with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
the Law 3 And sutable to what Truths the Gospel holds forth To which is added The Misery of those Men that have their Portion in this Life only on Psal 17.14 5 A Treatise of Earthly-mindedness Wherein is shewed 1 What Earthly-mindedness is 2. The great Evil thereof on Phil. 3. part of the 19. verse Also to the same Book is joyned A Treatise of Heavenly-mindedness and walking with God on Gen. 5.24 and on Phil. 3.20 6 An Exposition on the fourth fifth sixth and seventh Chapters of the Prophesie of Hosea 7 An Exposition on the eighth ninth and tenth Chapters of Hosea 8 An Exposition on the eleventh twelfth and thirteenth Chapters of Hosea being now compleat 9 The Evil of Evils or the exceeding sinfulness of sin on Job 16.21 10 Precious Faith on 2 Pet. 1.1 11 Of Hope on 1 John 3.3 12 Of Walking by Faith on 2 Cor. 5.7 Mr. Burroughs his fifty nine Sermons on Matth. 11.28 29 30. Are Printing A Godly and Fruitful Exposition on the first Epistle of Peter By Mr. John Rogers Minister of the word of God at Dedham in Essex Mr Rogers on Naaman the Syrian his Disease and Cure Discovering the Leprosie of Sin and Self-love with the Cure viz. Self-denial and Faith Mr. Rogers his Treatise of Marriage The Wonders of the Loadstone By Samuel Ward of Ipswich An Exposition on the Gospel of the Evangelist St. Matthew By Mr. VVard The Discipline of the Church in New-England By the Churches and Synod there The London Dispensatory in Folio of a large Character in Latine The London Dispensatory in twelves a smal Pocket Book in Latine Pious Mans Practice in Parliamentime Barriffs Military Discipline The Immortality of Mans Soul The Anatomist Anatomized The Bishop of Canterbury's Speech on the Scaffold The King's Speech on the Scaffold A Looking-Glass for the Anabaptists Woodwards Sacred Ballance Dr. Owen against Mr. Barter King Charls his Case or an Appeal to al Rational men concerning his tryal Mr. Brightman on the Revelation Clows Chyrurgery Marks of Salvation Christians Engagement for the Gospel by John Goodwin Great Church Ordinance of Baptism Mr. Loves Case containing his Petitions Narrative and Speech A Congregational Church is a Catholick Visible Church By Samuel Stone in New-England A Treatise of Politick Powers wherein seven Questions are answered 1 Whereof Power is made and for what ordained 2 Whether Kings and Governors have an Absolute Power over the People 3 Whither Kings and Governors be subject to the Laws of God or the Laws of their Country 4 How far the People are to obey their Governors 5 Whether al the People have be their Governors 6 Whether it be Lawful to depose an evil Governor 7 What Confidence is to be given to Princes The Compassionate Samaritan Dr. Sibbs on the Philippians Vox Pacifica or a Perswasive to Peace Dr. Prestons Saints submission and Satans Overthrow A Relation of the Barbadoes A Relation of the Repentance and Conversion of the Indians in New-England by Mr. Eliot and Mr. Mayhew Six Sermons preached by Dr. Hill Viz. 1 The Beauty and Sweetness of an Olive Branch of Peace and Brotherly Accommodation budding 2 Truth and Love happily married in the Church of Christ 3 The Spring of strengthening Grace in the Rock of Ages Christ Iesus 4 The strength of the Saints to make Iesus Christ their strength 5 The Best and Worst of Paul 6 Gods Eternal preparation for his Dying Saints A Commemoration of King Charls his Inauguration In a Sermon By William Laud then Bishop of Canterbury Abrahams Offer Gods Offering Being a Sermon by Mr. Herle before the Lord Major of London Mr. Spurstows Sermon being a Pattern of Repentance Englands Deliverance from the Northern Presbitery compared with its Deliverance from the Roman Papicy In a Sermon on the 5 of Nov. 1651. before the Parliament By Peter Sterry The Way of God with his People in these Nations Opened in a Thanksgiving Sermon preached on the 5 of Novemb. 1656. before the Right Honorable the High Court of Parliament By Peter Sterry Mr. Sympsons Sermon at Westminster Mr. Feaks Sermon before the Lord Major The Best and Worst Magistrate By Obadiah Sedgwick A Sermon A Sacred Panegyrick By Stephen Martial A Sermon The Craft and Cruelty of the Churches Adversaries By Matthew Newcomin A Sermon The Magistrates Support and Burden By Mr. John Cordel A Sermon Mr. Owens stedfastness of the Promises A Sermon Mr. Phillips Treatise of Hell of Christs Genealogy The Cause of our Divisions discovered and the Cure propounded THE Authors Preface to the Reader THree things there are Studious Reader which I am to inform thee of in this Preface viz. of the Cause of my writing this Book of the Structure or manner of its Fabrick and of its use I took this pains long since only for my own private occasions and now my being called to be publick Professor of Physick in the University of Francfort is the Cause that it appears upon the publick Stage of the world For seeing the Injuriousness of the times would not suffer unto me to make it appear how much I valewed my Call to that Profession and what ardent desire I had to advance the Studies of young Learners by publick teaching I have done both in this Book Hereunto were added the earnest desires of certaine friends who assured me great good would redound to young students of Physick by the publication thereof and that though Trincavellus Fernelius Pernumia Petraeus Bruel Zacutus had done excellently wel yet that some of them being over brief did not meddle with the method of Cureing others made little or no mention of the Prognostick signs others were taken up with disquisitions and some of them did not meddle with many diseases Moreover they warned me not to suffer my self to be terrified with any feare of detractions or calumnies That such as were void of all vertue themselves did render themselves infamously famous among such as themselves by detracting from others That envious persons voâ—â— of like good themselves did prostitute their own fame by gnawing upon the glory of others c. Touching the Structure understand in short it was my desire to bring into a smal compass the Brief delination of al diseases in a manner with their signs causes differences and Cure that the diligence of the forenamed Authors might be joined hereunto Among Diseases I thought fit to put external ones in the first place both because t is fit to begin with such things as are best known to sence and because t is thought the first practice of Physick that ever was was conversant about them Chiron is reckoned to have been the first Physitian that ever was and had his name from the most excellent skil in Chyrurgery I have marshalled the Signâ— before the Causes that I might assist the natural method of humane Conception in the finding out of things when this or that symptom is related I enquire into other signs The disease being known I proceed
fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease iâ— crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease
Congelation The former is altered by things moderatly hot and moist least the force of heat should dissipate the Humor the latter by opening the pores with an aiery moisture the last by things hot and moderately dry Medicaments exquisitly Emollient applied to the principal members or parts near them do bring the life in danger II. Discussion is a convenient dissipation of an humor sticking in some part and softned by insensible transpiration caused by diaphoretick Medicaments 'T is called Digestion and Resolution I added and softned For humors hardened cannot be discussed unless they be first softned To convenient Dissipation is requisite 1. That it be undertaken before the Body be evacuated 2. That it be not used in such as have hot Veins and Livers 3. That Dissipaters be used in the State and Declination and that in the Augment they be mixed with Repellers 4. That they be not biting nor vehemently hot lest the thinner parts evaporating the thick become dryed and hard as a stone Point 2. Of Suppuration and Attraction I. Suppuration is the convenient mutation of an Humor that cannot be discussed into Quittor by ripening medicaments The Conveniency hereof requires 1. That it be chiefly practised when Blood offends for Blood is best changed into Quittor choler and melancholy hardly by reason of that degeneration whereby they raise Cancers and malignant ulcers 2. That it be not rashly practised upon the internal Parts 3. That among external parts it be not practised about the Joynts 4. That it be not overmuch or overstrong otherwise it wil dispose the part to a gangrenous Putrefaction II. Attraction or drawing is the convenient Motion of matter infixed into a part by drawing medicaments These Medicaments are either more gentle which are termed Rubifyrs or more strong which are Bladder-raisers Crust-procurers and Causticks The Rules of Conveniency respect Causticks and Vesicatories or Bladder-raisers In respect of the former 1 We must not come to Causticks before we have tried Rubifiers and Vesicatories for Causticks take somthing from Nature 2. That they be then used when there is danger least the part should perish and especially when there is fear least abundance of matter should putrefie the Bone 3. That when there is need of little burning we are to use an Instrument of Brass and an Iron one when we are to burn much 4. That Consideration be had of the Age Strength of the Patient and the swellings whereunto they are applied for many instead of the Kings-Evil swellings have burnt the jugular Veins In respect of Vesicatories it is requisite 1. That they be not applied to accute diseases nor to external Parts exulcerated nor to the region of the Lungs when they are exulcerated because by them the ulcers are exasperated or to gristley parts and such as are bare of flesh because by burning they grow black 2. That after the flesh is swelled the Cicatrized Part is become black and blew the Patient is pained we desist least the part be stupified 3. That before they be laid on the place be tubbed til it look red Article 5. Of Expulsion of Wind cal'd Carmination Carmination is a convenient dissipation of the Winds arising in mans body by carminative or Wind-expelling medicaments That this dissipation may be conveniently affected medicaments discussing winds ought not to be administred before the matter be diminished otherwaies more flatulencies wil be raised by rarefaction of the matter THE FIFTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching the Removal of Diseases Title I. Of the Diseases of Similar parts and their Cure Chap. 1. Of the Method of knowing and curing distempers without matter SO much may suffice to have spoken of the methodical removal of Causes which ought to be handled a part from the particular cosideration of the causes themselves the general method for the removal of Causes follows which must of necessity be jointly handled with the prime differences of the diseases themselves seeing it comprehends not only the diseases but the Causes also signs and differences of the diseases The primary and essential differences of diseases are those whereby they are divided into Similar organical common Similar diseases are either of distemper or of hidden Qualities A distemper is either without matter or with matter A distemper without Matter is a declinanation of the temperament of a mans body from its natural constitution induced by certain causes proper for such an Effect By temperament you must not understand that which is called temperamentum ad pondus wherein there is equal proportion of the qualities but that which is termed temperamentum ad justitiam wherein the qualities are not in equal though in a wel ordered proportion which is convenient for some kind of actions 2. Understand temperament both simple and compound 3. The temperament of Mans body not only as it is mixt but also and principally as it is liveing whether it be inbred or influent The Sings are taken from the differences The Causes are principally external of which in the same place The Cure is performed by Alteration if you precisely consider the distemper it self but this disease does not long last without matter T is divided into four sorts I. One is hot in which heat abounds T is knowen from such things as may exhalt and encrease sweat and from such as are the Effects of Heat so encreased It arises cheifly from five things viz. Motion of the Mind and Body Putrefaction The nearness of some hot thing the mixture of somthing that is hot and stoppage of the Body 'T is cured with cooling medicaments whether simple or compound taken in or outwardly applyed Where we observe 1. That alterations consisting of heat and cold are most easily cured 2. That an hot disease in a Body which is naturally cold must be vanquished by remedies that are strong 3. That cold medicaments have four degreers II. Another is cold in which cold exceeds 'T is known from causes which induce cold and symptoms which follow the same It arises from such things as either are of their own nature cooling or suffocate the innate Heat or overwhelm or dissipate the same or withdraw its nutriment The Cure is undertaken by heating its medicaments first such as are more gentle afterwards the stronger sort See the Medicaments in the Institutions of Physick III. Another is moist when moisture overcomes It is knowen by the antecedents and consequents It arises from the neighbourhood of moist things and which hinder the transpiration of most evaporations 'T is cured by drying Medicaments IV. Another is drie in which dryness prevailes 'T is known by former kinds of signs It springs from contrary Causes viz. Alteration of dryers and overmuch resolution and and paucity of aliment 'T is cured by moistners V. Another is compound that is to say Hot and dry or Hot and moist Cold and dry or cold and Moist Of which we need not to say much For it may easily be gathered what it is and how to
be cured from the simples Chap. 2. Of the diseases of Distemper with Matter A Material distemper is the irregularity of the natural temper of Mans Body by the presence of some morbifick matter The Signs wil be known from the following differences The Cause is a preternatural Humor and that is 1. Either collected by little and little either through weakness of the part or fault of the Nutriment 2. Or affluent either by attraction or by reason of transmission either from the whol body or from some certaine parts The Cure is perfected 1. By alteration with Contraries if we consider the disease 2. By evacuation if need be and that by blood-letting if a Plethory be offensive by Purgation if Cacochymia or badness of humors off end by sweat if the matter tend to the skin by vomit if to the upper parts by diureticks if to the Urinary passages III. By opposite diet 'T is divided into so many distempers as the material I. One sort springs from blood or a plethorick Constitution of Body when such humors as are fit to nourish the Body abound c. 'T is knowen by weatiness c. It arises from good Nutriment c. 'T is cured I. By Blood-letting II. By alteration with coolers and moistners especially such as are appropriate to the Liver 'T is divided two manner of waies 1. One sort is from an exquisite plethora to which al the precedent notes agree 2. Another is from a bastard plethora wherein the cure requires purging likewise 3. Another springs from a plethora ad vasa Another from a plethora ad vires of which we spake before II. Another kind springs from excrementitious choler which is hot and dry 'T is hardly cured if it proceed from the yellow choler Never almost if it proceed from leek colored eg-yolk-colored or verdigreise-colored choler c. The Cure is performed 1. By alteration with cooling and moistning medicaments and if it be very thin with thickness if thick by cutters Among the former the cheif are Stalks of Italian Lettices flowers of water lillie Porslain Plantain Tamarinds Jujubees red poppy among the latter the cheif are roots of Cichory Dandilion Sorrel such things as are made of these Spirit of vitriol Salt 2. By evacuation either by bloodletting when cholor is mingled with the blood or by purgation by stool with cholagogues The cheif cholagogues or choler purgers are Rhubarb which is neither to be given alone because it is subject to fume nor to such as are troubled with the strangury tamarinds aloes rosata which is taken only in pils Syrup of the flowers of Acacea of Roses solutive which must not be given to women with child Pils of Ruffi c. By a cooling and moistening diet III. Another is from preternatural flegm which is cold and moist 'T is cured I. By alteration with medicaments hot and dry attenuateing and cutting Where note that we must at first abstain from very hot things lest the matter being dissolved should swel with greater motion and that the thinner parts being consumed the thicker should remain We must avoid strong openers in a woman wth child The strongest of al are Lignum guaiacum China root Sassafras Salsaparilla and Oxymel Scylliticum Hot stomach medicaments are to be interposed because the stomach languishes through overmuch heat II. By evacuation with Phelgm purgers the chief among those indifferently strong are Mechoacanna of which Lozenges are made it works most effectually given in pouder Carthamus seeds and Agarick trochisked Among the stronger are jalap roote given with Cream of Tartar Syrup of Coloquintida and the Pils of Sagapenum of Horstius The Golden spirit of Rulandus III. By blood-letting provided the Heat be not dissipated being expressed with flegm and that there be a plethora IV. By an heating and drying diet let the Aire be hot and dry the meats seasoned with spices let strong wine be used the body being first purged Frequent use of Cappars with wine and raisins IV. Another sort comes from preternatural Melancholly whether thick or dilute or degenerating into black choler 'T is cured I By alteration with heaters and dryers provided it be not black choler The roots of Eryngos Lycorize the Herbes of Ceterach Baume Dodder Flowers of borrage tamarisk Cappars the cordial flowers Syrup of sweet smelling Apples c. Avoid Vinegar and if it must be used give oxymel and a decoction of Citron peels II. By evacuation with Melanagogues or melancholly purgers The cheif are Polipody sena Extract of black hellebore The diet must be heating moistning The Aire must be tempered with a decoction of Mallows and violets let the patients meates be boyled rather than rost Egs soft-boiled flesh of henns calves partriches corants a temperate bath of fresh water c. V. Another Sort comes from Serum or the wheyish humor which is a thin and Salt liquor by its aboundance and quality altering the body of man 'T is cured by evacuation with hydragogues sudorificks Diuriticks c. The cheif Hydragogues are among the indifferently strong the tope of elder when they first shoot forth dried with a gentle heat an emulsion of the stones of elder-berries Orice root Among the strongare Gambogia Jalap Extract of Elatery conserve of Esulâ— pils of Sagapenum The cheif sudorificks are Spirit of dwarfe elder and of elder Salt of Cenâ—ory of worm wood of Ash of Scabious Harts born prepared Antimony diaphoretick bezoardicum jovial Among diucitick are the diuretical liquor and syrup of Rivius in Renodeus his dispensatory Salt of Vrine Amber beanes Spirit of Salt liquor of tarrar Vitriolated half a scruple compounded with half an ounce of Cinnamon water and two ounces of julep of roses VI. Another is compound springing from some of these humors mingled together In the Cure we must so work that we resist cheifly those humors which most of al exercise their efficacy upon the body not neglecting the rest either within or without This wil be done when the veins are free from the obstruction al the passages of the body open the humors not being much distempered and the noble bowels of the Body not diseased Here panchymagoga or al-humor-purgers are to be used and the Imperial pils of Fernelius which may be seen in the London Dispensatory Chap. 3. Of Diseases springing from Hidden qualities DIseases from hidden Qualities are diseases springing from Causes which work by a malignant and venemous force which cannot be judged to spring from the manifest qualities of natural bodies The Signs are when a disease has rare symptoms great ones and such as are not to be seen in other sicknesses no not of the same kind When there has preceeded some suspition either of some great degree of putrifaction arisen in the body or of infected aâ—re or of contagion or of poison either taken in or communicated from without The Cause is various as shal be explained in the differences The Event of the cure is judged of from the
greatness of the cause nobility of the part affected vehemency of symptomes and the Deaths of many persons It is undertaken I. By ridding away the poison which is done divers waies according to the differences of poisons II By administration of Antidotes both common and appropriate to every part of the Body where nevertheless we must not forget the manifest qualities This is an approved antidote viz. An Electuary of Masterwort Roots of sweet Angelica of Gentian of white thistle of each two handfulls terra sigillata six ounces Myrrh an ounce Venice Treacle four ounces Rosemary Rue of each one handful Birthwort three pound Bayberries one handful virgin hony clarified a triple quantity to al the rest Make al into an Electuary according to Art The differences are taken from the Causes I. Some spring from internal Humors II. Others from infected Aire The Cure consists in prevention of such aire and avoiding the same In purification of the infected aire respect being had to the Cause of the Infection By giveing of Alexipharmaca or Antidotes by which the Heart may be defended and the malignity driven away by sweat III. Some proceed from water For there are certaine metalline fountaines envenomed either naturally or by some occasion yea and drinking of water has brought many into the dropsie and the scurvy is caused by corrupt water Such fountains are to be avoided and faulty waters must be corrected by boiling straining putting in barley flower or Garlick c. IV. Others come from Contagion V. Others from Poisons whose Cure is doubtful if present poison be taken in and that in great quantity Impossible if the poison cannot be expelled neither by vomit stool nor sweat Respects 1. Expulsion by Alexipharmaca or Antidotes which differ according to the varieties of poisons 2. Evacuation especially by vomit that those medicaments may better penetrate unto the Heart 3. Prohibition of Sleep least the poison should thereby peirce the sooner into the Heart and inner parts The Differences are many I. Some are poisons taken into the body which are cured by a gentle vomit made of fat things By purgation if it stick in the upper Gutts By Vrine if it tend to the urinary passages and in all medicaments be sure to mingle Antidotes By Diet in which case Milke is exceedingly commended II. Others are externally applied to the body whose Cure consists in extraction or pulling out the said poison both by drawing medicaments and by such things as do it by a certain likeness which must be continued til the evil color pain and symptoms shal cease Interception which is excellently performed by binding somwhat very hard upon some part above the place affected Use of Alexipharmaca if the Poison have peirced into the Body as was said before Title II. Of organical Diseases Chap. 1. Of Diseases of Conformation AN organical Disease is the diviation or swerveing of the parts of Mans Body from their natural structure Now because to the said Natural structure Conformation Number Situation and Connexion are requisite therefore there wil be so many differences and to this title four heads are subjoined and also because in Conformation or Shaping three things are required viz. Figure Cavity and Surface there wil be consequently so many diseases Article 1. Of diseases of Figure A disease in Figure is the swerving of the parts of Mans Body from their natural figure depending upon certain peculiar causes The Signs are evident so that it is needless to speak of them The Causes are whatsoever may violate the figure of our bodies either by compounding or loosening distorting or exhausting The Cure is not difficult in such as by reason of the Humidity of their bones are yet in a growing condition It is hardly to be attempted in persons growen up in whom the bones whose figure the external parts do represent have attained greater hardness and dryness It is performed 1. By handling and working the part the contrary way 2. By binding with swathes and splints It may be repeated if the former succeeded not if the hurt be very great and the sick man lusty and that by breaking of the Callus emollients being premised It ought not to be repeated if the patient be old the hurt Less and the Callus hard The differences are from the times of swerving of the parts I. Either it happens before the Nativity in the womb and then the fault is in the shaping faculty and it is hardly cured II. Or in the birth and then either the Infant was too great or the Orifice of the Womb too strait III. Or after the Birth where the chief fault is overmuch repletion which must be cured with Evacuation Defect of Nutriment which requires meats easie of digestion of good juyce and of little Excrement See the chapter of Arrophia Violent motion either caused by the patient himself or by the Artist in which case fractures of Bones do chiefly happen The setling of one part upon another either by reason of the Resolution or Convulsion of the Nerves in which case we must have respect to the disease it self of the Nerves Article 2. Of Disease of the Cavities Point I. Of Diseases of the Cavities consisting in Excess Diseases of the Cavities are those wherein the natural passages of the parts are hurt By Cavities or hollow receptacls we understand both those large Capacities of the Stomach Brain Heart and Womb as also the passages of the Veins Arteries Ureters c. and the O rifice or Head of the Vessels and al Cavities whatsoever And because the Cavities are hurt either by way of excess or in defect the diseases of the Cavities are divided into such as consist in Excess and such as consist in defect Diseases of the Cavities in Excess are when they are greater than naturally they ought to be The SIGNS shal be set down when we come to speak particularly of them The CAUSE is what ever is of tendency to open or distend or fret and divide the Cavities The CURE is performed by Stopping They are divided into Anastomosis Diapedesis and Diairesis I. Anastomosis is when the mouths of the Vessels are too much opened and widened It is known by a plentiful shedding forth of such humor or matter which ought to be contained in the said Cavities It arises from such things either external or internal which are apt to loosen or distend The Cure tends to shut up by astringent medâ—caments of which in their place and has an Eye withal to their Causes The chief astringents are Leavs of Shepherds-pouch seeds of Purslane flowers of Balaustians smal Dasies bole Armeniack juyce of Slowes new Treacle pouder of Mans Bones Crocus Martis c. As for the differences 1. Either it springs from an External Cause as opening medicaments and then the causes preceding must be removed Or 2. from plenty of Humors especially blood burthening the faculty and then theÌ„ signs of those Humours are present We must go to work with blood-letting and purging
3. Or from the Quality of Humors provoking the faculty and then their signs are present Evacuations being premised we must use astringents II. Diairesis is when the Vessels are divided 'T is known by plentiful efflux of matter with pain It arises from causes which corrode distend or break The Cure requires conjunction or soddering by astringent Medicaments The diffences are taken from the Causes 1. It is either from external Causes viz. vehement motion heavy weight exclamation leaping contusion wounds sharp thick medicaments 2. Or from sharp biting humors and then the signs of a cholerick or salt humor are present The Cure consists in alteraion by cooling medicaments and such as blunt the sharpness of Humors by evacuation with choler and water-purgers c. and by a cooling and mitigating diet 3. Or from plenty of Humors in which case the Cure is the same with that in the Anastomosis 4. Or from Winds and then the signs of wind are present viz. stretching without weight wandring pain the Causes engendring winâ—s were precedent the disease arose on a sudden the Urine is ful of bubles c. The Causes are plenty of moist diet weak heat which cannot digest the matter The Cure requires that the Cause be evacuated that winds be expelled by convenient Medicaments White Amber is commended in this Case old Treacle also and Mithridate Electuary of Bayberries Conserve of Sage Spirit of Turpentine Oyl of Fenel Seed Anisseed Pouder of Citron Peels c. III. Diapedesis when the Vessels are rarified 't is known by an over plentiful sweating forth of Humors It arises from rarifying and moistening Causes The Cure respects the Causes Point 2. Of Diseases of the Cavities in Defect Diseases of the Cavities in Defect are when the Cavities are rendred more straight than is fit The SIGNS you shal meet with in the particulars The CAUSES of this straitness are Obstruction Constipation Growing together Compression Falling-in of which in the Differences The CURE requires the Removal of this Straitness which varies according to the variety of Differences As for the differences under them five things are contained I. Obstruction which is nothing else but the shutting up of the passages by Humors or other things It arises from Humors and things wholly against nature c. 'T is cured by convenient application of deobstructive medicaments 'T is divided according to the Causes 1. One sort springs from multitude of Humors and then Diet is the Cause Evacuation helps this sort which must be large it the Humors be many having respect to the places From the Chest by Coughing from the Stomach by vomiting from the Belly by Stool 2. Another from thick and clammy humors and then we must use abstertion cutting and attenuating somtimes abstertion alone wil suffice if the Cavity be open The medicaments ought to be strong when the viscidity of humors is great and the place remote more mild when the Case is contrary and alwaies appropriate unto the parts 3. Another is from Stone Worms Quittor Dung of which we shal speak in its place and then we must use al Evacuations either at once or at divers times And respect is to be had to the place in which the humors are lodged 4. Another sort is from clotters of Blood then we must use medicaments which dissolve blood such as are the Magistery of Crabs-Eyes Pouder of Rhubard Tormentil Sperma ceti not rancid c. You have cutting and deobstructive Medicaments above in the third Book The principal shal be specified in the Cure of particular obstructions II. Constipation when the passage is shut up by flesh or a tumor bred in the cavity It arises from a Caruncle Membrane inflamation Tunicle Push which must be concocted The Cure requires consumption and evacuation of the matter III. Coalescence is when the wals or sides of the passage grow together after an ulcer or wound It arises from flesh growing to the Cavity from a scar c. The Cure requires breaking IV. Compression when the passages are stopped by causes incident from without which force together the sides thereof It arises either from external causes as cold and dryers where loosening and moistning things are good or fresh Tumors or Bones removed out of their places The Cure requires their Removal and has an Eye to the diversity of Causes V. Falling in or falling down when the passages are straitned by the loosness and falling together of the sides It arises from over great moisture 'T is cured by dryers Article 3. Touching Diseases of the Surface Diseases of the Surface are when the parts decline from their natural Constitution in the second Qualities The chiefest of them are Roughness and Smoothness I. Roughness is a want of that Smoothness which ought to be in a part It is caused either by addition of a Surface in the solid parts as in fractures certain scales are seen and there is need of fetching somwhat off by abstersive Medicaments or by taking away and then sharp things both external as vapors Winds Fumes Meats venemous Medicaments and also internal as over dryness of the parts when their moisture is consumed bitter choler salt flegm c. In the Cure we must fil up that which was hollowed the acrimony of humors must be be tempered and the parts not yet affected must be defended We must goe to work with moist and clammy medicaments II. Smoothness is a defect of that roughness which ought to be in a part 'T is cured with abstersive medicaments which have withal some astriction that the tone of the fibres may be repaired and the spaces in the surface of the part being dilated by humors may be again contracted Chap. 2. Of Diseases of Number A Disease of Number is when there is a fault in the number of parts 'T is divided into a Disease of number in defect and in excess A Disease of number in defect is when a part which ought naturally to be present is absent That part is either Sanguine or Spermatick which is not regenerate or repaired in Specie or simple or compound nor must it be the particle of a part but a whol part The Cause is whatsoever either by way of efficiency or privation of matter may cause the want of any part The Cure points us to Restitution which is made only by nature the Physitian mean while preserving the strength of Nature by defending the natural Heat by supplying fit matter thereto viz. blood and by removing impediments that is to say Flesh and such like things As for what concerns the Differences Either the fault is original or through defect of matter necessary to generation or through the weakness of the natural faculty which ought to attract retain and elaborate the matter and so it cannot be restored Or after birth by cutting gnawing putrefaction refrigeration and the Cure is to be directed to its causes II. A Disease of Number in Excess is when there is a thing which naturally ought not
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
knowen in that it afflicts with a gentle heat with which appear the notes of putrefaction in in the Urine and Pulse It is not burthensome to the Patient by any grevious symtome The Patient can hardly stir on his Legs for weakness The bodie pines away by little and little 'T is protracted beyond the fortieth day 'T is exasperated by the use of Purgers It keeps no order It arises from putrefaction of matter shed forth of the Vessels into the substance of some bowel or at least fast fixed in the Capillary Veins which are dispersed through the substance of the bowels and by its putrefaction corrupting the said substance From whence Vapors cannot be carried towards the heart in such great plenty as in other Feavers T is Cured by aperitives attenuatâ—rs and detergents appropriate to each part We must also use gentle Purging c. IV. Another sort there is Which arises from the Putrefaction and Corruption of some Bowel From whence putrid Vapors are communicated by the Veins inserted into the heart and heat the same It is somtimes more gentle otherwhiles more Vehement It happens for the most part in Putrefaction of the Lungs in Fistula's that peirce deep into the Cal Nesentery Womb c. The Cure is to be directed to the Ulcers and Fistula's of the internal parts V. Another springs either from Corrupt Milk as often betides Infants or from Blood somwhere Putrifying without the Vessels or from worms or from Crudity familiar to infants because of their greedy feeding with swelling and inflamation of the Hypochondria putrid Vapors being communicated to the heart In the Cure respect is to be had to the Causes and parts affected Chap. 3. Of an intermitting Feaver or Ague in general AN intermittent Feaver commonly called an Ague is a Feaver arising from Vapors which proceed from Humors bred in the Mesaraich Veins Putrifying and ever and a non entring the Vena Cava invading the sick person at certain set times and ending with excretions or Evacuations It 's SIGNS are to come at certain set times with shaking shivering or cold the sensitive parts being vexed and nipped as it were with a sharp Vapor To end by sweating Urine or passage of the Vapors through the pucrepores of the skin by scabbyness if the thicker part of the Humor be thrust forth into the skin Now necessary it is that it should come at certain seasons and then remit and come again For there remains a defilement in that part which is the seat of the putrefaction with a weakness also in the said part Wherupon the affluent Humor though it be good is defiled by the impurity of the part as it were with Leven and through the weakness of the parts it is corrupted Now this return of the Feaver or Ague is caused 1. Partly by the diversity of Humors seeing it alwaies agrees to them nor ever varies into whatsoever body it happen partly because of a peculiar Quality they have which ought either to be ascribed to celestial Causes or it arises from a peculiar corruption 2 It comes either just at one and the same time or by reason of some external causes which move the Humors it anticipates or the Humors being diminished it comes later Also the fits are either short if the matter be little or thin the bodies constitution not close compact the Patients strength Vigorous or long if the premises be contrarily disposed The next Cause is a putrid Vapor arising from an Humor and assailing the Heart Touching the humor three things are to be observed 1. That it is a Putrid Humor which appears by the Urine which has in it signs of putrefaction Nevertheless it does not All putrifie at once in the first Paroxysme but only a Part which is disposed to putrifaction the rest in the following fits til al be consumed 2. That the Hearth and Tinder as it were and place of the said Humor as wel out of the fit as in it is the Mesarick Veins Which appeares both by the stomach sickness Vomiting stretching and pain of the Hypochondria c. With which the Patient is troubled and also by the frequent Vomitings of Choler in very great quantity at the beginning of these feavers which could not be evacuated in such a manner from the remote Veins likewise because the approach of the fit is collected by the compression of the pulses at the beginning of the fit which the Greeks terme Episemasia and the matter is purged out by Urine 3. That the said Humor is ever and anon transferred into the Vena Cava and the Artery The truth is Crudity and Coction are observed in Agues or intermitting feavers as wel as in the continual At first the Humors are moved from the Circumference unto the Center And seeing the branches of Vena Porta are inserted into the substance of the Liver and their mouths communion with the Vena Cava and the Arteries proceeding from the heart are in the Stomach Guts Spleen and elsewhere joyned to the mesaraick Vessels the waies by which these Humors may be carryed thither are evident enough The CURE of intermitting feavers or Agues is Performed 1. By Removing the Debility consisting in the part by altering Medicines 2. By Withdrawing the Putrid Defilement with Purges Blood-letting if blood abound in Vena Cava and be corrupted by Vitious Humors By Sudorificks which are of greatest force in this Cure Precipitating Medicaments are commended at first as Crollius his pouder of snails shels pouder of mother of pearle calcined four scruples and the Magistery of Crabs eyes Externally are applied Cobwebs and Populeon Ointment the fish we cal a Tench bound to the soles of the feet c. Article I. Of a tertian Intermitting feaver or tertian Ague An Intermittent feaver specially considered is either a Tertian or a Quotidian or a Quartan Howbeit there are Quintans Septans Octans Nonans But those modes of Agueâ—â— are seldom seen and are but certain sortes of the simpler Modes aforesaid only a fit Two or three happen to be omitted So a Qintan is a sort of tertian in which the third day is without accession An Intermiting tertian Feaver or tertian Ague is a feaver springing from excrementitious cholor putrifting in the mesaraick veins afflicting every third day with a cold shaking fit which is followed with a hot fit and other symptoms Its SIGNES are Paroxysme or fit which seazes the patient every other day with a shaking cold The shaking cold being over much Heat arises the pulse is at the first begining of the fit smal slow afterward frequent The Vrin reddish c. The CAUSE is a Cholerick filth in the mesaraick veins either alone or mixed with other humors and putrifting Springing from meats apt to be corrupted or others fit to generate the same and sending putrid vapours to the Heart The CURE is performed 1. By Evacuation of the first waies with lenitive medicaments or clysters 2. By Vomit if the matter tend to the stomach and
must be taken III. One sort is gentle of which in the premises Another is dangerous which is known hereby that on the fourth day the fit retures with extream weakness the Urine being exceeding red and troubled It arises from burning Diseases black choler being bred by the adustion and turning to ashes of the Melancholy Humor or yellow choler T is cured with extream difficulty Article VI. Of compounded Feavers Particularly the Semitertian Feavers compound are when one Feaver is joyned with another This Conjunction is various For somtime a nonputrid is joyned with a Putrid somtimes a putrid with a Putrid and that either with a continual or an intermittent with an intermittent or contrary wise The SIGNS are the same with the Signs of simple Feavers especially the return of cold shivering and shaking after some respite After many shaking fits one hot fit or after a cold fit no sweat The ' Contaction of the pulse is most frequent by which we gather a new motion of the matter and a new fit to follow The Cure is Hard because they vex more than simple ones and there is hardly time to use help It is apparent from the cure of the simple Feavers They are variously divided I. Some are confused when two Feavers begin and end at one time so as hardly to be distinguished because divers Humors mingled together putrifie in the same place Others Implicit when the nature of each may be distinctly known II. Some are Subintrantes interfering when the fit of the second begins ere the fit of the first be over Others are Coalterna keeping due times so that one fit being done after a smal space another begins Other Communicantes when the fit of one begins presently after the fit of the other III. Some are Intermittent under which are comprehended 1. A Tertian both double which comes either once a day or twice arising from choler putrefying in two places of the Mesaraick Veins and Triple which comes thrice in two daies once in one day twice the other and springs from choler putrefying in three several places 2. A double Quotidian which comes twice in twenty four houres 3. A Quartan both double which leaves one day free and comes the two next daies following and Triple in which the Patients are sick every day Both these are wont commonly to proceed from an unseasonable use of hot Medicaments especially Sudorificks IV. Some are continual such as is the Semitertian For it is a Feaver compounded of a continual Quotidian and an intermitting Tertian vexing continually but the third day with a shaking fit It is known by the signs of both Feavers It arises also from the same Causes but most frequently from the Inflamation of some of the Bowels 'T is Cured with difficulty For it is not simple but compound It frequently overthrows the stomach It hurts the Nervous parts which is wont to be the ground of its long lasting and vehemently stirs up what lies in the depth of the Body Respect had the Feavers and their Causes Agarick among Purges bears away the Bel in this Case 'T is divided two manner of waies For 1. One is Legitimate when the Quantity of Choler and Flegm are equal Another bastard when choler exceeds Flegm or Flegm Choler 2. One is Malignant Contagious and Epidemical which is known by signs of Malignity Another is of its own Nature intermittent but with the Inflamation of some Viscus or Bowel which is caused when part of the feaverish matter is thrust with the blood into the Entrals stomach Liver and bordering places Thin a Symptomatick continual Feaver is raised There are signs of Inflamation The shaking fit happens somtimes ordinately according to the Nature of the Intermitting Ague somtimes inordinately when the Inflamation happens to a new part or when Quitter is made The Cure depends upon the Cure of the Intermitting Feaver and of the Inflamation of the Bowel See Spigelius of the subject Title IV. Of the Hectick Feaver AN Hectick is a Feaver arising from heat in such sort Occupying the parts of the Body that though it be fomented by no cause yet it continues Its SIGNS are these Heat which causes no pain because the solid parts are already altered 'T is weak at first because of paucity of Vapors biting afterward because of the solidity of the Parts In the Arteries greater because of their correspondence with the heart An hour or two after meals T is augmented because of the Humectation of the dry and solid parts freely without compression without Horror and Rigor with a great and swift pulse the Meat being distributed it ceases It also dries up al the radical moisture consumes the secondary Humors and melts al the fat in the Body It s CAUSE is either other Feavers either burning or long-lasting or Diseases of the internal Bowels as cheifly of the heaâ—â— and parts in the Chest the Kidneies stomach and Midrif Or External Evident Causes very vehement which consume much of the substance in the solid Members raise up very great and long heat yet introduce it not into the solid parts before they Have introduced it into the spirits in the first place The CURE is perfected 1. By Humectation and Refrigeration Internal by flowers of Violets Borrage Bugloss four coold seeds Milk of Perles of Corals and other gentle things least the weak heat of the Patient be overwhelmed External as Baths of fresh water of Milk of Oyl Olive Nointings of the Back-bone as with Oyl of sweet Almonds and of Violets 2. With convenient Diet Here Womans brest Milk Asses Milk are of use unless there be a Putrid Feaver Meats of Almonds Pine-kernels Pistachios c. Broaths of Snailes waters of Capons Eels River-Crabs of which see Joel in his fift Tome Aqua Mirabilis Ferdinandi which is made of the blood of a young Hog newly beheaded two pints one pound of Venice Terpentine half a pound of scraped Lycoris Corants five handfuls fifty Figs Orice Roots three ounces Pine-Apple Kernels claensed three handfuls Tobacco Leaves two handfuls Crums of bread half a pound distilled in a Glass Limbeck The dose is two ounces with Sugar See him in his Observations History the 21. An Hectick is divided two manner of waies I. One sort is without a Consumption when the dewy moisture of the parts is not yet consumed When it begins t is hardly known unless a man may gather it from the bodies leanness its Chollerick Complexion and straitness of the Brest In the Progress and Ephemera being present the Heat lasts beyond a day with encrease about the third day the heat is encreased after meat Another is with a Consumption and is two-fold the one cald Marasmodes when the dewy moisture is consumed and the fleshy substance begins to be preid upon Then the body grows leane the Temples fal the palms of the Hands and soles of the Feet are hot and those other accidents follow before mentioned The stooles have a greasie substance among them It is
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
