of the Matrix and the pale Colours of Virgins hence Palpitations of the Heart Vertigo's terrible pains in the Head Joynts Back and Loyns Fevers Swooning Fits Coughs difficult breathing Cholic and Nepheretic pains and lastly the evil continuing long Melancholy Passions swelling of the Bowels and Dropsies Therefore the Cure is not to be delay'd for the longer the Courses stop with so much the more difficulty are they provoked to come down The Cause of this Distemper is the Narrowness of the Vessels of the Womb which again are accompanied with several other Causes as Obstruction Constipation Coalescence or growing together Compression and Settlement But the most frequent Cause is an obstruction occasioned by thick and viscous humors Which thickness and viscousness is either in the Blood it self when it is too cold or viscous or else when Excrementitious Flegmatic and Melancholy Humors are mixd with the good Blood and with that good Blood carried to the Veins of the Womb where they cause the Oppelation But this Obstruction and Viscousness of the Humors as it is more or less or has been of longer or shorter Continuance so the Cure is performed by gentler or more violent Medicaments with more ease or more difficulty But in the Cure of our Patient we were forced to use the stronger Medicaments as well in regard of the cold season of the Year as the greatness of the Obstruction For she was wont to eat green Fruit and course Meats that beget a viscous and cold Nourishment which had gathered together a great quantity of the thick and crude Humors OBSERVATION IX An incurable Hoarsness A Holland Boor in a quarrel between Carters had received a wound with a Knife in the right side of his Neck near his Throat The wound was soon cured by a Chyrurgeon After some Months he came to me to prescribe him something for an Extraordinary hoarsness with which he began to be troubled so soon as he had received the wound and which the Physitian who had had him in Cure together with the Chyrugeon could no way remove with all the Looches Lozenges and Decoctions which they
very heartily to the Company about her pale Death came and interrupted her Discourse ANNOTATIONS THIS Rupture was so narrow that it was a wonder how the Intestine could fall through it it being almost impossible to put it back as it was of it self and empty through so narrow a Passage much less distended with Wind. Such a narrow Rupture I once saw before in one that was opened Wherefore they do very ill who endeavour to force back the Guts through such narrow passages like your strolling Hang-men of Mountebanks for that by such a force the Gut may be sooner broken then reduced both Reason and Experience teach us Bursten Guts therefore must be gently handled and first we must endeavour with Cataplasms Fomentations and other proper Topics to dispel the Wind and drive it back and then without any violence to attempt the reducing of the Gut which if they will not do there is no way but dilatation of the Peritonaeum OBSERVATION XL. Difficulty of Urine GErard Driessem a Merchant about fifty Years of Age was troubled with a difficulty of Urine so that his Urine did not only drizzle from him with great difficulty and Pain but also very often came not forth at all The cause was a certain viscous and tenacious Slime which at times falling down in great quantity to the Bladder did so besiege the Sphincter that it stopped both it's own and the passage of the Urine This Slime descending through the passage of the Yard and coming forth was tough and many times might be drawn out in ropes with the Fingers many times it stuck so obstinately to the passage that there was a necessity of loosening it and drawing it forth with a long Silver-Headed-Bodkin this Malady had been familiar to him for many Years and sometimes seized him three four and five times a Year and between the Intervals he voided a great quantity of slimy Flegm many noted Physitians had used several Remedies for the cure of this Malady but all in vain which Physitians vary'd in their opinions concerning the cause and generation of that same tough and slimy Flegm as also about the place from whence it descended so Periodically In the mean while the Patient could neither be cured by others nor by my self The Malady therefore increasing he found the greatest benefit and ease by the following Potion which he took very often and by means of which his Pains were mitigated and his Urine provoked and because it rendered the Urinary Passages Slippery he voided that thick and viscous Flegm more commodiously with more ease and less Pain and in greater quantity â„ž Oyl of sweet Almonds â„¥ j. s. the best Malmsey-wine â„¥ ij Iuice of Pome-Citron newly pressed â„¥ s. mix them for a Potion ANNOTATIONS SEnnertus among other Causes of a Dysury reckons up one not much different from that already rehearsed Many times saith he a white and as it were a milkie Matter is copiously voided with the Urine and causes a heat in making Water which is sometimes voided in so great a quantity that where it settles it fills up half the Chamber-pot and such a voiding of Water many times continues very long Concerning its Generation I have known several varieties of Opinions and that some have taken it for a mattery Substance bred in the Kidneys But if the whole Kidneys should be dissolved