malignant Medicines c. and this is not lethal The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration but sometimes by manifest excretions The signes are rusous crass stinking dejections sometimes fat and viscid with a spume or froth which indicates heat the nose grows sharp and the eyes hollow which latter signes if they appear at first we are not to meddle Hippocrates proposes two remedies the one the cremor of Barley the other cold Water with acid sirrup made up with Sugar and not with Honey give Glisters if occasion be or eccoproticks for the first region of the body with opening and cooling decoctions if there be obstructions and condites and cardiacal powders as are described in the Chapter of a continual tertian CHAP. XXVI Of the Feaver from Crudity {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Feaver from Crudity though the word Crude be applied to various things yet in this place it is taken for a raw cold humour contained in the first passages or in the whole body this Feaver differs from an Epiala not in matter nor in the place of putrefaction but in malignity and therefore is not voyd of danger especially if it be joyned with an inflammation of stomach or liver for sometimes it is without them If the crude humour putrefie in the first passages there will be a nauseousness sower belchings with idleness or unseasonable exercise as Venery presently after meat c. if it bee in the whole body the urine will be thin and watery the contents divulsed the colour pallid plumbeous or livid the whole bulk somewhat swelled the pulse unequal obscure with a dulness of the senses make a Glister with Hiera Catholicum honey of Roses oyle of Camomel decoction of Mallows Mercury Origanum Dill c. Take of Catholicum an ounce infuse it all night in the infusion of Damask Roses streine it and adde sirrup of Succory with Rhubarb duplicated an ounce and half give it in the morn if strength and age permit and a high tinct urine require it let bloud in the axillary veine in small quantity with a narrow Orifice All attenuating things used must not be very hot lest the Feaver be increased Take of sirrup of Vineger and juyce of Endive each two ounces Succory Wormwood-water each six ounces Take of Grass-roots Butchers Broom and Asparagus each an ounce of Succory Agrimony Endive the Capillary Plants Sea-wormwoode ach a handful Origanum and Balm each half a handful seeds of Carduus Benedictus Citron and Anise each two drams flowers of Bugloss and Time each a pugil boyle them in water to a pint with Oxymel simple three ounces make an Apozem and aromatize it with Cinamon Take of Cinamon a scruple Rhubarb four scruples Catholicum half an ounce Cassia newly extracted an ounce infuse them in part of the Apozem and to the expression adde sirrup of Roses with Agarick an ounce and half give the potion and give no stronger take of the Conserve of Citron pill three drams old Mithridate or Treacle or Aurea Alexandrina a dram with Sugar give the Bolus next day three hours before meat Books printed and are to be be sold by John Hancock at the first shop in Popes-head-Alley next to Cornhil A Book of Short-writing the most easie exact lineal and speedy method fitted to the meanest capacity composed by Mr. Theophilus Metcalse professor of the said Art Also a School-master explaining the Rules of the said Book Another Book of new Short-hand by Thomas Crosse A Coppy-book of the newest and most useful hands Four Books lately published by Mr. Thomas Brooks Preacher of the Gospel at Margarets New Fish-street 1 Precious Remedies against Satans Devices or Salve for Beleevers and unbeleevers Sores being a companion for those that are in Christ or out of Christ that sleight or neglect Ordinances under a pretence of living above them that are growing in Spirituals or decaying that are tempted or deserted afflicted or opposed that have assurance or want it on 2 Cor. 2. 11. 2 Heaven on Earth or A serious Discourse touching a well-grounded Assurance of mens everlasting happiness and blessedness discovering the nature of Assurance the possibility of attaining it the Causes Springs and Degrees of it with the resolution of several weighty Questions on Rom. 8. 32 33 34. 3 The unsearchable Riches of Christ or Meat for strong men and Milk for Babes held forth in two and twenty Sermons from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill 4 His Apples of Gold for Young-men and Women and A Crown of Glory for Old Men and Women or the happiness of being good betimes and the Honour of being an old Disciple clearly and fully discovered and closely and faithfully applied The Godly Mans Ark or City of refuge in the day of his Distress Discovered in divers Sermons the first of which was preached at the Funeral of Mistris Elizabeth Moore Whereunto is annexed Mistris Moores Evidences for Heaven composed and collected by her in the time of her health for her comfort in the time of sickness By Ed. Calamy B. D. and Paster of the Church at Aldermanbury The Covenant of Gods Free Grace unfolded and comfortably applied to a disquieted or dejected soul 2 Sam. 23. 5. By that late Reverend Divine Mr. John Cotton of New England The Ruine of the Authors and Fomenters of Civil War as it was delivered in a Sermon before the Parliament at their monthly Fast by Mr. Samuel Gibson sometime Minister at Margarets Westminster and one of the Assembly of Divines The New Creature with a description of the several marks and characters thereof by Richard Bartlet FINIS Of the Name The definition of a Feaver The division of heat The division of ascititious heat From the essence From the subject From the manner of the motion From the efficient cause From the matter The containing The contaâ—nâ—d The impetuous From the Symptoms The simple Feaver An unputred Synochus The Homotonos The Epacmasticâ— The Paracmastical The putred Synochus The Synechis Intermitting Feavers A Hectick Compound Feavers The Confuse The Erratick From the Humour From the quality Object against this opinion From the quality From the habit of the body From the strength From the complication The cause of putrefaction What the catasâ—aâ—â—â— it From whence are the signes of these timâ—s From whence is the Idaea of the Disease 2 From the fits 3 From the figure 4 From the strength 5 From the season 6 From the pulse 7 From the rigour 8 From the houre 9 From the Symptomes 10 From the duration of the fits 11 From the evacuation 12 From the urine Signes when the matter is out of the veines How to distinguish the four times of Feavers The foâ—â— times of a Phlegmon Signes of the times of an Ophthalmy The four times of an Ulcer What time is What a period is What is the type The time of intermitting Feavers from moveable matter The division of the fit The first time The second time The third The fourth The fifth The Sixth The times of these putrid are but four The signes of the times of these Feavers The augment The state The declination From whence the times of a Diary Feavers without putrefaction of the Humours The times of mortal Feavers The times of a Hectick Of Bleeding Purging Of the name Of the external causes Of the internal causes Of the Singes Who are subject to it The Cure The profit of Baths What a Synochus is The Signes The Cure A Cholagoge Feavers from Humours equally putrefied The Causes The Signes How many wayes a Crisis may be The Cure The cordial powder An Epithem for the heart A Plaister A Liniment for the Liver Feavers from humours unequally putrefied The division of