in his Pharmacop restitut Oyl of chamomel saphirine a bolus made of three drams and a halfe of electuary diaphenicon and two scruples of philonium romanum is most commended by some Four grains of laudanum opiate with the decoction of chamomel After the use of all which things that strengthen the stomach must be applyed 2. The cause it self of which in the differences The differences are taken from the parts and Causes I. There is one pain of the coats which is simple and to which the former things ought to be applied another of the mouth of the stomach which discovers it self by faintings and swounings somtimes by immoderate sweats and anxiety and then it arises both from an attrition of the Stomach which happens after taking of meat with coldness a stoppage of the pulse and breathing either from the meat boyling in the Stomach before it be sent forth or turned into flegm and t is cured with oyl of spiknard applyed hot to the Stomach and one dram of pepper exhibited And from the astriction of the Stomach which happens by reason of the astriction of both orifices and the meat descending it ceaseth they ought to be distinguisht The cure is past hope if it befal them who have an orifice of exquisite sence if their extreme parts be cold and if it proceed from poysenous things II. Another is from external causes as kernels pins sharp corrupt or much meat and then a vomit does good and if poyson have been taken things alexipharmacal must presently be applied Another is from internal causes 1. From humors viz. Cholerick Flegmatick either falling thither from some other part as is wont to be in feavers or generated there which if by mixing with the meat they become less acrid upon taking of nourishment the paine is asswaged if cleaving to the coates they are stirred by taking of meat or sticking to the bottom they be raised up the paine is increased after meat The cure ought to be sought from the chapters of distempers Observe that hiera in a tough humor ought to be mixt with stronger medicines that it may overcome the matter Zacutus his syrup and pouder Lib. ult c. 2. n. 11. hist is very good 2. From vapors either contained there of which Tit. 2. c. 1. a. 4. Or sent from some other part from the womb worms c. 3. From worms ascending to the orifice of which in its place III. Another is from diseases molesting the Stomach viz. distemper tumors wounds ulcers c. of which we treated before II. The heat of the stomach is an ebullition of humors in the stomach caused by the power of preternatural heat so that the heat is perceived even to the throat There is no need of signs in this symptom The CAUSES are acrid vapors raised either from meat acrid in its own nature in cholerick bodies during the concoction of the meat and the Stomach troubled with strong motion raised up from a cholerick humor which whiles they are compelled to break forth by the gullet sticking there they burn that and the mouth of the Stomach The CURE is more difficult in those whose substance of the stomach is as it were besmeared with choler because the Region of it is dyed by the bladder of gal with a saffron color and the same ftain doth penetrate even to the internal membrane It doth respect 1. The heat it self to allay the which many remedies are given the cheif are these a Bolus compounded of two drams of sugar of Roses two ounces of crabs eyes prepared and bole armenick half an ounce swallowed in parcells A pouder compounded of Christal calcined one dram and an half Pearles prepared one scruple Coral prepared Chalk each one dram Sugar Candy two drams the dose is one dram given in drink Spirit of vitriol coagulated one scruple given in drink which ought to follow a liniment of the best pomado half an ounce Camphire one dram oyl of bricks two drams badgers greaâ—e half an ounce Salt of vitriol one dram 2. The cause of the heat which is to be tempered and emptyed Article 2. Of the want of Appetite An anorexy is the prostration of appetite in relation to al meats arising from the defect of the sence of sucking in the upper orifice of the Stomach This symptom needs no Signs The patient complaineth and 't is observable by the standers by The CAUSE is the defect of the sence of sucking in the lower orifice of the Stomach which from whence it proceeds shal be said in its differences The CURE is doubtful if it happen in the declination of a disease or from the long continuance of it or from weakness or moderate evacuation because it indicates the extinction of natural heat and threatens a relapse If it befal children who are naturally great eaters and want much nourishment because it signifies a great preternatural excess If it afflict in a disease of long continuance with sincere stooles because it shews an extinction of the appetitive faculty in the orifice of the stomach either by reason of extraordinary cold or of some matter extreamly putrefied If it arise from the brain by the hurt of the nerves of the sixth conjugation Of little hope if in some disease there presently follow it a great appetite to meat no crisis preceding nor an abatement of the disease because it signifies a hurt of the brain and an extinction of the sensitive faculty It relates to the causes of which we shal treat in the differences The differences of the prostraction of appetite are various I. One is Greater which is properly called Anorexy in which nothing at al is desired with which agrees the former definition Another is less called a dysorexy in which meat is desired but less or later than nature requires it it and arises from the sence of sucking weakned or overthrown II. There is another without nauseousness and hating of meats which may be called shappetency of the Causes of which shal be treated in the following difference Another with hating and t is called a loathing of meats It ariseth from Cholerick and corrupt Juyces yet void of acidity and saltness which because they are unfit to nourish the body they are not suckt in by the veins yet do possess the Orifice of the Stomach 'T is Cured with those things which do correct a hot distemper and empty the Humor See the Cataplasme in Zacutus l. vlt. c. 1. n. 5. III. There is another from the want of Sucking which is Caused 1. By the abundance of nourishment in the whol body in which the strength is not cast down the which is taken away by fasting exercise frictions c. 2. By an impotency in the Stomach to corrugate or wrinkle iâ— self up either by reason of a distemper either hot relaxing the stomach and diffusing the matter or cold destroying the Native heat the first Cause of appetite or by reason of a redundancy of vitious humors especially crude Excrement insipid
time is less resisting the Fingers cannot be thrust under the ends of the Ribs It possesseth only the Membrane that compasseth the Liver yet somtimes it fils up the whol Hypochondry It ariseth either from a viscous Humor either sprung from meats of that Nature or made such by cold alteratives given about the time of Evacuation Or from a thin crudity arising from meats drink and other things inducing cold or from a thin wind The Cure is perfected by things opening and emptying Article V. Of the Wounds and Vlcers of the Liver The Wounds of the Liver which in Aged and ill habited bodies are very dangerous but by reason of the long effusion of blood are deadly are either from external causes which are Cured by things astringent and agglutinative red Roses dryed are commended or from a Contusion which hath Joyned with it a vomiting or dejections by stool or Urin with blood it is more dangerous than a wound and degenerates into an impostumation In the Cure it requires 1. The opening of a Vein in the Arme. 2. Potions Compounded of astringent things 3. The Flux of blood being stopt the dissolution of congealed blood by its Medicines An Vlcer of the Liver is a corrosion of the same from matter or juyce The SIGNS are an ulcerous pain in the right Hypochondry a Cough a Jaundice color of the Face a voiding of putrid sanious and bloody things by the stool or Urin an Atrophy because there is neither blood made nor the man nourisht The CAUSES are whatsoever things corrode the substance of the Liver of which shal be treated in the Differences The CURE must not be neglected although it be of little Hopes for it grows foul by a perpetual filth because t is continually washt with the nourishment 't is ordered as in other Ulcers The Differences of the Ulcers of the Liver are various I. One is in the Superficies which is less dangerous another in the Substance which is deadly because a spermatical part cannot be Regenerated II. One is in the Gibbous Part which is known by purulent Urins without the signs of an exulceration in the bladder and Kidneys by difficult breathing by pain of the midriff Another in the hollow part which is known by the bloody and somtimes purulent stooles by the pain of the Guts by reason of the acrimony of the matter by the sense of pricking and heaviness about the Liver III. One is which follows an inflamation which hath ended in an impostumation and this is dangerous especially if the matter be contained in the substance of the Liver Another is which ariseth from sharp and corroding Juyces which is known from hence that it creeps on by degrees the strength not impaired a Feaver ariseth in the progress observing no type which at length ends in a Hectick Loathing of meat afflicts them especially of flesh c. It ariseth from the default of corrupt or putrefying nourishments generous Wine heats the bowel and dries it and heaps up a certain putrid clamminess and matter Chap. 4. Of the Symptomes of the Liver Title I. Of the weakness of the Liver THe Symptomes of the Liver are Weakness Cachexy a Dropsie Jaundice and atrophy The weakness of the Liver or atonia is a hurt of the faculties of the same induced by its Causes The SIGNS ought to be taken from the consideration of the Excrements of the Belly of the urin and color of the whol body as shal be manifest in the differences The Causes hurting the faculties of the liver are diseases of distemper whether it be hot or cold to which is added an external error viz. when either the chyle is not rightly elaborated in the stomach or being wel elaborated somewhat vitious is mixt with it c. The Cure ought to be perfected with things that strengthen the liver and are appropriate to it as are the liver of a wolfe a calfe of hens snailes raisons c. As concerning the Differences One is by reason of the Sanguifying faculty which either is hurt by a cold distemper or the defect of natural heat and then the excrements of the belly are like to the washings of meat new killed which the cold growing more intense do cease crudities arise with which the feet first and then the other parts abound because the veins do suffer with the liver ill affected as being their original For the cure of this serves Rupert Cranesbil bruised a lie of the pruning of vines with wine c. Or from a hot distemper in which the chyle is burnt as it were the excrements are like to the dreggs of blood c. Another is by reason of the attractive faculty and then moist things flow down by the stool like creame although there be no fault in the stomach no obstruction of the mesentery Another is by reason of the retentive faculty and then is rendered by stoole things like to the washing of flesh new killed yet seldome moist and mattery c. Article 2. Of a Cachexy A Cachexy is a diffusion of the whol body into a watry and swelled softness by default of nourishment The Subject is the whole body but those parts especially which are obvious to the eyes as the skin and the muscles The signs are a color by reason of the flegmatickness of the blood sometimes white by reason of the mixture of cholor or melancholly sometimes livid or leaden A tumor with heaviness and sluggishness especially in the feet and hands by reason of the descent of serous humors and their distance from the heart and also about the eyes in the face cheeks ey-brows because those parts by their laxness do easily receive serous humors The Cause is the fault of nutrition For though that which is put to the parts doth concrete and adhere yet by reason of the too great plenty of crudities 't is not assimilated To wit the blood is flegmatick crude and serous and that is generated such either by reason of impure nourishments corrupt and producing abundance of serum Or by reason of the bowels which either are impure either from a Scrirhus as hath been said or from the effusion of a corrupt humor as hath been observed in a suppression of the courses that purulent matter from the obstruction of the ureters returning into the veins the blood being infected hath infected the whol habit of the body Or from their corrupt substance for so vitious and corrupt blood is brought forth and carried out to every part and there concreting It leaves a vitiated substance instead of a good hence the Cachexy is various according to the nature of the blood The flegmatick affects virgins and threatens a universal dropsy Or they are weak because they have been hurt either by the continuance of diseases or by too much evacuations or by long imprisonment c. In the Cure we must diligently observe 1. That regard be had to those diseases from which the cachexy proceeds 2. If humors abound they
put to is discussed c. Or is Vitious Or by default of the nourishing Faculty when the Native heat or radical moisture fails The CURE respects 1. The Symptome it self where take place a Bath of the Decoction of the Head and Feet of a Weather of red sallow Of sweet water in which have boyled the ashes of Hazel Flax Seed the bones of a Weather bruised A moistning Diet of the Emulsion of sweet Almonds of the four greater cold Seeds with Goats Milk c. The magnetick Cure concerning which see Hartmans Chymiatry Anoyntings with Amatus Lusitanus his Unguent in Sebastianus Austrius de Morbis puerorum p. 555. 2. The Causes of which in the Differences The Differences of an Atrophy are Various I. One is Vniversal of the whol body of which we have now spoken another Particular which proceeds from a peculiar fault of a part In the Cure take place fomentations dropaces pications and percussions by which the driness of the part is corrected the obtuse heat is roused up and the nourishment is attracted II. Another is from worms which vex Children Another from the Stomach that doth not wel elaborate the Chyle Another from the Liver when that is either troubled with a hot and dry distemper and wasnt with much Choler or is very much obstructed that the nourishment doth penetrate with difficulty Another from the Spleen to which the same things may happen Another from the obstruction of the Mesentery which is familiar in the East Indies and for the most part hath Joynd with it a bulimy with a Lientery but it turnes also to an impostumation which so washes the whol mesentery that the Guts confused without any order do stick together only by thin Skins In the Cure is commended the Cross grass of which see Alpinus concerning Aegyptian plants cap. 40. See also concerning these things Bontius in medicina Indorum p. 156. Another is from the Heart which is in a Hectick Another from an Vlcer of the Lungs which happens in the Ptissick Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title V. Of the Affects of the Spleen Chap. 1. Of the Diseases of the spleen Article I. Of the obstructions of the Spleen THe Diseases of the Spleen are Obstruction puffing up Inflamation a Schirrus Vlcers and wounds The Obstruction of the Spleen is a stuffing up of the thick Humors The Part Affected is the Spleen either according to its Veins and Arteries or according to its whol substance The SIGNS are these at the beginning there is Caused a heaviness of the Hypochondry a pain of the spleen from hence a humor mixt with the blood and diffused into the whol body dies it of a Livid color makes a difficulty of breathing after exercise Poured into the Stomach Causeth nauseousness and vomiting into the Guts a diarrhy Somtimes by reason of its dryness it binds the Body The CAUSE is an earthy and thick Humor which oftentimes is collected from a Fenny Air and gross meats and by reason of the weakness of the Spleen and interception of the Passages cannot be expelled Somtimes 't is heaped up by reason of a hot distemper of the Spleen and the attraction of the Chyle unconcocted which happens after often lying down on the left side too much exerise Somtimes it stopps there by reason of an accustomary flux of the Hemrods intercepted or the suppression of the Courses The CURE is ordered as in other obstructions yet note we must have a care of the Causes from which it comes the vomits do good when as there is a straite way from the Spleen to the stomach by the vas breve Of Purgers Poly pody and dodder of time with Raysons senny with cremor Tartar are of Force Of openers the Flowers of Broom and Saxonia his electuary of steel are commended A Plaister of Ammoniacum dissolved in Vineger of Squils may rightly be applyed Premising some convenient Fomentation See Solenanders strengthning electuary in Hartman II. The Inflation of the Spleen is a puffing up of the same into a Tumor by winde The SIGNS are these a Tumor and distension is perceived with some pain but without the sense of heaviness and a weight A murmuring and sound is made The Spleen being prest doth yeild The Causes are either too large drinking of cold water or windy meats as pease chesnuts beans scallions Or thick and viscous humors which may be overcome by the weak heat and are resolved into vapors which doe easily puff up the spleen because it is spungy The Cure is as in others The Chymists applaud the burning Spirit of saturn in the extract of ferne and anoint the region of the spleen with the same thrice a day purging in an external cause is disallowed anointing with oyl of rue cappers c. is sufficient Article II. Of an inflamation of the spleen and schirrus An inflamation of the spleen is the lifting up of the same into a tumor by blood poured forth into its substance Somtimes the whole spleen is affected somtimes not The Signs are a tumor in the left hypochondry bunching out as it were towards the fore parts and as it were girting a man in the middle so it is distinguished from the paine and inflamation of the left kidney which is higher than the right there is a pulsation and palpitation of that side by reason of the arteries with which it abounds a continual feaver observing the periods of a quartan difficulty of breathing by reason of the compression of the midriffe The Cause is blood poured forth and putrefying which is either pure or mixt and discovers its self by its signs The Cure ought to follow the method of other inflamations so that larger drinking after purging be avoided least the humor be carried to the substance of the liver II. Aschirrus of the spleen is a hard tumor of the same proceeding from a thick glutinous and a hardened humor The SIGNS are a resisting tumor with an ablong hardness in the left side and that without paine to which are added a difficulty of breathing a driness of the mouth a swelling of the feet uneasy lying on the left side troubelsome swears c. The CAUSE is a thick and glutinous humor which either presently was such arising from meats of a thick juice from labors watchings which do waste that which is spirituous in the humors Or afterwards when being thin of it selfe t is hardened either by the force of heat or by medicines too much discussing or by its tartarous nature tending to induration This diffused into the whole body with the blood makes it livid and colour'd and leads to a consumption because the spleen opprest is not able to discharge its office of sanguification The CURE is more difficult if the patient have a diarrhy ensue and a lientery or water betwixt the skin follow
cure of a fistula see in Langius l. 3. epist 5. Article 3. Of the straitness of the Vrinary Passage The straitness of the urinary passage is an interception of the same proceeding from its causes and inducing a stoppage of urine The signs causes and cure If you consider this affect in general have nothing singular The differences are taken from the causes I. One is from obstruction which is caused 1. Either from the stone which is known by this that signs of the stone were precedent the urine is somtimes made freely somtimes the stone falling from the bottom of the bladder into its orifice 't is suddainly stopt the pain urgeth most at the root of the bladder The cure consists in removing of the same by shaking of the thighs if it be great that sticks at the orifice by bringing it out of the extremity of the urinary passage if it be smal and can be moved out of its place by laxative fomentations and things that break the stone if it cannot be moved out of its place with the fingers 2. Or from clotted blood which is known by this that a wound or rupture of a vessel went before the blood was poured forth with the urine outwardly common ashes may be applyed with honey 3. Or from matter which either was in the kidneys or bladder or by the breaking of an impostumation in the upper parts was carried thither 4. Or from thick and viscous flegm and then the urine is almost totally supprest there are present signs of flegm we must use things incisive and attenuating II. Another is from a constipation by a caruncle a callosity a wart growing in the passage of the urine which is known by this that neither the urine is pist out freely nor the seed sent forth great pains are present t is tryed by a catheter or wax candle put in But because the urine alwaies flows alike from the stone because 't is never almost wholy intercepted by a flegmatick obstruction upon that account 't is known It is cured by things that wast and consolidate Of those is commended premising universals oyl of Mercury with a little sugar of saturne and camphure amongst which I reckon the decoctions of China and sassafras the pouder made of mercurius dulcis half an ounce crude antimony one ounce rutty prepared two drams of the use of which consult Hartmans Chymiatry III. Another is from compression which is caused either from the coldness of the right gut or from the inflamation of the neighboring parts or from the swelling of the yard and neck of the bladder or the contorsion of the bladder or the falling down of the bladder into the Cod. The Cure must be directed against the diseases Chap. 2. Of the symptoms of the bladder Article 1. Of the incontinency of the urine THe Symptomes of the bladder are incontinency of the vrine a diabetes an Ischury a Strangury dysury bloody pissing purulent c. Incontinency of the urine is a sending forth of the same by reason of the resolution of the sphincter muscle or compression of the bladder without any sence of acrimony and paine beside the wil of our command There is no need of Signs in an affect so manifest The cause is cast upon the resolution of the sphincter of whose causes in the differences and the compression of the bladder which comes to pass either from a convulsion of the muscles of the belly or from the greatness of the young one about the last months or from a tumor placed upon the bladder of al which respect must be had in the cure The cure varies according to the nature of the Differences The Differences are taken from the causes inducing the resolution of the sphincter and the time I. One is from a palsy of the nerves which from the loines are inserted into it by reason of which it cannot contract it self and then 't is harder to be cured if the spinal marrow be affected or the muscle it self wounded The causes by reason of which a palsy comes must be inquired from its chapter and as they vary so the cure must be varied Another is only from the laxness and softness of the sphincter and then the patients can neither endure the acrimony nor abundance of urine when the animal powers are asleep For the cure are commended Diacyminum Frankincense drunk in wine the throat of a cock rosted and dryed that it may be ground to a pouder given at night in astringent red wine The bladder of a goat dryed in an oven and poudered given likewise one dram weight II. One also is diurnal which afflicts the apoplectical and paralytick Another Nocturnal which is wont to happen to children by reason of the cold and moist distemper of the muscle or not thinking of it in succeeding yeares the muscle of the bladder growing dryer and stronger it ceases By reason of continual drinking for the most part it follows those of riper years to their death Article 3. Of a Diabites A Diabetes is a most quick and plentiful pissing of the drink unchanged arising from the intense attractive faculty of the kidneys and afflicting with a strong perpetual thirst The Part affected is the kidnies yet so that the bladder also opprest with the plenty of urine consents The Signs are plentiful pissing little or not at al changed a strong thirst nor any satisfaction from the taking in of any liquor a paine pracking and heaviness about the loins a coliquation of the whole body the belly dryed and withered The Cause is controverted amongst physitians we hold 't is the intense attractive faculty of the kidnies arising from a very hot distemper of them which is caused by an afflux of sharp and biting humors viz. choller and salt flegme impacted in the substance of the kidnies the too great largeness of the emulgent vessels and ureters the heate of the liver pestilential feavers the weakness of the stomachs retentive faculty doe help Thus when the kidnies draw plenty of serum from the veins and cannot contain it by reason of their weakness they send it to the bladder the veins again draw from the liver this from the stomach whence the orifice of this being emptied and dryed there ariseth a continual thirst c. The Cure is too difficult and for the most part passeth into a hectick and dryness of the whole body 'T is ordered 1. By things that correct the distemper of the kidnies where bleeding also takes place 2. By things that dul the acrimony of the humors and make the blood and with it the serous humor flower to motion The essence of crocus martis described by Crollius Baths made of smiths water drink but little of the decoction of harts-horn salt of corals c. are thought to be prevalent As Concerning the Differences 't is only one One is an exquisite diabetes of which we have now treated Another spurious which is nothing else but a colliquative flux of urine while the
is cold and happens to them cheifly who lead an idle and sedentary life 'T is cured as the former yet observe that the fume of the shaving of Ivory and Sage boyled in wine and water conveighed through a pipe before supper is commended Sulphurous baths beare the palme away in outward things we must have a care of astringent means least they detain the excrementitious humors Another is dry which is known by the scarceness of the seed and courses slowness to venery dryness of the mouth of the womb the color of the lower lip a blackish red with continual clefts It ariseth somtimes from the very birth whence the patient hath a dry temper and slender constitution of body Somtimes by reason of age whence they cease to breed Somtimes from diseases themselves viz. an inflamation c. somtimes from defect of blood which ought to moisten it either because 't is not emptyed by it by reason of the straitness and obstruction of the veins or because being emptyed through the neck it comes not to the bottom 'T is cured 1. By a contrary dyet in which too much labor watchings fasting sadness are very much to be eschewed 2. By the use of moistners amongst which do excel burrage bugloss mercury Marsh-mallows violets amongst externals baths of sweet water and anointings with oyl of sweet almonds white lillies hens grease the marrow of calves leggs c. The cure is difficult if the dryness be of long continuance and hectical II. One is simple to which belongs what hath been said before Another compound most commonly cold and moist which is known by the former things compared amongst themselves It ariseth from flegmatick humors whether derived from the whol or produced by the whol It is cured 1. By preparation of the matter by hot hysterical means 2. By emptying and that universal of the whol body by things that purge flegme By particular of the womb it self of which we must have the greatest care if nothing proceed neither from the whol nor the parts And here pessaries do much also sulphurous and drying baths by sweaters which are here very much commended viz. with the decoction of Guajacum china sarsaparilla lentisk wood c. 3. By a contrary dyet Article 2. Of the straitness of the vessels of the womb The straitness of the vessels of the womb is an interception of the same from its causes The signs are both a retention of the courses that they cannot flow and an hindrance of conception by reason the falling down of blood is intercepted The cause and cure shal be expounded in the differences 'T is divided twofold I. One is from external causes as medicines and astringent baths which is known by the relation of the sick 'T is easily cured and we must act with moistneâ—s and mollefyers Another from internal of which in the following difference II. One is from a Skarre flesh or membrane growing on the orifices of the vessels or from a growing together of the mouths of the veins after a violent drawing forth of the secundine which is almost incurable yet some tryal may be made with things mollefying Another from obstruction which thick viscous and plenty of humors do cause whether they flow thither from the rest of the body the heat not being able to attenuate them or be heaped up in the womb it self by reason of the weakness of heat in that It is known by this that there are present the signs of a cold distemper a moisture like snivel somtimes flows forth from the womb It is cured as other obstructions Revulsion hath its place if the matter flow thither Amongst openers of obstructions are commended sharp and bitter medicines that move the courses steeled wine baths corrected with mollefyers and openers Another from compression which is caused either by a tumor and scirrus consisting in the womb or without it and then the signs of a tumor are present The evil is almost incurable or by the too much fatt of the neighboring parts and then that is wholy manifest to the sence we must act with things that do extenuate Article 3. Of an inflation of the Womb. An inflation of the womb is a distension of the same by wind produced out of a cold flegmatick and flatulent matter by default of a weak heat 'T is called also a windy Mola by reason of the false hopes of a conception The signs are a distension of the womb consisting in the region of the belly which is somtimes increased somtimes diminisht somtimes 't is extended to the sides somtimes to the navil loins and midriffe It is distinguisht from a dropsy by its lesser bulk want of thirst by the increasing and decreasing of the tumor by a less wasting of the upper parts From a dropsy of the womb by the foregoing of causes generating wind by a noise less heaviness greater distension by feeling an extensive and pricking pain in the neighboring parts From an inflamation of the guts because here neither are pains nor costiveness of body because the courses are stopt the feet and hollow of the eyes do swel and color of the body is changed because the woman pants is greived and when she wakes out of her sleep breaths with her neck upright From a mola by the want of heaviness and hardness in the belly with a weight moving it self from side to side when they move From a conception by the sound and increase and decrease of the tumor by wanting of motion like to the moving of the infant for if the belly be prest strongly the wind being driven to the neighboring parts a certaine beating motion is felt in the whol belly The cause is exprest in the definition the matter it self is either generated in the womb it self Either by reason of the suppression of the courses or by interception of the purgation after a delivery or proceeds from elsewhere either by the veins or by the feed vessels But the weakness of heat ariseth for the most part from the external aire stopping by its coldness those impurities in women lying in which seek a passage forth from hard labor abortion stoppage of the courses c. The cure if you consider the method differs not from the cure of other inflamations so we have respect to the part Observe that amongst purgers Species hierae and diaphenicon with castor are commended For suffumigation Nutmeg of which Hartman in his chymiatry for plaisters the plaister of bay berries with treacle for drinks nutmeg bruised boyled with the roots of feverfew and drank with six ounces of wine two drams of Sugar The Differences are taken from the part it self One is when the wind is in the cavity and then the mouth of the womb is so closedup that none of it can get forth when either the woman is moved or her belly perâ—t with the hand a sound and noise is perceived But that it may be conteined in the cavity is certain both because the womb
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
by this way those Excrements which could not be driven forth by sweat The cure must be hastened for it makes women Barren for the most Part unless perhap it be emptyed through the Vessels of the Neck of the womb it casts the same into an Atrophy consumption Melancholy Dropsie Falling down of the womb swounings and Convulsions Hence though at the beginning 't is scarce Cured yet afterwards 't is more difficult For the whol body accustomes it self to cast off the Excrements through that way and the womb being rendered weaker collects Excrements It varies according to the nature of the Causes The Differences are taken from the part that sends them and the colour of the blood I. One is from the whol which is known by this that there are signs of a Cacochymy in the whol body the flux is more plentiful In the Cure 1. Bleeding must be shunned both because the Humors ought not to be recalled into the Veins to pollute the blood and because the strength is dejected by the long continuance of this affect and the body wasted 2. Discussion is very wel performed by Decoctions of Guajacum China and lentisk wood c. 3. For drying the Root of dropwort is very much commended For binding the pouder of mans bones the ashes of Capons dung in rain water Zacutus his Plaister l. 9. c. 11. Prax. History which ought to be applyed to the Kidneys 4. Sleeping on the back must be avoided least by the heat of the Loyns the humors be carried towards the womb 5. Frictions of the upper parts are good for aversion Another is from some part besides the womb and then there are signs of the part affected in the cure we must have regard unto it II. One is from the womb which is known by this that there are signs of the womb affected the flux is not so plentiful It ariseth from the distemper of it of which in the Cure we must have a regard Suffumigations of Frankincense Labdanum Mastick Saunders are wel applyed but from what Cause soever it ariseth baths do most good Concerning a Gonorrhaea if any thing ought to be known let it be sought from those things which are said concerning a mans gonorrhaea Chap. 2. Of the Symptomes more familiar to those that live out of Wedlock Article I. Of the Virgins Disease THe Symptoms more familiar to those that live unmarried are the Virgins disease the suffocation of the womb the madness of the womb and the melancholy of women The Virgins disease otherwise the white the Virgins the Pale the Lovers Feaver is a change of the natural color in the Face into a greenish and pale proceeding from the abundance of crude Humors 'T is called the Virgins because it appertains most of al to Virgins and truly to the Fairer endued with a white colour thence the Tincture from crude Humors is the easier The Face it self wil afford us the Signs to which add other Symptomes as the pain of the Head somtimes madness the Humors and Vapors being carried thither and mixt with Melancholy a difficulty of breathing with a palpitation of the heart if they stir with a smal and frequent pulse of the Arteries in the Neck back and Temples by Reason of the lifting up of Vapors from the heating of the thick blood inordinate and erratick Feavers by reason of the Putrefaction of the Humors manifold affects of the Stomach amongst which loathing of meat by reason of the unhappy distribution of the Chyle A Pica from the abundance of evil humors in the coats of the stomach Vomiting from the great plenty of crude Humors both a distension of the Hypochondries from the reflux of the Menstruous blood to the greater Vessels and a rumbling from the tumultuation of wind A swelling as wel of the whol body with a laxness and softness from the plenty of the Humor as either of the Eye-lids especially in the morning after sleep when in the night the heat hath raised more Vapors and serour Humors than could be discussed or of the Legs and Feet especially about the Ankles from the abundance of serous Humors The CAUSE is the crudity and plenty of Humors arising either from the suppression of the Courses or from the Native straitness of the Vessels or from that acquired by eating of wheat Loom Chalk earth Nut-Meg drinking of Vineger c. Or from the obstruction of other bowels For the Menstruous blood the Passages not being open doth regurgitate to the greater Veins and Bowels obstructs the Vessels and over whelms the heat Hence ariseth evil concoction in the Bowels and the Humors are carried to the habit of the body The CURE is accomplisht 1. by bleeding especially in the Ankle if the malady be new and the blood is not turnd into another humor If it ariseth from the Evacuation of blood supprest 2. By Purging premising Preparatives 3. By opening obstructions in which we must have respect to al the bowels the suppression of the Courses must most of al be minded There are commended Steel prepared Scorzonera Root Bezoar stone Oyl of Crystals c. In the diet Vineger must be voided Article II. Of the Suffocation of the womb The Suffocation of the womb is a heap of Symptomes opposing somtimes the natural actions somtimes the Animal somtimes and more often the vital by periods joyned with a coldness of the whol Body proceeding from a malignant Vapor raised from the womb 'T is called also the Suffocation of women the strangling from the womb the Hysterical passion c. The SIGNS are either of that at hand a wearinness of the whol body with a weakness of the Legs a paleness of the Face with a sad look a nauseousness which is seldome succeeded with vomiting oftentimes a certain wearisomness and loathing of meat and that somtimes with a murmuring and rumbling of the belly somtimes without these Or of that present in which a Vapor raised up to the heart and stopping the vital spirits a smal fainting away is Caused the Pulse is changed a little the body grows cold the spirits recurring to the heart fear and desperation moves the patients the same thrust to the Head and Jaws somtimes the Jaws are bound up and the Patient seems to be suffocated The motion of the breast and Midriffe is hindered the Animal spirits being stopt and breathing is almost intercepted the sick living in the mean while by Transpiration somtimes a madness of the womb is added with prating and fury somtimes other kinds of madness arise Somtimes sleep and a drowsie Disease is induced in which the woman falling as astonisht lies without motion without sense with such smal breathing that she seems dead Or of the fit declining and then a certain Humor flows forth from the Privities the Guts murmur by and by the Eyes are lift up the Cheeks grow red sence and motion return Somtimes a coldness at the time slides from the Head by the Neck into the shoulder and Arme which
Culpepers Idea of Practical Physick THE Idea Of Practical Physick IN TWELVE BOOKS VIZ. 1 The Art to preserve Health 2 Of the Preternatural Disorders of Mans Body and their Signs 3 Of Medicaments 4 Of the Art of Healing 5 Of the general Cure of Diseases 6 Of External Diseases 7 Of Feavers 8 Of Head Diseases 9 Of Middle-belly Diseases 10 Of Lower-belly Diseases 11 Of Venemous Diseases 12 Of Childrens Diseases These Twelve Books are of excellent Use for all yong Students in Physick They contain the Marrow of all the Works of Daniel Sennertus and Fernelius and twenty five Physitians more mentioned in the Authors Epistle They are of so high esteem with many Learned Doctors of Physick that they have been read by them to their Scholers as the best extant in their kind Written in Latin by John Johnston Professor of Physick in the famous City of FRANCFORT And Englished By Nich. Culpeper Gent. Student in Physick and Astrology And W R. LONDON Printed by Peter Cole Printer and Book-seller at the Sign of the Printing-Press in Chornhil near the Royal Exchange 1657. The Printer to the Reader Courteous Reader FInding by Experience how hardly such Gentlemen as Study Physick in our Mother tongue are induced to read with patience and consideration the Speculative Rules of the said Art both as I conceive because of the seeming difficulty thereof compared to books of mere Practice and because of the undue hast that the foresaid Gentlemen are wont to make to practice upon the sick moved by Covetousness Vain-glory or I know not what other evil spirit not knowing or little considering how much the Reading of some such good Book is necessary to enable a Man to Practice By which unhappy error they prove rather Empyricks and Quacksalvers than rational Physitians which nevertheless they would willingly be thought to be to remedy so great a mischief I have diligently sought and at last by direction of my good Angel found such an Institution so coupled with practice and such a practice so walking hand in hand with an Institution such a practical Institution and Institutional practice and both in so cleare a Method so witty and concise a stile and furnished with such ample and delightful variety of al things any way concerning the contemplative or practical part of Physick that I have al the Reason in the World to hope the publication hereof wil prove an effectual Remedy to the foresaid very grievous malady acquainting the mere English Physitian with such skil in the Theory of his Art as he hath hitherto nauseated to receive from any thing yet published in our Language I need not spend time to praise our Author this learned ingenious polite Piece of his wil sufficiently do that which he being chose Professor of Physick in the far renowned City of Francfort See the Authors own Epistle following the Catalogue of Books by me Printed and not able to read his Lectures because of some troubles there did publish to supply that defect as the best manuduction to young students into that noble Art And it is become of so high esteeme beyond the Seas that the learned Professor of Physick at Leipsich Dr. John Micael did use to bring it up into his Pulpit as his Physical Bible if I may so say out of which he daily read his text and made Sermons of that Art to his admiring Disciples What remains Courteous Reader but that thou meet my Endeavours for thy good and the good of my Country with a chearful Countenance and a joyful Heart and to take heed thou be none of those Fooles Who have a price in their hand to get wisdom but have no Heart to it Prov. 17.16 But I have better hopes of thee Friendly Reader though many such there are in the World Farewel Thy Friend to Serve thee if thou please Peter Cole The Names of Books printed by Peter Cole Printer and Book-seller of London and are to be sold at his Shop at the sign of the Printing-press in Cornhil neer the Royal Exchange Twelve new Boosk in one Volum of Nich. Culpeper All called the Idea of Practical Physick 1 The art to preserve Health 2 The preternatural disorder of mans body and their Signs 3 Of Medicaments 4 Of the art of Healing 5 Of the general Cure of Diseases 6 Of External Diseases 7 Of Feavers 8 Of Head Diseases 9 Of milde Belly Diseases 10 Of Lower belly Diseases 11 Of Venemous Diseases 12 Of Childrens Diseases Twenty seven Books of Nich. Culpeper Gent. Student in Physick and Astrologie formerly published The first seventeen Books Are al called the Practice of Physick Wherein is plainly set forth The Nature Cause Differences and several sorts of Signs Together with the Cure of al Diseases in the Body of Man Being a Translation of the Works of that Learned and Renowned Doctor Lazarus Riverius now living Councellor and Physitian to the present King of France Above fifteen thousand of the said Books in Latin have been sold in a very few Yeers having been eight times printed though al the former Impressions wanted the Nature Causes Signs and Differences of the Diseases and had only the Medicines for the cure for them as plainly appears by the Authors Epistle 18. A Sure Guide to Physick and Chyrurgery That is to say The Arts of Healing by Medicine and Manual Operation Being an Anatomical Description of the whol body of Man and its parts with their Respective diseases demonstrated from the Fabrick and use of the said Parts In Six Books of Riolanus translated and adorned with an hundred eighty four Figures cut in Brass 19 Veslingus Anatomy of the Body of Man Wherein is exactly described the several Parts of the Body of Man illustrated with very many larger Brass Plates than ever was in English before 20 A Translation of the New dispensatory made by the Colledg of Physitians of London Whereunto is added The Key to Galens Method of Physick 21 The English Physitian enlarged being an Astrologo-Physical Discourse of the vulgar Herbs of this Nation wherein is shewed how to cure a mans self of most Diseases incident to Mans Body with such things as grow in England and for three pence charge Also in the same Book is shewed 1 The time of gathering al Herbs both Vulgarly and Astrologically 2 The way of drying and keeping them and their Juyces 3 The way of making and keeping al manner of useful Compounds made of those Herbs The way of mixing the Medicines according to the Cause and Mixture of the Disease and the part of the Body afflicted 22 A Directory for Midwives or a Guide for Women Newly enlarged by the Author in every sheet and illustrated with divers new Plates 23 Galens Art of Physick with a large Comment 24 A New Method both of studying practising and Physick 25 A Treatise of the Rickets being a Disease common to Children wherein is shewed 1 The Essence 2 The Causes 3 The Signs 4 The Remedies of the Disease