into Matter it could not amount to so great a quantity as is sometimes voided every day for several Weeks together My Opinion is that this matter proceeds from Crudity and vitious Concoction first of the Stomach then because the Error of the first Concoction cannot be mended in the second of the Liver where the Chylus and afterwards the Blood is left raw and uncleansed from the Salt and tartarous Parts which ought to be separated in the first Concoction which being afterwards attracted by the Kidneys and transmitted to the Bladder cause Pain in making water especially toward the end while something of the said Matter sticks pertinaciously to the Neck of the Bladder and the Extremity of the Urinary Passage For the Cure of this Malady there are many things very prevalent which temper and dulcifie the Acrimony and render the Urinary Passages slippery to afford a freer Passage for the thicker Matter as Oyl of sweet Almonds newly extracted which is very useful in this case Malmsie-wine the drinking of which alone as Sennertus writes cured a certain Person that was troubled with a terrible Dysury The Decoction of Cammomil-flowers in Cows Milk with which Forestus writes he knew an old Man cured Or that Decoction with which we cured a Child Ob. 7. Also the Decoction of Marsh-mallows Mallows Figs Licorice and the like Fernelius's Syrup of Althea more especially Turpentine mix'd with Sugar and swallowed in a Bolus which cuts the thick Humors attenuates cleanses expels softens and mollifies the Passages OBSERVATION XLI Spitting of Blood MOnsieur Ioannes a Priest of Craneburgh in the Year 1636. February the 16th sent me this Letter Doctor THE Fame of your Knowledg and Experience haâ—… over-rul'd me to desire your Advice in my Distemper For a long time a violent Cough has troubled me which will hardly permit me to rest moreover about a Month since this Cough was accompanied with a spitting of frothy Blood which ever since I have continually spit sometimes in a less sometimes greater quantity which Spitting is very troublesome to me I have lost my Stomach so that I can eat nothing unless it be some small Trifle mix'd with Vinegar or some other Acid. If you have any proper Remedy I beg you to impart it to us Your most Devoted Ioannes Sacerdos The same day I sent him this Answer Reverend Sir I Received your Letter to which according to the shortness of the time I send you this short Answer you have been long troubled with a sharp and salt Defluction upon your Lungs from whence your vehement and continued Cough has derived it self At length some Vein of the Lungs being opened by the great quantity of distilling Humors or broken by the force of the Cough pours out that Blood which you spit out frothy from your Lungs This Malady cannot be cured unless the descent of the Catarhs be prevented and the Cough allay'd to which purpose I have here sent you some Remedies First seven Pills to take to morrow Morning which will gently purge you Secondly A Conditement of which you are to take after you have purged the quantity of a Nutmeg Morning Noon and Night for several days together Thirdly A Looch to lick when your Cough afflicts you Fourthly Lozenges to let melt in your Mouth as often as you please as well in the Day as Night-time To these four I have added a little Bag what is in it you must put in a new earthen Pipkin and heat it over the Fire without any Moisture then put it into the Bag again and lay it to your Head as hot as you can endure it letting it lye
one or two Hours and this you must do twice or thrice a day When you take this off put on a woollen Cap well fum'd with Mastich and Cloves bind a warm Napkin about it to the end that by this means your Head being over cold and weak may be again heated corroborated and dry'd that so the Catarh be stopped from further descent which done the remaining Cure will be easily accomplished I am well assured that by reason of the Wars and your continual quartering of Souldiers you cannot live with those Conveniences about you as you ought to have nevertheless you are to take the best care of your Diet you can therefore you must keep your self in a warm Place and more especially to preserve your Head from all manner of Cold. As to your Diet abstain from all manner of salt and smoaked Meats and all others of hard Digestion and Nutriment more especially from all Acids as Vinegar Iuice of Limons sowre Apples sowre Wine and every thing else that has any Acidity in it for all Acids are hurtful to the Lungs Broths made of Mutton Lamb Veal Hens Cocks and the Flesh themselves boil d with Rosemary Marjoram Barley cleansed and stoned Raisins potch'd Eggs and Goats Milk and in a Word all sweet things are proper If the Malady do not yield to these things send me back word of the State of your Disease Yours to Command I. de Diemerbroeck The Medicaments which I prescribed him were these â„ž Of the Mass of Pill Cochiae ℈ j. s. Diagredion gr v. for seven Pills â„ž Red Coral prepared Blood-stone Trochischs of seal'd Earth an ℈ ij Flowers of Sulphur Ê’j Olibanum Tragacanth Spodium Harts-horn burnt â—…n ℈ j. Conserve of Red Roses â„¥ ij Codigniach â„¥ j. s. Nicholas's Rest Ê’j s. Syrup of Poppy q. s. Mix them for a Conditement â„ž Syrup of Iujubes of Colts foot of Licorice an â„¥ j. of Poppy Looch Sarum an â„¥ j. s. Mix them for a Looch