these Feavers The external Causes Causes internal The causes of a not exquisite continual Tertian Signs Pathognomonical of a causus Signes assident Signes of exquisite Tertian Prognosticks The Aire His Drink Bleed A cooling Glister A Bole. A Rule to be observed A Julep A Purge for Choler Of the Name How a continual and intermitting differ External causes The Signs A Glister A Vomite A Purge for the Flegme Bleed A Julep An Apozem Pills Of the Name The Causes The Signs Prognosticks The Cure A Rule for purging A Glister A purge for Melancholly A Vomit An altering Julep An Apozem Lozenges The Oyntment for the Spleen Whence a double Tertian The Causes The Signs A Caution A Julep A Purge for choller Pills A Bolus A Cordial powder A Vomit A Suppositary A Purge A Julep An Apozem A Purge A bolus Lozenges for the Liver The division of this Feaver The Signs Signes of a bastard Quotidian The Cure A Suppositary A Glister A purging Potion A Julep Pills A Condite A Liniment A Plaister Of the Name The Cure The Signâ— Prognosticks The Cure A Glister A Bole so melancholly A Purge for melancholly Pills Vomit An Apozem for choller adust An Apozem for salt flegm A Purge for 〈◊〉 flegme A purge for flegme and melancholly A Bole A Purge for choller adust An Opiate Lozenges A Plaister for the Spleen The Causes Presages A powder for an intermitting quartan Of a confused Feaver A Compound Feaver Of the Erratick Feaver The Causes The signes of a Semitertian Signes of a non exquisite Semiterâ—ian Prâ—â—nostiâ—â—s A Purge A Sirrup against thirst An opening Apozem Of the Name The Definition The Division The Causes Signes of the first degree Signes of the second degree Signes of the third degree The Cure A Glister A Potion Baths A Liniment A Condite The Cure of the second degree An oyntment for the brest The choyce of Milks The third degree A short cure of a Compound Hectick The division and difference of malignant Feavers Of a Leipyria Feaver The Cure A Syncopal Feaver The Cause The signes from prassinous choller The Cure A Glister for flegme A Glister for aeâ—uginous choller A minorating Purge for flegme A purge for choller Pills A Julep for flegme An Apozem The signes The cure Typhodis Feaver The moyst Feaver The restless Feaver The signeâ— The Cause A Glister A Potion The Colliquating Feaver The cause The signes Of the Name The Signs A minorating purge A Rule A Julep An Apozem A Purge
till a third part be wasted clarifie it and aromatize it with Cinamon Take of Cloves half a scruple Agarick Trochiscate two scruples Rhubarb and Tamarinds each four scruples Diaphaenicum six drams infuse them in part of the apozem and give it Take of conserve of Succory flowers Citron Pill candied each two drams old Methridate half a dram give it with Sugar three hours before meat Take of Pills Imperial a dram of Agarick a scruple Diagridium four graines make them up with honey of Roses To strengthen the Liver take of the powder of Diatriasantalum two drams conserve of Succory-flowers and Citron pill condite each three drams pure Sugar dissolved and boyled in Agrimony water four ounces make Lozenges of two drams weight and give one every morne if melancholly be joyned adde those things afore mentioned for it instead of Phlegmagoges CHAP. XVII Of an intermitting Quotidian THis Feaver is caused from excrementitious flegme putrefied and every day hath new fits with a refrigeration or chilness the place of putrefaction is the smaller veines and habit of the body and chiefly the stomach which is alwaies almost affected in this Feaver sometimes it is in the mesentery the simous part of the Liver Spleen or Wombe but if it putrefie out of the smaller veines it doth not cause a Feaver but some other Malady as if it be putrid and stinking in the Braine or in the Lungs after Cathars and Astma's or in the Wombe from whence is a Womans Flux or in the Guts from whence are Worms or in the bladder or reines where it is dried into stones of divers colours By flegme is here meant any cold and moyst humour produced in us which may be putrefied from a hot or cold cause that putrefied from heat or the mixture of a serous moysture becomes salt from cold if remiss is caused acid flegme if intense the glassie or albugenious from these severall sorts of flegme are ingendred various Feavers A Quotidian Feaver is two-fold the one from excrementitious flegme which is of sweet taste or insipid for the most part produced in the stomach which when it putrefies in the lesser veines makes an exquisite Quotidian the other is when some other humour besides flegme putrefies with it and it is called a bastard quotidian let the Phisician be careful he coufound not a bastard Tertian or double intermitting Tertian or a triple Quartan which have their fits every day with an intermitting quotidian for their cure is farre different and distinction difficult The causes of this Feaver are not unlike those of a continual quotidian gapings and wretchings precede this Feaver with a coldness of the external parts as of the Nose Fingers Ears Hands and Feet with a paine in the stomach seldome with rigour but with a gentle horrour the pulse inequal inordinate slow and weak at first afterwards more vehement and swift the urine first thin white and crude afterwards thick and turbulent sometimes they vomit flegme have acid belchings swellings of the Hypochondria pale faces and little thirst it usually seazes after noon towards the evening or night its fits are for the most part eighteen hours and therefore it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is partaking of both day and night its intermission is impure by reason of the quantity crasseness and clamminess of flegme which is left by the former fit and is the cause of the following because it is not breathed forth by sweat as in a tertian this pituitous humour is hardly enflamed and moved but the matter being coct the vehemency of the fits cease as in all other wholesome sicknesses its heat is not burning but meanly acrid The signes of a bastard quotidian are confused by reason of the excrementitious choller or melancholly putrefying with it but if choller bee mixt you may know it from the Vomitings stooles urine pulse and a more acrid and mordent heat for some choller will be cast up the excrement will be yellow and the water tinct with choller the pulse inequal and more frequent than in the exquisite the fits shorter with thirst and bitterness of mouth if melancholly be mixt consider its signes with the Spleen ill-affected Let the dyet be hot and drying incisive and detersive let the drink bee decoction of Sarsa Parilla roote sirrup of Vinegar or Hydromel moyst meat that is substantifically moyst is good for all Feavers saith Hippocrates as broths of euchymous flesh altered with Parsley Fennel Hyssop Savory Marjoram Sage Time with a little Endive Purslaine or Burrage if it be spurious the meat is easily corrupted by a feaverish heat as milke by the hot air let them sleep in the declination and not in the beginning of the fit if the sick bee nauseative give a vomit and then what followeth Take of Sope an ounce powder of simple Hiera Agarick and Salt Gemmious each a dram seeds of Coloquintida a scruple beat them in a Morter with juyce of Mercury make Suppositaries and dry them up for your use Take of Origanum Penny-royal Calamint and Mercury each a handful seeds of Dill three drams Agarick two drams Chamomel and Dill flowers each half a handful boyle them in water to a pinte honey of Roses oyle of Nuts