or they act after the manner of antecedent causes which continue hidden dispositions in the body which a disease may follow upon which nevertheless are not conjoined therewith only are defined by power of acting and are only found in diseases joined with matter finally because the internal as related to the disease may be both antecedent and conjunct causes they have not recourse with them II. Next which adhere to the diseases themselves in the body of man so that suppose the causes you must supose the diseases take away the causes you remove the diseases Hence they are termed continent and conjunct causes III. Per se of or by themselves by whose power the disease doth exist and by accident which cause the same by the Interposition of some other thing IIII. Privative which act by absence and Positive which work by their presence V. Comon and Proper VI. Finally external and internal of which we shal treat hereafter IIII. The differences of diseases are either Essential and primary of which and their cure we shal treat in the fift book or Acidental which are taken from the Number Magnitude Duration Manner Event Order Subject Causes Seasons of the yeare and Place For I. In respect of Number a disease is either 1. One which possesses but one part or many parts but without any Interruption which is either simple which is joyned with no other disease and hath the simple nature of one only sort or compounded which consists of many diseases concurring in the same part whether they be of the same kind or not and in Case it be joined with the Cause or some grievous symptom t is termed Comitatus as that Solitary which has neither the cause nor any grievous symptom joined with it 2. Many one of which is not in the same part which is possest by another and these either hurt a common action and are called Complicati or Impliciti or one contributes somewhat to the generation of another and they are termed Connexi 3. By Sympathy which falls out when either a part receives some humor or vapor from another place or when it is forced to receive a matter of which it ought to be free or when the spirit a necessary Instrument to the souls actions is hindred of its influxe or when matter necessary to the action is denied this happens either by reason of the sympathy of the parts which is either of the kind or of continuity by the nerves and membranes of which Senertus treats elegantly in the 39. page of his Paralipomena or of one work or of neighbourhood or by reason of their strength and weakness hence comes either a Diadosis of the Humor passing from a noble to an ignoble part or a Metastasis from an ignoble to a noble 4. Disjoned which being fixed in disjoined parts do neither hurt the same action nor confer any thing to the mutual generation one of another II. In respect of Magnitude Diseases are 1. Smal which hurt the Action less than those sort of diseases are commonly wont to do or stick in the more Ignoble parts 2. Great which either hurt a Constitution and part very necessary to life or Goe very far from the natural state or have some bad quality annexed or they deject some faculty by hurt of which the life is endangered or they take up a large place III. In respect of Duration diseases are 1. Long which move slowly 2. Short which moves quick 3. Continentes which are alwaies moved with one and the same motion til they are quite ended 4. Continui which continually afflict but are heightned and abated at certaine intervals of time 5. Intermittentes which have periods and Fits and therein their several Modes and figures 6. Acute which are terminated on the fourteenth day peracuti on the seventh day Perperacuti on the fourth day Acuti ex decidentia which are terminated on the forryeth day 7. Critical which are finished by some great mutation by evacuation or translation 8. Not critical which are ended by diminishing peece meale IIII. In respect of the Manners or Conditions they are 1. Benigni gentle wel affacted having no greivous symptom besides nature 2. Maligni malignant which have somewhat of an occult pravity 3. Pestilential which come by Intection V. In respect of the event they are 1. Healthy which end to health 2. Doubtful of which many are saved and many die 3. Deadly which kil alwaies or for the most part either because they destroy that action by which life consists or proceed from matter which wil not admit Coction or because their Focus is so far of that medicaments cannot reach so far without loosening their strength VI. In respect of their order they are 1. Ordinate which keep their Mode or Figure 2. Erratick which neglect the same 3. Relapsative which when they are thought to be quite finished returne againe VII In respect of their subject they are 1. Vniversal which afflict the whole Body 2 Particular which molest one or more parts 3. Cognati which are suitable to the temperament constitution of Body Age Season of yeare c. 4. Minus cogniti less of kin which are contrary thereunto they are of Men Women Infants Boyes Young Men Old men VIII In respect of the Causes they are 1. Exquisite or legitimate which spring from one simple Cause 2. Spurious or bastard which proceed from mixt humors 3. Haereditory which spring from fault of the seed or mothers blood 4 Conjenit which happen from the first original through fault of right shaping though the Parents had not the same disease 5 Adventitious which come by some accident 6 Fientes which though produced cannot exist without the matter continue 7 Facti which abide the causes being removed IX In respect of the time of the yeare they are Spring sickness Summer sickness Autumn sickness and Winter sickness X. In respect of place they are 1. Sporadick which being of different sorts do assault sundry persons at the same time and in the same place 2. Common or Pandemial which either are never but in one Country only or which somtimes in one somtimes in many places afflicts many together 3. Epidemii Epidemick or vulgar which at some certain time now in some one Country other whiles in many do infest many folks at the same time and they are for the most part pestilential Chap. 2. Of the Diagnostick Signs of a Disease THe Diagnostick Signs of a Disease do respect 1. The Disease in it self 2. Its times 3. The Parts affected 4. The Differences of the Disease 5. And lastly all these together And they are either common to many and divers persons or proper to one Disease which are either inseparable or proper and inseparable together or Pathognomonick and Essential to the Disease and recurrent therewith or Assident and supervenient I. A Disease in it self is known 1. From things Essentially inherent in External Diseases most easily without help of any other signs in internals
by the mediation of other Signs 2. From the Causes which are either present or have preceded 3. From the Bodies Disposition which depends upon Hereditariness Age Sex Kind of Life Dyer and Evacuations omitted 4. From Actions Natural Vital Animal which are hurt abolished diminished depraved and that suddenly or slowly 5. From things voided forth viz. Urine Dung Swear Spittle c. 6. From the Qualities of the Body changed color smel c. which yet do signifie rather the Cause than the Disease II. The Times of the Disease whose knowledg is necessary were it but in respect of the state when if ever the signs of perfect Coction appear and good Crises do happen are known 1. By the Idea of the Disease be it long or short 2. From the time of Year Dyer Countrey Temperament Strength c. Hot things are the Causes of hot and acute Diseases Patients strength in a disease not deadly signifies a short disease it shews 't will last long 3. From the Mutations of the fits in which their Anticipation coming later duration and vehemence are to be observed of which also see Authors 4. From the Symptomes of Diseases which are light at the beginning strong and fiercest in the state 5. By Coction and Crudity which is either proper to one kind of diseases as spittle in the Pleurisie or common to many III. The Parts affected are known 1. From the Causis Things taken in done Retained Excluded and incident from without Some are more apt to one part than another also at some season the Lungs are chiefly insested other whiles the Stomach c. 2 From things Essentially inherent or by propriety of the Part and the diseases inherent in the parts 3. From the Actions hurt unless they be hurt by some external accident especially by pain of which we shal treat hereafter in a peculiar Chapter 4. From things voided forth in which substance quantity quality and Mixture are to be observed 5. From qualities changed IV. The Signs of the first and Essential Differences of Diseases shal be explained in the fift Book in respect of the accidental which we have above propounded Observe I. Touching Diseases by Sympathy 1 That they encrease or decrease with the Primary Disease and are deserted by the Primary 2. That they infest not continually by certain fits unless matter be continually supplied 3. By things helping or hurting applied to the other they are helpt or hurt II. Touching acute Diseases that they from the very beginning and the first three daies are extreamly burdensom to the sick and have grievous symptomes because they proceed from hot sharp thin and movable Humors which vehemently provoke Nature III. Concerning malignant diseases 1. That they arise from Causes both external and internal which are offensive by their whol substance 2. That in them the Patient is frequently unquiet though he cannot tel of any vehement or dangerous symptom that in the beginning the Patient is often held with a deep sleep is not eased by sweats or other Evacuations shivers grows hot bleeds at Nose without any appearing Cause but in other respects they seem troubled with a slow Feaver with signs as it were of Recovery and upon a light occasion faint away They talk continually and their Tongue is black and rough 3. That the same diseases after a light Remission the malignity having spred it self through the Humors are most suddenly and vehemently exasperated 4. That in them the paines which were do remit and abate without either Excretion or Riseing the pulse in respect of the feverish Heate haveing an unwonted parvity with Inequality and Frequency V. All those promiscuously regarding signs are afforded by the differences of Urines and Pulses I. The differences of Vrines are taken from their Consistence Quantity Quality things mixed with and contained therein 1. As for what concerns the Consistence Thin urine argues too much drinking a strong obstruction of the Kidnies and Uriters and want of natural heat proceeding only from distemper Defect of that salt which is wont to be resolved out of the meat Thick argues oppression of the heat by abundance of Humors indifferent shewes vigorous Heat an exquisite digestion of the stomach Liver and veins Cleare and transparent perfect concoction goodness of Humors whence afterwards it makes a sediment Troubled proceeding from the cold of the aire and admitting amendment by the fires Heat in continual Fevers argues a rudiment of Coction Troubled which is made so shewes diseases of the Kidneyes or bladder plenty of crude thick and clammy humors out of which many thick flatulencies being produced they are mixed with the Urine and hinder the matter from descending sudden obstruction of the Liver Spleen Reines c. Solution if it happen suddenly Confused which is in all parts alike and hath no Hypostasis shewes diseases in the veins and properly confusion corruption putrefaction of the Blood and Humors which are in the greater veines and therefore 't is only observed in fevers and those continual and malignant Fatty defilement of the alimentary Humor which flowes into the parts so that it cannot be converted into their substance whereupon dissolution followes II. As for the Quantity much signifies immodreate drink diuretick Medicaments cold distemper and cold pressing and squeezing forth moist diet Heat of the Kidneyes attracting water shut up in some place resolving of the Body into liquor either of its own accord or by force of Heat to which fatness is joyned Little shewes little or hard drink overgreat sweates plentyful stooles obstruction of the Kidnyes Ureters Bladders Neck and Bladder vehemency of feverish heat the drinks turning to the bodies nutriment which sometimes happens to such as are in away of recovery from some disease III. In respect of the smell fragrant Urine intimates the use of Terpentine Musk Benzoin c. For from internal causes such Urines can hardly proceed Stinking Vrine argues eateing of rotten cheese garlick an Ulcer of the Kidnies Privities neck of the bladder putrefaction of humors if it be fresh of the Substance if an old stench IIII. In respect of color white urine if thin and transparent argues plenty and thinness of drink strong obstruction of the Mesentery Liver or kidnies great imbecillity of digestion defect of color and somtimes the ascent thereof to the belly Head or some part in the Habit of the body if thick obscure or like milk it argues abundance of thick flegm Red and withal transparent argues Heat of the Liver or a fever if thick and yellowish it argues the mixture of yellow or vitelline choler a phlegmon of the Liver or an exquisite scirrhus Safron-color'd argues the use of Rhubarb Safron or Fenel obstruction of the Gall-bladder and then Linnen cloathes dipt therin receive a tincture Bloody shewes the weakness and slapness of the Liver an ulcer and contusion of the Kidnies and Loines Wine grape colored shewes adustion of blood and the change thereof into black choler Green argues
verdigreise colored choler Lead-colored argues stripes melancholly and extinction of the natural Heat Black if compounded of green and black argues extream Heat and permission of black choler if of Blew and lead-color extinction of Heat unless it come away in manner of Crisis V. In respect of things mixed the Crown which circles about the surface thereof shewes what kind of blood is in the greater vessels by its whiteness redness and Lead-coloredness 2. The Froth if it come without shaking argues wind 3. Bubbles great and lasting argue gross and clammy humors as also wind Such as easily break thin and smal in the crown of the urine argue paine of the whol Head if they be al over the Crown of half the head if they possess only half thereof sharp paine if Gold-colored mild paine if white long paine if they continue long being like smal seeds seated in the Crown and moveing to and fro they argue distillations descending from the Head into the lower parts 4. Fat like Cobwebs shewes the melting of the fat of the Kidneyes or whole Body 5. Branny contents if they settle argue scabyness of the Bladder if they swim they argue the wasting of the solid sustance of the Body by reason of a burning Heat 6. Little scales with strong smel argue either exulceration of the Bladder or melting of the tunicles in the vessels and of the solid parts by fervent heat 7. Contents like meale signifie the same 8. Caruncles or little bits of flesh proceed from wounds of the Kidnies 9. Strings come from the seminary vessels in women that have the whites or some filthy Issue of the womb 10. Blood from a new ulcer of the Kidnies or of some Bowel 11. Quittor from an old and foule Ulcer either in the Kidnies if it be without any sense of paine and wel mixed with the urine or from the neck of the Bladder if it be with paine aâ—â— not wel mixed but however it alwaies settles to the bottom 12. Gravel if yellow and red comes from the Kidnies if white from the Bladder if clammed with quittor from 〈◊〉 sordid ulcer of the Bladder if they swim on the top and stick to the sides from the Livers heat and Adustion of the Blood 13. Seed argues an hurt of the spermatick vessels and swims on the top VI. In respect of the Contents which in sound persons ought to be white smoothe equal and pyramidal 1. Little comes from weakness of the Alterative faculty distemper multitude or Crassitude of humors and dissipation of the Bodies substance by external Causes 2. Much from suppression of some customary Evacuation if it be at the same time both thick and undigested from strength of the aliments and faculty if it be indifferent in substance and color 3. Thick from plenty of crude matter or the Crisis of some old diseases 4. Thin from Crudity or digestion but newly begun 5. Straw-colored Gold-colored red from redundancy of choler in the veins and from inflammation of the blood 6. Blewish Lead-colored black from extinction of natural heat corruption of blood and melancholy II. There are many differences of Pulses that savor of vaine curiosity and idle subtilty discreet Physitians are content to observe only these three following Equal and unequal Swift and Slow strong and weak The Equal pulse argues strength of Nature The unequal signifies either obstructions and compressions of the vessels or abundance of Humors The Swift use increased strength of the Faculty as yet or at least that it is not much weakned Slow argues the contrary The Strong shewes a strong faculty and sometimes great Provocation The weak either dissipation of spirits or expression of strength Chap. 3. Of the Diseases Event Or Issue THE Issue of a disease intimates four things 1. The Termination hereof 2. The Time of the Termination 3. The manner of the Termination 4. The Knowledg of al these I. A Disease is terminated either by Health or Death Whence the Event is healthful or deadly II. In respect of Time 't is ended soon or late III. The manner of termination is threefold For a disease is terminated either by solution when health returns by little leave by means of Coction and alteration or by Marasmus or pineing when it turns by little and little to death or by Crisis when either the disease is suddenly and perfectly finished or there is a sudden change to the better which is followed with health or the sick patient suddenly dies or the disease is suddenly changed to the worse which mutation is followed by death But touching the nature of the Crisis or the Definition Causes Differences Manners and Daies observe I. That it is nothing else but a sudden mutation which happens in diseases with conturbation and evacuation by excretion or translation upon certain daies tending to Recovery or Death II. That it arises in respect of the Conturbation or that plenty of critical symptomes from the agitation of Humors and the trouble they bring to the Body which proceeds from the influence of stars and from an internal cause which provokes both nature and the matter in respect of the evacuation from the strength of the expulsive faculty which provoked by the plenty or quality of the matter expels that which is of seizure critically by help of the fibres and especially of the spirits and innate Heat III. That it has sundry Differences For it is good when tending to health evil when to death Faithful when no danger of a relapse Faithless when it threatens the same Safe when without dangerous symptomes Dangerous which springs from a principal part Perfect which takes away the whole disease Imperfect which leaves some of it behind Wel-foretold which has tokens preceding and declareing the same some daies next before Unforetold which comes unlooked for IV. That it happens by Excretion by bleeding at Nose Vomit sweat stool Urine Hemorrhoides Courses many places or by Translation of the matter or by coction of the matter which happens in children who digest crude humors while they sleep V. That it has certain daies which are 1. Either simply critical as every seventh day viz. 7.14.20.27.34.40 For whole daies are not reckoned but somwhat shorter 2. Or Indicators by which the future Crisis is foreshewed and they are the middle daies of each week as the 4.11.17.24 3. Or Intercalares or Leapdaies in which the Crisis happens accidentally and against Nature and they are the 3.5.9.13.19 4. Or Vacui called Medicinales in which either there is no Crisis or an imperfect and bad one as are the sixt which is a Tyrant the eight and tenth less dangerous than it Now that such mutations happen on these daies the Cause is 1. The progress of the Moon both to Quadrate and opposite signs as also to the sextile and Triangular ones 2. The Motion and disposition of the humors which is the Cause that the Crisis happens somtimes slower sometimes earlier 3. The Nature of the Body which being assisted
by the Moons motions and provoked by the Humors agitated by the Moon begins to assaile the morbifick matter expels the same and so works the Crisis IIII. The knowledg of the event of a disease respects four things 1. The Event it self in general 2. The Termination 3. The time of Termination or the duration 4. The Manner The signs which shew the same are termed Prognosticks and among them the chief are those that declare Crudity or Coction 1. The knowledg of the event of a disease in general depends upon a comparision of the strength of Nature with the strength of the disease to which the foreseeing the state of the disease confers much The strength of Nature is judged both by its natural Causes as wel immediate viz. the natural Constitution of the parts in Temper Conformation and unity as mediate or remote viz. the six non-natural things so called as also by its effects viz. the Actions evacuations and qualities changed The strength of the disease is gathered from things essentially inherent causes external and internal helpers and effects or consequences thereof Here note 1. Oft-times from many smal ones the greatest signe drawen 2. Many times one strong signe is prevailes more in signification than many weak ones 3. Because some signes are better or worse as they are joined with strength or weakness of nature therefore the signs must be compared both one with another and with the strength of the sick patient 4. Those are the worthyest signs which declare the strength or weakness of the vital faculty 5. Oft times when some signs of Coction appear the patient may nevertheless perish by reason or some malignity which betrayes it self in a weak pulse a parched tongue c. 6. By how much the symptomes are less and fewer the disease is so much the weaker and contrarily 7. That they are less dangerously sick whose disease is sutable to their Nature Age or custom or season of the yeare than they whose disease is like none of these 8. That there is greater danger when turgent humors offend than when such as are quiet provided they be not fixed in some part when the disease comes from some large and frequent Error in point of Diet or the other things non-natural so called when the Humors are mixt than when they are simple When a solid matter offends than when a liquid c. II. The Termination of the Disease and whether it wil tend to Health or Death is gathered from the actions natural vital and Animal From things voided and qualities changed not that those things do presently declare Life or Death but because they promise hope of Recovery or terrifie by suggesting a fear of Death And therefore 1. In respect of the natural Actions 1. It gives good Hope 1. If the patient do easily take and retaine what is given because it signifies the good condition of the natural faculty 2. If the Patient eat such things as he or she was delighted with in time of health II. Those following breed an ill event 1 If the patient desire meat when his strength is wasted for that is the custom of those that are at deaths dore and happens either by reason of a soure juice slipt into the stomach or by reason of the great wasting of the body by the disease 2. If the patient have a most exact sence because that proceeds from a great Inflamation in the bowels 3. If he loath meate in accute diseases and other pernicious signes are present 4. If in burning Fevers his tongue being dry he thirst not because it signifies either Raveing or great decay in the Appetitive faculty unless the stomach be moistened with an humor falling from the Head 5. If in an acute disease the thirst which was is suddenly taken away and gone without any cause the tongue remaining dry and the urines crude because 't is a signe the patients senses languish II. In respect of the vital Actions I. It is a good signe 1. If the pulse depart not much from its natural symmetrie or due proportion and there be other good signs 2. If when there is some change to the worse it happen from some discernable cause 3. If there be no fainting felt nor panting of the Heart or in case there be they proceed from consent 4. If respiration be according to nature and other good signs are present because from hence we gather that neither the chest nor the Lungs nor the midriff are affected 5. If the same be great or swift for though it should signifie great abundance of fuliginous excrements yet it argues withal the readiness of the organs and the faculties strength II. 'T is a bad sign 1. When the pulse is either very languishing very slow and very seldom which is worst of al or very little and very soft and very hard or exceeding frequent but not very swift nor very great 2. When Respiration is great and swift because it is usual only to such as are distracted great and frequent because it signifies Inflamation or Pain of some of the Instruments of Respiration great very seldom because 't is a sign of distraction 3. Respiration smal and swift because it proceeds from plenty of fuliginous vapours with pain or inflamation of some of the instrucments of Respiration smal and slow because it shews a weak faculty Smal and obscure so that the Patient is hardly discerned to breath because it intimats the Virtue decayed little obscure and frequent because it proceeds from pain or inflamation of some part necessary to respiration Smal and seldom because it signifies extream debility and therefore the breath of the Patients does then come forth cold 4. Sublime Respiration in which the Chest is exceedingly dilated and that which is inspired is little but withal in regard of the urgent Necessity most dense and frequent because Hippocrates makes such nigh unto death 5. Respiration with Rattling especially if it be joyned with other pernicious Signs because such is that of dying persons III. In respect of Animal Actions I. These are good signs 1. Not to be distracted which though it be no certain sign of recovery seeing many die in their right wits yet in diseases wherein the Brain is affected either by it self or by accident it is no bad sign 2. For the Patient to lie in his bed as himself has formenly been accustomed and as sound persons are wont to do that is to say in such a posture and gesture viz. if he lie on one side with his Neck Arms Legs bending somwhat inwards with his body streight up not falling down towards the Feet 3. For a Trembling to follow a Palsie because 't is a token of nature overcoming or abating the disease II. Bad signs are 1. Raving which though never safe yet it is then less dangerous when 't is accompnnied with laughter and good signs is light and not continual when continual and vehement 't is more dangerous bold and rash is worst of
al but withal other signs must be observed viz. Pulse Respiration c. 2. sleep and watching if they exceed measure 3. Coma if it happen in the beginning or vigour of a disease 4. Hearing Hurt if it spring from evil evacuations or decay of strength 5. Stupiditie because 't is a sign either of a vitious humor carried to the Brain or of natural Heat extinguished 6. Pains which are bad if at first the matter being as yet crude they afflict the principal parts if the disease be not diminished by them if they soon vanish away or pass from the ignoble to the nobler pars if in some part they are not felt for then the Patient is distracted The same holds good of weariness which has been said of Pains 7. Convulsion which is dangerous if therein the Contraction be more vehement and lasting if it occupy many parts and those neer the brain if it arise from any flux of blood or over vehement purgation if in acute Feavers it follow the Phrenzie Iliac passion or watchings less dangerous if it happen to Children if by reason of the over-great motion of the matter to the Head or Nervous parts if from the stomachs being fretted by a sharp humor or medicament or from straining in vomiting and last not long 8. Hiccupping which is dangerous if it happen in diseases after much evacuation if inflamations and Feavers especially in old Men and most of al if other pernicious signs are present 9. Trembling which is bad if it happen without evident Cause in the beginning of diseases especially long ones is joynd with other more grievous symptomes 10. Shivering shaking if they arise at the beginning of a disease when the matter is but yet crude 11. Sluggish dulness which is alwaies bad and without a Feaver foretels an appoplexie in Feavers it portends extream danger by reason of the extinction of natural heat 12. The Voice which if much changed harsh unequal obscure is dangerous if quite taken away 't is a deadly token unless some critical evacuation follow IV. In respect of things voided and retained I. These following are good signs 1. Vrines thin with good color thick if they were first thin and are made after the beginning of the disease reddish pale saffron-color'd yellow-clayish with a reddish sediment 2. Vomitings which answer the nature of the disease because they either take away or lessen the disease 3. Sweatings if they happen after Coction is made if they are hot and plentiftul if they slow out of the whol body and diminish the disease II. These are bad signs 1. Vrines thin and red because they signifie a crude disease troubled and not setling because in a weak person they signifie death in a stronger the length of the disease White it they continue Black if in acute diseases Oily green the reason of which have been already rendred Wanting sediment Swim and Cloud unless the sick have fasted much or watched or is of cholerick Complexion Thick without sediment with a mealy branny scaly sediment c. 2. The stools drie because proceeding from a fiery heat and if withal black they argue a burnning disposition about the middle of the body Watry because they arise from great Crudity and are in cholerick diseases with bad urines deadly in milder cases they foreshew a long disease Smal and frequent because they argue the weakness of the retentive faculty Fatty because they shew the bodies being melted Froathy because they argue a defluxion from the Head worms in the Guts White because they argue either a stoppage of the way by which choler descends to the Guts or the motion thereof to the upper parts Red are of themselves deadly unless they follow natures conquest Black if from black choler because they are deadly unless tempered by the mixture of others if they come from clotted blood or melancholy they are not alwaies bad Green and Verdigrease-color'd whether they proceed from Verdigrease-color'd choler changing to black or from an Erysipelas in some principla part or bowel Lead-color'd because they argue a vehement coldness of the lower parts Finally such as are stinking because they argue putruefaction and foretel putrid feavers 3. Vomittings if they happen at the beginning of a disease before the matter be digested are joyned with other bad signs whether they be sincere pale lead-color'd black or stinking â—oy reason of the Iliac passion or smal c. 4. Sweats if they happen too plentiful or sparing or cold and proceed not from the whol body See the Aphorismes of Hippocrates V. In respest of Qualities changed I. These are hopeful signs 1. If the whol Habit of the body be not much unlike that of healthy persons 2. The Hypochondria when they are without pain and soft on both sides equal and not extenuated II. These signs following are bad 1 when the whol Habit of the Body is not at al changed by the disease for that argues that it wil prove long if extenuated it is not nourished by meat in the declination of the disease for that threatens a Relapse if in acute diseases it swel because it argues the Livers heat to be weakened unless the humors be critically thrust into some part 2. The Face when it is such as Hyppocrates describes viz. with a sharp Nose hollow Eyes straitned Temples cold Ears contracted their fibres inverted the skin about the forehead stretched and drie and the color of the whol visage green or black especially at the beginning of the disease unless it were such from some evident cause and amend in a day and night Colored high because it argues a very hot distemper in the Brain unless it be a sign of bleeding at the Nose or a token of a rising that wil appear behind the Ears Green Lead-color'd Black because it signifies extinction of the natural Heat especially if it soon appear without any evident Cause 3. The Eyes when they shun the light because they signifie the brain hurt through dissipation of spirits and weakness of the Head Swelling and sticking out because they argue either resolution of the muscles or abundance of humors vapors spirits flowing thither Hollow because want of Heat makes them so which is wont to fil the circuit of the Eye with substance Fierce and horrid because proper to distracted and frantick persons and are sings for the most part of Convulsions or also of death joyned with other signs Fixed and stable or set in the Head because they proceed from Convulsion and with bad signs threaten death Distorted because they betoken Convulsion One less than another because it argues the faculty governing the same to be extinguished Having Lead-colored and Black veins because they argue plenty of bad humors ascending to the Brain and that the native heat is extinguished With the White turn'd Red because they signifie plenty of fervent blood in the membranes or their being inflamed Shedding unvoluntary tears because they argue undoubted weakness of the retentive
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
to be present The Cure requires the removal of the said thing which according to the variety of the things to be removed must be various lest other parts be hurt or that they may be hurt as little as may be it is not to be applied to such things as do not trouble a man If you consider the differences The thing superfluous is either wholly against nature as Stones Wormes c. and then the Cure is to be applied to them or some entire substance which arises either through over great plenty of master and the weakness of the formative faculty in the first shaping of the Child or by reason of of some vitious quality afterwards In these Cases the removal is procured by Fire and hereunto belong actual Cauteries Iron whereunto belong al kind of sharp instruments Medicaments Causticks Vesicatories c. of which we shal speak in their own place when we handle particular Diseases A Vesicatory Plaister made up of one ounce of Cantharides or Spanish flies half an ounce of Terpentine Olibanum Myrtle Mastich Camphire of each one dram Oyl of Roses of Wax of each a sufficient Quantity is very much commended Chap. 3. Of Diseases of Magnitude Article 1. Of Tumors A Disease of Magnitude is the swerving of the parts of Mans Body from their natural magnitude It is divided into a Disease of Magnitude encreased and of magnitude diminished Magnitude encreased is a Tumor which is a swerving of the Parts of Mans Body from their natural State by encrease of bulke The SIGNS are needless to recount for if it happen in the external parts it is perceived by the sight if it be within it either discovers it self by some external Sign or by some other internal ones of which when we come to the sorts To encrease of Bulk there is somtimes added distemper if the matter exceed in Qualities and communicate them to the parts Solution of Vnity if the Continuity be loosened by fretting or stretching Faults in the shaping either if the figure be corrupted the Cavities compressed or obstructed The Causes are Humors Winds solid Substance of which we shal treat in their Differences The CURE requires Imminution or lessening that which is overgrown which if the parts be not sound it is perfomed by the same medicaments which are good in Number abounding if sound it is performed by lessening the Parients diet digestion discussion c. The Defferences are sundry I. One is from the Humors which is known by the signs of the Humors it arises from Blood Choler Flegm Melancholick Seriosities whether they be in the part by congestion or affluxion and whether they are included in a peculiar membrane or not 'T is Cured and that with Difficultie if it be suddenly diminished and be not evacuated by convenient passages if a Fever be raised or the fever that was before augmented The Cure varies according to the variety of the Differences 'T is variously divided For 1. Either it is from Humors stirred up in the part partly through fault of the part inasmuch as the concoct ve or expulsive faculty do not perform their Office partly of the Aliment seeing it is vitious and such as it cannot be overcome by the part and such as affords great store of Excrements And then the tumor is longer in breeding does not take up so great room no cause or sign of any fluxion went before In the Cure we must have an Eye to Alteration and Evacuation and the latter must be sensible if the matter be plentiful and the part thick Insensible if the matter be little in quantity and soft Now concerning the Congestion of Humors observe 1. That the matter which is Collected in the common cavities being so encreased that it can be no longer there retained is poured back to the Cavities and particular pores of the Place 2. That not only thick and clammy Humors but also the ichors or thin Liquors which separate themselves from the thick humors are brought unto and stick in the the part affected especially when they grow cold out of their own proper place 3. Also it may proceed from a spirituous matter whence it is that a part being weakned by a blow does somtimes remain continually puffed up and swollen 4. Also that putrid humors are collected and hence it is that there wil be smal risings in ulcers 2. Or it is from humors that come into the part from some other place either by Attraction caused by Heat or pain or by Transmission either from the whol Body or some parts Then the signes are contrary to congestion There was no pain in the part if it came by Transmission there was if it happened by afflux In the Cure we must respect both the continuing Affluxe and the tumor which is in breeding where evacuation has place either by blood-letting or purgation Revulsion to the contrary Derivation to the near parts Repulsion Interception c. and also the Affluxe already performed where the same remedies are useful unless the matter be forced and fixed into the part which must then be softened and ripened 3. Or from humors shut up in particular membranes or Bags where the humor is turned in a manner into another substance 4. Or from malignant humors where the signes of Malignity are present II. Another proceeds from Winds which is hereby known that there is no heaviness felt though there be sometimes paine and the part is sometimes greater sometimes lesser It arises from causes ingendering wind and winds are multiplied and collected either under the skin and about the membranes of the muscles in the pores themselves of the similary parts or in the membranes of the bowels or in their cavities It is cured and that with difficulty if it be contained in the Muscles because the flatulent spirit is disposed in al their parts restrained and shut in by the ambient membranes It is nevertheless cured by evacuation of the matter discussion thereof and Roboration of the part III. Another proceeds from solid parts whether they be bones fallen from their own into another place or soft parts removed out of their place or arteries or veins of which we shal treat in their proper places IV. There is another which is taken away by invisible discussion and then the matter is neither much nor thick nor deeply situate nor shut up under a thick and compacted skin The Body is not impure Nature is strong the member growes lighter the troublesome pulsation ceases V. Another is term inated by Suppuration and then the matter is more plentiful and thick lying in a deep place under a thick skin while quittor is making a paine and palpitation in the part together with a fever afflict the patient whenthe quittor is produced the heat is diminished the paine eased the tumor becomes pointed and begins to be soft and white the quitt or may be felt under a mans finger flowing this way and that unless the part be thick or it lie deep
see the medicines above II. Others are of the Tendons which cause pain but not very great They are less dangerous They are cured as those of the Nerves Or the whol tendon is cut asunder in the mids and then the motion is taken away but if nor the motion is only weakned III. Another is of the Nerves which are knowen from the writings of Anatomists by their vehement pain to which convulsion and inflamation are wont to succeed They are cured with difficulty by reason of following symptomes especially if there be no tumors If appeareing they suddenly vanish If the Nerve have conceived putrifaction and that be communicated to the near and remote parts In the Cure 1. Paine and Inflamation are to be removed by blood-letting and purging 2. The wound must be kept open that it may vomit out its Excrements 3. Temperate and drying Medicaments of thin parts must be applied mostly hot respect being had to the Constitution of the body and affluxe of Humors 4. The intermediate parts must be fomenred with oyl of white lillies c. If you consider the differences I. Some are caused by way of pricking and then the kind of the weapon and the wound agree together The Symptoms aforesaid follow The Cure is hard because the disease is dangerous Especially if it betide an impure body and if the tumor ariseing do vanish and raveing follow It respects 1. The purging of the body from vitious humors 2. The asswagement of the pain by anodyne Oyls or Cataplasmes 3. The drawing forth of sanies or corrupt moisture either by drawing medicaments or by section Cross-wise or by tents yet so as that they touch not the nerves 4. Application of thin medicaments moderately heating and drying as balsam of Peru St. Johns wort oyl 5. Diet in which cold aire wind passions of the Mind and venery are prohibited II. Others come by Cutting which happens I. Either according to longitude and then the paine is not so great nor is there so great fear of Convulsion seeing the fibres are not so affected In the Cure the Lipps of the wound are to be closed together with a swath band The corrupt liquor must be suffered to have its egress which is like sometimes to milk water whey whites of Egs. The foresaid Medicaments must be put in The wound must be covered with a plaister of Diapalma or some other 2. Or athwart the Member and then it is either cut quite in sunder and then motion and sence are abolished without pain or it is not cut in sunder and then the pain is not so great there are al the symptoms which may be in a prick In the Cure stitching must be used but so as not to hurt the nerve IV. Others are of the Joints which happen in the Cubit knee and Joints of the fingers They are 1. Either without Luxation in which case the Cure is Difficult because the Joints easily receive fluxions and are apt to be pained especially if they happen in the inner part where the vessels are greater It is performed 1. By drawing the Lips together so that an issue may be left for the quittor 2. By preventing the affluxe of humors by evacuation Interception a right situation of the Member 3. By repulse of cold aire by Cataplasmes and other things II. Of with luxation or disjointing where there is greater danger because of tearing asunder the nervous parts Halting followes In the Cure the joint must not be restored for death would then follow With the wound you must proceed as with other wounds the binding up only excepted The fluxions must be prevented cheifly by purgations and Sudorificks V. Others are with Bruising when a weapon is blunt or heavy or a man is beaten against somewhat In the Cure you must have regard to I. The Contusion where 1. Afflux of humors must be prevented by revulsions defensatives and repellers 2. The blood which is flowed in must be changed into quittor by medicaments not too moist and Cataplasmes must be applied round about where the part is bruised II. The Wound which 1. Must be cured with digestives of rosin terpentine and yolkes of Egs. 2. When quittor is bred we must use abstersion and consolidation 3. If it wil not be suppurated and there is danger of a Gangreen we must Scarrify c. The Differences are taken from the parts I. Either it is of the Nerves and Tendons where the part must be fomented with discussing Oyls made hot If the skin be withal bruised the paine is first to be asswaged with the white of an Eg mingled with Rosewater then a while after the part must be fomented with astringent wine luke-warme finally Cataplasms must be laid on of Elme leaves boiled in oyl or the Ashes of vine spray with Hens-grease If hardness remain Emollients and Digestives must be applied II. Or it is of the Ligaments where we must deal with heating and drying medicaments c. VI. Others are by Gun-shot which are knowen by the very sight The Cure is hard if the Body be cacochymical If the the bones be withal broken If they are made with a poisoned buller 'T is perfected 1. By drawing out the bullet with fit Instruments 2. By changing into quittor what is bruised with Quercetanes Ointment P. 145. The balsam of Pareus recorded by Sennertus lib. 5. Of Wounds made by Gun-shot so as to prevent a Gangreen 3. By abstersion with detergents either stronger if there be much quittor or milder See Quercetanus Dispensatory p. 146. 4. By breeding of new Flesh by Medicaments which may be seen in the forenamed Author and others See besides Ludovicus Botallus and others Quercetanus his Treatise of Gunshot-wounds VII Others are poysoned either by an infected venemous arrow or other weapon or by the biting of some beast and then in the wounded place there is greater sense of pain and pricking and grievous symptomes happen In the Cure we must thus proceed as 1. To stop the passage of the poyson to the inner parts of the Body to draw it out by cupping-glasses or other medicaments by moderate binding of the part above the wound by cutting of the Flesh unless it contain Nervs by washing the wound with Wine and Treacle mingled together with Causticks c. By fortifying the Heart with external and internal Antidotes 2. To cure the wound it self Chap. 3. Of Fractures A Fracture is the division of a Bone by an external Cause violently assaulting The SIGNS are want of due motion in the member bitter pain before the bones are composed shortness of the member by reason of the broken bone The Causes are external yet aptness to break does proceed somtimes from the natural Constitution somtimes from acquired rottenness from the french pox or some other Cause The CURE respects I. The Inflamation if there be any which must be in the first place removed respect being had to the part with repellers lest the Humors should flow in II. The Fracture it self