â„ž Heads of white Poppy n â— v. Cut them small and boil them half an hour in common Water q. s. Strain them very hard with the Straining boil White-sugar â„¥ iiij to the Consistence of a Lozenge adding at the end Powder of the Root of Althea ℈ j. s. of Licorice slic'd Ê’j Flowers of Sulphur ℈ ij Red Coral prepared true Bolearmoniac an ℈ j. Make Tablets according to Art â„ž Herbs Marjoram m. j. Rosemary Bitony Flowers of red Roses Melilot an m. s. Cloves Ê’j Nutmegs Cummin-seed an Ê’jj Beat them into a gross Powder and then add Millet-seed m. iiij Salt m. iij. Mix them together and put them into a large linnen Bag. When he had used these Remedies for eight days he wrote me word that his Coughing and Spitting of Blood were very much abated but not quite cured Therefore to perfect the Cure I wrote him word to continue his Pills Looch and Conditement and withal sent him the following Prescription â„ž Roots of the greater Cumfrey Snake-weed Tormentil Fennel an â„¥ s Licorice slic'd Ê’vj Herbs Hyssop Colts-foot Scabious Herb Fluellin Plantain Betony Rosemary an m. j Sage Flowers of red Roses an m. j. Head of white Poppies cut small n o iiij Raisins unstoned Ê’iiij Dates n o ix Decoction of Barley q. s. Boil to an Apozeme of lb iij. First let him purge with his Pills and make use of Looch let him take his Conditement Morning and Evening and drink a Draught of his Apozeme after it about the end of March he wrote me word that he was quite cured of his Cough and Spitting of Blood that he slept very well and could eat and gave me many Thanks for my Advice ANNOTATIONS ALL spitting of Blood out of the Veins of the Lungs threatens great Danger and therefore ought to be cured with great speed and prudence As Benedict Faventius observes If a Vein says he be broken with Coughing and Blood spit out of the Lungs it will never be consolidated but with great difficulty and care of the Physitian This Cure is more easily or with more difficulty accomplished according to the variety of Causes the Vehemency and Diuturnity of the Distemper and the natural Strength of the Lungs affected But among other Causes this is one when Nature endeavours to expel by the violent force of the Cough the Humors stoping the spiritual Passages for by that extraordinary Violence there is a force put upon the Organs of Respiration so that they become very much extended with their Vessels and sometimes broken and then the Blood comes away with the Spittle Such was the Blood-spitting that troubled our Patient which was very dangerous but less then if it had been occasioned by some ill Disposition of the Lungs or Corrosion of the Vessels or any such like Cause However had the Distemper persisted any longer the Vessels without doubt would have been corroded by the Acrimony of the distilling Humors and the Strength of the Bowel would have fail'd and then Suppuration Consumption Rottenness a Fever and several other Maladies of difficult Cure and for the most part mortal would have ensued But because it was not come to that and because the Disease had been of no long standing and the Patient was of sufficient strength the Cure was fortunately performed and much sooner than was expected OBSERVATION XLII Suppression of the Secondines and Courses THE Wife of Peter Vleys-houwer the sixth of March miscarried presently after her Secondines Courses Urine and Evacuations of Excrement stopped which exposed her to imminent danger especially when the Medicaments given her by the Midwife availed nothing The ninth of March which was the fourth day after she had miscarried I was sent for and presently prescribed her these things â„ž Roots of round Birthwort Dittany Valerian Briony Masterwort Fennel an Ê’iij Herbs Mugwort Peniroyal Tansie Feverfew Savin an m. j. Seed of Parsley Lovage wild Carrots Ê’ij red Vetches â„¥ j. s. White-wine q. s. Boil them for an Apozeme of lb j. s. â„ž Of this Decoction â„¥ v. Leaves of Senna cleansed Ê’iij Best Rhubarb Ê’j s. Aniseseed Ê’j Choice Cinamon ℈ j. Make an Infusion for four hours then strain them very hard and add to the Straining Oyl of Amber ix Drops for a Draught After she had took this she purged gently and her Urine and Courses came down in great Plenty and her Secondines came forth by Piace meals and thus by this one Medicament she escaped a very great danger OBSERVATION XLIII A Wound in the Brain with a Pistol-shot MR. Vane an English man and Ensign of a Company a strong young man about twenty five years of Age at the Siege of Schenk Sconce in the Year 1636. was wounded in the â—…ead with a Pistol Shot a little Bullet entring through the inner Corner of his Right-Eye without hurting the Eye and passing through the Substance of the Brain in a streight Line to the upper Bottom of the fore-part of the Head on that Side in that Place stopp'd and stuck under the
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
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