each an ounce and half Benedicta Laxative and Hiera or Diaphaenicum each half an ounce make a Glister Take of Polipody of the Oke bruised half a dram wilde Saffron seeds and Sena each two drams Calamint half a handful Anniseed a dram two Figgs flowers of Time a small handful boyle them in water to three ounces in the Colature infuse of Diacarthamum six drams over warm embers sirrup of Roses solutive with Agarick an ounce and give it if it be Spring time and the body young or any evacuation supprest open the right axillary veine then give this Julep Oxymel compound four ounces Sage Betony and Succory water if choller be mixt each five ounces Take of Cocheae Pills and of Agarick each half a dram powder of Hiera a scruple Agarick Trochiscate four graines Trochiskes of Alhandal two graines or if choller be mixt of Diagridium two graines Take of Diarrhodon and Galangal each a scruple Trochiskes of Wormwood two drams Citron pill condite with Honey an ounce Conserve of Sage and Rosemary flowers each two ounces cover it with Gold let him take half an ounce three hours before dinner Take of oyle of Wormwood and Mastick each an ounce oyle of Nutmeg half an ounce mixe at the time of use a few drops of red Wine and anoynt the stomach Take of the plaister of Mastick two ounces of Ladanum an ounce powder VVormwood two drams red Roses a dram Mace two scruples reduce them to a masse and make a scutiforme plaister for the stomach an Epiala being from glassie acid flegme requires the same Cure only stronger remedies CHAP. XVIII Of a Quotidian Feaver from salt Flegme {non-Roman}
You see his Shadow and his outward Looks Such was his face which yet is but the rind To know him better you must read his Books You 'l wonder at his gifts and noble mind THE Expert Phisician Learnedly treating of all AGVES and FEAVERS Whether Simple or Compound Shewing their different Nature Causes Signes and Cure viz. A Feaverish Heat The differences of Feavers A Diary Feaver A Burning Feaver A continual Putrid A continual Tertian A continual Quotidian A continual Quartan An intermitting Quartan Feavers annexed to Quartans A Semitertian Feaver An Hectick Feaver Confused Erratick Feavers Malignant pestilent Feavers c. Written originally by that famous Doctor in Phisick Bricius Bauderon and Translated into English by B. W. Licentiate in Physick by the University of Oxford Published for the general good of this Nation and may be put in practice with facility and safety Printed at London by R. I. for John Hancock and are to bee sold at the first shop in Popes-head Alley near the Exchange 1657. The Epistle to the Reader Courteous Reader THere are no Diseases more frequent in this Nation none more difficult of Cure than Agues and Feavers so that they are Proverbially called The Scandal of Phisicians Fernelius who was thought to have writ best against them was himself destroyed by one neither hath there yet been publisht any remedy so saving as their fiery darts are killing Accept then of this Balsome gathered from the choyse Gardens of the Greeks Latines Arabians by the hands of that incomparable Dr. Bricius Bauderon whose age and experience works more on my faith than the unfathomed Arcana of the moderne Febrifuga hee was eighty years aged when he writ this Tract and had fifty years confirmed by his Practise what in one moneths time thou mayest now be master of his painful long-teeming Birth wants nothing but thy embraces to cherish it it hath been for many years cloystered up in the French and Latine tongue though desired by ambitious heads as a choyse purchase few private Studies could boast of its possession which encouraged me to set it forth in this English Garb in which it is entire though not so splendid more profitable though not so beauteous Such emunct nostrils as shall snuffe at it are like those my Author speaks of that wil swound at the smel of a Rose suburban wits that breath best in the worst Air or like some unclean Creatures that thrive best in standing Pools but I leave them and commend the ingenious to the Work it self methodical facil and perspicuous enough to benefit the meanest capacity yet satisfie the highest read and be convinced Thine B. W. The Contents of every Chapter Chapter 1. TReateth of a Feaverish heat Chap. 2. Of the differences of Feavers Chap. 3. Of the Division of Feavers Chap. 4. Of the Circuit of Feavers Chap. 5. Of the Constitution of Feavers Chap. 6. Of the Four times of Diseases in special Chap. 7. Certaine Physical Rules for practise Chap. 8. Of a Diary Feaver Chap. 9. Of an unputrid Synochus Chap. 10. Of a continual putrid Feaver Chap. 11. Of a Burning-feaver and continual Tertian Chap. 12. Of the Cure of these Feavers Chap. 13. Of a continual Quotidian Feaver Chap. 14. Of a continual Quartan Chap. 15. Of an intermitting Tertian Chap. 16. Of the Cure of a spurious intermitting Tertian Chap. 17. Of an intermitting Quotidian Chap. 18. Of a Quotidian Feaver from salt Flegme Chap. 19. Of an intermitting Quartan Chap. 20. Of Feavers annexed to Quartans Chap. 21. Of confused compounded and erratick Feavers Chap. 22. Of a Semitertian Feaver Chap. 23. Of a Hectick Feaver Chap. 24. Of Malignant and pestilent Feavers Chap. 25. Of the Cardiacal Feaver Chap. 26. Of the Feaver from Crudity Special observations for the Readers more easie apprehension REader for thy better understanding of the quantity of Weights used in this and other Physick Books in Compounding of Medicines observe this brief direction That A Graine is the quantity of a Barley Corn A Scruple is twenty Barley Cornes Three Scruples containe a Dram. Eight Drams containe an Ounce The expert Phisician Learnedly treating of all Agues and Feavers whether Simple or Compound CHAP. I. Of a Feaverish heat A Feaver is so called from the Latine word Forveo because it is a Fervor or Heat affecting the Body the Grâ—eks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is to be inflamed or taken with a Feaver sometimes it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a fiery habit or fiery disposition of the Body and by Hippocrates in the first Book Epidem Commen 3. text 18. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is fire it self It is a praeternatural heat kindled in the heart as in its proper subject primarily and per se hurting our actions which heat by the mediation of bloud and spirits through the Veines and Arteries is diffused through the whole body Now all heat is either Natural or ascititious the Natural is either implanted and fixt or elementary and fluid and a Feaver cannot consist in either of these because the implanted is fomented by the primogenious moysture whose original is heavenly and once depeculated or wasted cannot be repaired nor in the elementary because this by its temper doth help and cherish the implanted and further it in concocting and assimilating the nourishment which is to bee converted into our substance this heat Phisicians call influent because with the spirits and bloud from the heart it is carried by the Veines and Arteries to all parts of the body a feaverish heat then is in the ascititious saith Galen Comment on the sixth book Epidem Hippo. text the 28. An ascititious heat is Three-fold the first in respect of the other is said to be simple that is a bare exuperancy of heat which is thus ingendred the Elementary or fluent heat by a daily increase receding from its temper and mediocrity becomes excessive so that that which was natural by degrees becomes unnatural and therefore vitious and offensive to nature doth hurt her operations and in this ascitious heat are your Ephemerae or Diary Feavers and unputred Synochus The second heat different from the former is acrid and mordent arising from putrified matter which though it be not very burning hot yet favouring of the condition of the matter from whence it proceeds is praeternatural and burdensome to the implanted heat and in this are putrid Feavers both continual and intermitting compound erratick and confused The third ascitititious heat is wholly malignant and pernicious caused from some venenate or pestilent matter not from the exuperancy of its quality as the first nor from putrefaction as the second but is substantially different and inimicous to the vital and implanted heat CHAP. II. Of the differences of Feavers SEeing that all Feavers are caused by an ascititious heat and not by a natural as was said