Cure is hopeful if there be no pains For so Excrementitious matter is thrust forth into the hairs and the Vertue becomes stronger There is no perfect Cure seeing the Causes are not sufficiently known T is made worse by Purgations and Blood letting Some wash the Head with a Decoction of Bears-breech A certain Countrey man used Baths to Cure this infirmity in which the Patients grew at first hairy and then their hairs being out off they were Cured See Hercules Saxonia Title IIII. Of Vlcers in Particular Chap. I. Of the Gangraena THe fourth kind of external Diseases are Vlcers under which are comprehended Gangaena Sphacelus and Ambustio A Gangrene is a corruption of the soft parts especially tending to mortification proceding from the Corruption Suffocation Dissipation or extinction of the natural Heat in the Part. The SIGNES are the change of the Color in the part to black and blue Imminution or Lessening of the Pulse and Sense Abolition of the Heat Motion remains if the Head of the Muscle be intire nor is there alwaies a tumor but there is alwaies an Ulcer of necessity The Cause is the Corruption Suffocation Dissipation and Extinction of natural Heat in the part The CURE is evermore Difficult especially if it be with afflux of Humors If it be in the moister parts of the Body If it be Joyned with the dropsie It is accomplished 1. By convenient Diet. 2. By due Evacuation with Blood-letting and Purging 3. By Strenkthening the Heart against putrid vapors 4. By Defending the sound part against the speading Corruption by Defensatives and Antidotes The Differences are taken from the Causes which ar either External or Internal I. One kind proceeds from Too much cold oppresing the natural Heat of the part It is known in that sudenly a sharp and prickling pain aflicts the patient The redness of the part is soon changed into a Leaden-color a coldness and nummedness is perceived as it were in a Quartan Ague T is cured 1. By plunging the coold part into cold water or rubbing the same therewith 2. By drinking down hot potions to procure gentle sweates to excite the natural heat 3. After the heat is returned by rubbing the part with warme liquors to which intent a Decoction of Turneps is good 4. If the part be already gangraenated the parts must be scarified and fomented with hot cardiack medicaments II. Another sort springs from bindings which intercept the Blood and spirits In the Cure the ligatures must be losed Medicaments discussive and resisting putrefaction must be applied If the gangrene have made progess we must act acording to the symptomes III. Another springs from defest of Nutriments or Atrophia so called T is known in that excepting leanness neither tumor heat nor paine are perceived when pustles arise paine and fever follows In the Cure prescribe a diet hot and moist smear the Body with moistening oils Draw nourishment to the part by Cupping-glasses without scarrification and anoynting with oyl of Earth-worms c. If the Gangra in proceed scarifie the part and do as shal be here after specified IIII. Another sort springs from External Heat which happens after great burnings If so in the Cure prescribe a cool diet Temper and purge hot humors scarrifie the part and soone after wash it c. Proceed not to an actual Cautery unless necessity compel V. Another springs from the biting of venemous Beasts T is known by relation of the patient In the Cure 1 The venome is to be drawn out by an actual Cautery or scarrification Medicaments resisting putrefaction and such as draw are to be applied 3. Vlcers arising from scarrification or burning must be Cleansed in which case we must not forget to use spirit of wine VI. Another sort springs from the flowing of malignaut Humors into the external parts T is known hereby that in parts especially those which are in the Extremety of the body a blader appears under which there is a black spot there is a continual fever fainting away c. T is Cured 1. By a drying Diet into which coolling cordial Medicaments are to be put 2. By Blood-leting and evacuation if need be 3. By sudorificks which must be lustily plied in this Case Dittamus of creet Vincetoricum and Treacle are good in this Case 4. By Scarifications Cupping-glaces and application of Leeches to the part affected if blood be not otherwise sufficiently drawn forth 5. By washing the same after Incision with salt water or some other fomentation according to the greatness of the Corruption 6. By applying Vnguentum Egyptiacum or som resolving drying and putrefaction hindering Cataplasmes after washing 7. If no ammendment appear Causticks actual or potential such as Butter of Antimony or Mercury Dissolved in Aquafortis and precipitated with oyl of tartar are to be applied 8. By timely Romoving the Crust least new putrefaction arise thereunder Chap. 2. Of the Sphacelus SPhacelus is a perfect Mortification of a Part which seases not only the softer parts of the Body but the hones themselves The SIGNFS are there is no sence in the part whether it be cut or burnt Coldness sharpness and blackness of the Flesh At last it smels like a dead Carcass and the skin is by the fingers separated from the flesh beneath it The CURE consists in cutting off the manner of which see in Practitioners And then 1. Some part of the sound part being very wel bound must be cut off rather than the cutting should be practised upon the in infected part 2 Section must be made in the fingers and Toes 3. In the Feet if the Disease reach above the ankle the thigh must be cut off below the Knee 4. In the Arme very little of the sound part must be cut of c. See Fabricius Hildanus in his Treatise of the Gangraena and Sphacelus Chap. 3. Of Burnings COmbustio Burning is a solution of Continuity in the Scarf-skin and commonly in the skin it self somtimes in the Muscles Veins Arteries or Nerves by the force of fire Touching the Signs t is needless to speak seeing burning is manifest of it self The Cause is either Fire Scalding water Oyl or melted metal or Fat c. The Cure varies according to the differences In the first place the fire must be fetcht out In the next place least pain attract the Humors and blood we must use repellers and defensatives Then we must by Diet purging blood-letting Cupping-Glasses and other means diminish the same A Mucilage of Quince-seeds Extracted with Rose-water and mixed with Line-seed Oyl must be use at the beginning which wil satisfie al Indications The Differences of burnings are Vatious I. One sort is very slight which is known hereby that the burning thing which caused it was light the skin is red the pain most bitter and pricking the place is puffed up pustles arise ful of clear and white water At last the Scarf-skin comes off T is Cured 1. By taking out the fire that no Pustles may
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
the patient be troubled with Heart burning stomach fickness and desire to vomit but so as the humors be not thereby drawn out of the veins to the first passages Salt of vitriol Asarum Broome water of pismiers or Aunts are commended if warily administred 3. By Blood-letting if the Humor have penetrated out of the first region of the body into Vena cava which is known by the redness of the Urines and it ought to be performed upon the day of the Agues Intermission 4. By preperation with cooling medicaments moistening and such as cleanse the first passages Taraxacum or dandelion sorrel Barly Cichory Spirit of vitreol Cream of tarter Tartarum vitriolatum syrup of juyce of Citrons are good also these specificks Centory Devils-bit c. 5. By purgation down wards and that for the most part on the wel day yet on the fit day if the matter of it selfe encline to go away by stoole Rubarb is good and syrup of Cichory with Rubarbe 6. By sweat procured by sudorificks salt of wormwood of Centori of Cardus Harts-horn prepared Magestiry of Mother of Pearle which are to be given either before the fit or in the end thereof 7. By strengthening the Liver and stomach Salt of wormwood dissolved in spirit of Niter and againe coagulated into Christals is good being taken to the quantity of a scruple 8. By application of topicks such are the Cataplasme of Mynsichtus P. 368. The pouder of a dryed manchet beaten with greene sage the white of an egge and a little vinegar being added and so bound to the wrist The Herb Potentilla wild tansie or wild Aegrimony beaten with salt and vinegar and so applied to the pulses and the soles of the feet in the fit A Cataplasme or pultise of Bryony Rootes Black Hellebor bay salt white pepper saffron and figs. 'T is divided into Exquisit Bastard an Pernicious I. The Exquisit Intermitting Tertian is hereby known 1. In that the shaking coldness at the first comming is vehement and pricking arising from an humor and Vapour very thin and smal in quantity shipping out of the veins 'T is smal if the matter be plentiful and not easily moved more vehement by how much the matter is thinner and sharper the expulsive faculty stronger and the sence of the parts more exquisite 2. In that the Heat is much sharp and biting and spreads it selfe al over the body in the Hight of the Hot fit And if you hold your hand long upon the patient it grows gentler by reason of the easy discussion at what time the body is al over bedewed with a gentle moisture 3. In that the pulse at the Beginning of the fit is smal and slow the matter being not yet conquered by the oppressed heat yet is it not drawn back in the Progress of the fit 't is vehement swift frequent a little hard straitned by reason of the store of matter newly inflamed like green wood more swift in the Intermission of the dilatation by reason of the heat of the smal quantity of humor remaining in the Chimney of putrefaction communicated to the rest of the humors and carried to the heart 4. In that the fits last not above twelve howers 5. In that the Urine is reddish and yellowish of a midling Consistence shewing a white cloud or a swim in the first fit and then the Ague lasts not beyond the fourth fit It arises from choler sometimes resembling that which in the Gal-blader regurgitating into the first passages somtimes verdigreise colored or green bred in the stomach and veins The cure is now of the hardest for 't is terminated for the most part within the compass of seven fits It is ended either by sweat if the humor be cast bak into the veins which are in the surface of the Body or by vomit and stoole if to the stomak and entrals or by name of these if a great part consist in the misaraick veins and then the patient feels a pressure pains and Inflamations about the midrif Blood-lettiug must be administred before the third fit least it fal in with the state of the dissease The Bastard tertian is hereby knowne in that the Heat is milder nor is it diffused through the whole Body In that it is terminated neither by vomit nor sweat by by egresse of vapours in the Declination In that the Pulse is at first hard the hardness encreasing til the seventh day growing afterwards more soft as the Urines become better digested In that the fit lastes many times eighteen houers and the Ague reaches to the fourteenth and somtimes to the twentyth day It ariseth from cholor mixed with melancholy or flegme nor is it generated only in summer but in the Spring Autumne and Winter In the Cure a vein must be opened after the third fit when a good quantity of the morbifick matter is mingled with the blood in Vena Cava In the Praparation we must have an eye to the Diversity of Humors III. The Pernicious Tertian which happens from seven causes 1. If an Error be committed by the Patient or Physition 2. If that Humor which ought to be sent out of the vessels by reason of their closure do come to settle in some principal member 3. If it be too Thin and putrid For thence come frequent swownings and over great sweats without any ease to the patient 4. If it have some peculiar pravity either through adustion or badness of diet For the humors being inflamed roughnes of the tongue and unquenchable thirst are thereby caused Holowness of the eyes by reason of the wastings of spirits Fiery Urin with cholerick stools Anulcerous pain of the whole Body Paucity of sweat by reason of the thickness of the matter 5. If a thick humor melted by heat settle in some part Hence follows by reason of the difficulty and faculty of 't is inflamation an inequality of being heated The melting and plenty of a thick humor and which semed to be little in the greater vessells but by rarefaction caused by Heat it becomes in the smal vessels more in quantity Hence it is that the hot fit is interupted by a cold and the cold fit by an hot The Urin becomes watery of much and thick sediment The pulse is sometimes intercepted In the declination sweat issues from the navil to the head Neither Augment nor state nor declinotion are equal 6. If it a contagious or pestillent malignity 7. If â—he Heat either draw the womb in conceit and move the humors contained therein or cause a dangerous Catarh Tissick or Gout Article II. Of a Quotidian Intermittent A Quotidian Intermittent is a feaver arising from flegme putrifying in the misaraick veins and aflicting the patient with every day a fresh fit ' Its SIGNS are The foregoing of such causes as breed flegm ' Its dayly Assaults which are for the most part in the night time whence it is more dangerous by reason of the unseasonabelness of giving Physick at that time and they come
also voided by Urine not much at once as in persons of good constitution nor with pain of the Kidneis as in solution of the fatness of the Kidneys but slowly and a little at a time Sediment like bran is seen in the Urine without any Disease in the bladder swelling of the Thighs and a looseness which threatens Death Another is when the Fibrous and Membranous substance is violated by the Feaverish heat Hence follows the Marasmos which happens somtimes to Young and Old Preternaturally somtimes through defect of Aliment and extinction of the natural heat either in regard of Age or of some Scirrhous Tumor See thereof Joel in the foresaid Tome II. One sort is simple to which what has been before said in general may be applied Another is Complicated and that either with a Putrid intermittent and then the greatest part of the Heat remains in fiery and the least is come into Act. The fit being finished the places of the Arteries grow hot the other parts are temperate The Pulse looses not its frequency and swiftness and the Patients meat does not eucrease strength Or with a Continual Putrid and then t is hardly known The dry heat remains after the end of the declination or of the whole Feaver The Body is more extenuated The Urine is fatty and Oyly Title V. Of Malignant Feavers Chap. 1. Of Malignant Feavers in General HItherto we have treated of Benigne or wel affected Feavers the Malignants come next which are Generally or specially to be considered Malignant Feavers generally considered are Feavers arising from some hidden cause partaking of a Venemous kind of Quality causing more grevious Symptomes than ordinary and yet not killing many or suddenly Their SIGNS are great weakness from the begining without any manifest Cause more than the Feaver and Feaverish heat could probably produce Pulse frequent Smal Weak or if the Pulse being natural seem to deceive t is known by the presence of other Symptomes The Vrins are some times in the first daies like those of heathly persons somtimes thick colored troubled having a thick red and troubled sediment The Heat milder than sutes with the Nature of the Disease and Symptomes A Mass of Symptomes animal Vital and natural Swellings or spots break forth c. The CAUSE are either the Disposition and Plenty of Humors or Contagion The CURE is Hard if greater and more constant Symptomes appear Dropping of blood at the beginning signifies the working of the Humors their bad Quality and the Patients weakness T is performed bp Bezoardicks and other things of which in the Differences The Differences of Malignant Feavers are taken from the Causes I. Some are from the Bad Dispositions of Humors and their Plenty whether in the stomach about the Midrif or in the first waies They are known by Stomach-sickness Pain Heat Bitterness of the Mouth anxiety and other tokens They arise either from corrupt meats or from some other cause Are Cured 1. By Blood-letting which ought to be Practised after the Evacuation of the first waies by Lenitive Medicaments least a greater Ebullition and working of the Humors becaused and that before the fourth day 2. By giving of Sudorificks which neither augment the Feaver nor are very strong that either the Body may be disposed to sweat or at least the Malignity may be expelled 3. By alteration and preparation with such things as stop the Commotion of the blood and refist the malignity thereof The Juyce of Citrons Pomegranates and the Root of Scorzonera are commended c. Yea and also the spirit of Vitriol with other Syrups unless the Patients be aged and lean and unless their Lungs be otherwise diseased than through flegm stopping the Vessels IIII. By Purgation which ought to be effected by gentle Medicaments and scarce before the fourteenth day V. By giving cooling diureticks if the matter of the Disease go that way VI. By application of Topicks to the Pulses and the heart al the time of the Disease VII By mitigation or taking away such Symptomes as shal happen VIII By Diet in which we must abstain from wine unless faintings happen A Decoction of Harts-horn with such a Quantity of spirit of Vitriol as may cause a grateful acidity to which a little Julep of Roses or Viollets may be added must be given They are divided two waies I. Somtime there is no Poyson but the Disease is urgent by reason of the Causes Vehemence or some evil quality conjoyned Somtimes there is an hidden Venemous Quality 2. Somtimes the Putrefaction and Malignity are equal Somtimes the Putrefaction is greater than the Malignity Where the first waies must be Evacuated not only by Clysters but also by Syrupe of Roses solutive Cassia Tamarinds c. Somtimes the Malignity is greater than the Putrefaction Some arise from Contagion in which the Cure ought to be undertaken by Sudorificks and Antidotes and Nature must be assisted if she expel any thing Chap. 1. Of the several sorts of Malignant Feavers Article I. Of the smal Pocks MAlignant Feavers specially considered contain under them Feavers with smal Pocks Meazels and such like Eruptions the spotted Feavers Sweating-sickness of England The Hungarian Disease the Feaver with the Cramp and the Feaver with a Catarrb and Cough The Smal poxe are pustles arising by means of the expulsive faculty on the surface of the skin and parts that hold proportion with the skin with a continual feaver by reason of a peculiar boiling of the Blood The SIGNES of the smal poxe when present are needless for they appear to our Eyesight That they wil shortly come forth is signified by paine of the head with heaviness of the eyes also of the neck and back itching of the nostrils Diminution of Respiration dryness of the cough trembling of the Feet the when patient turns frequent sneesing panting of the heart The Vrin is somtimes like that of Healthy bodies the vitious matter being driven into the outward parts of the body somtimes it is troubled by reason of the great working of the Humors Tears bursting out of the eyes without any cause of sorrow A feaver raise by the working and boiling of the humors Spod breaking forth of the Body c. The CAUSE is either external viz. Impurity of the Mothers Blood which the infant in the womb atracts in the last months because there is none purer This blood being drawn into the whole fleshy substance is for some yeares insensibly hidden at length no longer able to beare it it begins to ferment like new wine or beere that works by which frementation or working the pure is seperated from the impure the impurity is drawn forth by a certain kind of Crisis and the Heat is â—mmunicated to the heart and a feaver raised Or external or contagious when out of Bodies so diseased a sickly vapour is comunicated to another or the Air which by reason of the Influence of the stars or other causes does either rupt the humors or set them in agitation
soon after grow cold Another in which the Putrefaction is remiss and the Malignity Vehement Then the Feaver is gentle and the Heart exceedingly hurt It kils the Patient while the Patient and Physician are secure of any danger III. One sort is beleeved to be an Ephemera another Humoral another Hectick But because the spirits are not only heated but also corrupted because the heart is not only affected in its temper but vitiated in its substance no Pestilential Feavers can be either Ephemera's or Hectick Howbeit because some difference appeares among them and now the heart it self at another time the spirits and another while the Humors are most affected by reason of the similitude it has with others properly so called it may receive such a Denomination A Single Chapter Of the Pestilence THe Pestilence is a Contagious Disease of the Heart bred of a Venemous and Contagious matter Suddainly and mortally afflicting al the Actions of the Heart with an Heap of al kind of Symptomes It is a Disease and that 1. Epidemick because of the common Cause and of the infection 2. Joyned with Putrefaction so as not to be judged of cheifly thereby for so a Pothists shal be more pestilent in putrid Feavers there should not be more heat than in the Venemous sort Antidotes were needless nor does it alwaies cause a feaver as appears by many instances 3. Venemous because it oppresses al the vital faculties and suddenly kils The SIGNES are either of it when coming as ' its being in neighboring places the proceding of such things as may infect the air such as filchy vapors issuing from the earth corruption of fruits Effectes of the aire enclining to corruption as are great abundance of toad-stools withering of plants multitude of Insects frighting of the Cattle mustiness and clamines of bread exposed to the nights Air soon stinking of flesh plenty of smal poxe and measels c. Or present a suspition whereof is when very many that are taken sick die if it creep from one sick person to another If the patients be suddenly extreamly weakned If Bubo's and carbuncles appear in a place the aire being infected If the spots called plage tokens be seen upon the dead bodies The CAUSE of the pestilence is a venemous contagious matter This proceeds I. From the Aire which is sometimes prepared to receive the pestelence by mutation of the first Qualities somtimes 't is corrupted without any mutation either by permission of sundry exhalations breaking forth of the earth and waters especially when Saturn passes through the signes of Aries Capricorn and sagitrius being after an accute manner and totally adverse to the Heart or by some hidden aspect or Influxe of the stars II. From Bad Diet where the saltiness of the Humors the sooner shewes it selfe if som occasion happen from the Aire III. From the witchcrafts of Necromancers living and infecting and of dead witches which are laide in their graves before their Heads are seperatted from their shoulders IV. From imagination and Terror which agitate the humors in the body stir up the pestilential seminary and plant it deep in the heart Touching the Contagion we have spoke in the first Book The Physitions Care respects three things Preservation cure and Removal of Symptoms As for the point of preservation I. The Causes which infer the pestilence must be removed II. The Bodies must be made less apt to receive the pestilence Let therefore the body be purged thrice a week with pil ruffi a scruple Let not the body be weakened by Blood-letting Let Meat be used of excellent Juyce sawsed with antidotes An Yssue may sometimes be made to give the Humors scope The Air must be kept pure with fier and perfumes Let the nostrils be nostrils be smeared with vinegar oyl of scorpions c. Leâ— Amulets be hanged about the neck of quick silver inclosed in a out-shel Arsnick c. Nor let any thing be mingled with the Arsnick to abate ' its Vertue Nor let these amulets be heated by motion least they penetrate through the pores into the Body Amongst Antidotes Treackle is comended Electuary de Ono Elixir proprietatis Bezoar stone Salt of vine branches and of Millefoile Extractum Junipernium c. Let Hot medicaments be tempered and first macerated in vinegar The CURE is absolved I. By Blood-letting which must be perforemed after the taking of an antidot if there be so much plenty of blood that a putrid feaver is feared in any side if there be no piane if there be on the Arme of that side where the pain is unless a Carbuncle shal cause great paine and inflamation in the space of twenty soure Houers II. By purgation after an antidote has bin given if il humors give suspition of a seaver to follow if the pestilence have risen from an inward corruption of Humors III By giving Sudorificks and Alexipharmaca among simples the Hereinian Vnicorne is commended The blood of a Rhinocerote five drops given in sorrel water A bit of his hide boyled in water of sorrel in which red hot-gold must be quenched The juyce of the Pap of the Brasiliah fruit called Muracujao Hasu The Berry of Molâ—â—â—â— poudered to the quantity of five graines in rose or sorel water The juyce of Galega or Ruta Capraria the quantity of three ounces c. Of compounds the syrup Melissa Fernelii Septalius his syrup or succo Galegae Quidiny of elder berries with Treakel Vinegar Crollius his Elixir pestilential Diascordium three drams especially in women with child and in children Pouder of smaragd stone prepared Bezar stone of each eight grains Hiacinth praepared three grains see Sennertus of Feavers towards the End In the Vse of these things observe Hot antidotes like treacle must be tempered with such as are of a colder nature That treacle and Methridate and other stronger medicaments must not be given to women with child nor to children Such as have weakness in their stomach and Head must abstaine from Camphorat Medicaments Some Medicament is to be given or other thrice every four and twenty houers At first the medicaments must be very often changed least nature growing accustomed come not to be moved thereby Waters Spirits and such other things as wil most easily penetrate must be given principally The patient must abstaine from sleep til he or shee have under gone two sweats While the sweating lasts refresh the Patient with the Juyce of Citrons Carduus water c. The sweat being finished cold Air must be avoided and the sick refreshed with meat Symptomes of the Pestilence are the Bubo the Carbuncle the Burning Feaver The Bubo imports less dnager if it be great and eminent if it breaks out at first and in the groins It is more deadly if it be lead colored and black If it lie lurking under the Skin If it breaks forth beneath the Neck or under the armpits on the third or fourth day Most dangeour if it vanish and leave the Patient weak When it
Strike in it must be called forth either by fixing a Cupping Glass or with a 0734 0 pultis of Radish Root and Scrophulary the great with a little of Salt Vinegar When it comes far out it must be drawn to the more ignoble parts from the Neck to the hollow of the hand from the Groins to the soles of the Feet To this purpose there is an useful Cataplasme made of two ounces of the greater Scrophulary Root Radishes one ounce beaten and with one ounce and half of the strongest Leaven and boyled in Wine Vinegar and so made into a pultis and applied to the Palm or hollow of the Hand or the Sole of the Foot or that side on which the bubo is It must be renewed three or four times in a night Being Fixed 1. it must be often drawn with a Cupping-Glass and store of flame without Scarrificatian 2. The Cupping-Glass being removed let it be covered with a ripening Cataplasme and drawing made of the Roots of Scrophularia Salt Black Sope and strong Leaven boyled in Vinegar 3. After six hours let a Cupping-Glass be again set on and let the Skin be cut with a Lancet or smal Knife 4. Let a Cataplasme ripening and drawing made either of a great Onion hollowed filled with Treacle and roasted in the Embers til it be soft or of the middle rind of Elder boyled in Cream and mixed with Leaven be laid on at Night and often renewed 5. Let the Tumor the following day be either cut or brok and the Blood water squeezed forth and let a mundifying or clensing plaster of Turpentine wash't in Scordium water and honey of Roses mixed therewith be applied Touching the Carbuncle and Feaver which is also entertained by certain symptomes see in their proper places See concerning the Plague Peter Salius Diversus Joel Tom. 5. Sect. 3. Septaliws in a peculiar Treatise and Valerius Martini And so much cancerning Feavers THE EIGHTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the Head Title I. Of the Diseases of the Brain Chap. 1. Of the Distemper of the Brain without Matter HItherto we have treated of Diseases in the general the Particular now follow and these are either such as are not Venemous or such as are Venemous Unto those belong the Diseases of the Head the middle and the lowermost belly commonly called the three Regions The Diseases of the Head are either those of the Brain or of the Eyes or Ears or of the Nostrils or of the Tongue or of the Lips or of the Face or of the Mouth or of the Teeth or of the Gums or of the Cheeks or of the Wesand or Windpipe or lastly of the Jaws and Tonsils Unto the Diseases of the Brain are referred as thereunto belonging a distemper which the Latins cal Intemperies the straightness or stoppage of its passages Commotion Inflamation Hydrocephalius being a cold Disease thereof proceeding from water and Flegm Contusion wounds and Fractures The distemper or Intemperies either is without matter or else with matter The Distemper of the Brain without matter is the declining thereof from its due and right temper through some external causes For the Signs and Causes see of them in the differences The CURE is performed by Alteration and Purgation lest that the Body if it be either Plethorical or Cacochymical should attract more Vapors It is divided into four species or kinds I. the first of them is hot when the Brain declines unto an immoderate or overgreat heat It is dscerned and known by the beating of the Temples the agitation within the Cranium or Skul by the sleep which is either none at al or else very short and by the instability and mutabillity of the Imagination It ariseth from external hot causes to wit Aire meat drink exorbitant affections c. It is to be cured 1. By alteration and that by cooling mediacments as wel internal as external and these not over strong especiallly in children and women having in them a mean and indifferent astrictive quallity left that the humors should be either attracted or dissipated not too frequently applied and made use of lest that they should introduce and cause a kind of sencelessness or stupidity and then lastly they are to be mingled with dissolvers when the distemper is in 't is declination The cheif and principal of them are the leaves of Lettice and Purslan the flowers of Roses Waterlily white and Red Popy and Saunders wood together with those medicaments that are pre-prepared and made out of those such as are fomentations which are to be corrected with such things as penetrate by reason of the thinness of their substance as doth Vinegar c. These remedies are to be applied to the forehead Temples and Sutures So soon as they begin to wax hot they are to be changed neither are they to be tyed on or covered with thick clouts or linnen often doubled For Embrochations and washings of the Feet are most in request the Leaves of Sengreen vine Leaves and the Leaves of the Willow Tree The flowers aforesaide as also of the Elder Tree and the root Rhodia a cataplasm made of willow Leaves and Vine buds 2. By Evacuation for the cause before alledged 3. by a diet inclineing to coolness more than ordinary II. The second is Cold when the Braine declineth unto an excessive or over great coldness And this is known by the swelling of the eyes the palness of the face the heaviness of the head propension to sleep slothfulness and slugiggishness It proceedeth from things external that either are cold in themselves or at leastwise induce and cause cold It is cured 1. By Evacuation if the body be Cacochymical 2. by Alteration which is effected by the use of things External and internal that are hot and these must be taken after meat and never before The cheif of them are the Roots of Piony taken out of the earth at the waning of the Moon the root of round Aristolochia Castorium The flowers of staechas or cotten weed primrose pealings of the bark of the linden or tyle tree of flowers of lillyes of the vally of Rosemary Bettony Marjoram Black chery water the water of swallows Treackle water The Quintesence of Rue of Rosemary of Succinum or yellow amber Of condites the Indian met nutmeg treacle Mithredate the restorative Confection called Anacardina and Alpermes Distilled Oyls as of the Wood Guajacum and of sassafras taken either in waters or else in smal morsels The leaves of Rue Wild bettony and the right Verveyn Balsams of Lavender Rosemary yellow amber Cloves nutmeg c. 3. by a diet somewhat inclining to warmth where likewise suffumigations have their use and place III. The third is Moist when the brain inclineth unto an overgreat humidity or moistness It is known by the humidity that appeareth in the nostrils and the eyes by the Catarrhs that follow upon it and the propension unto sleep It ariseth from some external causes
that are not natural and such as produce humidity such as are showers of rain the moon beams c. It is cured 1. by Alteration we his archived by such things that being in their own nature moderatly drung are mingled with coolers and not strong sented or perfumed but internally by decoctions and especially that of China Guajacum into the which a little veal broth to allay and qualifie its driness is to be put Externally there must be prescribed Embrocations and those little baggs that we commonly cal sacculi made of millet or Hirse salt throughly dried by the fire the roman nigella or nightshade commonly called Gith or pepper wort c. 2. by a diet conformable unto that that is pâ—escribed to such as use the decoction of Guajacum IV. The fourth and last species is dry towit when the Brain recedes unto an excessive and immoderate dryness It is known by the hollowness of the eyes want of sleep deformity of the face the sharpness of the senses and the Causes afore going It arises from External causes but more especially from the over great evacuations of the body excessive and frequent waterings fasting or an over spare diet melancholly or sadness of the mind and overmuch Study It is cured 1. by Internal moisteners as for instance the emulsion of the greater cold seeds and Violet flowers or externals such as is the top or froth of whey 2. By a diet more than ordinarily moist such as is the fat broths made of yong flesh eggs rere boiled and sup't up and a bath of sweet water c. And here Salt must be very sparingly eaten or rather altogehher carefully avoyded V. A Fifth and last Species or kind of the Brains distemper is Compound the Nature and reason whereof may be known from the connexion of the simple or single distempers so that it is no way requisite or necessary that we here speak any thing more concerning it Chap. 2. Of the Distemper of the Brain with Matter THe distemper of the brain with matter is the declination thereof from its due temper caused and brought upon it both by external and internal causes towit the humors and flatulencies or windinesses The SIGNS are the Progress of the internal causes and the alteration and change of the disease at the first apearances of the Moon The CAUSES are internal towit humors and Winds or windiness which proceed either from the weakness of the brain or else from the repletion of the inferior parts The CURE is performed I. By an Evacuation and that as wel General where a regard must be had unto the Pills that are to be taken towit that in respect of their ingredients ought to be made most efficacious and then given in the morning unto the whole Body which ought to be purged unto the absence and presence of a Feaver lest that there be an Evacuation of such things as are not concocted unto the Clysters that are to draw back the peccant matter and these are by no means to be omitted as Special where in the first place are to recounted those Medicaments that are usually thrust or put up into the Nostrils we cal them Errbina and these ought to be such as are most of al drying provided notwithstanding that there be nothing amiss in the Eyes and Nostrils Secondly Those things that provoke unto sneezing we term them sternutatoryes especially if the Head be filled with Vapors and within cherish a gross and thick snotty matter Thirdly Apophlegmatisms if the Lungs be free from an Ulcer and the Humors not over thin Fourthly Those Remedies which we cal Cauteries Setacea Topicks c. II. by Correction of the Distemper It is divided in a Threefold manner I. The first is according to its Essence when the matter is generated in the Brain It is known by this that those Symptomes that follow upon the Affect do presently appear that they continually afflict unless haply the matter be generated in the Head by certain intervalls and degrees and that the Causes affecting the Head went before It ariseth as wel from a fault in the Brain through an ill concoction as from the retention of the excrements thereof by reason of the hurting of the expulsive Faculty or its passages The Cure differs not from that which hath been before spoken of and of which we shal speak further in the following discourse Another division of the Brains distemper is by Consent or sympathy when the matter is transmitted and derived unto the Head from some other place It is known by the general signs of which we have spoken in the first Book and first Title thereof It proceeds likewise from the same causes of which we have there at large treated In the Cure 1. We ought to begin with the part transmitting but if there be any Crisis there is nothing to be applied unless there be a vehement motion of the matter 2. There must be a Revulsion or drawing back by opening of a Vein in the Arms or Thighs by Cupping-Glasses by Clysters by frictions or rubbings and by cauteryes 3. There ought to be used repulsion or Driving back by Medicaments made of Vinegal and Roses we cal these Oxyrrhodina unless there be a discovery made either of a Feaver or a Catarrh or overmuch watchfulness and want of sleep by reason of some wound either in the Cranium or skul or else in the Membranes of the Brain 4. There ought an interception to be made The Differences whereof are various according to the Variety of those parts from which the matter is sent 1. From the whol body as in Feavers and then we must rather study to make use of revulsion and Evacuation than Repulsion or driving back 2. From the Stomach Spleen Liver Rains Womb Diaphragme or Midriff and the External parts And then it is known by the effects of the transmitting parts and accordingly the Cure is to be taken from them II. Another is from a wind or vapor which is known by the sense and feeling of an Extension or stretching out or by an heaviness in the part affected a kind of singing noise in the Ears the extraordinary beating of the Arteries and the Vertigo or lightness and giddiness of the Head It ariseth from the same causes of the which we have already spoken in treating of the causes in general unto the which in special there may be added as thereunto appertayning scents or smels to wit things of an ill Savor Vapors arising from Metals the smoke of coals c. It is Cured diversly according to Nature and diversity of its species or several kinds It is divided in a two fold manner 1. The former division is taken from the external Causes as Metalline Vapors c. And this is expelled by Zedoary by the smoak of coals in which case as the remedies thereof there is required an Air free from al il Savors Treacle Water and Sternutatories or such things as cause Sneezing by the wind either
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
IV. The matter being converted into Pus or matter a Section being made in a sloping place is so to be extracted drawn forth It is divided in a Threefold manner I. One is wth a wound of the skin of which we shal speak further in the following Chapter Another is without any such wound of which we now speak in this place II. Another is in which the Muscles of the Temples are bruised together Then doting a Palsie Convulsion fits and death follow thereupon A Section or opening ought to be instituted in some neer place that so the â—uscles moving the Head may escape unhurt Another difference there is in which the aforesaid Muscles are not Confused or bruised together III. There is one Species or kind thereof in men grown and of perfect Age of which those things that have been before spoken are to be taken and understood Another there is of Children and such as are young and tender in which 1. The Head being shaven or at least Polled with a pair of Sizers a Linnen cloth throughly wetted in the white of an Egg Vinegar and Rose water is to be imposed and laid on and then binding it about for the space of one whol natural day the outward linnen cloth is to be moystened as abovesaid 2. The day following the Cataplasme called Benedictum is to be applied and so to be continued on until the ninth day 3. After the eleventh day the Emplaster Diapalma Galeni which is likewise to be shifted and changed the third day 4. After the twentyeth day the Emplaster called Barbarum 5. If it proceed from Child bearing the Emplaster Diaphaenicinum made of Roses c. doth excellently discuss Chap 8. Of the Wounds of the Head Article I. Of the Wound of the Skin and the Pericranium THe Wounds of the Head are in a threefold difference For either they reach unto the Skin alone and the Pericranium the Cranium or Skul Remayning untouched or else they reach the Skul without touching the Membranes or else lastly they attain unto and reach even the very Membranes themselves The Wound of the Skin the Cranium mean while remayning unhurt is to wit when the Skin alone the fleshy pannicle the Muscles or even also the Pericranium is wounded As for what concerneth the SIGNS the wound is either apparent unto the very view and sight or at least it may easily be discovered with the Chirurgeons instrument termed the probe The CAUSE in regard that it is evident and manifest there is no need that we should speak any thing more thereof The CURE is various according to the variety of the differences of the distemper It is divided into a wound with a Contusion and without a Contusion In a Wound with a Contusion or bruising together 1. It is to be moystened and mollifyed in such a manner that the natural heat of the part debilitated and weakened by the contusion the external Air by medicaments may be together cherished 2. In the very beginning we must act and operate with Ripe Oyl of Roses mingled wel together with the Yolk of an Egg in bodies soft and fluid but in bodies hard to be wrought upon with the Rosin of the Larix or Larch tree 3. Turpentine is very excellent and sovereign for al wounds especially of the Nervous or sinewy parts 4. About the seventh day the Pus or filthy purulent matter doth more apparently shew it self 5. If it be from the biting of a wilde beast then the Lips of the wound ought to be scarified and the rotten nasty corruption must be drawn away by blood-suckers or leeches and then the ulcer is to be throughly washed with appropriate Medicaments In a wound without contusion 1. the internal cause viz. The hot and painful dyscrasy of the part is to be removed by anointing the same with unguent of Allabaster roses c. 2. If the gaping lips of the wound cannot be close Joyned together with binding only then the suture whether bloody or dry must be brought unto the touch but some kinde of digestive medicament is to be imposed upon the wound neither is this notwithstanding very easily done and that by reason of the pericranium which within adheres closly unto the Cranium or skul and by the sutures is knit and joyned together with the internal membranes 3. The skul being made bare and naked by shaving which is done that so a fit matter for the generating of flesh may be supplied neither yet is without much difficulty to be effected there are no unguents or oyntments to be laid on but medicaments both actually and vertually dry together with drying liniments and of a bone-like temperament are to be applied But see more of this in the practical Physitians Article II. Of the wound or fracture of the Cranium or skul The wound or fracture of the skull is a continual solution in the same caused by some external violence and force and yet such as reacheth not neither attaineth unto the membranes of the brain The SIGNS are taken as wel from the concourse of the symptoms that follow it as for instance a vomiting of Choller a flux of blood by the nostrils and ears a fal a noise of a broken bone c. as from the nature and condition of the blow where regard is to be had unto the striker or that which giveth the blow unto the condition of the head receiveing the blowor stroke and the disposition of the instrument as also it is discovered by the chyrurgions probe which ought to be neither too sharp nor over thick by ink and by shaving thereof c. The CAUSES are evident dissolving and loosening continuity in the Cranium or skul The CURE is not to be hoped for for Cure there is none if after the seventh day a caver come to appear because it is a certain signe and token of putrefaction and rottenness in the brain or if the wound become withered dry purulent and black The cure is very doubtful if instantly the patients strength and spirits fail him especially if the Party be old because then his heat is by much weaker and the blood serous or wheyish if the head be prone and subject unto distillations and the tumors called Erisipelas if the symptoms that soon began to appear and shew themselves on the fourth or seventh day stil continue and rather increase than otherwise The Cure is a work of great pains and difficulty if it be to be attempted in the summer time in regard of a fear we are to have of an inflamation iminent and very nigh at hand if it be in a moist Climate or country because the brain is very easily offended by cold and moist things if it happen at the ful of the moon by reason of the abundance of humors more at that time than other if the wound be very nigh unto the brain if it be in the fore part of the head and the middle of the brain because that the brain being a