the Pain anoint the Fore-head Temples and Top of the Head with Martiate or Alabastrin Oyntment mixed with a sixth part of Oyl of Dill or a Cataplasm of Flowers of Cammomil Melilot and Dill adding a little Nutmeg and Saffron with as much of the Crum of White-bread and White-wine as is sufficient and lay it between two Linnen Rags to the Temples and Forehead but beware of all Narcotics XII For the Corroboration of the Head and the rest of the Bowels and Diminution of the Flegm External and Internal Medicaments are proper and a convenient Diet. â„ž Roots of Calamus Aromatic Elecâ—…m pane Fennel an â„¥ s. Galangale Ê’iij Herbs Betony Marjoram Rosemary Hyssop Baum Thyme an M. j. Sage Fowers of Cammomil Staechas an M. s. Seed of Fennel Aniâ—…e Caroways an Ê’s Iuniper-berries Ê’vj Raisins cleansed â„¥ ij Common Water â—…nd Whiteâ—…ine equal Parts Boil them anâ—… make an Apozem to lb j. s. with which mix Syrup of Staechas â„¥ ij or iij. If after he has taken this there requires more Exsiccation still the same Simples may be boiled in a Decoction of 〈◊〉 Sassapeâ—…il or Sassafras which will make the Medicine more effectual Let him continue this Decoction for some time or if at length it prove distastful let him often take of this Conditement â„ž Specier Diambra ℈ iiij Aromatic Rosatum ℈ ij Ginger condited Conserve of Flowers of Sage and Rosemary an â„¥ s. Syrup of Staechas q. s. For a Conditment XIII And in regard that Topics are of great use to corroborate the Head and fetch down cold Humors therein remaining let him anoint his Temples and fore-part of the Head upon the Coronal Suture with this Liniment â„ž Oil of Nutmegs pressed Ê’j Oils of Thyme Rosemary Dill disâ—…illed an ℈ j. Mix them for a Liniment After this Anointing put upon the Head the following Quilt â„ž Leaves of Rosemary and Marjoram an Ê’s Flowers of Melilot Red Roses and Lavender an Ê’j Root of Florence Orrice Nutmegs Cloves Benjamin an ℈ j. Beat them into a gross Powder for a Quilt Let him wear this a Month or two upon is Head XIV Let the Patient keep a proper Diet live in an Air moderately hot Let his Food be Meats of good Juice hot and easie of Diâ—…estion seasoned with Rosemary Marjoram Stone-Parsly Sage Betony Hysop Pepper Ginger and other Spices His Drink small Wine or Mede or midling Ale Let him not sleep long and use moderate Exercise Let him keep his Body soluble Let him avoid Sadness Melancholy and sudden Frights and keep himself in an even Temper free from Passion HISTORY II. A Phrensie A Stout young Man of a Choleric Constitution abounding with Blood and living intemperately having drank over freely at a Merry meeting and thereby over-heated at length being affronted by one of the Company fell into a most violent Passion yet being hindred from his present Revenge and carried Home never slept all that Night but like a Mad-man ran about his Chamber talking of nothing but Brawls Fighting Wounds and Revenge and that with great Rage and many Follies intermixed The next Day he was absolutely mad and began to lay violent Hands upon the Servants so that he was forced to be held by lusty Men. The next Night he continued waking with an extraordinary Delirium and Fury picking Straws and the Bed-cloaths sometimes flying upon those that were in the Room His Eyes were red his Looks furious and wild he bawl'd and roar'd was very thirsty feverish and his Urine pale The third Day the Physicians were sent for I. THE continued and raging Delirium with his Waking shewed that the Brain of this Patient was distempered and the Fever was a Sign that his whole Body was out of order II. The Disease was an Inflamation of the Membranes of the Brain and thence a hot Distemper of the Brain and Spirits which caused the Fever and that the Commotion of his Mind which the Physicians call a Phrensie which is a raging and continued Delirium with a continued Fever arising from an Inflammation of the Membranes of the Brain III. The remote Cause was Intemperance in Diet which engendring a great quantity of choleric Blood in the Body occasioned the antecedent Cause Which choleric Blood being heated by excess of drinking Wine and carried in greater quantity to the Head and there powred into the Substance of the Membranes of the Brain constitutes the containing Cause of this Distemper which Disease this Simptom follows IV. For the hot Blood flowing over copiously into those Membranes and there putrifying inflamed them and part of that Putrefaction being communicated through the Veins to the Heart and thence expelled hotter through the Arteries to the whole Body kindles the Fever which causes the extraordinary Drought of the Gullet and Mouth V. This Inflammation of the Membranes infects with a hot Distemper the Brain it self and Spirits whose extream Heat Mobility and inordinate Motion deprave the principal Functions of the Brain and so breed a Delirium which proves raging and continued because of the extream and continued Heat and rapid Motion of the fervent Spirits VI. This Disease is dangerous for several Causes 1. Because the principal part is affected 2. Because continual Waking weakens the Patient 3. Because this Delirium is not accompanied with Laughter but with Raging 4. Because the Inflammation is thereby much augmented and fomented and the Choleric Matter which uses to dye the Urine is carried all to the Head and leaves the Urine pale Only there is some hopes of Cure because there is no decay of Strength or appearance of bad Simptoms as Convulsions loss of Speech Hickupings Gnashing of Teeth or the like and therefore Cure must not be delay'd till the Patient grow worse VII This Cure consists in taking away the antecedent and containing Cause and Correction of the ill temper of the Parts VIII The choleric