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
is greater and swifter than the systole the substance colour and sediment of the urine differ little from that which is Natural Galen to Glan And its fits are very easie if it arise from the inflammation of some Bubo or from the suppression of some humour the urine shall be higher and thicker with a little sediment and that crasse and crude it invades with rigour and easily degenerates into an unputrid Synochus if the Sick bee plethorical or into a Synechis if he be Cacochymous or into an Hectick if it be neglected or ill cured Such are most subject to it as are picrocholous and of a hot and dry temperament and in the Summer time if it be exquisite it is cured by the benefit of Nature alone and for the most part its fit is twenty four hours but sometimes lasts till the third day when the vital spirits are most crasse if it be prorogued longer it is not exquisite but is either an unputrid Synochus or joyned with a putrid Feaver into which it easily degenerates The rule for Cure is not taken from the matter because there is none but from the essence of the Feaver which consists in the preter-natural heat wch ought to be remedied by coolers and moystners for the faults of the spirits cannot be taken away by purging or bleeding because here is neither cacochimy nor plenitude Hippocrates in the Fourth part of his Book of Dyet in acute Diseases and Galen in his Book of Procatarctical Causes cured Menander sick of a Diary caused by heat with Paregorical and Diaphoretical Medicines as Baths Frictions and Oyntments We use Baths when wee intend to relax the skin call forth tenuous fullginous vapours and change the habit of the body but in the declination of the Feaver with gentle friction that we may cause sweats and the fumid excrements may be discussed and then especially when there is no crudity in the chief Vessels nor inveterate obstruction of the viscera nor hardness or weakness lest that the crudity bee carried into all parts of the body if none of these things be then the Sick may safely wash otherwise not least that the obstruction and weaknesse of the viscera bee increased and the tumor if there be any It is good against the thickness and obstruction of the skin from cold or astringent causes if a Diary have its rise from driness and heat let the Bath be luke-warme and not hot having first emptied the belly if it were costive with a Suppository or cooling and moystning Glister least it degenerate into a Hectick or Synochus If from the thickness of the skin by reason of too great cold or by use of aluminous Baths Diaphoretical and Paregorical Medicines must be boyled in the water for those take away obstructions and provoke sweats being of a hot and tenuous substance and cause the cooleness of the water to penetrate the deeper but these being temperate or hot in the first degree and of thin substance as the Roots of Marsh Mallows Fenugreek Flowers of Camomel Melilot and Elder by these means the closeness of the skin is to bee made open least perspiration being hindred the Humours bee inflamed together with the Spirits and so a putrid Feaver ensue to the great damage of the diseased The ancients used Bathing more for delight than health which custome is now out of use We in France use Baths of plaine water or with a decoctron of Plants not for pleasure but for the cure of an Ephemera because they moysten contemperate the feaverish heat and empty acrid vapours To wipe off the sweat is good with gentle frictions with warme Oyle because it opens the pores of the skin and calls forth the spirits from the center to the circumference but too vehement doth stop them up Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed or from labour because there is no need of evacuation Frictions are good in those from obstruction and repletion but not in those from inanition though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment that the discutient water or oyle might pierce the deeper and the same Galen in other procatarctical causes uses contrary remedies as for labour he commands rest for watchings sleep for anger calmness for sadness joy and for venery chastness these have no need of Frictions only anoynt them with Oyle of Violets and smooth over the body in the remission and before meats If it be from Drunkenness command a Vomit if from cold use Diaphoreticks if from obstruction of the viscera incisive and aperient Medicines if from a Catharre purge next day if from an Ulcer or Bubo wee must attend the cure of Ulcers and Tumours and so of the rest The Diet is to be ordered according to the variety of the cause if hot weather be the cause of the Diary and the Patient be young and his viscera good without obstruction plethory or cacochymy of soluble body and cholerick constitution at the declination of the Feaver he may be cured with plentiful drinking of cold water if otherwise the Cure is to be altered you must not nourish him in the augment or vigour of the Fit but in the end or out of it Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. If you weigh the cause of the Disease the strength of the sick the age and sex you must nourish him with meats of good juyce altered with cooling Herbs which nourish speedily oppose the feaverish heat but stick not in the pores of the skin for the whole body ought to bee fluxil and transpirable Hippoc. at the beginning of the sixth Book of his Epidem Sect. 6. and for this the chief thing is the juyce or cremor of Barley If it proceed from anger watchings labour immoderate venery hunger sadness then we must nourish the sick with flesh brothes c. if from crudity gluttony or from suppression of some Natural excrement constipation of the skin ulcer tumor or great paine then let the diet bee thinner and if with the Feaver there be a plethory or cacochymy that must be taken off by bleeding this by purging not for any urgency of the present Feaver but for fear of a putrid in brief in all Diaries whatsoever is the cause the nourishment must be Medicamental and if the body be bound it must be thus loosened Take of boyled Hony an ounce Mouse turd powder of Hiera and salt gem each two scruples and make a Suppository or else make this Glister Take of Mallows Violet leaves Borage Lettice each one handfull Prunes twelve of the four greater cold Seeds each two drams water-Lilly-flowers and Roses each a small handful boyl them in water to a pint streine it and dissolve in it Cassia with Suger and the Simple Diaprunes each six drams or as much of Galens Hiera and Diaphaenicum if the Patient be a Sea-man Porter Carter c.