chased with garlick throughly bruised and then mixt together with wine vinegar or the Urin of an Infant III. there is Another Cephaâ—algy that is such in its own essence we term it primary which now and then ariseth likewise from worms with a certain kind of gnawing and aâ— itching of the nostrills and this comprehendeth under it al the fore-mentioned differences Another there is by the consent of the Heart as in feavers of the hypochondria the stomach the wombe c. and this for the most part is hemacrania and afflâ—cting only the one half of the head see the first Title of the second Chap. of this Book IIII. Another Cephalalgy there is peculiarly and specifically so called which indeed is nothing else than a pain that as it is new so it is also very light and gentle and such as is most easily removed without any great imbicillity and weakness having its original most usually from causes external likewise it is accompanyed with a Feaver V. Another is that we terme Cephalaea or a long continued contumacious pain Infesting and annâ—yingwith the greatest paroxysmes and yet notwithstanding such as are stirred up even by the smallest and most inconsiderable causes the whole brain and head or at least to be sure the greatest part thereof but most especially the Membrains Another called Hemicranio which is a painful distemper of one half part of the head only which ariseth from those parts that are situated beneath it In that that proceedeth from the stomach there is usually perscribed as most profitable for evacuation the Pils of Fernelius formed of the best Aloes half an ounce the powder of the Electuary of precious stones or de Gemmis of the three saunders called in the shopps Diatrion santalon and red Roses of each of these six Grains and so made up to the number of thirty with the Syrup of Wormwood and violets and then two or three of them are to bâ—â—vallowed down the tenth hour before supper Unto the Head there may be applied and laid on an Epithem of the green Root of the Wild Cucumber boyled together with Vervein and Wormwood of Pontus in Oyl and water Chap. 2. Touching the Sympâ—tomes of the Common sense Article I. Of over great and extraordinary watchings THose Symptomes that infest and invade the common sense are watchings and a drowsie and sleepy distemper called Cona Watchings preternatural are the exercise 〈…〉 sense and the external likewise beyond a due and fit measure arising from the continual uninterrupted influx of the spirits into the Organs There is no need at al of SIGNS For the relation of the sick wil suffice The CAUSE is expressed in the definition But the Spirits flow in because they can by no means be brought to rest and sleep and that either in regard of externals to wit objects overmuch light cares Cogitations or thoughtfulness or else by reason of somwhat internal to wit a hot distemper of the brain a pain c. the cure is difficult if the said watchings happen unto those that are young and not at al accustomed thereunto if they bring on the party a doting or a Convulsion or a cough if they last long if they have their Original from internal causes The Cure consists I. In Removing of the Causes that occasion and produce those watchings II. In Procuring sleep either by cooling Cephalicks outwardly applyed or inwardly given or else by Narcoticks The Fat of the Fish Lucins that is the Pike annoynted upon the Temples the Hypnotick Wine of Mynsichtnus the Soporiferous Compound of Saxony the Liquor of the smal spungy sprigs of Eglanrine pressed out of them after they are come to a maturity Opium corrected with Saffron the magistery of Corals and the spirit of Vitriol a pultise of Poppy seeds with the Oyl of Hen-bane and the breast milk of a woman applied to the pulses and the Pediluvium or Lotion to wash the Feet of Hartmannus c. al these are excellent for the purpose aforesaid The Difference is taken from the Causes Some of them are from External Causes to wit 1. The passions and affections of the minde Fear Grief Cares Custome and then these things are to be removed 〈◊〉 because they are wont to occasion the distemper of the head we ought to withstand and prevent the increase and growth of the Humors 2. They proceed from the objects of the external senses which are to be rejected The annoynting of the Nostrils with Oyl of Nenuphar or the water Lily and the eating of Lettice is here in this case much commended Others there are from Internal causes to wit 1. From a hot and dry distemper either without a Feaver which disturbs and drives to and fro the spirits and dissipates the vapors The cure of this may be sought out in its own proper place 2. From hot Vapors that are sharp salt which distâ—rb and trouble the spirits by their pricking and twinging the Membranes of the brain These either they are elevated by some Apostem of the Head and that either from the whol Head or from some certain parts thereof and this likewise either without a Feaver or with a Feaver The Signs and the Cure ought to be sought for out of their own Chapters Those Medicaments that qualifie sweetly allay and temper the Vapors are to be exhibited after supper 3. From the defect of Vapors that might cause rest and quiet unto the spirits in regard either that they are not al generated as it happeneth after an overlong abstinence from food and by reason of crudities in the stomach and then in this case in the Cure a special regard is to be had unto the Diet or else it is because that these Vapors so soon as they are generated they are forthwith dissipated and scattered like as it chanceth in an hot distemper and then a regard also is to be had unto the same 4. From Pain in which when once the common sense is together affected it being vehemently and violently moved al the other senses moved and disturbed together with it And hitherto apperteyneth a Cough the flux and extraordinary loosness of the Belly c. which deprive a Man of his sleep Article II. Of the sleepy and drowsie Coma or Cataphora The somnolent or sleepy Coma is a deep and profound kind of drowsiness arising from hence to wit that the Sensus Communis or Common sense is become so dul sluggish and stupid that it permits not the Animal spirits to be diffused unto the external senses neither doth it know or is able to Judg of those objects that it receiveth from them The SIGNS are taken from this to wit that the sick party sleepeth for the most part with his lower Jaw-bone hanging down and with his Mouth gaping and wide open when he is rouzed and stird up he openeth his Eyes and answereth but immediatly again falleth asleep And so it is distinguished from the sad distemper Carus from the the Apoplexy and the suffocation
of the Womb. The CAUSE is whatsoever impedes or hinders and prohibites the influx of the Animal spirits unto the Organs of the senses and withal Renders those spirits more unapt unto the Animal actions and operations The CURE is Doubtful if it follow upon the extream imbecillity of the Patients strength occasioned either from some most acute Disease or else from some deplorable and grievous affect of the brain if it chance in continual Feavers if it hath its original from some malignant cause There is almost no Cure to be expected if it take its rise from hot and dry Diseases for then by this means of necessity there must needs be an extraordinary cooling in the brain if the malady grow to be so sad and grievous that both the sense motion and the very breathing it self is taken away In what things the Cure cheifly consisteth and by what means it is to be wrought see further in the various differences thereof It is divided according to the variety and difference of the Causes I. There is one Species thereof that ariseth from the Humidity or the frigidity of the Brain And then the matter in the Head ought to be Evacuated and discussed in the former of them by the irrigation or the frequent washing of the Head with the sharpest sort of Vinegar throughly mixed together with Roses and Camomil Flowers but in the latter of them by anoynting the Head with Dil Oyl a little warmed And in both of them we must remember to put in practise the frequent use of Apophlegmatismes Errhines and sternutatories Another kind thereof there is from Narcotick Vapors inducing and bringing in a certain dulness and unaptness for any thing upon the Animal spirits which said Vapors either are from over much drink and then the drink yet remayning in the stomach Vomiting is to be excited and provoked Or for the greatest part they are conjoyned with Feavers Then 1. The Vapors are to be drawn back either by opening a Vein in the Thighs or by Clysters frictions Cupping-Glasses c. 2. The same Vapors are likewise to be repelled and driven back by Oxyrrhodines to wit Medicaments consisting of Vinegar and Roses actually hot and applyed to the Coronal suture unto which former remedy let the Vinegar that is added be in a plentiful measure or else which is yet better they are to be discussed with Rue Castoreum Vinegar c. 3. Great caution must be had lest that those Remedies that are exhibited and administred to expel sleep and drowsiness should any way augment the Feaver Or otherwise these Vapors afflict without those feavers And then they are elevated and drawn up from the stomach Womb or some other inferior part These are to be taken away by the very same remedies as the former were Those things that infringe weaken the strength of Narcoticks are Rew with Vinegar the balsam of Rice Castoreum Nightshade snuffing up the fume of Brimstone c. As for the Diet what it should be see and consult the Practitioners Chap. 3 Of the Symptomes of the Imagination A Single Article of the Vertigo or turning round of the Head THat Symptome of the Imagination which likewise very often hurts even the common sense also is called Vertigo which is nothing else than a false imagination of ones turning round dizzy reeling about arising from an inordinat and circular motion of the Animal spirit in the Forepart of the brain The SUBJECT hereof is the brain according to its anterior or forepart as it is an organical part as it containeth the Animal spirits and as it is endued with certain passages in which the said spirits are moved Of SIGNS there is no need at al. Unâ—o some of them al things seem to be turned about as in a Ring or Circle others of them have their very sight obscured and again in some of them there is sensibly perceived a sisling Noise and as it were a kind of singing in the Ears c. The CAUSE is whatever either suppeditateth and generaâ—e h Vapors of themselves and in their own Nature such as are garden Radishes Garlick Mustard Wine c. Or else 〈◊〉 as is wont to stir disturb and agitate the Humors and hitherto appertaineth purgation as being cheifly requisite in this case The CURE is very doubtful and scarcely to be hoped if this distemper happen to Old people because they have but a weak brain if it continue long because it is then the forerunner and indeed the foreteller likewise of the Epilepsie or the Apoplexy if in it the Head or the whol body seem to wheel and turn round The Cure is Performed I. By Discussion and then let the holes of the Nostrils be annoynted with the Oyl of Marjoram and the Oyl of Nutmeg or else together with the aforesaid let Rose water and Vinegar be put and applied thereunto let the Temples and the hand-wrists be anoynted with rose vinegar and Rose water mingled with a drop or two of the Oyl of Cinnamon or else let them be throughly wet and besmeared with the Juyce of the black beet let the pallate be annoynted with Treacle II. By opening a Vein if it be over powerful and violent III. by Revulsion if it proceed from the inferior parts IV. by a Diet in the which meats that are known to generate many Vapors beer brewed with much Hopps and such like hurtful things are carefully to be avoyded For a preservative Caraway seed macerated in Wine dryed and dayly taken about the time of going to bed is held to be very excellent The Differences are taken from the Causes I. One is from Causes that are Evident exagitating and exasperating the spirits and such are a turning round of the whol body a long while together looking much and steadily upon things while they are moved circularly and a prospect or looking downward to the earth from a place of an extraordinary height For so by this means the spirits by the beholding and looking upon any thing unto which it is not accustomed or that is dreadful and terrible are diffused and drawn back It is known by the relation of the sick party It is cured by rest and sleep If it yet be not altogether ceased then we are to conclude the Cure by frictions If it be from Hunger and fasting a piece of bread dipt in the Juyce of Pomegranates or in sharp sowr wine is first of al to be administred II. Another is from the narrowness or Streightness of the Passage of the Brain through which indeed the Animal spirits are moved but when they are thus impeded and hindered they then retreat back again It ariseth either from a partial obstruction which if it be caused by gross and thick Vapors it is soon dissolved if it hath its rise from serous and Phlegmatick Humors it is then of a long continuance and there is withal present a sense of fluctuation In the Cure there ought to be a respect had unto the Nature of the
Cause Or else it proceedeth from the compression of the brain and the fracture of the skul of which see further in their own propper places Or else it is from the Coalescence or knitting together of the Arteries from their first rise and their entering into the scalp or Skul by that general and common passage through the brain touching which there is hardly any thing to be certainly determinded while the Patient liveth III. Another is from a Vapor ful of windiness generated and bred in the brain which by an inordinate motion being poured forth into the Veins and Arteries doth so trouble and disturb the Animal spirits by driving to and fro that they thus become to be circularly moved and turned round and then they exhibite and represent unto the common sense or Phantasie this fals and feigned species and appearance of things otherwise than indeed they really are It is known by that vehement pain and dul heaviness of the head a long continued tinging and hissing Noise in the Ears and a certain kind of hurt and detriment of the external senses This Evil or Malady is very frequent and such as surpriseth a man upon a very smal and light occasion and yet it lasteth and as we use to say sticketh long by him It ariseth from causes that generate and breed winds and windiness and more especially if the wonted Evacuation be suppressed It is Cured either in the Paroxysm of which we have before spoken or out of the Paroxyim 1. By the Evacuation of the Matter that fomenteth and supplieth these Vapors and that as wel a general as a particuliar one Some there are that are a fraid to prescribe and there are others again as fearful to take those Medicaments that Practioners term Erâ—â—â—â—es which are to be taken up into the Head by the Nostrils to open and purge the brain 2. by Revulsion or drawing back of the said matter as also by Derivation and Discussion of the same by Vesicatories Cauteries frictions and lotions of the Head 3. By Corroborating and strengthening the Brain both by external and internal Remedies Among the specifical and Appropriate Medicaments those that deserve the greatest commendation are the dung of the Peacock one dram thereof by weight macerated in Wine strained and so drunk up the extract of Scorzonera the Roots of Doronicum an excellent drug brought out of Mauritania eaten Bears Ear the fat of Does and land Snakes by annoynting the Temples therewithal the pouder of Silk-worms dryed and strowed upon the Crown of the Head Very effectual likewise for this purpose are the spirits of Rosemary the Chymical Oyl of Yellow Amber Hippocrates his Treacle the pouder of the Right mineral Cinnabar half an ounce thereof Margarites prepared and red Corals prepared of each two scruples Saffron one scruple and then add to the aforesaid ingredients the leaves of Gold in number ten and so let it be administred the dose is one scruple in the water of lillies of the Valley and lastly the electuary of Saxony It is divided into that which is from extream hot blood and then there is present a redness of the Face and a beating of the Arteries In the Cure especial regard is to be had unto the opening of a Vein and that cheifly and primarily of the Basilike if a Plethory accompany the distemper and then presently after of the Cephalick or head vein if the peccant matter abound most or only in the head It is not to be drawn forth al at once but by many Essaies at several times by intervals We ought not to be over rash in attemping the cutting or opening of an Artery and into that that is from a pituitous or Flegmy Humor Then the place where we have treated of the Flegmatick distemper is to be consulted An Evacuation after that a Clyster hath first of al been administred may very conveniently and successfully be expedited by the extract of the Pils called Cochiae from half a scruple to a scruple by a Lixivium and a Balsam See further hereof in Agricola in his first Book 38. Chap. IV. Another there is from an extream windy Vapor elevated from other parts It is known by this that there went before it no hurt or annoyance of the sâ—â—ses and that the distemper afflicteth the paâ—â— frequently and by fits and withal there are present the signs of the part affected It ariseth either from the stomach either pirrocholick or ful of bitter choler or Pituitous and Flegmatick or else by reason of its imbecillity corrupting al the food that comes within it and then the Cure must cheifly respect and be directed unto the stomach And here take place as most requisit and proper a grain or two of Frankincense taken after meals the confection of Fennel of Coriander Sugar of Prunella Saccharum Rosatum or Sugar of Roses the electuary of the Conserve of old red Roses Diacydonium simplex that is an electuary of the conserve of Quinces the spirit of vitriol and the Syrup of mints For what remayneth to be done in this Cure see more in the diseases of the stomach Or else it ariseth from the Liver Spleen Womb whol Body as it usually happeneth in Feavers and then in this case there ought to be an especial Care and regard had unto the Nature and condition of the parts affected and the Various Symptomes Chap. 4. Of the Symptomes of the Imagination and the Ratiocination when they are hurt THe symptoms hurting the imagination and the Ratiocination or rational faculty are the hurt of the Memory dotage a Phrensie Melancholy madness and Raging or raving which we term Hydrophobia Article I. Of the hurt of the Memory The hurting of the Memory is a diminution or utter abolition of the same arising from Causes that hurt the dryness of the Brain conjoyned with a moderate heat and very necessary as to the memory and so by means rendring the Animal spirits either torpid that is over dul and sluggish or else which is as bad inordinately moveable There is no need of SIGNS for the very actions of the sick party discover the Symptomes The CAUSES that hurt the temperament of the brain that is absolutely necessary for the preservation of the memory either they weaken and diminish the Native heat and that likewise either Externally as do al things of a Poysonous Nature al Narcoticks applied to the fore part and likewise the hinder part of the Neck or else Internally as doth a temperament cold and moist which either affecteth Children and ancient people by reason of their Age or else it afflicteth others by reason of meat and drink that is of a cold and moist Nature or by reason of a Gross and thick Air sicknesses and other Causes of which we have already sufficently spoken in the cold distemper Or otherwise they dissolve the said Natural heat such as are externally al Philtra or amorous potions watchings excessive thought fulness Medicaments that are hot of quality Internally hot Diseases
those that speak unto them and it is soon removed and taken away by the use of Emollient Fomentations In this greif there have their use that which we term Luna Potabilis Hartmanni six drops thereof and that they cal Pharmocum Phantasticum of Bartoletus the dose whereof is from one dram to two drams lastly the spirit of Terra sigillata or the sealed earth brought from the Isle Lemnos Article IV. Of Melancholly Melancholy is a dotage arising from a Melancholy phantasme with the which whosoever is affected and deteyned therunder he becomes wholly and only addicted to thoughtfulness being as it were altogether ingulphed therein without either fury or Feaver but yet without pensiveness and fearfulness The SIGNS are a deep sadness and fearfulness without any apparent cause and then likewise another sign is Taciturnity and a long continued silence or else incongruous discourse and talk at random and this more especially of some oâ—â— thing more than other The CAUSE is a Melancholy Phantasm that proceedeth from an error vice and distemper of the Animal spirits the which when as they ought to be clear thin subtile and moveable are hereby rendered and made obscure and misty opacious thick and dark as also fixed and almost wholly immovable And hence it cometh to pass that al kind of objects are imprinted upon their several species according to the condition and quality of the vitiated and depraved disposition of the spirits And they acquire and gain this disposition from a default in the Brain declining from its genuine whitness and generating such like spirits as these or else they have their original from some default in the matter out of which they are made and bred to wit the blood and the Vital spirit or else lastly they got this vitious disposition from some impure and melancholy Matter which is mingled together with the blood and spirits whether it be an Humor or a vapor or both The CURE is facil and Easie if the distemper be recent and but now beginning for so it is cured by diet alone together with the humectation of the whol body and somtimes of the head in particular as likewise if the Body receive any augmentation and growth from the aforesaid food if only the imagination be no more than hurt and then again if it be with some kind of laughter accompanying it But Cure there is none if the affect be hereditary See above further hereof touching the Progress to be made in attempting the Cure in the Chapter of the Melancholly distemper of the brain and below in the differences Notwithstanding observe here 1. That in this case an especial regard is to be had of the diet and that sleep by al manner of means be procured lest that haply the Patient fal frantick and mad Vinegar is not here to be administred but only that by it the dry Vapors may be diverted and called away from the brain A Bath of sweet water is by no means to be neglected 2. That the sick person is to be wrought into an Imagination quite contrary 3. That now and then for some certain time the Patient must wholly abstain from Medicaments The Remedies that in this case are commended are Confection of Alkermes the Tincture and Extract of Lazulus Elixir proprietutis the bezoar stone Cachunde an Indian Medicament the description whereof see in Lacutus his Physical History 1. Book Page 310. It is divided into some certain species I. One is that of the brain when the brain in the Nature and quality of its substance departeth from its natural cleerness and purity It is known by this that the doting is perpetual and vehement that there are present signs of Melancholy abounding in the head that the blood if it be let out is not thick nor black It ariseth Externally from a strong Phansie or imagination from fear other such like sad and grievous affections of the mind It ariseth Internally from a Melancholick Humor heaped up in the head and this either by reason of some acquired cold distemper of the brain or else in regard of its Melancholly constitution which may soon be known from the affects or otherwise lastly by reason of some cold and dry matter left behind in the brain after some hot distempers there the heat now abating and the thinner part of the matter being now resolved and gone It is Cured 1. By the Alteration and Preparation of the peccant matter by Fumary the water or syrup of sweet smelling Apples and Tartar of Vitriol 2. By the Evacuation thereof with the Extract of Hellebor the inferior waies and passages being first opened by Errhines and Sternutatories 3. By Procuring rest and sleep in the use of Hypnoticks 4. by Corroberating and strengthening the Head by the Tincture of the Chrysolite and other appropriate Remedies II. Another is that of the whole Body when a Melancholy blood aboundeth throughout the whol body and is from thence transmitted unto the brain It is known by this that the deliry or dotage is indeed continual but yet so that it is with some certain exasperations exacerbations and remissions and likewise in that there are present signs of Melancholy abounding in the body and that there went before the Causes thereof It ariseth from its own proper Causes of which we shal speak further in the Differences It is Cured by the frequent repetition of Venesection or blood-letting But because there are but very few spirits in Melaucholly persons it must not be of too much blood at once it may be either in the left Arm or in the Ankle or else the thigh Veins if large may be opened by Leeches 2. By a Preparation of the Humor by the Syrup of Odoriferous Apples Fumary with the cream of Tartar Tartur vitriolate by the fection of Alkermes the Whey of Milk with the Juyce of Cichory and Fumary 3. By a gentle Evacuation thereof often Reiterated and corrected by such things as corroborate the spirits and the principal parts and likewise by those things that Humectate moisten and mollifie but then the Evacuation may and ought to be stronger if so be the blood be over thick and unless the body be already extreamly and over much wasted This Evacuation must be seconded and followed by Moystening Baths unto the which Emollients are to be added 4. By drinking of tart sharp and somwhat sowr potions and also by the use of hot baths 5. By the strengthening of the Head both by internals and externals among which Embrochations are highly and indeed cheifly commended 6. By a Diet in the which there ought to be a careful and continual abstinence from al sorts of pulse It is divided according to the Nature and diversity of the Causes 1. One is from Causes altogether external as Fear watchings Cares al which exsiccate and dry up the Radical Moisture have in them a power sufficient to alter and change the blood in the whol Body and to detain the Melancholy Humor Now then
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
sufficiently known from the relation both of the Patient and the by-standers Another from Causes internal of which more in the second difference II. Another is from adust or burnt blood which is known by the signs and tokens of Plethory rednes of the eyes by playing or toying singing and excessve dancing c. It ariseth sometimes from a hot distemper of the liver and sometimes from the suppression of the courses and of the hemorrohides The Cure is to be accomplished by venesection or opening of a vein in the mean time not neglecting those distempers and diseases by which it is caused Another is from black choler accompanyed and attended with a certain accuce and secret property which is known by this in that it is perpetual if it be once lodged and hath taken up its residence in al the veins or else at least in those that are next unto the principal members if the dorage be accompanied with raging if the strength of the sick be extreamly impayred and weakened and in a manner dissolved by long continued watchings if there be withal present a raging and mad desire and endeavour to bite and tear c. It ariseth sometimes from an exâ—ream hot spleen yeilding and pouring forth abundance of black choller It is to be cured 1. by letting blood as wel by the opening of the left arme vein and likewise thesalvatella vein this letting out of the blood must be in the greater quanity if the blood be blacker than ordinary but then it ought to be more sparing if it be of somewhat a reddish hiew as by the opening of the hemorrhoid and those obtorted and wreathed veins called Varices if at least they apear but the forehead vein if the mallady be refractory and obstinate 2. By preparing the peccant humor by coolling and moistening cephalicks For this end and purpose there is much commended the oyl of champhire one ounce the oyl of musk in weight one dram and mingled wel together and so administred the quantity of halfe a dram at once for a dose the decoction of that pimpernel that hath a purple flower 3. by the eduction or drawing forth of the said humor by melanagogues we are to understand hereby medicaments having in them a vertue and property to draw forth blak choler or melancholly more especially the stone called Lapis lazuli and honey helleborat of which last Petraeus hath written at large in his Nosology or treatise of diseales 4 By strengthening the heart and brain with the confection Alkermes and de hyacintho 5. By the use of topical remedies in the classiâ— and number of which Cauteries applied unto the coronal suture have their due and proper place opening of the cranium on skul with the trepan a Lee made with Laurel berries and roots of the true black Hellebor with which while it is yet a little warme the head ought to be washed c. Those remedies that are specifical are Liquor of mans blood with the extract of Lapis Lazuli Saturaine Crystal administred with the greatest caution that may be the blood of an asse taken out of the veins behind the Ears of which Hartman hath written sufficiently c. see Likewise hereof Rulandus in his medicinal Cures III. Another is that which is such Essentially unto the which al those things before mentioned may be atributed IIII. Another is by Consent especially of the womb from whence that kind of fury that we cal utrine hath its original and denomination of which more in its proper place Article VI. Of Rabies or raging Madness Raging madness is a deliry or doting produced from some certain peculiar poyson bread in any living creature and communicated unto a man with a strong and vehement abhorring of al things that are liquid but more especially water The Animals or living Creatuers aforesaid that communicate this poyson unto man are the wolfe the cat and the dog and cheifly this last The SIGNES are in the begining thereof anger soon moved and a continual inclynation thereunto a complaning of the Air as if it were Southerly and moist little or no desire to drink a great desire to have candles lighted up in the day time and lastly a vertigo lightness giddiness or swimming of the head The signs of this distemper confirmed are these a distension of the members but this is not continual foaming or froathing at the mouth frowning fierce looks spitting and spawling upon those that are nigh a barking like as of dogs an abhorring of and flying from water by reason of a singular and peculiar antipathy and dislike from whence this affect is termed and that not improperly the Hydrophoby The CAUSE is poyson that is generated in a living creature from som peculiar inclination it hath and then comunicated unto man by breathing upon him kissing spitland biting In some it is generated if we may beleive Donatus from an extream terror and in others from touching the dog-tree which they cal Cornus or by the touch of bloodwort or else the Sorb or service tree But now this deliry is produced in some persons sooner within twenty dayes at the utmost but in others more slowly yea even the twelfhth year after And this commeth to pass either by reason of the variety of the part that is bitten for some of them are more noble others againe are less noble or else by means of the diet that is used which possibly may much weaken and abate the strength of the poyson or by reason of the diversity of patients or else last of al from the difference and Dissimilitude of Countries times and seasons There may be some good hope of a CURE if the wound or hurt reacheth not unto any nerve vein or Arterie and if it be not very deep But there is smal or no hope if there be present a fear of water and if sighing or sobbing happen thereupon But if there be any cure it then consisteth I. in preservation lest that the poyson penetrate into the body and there occure and take place 1. A Ligature upon the part afflicted but if the part wil not wel endure it then a laying upon it those things that have in them either an intercepting or astringent quallity 2. Cupping-glasses with good store of flame and with scarification if the wound be little but without if the hurt be great and the wound large 3. Enlarging and widening the part if the wound be over narrow that so the poyson may the better flow from the part affected 4. Attraction by Medicaments that are vehemently attractive and drawing or else by actual Cauteries II. The Cure consisteth in that way and Method of Curing that is properly so called where those Remedies that have their place are 1. Purgation by Hellebor 2. Appropriate Sudorificks but cheifly the simple or single Mixture 3. The strongest sort of Vesicatories we mean here by al such Remedies as raise and cause Blysters 4. Antidotes and these are to be administred and given in a
and fro of the whol body and the several members thereof arising from matter molesting and disquieting those parts that are capable of suffering There need no SIGNS for the Affect is apparent enough to the very view The CAUSE is a sharp matter whether it be a humor or a hot Vapor The CURE must be directed and so ordered that it look toward the said matter accordingly as it appeareth in the following differences thereof It is divided into Critical and Symptomatical The Critical consisteth in that suddain and unexpected perturbation of the Humor and from whence there is no danger to be feared That we cal Symptomatical is that which happeneth in general and it containeth under it I. That which we term Stomachical which is known by a kind of Nauseousness in the stomack somtimes without but most commonly with a vomiting and likewise a pain of the stomach It ariseth either from the Humors pulling and twinging the mouth of the stomack c. as it were soaked and drunk up into the Cotes or Tunicles thereof in which case purges that abate and lessen the acrimonious quality have their proper place or else from food unseasonably taken and here we are to help and succour the Patient by vomiting of him II. That that we term Inflamatory which proceedeth from the Inflamation of some one of the Bowels III. That which we cal Febrilis that appeareth in Malignant Feavers and is very dangerous if it be attended with the imbecility of the natural strength and powers of the body In the Cure we ought to have respect unto the several species or kinds of the Disease Article III. Of Rigor or an Extream Stifness The Rigor or unnatural vehement stifness is a vibration shaking and quavering of the Muscles of the whol body conjoyned with Refrigeration and a certain pain arising from somthing that doth molest by a suddain and unlookt for twinging and pulling of the sensible parts throughout the whol Circumference of the body and likewise by Irritating and stirring up the expulsive faculty The Part affected is the whol body or at least the Muscles of the same whether they suffer together more inwardly or not There is no need of Signs the Refrigeration that happeneth herein either it is of the Skin alone by reason of a pain excited and stirred up by the acrimony and sharpness of an humor or else it is also of the Muscles whether it proceed from the Diffusion of the Humor or otherwise from the Inflamation of Bowels The CAUSE is somthing that is grievous and burthensom whether it be collected and contained in the very Muscles themselves or else be transmitted thither from some other place But now then the said matter is sharp corroding and biting much of it in quantity and such as is swiftly moved and carryed up and down from place to place And this happeneth most especially in Feavers The CURE is accomplished by the removal and taking away of the causes The Disease if it cease not upon the use of an Evacuation is very evil and dangerous and so likewise if it be attended and accompanied with a Consumption and wasting of the whol body It is cheifly and especially divided in a threefold manner I. One kind or species hereof is from things External as for instance a cold Air or an External heat diffusing and dissipating the Excrements that before were at rest and were quiet without any molestation sprinkling of cold water upon the body the falling of a spark of fire upon the skin c. The Cure here hath nothing in it worthy of Observation Another there is that proceedeth from Causes Internal to wit a Cholerick humor a salt Flegm Melancholy black choler and acrimonious sharp Vapor The Cure hath respect unto the several sorts of the Disease Al the kinds of them are somtimes to be Mitigated with the Oyl of Rue of Bay-berries of Castor and of the several sorts of Pepper together with Treacle and Mithridate II. Another is vehement with a continual feaver and then if it chance to be in the beginning it betokeneth an inflamation of some bowel but if in the end it sheweth either that the feaverish matter is moved out of the Veins or that the Inflamation tendeth to a Suppuration Another is but little and not much considerable being such as only giveth notice of Feavers to follow of which see further in these Chapters wherein they are particularly treated of III. Another is Periodical which afflicteth the party but now and then and by fitts at certain seasons And this is the best and the most hopeful species of this Disease if it happen to appear on the Critical day if upon its appearance the body waxeth hot or else that any Evacuation of excrements follow thereupon Another is Symptomatical when as the matter is thrust forth into the external parts and the Circumference of the body without any Crisis at al and this is that of which we are now speaking Article IV. Of Tremor or Trembling This Trembling is a depravation of the Voluntary motion by reason of the which the Member elevated and lift up cannot be kept in its own proper situation arising from the debility and weakness of the faculty of motion There is no need of SIGNS It Differeth from a Convulsion because in this latter the part is contracted and so kept from a Palsie because that in this the part is seldom or never lifted up or at least very slowly from a Palpitation in regard that in this not the whol Member but the flesh and especially the Skin is moved and the member unmoved one while falleth down and again another while is distended and stretched forth and lastly it differeth from the Rigor or stifness aforesaid in regard that it is without any pain The CAUSE is a weakness of the moving faculty which happeneth either by a default in the Animal spirits or the Nerves CURE there is none if it befal those persons that are in yeers by reason of the extream imbecillity and weakness of the spirits and the brain if it happen in a vehement Phrensie or Melancholy for then it is caused either by means of the exsiccation or overgreat drying of the Nerves by a Feaver or else by reason of a corrupt and depraved quality if it be hereditary or that it proceed from some fault and disorder in point of diet especially in such that have the Organs of the Animal faculty extreamly weakened if the sick person Shrink and Start when he is toucht in acute Feavers because that the Nerves are either exsiccated and over dried or else are pulled and twinged by some depraved and vitiated matter upon which there followeth a Convulsion The Cure is more facile and easie if it proceed from Causes that are evident It is doubtful and difficult if it happen on the lest side in regard that then the innat heat of that part is the more easily impaired and made to decay if it turn into a Convulsion because
then the peccant matter assumeth unto it self and worse and more offensive quality if it happen to be in a burning Feaver and that a doting follow thereupon for then some great and grievous Disease succeedeth and the strength and powers of the body are wasted and consumed if the sick party Shrink and Start when he â—s toucht for then the Nerves are become over moystened by the peccant Humor But when we set about the Cure and that there be any hopes of effecting it it is then to be instituted and prosecuted according to the Nature and disposition of the several Causes and differences touching which we purpose to speak further in the sequel The Differences are al of them taken from 〈◊〉 the Causes introducing the same I. One is from External Causes especially such as are Malignant and Narcotick as to instance Quick-Silver Poysons opiates Henbane the Retention of the Secundines or After-birth and the suppression of the blood after delivery al which are to be removed Another is from Causes Internal of which we shal speak more in the Second Difference II. Another is from the Scarcity and want of Spirits which either are not generated and bred in a due and fitting sufficiency by reason of a cold distemper of the brain and in this case in the Cure thereof the Nature of the Disease it self ought heedfully to be regarded or else after they are generated they come to be dissipated wasted and consumed by an excessive heat an over great Evacuation and some long continued tedious Diseases and here we are to deal and do our endeavour by prescribing a fit and convenient Diet. Another there is from some faults and faylings in the Nerves themselves which may be I. A Cold and moist Distemper of the brain and there are some signs present of a misaffected brain The Cure must turn towards and Eye the Distemper For those Remedies that are taken inwardly these following are cheifly commended VIZ. The Essence of Balm and stoechas of Arabia Among the Medicaments that are to be externally administred these are highly approved of to wit the Oyl of the flowers of Trifoyl or the three leaved Grass vulpinum or the oyl of a fox the oyl of pepper the Oyl of castor c. 2. A Plethory when some wonted Evacuation is suppressed then in this case let a Vein be opened 3. An Obstruction of those same Nerves such as we term partial ones or a stoppage of them but in part whether it proceed from thick and gross Humors or else from Gluttony and sur-charging the stomach and other such like Causes See further hereof in the subsequent Cure of the Palsie Article V. Of the Palsie The Palsie is a spautaneous and voluntary abolition of motion in the parts without any the least hurt of the Reason arising from a defect and want of the Animal spirits through some fault and errour in the Nerves There is here no need of SIGNS the motion for the most part perisheth the sense and feeling stil remayning there is likewise a kind of softness and tenderness in the part affected a coldness also a weak pulse c. The CAUSE is a defect and fayling of the Animal spirits which happeneth by some fault of the Nerves There is no CURE at al to be expected if it chance to be from an extream and forcible Relaxation or Loosing of the Vertebrae in regard that then the Nerves are greatly crushed together and very much bruised insomuch that an inflamation followeth thereupon if it proceed from an incision or cutting of some one of the greater Nerves or the the spinal Marrow because there is then no Hope of a Coalition or closing together again of the incision The Cure is likewise exceeding Difficult and hard to be effected if it happen unto aged people in regard that it denoteth an imbicillity of the heat if the member be extenuated and the natural vegetative heat thereof be changed and altered especially if the eye on that side be impaired because it argueth then that the heat is wel nigh extinguished if there be many of the nerves and muscles affected if it succeed and follow upon an Appoplexy in regard that then the cause is over vehement But the Cure is more easie if the resolution be in the thinges or feet because that in those parts the nature and constitution of the nerves is dryer than elsewhere if the member resolved and loosened be actually hot and lastly if a trembling or a feaver follow upon it It is to be instituted and ordayned according to the nature of the causes and the differences The differences of a palsy are very various I. One is Vniversal in the which either the whole body the head alone excepted is seized upon or at least the one halfe thereof or one side of it And then if the Face be affected the brain also together with the spinal marrow is affected But if al the parts beneath the face then the begining and first entrance into the spinal marrow which we cal the marrow of the back bone is very far amiss in its transverse situation but if the affect surprise only the one half of the body one side then only of the Said spinal marrow is likewise affected and becometh faulty Another is particular when alone some one certain part suffereth And then if the Arms and hands be deprived of their motion then the nerves that proceed forth from the vertebre of the hinder part of the neck offend and are faulty If the Feet then those nerves that are in the vertebrae of the Loyns and the Os sacrum or channel bone If the eyes then the second pair of nerves is affected If the Tongue then the seventh payr of the nerves is affected And lastly if the voice fail then those nerves that are called recurrentis they only are affected and do suffer II. Another difference there is arising from a distemper in the nerves themselves by reason of phlegmy and cold humors that relax or loosen and dissolve their tone and these for the most part descend from the head These humors may be known and more fully understood what they are out of the Chapter touching the distemper of the head The Cure is to be wrought 1. by a gentle evacuation and imploying of the first and most principal passages least that otherwise the preparatives draw the crude humors into the stomach and here vomiting procured and excited by the use of Crato his vomitary made of the Juyce of the reddish in the which black hellebor hath bin steeped and infused hath its place if the stomach be stuffed ful of flegm but then if the matter be in its flux and motion the evacuation ought to be so much the stronger 2. by a preparing of the matter more than once by Cephalick medicaments among which Iva Arthetica primrose flowers the Flowers of Lilies of the Vally are the best that are now adayes in use 3. by purging with mechoacan or the
Pils so much used by Solanander and Mathiolus 4. by exciting and provoking of sweats with the Hidrotick of Quercetan and the sudorifick of St. Ambrose unto which there must be added Guajacum china Treacle Bezoardicum Lunare together with other apropriate remedies al which are to be followed and attended with frictions of the neck or the spina dorsi with onions and the new fresh root of the flowerdeluce 5. by a particular evacuation of the brain by errhines Apophlegmatisms c. 6. by the application of Topical remedies where have their place frictions rubbings and chaifings with the water leaves infused in Malmesey Bathes with formicetes Rubifications or rubbing the part til it become red with green Nettels and other suchlike inunctions with the unguent of vipers the unguent likewise of the several sorts of pepper the Unguent of Castor the grease of the wild Cat mans fat c. Natural or Artificial hot baths touching which se further in Heurnius his method 7. by a diet that is hot and dry concerning which consult the Practitioners in Physick Another is from the straightness or narrowness of the Nerves which is caused 1. By an obstruction proceeding from a pituitous flegmy humor and other things that are subservient hereunto and conducing unto the purpose aforesaid Then the cure hath regard unto the Cause touching which we have spoken sufficiently above 2. a Constipation from some tumor or swelling that hath its first rise in the substance of the spinal marrow or of some nerve 3. Compression and that either from some external cause or else from a Tumor c. III. Another is from those Causes that dissolve or make a solution of unity in the nerves in the number of which there is 1. a Contusion fal or blow And then a vein is to be opened lest there should happen an afflux unto the contused or bruised part Astringents together with discussives are likewise to be applied and layed upon the part affected unless haply there be present an inflamation 2. a dissection and for this there is no remedy at al to be had 3. a relaxation or loosening of the vertebrae of the Back suddenly caused of the which sufficient hath been spoken in the second Book Another is from things narcotick as for examples a touching of the sea fish Torpido quick-silver and the immoderate unseasonable drinking of wine which rendereth the spirits extreamly stupid and dul and here in the cure whereof there ought to be a special regard had unto the nature and quallity of the Cause IIII. Another is Colical when a humor from the intestines is moved not so much unto the begining of the orifice or first enterance of the nerves as unto the very muscles and tendons The Cause hereof is a thin humor that is both chollerick and wheyish In the Cure we must deal cheifly and principaly by clisters that so the perverse motion of nature may be inverted A vein is to be opened if there be present a Plethory and orver great abundance of pure and good blood We ought then to purge with gentle purgers as we terme it by an Epicrasis or an often reiterated evacuation and drawing forth of the peccaut matter leisurely and by degrees some now some then and not al at once Let sudorificks then follow administred in primrose water and the water of Lilleyes of the vally The spirit of Niter is also of excellent use in this case Another is that which we terme Scorbutick touching which see more in the Scurvy Another is that we cal Hysterical of which also we may see more in its own proper place Article VI. Of a spasm or convulsion A Spasm is an involuntary perpetual and painful Retraction or drawing back of the Muscles towards the place of their original and first beginning arising from the abbreviation and shortening of the nervous or sinewy parts which is evermore attended and followed with a Rigor or Extream stifness and a depravation of the figure shape and symmetry of the foresaid parts The part affected is a Muscle and especially a Tendon The SIGNES are apparent of themselves the Muscles are in such manner drawn back that the parties are altogether immovable toward and unto the contrary The CAUSE is either a certain matter pulling and twinging the expulsive facculty of the parts or else some disease voilently stretching out the nervous parts and this sticketh fast either in the beginning and sourse of the nerves to wit the Brain or in the Spinal marrow of else in some one peculiar nerve There is hardly any CURE to be had or hoped for if it be from hellebore if it arise and appear after a Phrensy if it proceed from a wound especially in the brain by reason of a filthy stinking and corrupt matter pulling and twinging the nerves The Cure is very difficult although not altogether without hopes if those parts that are situate neer unto the brain be affected and suffer if it happen primarily by the consent of some nerve in regard that then the sick person cannot possibly hold out and endure by reason of the vehemency of the Symptoms if it arise from an abundant flux of blood if it follow upon the monthly Courses in women if it attend and follow upon feavers or if it chance to be accompanyed with vehement and accute pains about the bowels or intrals It is more easie if those parts only are surprized and siezed upon that are more remote from the brain and consequently the less noble and considerable if it be by the consent of the Brain unless the affect that the brain lyeth and laboureth under be pertinatious obstinate and unyielding The Cure ought therefore to be Instituted according to the Nature and disposition of the Causes of which more fully in the Differences The Differences of a Spasm are very many and Various I. One is Vniversal which affecteth the whol body The Cause whereof either It is in the Brain and then together with the body the Muscles likewise of the Face are also drawn and pulled together and suffer a Convulsion or else it is in the Original and beginning of the Spinal Marrow from whence it happeneth that the Muscles that move the Head and the spinal Marrow are retracted and drawn back And then either the body with the Neck and Head is drawn to the inner parts from whence ariseth that we term Emprosthotonos or else the twelve Mulcles that extend the Head being affected the aforesaid parts are drawn backward from whence is that we cal Opisthotonos or otherwise the Muscles and Nerves as wel the anterior as the posterior being al of them affected the whol body remayneth altogether inflexible and unmoveable from whence ariseth that we cal Tetanos with the which whosoever are affected either they die within four daies or else if they pass and out-live these they then escape and recover Another is Particular of the Eye Mouth c. Of which we shal see further in the proper place