Blood which flies to the Head is first to be evacuated drawn back derived and repelled And therefore after an emollient Glister given open a vein first in one Arm and take away ten or twelve ounces of Blood the next day in the other and the third day again if there be necessity in the Vein of the Fore-head IX To evacuate the choleric Humors give this Draught â„ž Rubarb the best Leaves of Senna an Ê’ij Rhenish Tartar Ê’iij Anise-seed ℈ j. Succory Water q. s. Make an Infusion then add to the Straining Elect. Diaprunum solutive Ê’iij Diagridion gr iij. Mix them for a Draught The next Days if he be bound let him be loosned with Glisters and the third or fourth day give him the foresaid Purge again X. Let his Temples and Fore-head be anointed twice or thrice a day with the following Liniment â„ž Populeon Oyntment Ê’vj Oyl of Poppy Ê’iij Mix them for a Limment After anointing apply the following Oxyrrhodine with rags luke warm to his Fore-head â„ž Oyl of Roses â„¥ ij Iuice of Lettice â„¥ iij. Iuice of Housleek Rose-water Vinegar of Roses
the Head hence this Melancholy is not particular to any Part but Sympathetic and therefore from the Name of the Place where the Nourishment of the Distemper lyes is called Hypochondriac V. This Melancholly Delirium is hard to be cured and not void of danger 1. Because the Causes of it are mischievous and remote in regard they occasion the Generation and Accumulation of that feculent Melancholly Matter in the Hypochondriums 2. Because that feculent Matter is obstinate and not easily tam'd by Medicaments and infects the Animal Spirits with a peculiar evil Temper 3. Because the Cure requiring a longer time the question is whether the Patient will take so much Physic or no. 4. Because the continued ascent of the Melancholly humor to the Brain the Distemper instead of being Sympathetic may turn to be the peculiar Passion of that Part. 5. Because those Melancholly Humors are troublesom to the Membranes of the Brain and Nerves through their occult and manifest Qualities their acrimony and sourness c. whence the fear is least their copious afflux to the Brain should cause Convulsions Epilepses c. 6. Because this Delirium is not accompanied with Laughter but with a sad and serious Musing Yet while there is strength and a willingness to take Physic there is some hopes of Cure VI. In the Method of Cure the containing Cause is first to be discussed and the ill temper of the Animal Spirit to be removed as also that the Antecedent Cause or Melancholly Humor in the Hypocondriums be atteuated digested and evacuated and a new Generation and Accumulation of it prevented that Obstructions be removed and that the Brain Spleen and other Bowels be corroborated VII Milder Medicaments not very hot will be most convenient least the Matter being agitated by stronger and very hot Medicines be carried in too great a quantity to the Heart and Brain VIII First loosen the Belly with this Glyster â„ž Emollient Decoction â„¥ x. choice Hiera Pâ—…cra Diacatholicon an â„¥ j. s. Oyl of Camomile â„¥ j. s. Salt Ê’ j. mix them for a Glyster The next day but one or the third day give him this Purge â„ž Leaves of Senna â„¥ s. white Agaric Anise-seed an Ê’ j. Ginger ℈ j. Decoction of Barly q. s. make an Infusion then add to the straining Confect Hamech Ê’ ij Hiera Picra Ê’ j. For a Potion IX Now because People thus affected have their Veins swelled with a Palpitation of the Heart sometimes and that their strength is in good Condition after Purging Blood-letting will not be amiss in the Arm or if the Hemorhoid Veins appear Leeches may be properly applied X. This done let the Patient drink three or four times a day a draught of this Apozem â„ž Root of Polipody of the Oak â„¥ j. Eringos Cammoch Rind of the Roots of Capers Tamarisch an â„¥ s. Herbs Borage Roman-Wormwood Strawberry-leaves all the Dandelions Ceterach Germander water Trefoile an M. j. March Violet leaves and Baum an M. s. Citron and Orange-Peels an â„¥ s. Damask Prunes vij Currants â„¥ ij Steel ty'd in a little knot â„¥ j. Anise-seed Ê’ iij. common Water q. s. Make an Apozem of lb j. s. XI After he has used this Apozem four days let him take the Puâ—…ge aforesaid again and then return to his Apozem and so continue this method for some time and if he be bound while he takes his Glister let him be loosened with the foregoing Glister now and then the Apozem may be made Purging by adding â„ž Leaves of Senna â„¥ ij Root of black-Hellebore Ê’ ij Indian Mirobalans Ê’ vj. Anise-seed â„¥ s. and let him drink â„¥ iiij every Morning If he find himself nauseous and inclining to Vomit this Vomitory may be given him â„ž Conserve of Leaves of Asarabacca Ê’ x. Decoction of Radishes â„¥ iij. Oxymel Scyllitic with Agric â„¥ s. Vomitious Wine Ê’ iij. XII In the mean time that he takes these things let him also for the strengthening of his Head and Bowels take of these Tablets several times in the Day â„ž Specier Diambrae Ê’j Dianthos Aromatic Rosatum an ℈ j. Powder of the Yellow of Citron-rina ℈ j. s. Sugar dissolved in Betony-water â„¥ ij For Tablets Or let him sometimes take a small quantity of this Conditement â„ž Specier Diambrae Ê’ j. Conserve of Borage Baum Rosemary-flowers pale Roses an Ê’ iij. Syrup of Citron rind q. s. XIII Let him keep in a good and pleasant Air and avoid Loanliness converse with merry Company