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
tertian have great analogy with those of an exquisite causus only they are more milde the not exquisite are distinguisht by rigour not by reason of the Feaver but the expulsive faculty of the greater Veines which empty themselves into the less and these into the habit and sensible parts this Feaver because its morbifical matter is more distant from the heart then that of a Causus doth not with equal force and assiduity afflict it but hath its exacerbations and remissions every other day If the parts about the heart be distended without paine they signifie an inflammation if with paine at the beginning death If the signes bee grievous it kills the fourth or seventh day if good security is promised the same dayes if a rigour happen on the critical day the Patient being weak it is death but if strong the Disease shall end with sweat CHAP. XII Of the Cure of these Feavers LEt it be temperate or if too hot be cooled with irrigations on the floore and spreading coole Herbs as Lettice Vine leaves Willow Oke Rushes c. with green flowers of Water-Lillies Roses Violets let vinegar of Roses dilute with Rose-water suckt up by a Spunge be often â—eld to the Nose let the Linnen contrary to the vulgar opinion bee often changed lest its filth foment the Feaver Let his drink be boyled water with sirrup of Vinegar or ptissan or water and sugar with a little juyce of Pomegranats Citron or Lemons if you fear a Delirium use the Alexandrine Julep or sirrup of Violets and Water-Lillies If the Feaver bee spurious and the Patient aged and weak in a cold air a little Wine dilute with boyled water and sugar with a toast may be allowed let his food be liquid cooling and moystning as Chicken Veale or Lambe broth altered with Purslane Lettice Sorrel Burrage Bugloss Violets Marigolds with the greater cold Seeds and white Poppy-seed or Barley-water acid Fruites as Barberies Strawberies Rasberies resist putrefaction if he be much enfeebled Gellies and Analepticks must bee used Let bloud as soon as you can but if hee bee bound in body give this Glister first Take of Violet leaves Mallows Lettice Gourds Burrage each a handful Prunes sixteen of the four great cold Seeds each two drams red Poppy-flowers or Water-Lilly and Roses each a small handful boyle them in Whey or Water to a pint streine it and dissolve of Diaprune simple and Cassia newly drawn if it be exquisite if not of Diaphenicum each six drams honey of Violets and oyl of Water-Lillies each an ounce and half or so much of oyle of Cammomel if it be not exquisite and make a Glister Take of Melon-seeds one scruple Rhubarb grosse powdered if you would purge choler by stoole or fine powdered if by urine four scruples Cassia newly drawn six drams let him take it with Sugar and an hour and half after take fresh broth As often as Cassia or any other purging Medicine is infused the Dose is to be doubled and where you feare obstructions never purge with those things that have an astriction as Myrobalans Roses and the sirrups made of them but instead of them use Manna Cassia or sirrup of Violets of nine infusions next alter the humour with Juleps which inhibit putrefaction As take of sirrup of Endive compound three ounces Succory and Pursâ—ane water each half a pint but if they be spurious take of Oxysaccarum compound which hath the opening roots in it and a little juyce of Pomgranates after signes of coction purge forth the humour thus Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive six drams infuse them all night on warm embers in a decoction of the opening rootes strein it adde sirrup of Violets of nine intusions or of Roses solutive with Agarick if the Feaver be illegitimate an ounce and half and give the potion in a Spurious causus take so much Diaphaenicum which purges flegme and choler but if the Patient have a paine in the stomach and be nauseative let him take a Vomit so he be not tabid or narrow chested CHAP. XIII Of a continual Quotidian Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it because it hath no intermission and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is an intermitting quotidian This Feaver differs from an intermitting both in matter and seat where the flegme putrefies because a continual one proceeds from Natural flegme contained in the great Veines which is nothing else but crude bloud which in time may be changed into good bloud being of taste sweet or insipid arising from the cold and moyst part of the chyle and as oft as this bloud is putrefied by a preter-natural heat in those Veines the other humours incorrupt is caused a continual quotidian but an intermitting is caused from excrementitious flegme putrefied by a preter-natural heat out of those great Veines viz. in the veines of the habit of the body in the Liver Spleen Messentery The external causes may be taken from the aire cloudy cold and moyst from a flegmatick nature the winter season drunkenness ill diet as entrals of Beasts c. The internal causes are a cold distemper of the stomach and of the meseraick veines which send the chyle incoct to the Liver old age cold humours falling from the head to the stomach This Feaver begins not with coldness as an intermitting because the matter is putrefied in the great Veines but with vaunings and stretchings for the most part it invades at night the heat is less acrid and mordent than in a continual cholerick Feaver because the humour is colder the urine at first is white crude and crass the pulse slow and rare being oppressed with a crass vapour raised from the flegme the sick are sleepy their Hypochondria stretcht with wind their stooles white their sweat none or very little and clammy this Feaver is usually lasting being from a cold tough humour often brings to a Cachexy or Dropsie if the beginning be long so will be the increment and whole progress of the Disease for the Cure let him use a good diet shunning those things which ingender crasse juyces then purge the first region of his body with these following remedies Take of Barley Mercury Violets and Mallows each a handful Fennel and Carret-seeds each three drams the tops of Dill and flowers of Cammomel each half a handful boyl them in water to a pint streine it and dissolve of Galens Hiera and Benedicta Laxativa each six drams honey of Rosemary and oyle of Camomel each an ounce and half and so give it If the Sick bee apt to Vomit let him take this Of the juyce of Radish roots and honied water each two ounces powder of Asarum a dram let him drink it warme Take of Succory Barley and all
the capillary Plants each half a handful Raisins stoned eight four Prunes of the Cordial flowers a small handful boyle them in water to two ounces then infuse the Electuary of Diacarthamum half an ounce Cassia newly drawn an ounce Agarick Trochiscate a dram streine it and dissolve of sirrup of Roses solutive an ounce give the potion Take of Agarick Trochiscate a scruple of imperial Pills a dram with honey of Roses make eight Pills to be given after midnight The first region of the body being thus clensed open the basilick veine of the right arme and draw bloud according to the strength age season region and impurity of it because this being a continual Feaver bleeding is good for this as well as others Then give this Julep Oxymel simple and sirrup of Maiden-hair each an ounce and half Fennel and Endive water each half a pint condite it with Cinamon Take of Fennel and Parsley roots clensed from the pith Butchers Broom and Asparagus each an ounce of Maudlin Succory Endive the common capillary Plants each one handful the less Sea Wormwood half a handful Raisins stoned twenty Figgs twelve Endive seed half an ounce Aniseeds two drams Bugloss and French Lavender Flowers each a small handful Rosemary half a handful Water and Hony two quarts boyl away half then clarifie the colature with honey of Roses and sirrup of the juyce of Endive each two ounces and condite it with Cinamon The matter being thus coct give Pills of Agarick and simple Hiera each two scruples and Trochiskes of Alhandal two graines if they want a quickner make them up with honey of Roses and gild them give them after the first sleep next day give this Bolus three hours before dinner old Mithridate two scruples conserve of Rosemary flowers two drams with sugar CHAP. XIIII