II. Another is from Replexion which dilateth the breadth of the Nerves and diminisheth the Longitude thereof It is known by the foregoing of the Causes a sudden invasion and surprisal without any evident and manifest Cause and exhasting together with a Flegmatick habit and temperament It ariseth I. From the Afflux of a Pituitous and Flegmatick humor into the Nerves according to their Tunicles or little Cotes and as they are essential constituting parts of the Muscles and instruments of the motive operaation Then there went before it such a like kind of Diet and the monthly Courses Hemorrhoides or other wonted Evacuations are suppressed In the Cure 1. We must attenuate and Cut the peccant matter by a timely administring of a Clyster In the next place those things that are highly commended and approved of are the Treacle of Andramachus the Water or the spirit of Juniper and the Balsam of Quercetan 2. We ought to Evacuate oftentimes with the milder and gentler sort of Medicaments the stronger sort of them pour out and quite expel the matter 3. A Revulsion must be made by frictions Gargarisms Cupping-Glasses c. 4. A Discussion of the offending matter must be wrought with the Oyl of Castor of Euphorbium Turpentine distilled the Oyl of Nutmeggs and the Hot Baths of Sulphur 5. In the Diet that is used there must be no kind of Wine drunk II. It proceedeth from an Inflamation of the Nervous parts and then there is present a Plethory a fal or a blow or something else that was violent long continued and acute pains in the Nervous parts vehement anger and passions of the mind c. had their precedence The afflux of blood hotter than ordinary is in great part the Cause hereof The Cure is to be directed and to look towards the Inflamation III. From extream windinesses and then the Causes thereof went before and it soon passeth away is gone To Discuss Vervein and Mother-wort imposed upon the Neck are very available 4. It happeneth from the wounding or pricking of a Nerve whether the said wound and hurt be simple or poysonous but of this kind of spasm we have treated before in the second Book Another is from Inanition or extream emptiness in which the Nerves are rendered and made shorter by reason of the exsiccation and sudden drying up of the Native Rudical Humidity It is known from hence that it maketh its approach sensibly and by degrees with a diminution of the member It ariseth from Causes that do either excessively evacuate such as are frequent and much bleeding at the Nose sweats and purgations with Hellebore or else they vehemently heat and dry up the radical Moysture and such are Inflamations watchings hard labor and over working the drinking of much wine immoderate and excessive venery a long lasting pain the Hectick Feaver and lastly Cauteries or Vesicatories over frequently applied unto the Nervous parts It is to be Cured 1. By a moystening Diet. 2. By Medicaments that are Analeptical or restorative and moystening and such are the unguents de Ansere Cata assatis that is to say of a Goose and a Cattrosted and baths made of Oyl the fattening water of Ferdinand in his third Book and the Chapter touching an Hectick Feaver made of swines Blood Morsels of the Flesh of the Tortoise or of Craw-fish The Magisterial of Hyacinth is specifical Another is that we cal Phusodes which hath its original from a gross and thick spirit or Vapor excited by Crudities that filleth out the spaces of the Muscles and distendeth them with a grievons pain It endureth so long as until the Muscle be relaxed it is quite removed and taken away by frictions and rubbing and chasing of the parts affected or else by annoynting it with Treacle or Juniper water Another is Illegitimate as we term it which proceedeth from the exstimulation goading as I may so say and pricking forward of the Nervous parts by some painful affect but yet without a perpetual extension and stretching forth of the said parts for the most part it happeneth by consent of the Orifice of the Stomach or of the Womb. The aforesaid grievous and painful affect is either from some distemper or else from the solution of continuity Chap 7. Of those Symptomes that hurt the Internal senses the Reason and Motion together with the External Senses Article I. Of Incubus or the Night-Hag and Catalepsis THe Symptoms that hurt the Internal senses the Reason and motion together with the senses External are Incubus or the Night-Mare as we usually term it Catalepsis we commonly cal it a Taking the Epilepsie or falling sickness Carus and the Apoplexy Incubus the Night-haggs is an interception of the motion especially that of breathing and the Voice with a false and Erroneous dream of some heavy and weighty thing lying along upon the Breast and thereby causing a suffocation as it were and choaking of the Party by means of the impeding and hindering the free penetration of the spirit the Passages being obstructed and stopt unto the Nerves The part affected is the Brain espeacially in the hinder part thereof by which the passage reacheth and attaineth unto the beginning of the spinal Marrow The Diaphragm is likewise compressed and kept down The SIGNS are a heaviness and immovableness of the body and cheifly the Chest or Breast a slow and dul sense and imagination and conceit of a suffocation especially in the first beginning of sleep the party lying upon the back and as it were an oppression and keeping down by somwhat lying heavy upon it insomuch that the Patient can by no means distinctly cal and cry out but only make a confused and unintelligible Noise The alone interception of breathing and the voice is brought and offered unto the imagination in regard that the motion of the breast alone is mainly and principally necessary in the time of sleep The CAUSE is an interception of the Animal spirits arising from a light Obstruction of the Ventricles of the brain and more especially of the beginning of the spinal Marrow That that Causeth this obstruction is a Gross and thick Vapor that is oftentimes cold yea even Narcotick and hence it cometh to pass that the party thus affected is so hardly awakened That which proceedeth from a gross and thick Flegm or from a Melancholy Humor sticking fast in the Hypochondria and neer about the Precordia this in these persons from Gluttony furfetting and drunkenness the stomach being thereby sur-charged from Crudities or other such like Causes being swoln and puffed up and then moved exhaleth and compresseth the Diaphragm and the Lungs rusheth violently into the beginning and enterance of the Nerves and so creeping as it were and insinuating it self into the very seat of the Imagination there intermingleth it self with the spirits The CURE is the less to be hoped for if from an internal cause it fieze upon those that are wel in yeers if it be of long continuance and
bloud and the sick persons see as through smoak It ariseth either from the incautelons and careless Application of Cold Remedies and this especially after an Ophthalmy or else from Gross and thick humors that insinuate themselves In the Cure there is to be commended the Juyce of Salendine pressed forth and instilled into the Eyes drop by drop II. Nebula or the little cloud as the Color of the Tunicle Cornea altered and changed by a subtile Humor flowing forth That which is prevalent in this case is the powder of Margarites prepared in the water of Roses and Fenel and the Cataplasm of Platerus in his second Book and 19. Observation III. Albugo or as they cal it Lencoma is a white spot rendering the Cornea tunicle so thick that there is denied al manner of passage unto the visibl species It ariseth either from a Cicatrix or scar after a wound or an ulcer and then the Cure is difficult in those that are ancient but more easy in children and young people It is performed 1. By the appliing of emmollents or mollifiers 2. By abstersion where the watter of Rosemary flowers dropped into the eyes and the fat of the fish Mustela have their place and use Or else it procedeth from flegm gathered together betwixt its lapps and then the Cure is easy And to this end the purpose excellent good is the colyry that it prepared of Lapis Calaminaris thrice burnt and twice extingwished in wine vinegar one scruple hereof Myrrh lead burnt and washed of each half ascruple of Oriental Saffron five grains opium eleven grains of burnt brass four scruples the decoction af fenugreek one ounce al these throughly beaten together and incorporated upon a marble stone or Porphyry Article II. Of the Pustules and Vlcers of the tunicle Cornea Pustuls are little risings that are common to the Adnata and Cornea tunicles They are known by the very sight in magnitude equalling the grain or seed of a millet of a black color of an exact roundness and in that they exhibet not a white circle in the bottom by these they are distinguished from the falling forth of the Vvea the fourth Membrane or thin Skin of the Eye They arise from a Humor that is sharp and serous or Wheyish lifting up the tunicles They are Cured the more easily if they be in the Adnata Tunicle but with more Difficulty if they be nigh unto the Pupilla or Bal of the Eye and not at al by any means possible if the Cornea be broken into the internal part They are divided in a twofold manner Like as the Ophthalmy I. Some are with an inflamation which are Cured like as other inflamations Saccharum Saturni or the Sugar of Saturn with the water of Eye bright is here of al Remedies the best and cheifest Others from a waterish Humor which require Exsiccating and drying Remedies as for instance Tutia Lapis Calaminaris c. II. Others are Superficial called Epicaumata which appear in a darker color Others more deep under the second or the third film called Encaumata which by reason of the whitness of the Cornea Tunicle seem to be the whiter and are therefore dangerous because they can and often do eat through the whol Cornea Tunicle II. The Vlcers of the Cornea Tunicle arise somtimes from External and somtimes from things Internal or that flow in or that are heaped up together And they have various and different names given them by which they are sufficiently known and distinguished according to the variety of Circumstances That is called Bothrion that is hollow narrow and hard Roiloma that which is broader but not so deep Argemon that that arising in the External party colored circle of the Eye and being of somwhat a Red color round about the external part of this circle that is particoloured but white about the internal part thereof Comprehendeth likewise within it al things that surround and encompass it As touching the Cure it is to be wel observed that Medicaments are to be applied and put to the Forehead and also unto the Temples that so the influx may be impeded and that the said Medicaments ought to be gentle and temperate The Ophthalmick Water of Mynsichtus is here by some exceedingly extolled Article III. Of the Wounds of the Cornea Tunicle and the pain of the Eyes The Wounds of the Cornea in general require 1. Evacuation and that more especially by Venesection 2. Revulsion that so the inflamation may be prevented and hindered and the pain mitigated by Cataplasms imposed upon the Eye-Lids alone that so both the Eye and the Eye-Lids may be opened 3. By Consolidation And for this purpose there is very much commended that part of the white of an Egg which the Germans cal das Tuchen and the Italians Galatura wel beaten together as also the Red Oyl of Saturn If we consider the Differences 1. Somtimes the Cornea alone is wounded but then again somtimes together with it the Eye-Lids likewise where care must be taken that they be not glewed together with the Eye 2. Somtimes the wounds do not penetrate so deep Somtimes the Cornea is broken and then there flows forth a Watery Humor which likewise happeneth in Ulcers And then if the wound be Narrow it hath in it the less danger but if the Vvea Viz. The fourth Membrane or thin Skin of the Eye fall forth it is altogether incurable The Cure is one and the same with that of a wound and Ulcer of the Eyes II. The pain of the Eyes chanceth unto and befalleth the Eyes cheifly and especially by Reason of the External Tunicles It is known by the Relation of the sick party It ariseth from Causes that Excite and hasten the Solution of Unity It is Cured by taking away the Causes It is Mitigated by the Whites of Eggs the Pap of a rosted Apple with Sugar Camphire Saffron Rose-water and the Brest-Milk of a Woman We must here beware that we preseribe not the use of any Opiates whatsoever Chap. 6. Of the Diseases of the Uvea Article I. Of the falling forth of the Uvea and the Dilatation Widness and Narrowness of the Pupilla Viz. The Bal or Apple of the Eye THe Diseases of the Vvea one of the Tunicles in the Eye are the falling forth of the said Vvea the Dilatation of the Pupilla the Narrowing and contracting of the same as also the Suffusion thereof I. The Vvea falleth forth when the Vnity of the Cornea is Dissolved either by wounds or by Ulcers It is known and discerned from Pushes from hence that the part that falleth forth is either black or Skie-colored and in the bottom of it exhibiteth a white Incle which is from the Lips of the Cornea eaten through and the Pupilla or Eye-bal appeareth as if puld asunder in some one certain part thereof It is Cured by Medicaments that are Astringent without any asperity and if it be not removed by these then it is requisite that we make use
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
usually to be seen in infants and in this case Vizards or Masks are to be put upon the Face having in them a place and holes made fit for the Eyes to look forth at that so by them the visive raies may be sent forth Or else from a Convulsion or Resolution of the Muscles and then some Disease went not long before IV. The Weakness of the sight and Blindness they differ at leastwise in the greatness of the Causes It ariseth either from the fault of the Brain that maketh and yieldeth not a sufficient supply of the Animal spirits from whence likewise the rest of the senses are most commonly affected or else from some thing amiss in the Animal spirits themselves which ought to be bright and shining thin and good store of them And these are to be corroborated with those Medicaments usually termed Oxydorcicks among which there are the water of Rosemary with Sal Gem the water of the distillation of Junipers Nutmeg Myrobalans those of them called Chebulae c. or else from some default in the Optick nerves which are either too much straigtened and Narrow from whence proceedeth that we term Gutta Serena in the which there is not any thing at al to be taken notice of as amiss in the Eyes unless it be that the Pupilla appeareth blacker and larger or else they are broken or writhed together Or else lastly from some fault in the Humors and Tunicles of which enough hath been spoken in what went before Title IV. Of the Diseases of the Ears HItherto hath been spoken of the Diseases and things amiss in the Eyes in the next place the Diseases of the Ears are an Inflamation an Vlcer and Worms I. An Inflamation or Tumor is known from the most vehement beating pain in the part affected and by a redness of color extending it self even as far as the Cheeks and the Temples there accrew likewise and Joyn herewith a Feaver dotings and somtimes also Convulsion fits It ariseth from Blood that is thin and Cholerick fallen forth of the smal Veins of the Brain into the Membranes of the Ear. The Cure is doubtful by Reason of the greatness and intensiveness of the Symptoms and especially in such as are young which yet notwithstanding if they live beyond the seventh day are wont to escape it And likewise in Infants and little Children which by reason of the quickness of their sense are the less able to sustein and undergo the sharpness of the pain It is accomplished like as in the Cure of other inflamations only by the way let these things be wel observed 1. That the Cephalick Vein is to be opened for Revulsions sake 2. That we must not easily be drawn to make use of Repellers but if at any time we do chance to make use of them they are then to be mingled with those things that moderate and asswage pain such as are Womens Breast-milk and other the like 3. That in furthering and promoting of the Suppuration there ought to be provided a ready and expedite Composition of Figs boyled in Milk and wel mashed and beaten together with Hogs Grease 4. That for the Rupture we must administer as that that in this is much approved of the Juyce of a smal Frog with a fourth part of the Breast-Milk of a Woman Leeches are here succesfully to be placed and applied behind the Ears It is divided into an Inflamation profound and deep in which by Reason of the Compression of the greater Arteries the beating is so much the greater and the pain because of the neer neighboured of the Brain the more Vehement and which by Reason that Nerve called Auditorius is affected hath very much danger in it and that which is less Profound and deep which is in al Particulars apposite to the former II. An Vlcer which is known by the filth and corrupt matter and also the blood that issueth forth It ariseth from those things that either pour forth Pus or matter or else such as by their acrimony and tartness are of a Corroding Nature It is Cured like as other Ulcers It is te be washed with warm Wine in which Roses and Ivy Leaves have been boyled It is to be wel and throughly clensed either with Wine wherein betony hath been made scalding hot or else with honeyed Water in which the Root of white Hellebor hath been sodden or at least hath lain until the said water be seething hot It is divided sundry waies 1. One is from an impostum broken after the Inflamation Another is from biting and corroding Humors that by their acrimony exulcerate the Ear. Another from the filth and impurities of the Ears over long kept in and deteined Another from some sharp and tart liquor from without slipt into the Ear and which thereby gnawing and eating causeth an Ulcer in the Cure whereof we are to have respect unto their proper Causes 2. Another is Recent and but new begun in which the pain of the Head and the preturbation of the senses ceasing at and after the flowing forth of the rotten filth and Corruption there is then some good Hope of a Cure appearing forth Another is inveterate and such as very easily degenerateth into a Fistula and contracteth a kind of Scurf and crustiness III. Another is Fistulous which is to be known by the oldness and long continuance of the Ulcer the Virulency of the filth and the Callosity or hard insensible thickness of the Flesh for which the Wine wherein Frankincense or white Hellebor have been boyled is exceeding good and applyable Another not so as the former IV. Somtimes a stinking filth floweth forth at the Ears upon the breaking of an impostumation in the brain and then there first of al issueth out great store of the said filth but then afterward it is sent forth by some and some at a time until that at length al of it be consumed and wasted and there went likewise before signs of the Inflamation of the Brain and hereunto the Care ought to look as mainly respecting it Somtimes again without any Apostem there is sent forth a certain filth that is generated and bred in its Veins and then after it hath been once exhausted it is again and again heaped up as before and here head purgations are exceeding profitable and useful The Vrin of an Ass or of a young Child in which the shavings of the wood Guaiacum have laien a good while soaking doth much good if conveyed thereinto V. Somtimes the flowing of the said filth being ceased al the pain is vanished and gone Somtimes again there being some certain filth and clods as it were of Corrupt blood left deep in the bottom of the Ear the pain stil remaineth then we ought throughly to cleanse the impure place with honyed water together with the Gal of a Bul the Oyl of bitter Almonds Vinegar wel warmed with the best Honey c. And this especially in â—ase there be Clods of blood III.
compounded and made of Crocus Martis beaten into a most smal pouder and Crâ—cus Veneris of each two ounces these wel mingled together with the oyl commonly known by the name of Oleum Vici Pomarum Symplicium the water of the sperm of Frogs with a little Champhyre and sugar of Saturn put round about the neck Argilla furnaceâ— that is to say Clay baked in an Oven and wel mingled together with strong vinegar like unto a pultise and applied after the same manner Asses dung or swines dung dissolved in Rose vinegar and then put up into the nostrils the shavings or Fragments of Fungus Betulinus the mushrom or toad stool of the Beech tree the Root of white Succory dig'd up about St. James tide at noon day when the sun is at ful south and chawed betwixt the teeth As for the Magnetical Curing hereof by Vitriol see further in Beccerus in his Medicus Mycrocosmus in the Chap. of the blood c. The Hemorrhage is divided in a threefold manner from the Causes from the blood and from the places from whence the said proceedeth I. One is from that we cal Anastomosis or an opening of the orifices of the veins which either is caused by the abundance of blood and then the face is red the veins strut and are distended and a ful feeding went before and here venesection hath its place the head is by no means to be washed or so much as wet with cold water lest that the blood being there deteined something that is worse follow upon it neither is there any linen cloth to be wet in cold water and at the first begining of it to be cast about the neck lest that the ways and pasges between the brain and the heart should by this means be shut up or else it is caused by the acrimony of the blood and the thinness thereof and then there ready at hand signs of a Cacochymy and in this case we are to do the work with those things that incrassate and thicken as Bole armonick Dragons blood in the shops termed Sanguis draconis and such like Orelse it is caused by the irritation of the facculty and then the very same things as before are present and ready at hand or else by the weakness of the said faculty and then there is blood issuing forth by intervals but it is not much and some disease weakening the liver went before and therfore the Cure ought likwise to be prosecuted with special regard had unto the same Another is from a diairesis as we term it or a division of the veins by some sharp corroding humor and like by other means and then the blood issueth forth in a far greater abundance or there went before some violent Cause or else lastly there are present certain signs of a Cholerick Cacochymy Another is from that we cal diapedesis or as we may to term it a passing through by leaping and then the blood that issueth forth is but very little c. See more hereof in the first Book II. One is of the Arterial blood which is hot somwhat red subtile leaping forth with a froth and with violence Another is of the vein blood and this is Thicker and Blacker III. One is of blood issuing and passing forth out of the veins of the Brain and then there went before a pain of the head and the flux is not easily stanched Another is of the same blood leaping or starting out of the nostril veins and then the contrary of what was said touching the former happeneth and appeareth Chap. 3. Of the Hindering and Hurting of the Smel Gravedo or Stuffing and Sternutition Or Sneezing THe principal burt of the sence of smelling is the abolition or the diminution thereof which differ only in degrees and in the greatness of their Causes And this is caused 1. Either from a distemper of the brain which either possesseth the fore part thereof and then the Tast likewise by reason of the branches of the third pair of nerves of the brain Forming the tongue is abolished the voice is loud and shril and no way to be found fault with the Cure here is to have an especial regard unto the distemper or else it possesseth and resideth in the process of those nerves that constitute and frame the organ of the smelling and then there is no hurt at al to be perceived in the brain or in the other senses Or else it is caused by the narrowness and streightness and that too either of the Brain and then there is present and sensibly to be felt a heaviness in the head and here we may operate by errhines and yet not toomany of them neither and here likewise sternutatories are exceeding useful and profitable or otherwise of the Processes of the brain or of the nose within and the Ethmoid Bone and then the voice and respiration are vitiated and the wonted excrements restrained and kept in The smelling is somtimes totally abolished if the Phlegm by heat be baked and hardened at the holes and enterances of the aforesaid bone which chanceth unto such as being troubled with the pose or distillation called coriza heedlesly and without any consideration go into baths In these cases that that cheifly deserveth commendation is the Root of Gentian fitly put up into the â—osâ—ils Castoreum wel soaked in vinegar and afterwards sweetned the Oyl of Nightshade the Errhin of Zacutus in his seventh Book 15. Chap. P. 517. c. touching which we have before spoken in the Chapter of Cactarrhs II. Gravedo or Coryza is a defluxion of the Excrements of the Brain being crude and thin like water unto the nostrils which is accompanied and attended with a frequent sternutation or sneezing This Malady is wel enough known and by it self discovered It ariseth from the distemper of the brain either hot or cold concerning which enough above III. Sternutation is a violent and involuntary expulsion by the nostrills of the flatulent windy spirits and sharp vapours offending the Brain It is done with a Loude voice as wel because the Windy spirit breaketh forth altogether at once as by reason that it forceth its passage through the streight narrow holes of the nostrils It ariseth either from external causes and then the nostrils are to be supled and gently stroked with the oyl of roses or milk or else from internal humors and vapours brought thither touching which see further in their proper Chapters but is wont for the most part and too commonly to be neglected by the Physitians unless in Plethorical bodies it happen to be accompanied with a distillation in the very first beginning of the disease The little veins in the greater angle of the eyes and that is nighest unto the nostrils being forcibly pressed together do forthwith stay and stop the frequency thereof Title VII Of the diseases of the Tongue and the Symptoms thereof THe Affects of the Tongue are a Tumor or swelling Ranula a blackness a Palsy a stammering an Aphony
Arteria They infest wanton lustful Women from the dryness of their Womb by Reason of the common Tunicle and they produce Clefts without any heat at al or itching or much hardness neither are they very deep or frequent In the Cure regard must be had unto the parts transmitting In al of them the Lip is to be turned inward and then the mastication or chewing of Mastick being premised it is to be moistened with the Tongue II. Touching the Vlcers of the Lips these things are wel to be noted I. That al of them do proceed from Humors that are sharp Cholerick and Serous or Wheyish either from adustion and putridness or else from their admixture II. That somtimes they are covered over with a cruftiness and somtimes running III. That somtimes they are Critically thrust forth in Malignant and likewise in other Feavers and these are easily Cured of themselves and they design the end of the Feaver if they be together with the Natural strength and Vigor much impayred they then threaten death and somtimes they are thrust forth Symptomatically and that either by Reason of a Contusion of the Lip or by reason of Poysons or by Reason of Humors as in the French Pox. In the Cure Medicaments are most fitly and best of al administred about the time of the Patients sleeping Al sharp meats ought carefully to be avoyded III. The Trembling of the Lips proceedeth either from External Causes to wit 1. Cold with a gracing of the Teeth 2. Wrath or Fear the spirits being thereby either dissipated or made to retire into the more inward parts Or else from an Internal Cause as from the weakenning of the Nerves in some extraordinary great affect of the brain in the Nauseousness of the Stomach and propension to vomit from a sharp Humor pulling and twinging or else from the agitation and disturbance of the Stomach by the consent and agreement of the Membrains thereof in case of Worms The Cure must be ordered according to the Causes IV. The Perversion of the Lips proceedeth from the affect of the Nerves of the third pair there being then a Convulsion of the Muscles and this either of it self from dryness or else from the Event or when the neer allyed and conjoyned Muscles that together and at once lift up or press down some one of the Members are drawn together and suffer a Convulsion or else when the Muscles Antagonistae are resolved It is deadly the strength and powers of the body being extreamly weakned in Continual Feavers and when there is a peculiar defect of the Organs It is voyd of al danger if the powers of the body be strong and vigorous the actions thereof constant and Uniform and when the Metastasis as they tearm it or transferring of the Critical Matter unto the Head be accomplished Title IX Of the Diseases and Symptomes of the Face Chap. 1. Of the Opening of the Mouth Gaping and Yawning THere belong unto the Affects of the Face the opening of the Mouth Gaping Yawning the Writhing thereof and that we cal the Ptyalism or frequent spitting I. The Opening of the Mouth is when that bone that by Nature ought to have been shut is yet not shut This cometh to pass I. When the lower Jaw-bone Joyneth and groweth unto the Head which very rarely happeneth II. When tumors arise neer about the Conjuncture of the Jaw bones in the inflamations of the Jaws and the Tensils III. When the Roof of the Mouth in the which the Cheek is turned and moved waxeth stiff and the Mouth becometh so close shut together that even in windy ructures or belchings it cannot be widened and enlarged there being gotten in and deeply inserted into that Juncture and the bonds thereof a most filthy and nasty humor IV. When the Neck is distended by Reason of a wound in the Nerves because that then the Jaws wax stiff like unto the bones II. The Gaping of the Mouth is then when the Mâ—â—th that by Nature one Lip falling doâ—â— and resting upon the other ought to have been shut Gapeth If ariseth 1. From an il Custom 2. From the Relaxation of the Nether Jaw-bone 3. From the Obstruction of the Nostrils that so more store of Air may be attracted 4. From the ascending up of extream hot Vapors in Feavers and then if there be pains of the Jaws without any swelling that albeit they be but smal yet seem as though they would suffocate and strangle the party then the mindes disturbance and alienation is portended and threatened 5. From the Hurting of the Memory in the Lethargy III. Oscitation or Yawning is a vehement distention of the Mouth by Halituous and windy Vapors gathered together in the spaces of the Muscles of the nether Jaw-bone and of the Cheeks and Exstimulating or provoking the Excretive faculty to do its office by Excretion Touching the Signs we need take no great pains to find them out but indeed in regard that the Passage of the Ear at that time doth not sufficiently admit of and give a meet entrance unto the Air and likewise that the Auditory Nerve is compressed it hath therefore Joyned with it an hardness or thickness of hearing The Cause is expressed in the Definition The Cure is scarcely to be Hoped for or expected if it happen in Child-bearing It is somwhat Doubtful if it Relax and loosen the lower Jaw-bone But otherwise if it happen without a more frequent occasion if the matter being widened the Air be abundantly and greedily drawn in and then instantly excluded and thrust forth again with a loud noise it presageth Diseases and it is in very deed the Preludium of Feavers by Reason of the ascent of Vapors from the matter collected together in the lower parts and there puttefying It is to be effected and wrought I. By excluding the matter that fomenteth and supplieth the Vapors II. By the Discussion or Revulsion of the Vapors themselves Chap. 2. Of the Writhing of the Mouth THe Writhing of the Mouth is a distention thereof proceeding from this to wit when either the Muscles of the Face or the Nerves of the third and fifth Conjugation or those that descend from the first and principal Vertebrae of the Neck The SIGNS are that one of the Eyes can never be rightly shut and that the Patient being bid to spit forth doth it on the one side only and if there were no other signes yet this there wil be that the Party being commanded to laugh or to pronounce the letter O can by no means stir or move one side of the Mouth The CAUSE is expressed in the defini-nition The CURE is so much the easier if this unseemly affect hath no consent or agreement with any other part of the body But more difficult if it be lengthened out and protracted beyond the sixth month How the cure is to be performed shal be further shown in the differences Now it is divided in a two-fould manner according to the nature and condition of the
the progress with discussion but by Discussion alone and Maturation if they incline and tend toward a suppuration and here Milk boyled or the Decoction of Raisons of the Sun is to be made use of and it is known to be of singular benefit They are divided after a various and Different manner I. Some of them are from an External Cause to wit an anoynting with Quick Silver Meats of a sharp quality corrupted in the Stomach the eating of Mushroms or Toadstools and the Retention of the Menstrua or monthly Courses c. Others from Internal Causes to wit 1. Ill Humors either generated and bred there or else transmitted thither from some other place and then they resemble in color those Humors they proceed from Those that take their original from Flegm are perceived to be less hot than the rest Those from Choler for the most part are inflamed Those in little Children if they be black and have a kind of crustiness over them are pernitious destructive and deadly These require Universal Remedies 2. Vapours that are sent forth either from the whol body or else from part thereof only and that more especially an over hot liver They easily by their Acrimony offend and hurt the uppermost parts of the Mouth by Reason of their softness and tenderness and in feavers they very frequently produce such a like Disease II. Some are Recent and new which are the more easily Cured and healed others old and Inveterate and these not without much difficulty and this as wel by Reason of the quick sense and apprehensiveness of the part which is further Irritated by sharp and piercing Medicaments as that the Medicaments are diluted and vitiated by the Spittle and lastly as by Reason of the speedy hastening of the Malady being in a place hot and moist unto a Rotteness and Putrefaction III. Some of them are Sordid and foul which may be washed with Sugared Water wel mingled with the Oyl of Vitriol Others leaving behind them their Sordid and filthy Vlcers and then the Green water of Platerus is fitly and properly to be administred and this is to be followed by the washing of the Mouth with Plantane Water IV. Some of them do only infest and annoy the uppermost Skin and from thence by degrees creep along into the gums pallat the sides and Root of the Tongue Others Penetrate and pierce more deeply and eat quite through the Palate and the flesh of the Tongue especially in infants in regard they have the softer and more tender bodies There is here to be commended the Decoction of Savory and Betony in Wine if the Mouth be throughly washed therewith as also the Water of Nuts destilled with Vinegar and a Spunge therein dipt and so applied V. Some are in Children which most usually proceed from the Breast-Milk when it is hot sharp and Salt and these are to be Cured with the Syrup of Mulberries together with Honey of Roses or Oxymel or honyed Vinegar Others in such as are Older and grown up to their perfect state and these require and cal for Universals Chap. 2. Of the Stinking of the Mouth THe Faetor or Stinking of the Mouth is the offensive Vnsavoriness of the Breathing proceeding and arising from a stinking Vapor passing out of the Mouth There is no need of Signs The Cheife and neerest Cause is a Vapor which proceedeth I. From Meats either stinking and unsavory in their own Nature as Garlike Onyons c. And the stink soon and of its own accord vanisheth or else such as are corrupted in the Stomack or the void places betwixt the Teeth II. From the Excrements of the intestines when the inferior Orifice of the Stomach by which it openeth it self into the Intestines is not closely shut which befalleth common drunkards and then in this case Cloves Nut-Meg Zedoary the Roots of the French flower-de-luce Rinds of Citron c. Are to be held and kept in the Mouth III. From stinking Humors either in the Stomach and then they are best of al Evacuated by Aloetick Remedies or else in the strainer bone if at any time corrupted or else in an Ulcer and wound of the Lungs the Gums or the intestines IV. From Worms having their residence in the Intestines c. Title XI Of the Diseases and Symptoms of the Teeth Chap. 1. Of the Diseases of the Teeth Article I. Of the Corrosion of the Teeth THe Diseases of the Teeth are Corrosion and Mobility The Corrosion of the Teeth is a diminution of their magnitude from Causes that Eat through them so that they are broken fal forth by piece-meal the said diminution or corrosion now and then producing Fistulaes The SIGNS are easily discovered both by the touch and by the sight thereof and for the most part those that have such Teeth when they are fasting send forth a stinking and Unsavoury breath or Vapor The CAUSES of Corrosion are either External Womens Fucusses or Face paintings made of Hydrarge c. Al sweet meats more especially Sugar as Experience testifieth food taken in too hot or else meats that are overcold taken in immediatly or in a very short while after the hot Food Or else they are Internal to wit 1. Sharp Humors which for the most part run down from out of the Head and then in the Cure we ought so to proceed that in the first place the Flux be stopt 2. That the putrid humidity be quite taken away by the Decoction of the Roots of Capars Bay Berries Gallia Moschata together with mastick put into the hollow Tooth 3. Corruption must be carefully prevented by cleansing of the Teeth with a Pen-knife from meats that stick betwixt them and likewise by washing of the Mouth with Wine And here are commended the Odontalgick Remedy of Crollius one grain thereof wrapt up in Cotton and so put upon the Tooth the little round Bals of Trallianus formed and made of Thebane Opium one scruple Mirrb Styrax Calamite of each a dram white Pepper Saffron Galbanum of each one scruple and so made up with Honey of Squils and then thrust into the Tooth II. Worms which are to be drawn forth by those little Pellets that are formed of the Henbane seed the Onion and Garlick with a sufficient quantity of Goats sewet and so imposed upon the Hollowness of the Teeth Touching the Fistula's of the Teeth these two things are to be noted I. That they destil almost insensibly and by little and little a Corrupt Humor and a kind of Rotten Filth which Somtimes floweth into the Mouth with a stinking Savor Somtimes it is leisurely derived and drawn forth unto the external parts along by the Roots of the Teeth and the passage holes of the Jaw-bone through which the Vessels glide down and slip into the said Jaws and so this Humor exciteh certain little risings and swellings in the Cheek or in the Chin and Somtimes the Ulcer remaineth ever more open II. That it is hardly ever to be Cured unless that the
Tooth be wholly pulled out by the Roots in regard that their little risings albeit they may be broken they wil yet grow up again a new so that the Ulcers cannot by any means be shut But now that the tooth may the better be drawn forth it may be wel rubbed with the Fat of Green Frogs living in trees or else those same little pellets formed of the Juyce of Tithimal or Milk-Thistle and Ammoniacum may fitly be put into the cavity or hollow thereof or else it may be anoynted with the dissolved unguent of Gum Ammoniack and the seed of henbain But here observe 1. That the neere neighbouring teeth ought to be wel guarded and fenced lest that otherwise they be touched by the aforesaid medicament 2. That the mouth is to be kept open that so the Spittle may the better flow forth 3. That nothing is to be swallowed down Article II. Of the Loosness or Movableness of the Teeth The Mobillity of the Teeth is the weak and infirm standing of them proceeding from the proper Causes thereof upon which said vacillation or infirmness the falling forth of them doth oftentimes ensue The Teeth are the Subject but especially those that we cal Insicorii or the Cutters which are fastned with one root only The tooth it self if touched wil furnish us with a SIGNE The CAUSES are either External or internal External to wit a blow or a fal and then we are to deal by astringent medicaments but cheifly with the remedy that is compounded of Acorus one dram burnt Alum Gals the Juice of Aaccia of each half a dram red rose leaves half a handful decocted with a pint of red wine until it be fallen a thumbs breadth in the boyling and then strained with which the teeth ought dayly to be washed The internal are I. an il depraved Juyce corroding and eating through the gums or the roots of the teeth and then sharp distillations had their precedence and the teeth their pain in this case the pouder that is made of red coral prepared and mastick is very available if this happen in the venerial disease for the Cure we must have reccurse unto the said disease II. Overmuch humidity loosening the roots of the teeth and then the mouth aboundeth with spittle and the gums are soft In the Cure we are to make use of astringents of the decoction of Sea-fern Capars Mirtle leaves with the oyl of Sulfur Pomgrannet rindes Pomgranet flowers and vitriol in regard that they make the teeth black are carefully to be avoided if it chance from the scurvy we must then have respect unto it in the cure of the distemper in hand III. A deffect of aliment which happeneth in old people and in such as are in the way of recovery out of a disease from whence it is that the holes of the teeth are the more widened and enlarged It is not possibly to be cured but yet notwithstanding ye are to make use of those things that are moderately astringent I have already said that somtimes there followeth a falling forth of them touching the which observe I. That in infants in case the roots remain in which the only hope of their shooting forth again consisteth they then of their own accord spring up and grow again II. That the Molar appendix as they term it seldom or never falleth forth in regard that it is so closely conjoyned with the teeth that the boney part of them may be seen III. That the Gemini or twin teeth if they fal out they scarcely ever return and grow forth again IV. that the vacant places of them may be filled up with artificial teeth made of ivory and put fast unto their places alwaies provided that due care be taken lest that from the Compression there should chance to follow an inflamation of the Gums or of the Nerves Chap. 2. Of the Symptoms of the teeth Article I. Of the Odontalgia or pain of the Teeth The Symptoms of the Teeth are Odontalgia Stupor Stridor and Nigredo Odontalgia is a sad and greivious sence of pain in the teeth proceeding from the Solution of Continuity in them by reason of humors I cal it an afflicting and greivous sence of pain for both the teeth and likewise the soft and tender nerves of the Brain proceeding from the fifth and sixth Conjugation are partakers hereof and the little membranes that encompass about the internal Cavity have likwise a little nerve implanted at the very root of the tooth The Teeth and especially the Grinders are the Subject Yet notwithstanding that pain is different and to be distinguished from the pain in Children while they are breeding teeth which is greatest and att he height when the dogteeth as they are commonly called break forth the which said pain ariseth also from the hardness and thickness of the Gums and soon vanisheth away if the aking tooth be anoynted with the far of a hen or the milk of a Bitch There is no need of SIGNS and yet notwithstanding it is dilligently to be discerned and differenced from the pain of the Gums that are sometimes inflamed swel and putrefie and which is not at al removed or so much as mitigated although the toâ—ch be drawn and taken forth The CAUSE is a humor dissolving continuity touching which more in the Differences There is Good hope of a Cure if there be a kind of pus or purulent matter gathered together in the Ear and if the swelling arising in the Gums or in the Cheeks not first appearing the matter be transmitted and thrust forth from the inward unto the exterior and outward parts But there is but very smal hopes if there happen withal a burning feaver and an unusual grating of the teeth in regard that this last especially when it invadeth the patient by reason of the convulsion of the temple musles seeing that it denotâ—th the touching and hurting of the brain it therefore first of al threateneth a deâ—iry or dotage and soon after in regard that it betokeneth the confirmation of the mallady it menacheth and portendeth even deach it self It is performed I. By the mitigation of the pain if it be externaly urgent and intollerable by narcotick medicaments That that is here profitable expedient is two grains of opium with an equal part of Saffron wrapt up in silk and put into or betwixt the pained teeth the washing of the mouth with vinegar and Opium Pils formed of Opium and the Treacle of Andromacus touching which see beckerus in his medicus microcosmus The pain being once asswaged let the mouth be forth with wel washed with the decoction of sage and Rosmary II. By the evaccuation of the peccant humor by bloodletting and here when it is for Revulsion the blood must be drawn our of the greater vein but when for derivation from the lipps of the ears or else from under the tongue neither are we to forget or neglect the use of vesicatories behind the ears III. By the repulsion and