and be merry himself Let him abstain from all Meats of hard Digestion and ill Nourishment especially salted and smoaked food Let him avoid bottled and windy Drink and let his Salads and Sauces be such as attenuate and open and promote Concoction but not very hot HISTORY V. Of Madness A Young Gentlewoman about twenty eight Years of Age lusty perspicacious melancholy musing and thoughtful but using an ill Diet and sometimes liable to obstructions in her Hypochondriums finding her self to be slighted by her Parents a long time concealed her greif and publickly shewed her self chearful but spent the Nights without sleep in Morosness Tears and Sighs At length she was taken with a pain in her Head accompany'd with a slight Fever disorderly but continual within a few days her pain leaving her she appeared to be light Headed for she that was before reserved of her Speech grew to be very talkative of a suddain so that at length she began to talk not only all day but all night long However for the first two or three days though she talked much yet what she said was all sence and rational enough but after that she fell to raving and non-sence then her Fever ceased but still she never slept this Delirium within a few days increased to that degree that she grew sullen angry run about the Chamber made a noise and grew so out-ragious that she laid violent hands upon all that came near her talked obscenely and tore her Cloaths so that she was forced to be held down in her Bed nevertheless she was strong had her Evacuations duly and an indifferent good Stomach nor was she very thirsty neither was she much sensible of the bitter Cold Frosty Winter-Season though she had hardly any Cloaths upon her but was always warm I. THAT the Brain of this Woman was terribly affected appears by her continued Madness accompanied with want of sleep boldness immodesty and anger and that her Heart and the rest of her Body suffered was plain from her extraordinary heat II. This Delirium is called Madness and is a continued Commotion of the Mind with an enraged Boldness arising from the heat of the Spirits III. The chiefest of all the evident Causes was her grief to be so slighted by her Parents which though she dissemblingly suppressed at first nevertheless in a young Person Melancholy of her self and by reason of her disorderly Diet abounding with Choleric and Melancholy humors and so liable to Diseases it might easily produce a raging Delirium For
Air no less troublesome to it IV. Which Vellication of the Nerve being communicated to the Nerve and perceived by the Mind presently more copious Spirits were determined to the Place affected for its Relief which distending in breadth the Nerve and Muscle belonging to it but contracting it in length caused the Convulsion By the Pain of this Convulsion the Head being troubled sends the Animal Spirits disorderly to these or other lower Parts and so contracting them in the same manner the Contraction happens not only in the wounded but in other Parts likewise and from this great Disturbance of the Brain and Animal Spirits happens a Delirium V. This is a dangerous Malady for besides the Nerves and Muscles the noble Bowel is distmpered Therefore says Hippocrates a Convulsion ensuing a Wound is very dangerous But the Youth and Strength of the Patient promises great hopes of Cure besides that the Convulsion proceeds from an external Cause that may be removed VI. The Method of Cure consists in keeping the Patient warm and in a warm Place in removing the sharp and biting Oyntment and washing the Wound with Barley-water boiled with Hyssop and a little Honey dissolved in it then put a Tent into it dipped in this Oyntment â„ž The Yolk of an Egg n â— j. Honey Turpentine an Ê’iij Spirit of Wine Ê’ij Then lay on Emplaster of Betony or Melilot VII The Parts afflicted and especially the wounded Arm are to be fomented with this Fomentation â„ž Marjoram Rosemary Betony Calamint Hyssop Basil an M. j. Flowers of Dill M. ij Of Chamomil Melilot an M. j. s. Seeds of Cumin â„¥ j. of Lovage Ê’iij Of Dill â„¥ s. White-wine q. s. Boil them to lbiij VIII After Fomentation strongly chaâ—…e the Parts affected with this Liniment warm â„ž Martiate Oyntment Oyl of Ireos Oyl of Foxes Earth-worms and Spike an â„¥ j. Oyl of Castor â„¥ s. IX In the mean time after a Glister given let the Parties take a Draught of this Apozem to strengthen the Brain and Nerves â„ž Root of sweet Cane Fennel Male Piony an Ê’vj Herbs Of Majoram Rue Betony Rosemary Baum Basil Calamint an M. j. Flowers of Stoechas M. s. Fennel Seed Ê’ij Raisins cleansed â„¥ ij Water q. s. Boil them to lbj s. Then mix Water of Tilet Flowers Syrup of Stoechas an â„¥ iij. X. Now and then let her take a small quantity of this Conditment â„ž Species Diambra ℈ iiij Candied Root of sweet Cane Conserve of Flowers of Sage Betony Anthos an â„¥ s. Syrup of Stoechas q. s. XI Lastly clap such a quilted Cap upon her Head â„ž Leaves of Marjoram M. s. Of Rosemary Betony Flowers of Dill Melilot an Two little Handfuls Nutmegs Ê’j Benjamin Ê’s Beat them into a Gross Powder for a quilted Cap. XII The Convulsion ceasing the Body must be purged with an Infusion of Leaves of Senna Rubarb Agaric c. or with Cochiae or Golden Pills Diaphenicon or Diaturbith with Rubarb And then return to the use of the foresaid Apozem and Conditement