Of a continual Quartan {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a quartan Feaver so called because every fourth day it is exasperated and remitted if it be continual but if intermitting recurs every fourth day these two differ both in matter and seat the matter of a continual quartan is Natural melancholly putrefied in the great Veines the other humours remaining good but the matter of an intermitting is excrementitious melancholly putrefied out of the great Veines in the Spleen or mesentery A continual quartan is two-fold exquisite or spurious exquisite when Natural melancholly putrefies alone spurious when other humours putrefie with it in the great vessels and this is most frequent The causes are either from a laborious life a cold and dry temperament a declining age the autumn or an unequal air and meats producing melancholly as Swines flesh Hares Salt Fish Oysters c. The chief signes are taken from the substance of the Feaver or nature of its heat from the actions hurt which appears by the inequality swiftness slowness or rarity of the pulse from the excrements and urine this Feaver begins without horrour because the peccant matter is contained within the great Veines the urine is various but for the most part crude by reason of the coldness of the morbifical humour little or no sweat by reason of the paucity of the matter little thirst and the tongue inclining to black A continual quartan whether exquisite or spurious is deadly in old men especially if it follow an intermitting one or a burning Feaver illcured a spurious quartan if it take in the Summer is for the most part short but if in the Autumn it is long for the Cure first use meats of good juyce rather liquid than solid altered with Burrage Bugloss c. Vse Currans Pine Nuts Figgs Vinegar though it be incifive is not good in this Feaver because by its coldness and driness it conduplicates the humor but were it in the Spleen it were commodious At the beginning use gentle Purgers because by the strength of strong Medicines the humour grows thicker and the thinner part being dissipated the terrene faeces remaine indissoluble but in the declination use stronger if the body be bound give first this Glister Take of Mallows Violets Orech Burrage Bugloss each a handful Flax and Fenugreek-seed each half an ounce of the four great cold seeds and Fennel-seed each two drams for melancholly people are windy of the tops of Dill Camomel Melilot Elder each a small handful in the colature dissolve of Catholicum and Diasena each six drams honey of Violets and oyle of Lillies each an ounce and half give the Glister Take of Polipody of the Oke six drams wilde Saffron seeds and Sena each three drams Dodder of time two drams Anni-seeds four scruples Cloves two boyle them in Whey to three ounces then infuse of Diasena or Diacarthamum six drams streine it and adde sirrup of Violets of nine infusions or sirrup of Apples an ounce and half and give it The body being thus emptied let bloud at the left basilick veine with a large Orifice If the sick be inclined to Vomit then give him of the powder of the middle rine of a Walnut or of Broom-seeds or of the roots of Asarum four scruples with the decoction of Reddish rootes make a vomit or Nettle-seed poudered given in Mulse or Whey will doe the like some give three or four grains of Stibium prepared which I allow not but in rustick bodies Take of the sirrup of the juyce of Fumitory three ounces Endive and Burrage-water each half a pint Take of the roots of Bugloss two ounces sharp Dock-grass Butchers Broome Asparagus and Liquorice each an ounce of the middle rine of Tamarisk and Ash or Elder each half an ounce of Fumitory Hops common Endive Succory Milt-waist Balme each a handful Prunes fourteen Cuscute and Purslane-seeds and the four great cold Seeds each two drams flowers of Tamarice Broom Burrage Elder each a handful boyle them in order in a sufficient quantity of water then adde the juyce of sweet Apples three ounces a sufficient quantity of Sugar Aromatize it with a dram and a half of the powder of Galens Laetificans with part of this decoction you may make a magistral sirrup by adding Purgers of melancholly by which the Morbifical humour may bee purged epicrastically to strengthen the viscera use this Take of the Electuary of Hyacinth or confection of Alkermes half a dram powder of Diatriasantali and Galens Laetificans each a dram white Suger dissolved and boyled in Fumitory water four ounces and make it into Lozenges of two drams weight with the conserve of Succory flowers and Milt waist each three drams and give one three hours before Dinner If the Spleen require it use this Oyntment Take of Gum Elemi and juyce of Tobacco each an ounce Oyle of St. Johns-wort or Elder half an ounce of Rosen and Gum Amoniake dissolved in Vinegar of Capers and yellow Wax each two drams on the fire adde powder of long and round Birthwort and Cyclamen root each
a dram make an oyntment CHAP. XV Of an intermitting Tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is taken by the Greeks in general for every intermitting putrid Feaver which ends and returnes again but Hippocrates especially calls this Feaver of which we now treat {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it recurs every third day it differs from the continual of which we have spoken not essentially but in matter seat because their matter putrefies not every where but in the lesser veines which are in the stomach liver mesentery guts spleen wombe and habit of the body an intermitting Tertian is twofold exquisite or spurious the exquisite is from excrementitious choller which being manifold there are many differences in Tertians The matter of an exquisite tertian offends either in quantity or quality the quantity is either great or small if great either it putrefies in one place or in divers at once if but in one place it causes an exquisite tertian which exceeds not seven Fits but if the quantity be small it shall end the fourth or fifth fit If the matter offend in quality as the choller is more or less hot the whole constitution of the Disease and the fits shall bee longer or shorter milder or more tedious for pale or excrementitious choller is sarre more milde then yellow and this then vitellinous porracious or aeruginous but the ceruleous is the hottest of all If choller putrefie in divers places together and the same day then is caused a double intermitting tertian whose fits returne every third day and are exacerbated although they assault every day and intermit because that which is putrefied is every fit emptied either by sweat vomit or stool The spurious one by the mixtion of flegm or melancholly is longer than that from excrementitious choller only and lasts according to the nature of the humour mixt and by the Patients intemperance hath lasted from the Autumnal to the spring aequinox The causes of the exquisite are all hot and dry as a hot Summer hot aliments hunger thirst labour strong wines hot liver and temper c. The causes of a spurious one are idleness effeminacy winter season cold and moyst diet obstructions plenitude c. The heat of an exquisite Tertian is more acrid and mordent than that of the spurious through its four times it begins with rigour and often with cholerick vomitings and ends with an universal sweat when the rigour is off the heat is like a light fire burning with difficult breathing the urine at first is somewhat red of meane substance and in the lower part seemes thin in the upper opacus The signes of a spurious one are horrour from the mixture of choller and flegme a heat more obscure than that of the exquisite Tertian and more manifest than that of an exquisite quotidian a pulse small and slow which if it grow daily harder the Feaver shall last many moneths bitterness of mouth paine in the vertebra's with inflation of stomach and loathings of meat sometimes trouble them Before we let bloud let the first region of the body be emptied by a cooling Glister or minorating purge afore described lest the morbifical humour be wrapt into the greater veines and so we cause a continual Feaver instead of an intermitting let bloud on the intermitting day with a small Orifice to prepare the humour Take of Oxysaccharum simple and sirrup of the juyce of Endive each an ounce and half Succory and