the Crown of the Head a Powder compounded of Long Pepper one scruple the Juyce of Acacia and Tormentil Roots of each two scruples so blown in after the use of an Astringent Gargarism II. The Inflamation of the Wesand is the rising or swelling of the same from a Cholerick Blood fallen down into it with a redness burning heat pain danger of suffocation and somtimes also with a Feaver The business is here alike as in other Inflamations Title XV. Of the Affects of the Tonsils THe Principal Affects of the Tonsils are an Inflamation and an Vlcer I. The Inflamation of the Tonsils is a rising or swelling up of them produced by the afflux of Humors It is known within under the Jaw-bone by the touch and by the sight thereof where like unto a smal Gobbet sticking in the Jaws it presseth by its weightiness and hindereth so that neither Meat nor drink nor spittle can easily pass through either up or down There are also present pain a burning heat redness and a thirst and it falleth more easily into the Tonsils than the Wesand by reason of the sostness and loosness of its proper Temperament and likewise its place It ariseth Externally in little Children by Reason of their Voracity and insatiable feeding the Greeks cal it Addephagia unto which there is likewise added a weak and tender Constitution of Body in Children that Suck by Reason of some fault and pravity in the Milk in Girls from an insufficient Purgation of the Menstrua or Monthly Courses in those of Riper Age by Reason of their overmuch drinking of that wine that is not first diluted and weakened as also their much and more greedy of al sorts of Meats but more especially those that are sharp and rough Internally from the afflux of humors that are hot and sharp Cured it is after the same manner as are other inflamations yet this notwithstanding is attentively to be heeded that somtimes the Tonsils are made the harder by the over frequent use of Coolers and Repellers II. Touching Vlcers these things come in the next place to be taken notice of I. That there is the less danger in them if they be without a Feaver II. That those of them that appear in the heat of Summer because they then immediatly creep forward are worse than those that arise at other times III. That they may somtimes be and appear without any Inflamation at al either from some Salt distillation eating through those parts or else from some Vapor or Exhalation ascending upwards which happeneth in the Venerial or French disease and somtimes again from other Causes the Spring time and a Pestilential Air. IV. That some of these Ulcers are Familiar and milde which are smal clean not descending very deep neither inflamed nor exciting any pain Others Malignant and Pestilential and these are broad Hollow growing Nasty and filthy by reason of some congealed Humor that is either white or black or Livid black and blew but now if these aforesaid congealed impurities descend deeper then there is bred that which we term an Eschar or Crustiness V. That those of them that Creep about the Jaws with much trouble and annoyance Cause a difficulty of breathing but that if by the Trachaea Artery they Penetrate into the Brest they then strangle the Party the very self same day In the Cure we are to understand that al the Ulcers of the Mouth as wel lest that they Creep and proceed further as also because that they evermore become the moyster by Reason of the Spittle do need and require the stronger sort of Astringent Medicaments And thus much touching the Diseases of the Head THE NINTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the middle Venter or Region Title I. Of the Diseases of the Jaws or Angina that is Squinancy ANd thus much shal suffice to have been spoken touching the Diseases and Affects of the Brain There follow now the Diseases of the Middle Region which Contain and Comprehend under them the Affects of the Jaws the Throat the Aspera Arteria or â—ough Artery the Lungs the Chest the Teats and the Heart The Disease of the Jaws is that we cal Angina or the Squinancy but more vulgarly the Quinsey or the shutting up as it were of the Jaws that is of the Supream parts of the Gullet and the throat through which is an entrance and Passage not only for the meat and drink but likewise for the Breath Producing and Bringing along with it a Difficulty both of breathing and Swallowing The Common signs are Difficulty of breathing in regard that the Throat is in a manner stopt and shut up the Impediment or hinderance of the Swallowing as wel in regard that the Gullet is obstructed as that likewise the two Muscles deriving their Original from the Larinx called Oesophagici and Circulatores because they embrace and encompass about the Oesophagus with their transverse Fibres resembling a Semicircle are busied in helping forward the thrusting down of the Meat and Drink unto the inserior parts whilest that they draw up the Larynx in the time of swallowing that so it may give way unto the food whether Meat or Drink as also in regard that the Muscles of the Jaws thrusting down the food unto the Oesophagus while they are Contracted and drawn together unto the place where they begin do here suffer A pain about the Jaws which is either augmented or diminished according to the quality and condition of the Causes and the subjects The Causes are al things whatsoever that are apt to stop the breath as we shal further shew you in the differences So for Cure in the differences In regard of its causes it is divided into three sorts or kinds the first whereof hath comprehended under it four species I. One is from an Inflamation which is knowen by the continual fever accompanying if withal there be together present such other things as usually concur It hath its original from that blood that floweth into those parts from out of the branches of the Jugular veins there going before for the most part a difficult moveing of the neck without any apparant causes and withal a certain pain as likewise an unusual heat about the Jaws It is very hardly cured if there be present a great and Intence feaver the spittle somwhat dry Clammy and thick The Event of the Cure is somewhat doubtful if the matter being transmitted into the Lunges there arise an Empema or impostamation of the Lungs to the Head if it exciteth and causeth a doting or delire if to the Pleara Membrane it causeth a pain of the whol Breast with a cough and difficulty of breathing if unto the heart it then introduceth and brings along with it a kind of trembling and almost undiscernable beating of the pulses There is no hopes at al if the fever prevail the greatest heighth and intensenes if the face of the sick person become greenish if the angles or corners of
the Eyes somewhat black and thick and lastly if there appear froth about the Mouth in regard that it signifieth an exteam streightning of the heart The Cure is to be ordered according to the rule and method in other inflamations which are notwithstanding there come these few peculiar things to be observed Touching Venesection is to be noted 1. If it be doubtful whether side thereof be the more afflicted since that the Liver is the part transmitting the blood ought then to be drawn forth of the right arm 2. Where there is not so great a difficulty of brathing the blood may be drawn forth the more freely and plentifully but when the difficulty of breathing is great there ought to be the less blood taken away and that at several times and the intervall of four or five hours betwixt 3. That if Cuppinglasses be forthwith applyed unto that part that is nighest unto the place affected then there wil be excited in that sayd part the Greater Conflux and therefore they ought to be put upon the Reines and not upon either the Arm or Neck Purgation is forthwith in the very beginning to be ordayned Repellers ought inwardly to be administred unto the Jaws and this especially indeed in the form of Gargarismes Mouth-washings termed Collusions and Luctures And here there is commended Lapis prunella The Composition of Mulberries Must or new Wine and Nutshels in regard that it hath in it an extraordinary astringent quality and power those Medicaments that are formed of Sengreen Plantane and Purslane c. On the third or fourth day Digestives are to be mingled together with Repellers In the Declination of the Disease the Ashes of burnt Crevises or Crabs is to be wel mingled with Honey or the White Excrements of a Dog or that of a Hen or that that is taken out of the Swallows Nest poudered and siersed Among the Maturatives or Ripeners there is the pith or pulp of Cassia kept a while in the Mouth Gargarisms of blood warm milk with Sugar The Emplaster that is formed of Marsh-mallows and the Common Mallows of each one handful Camomile Flowers Melilote Flowers Linseed Fenugreek Seed of each half a dram ful and fat figs in Number ten wheaten meal two Pugils or little handfuls For the breaking thereof excellent good is the Cataplasm of the Cream of the new and fresh roots of the flower-de-luce with butter and the Oyl of Violets Among the Specifical remedies are the Mushrom or the Elder Tree boyled and drunk the Pouder of Swallows if after they have had Salt cast upon them they together with their feathers be burnt in an Earthen Vessel and the Ashes mixed with Honey spread and anoynted upon the place affected one scruple of the Shavings of the Bores tooth if it be mingled with half an ounce of the Oyl of sweet Almonds and sweetned with white Sugar Candy and lastly the secret of Guntzmannus mentioned by Hartman In the Patients diet we are to come at length unto Nutritive Clysters It is divided in a twofold manner 1. Into four species or kinds Cynanche c. Of which more below Number 4. 2. Into that that is from Pure blood in which there is a greater distension of the Neck and the color of the Face is somwhat Red and into that which proceedeth from a Flegmatick blood in the which al the Symptoms are more mild and Gentle II. One is from the Relaxation of the Vertebrae of the Neck and then either a fal or a blow went before it as its efficient Cause or else some Humor or other hath preternaturally loosened the Joynts and Ligaments of the Vertebra or otherwise hath dislodged them from their proper seat there appeareth here none of those signs that in the others are manifestly discovered The Neck is hollowed behind and is not to be turned about the Oesophagus without much ado and pain withal The pain is felt if the part affected be but externally touched the Tongue falleth forth from its proper place The Cure is to be sought for in its own due place that is to say from its sourses spring and Fountain III. One is from a Pituitous or Phlegmatick defluxion residing upon the Joynts and the Muscles of the Neck and then the pain is not great and violent but dul and heavy the swelling is somewhat broader but then it hath in it very little or no redness there is present no fever or if any it is but moderate The voice waxeth hoarse there is great store of spittle the sick Persons alwaies gape with open mouth and drawing Air there is likewise some difficulty in swallowing but yet without any great hazard of suffocation The Cure is to be ordered according to that of a Catarrh IV. That which ariseth from an inflamation one is called Cynauche which lyeth hid in the internal Muscles of the Larynx or the Throat and then whether inwardly in the Jaws or outwardly in the Neck appeareth there any redness or swelling at al but the Jaws are so vehemently pained together with great danger and peril of suffocation that the diseased persons are enforced to take in the Air and to breath with their neck erected strait and upright and with open mouth The fever that accompanyeth it is most acute and the disease strangleth the party within four days at the utmost but very usually within eighteen hours time That which in this case much profiteth is Cupping glasses applyed unto the veins under the tongue touching which see further in Zacutus Lufitanus in his eigth book Chap. 2. Another is that we cal Paracynauche which sticketh and hath its residence in the external Muscles and then there is to be found within a certain swelâ—â—ng and redness the mouth being drawn aside and writhed after a strange manner and the tongue depressed and kept down if it vanish away at any time when there is no crisis to be expected and a little swelling or rising appear but yet such as is altogether void of pain which cannot be suppurated either by the Vigor of Nature or the help and benefit of Art it then threateneth Death and a return of its red color the former in regard that the thick matter being left al without the more thin and hotter part thereof is converted unto the throat the latter by Reason that there is likewise by some accident a hotter kind of matter driven inwardly Another Synanche which is conteined in the interior space or Cavity of the Jaws and then it likewise extendeth it self unto the Root of the Tongue and comprehendeth the Neck it self there is then also apparently to be discerned a swelling and a redness in the outward parts together with pain and heat the which said swelling if it have recourse unto the more internal parts without any manifest cause it then suddenly vanisheth away upon thi translation of the matter the Symptomes ares here never a whit more milde and gentle than in the other sorts but yet notwithstanding there is here
and strangling which is somtimes grâ—â—ter and somtimes less It ariseth either from those Causes that Compress or press it down as the Relaxation or Loosening of the Vertebrae Inflamations Swellings the halter c. Or else from those Causes that Obstruct as things external fallen thereinto which are to be removed Or else internal to wit Humors thick and of a slimy and Glutinous Nature which are to be Cut attenuated and cleansed forth with the Syrup of Maiden hair Horehound and Liquerish or by reason of Purulent matter and smal stones Particularly that called Grando bred in the Lungs and a certain kind of flesh that is bred and brought forth after wounds and Ulcers III. Wounds either they touch only the Superficies thereof and then they may be cured or else they touch the Cavity thereof and then the Air passeth forth in such a manner that if a candle be put thereinto it is forthwith extinguished if the Cartilaginous substance be wounded especially after a transverse manner it can hardly ever be brought to unite again if the wound be betwixt the two little rings thereof they are now and then Healed IV. Touching Vlcers take this advertisement to wit that they arise from Humors that are sharp and Salt from Poysons and from Medicaments and that they afflict with pain spitting of Blood pure in the beginning but afterwards purulent insomuch that even scales and a kind of Crustiness may now and then be cast forth If they seize upon and possess the Internal Cavity they are then by reason of the Nature and Situation of the Parts very hard to be Cured and lastly that if the Cartilages be eaten through and that there happen thereupon any putrefying affect it is then altogether incurable Title IV. Of the Diseases of the Lungs Chap. 1. Of the Distemper of the Lungs THe Diseases of the Lungs are Intemperies Peripneumonia Angustia or streighness a Wound Phthisis or an Vlcer The Distemper of the Lungs is the declining thereof from its natural temper unto that which is preternatural as wel by reason of External as Internal Causes The SIGNS shal be expressed in the Differences The CAUSES are either External and these likewise various to wit cold or hot potions medicaments applied the Air that being little or nothing altered is carried and conveyed unto the Lungs in such as are destitute of the columella or else they are internal to wit the Humors that are drawn along thither either from the Head or else from some other parts but frequently from the Liver The CURE is to be ordered according to the several Causes where in regard of the humors take notice 1. That in respect of the situation of the part it is not to be removed without much difficulty yet notwithstanding that it ought to be evacuated 2. That if there be there a greater store than ordinary of flegm it is then more fitly to be removed with those Remedies that expectorate and mollifie such as are Eryngo Roots and marshmallow roots common mallows and Raysins than by those medicaments that cut 3. That many hot remedies are not here convenient lest that the thinner parts being wasted the thicker remain behinde The best remedy in this case is Linseed 4. That if there be present an acute feaver together with the matter we ought then to abstain from those medicaments we cal Eclegmata for these by their dryness and clamminess do much if not wholly supress expectoration from whence there followeth a more frequent respiration or thicker fetching of the breath and the matter also by the extraordinary heat becometh the more contumationus and obstinate The Distemper of the lungs is divided after a twofold manner I. One is without matter which indeed hath in it no danger at al of suffocation and is also more easily cured Another with matter which is to be Evacuatted and drawn back like as we shewn above II. One is hot which is known by this that the Cheeks by reason of the sumes ascending become red and that there is evermore a dryness of the tongue together with a thirst which can no way be qualified but by the breathing and drawing in of the cold Air infesting the sick person and likewise that the breathing is more than usually frequent and swift In the Cure Cooling medicaments which through the rough artery are thither to be conveyed ought to be administred where note 1. That those medicaments that are mainly cooling and repelling are altogether enemies and offensive to the Breast by intercepting the passages of the blood and spirit and by their weakening and impayring the very nature of the Breast since that it is Cartilaginous and bony 2. That among the principal internal Remedies we are to account both the white and black Poppy Rheas Violets Endive Barly Water-Lilies and their syrups 3. That the diet ought to be conformable and that for a drink and potion the water of barly with the Syrup of Violets is excellent good III. Another is Cold which is known by this that Cooling Causes went before that the Breathing is but weak slow rare and the Pulse like thereunto and that the Breath that cometh forth is colder then ordinary In the Cure we are to Use medicaments that heat among which these are to be accounted of as very fit and proper to wit saffron which is as it were the very life and soul of the Lungs the Extract of calamus Aromaticus old treacle Coltsfoot Nicotiana or tobako scabious the root of the Flower-de-luce and the root of Aron or Cuckowpint prepared Elixir proprietatis that Mixture they term Simplex oxymel Scillitick c. IV. One is Moist which is known by this that the voice is hoarse the breathing thick and frequent with a kind of wheezing snorting and much spittle In the Curing hereof we ought carefully to avoid those medicaments that are overdrying and astringent The Chymical oyl of sulpher and the flowers of sulphur or brimstone the shops cal this latter flores sulphuris in a rere egge that may be supped up the wine wherein the eyes of crabs or cre-fishes have been mucerated sassafras China root c. are here of singular use and benefit V. Another is dry which is known by this that persons thus affected wast and consume away without any Ulcer at al that the breathing is very little and weak but thick and short that there is present a continual christiness and but smal store of spittle In the Cure hereof Raysons of the sun womens breastmilk and Asses milk the destilled water of Tortoises the broth of veal and the conserve of violets are especially good and profitable Externally a Bath of sweet water ought to be Prescâ—â—bed Chap. 2. Of Peripneumonia PEripneumonia is an inflamation of the Lungs from blood poured forth into the substance thereof with a straightness of the Breast a difficulty of breathing an acute Feaver and a cough The SIGNS are the narrowness of the Breast with a dul and heavy pain that
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
which issueth forth be somwhat bloody and il savored if upon the same occasion Pus or filth or else a water flow forth generally and in a great quantity if in them the searching instrument or probe be colored by the Pus and filth like as by the fire It respecteth I. The Concoction of the suppuration II. The breaking of the Impostume which is effected by the eating of salt meats by frequent retchings and spittings c. III. The Evacuation of the Pus or matter where we are to have eye upon natures motion and which way she tendeth to wit whether upwards or downwards unto the intestines or the bladder The spittle may be notably procured by the oyl of Sulphur and the spirit of Turpentine pectoral decoctions being therewith wel mingled There is likewise much commended the juice of ground ivy of Hore hound made up into a â—ohock with Myrrh Frankincense diapenid Touching the decoction of Ebony and the syrup of shel Crabs see more in Zacutus his 8. Book Chap. XI If these prevayl nothing we ought then to proceed unto Section or lancing and also to burning touching which consult those Authors that have written upon this subject As concerning the differences one is from a rupture of some proceeding Apostem as of the quinsey the Plurisy the peripneumony whenas they are terminated by suppuration Another when out of a vein opened broken or gnawen asunder a portion of the blood issuing forth into some particle of the Lungs is converted into Pus or corrupt filth in the top thereof formeth and frameth for â—â—t self a bladder of which we have spoken suffciently above in its proper place Another from a distilation fallen down from the Head unto the Breast and in fourteen dayes time not purged from thence by spitting Chap. IV. Of the Consumption or wasting and the Worms of the Back THe Consumption of Back is when the Back withereth pineth and wasteth away There are four species or kinds thereof I. From Excessive venery and immoderate use of women and then it seemeth to the party as if Emmers from the superior parts and out of the head fel into the Spina or Backbone the seed passeth forth both by day and by night there is no fever there at the first but within a very short time there is a fever attending it II. When the natural inbred heat of the Spinal Marrow is in a manner overwhelmed by an abundant store of blood and thereby wel nigh extinguished III. When it is overmuch dried those passages being altogether shut up throw which the Nutriment is carried and conveyed unto the same IV. When there is a depraved baneful distillation continually incumbent and lying thereon For this see Salius Diversus and others II. The Worms of the Back called Crinonis most commonly infest and trouble Children and infants They are knowen by this That these infants eate indeed but are never a whit nourished thereby yea they wear and wast away because that in regard of that most troublesom perpetual itching that followeth them and there being now and then lanced they can never be quiet but are alwaies restless and by this likewise these may be knowen to have worms when being brought into the Bath and there forcibly rubbed there bud forth out of the Skin certain small hayres resembling ashes or else of a blackish color They arise from a viscous and Clammy matter shut up under the skin in the Capillary veins They are taken away if the infants be anointed on their backs with a Liniment formed of wheaten flower and hony and the little heads that these smal worms in a short time thrust forth be cut off with a Razor c. Title VI. Of the Symptoms of the Lungs and the Thorax or Breast Chap. 1. Of the vices or things amiss in the Breathing The Symptoms of the Lunges and the Thorax are the fault in breathing the Asthma the Cough and the Hemoptysis or spitting of blood Unto the faults of Respiration or Breathing there belong I. Macropnoea or a great Respiration exceedingly distending the Breast and drawing unto it abundance of Air which happeneth by the violence and strength of fevers in which the heat of the heart is inflamed so that thereupon there is a great want and indigency of refrigiration and drawing forth of fuliginous sooty fumes II. Tachypnoe a or a Respiration greater and more frequent what is agreeable to the course of nature its use being augmented by the heat sooty fumes It ariseth either from the distemper of the heart the Lungs the Breast or else from the abundance of hot vapors and exhaltations especially when the faculty is weaker than that it can suffice for the Just and right dilating of the Thorax III. Dispnoea or the difficulty of breathing arising from the default of the organs themselves which is easily known for it manifesteth it self unto the sence of its own accord It ariseth 1. either from things external to wit the fume of quicksilver the smoke of coals Calcarth or vitriol lime anoynting with Mercury and other such like or else from internals that produce the streightness and narrowness of the vessels either by obstruction or by compression of both which we have spoken before It is wont likewise to fail by Reason of extream driness although this very rarely happen when the Substance of the Lungs by an Ulcer is so consumed or dryed away that it can now no longer be dilated and this somtimes chanceth unto those that are Phthisical before they dye II. Another is Essentially such and unto this what hath hitherto been spoken doth properly belong Another by the Consent and greement 1. Of the Thorax whose motion is hindered by the fault either of the Spirits or of the Muscles 2. Of the Diaphragm whose motion is hindered either because the Nerves inserted and implanted therein are hurt or else because the Vapors exhaling from the inferior parts reside and settle neer about the said Diaphragm or else lastly because that a Waterish humor presseth it down 3. Of the Liver Spleen and Stomach which somtimes are distended and swoln III. One is Lighter or less in which the breathing is thicker and more frequent yet without any noise or panting and of this must be understood what hath been already said Another is more sad and Grievous which we cal Asthma touching which more anon IV. Apnoea or the taking away of al sensible Respiration accompanyed with an extream great danger of Suffocation It ariseth partly from the very same Causes peccant in the highest degree and partly from the Contrary to wit Necessity deminished or the use taken away It happeneth somtimes after the eating of Mushroms and somtimes in the most sad and grievous suffocation of the womb and likewise in the Syncope or swooning fits The Cure is to be ordered according to the Causes and the Diseases touching which elsewhere Chap. 2. Of Asthma ASthma is a frequent thick and short Respiration or fetching of the
Breath proceeding from the pertinacious either obstruction or Compression of the Lappets of the Lungs The SIGNS of the beginning hereof are the heaviness of the Breast difficult breathing in running or going up a steep place hoarsness a Cough and a windiness in the Praecordia c. The Signs of one present are already expressed in the Definition There is present now and then a Feaver as also a certain ratling noise or Wheezing in regard that somtimes the matter sticketh fast in the foldings of the Rough Artery which when it is expelled by the breath there is the aforesaid sound and noyse excited and somtimes without them in the smooth Arteries The drawing in of the Breath is here more difficult than the exspiration or Putting it forth For whenas in taking in the breath neither the Lungs by Reason of the store of matter nor the Thorax by Reason of the imbecillity of its motion can easily be moved Nature interposing endeavoreth as it were by rest and quietness to cherish and repair the weakned and dejected powers but in Exspiration or breathing forth the Organs and instruments of that work fal down and so give way of their own accord The CAUSE is the Obstruction and compression as wel of the Rough Arteries as of the Smooth of which we have spoken above and from what causes it proceedeth we shal declare in that which followeth The CURE hath respect unto the Causes and it is somthing Difficult if the sick persons be aged There is but smal Hopes if the sick person be thereby rendered Gibbous and caused to go stooping with the back bunching out because that in these the Lungs growing and the Spina not growing nor increasing in the streightness of the Breast the heat is stifled and smothered if it be with an acute Feaver in regard that the Cause of the Asthma being dryed up by the Feaverish heat is thereby rendered and made the more unfit and unable to eject and cast forth that which offendeth upon the ceasing of the Cough the difficulty of breathing stil remaineth if the strength be much weakened because then they soon fal into the Syncope or swooning fits The Diffecences are taken partly from Causes obstructing and compressing and partly from the accessions and other the like Causes I. One is from a Viscid or Clammy Humor stuffing up the Lappets which may be known by this that the breathing forth is Difficult and with a sound as it were and a noise together with a Wheezing Cough It is Cured 1. By opening the Basilick Vein if nothing hinder 2. By cutting and dividing the matter by those Medicaments that moderately cut and divide and that have in them humidity to moysten but these ought to be often changed lest that other wise Nature should be too much accustomed thereunto For the purpose aforesaid there is commended the Oyl of Angelica the Syrup of Nicotiana or Tobacco and that Syrup of Theodatus in his Pantheon Hygiasticon the Decoction of Joel of Zedoary Gum Ammoniack the Flower of Brimstone and Saffron the Oyl of Sugar of Grulinguis and Petraeus in his Nosology the Secret of Frytagius in his Aurora Medicorum Oxymel Scillitick with the Syrup of Violets c. 3. By Evacuation with the Asthmatick powder of Rulandus 4. By Exsiccation with Guajacum Sassafras c. The Humor is divided into that that is Collected in the Lungs and the sick person by degrees beginneth to breath with difficulty and much ado and this difficulty is continual and into that which floweth unto it from elsewhere and then it is not wholly continual the Exacerbations thereof are manifest And here all those things that have in them a purging quality are to be shunned and avoided because they are not without danger II. One is from a serous and Wheyish Humor waxing hot in the greater branches of the Vena Cava and rushing altogether and violently through the right ventricle of the Heart into the Lungs and pressing down the Arterie and this is most frequent It proceedeth cheifly from the Liver and hence it is that the Feet of the Asthmatical person do swel by reason of the weakness of the said Liver the humors in the first place rushing unto the Lungs by their falling to the Kidneys excite and Cause a difficulty stoppage of the Urine Ructures or sour belchings and windiness in the Praecordia are accounted to be in the number and among the signs thereof III. Another is from a little Crude or raw Swelling that we term Grando and smal stones and Gravel touching which we have treated above in the streightness of the Lungs IV. One is more light gentle and moderate with a snorting Noise and a violent Cough the Diaphragm and the Intercostal Muscles yea likewise the Muscles of the Abdomen affording the assistance herein Another there is more grievous we cal it Orthopnaea in the which the breathing is very little thick and exceeding swift which is not performed but with the breast and Neck straitly erected the Superior Muscles of the Breast and the shoulders likewise contributing their help and assistance V. One is Not Periodical and that observeth not its Paroxysms Another is Periodical when the Humor either of its own proper Nature extendeth it self and seeketh for more space and room or otherwise is driven and chased up and down by External Causes if it be there collected or else at the certain and wonted time it floweth hither from some other place Those excerbations are wont to be cheifly in the Winter or in Autumn because the matter is Flegmatick and in the Night-time because it is then moved according to the Motion of the Moon and this usually every fourth day This may be greatly Remedied other things not omitted or neglected either with a Scruple of Saffron in Malmsie and given hot or with Brumerus his smal Potion made of a dram of Ammoniacum Hyssop water four ounces and two ounces of Rhenish Wine Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 3. Of the Cough THe Cough is a vehement thick and loud Efflation or Blowing forth of great store of breath together and at once that was first attracted and drawn in by the Lungs Caused by the swift Contraction of the Lungs and the Thorax that so what ever is burthensom and Grievous unto the Organs of breathing may be expelled and shaken forth In a Symptom so evident there need no SIGNS at al. The CAUSE is whatever may affect the Lungs the Rough Artery and that Membrane wherewith is is encompassed and as it were swathed about within whether this be somthing External or else a Humor or a Vapor c. The CURE either respecteth the Cause from whence it ariseth or the Cough it self if it be vehement which is either mitigated by Lenifiers or Anodynes or else is wholly taken away by those
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
from a humor which is known by this that its invasion is not altogether so sudden and unexpected and that it continueth longer And this is I. Either waterish having its residence in the Pericardium which is not known but with much difficulty albeit the malady be continual and that the sick persons complain of the suffocation of the Heart It is taken away by discussives as wel such as are internal as Treacle Confection of alchermes the Species of diambra as those that are External namely hot Bread besprinkled with a cordial water and applied to the region of the heart Neither vesicatories nor venesection are here to be made use of Or else it is sent from some other parts and by its weight either burtheneth too much the veins Arteries and the ventricles of the heart so that it is thereby deprived of the freedum of its motion as it hapeneth in wounds great fear and terror c. or else by its quallity it infesteth the same which is especially wont to be done by Choler a dust and terrefied by excessive heat and then there wil be need of evacuations and revulsions For the Cauteryes if we make use of any there are no cantharides to be therewithal mingled or put thereinto Treacle outwardly applied if the matter be cold is here commended 2. Or else it is not malignant and of this what hath already been spoken ought to be understood or else it is Malignant and poysonous and then there is great variety in the Pulse which chanceth especially in regard of the greatness and smalness thereof c. III. One is from a Tumor which if it be hot the inflamation in the Body wil be so much the greater and the breathing wil be difficult if the swelling be hard and in the Pericardium the motion is then continnual and the sick person wasteth and weareth away by degrees and without any manifest Cause The Cure is to be proceeded in according to that of a Tumor IV. From Worms which are discovered by the Convulsion for the whole and entire cure hereof see in Hartman The Bezoar stone is here of excellent use V. From the defect of Spirits which is known by the foregoing of dissipating Causes It is Cured by those things that Cheer and Comfort as odoriferous wine c. VI. From a hot Distemper touching which the second Book is to be Consulted Chap. 2. Of Fainting or Swouning FAinting or Swooning is a sudden and Precipitate fayling of al the Spirits and especially of the vital powers and strength with a pulse much weakened and almost totally abolished as likewise with a cold sweat arising from an extraordinary great weakness of the Heart through the fault and defect of the vital spirits of which those that remain retire also from the External parts of the Body unto the Centre to wit the Heart According to the diversity of the degrees of this sad affect so are the names thereof various and different Ecclusis is a smal and light fainting Lepothimia and Leipopsychia is that which is somwhat more greivious and Syncope is the most sad and greivious of them al which last if it proceed so far that the pulse or beating is abolished in the whole Body it is then termed Asphyxia the reason whereof shal be declared in its definition The Signs and that first of the affect not yet present but very neer approaching are especially in persons unaccustomed thereto an Anxiety that neither was nor indeed could be foreseen a vertigo or swimming in the head a representation as it were of strange and various Colors an often reiterated change and alteration of the Pulse The Signs of the Affect present are a suden fal and failing of al the Powers of the Body a Pulse most weak and obscure and so it is distinguished from the Apoplexy the strangling of the womb the Chilness and Coldness of the whole Body but more especially of the extream parts a cold sweat and therefore termed syncoptick breaking forth and chiefly in the temples neck and Thorax which if it be with an abolition of the Pulse it is then to be accounted a sign Pathognomick The CAUSE is a sudden fayling of the vital spirits whithout which neither the heart nor indeed any other part of the body can perform its actions but as touching this we shal speak more fully in the differences There is some hope of a Cure if it be only from the single or simple distemper of the heart if it proceed from evident and apparent Causes and if it be by Consent There is no hope if the patient fal often into these fainting fits and that without any manifest cause if it befal a weak body if the sick person be not raised out of these fits after the sprinkeling of Rose water upon his face and the drinking of wine nor yet even after sneezing wort hath been administred if the heart primaryly lie and labor under this affect and lastly if it affect those that are Feverish and by reafon of the great store of humors with an inflamation of the stomach and the Liver The Cure hath respect 1. Unto the paroxysme in the which the Spirits are to be refreshed and cheered with the vinegar of the flowers of tunica a kind of Gilly-flowers the vinegar of Rue and of the Elder Tree the balsam of white Ambor and likewise by putting to the nostrils wine Rosewater Cinnamon water and carbuncle water c. When the disease is hot then cooling Medicaments but if the Affect be Cold then those Remedies that heat and warm are to be administred and unto women those things that afford the most strong and stinking savour Unto the Region of the Heart Epithems and inunctions of treacle Mithridate and the oyl of Citron are to be applied Wine that is old and odoriferous is here most efficacious II. It respecteth the intermission touching which more shal be sayd now we are come in the next place to speak of the differences The Differences are taken from those Causes that produce a defect of the Spirits I. One is that Spirits are not generated either by reason of a defect of Matter to wit the blood overmuch evacuated and the Air corrupted or else by reason of some defalt in the faculty as wel in regard of the more noted and considerable diseases of the Heart whether they be from its distemper or whether they be instrumental as in regard of the Arfects of the Brain and the Liver yea likewise of the stomach and the womb and of al these there ought to be a special and due regard had in the cure II. Another is from the Dissipation of those spirits that are generated and bred which is caused 1. by those insensible evacuations that are either habitual or else happen from the over great rarity and thinness of the skin and in this case we must have recourse unto perfumes and sweet smelling medicaments and to those kind of meats that afford a good and wholsom
Clammy and Flegmatick whether generated out of the meats or flowing thither from some other part The Cure ought to be fetcht from the Chapter of distemper 3. by a defect and weakness of attraction Either by reason of a cold and moist distemper or by reason of the interception of the passages by the obstruction of the mesaraick and hollow part of the Liver in the Cure of which those parts must be respected 4 By hindrance of Evaporation either when the substance of the body is not emptyed either by reason of the constipation of the pores and thickness of the Skin which a Bath of sweet water wil take away or the weakness of Native heat whether acquired by a cold distemper or idlenss or by reason of the tenacity sixt and firme concretion of the substantifical moisture which doth not easily yeild to the gentle and pleasing heat that feeds upon it There is another from the not perceiving of the sucking which 1. by Diseases of the brain in which either the Nerves of the sixth pair are affected or the Animal spirits are not generated or their influx is hindred or which happens in acute Feavers they do languish or the faculty as in the Phrenitical c. is converted another way The Cure ought to respect those Diseases 2. by Diseases of the Stomach it self whether they be of distemper or of Composition or of solution of unity of which we treated before The appetite is raised by taking away the causes partly by cooling things if a hot Cause did precede partly by heating things if a cold Wormwood Wine is very much commended Article III. Of too great Appetite Too great Appetite is distinguished into two Species viz. A Dog-like Appetite and Bulimus I. A Dog-like Appetite is a continual insatiable desire of Eating arising from a Vehement sense of sucking in the mouth of the stomach afflicting somtimes with vomiting somtimes with a loosness There is no need of SIGNS whereas they are exprest in the definition The CAUSE is a Vehement sense of sucking and pricking in the Orifice of the stomach but whence it comes is explained in the Differences The CURE which is timely to be administred least the sick fal either into a custome of vomiting or into the Caeliacal passion or into a dropsie doth respect 1. The hunger it self which is allayed either with the Use of Fat things or with the Yolks of Egs hardened in Water or what is best with Wine 2. The Causes of which we wil treat in the Differences The Differences are taken from the Causes urging the Suckings I. One is from the too great want of nourishment in the Body or by Reason of worms feeding on the Child which shew themselves by biting and they are cast forth by the use of Hiera Picra or by reason of too great Evacuations both sensible and insensible by the habit of the Body by Reason of too great a heat of the moisture to which conduceth much the tenuity of the Humors and thinness of bodies Laxness of pores c. And then sweats do molest The Cure is to be turned to the Particular Diseases Or by reason of the long use of Detersive Nourishment as Pigs Lobsters c. II. There is another from cold acid and more austere Humors wrinkling the Orifice of the Stomach compressing and pulling it as are acid Flegm and Melancholly poured into the Stomach and then the signs of a cold distemper are present amongst purger Hiera Picra is good as also Zacutus his Wine Lib. Ult. Hist Prax. ca. 2. n. 9. II. Bulimus is a great Appetite Periodical which aftentimes ends in a Nauseousness with Faintings away and loss of strength The Signs are explained in the Definition The Cause is doubted of by Physitians yet most do hold that t is a cold distemper of the Stomach whereupon t is wont often to happen to those that make long Journeys through deep snow There is no Cure if it happen in Chronical Diseases somtimes after Feavers and other Diseases it threatens a relapse It respects 1. The time of the fit when the swouning happens in which we must use frictions and revivers as the smel of Wine Vinegar c. 2. The time out of the fit in which after the sick hath recollected himself meats of good juyces must be ministred bread dipt in Wine c. And by external means the heat must be restored to the Stomach Article IV. Of a Depraved Appetite or Pica Pica which is also Citta and Malacia is so called from the bird Pie which is sick of this disease it is an absurd appetite to a strange substance liquid or solid beside the ature or essence of nourishment from a sad sense of sucking and corrupt judgment not discerning things fit or unfit for eating from a Vitious Excrement imbibed in the coats by a peculiar propriety of substance molesting the mouth of the Stomach The SIGNS are manifest because they desire meats of Vitious qualities there preceded excess indigestion use of meats and drinks of evil qualities a suppression of the Courses c. The CAUSE is a sad sense of sucking Molesting which is Caused by the matter impacted in the Coats of the Stomach either acting by its whol substance or by a manifest quality arising from an evil Course of Diet or sent from some other part as from the womb whereupon t is familiar to Childing Women about the second and third Month but there is wont at the beginning while the Causes do alter to be raised a desire of contrary things but when by long custome there is a familiarity contracted things like are desired The CURE must be haistened left a Cacochymy or Dropsie be caused The peccant matter is most commodiously cast forth by vomit which in Childing Women must be Caused by those which are more gentle The Stomach may be strengthened with water of Cinnamon of Orange Pils magistral of Corals c. Article V. Of too great Thirst Too great thirst or Poludipsia is a greater and oftner desire of accustomary drink by reason of a sad sence of sucking in the Mouth of the stomach arising from the defect of moist nourishment and the alteration of its proper Humidity The SIGNS of the Symptom are manifest of themselves The CAUSE is a sad sense of sucking which the want of moisture and the plenty of heat have raised but whence that proceeds shal be explained in the Differences The CURE doth respect 1. The too urgent Symptom which is mitigated by Crystal or Coral held in the Mouth cold water corrected with a little Vinegar the iuyce of live Crabs with water of violets and Housleek sprinkled with a little Niter a Lohoc compounded of the Mucilage of the Seeds of fleawort and quinces of each half an ounce Sugar Candy of violets pouderd Starch Tragacanth of each one dram Syrup of violets as much as is sufficient With spring Water boyled with Sugar Candy adding a Pome Citron cut in two c. II.