XIII Her Diet must be easie of Digestion condited with Marjoram Hyssop Rosemary Betony Sage Anise-seed Fennel-seed and the like Let her sleep Long and take her Rest as much as may be And be sure the Body evacuate regularly HISTORY XV. Of the Epilepsie A Boy of eight years of Age indifferent lusty no care being had of his Diet first became sad and the Winter being past often complain'd of a grievous Head-ach In March as he was at play he fell down of a sudden quite senseless writh'd his Eyes and clutch'd his two Thumbs hard in his Fists That Fit soon went off but the next day it returned much more vehement attended with manifest Convulsions of the Body From that time the Fits returned twice thrice and four times a Week with more terrible Convulsions But in the Summer they were much gentler and not so frequent But the Autumn following especially near Winter the Fits took him very often and very violent and that too of a sudden without any warning with horrid Convulsions and Foming at the Mouth And at last the I continuance and violence of the Distemper had so disordered the Animal Functions that the Child was become sottish I. THAT the Boys Brain was affected was plain by the distress of the Animal Functions II. This Distemper is called an Epilepsie Which is a Convulsion of the whole Body not perpetual with which the Party taken falls to the Ground with an intercepting of the Senses and Functions of the Mind rising from a Peculiar malignant and acrimonious Matter III. Bad Diet contributes much to the breeding of this Disease as the greedy devouring of bad and raw Fruit which heaps up Crude and Flegmatic Humors in a Flegmatic Body and these filling the Brain first caused the Head-ach then through their long stay in the Brain obtaining a certain peculiar pravity and acrimony constitute the containing Cause of the Epilepsis IV. From this depraved and acrimonious Humor exhale sharp and malignant Vapors which as often as they twitch and bite the beginning of the Nerves about the heat of the common Sensory so often they cause the Fit For while Nature endeavors to shake off that troublesom Acrimony from the sensible Parts it happens that as the Spirits flow in greater or less quantity into them they contract and relax alternately and move the rest of the Nerves and Muscles of the Body after the same manner whence those short and frequent Convulsions V. Now because this Malignant and sharp Humor chiefly and oftenest afflicts the small diminutive Nerves near the seat of the common Sensory hence it comes to pass that the fit so suddainly seizes For so soon as those little Nerves feel that Acrimony Nature endeavors to shake it off And because that endeavor is made and begins near the common Sensory therefore there is a stop put upon the Functions of the Senses and Mind For in regard the Pine Kernel is presently affected and for that the Influx of the Animal Spirits through the Nerves sometimes contracted sometimes relaxed can never be regular hence it happens that the Organs of the Senses become defective in their Functions and by reason of that disorderly Influx of the Spirits into the Nerves and Muscles the Patient presently falls VI. The Fits are milder and not so frequent in Summer For that the Pores of the whole Body are more open by reason of the External heat so that there is a greater dissipation of the Humors and considering the time of the year less Flegm is bred and heaped up in the Brain Therefore in Autumn and Winter they are most frequent and violent because of the greater abundance of Flegm then bred and less easie to be dissipated through the Pores then contracted with Cold besides the Vapors exhaling from it are more abundant and acrimonious VII The Foam at the Mouth proceeds from hence for that those Flegmatic Humors expelled from the Brain into the Jaws and Lungs by that
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
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
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
they are well digested that vitious Ferment being Evacuated IX There is no Fever because no Putrefaction X. He is thoughtful and sad for that by reason of the acid Humors mixed with the Blood the many Animal Spirits are generated somewhat thicker in the Brain so that they do not pass so chearfully and orderly through the narrow Pores of the Brain which makes the Patient thoughtful and musingly Melancholly XI The Body is emaciated because the first Concoction is not well performed which infects the Blood with a Scorbutic quality that renders it more unapt for Nutrition XII This Disease is dangerous for fear of an absolute Atrophy and Consumption of the Natural strength XIII Therefore in the Cure let the Patient be Purged once in eight days with an Infusion of Senna Agaric c. adding thereto a little Electuar of Hiera Picra or Diaprunum or with Chochia Pills Extract of Catholicon Powder of Diaturbith and the like Blood-letting signifies little in this Case where there is no Fever XIV If his inclination to Vomit continue give him some such Vomitory â„ž Fresh Leaves of Asarabacca Ê’ iij s. Radish-water an â„¥ ij squeez out the Iuice then add Antinomiate Wine Ê’ iij. Oxymel of Squills â„¥ s. XV. Let him take three times a day some convenient Apozem like this that follows â„ž Roots of Tamarisch Capers Polypody of the