Purslaine water each five ounces then purge him thus Take of Cinamon a scruple Rhubarb four scruples Tamarinds two drams Diaprune solutive or Electuary of Psyllium six drams infuse them all night over warme embers in an opening decoction then adde sirrup of Roses an ounce give it on the intermitting day or these pills Take of Diagridium four graines Rhubarb a scruple of Pills Aureae a dram make them up with sirrup of Succory and give them after the first sleep Take conserve of Succory flowers and of Violets or Water-Lillies each two drams powder of Diatriasantalum scruple with Sugar make a bole to give next morne to allay the fire in the bowels CHAP. XVI Of the Cure of a spurious intermitting Tertian THis Feaver is more frequent than the exquisite because men indulge too much to their Genius and its Fits and whole constitution is longer by reason of the mixture of tough crasse flegme or melancholly the Fits are sometimes twenty twenty four or forty hours and then it is called an extense tertian let the diet be incisive and detersive and somewhat refrigerating the broths be altered with Endive Burrage Parsley Wood-sorrel Purssaine and a fourth part of Hissop or Savoury give Gellies which nourish much in small quantity and because they are quickly excerned repeat them often and sometimes give this powder Take of Galens Laetificans two drams the Analeptick or Resumptive powder half an ounce pure Sugar six ounces leaves of Gold six dissolve it in broth it wonderfully restores strength if the Patient be nauseative Take of Nettle-seeds a dram sirrup of Tobacco or simple Oxymel an ounce give it warme in mulse after meat because it troubling the aeconomy of the stomach it better exonerates it self with the meat if occasion be for a Suppository Take of Honey boyled an ounce salt Gemmes and Mouse-turd each two scruples Take of Cinamon a scruple Agarick Trochiscate two scruples Rhubarb four scruples simple Oxymel and Diaphaenicum each six drams infuse them all over warme embers in a fresh infusion of Damask Roses streine it and give it If strength and other things allow it let bloud on the intermitting day Bloud saith Avicen is a brideler of choller both in respect of its quantity and quality for there is more or it and being temperately hot and moyst it doth moderate the acrimony of choller and experience tells us that those that are sick of a continual tertian and the phrenitical are best towards morning because bloud hath then the dominion and worst towards night when flegme rules and therefore in Asia those that were let bloud presently became phrenitical or delirous and not those which were not but that region is farre hotter and dryer than Europe then give this Julep Sirrup of Vinegar compound and honey of Roses each two ounces Endive Succory and Agrimony water each half a pinte Take of the five opening Rootes clensed and bruised each an ounce infuse them in a small quantity of simple Oxymel on the embers four hours the herbs Succory Endive Liverwort and the cappillary Plants each a handful Penni-royal Origanum or calamint each half a handful Liquorice scraped and bruised two drams Raisins stoned twenty Prunes eight Endive seed three drams Melon Anise and Fennel-seed each a dram and half the three Cordial flowers and Chamomel each a small handful Time half a handful boyle them all in order with the Oxymel and roots in two quarts of water
and so of other parts Take of Sorrel Grasse Butchers Broome and Asparagus roots each one ounce of both Succories Fumitory and the Capillary Plants each a handful Liquorish six drams Prunes twenty Figgs twelve Endive-seed three drams Anise two drams Elder and Burrage flowers each a small handful Time half a handful boyle them to a pinte and adde honey of Roses and Oxysaccharum simple each two ounces clarifie it and aromatize it with powder of Diarrodon Abbatis In the declination provoke sweat and urine the Disease being contumacious is exasperated by strong Purgers and yeelds not to gentle but by meane ones often repeated is overcome bleed if the Sick bee plethorick young and strength give leave c. Other Compound Feavers being caused from putrid matter are cured by the same method and the same remedies as bastard intermittings are the confused Feavers if from putrid matter in the greater Veines are cured as continual Feavers if not as intermittings the Erratick as bastard intermittings quotidian tertian or quartan CHAP. XXIII Of a Hectick Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Hectick is taken for every Feaver that is hard to be removed whether it be from flegme or melancholly and is opposed to the Schetick Feaver which is easily removed it hath its name from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is a habit because it is stable and permanent For a Hectick Feaver is a preternatural heat kindled in the solid parts which first occupies the substance of the heart and then diffuses it self into the rest of the solid parts of the body through the Veines and Arteries This Feaver is continual and hath but one fit from the beginning to the end without any intermission or remission unless it be joyned with a putrid Feaver every Hectick is Smple or Compound that is either universal or particular the universal is that which first seazes on the substance of the heart then on the other parts and this is seldome a particular one is that which first invades the substance of some private part and at last the heart and this is frequent as of the Lungs in a Ptissick of the Midriffe Liver c. A Compound one is that which hath a putrid Feaver joyned with it a Simple Feaver is further divided into three degrees the first is when the body of the heart and the other solid parts are newly inflamed and this degree lasts as long as the substantifical and radical moysture doth conglutinate the terrene parts and is sufficient to nourish and foment the fiery heat as Oyle doth the flame of the Cotton in a Lamp and this is hard to be known but easie to be cured The third and worst sort is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it hath adjoyned a hot and dry Consumption and is then when the humour is wholly wasted and all the solid parts are as it were burnt and turned into ashes as the Cotton of the Lamp is for want of the affusion of more Oyle for thus the substantifical moysture being quite spent the native heat is extinguished and cannot bee restaurated by Euchymous aliments and this degree as it cannot be hid so it cannot bee cured The second degree is of a middle nature between them and how much the nigher or further to the first or last is by so much the easier or harder to cure they all differ only gradually The causes external are from the Six Non-natural things as the hot Air long Hunger Watchings suppression of Excrements c. the internal are from a bilious temperament a continual Feaver ill cured as a causus and continual tertian and not from a quotidian or intermitting tertian from a Prisick lientery or such Diseases in which the nourishment being incoct or ill concoct doth not humectate the solid parts which being destitute of their aliment and conceiving a more acrid and feaverish heat grow hot and dried The first degree may be known by the preter-natural heat if at first touch of the Artery it be acrid and mordent if after drink or meat a heat presently flushes in the face from the sublation of vapours this heat is at first so gentle that the Sick deny themselves to be feaverish for things done by degrees cause no paine saith Hippocrates as Plants at their first sprouting are easily pulled up but are hardly known unless by the skilful Herbarist so this degree is easily cured but hardly discovered unless by the learned Phisician The signes of the second kinde are not only from the mordent heat of the pulse being felt but in the soles of the feet and palmes of the hand besides the pulse is harder and dryer than in the former because the feaverish heat works not only on the rorid substance of the heart but on its primogenious humidity whence nourishment failing the Sick necessarily falls away the urine is higher coloured by reason of the intense heat depopulating not only the heart but habit of the whole body but less high than if a putrid were joyned with it this degree hath a great latitude and so is accordingly known or cured Signes of the last degree are a weak pulse small and frequent and hard from driness the urine hath some fatty substance swimming in it like to Cobwebs which denotes a quolliquation of the similar parts the eyes are hollow their humours being wasted the temples fallen the substantifical humour of the muscles being consumed the forehead dryed the nayls crookt the eye-lids scarce moveable the Hypochondria distended the skin hard and dry cleaving to the bones the fleshy substance being wasted A Hectick seldome possesses Children often young cholerick bodies and old men that are of a hot and dry temper and those that are long necked and narrow breasted c. those that have a Hippocratical face are past cure and such as have a looseness The cure of the first degree differs little from that of a Diary for it proceeds from the same manifest causes but more vehement which are inherent in the habit of the body and therefore requires stronger remedies let the diet bee euchymous liquid cold and moyst and incrassating to hinder dissipation as Broths altered with Lettice Purslane Marigolds Violets Burrage Wood-sorrel Spinage c. let the drink be ptissan or water boyled with sitrup of Maiden-hair or the Alexandrine Julep with a little Vinegar if it proceed from an Ephemera old age may be allowed a little small Wine at meals Take of the leaves of Mallows Violets Burrage Lettice each a handful Prunes twelve the four great cold Seeds each three drams Water-Lilly-flowers and Violets each a small handful boyle them in water and in a pint of the colature dissolve of simple Diaprunes and Cassia with sugar each six drams honey of Violets and oyle of Water-Lillies each an ounce and half make a Glister if you would have it nourishing too then boyle them in
they are best when quiet and unmoved The humour is to be carried away by gentle Clisters and purged epicrastically alwaies adding Cardiacal Medicines against the malignant and venenate quality and if the Patient be nauseative give a vomit Take a sufficient quantity of broth and boyle in it Mercury Balme and Burrage each a handful the tops of Dill with Cammomel and Meâ—â—lot-flowers each a smalhandful course Bran two Pugills Figgs twelve Aniseed two drams streine it and dissolve of Hiera an ounce honey of Mercury and oyle of Cammomel each anounce and half the yolks of two Eggs and give the Glister Take of Mallows Violets Barrage Purslane Balme each a handful Prunes sixteen of the four greater cold Seeds each two drams Water-Lilley-flowers a handful dissolve in the colature Diaprunum simple and Cassia with Sugar each six drams honey of Roses and oyle of Roses each an ounce and half give it at the time of remission Take of Manna of Calabria and sirrup of Roses solutive with Agarick each an ounce and half drink it in a little fresh Chicken broth boyle in the broth three drams of Citron pill Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Cassia newly drawn an ounce and half infuse them all night over warme embers in Chicken-broth in the decoction of Succory Purslane Citron-seeds Bugloss and Water-Lilly flowers straine it and adde sirrup of Violets of nine infusions or of Succory with a double quantity of Rhubarb or of Roses solutive an ounce and half give the potion Take of Agarick Trochiscate for flegme Rhubarb for choller half a dram imperial Pills a dram with honey of Roles or sirrup of Violets make them up Take of the sirrup of Citron pill Conserved and of sower Pomgranates each two ounces Balme and Bugloss water each six ounces Take of Bugloss roots two ounces dried Citron pill one ounce it flagme abound but of Sorrel and Grass roots if aeruginous or prassinous choller each one ounce Succory Endive Purslane Lettice Burrage Scabious Devils-bit each a handful Balme and French Lavender for flegme each half a handful Raisins stoned twenty Liquorish six drams Prunes for choller eight white Poppy and the four greater cold Seeds or Carduâ—s Benedictus and Aniseed each two drams for flegme the Cordial flowers a Pugil boyl them in water to a pint add sirrup of Pomgranates three ounces which is good for them both make an Apozem and aromatize it with a dram and half of Saxafras if you would make a magistrall sirrup in one part of the decoction without sirrup infuse of Cloves a scruple Agarick Trochiscate an ounce for flegme or Cinnamon a dram and Rhubard an ounce and half for choller straine it and boyle it gently to a sirrup with Manna and sirrup of Roses each half a pound the dose is two ounces in a decoction of Burrage or broth twice a week CHAP. XXV Of the Cardiacal Feaver THis Feaver hath its name from the heart and is of the same kinde with malignant and colliquating Feavers and not much unlike to the Syncopall there is a great heat with it and the face lookes red great strivings of the heart little and frequent breathing insomuch that they are compeld to sit upright like the Orthopnoical and are pained on the region of the heart the Disease inclining they have a thin sweat a cold breath and then follow syncopes and death The cure is the same with that of a Burning-feaver both for cooling and moystning diet and for bleeding premising the Glister there described if the body be bound in alterating the humours adde a fourth or sixth part of hot Alexipharmaca by reason of the malignant and pernicious quality that is impressed and then empty the humours with Manna Cassia c allay the thirst with Julep of Violets or Poppies Amongst malignant Feavers are reckoned also those that doe variously impair the substance of the body whether by degrees or speedily as the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is a kind of Feaver in which by reason of the excessive heat the sick seem to be suffocated and may be called an crysipelatose one and is cured as a continual tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is the moyst Feaver is so called because presently after the first day the sick begin to sweat and by sweating their strength is so wasted that they finde little or no benefit by it in the year 1528. this Feaver spread it self from England into France and in short space killed the stoutest men by sweating all remedies against it being invalid the French named it Suette and numbred it amongst the Pestilential by reason of its maligne and venenate quality the Greeks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by Hippocrates the restless implacid Feaver in this the sick are alwaies tossing changing their posture of lying loath all things are distended in the Hypochondria thirst watch or are delirous in their sleep The internal cause is a crass acrid and bilious humour imbibed in the coates of the stomach sometimes it is from internal pains the pulse suddenly failes and the use of all remedies is prevented let the diet be incisive refrigerating and moystning and if occasion be give this Glister Take of Violet leaves Gourds Purslane and Nettles each a handful the four great cold Seeds and Nettle-seed each two drams Camomel and Violet flowers each a pugil boyle them in water to a pint and in the colature dissolve Diaphaenicum honey of Roses and Oxymel simple each an ounce oyle of Water-Lillies an ounce and half To allay the thirst use the juyce of Pomgranates or Citrons or the sirrups made of them c. Take of Cinamon a scruple Rhubarb four scruples Cassia newly drawn an ounce and half infuse them in the infusion of Damask Roses or in the decoction of Succory Marigolds Burrage Prunes with Nettle-seed and the Cordial flowers streine it and give it procure sleep with sirrup of Poppy and a little Diamargaritum frigidum {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by the Latines the Colliquating Feaver by whose vehement heat not only the fat but the flesh and substance of the solid parts are melted away this is of the kind of malignant Feavers it is caused two wayes the one when the colliquationis by degrees as in Hecticks and the Marasmus the other when both fat and solid parts are suddainly dissolved and this is a most grievous and dangerous disease it differs from a Marasmus because in this that portion of flesh which is colliquated is always like a vapour breathed forth by insensible transpiration but in the colliquating Feaver it flowes to the belly in the species of a bilious stinking crass humour the external causes are watchings sadness