Oak Elecampane an Ê’ vj. Germander M. j. s. Baum Betony Borage Dodder an M. j. Leaves of Lawrel Water Trefoyl an M. s. Orange-peels Ê’ vj. Anise and Fennel-seed an Ê’ j. s Raisins cleansed â„¥ ij Water q. s. Make an Apozem to lb j. s. XVI Between whiles let him take a small quantity of this Conditement â„ž Roots of Elecampane Orange-peels Condited Conserve of Borage Baum Flowers of Sage an â„¥ s. Oyl of Anise drops xij Syrup of Elecampane q. s. XVII In a great distention of the Maw and Intestines with Faintness and Pain such a Bolus will be very proper â„ž Treacle Ê’ j. Crabs Eys prepared ℈ j. Oyl of Annise drops iiij Mix them for a Bolus XVIII Instead of his Apozem sometimes in a Morning fasting give him a Dose of this Powder in Ale or Broth. â„ž Crabs-Eyes prepared Ê’ ij Red Coral prepared Ê’ s. Amber prepared Ê’ s. Make a Powder to be divided into four Doses XIX Let his Diet be of good and easily digested Nourishment avoiding all dry'd smoak'd acid sowre rank and crude Victuals Let his Drink be sound stale Ale and small Wine but not acid Let him Sleep and Exercise moderately and evacuate duly and regularly AN INDEX OF MATTER Contained in the TREATISES OF THE Small-Pox Measles AND THE CURES and DISPUTATIONS following AGue Tertian 134 140 Ague Bastard 135 151 156 St. Anthonie's-fire Apoplexy 185 Appetite lost 113 Apthae 204 205 Arabian's Opinion of the Causes of the Small Pox. 4 An Asthma 44 216 The Author rejects the Opinions of all the Physicians concerning the Small-Pox 6 Avicins Opinion concerning the Causes of the Small-Pox 4 B. Bâ—…thing in the Small-Pox dangerous 37 Belly-bound 150 Blear ey'dness whether contagious 109 Bleeding at the Nose 52 116 200 Blindness 197 Bloodletting when to be admitted in the Small-Pox 13 34 Bloodshot Eyes 195 To break the Pox more speedily 19 b. Breath stinking 83 A Burning 64 Burstness of the Guts 86. With a Gangrene 122 C. Camphire debilitates Venery 79. a. b. A Canine Apetite 233 Carus 178 Catalepsis 179 A Catarrh Chimical dissolutions of little use 15 a. Chyrurgical Helps for the Small-Pox 12 Cinnamon water the use of it in the Small-Pox 35 Cholic 98 137 Coma a Disease so called 174 Ill consequences of catching of Cold in the Small-Pox 26 a. b. Concoction difficult 234 A Consumption 75 123 224 Convulsions Epileptic 133 Convulsion 189 Coverlets red contribute to expel the Small-Pox 15 A Cough 158. 214 Cupping-Glasses improper 13 Cure of the Measles 24. a D. Deafness 160 The Diagnostic Signs of the Small-pox 7 Diagnostic Signs of the Measles 23. b Diaphoretics for the Small-pox 14 Diarrhea 120 Duncan Liddel defends the Opinion of the Arabians 5 What Diâ—… convenient in the Small-pox 10 A Disentery 59 61 73 74 A Dysury 47 E. Emplasters hurtful 15 Empyema 212 Epilepsie 190 Epileptic Convulsions vid. Swoonings Epithemes hurtful 15 Evacuations monthly dangerous in the Small-Pox 32. a. b Expulsâ—…oes the several Sorts 14 External Parts how to cure 19. a. Exulcerations how to cure them 22. a. Eyes how to preserve 20 Eye-lid seized by the Small-Pox how to cure 37 Eye-lids closed by a Wound 46 F. Face swell'd with a Fall 142 Fever Malignant 69 70 72 Tertian Intermitting 115 Female Purgations suppressed 61. 80. 91 Fernelius of the Small-Pox 5 Figs the use of them in the Small-Pox 15. b The Vertues of them 16. a Fissure of the Skull 102 Fomentations hurtful 15 French-Pox 118 G. Gallic Fever 66 Gargles 19. b Gentilis of the Small-pox 5 Giddiness 181 A Gonorrhea 37 Gout in the Knee 97 Gouâ—… 154 H. Head-ach 80 103 128 163 Hickup 104 Several Histories of the Small-pox 25 26 27 28 29 c and Measles 38 Hoarsness 49 House-Swallows 13 A Hurt upon the Shin 78 The Hydrocephalus 208 Hypochondriachal Passion 235 Hysterical Suffocation 111 I. Imagination the Strength of it 29 Inflammation of the Lungs 41 221 Internal Bowels may be seized by the Small-Pox 27. a Internal Parts how to â—…re 15. b The Itch. 52 160 Itching in the Measles how to prevent 24. a K. Kidneys pain'd 95 Kings-Evil 143 L. Lethargy 176 What Lotions to be rejected 22. a M. Madness 173 Of the Measles in General 1 Of the Measles in Specie 23. a Melancholy 167. Hypochondriac 169 Mercurialis of the Small-pox 5 Milkie which the best for a Consumption 76. b Milk in a Virgins Breast 132 Mortification of the Legs and Thighs by Cold. 54 The Murr 200 201 N. Nature to be observed in the Cure of the Small-pox 28. a. b Nephritic Passion 63. Pains 125 132 The Night-Mare 183 Noise in the Ears 198 O. An Ophthalmy 108 194 Oyls hurtful 15 P. Pain extream under the Breast-bone 127 Palpitation of the Heart 228 Palsie 50 187 Perforation with a Bâ—…dkin dangerous 21. b Pestilential â—…ever 36 Pharmacutic Remedies 13 A Phrensie 165 Pin and Web. 195 Pitting to prevent 21. a Pits to take them away 22. b The Pleurisie 210 The Pose 200 201 Of the Small-pox in general 1 Of the Small-pox in specie 3 The Causes of the Small-pox 4 The preservative Physic. 9 The prognostic Signs of the Small-pox 8 Prognostic Signs of the Measles 23. b Purgatives whether proper or no. 13 Purging violent 82 Purples 24. a. b. 32 Q. Quick-silver good for the Worms 153 Quinancy 218 R. The Ranula 206 a Red Spots how to take them away 22. a Remedies not to be changed when truly applied 28. b S. Saffron the Use of it in the Small-pox 35 A Scald 46 Scars to prevent 21. a Sâ—…iatica 146 Scurvy 128. When first known 129