The Causes of which shal be treated in the Differences The Differences are taken from the Causes I. One is from the defect of the dewish substance of the Stomach which is known from the preceding Causes absence of loathing c. it ariseth from those things which can wast moisture as are Labors watchings fastings immoderate Evacuations c. The Cure is to be perfected with meat rather than with drink water which causeth vomiting and a loosness in them is to be shunned the beginning must be taken from moistning which a gentle cooling ought to follow Another from the dissipation of the moisture in the Stomach through heat which is known by the loathing of meat roughness of the Jawes bitter Salt nitrous tast It ariseth 1. Either of it self or from external things the hot Aire sharp Salt meats hot Potions Vehement Motion of the Tongue poysons al which ought to be removed Or from internal Causes as chiefly from an inequal distemper of the Stomach where we must empty and moisten with an Emulsica of the four greater cold Seeds 2. Or from other Diseases viz. A Feaver heat of the Lungs a dropsie c. The Cure of which must be fetcht from their proper places II. There is another without a Feaver which Choler or Salt Flegm do Cause Another with a Feaver in the beginning of whose fit no drink is to be administred lest a greater heat be kindled but the thirst must be deluded by things held in the Mouth in the Vigor we must use moistening and cooling Gargarisms in the declination unless the Patient wil abstain drink may be allowed that sweats may flow more plentifully Article VI. Of the hurt of Concoction or Chylification The hurt of Concoction is a fault of the concocting faculty in its action about the nourishment by which it comes to pass that it either doth not concoct at al or slowly or depravedly It contains therefore three things under it Bradupepsy Apepsy and Dyspepsy I. Bradupepsy is a slow and weak concoction when the meat is left either half crude or is not disgected but in a long time by reason of the frustration of the faculty and weakness of heat chiefly proceeding from a cold distemper The SIGNS are a distention of the stomach by winde after a ful Concoction of the meat the sent of the meats rising to the Palate many hours after sour belchings Flegmatick vomitings stooles moist and crude the Concoction of meats easie to be concocted scarce done in a long time The Adaequate cause is the frustration of the Concocting faculty which either is hindred by some Organical Disease as a Tumor inflations c. Or is weakned by a cold distemper induced by those things which either do cool or suffocate or dissipate or withdraw the nourishment or t is hindred by an external error which either Excrements heaped up in the stomach or sent from some other part do Cause or nourishments not regularly taken in just quantity quality time and order or sleep The CURE unless the griefe proceed from an external error is principally to be directed against a cold distemper for this inwardly are good the tincture of amber magistral of corals Elixir proprietatis Diacorum nobile the fruit of Eglantine condite extract of calamus aromaticus of Juniper berries of Zedoaryâ— spirits of vitriol if crosse humors are presumed to be in the stomach but 't is then worst of al when the heat of the stomach is Languishing for this the blewish or green spirit of wormwood Mynsichtus his elixir of vitriol syrup of Juniper berries conserve of roses vitriolate the phylosophical salt compounded of salt of niter prepared and molten gemmae each two drams of wormwood blessed thistle tamarisk each one dram of galangal cubebs mace each two scruples Birckmannus his pouder of the root of cuckowpint prepared in Quercetans Pharmacopea The distilled oyl of orange pils of wormwood Bartoletus his potable oyl of nutmegs cinamon mastick c. outwardly do best agree Cratoes stomach oyl tacamahac balsome of Peru Hartmans stomach scutum Stokerus cerote of ladanum c. II. Apepsy is the concoction of nourishment in the stomach quite abolisht proceeding from the privation of its alterative faculty by which it comes to pass that it descends crude into the guts The SIGNS of it are the precedent causes belchings after the space of 6. or 7. hours savoring of the nature and quallities of the meats the casting up of them inconcocted or voiding them so by stoole c. The CAUSES are stronger than those which were alledged in a Bradypepsy The CURE also ought to be fetcht from thence the arcanum of tartar is commended if ten grains of it be taken every day in broath III. A dispepsie or diaphthora is a corruption of the meat and a change of it into a strange qualitie by reason of the frustration of the concocting faculty of the stomach The SIGNS of this are nidorous belchings adust acid far stinkings which are often attended with rumblings of the belly murmurs pains bitings vomitings very stinking stooles impatiency of hunger anxiety c. The CAUSE is the distemper of the stomach and that oftentimes hot which burns up corrupts and putrefies the meat but every thing corrupted according to its nature puts on a strange quallity hence it is that things smel so diversly Chiefly the nidorous coruption is the off-spring of heat which ariseth from hot diseases nourishments of the same quality and easily corrupted as milke fishes mushrums fading fruites the sowr corruption proceeds from cold The CURE is to be turned to the distemper the hot one chiefly of which we spake before here the Spirit of sorrel and Quercetans syrupe of corals chalenge the first place Article VII Of the Hickopps The Hickop is a convulsive motion of the stomach consisting of the distension and dilatation of the fibres of its upper part by which the expulsive faculty being irritated doth endeavour to cast forth things hurtful that are fixt in the coats of the stomach especially of the mouth of it and gullet with a noise and vehement contorsion There is no need to reckon up the signs 't is heard by the standers by The CAUSE is matter residing sometimes in the whole stomach but pulling the stomach either by an inimicous quallity or by compressing it There is no Cure if a Dilerium happen with it because it is an argument that either acrid vapors are raised up to the head from the stomach inflamed or that the brain being inflamed the evil is comunicated with the nerves of the orifice of the stomach if it arise in a deepe sleepe in swouning fits or convulsions The cure is doubtful if fainting be feared with it if it befal old people purged above measure if it arise from an inflamation of the liver if it invade after vomiting because it is a signe the stomach or braine suffers no smal inflamation if it happen in sincere vomiting because there is signified some great burning
of the parts about the stomach if it proceed from the Ileon because t is an argument that some nervous part which hath consent with the brain is affected if it be joyned with losse of speech It respects 1. The symptom it self which is restrained by things stupefying as of philonium romanum one scruple saffron cinamon each two grains Laudanum Opiate one grain with oyl of sage as much as is sufficient 2. The causes concerning which consult with the differences The differences are taken from the causes and other things 1. One is from external causes as refrigeration either by reason of the ayre or cold drinke where holding of the breath and anointiag of the back and stomach with hot oyls doth help From sharp nourishments or medicines where Ptissan drink or oyl of sweet almonds is a remedy from too much emptying which is followed with a driness and corrugation of the stomach where an imulsion of the four seeds with temperate anolepticks takes place From corrupt meats which aloes wil purge forth from poyson taken which treacle resists Another is from internal causes as are 1. hot and acrid humors which require a vomit or gentle purge by the use of terra sigillata or bole armonick they grow more mild 2. Cold humors which must be prepared and emptied the extract of castor is of force oxymel of squils Elixir propriates and sneezing takes its place 3. Winde which is discussed by a nodulus compounded of dil and poppy seeds by oyl of Cumming seed or by the imposition of oake ashes sprinkled with mallego wine aplaister of bay berries 4. Matter which is wont to be in an inflamation of the liver 5. internal diseases as an inflamation of the liver wombe stomach brain or some other part also a feaver in which observe in the begining of the feaver it ought to be taken away by gentle evacuation in the state we ought not to feare because t is a signe there wil be a crisis by vomiting in the augment it signifies either that the humor flowes to the cavity of the stomach and then the hickops is sildomer and by taking of meat or a gentle medicine 't is layd or into the substance of the stomach and then the hickops is so frequent that by reason of it the patient seems to be choaked it must be stopt by stupefactives if by reason of the vehemency of the feaver we may not purge Article 8. Of belching and rumbling I. Belching is a violent breaking forth with noise of wind residing in the Stomach through the upper parts There is no need of signs to discover it for it is manifest The CURE must not be neglected for if they be frequent and much they signify the vehemency of the cause and trouble digestion if they be before meat they dispose to the colick if after to the dropsy Yet belching is good if it be supervenient to an asthma if it happen in a long loosness when as it was not before because it is an argument that there is againe some concoction It respects principally the cause of which elsewhere The CAUSE is wind generated in the stomach or sent thither from other parts especially from the hypochondria As concerning the differences 't is divided threefold I. One is moderate which because it voids by the mouth windy excrements is not to be stopped another frequent which is to be taken away II. Another is acid which is either from meats of hard concoction or from a cold distemper of the stomach and then honey sugar and other things turne sowr If it continue long it threatens a dropsy or lientery The sick are not easily subject to a pluresy The cure is to be turned to the distemper III. Another is Nidorous which is either from the meats sending such a vapor from them as are radishes onions fryed meat fryed eggs or from the too much heat of the stomach So corrupting the meats whether it be so either essentially or by consent IV. There is another insipid which proceeds either from flatulent meats or from the plenty of it and if a long time after the takeing of the meat it savour of the same it signifies a great weakness of chylification II. Rumbling is a sound of the belly caused by humors or wind running up and down the Stomach or gutts It hath the same causes the differences are alotted both according to the diversity of the sound whose cause is plenty of excrement and the largness of the passages and the nature of the part in which it is conteined For it is dry and thin which makes an acute sound moist and thick which makes a grave or base It is either in the thick guts from whence the graver sounds break forth or in the smal gutts from whence the clearer and acuter and if there be moisture with it there ariseth a smal murmuring which is the fore-runner of a moist stoole at hand It is either in the cavity or within the coats nay there hath been knowen a wind that ascended to the throat making shew as if it would suffocate and after an hours space hath returned to the stomach Article IX Of nauseousness and Vomiting I. Nau eou ness is a vaine desire to vomit with a sad molestation heat and anxiety by which the stomach contracting the lower parts and dilating the upper doth endeavour to cast forth those things which are offensive to it but by reason of weakness or the scarceness or contumacy of the matter it voids nothing by the mouth but a thin watry humor There is no need of Signs the causes are declared in the definition and differ only gradually from those which cause vomiting therefore we shal treat of them when we do of vomiting II. Vomiting is a sensible and palpable casting up with violence through the upper parts the matter conteined in the capacity of the stomach There is no need of signs when as the symptome is manifest But the business is not of that which is Critical which happens as the work of nature for the benefit of the sick and either lessens or takes away the matter but of that which is symptomatical which is foretold by a paine in the head caused by consent darkeness appearing before the eyes rigour coldness of the lower parts of the hypochondria moveing of the lower lippe the flowing forth of much drivel c. The cause is whatsoever can offend the upper orifice of a weak stomach and irritate it to expulsion either by its plenty or biting quality or by the nature and disposition of its substance The Cure is difficult if al colours be vomited because they signify dangerous affections in the body if that vomited be of a leek color or black because it indicates an excessive heat in the veins and great corruption of the humors unless it proceed either from the crudities of some meats or be critical 'T is past hopes if the matter be livid and smel strong because it denotes putrefaction with an
distinguished from the paine of the stone in the kidnies because it pricks more possesses a greater space is increased after meat by reason of the compression of the stomach it doth less afflict the back and the thighes 't is wandering and there appeares no Gravil in the urine From that of the womb because this seizeth for the most part upon the stoppage of the courses is communicated only to the hipps and Groins The cure must be hastened because the pain dissolves the strength and spirits and draws the principal parts into consent There is little hope if they vomit often and cannot keep their drink and little or nothing is voided if it be changed into an impostumation of the Collick gut If the matter which was contained in the hypochondries be poured forth and carried to the spina and pass into pains of the back and by a malignity contracted doe produce a falling sickness 'T is performed 1. By taking away of the Causes of which we shal treat in the defference 2. By mittigating of the paine if it be too vehement where note that we act most commodiously with anodine glisters the frequent use of outward applications may be if some evacuation have preceded that narcoticks or stupefying means must not be used neither where the strength is dejected nor in a cold cause That Compounds are more safely used than simples and that the same are more securely cast up into the belly than taken by the mouth That we never be unmindful of things appropriate as are the guts of a wolfe dryed and poudered the stones of a horse Quercetans powder compounded of the inward coate of a hens mawe and the white dunge of the same each half an ounce the pouder of the inward skin which is found in eg-shels two drams and an half of rupture wort cinnamon each four scruples of medlar kernels two drams of an is and fennel seeds each one dram the dose is from half a dram to a dram at the most with white wine c. Crato prescribes for preservation 1. A glister made of one pound of the decoction of speedwel in hen broth adding half a pound of mallego wine and half a dram of mirrh 2. Outwardly oyl of mirrh 3. Three hours after supper one scruple of Zedoary sliced 4. Every month in the morning before meat one scruple of treacle See more in Practitioners The diffences are taken either from the part it self or from the causes I. One is of the whol gut in which the pain is about both the loyns and below the region of the stomach neer to the navel which is very dangerous Another is of part of the Gut in which if the beginning of it be opprest the pain afflicts in the right loyn If the middle of it the paine shows it self in the left If the end of it the region of the navel next to the left is pained There is less danger ariseth because glysters may have access but note that sometimes the loyn is affected with a pain above the navel in the hypochondries II. Another is from diseases as 1. Worms whose signs and cure see in its place 2. An inflamation of the Guts which was formerly described and is increased by meats and drinks that are hot 3. From Stones of the cure of which elsewhere Another is from humors I. Thick and viscous sticking between the coats of the gutts which is known by this that the pain is as if a stake were driven through them by reason of the violent distension of the coats in that place neither is it asswaged by belching or breaking of wind and the gut it selfe is corroded which proceeds from glassy flame They arise cheifly in them who are given to drunkenness and idleness and in whom choler which is the spurre of the expulsive faculty flows not to those places In the Cure observe 1. That strong glisters cast in at first and often repeated do more hurt than good because they stirre the matter but bring it not forth 2. That we use not for attenuation things eminently hot lest the matter being suddainly resolved wind be multiplyed 3. To attenuate and discuss the oyle of Zedoary often given from three grains to one scruple is good White whorebound the decoction of Speedwel the Oyl of Orange pills given four grains with wine 4. If the paine continue we must proceed to dry fomentations by which that which was melted and attenuated may be dryed up and discussed 5. We must abstaine from Agrick for feare of vomiting which at that time is in no wise safe 6. Where gentle purgers do not good the essence of the trochisks of alhandal extracted with distilled mallegoe sack and Rulandus his golden spirit of life must be given from half an ounce to an ounce half at the most 7. we must wholy abstaine from opiates II. From sharp and cholerick humors sticking in the coats and vessels which are knowen by the accute pain thirst bitterness of the mouth watchings though by the first glister some excrements be brought forth yet afterwards nothing almost is emptied There are oftentimes joined with it tertain Feavers double tertians bastard tertians In the Cure note 1. That the collick from those causes is of long continuance and is wont to afflict the patient with many relapses 2. That those humors transmitted to the joints do cause an arthritis to the back pains of the back to the nerves a palsey 3. That they are best of al cast forth with the extract of Rhubarb or Hiera picra mixt with cooling things lest they offend by their heat 4. If the pains continue after evacuation Mallego wine may wel be administred with oyle of sweet almonds 5. That warme milk may also be given in glysters with honey of mercury 6. In dyet the fruit of the guord by a certain natural propiety doth oppose the disease III. Another is from the retention of hard excrements of which formerly and in which we must at the beginning abstaine from giveing any purging medicines by the upward parts lest they move the excrements Another is from wind conteined in the cavity which cannot get passage which is known by the distension of the belly a rumbling murmuring which shew themselves in the bowing of the left side It ariseth cheifly from meats apt to produce a fermentation of the humors as are corruptible-fruits Grapes new wine new and thick drink c. In the Cure observe 1. That the cure must be begun with anodyne and emollient glysters 2. If these profit not Some laxative must be given in fat broth of manna Oyl of sweet almonds and other things 3. Afterwards we must use discussives Inwardly are commended a glister made of Mallego wine and oyl of Nuts each three ounces aqua vitae one ounce the distilled oyles of Juniper and Rue each two drams apply it very hot A mixiture of Spirits of wine and Spirits of niter each half a dram or two scrupels given in common water warme
Sometimes by no meanes if the stooles be black fat lived like the rust of brass and stinking The cure is undertaken by the same means as before having respect unto the Feaver It is divided twofold 1. Either it is Critical which is to be stayed and promoted or Symptomatical for a time which nature stimulated by the quantity or quality of the matter doth order before concoction but with strength of its faculty which is neither to be stopped nor promoted nor sometimes to be left to nature but the matter to be emptyed must be revelled altered Or plainly Symptomatical which is from the irritation of the cause of the disease nature being unwilling as it were which must be opposed by the remedies before rehearsed 2. Or it is colliquative or not of which see the following difference Another is without a feaver which is known by this that the humor is seldom voided under its pâ—â—per forme but changed and that 't is sigâ—â—yed by no signs that it doth proceed from the too much heaping in of corrupt meats or other causes there are no signs present of any particular part affected It is caused sometimes when serous humors the cause of a dropsy are voided by the stoole or when in sound men whose veins abound with very much serum the night or morning cold of the autum peircing deep into their bodies doth repel the serous humors from the outward vessels towards the inward into the greater passages of the vena Cava which at last being carried to the bowels and to the creeping branches of the mesentery flow into the cavity of the gutts Concerning the cure note That medicines are best given in a solid form That Oyle must not be mixed with vomiters that we must act with things incrassating and abstersive together that the Serosities are best of all dispersed by sweaters IV. Another is colliquative which otherwise is called a colliquative flux which is known by this that the excrements are for the most part endewed with divers colors commonly very stinking Sometimes fat and viscous that there is a feaver present either burning or malignant or hectick the body suddainly is wasted beyond measure c. It happens in burning feavers a hectick ptisick inflamations in which by the great heat not only the humors in the veins but the next aliment of the parts is melted and if it be thinner it is dissipated if thicker it flows to the belly The cure is for the most part in vain especially in hectick bodies and ptisical whose haire falls off we must act with coolers moistners and somewhat astringent which are not so much to be applyed outwardly as inwardly least the flowing forth of the preternatural heat be hindered Another is not colliquative of which in the third difference V. Another is from the guts when the matter causing the diarrhy resides in them and then the causes are 1. Somtimes Worms whose signs wil be ready and they must be driven away with their proper remedies 2. The obstruction of the mesaraick veins that they attract not the chyle which being collected there doth by its plenty stimulate the guts and then the chyle is voided white a consumption followeth if the fluxe last long we must act cheifly with openers and truly with such which also are good for the liver and do not provoke to stool Another from the brain which sends an inspid or salt flegm into the Guts cheifly in the night the patient sleeping on his back which either makes the coat of the stomach and guts slippery or mixed with the meat weakens the concoction 'T is known by this that there are present the signs of an infirme brain and 't is most familliar with stutterers by reason of their moisture In the cure Gargarisms and masticatories must be avoided least the matter of the catarrh be drawn into the stomach Vesicatories may be applyed to the first and second vertebra of the neck Another from the stomach which is known by the signs of the stomach affected It ariseth either from corrupt meats either of themselves then because nature is very much irritated the other humors in the body are stirred up an evil disposition is brought into the stomach and this diarrhy is dangerous or from the manner of taking them and then there is less danger Or from excrementitious humors heaped there by reason of depraved concoction which somtimes also are sent from elsewhere by reason of their evilness are not attracted by the liver and do stir up the expulsive faculty to excretion The Cure hath nothing Singular Another is from the Liver which is obstructed either in the hollow part where we must act with openers or in the Gibbous part and then diureticks do good Or abounds too much with Choler and then there wil be the signs of a distempered Liver In the Cure is commended for its astriction Old Cheese broken smal washt with some cooling and astringent water and fryed in a Pan. The Diureticks must not be sharp Another from the Spleen which Casts off a Melancholly Humor collected there or derived from some other part so that the stool is somtimes black as Pitch by reason of blood from some vessel opened in the hypochondries and poured into the Guts and there burnt to a blackness and then there are signs of the Spleen affected Blood falling out of the Vessels and concreting if it be stopped causeth swounings and other greivous evils Somtimes the Scurvy concurs Least the biting Humor exulcerate the Guts detersive and tempering Clysters ought often to be cast in Another from the womb when the Humors and Courses being stopt are carried to the Liver from thence to the Guts Then somtimes periods of time are observed in the Cure regard must be had to the Courses Point III. Of a Dysentery A Dysentery is a frequent bloody and Purulent going to stool with a Pain in the Belly and Exulceration of the Guts from a sharp corroding matter peculiarly offensive to the Guts The Name of Dysentery is attributed also to a diarrhy in which the Humors which are voided do Cause torments although there be no Exulceration and with this if blood somtimes be voided that comes rather from an opening of the Vessels than an Exulceration of the Guts The SIGNS are an often going to stool because the Guts are stimulated by the acrimony of the Humor somtimes continually if the matter be sufficient somtimes it returns periodically every third day The pain and torments of the Belly are especially at going to stool and a little before the excretion Those things that are voided are somtimes Cholerick and of divers kinds somtimes mucous and bloody somtimes wholly different from the natural kind of excrements A Feaver somtimes when the Disease hath lasted for some daies by reason of restlessness and putrefaction See the difference from an Hepatick flux in the Chapter of that It differs from an impostumation at whose breaking there follow eliquations as it were of matter because
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
washt with the nourishment and filth of humors and whereas the solid substance of the liver as being spermatical cannot be repaired t is incurable if it tend to induration which is known by this because after forty dayes the feaver and paine doe falsely vanish without any sensible evaccuation the tumor and hardness remains in its place with dejection of appetite and a dayly wasting of the body Of some hopes if there be ground it wil resolve which happens from the first moment of its invasion to about the fourteenth day and is known by the abating of the symptoms and colour of the urine It is performed by the same means with which other inflamations are cured Yet Observe 1. That the basilica or median of the right arm be presently opened the first or second day 2. That the repellers ought to be gentle least that the passages of the liver being too much straitned an obstruction be caused or a schirrous be produced by things too much cooling or the quit or breathing from the inflamation be cast back into the Liver 3. That the same ought to be gently astringent corrected with those things which are moderatly opening and abstersive 4. That things actually cold must not be applied unless there be an erisipelas and eminent heat 5. The impostumation breaking to the kidnies Goats whey must be dranke with the immulsion of the foure seeds 6. The substance of the liver being cleft and eaten into if the matter fal into the cavity of the belly we must proceed to burning and incision of the belly concerning which see authors For discussion 't is thought wil serve wel a Cerote made of oyle of Mercury one dram dulcedinis Saturni two drams and half oyl of Galbanum half an ounce red wax of cinnaber as much as is sufficient and mix with mistleto of juniper with the juice of Colts-foote or Galbanum and laid on The Differences of this inflamation are some I. One is Great in which al things are more vehement Another Smal and obscure in which the liver is beset with smal swellings and impostumations like to felons with no tumor or paine of the hypochondry there is a feaver but not much burning with thirst and loathing It is dissolved by a flux of blood of the same side issuing from the right nostril on the first seven dayes sometimes on the ninth eleventh very seldome on the fifteenth especially if the patient be under five and twenty years of age II. Another is in the gibbous part in difficulty of breathing which Paulus called suspirium irruptum a cough and heavy paine pressing the throate are more troublesom lying on the right side is more difficult as by which the part affected is prest the paine by touching and pressing growes sharper The urine is slow which if it be also with content like vetches it signifies a colliquation The Tumor is readily perceived Somtimes t is prominent and conspicuous to the Eyes 'T is dissolved by bleeding at the Nose if it be of the same side with good sweats and plenty of Urine Things that move Vrin are far more profitable than purging Medicines Another is in the Hollow Part in which nauseousness Thirst loathing of meat the Hickops Cholerick vomitings or stooles are more urgent lying down on the left side is greivous and painful The Tumor is not readily obvious to the touch 'T is dissolved by stooles Cholerick bloody by sweats and vomiting Gentle Clysters may be administred we must beware of Purgers given by the Mouth III. Another is from pure Blood which is called Exquisite and in which al things are more mild Another from mixt which is Spurious and that either Cholerick and then there is a burning Feaver fear of a Consumption perplexes vomiting of sincere Choler affects them and somtimes voiding it by stool which either inflicts a Diarrhy or a Dysentery Or Flegmatick which is seldome and in which we must add to Topick Medicines Mastick spikenard Wormwood and the Oyls made of them c. Article IV. Of a Shcirrus of the Liver A Schirrus of the Liver is a hard Tumor of the same without pain generated of a thick Humor impacted in the substance of the Bowel and hardned The SIGNS are a Tumor of the left Hypochondry which is discoverd by the touch if the Belly be slender and void of Fat and is easier observed the Patient standing upright or bowing to the right side than lying on his back but t is bounded by the Scituation and Figure of the Liver and lying on the left side with its bulk it lies on the Stomach and midriffe An obscure pain because the neighbouring parts endewed with sense are comprest by the Tumor of the Liver c. The CAUSE is explained in the definition but it doth not suddenly Cause a Tumor but by little and little for first it stuffs up the smal Veins of the Liver then being increased it redounds to the whol substance of the bowel afterwards being much more fully heaped up it distends the Liver into a vast bulk that it appeares swelled least of al being dryed and the thin part dissipated by force of the heat al the rest grows hard The CURE which is of little Hopes is orderd 1. By Lenitive preparatives and emptyers as was said in obstruction 2. By things Emollient and discussive with moderate astringents lest from those alone there may arise putrefaction and a Cancer from these alone the danger of a greater induration There are commended Labdanum with Indian Balsome and Wax the Plaister of Hemlock and mandrakes with Ammoniacum Fabricius Hildanus his Oyntment of Hemlock c. 3. By things that open obstructions among which excels Tartar Vitriolate with Raisons Cinnamon and the Leaves of Agrimony Barcoletus his Tartar Tartarized which moves by Urin c. As Concerning the Differences I. One is Beginning joynd with pain which is called Spurious and it yeelds to cure Another Confirmed Exquisite without pain which causeth a Dropsie and cannot be Cured II. One is from a Cholerick matter which is known by this that Causes heaping up a Cholerick juyce went before the signs of Choler abounding and a hot liver are present It follows a Jaundice and hath a slow Feaver its Companion and precipitates into a dropsie which is called Ascites Another is from a Flegmatick matter in which Causes heaping up a thick Juyce went before there are present the signes of a Liver cooled a Cachexy and universal Dropsie is Caused The disease lasts long without any discommodity and if it be turnd to a dropsie first of al it passes into a Cachexy then into a universal dropsie Another is from a Melancholly matter the signs of which also wil be present III. One is in the Gibbous part where some good is done by Topick means Another in the hollow part in which also internal remedies ought to be administred Hither belongs A Tumor of the Liver without a Schirrus which is known by this that it grows in a short
are an increase of the Corporal bulk greater than in a Cachexy equal through the whol body so that the feet and Leggs swel in the begining a softness of the body a Laxness Paleness and weakness upon the least labor a continual Feaver slow with a puls smal oft and unequal the Urine white thin crude c. The CAUSE is the fault of the nourishment which by reason of the immoderate coldness of the Liver and Veins of which we spake in distempers is Flegmatick and crude nay the body is spred over with a clammy and congealed water and though the nourishment doth both concrete and adhere to the part that is to be nourshed yet 't is not assimilated The CURE is Easter than in others because a Flegmatick Humor comes neerer to the Nature of blood than a serous besides a strong diarrhy comming at the beginning while the strength is firme the Disease is Cured 'T is Performed 1. By emptying the watry matter dispersed throughout the body both by things that Evacuate by the lower Parts amongst which is commended the extract or Salt of Hedg Hyssop mixt with Rhubarb And by vomiters which see else where and by bleeding if it arise from a Plethorick Cause or retaining the blood least by the plenty of the cold Humor the heat be overwhelmed which must be done at the beginning And by sweaters as the Decoction of swallow wort used especially in a Laconick Bath before you enter into it some of Weckerus his water is wel administred concerning which see Hartman 2. By strengthning of the Bowels the Liver especially and stomach of which in their places Fardinandus commends the covering of the Patient in a heap of Wheat for to dry up the matter Article VI. Of the Jaundice The Jaundice is either Yellow or Black of which shal be spoken in the Symptomes of the Spleen The Yellow Jaundice is an effusion of a Yellow or greenish Humor into the habit of the Body proceeding from its Causes 'T is called also from the Name of a smal bird Galgulus from the variety of colors in the Rain-bow Arquatus and because 't is tenderly handled at Court Regius or because 't is beleeved to be Cured with Honey and wine a Princely drink The SIGNS of it are a yellowness of the whol body a Citron or pale green which is observed in the white of the Eye and at its inner Angle where the great Veins are A distension of the Veins under the Tongue a pain of the right Hypochondry or a hardness too Bitterness of the spittle with Cholerick Vomiting the Hickops and pain in the Head The CAUSE is a Humor of the same color which is poured forth into the habit of the Body for the Causes to be mentioned in the Differences The CURE varies according of the Nature of the Differences Yet it respects two things 1. The Cause which must be removed 2. The Symptomes which must be taken away after universals have been premised For the Face and Eyes is commended the fume from hot Vineger in which Rosemary hath been boyled The Specisicks are the extract of Columbine and Celandine which with a little Bezoar is given to the rich An Emulsion of Columbine Seeds with the distilled Water of the same for the poorer sort the pouder of Earth worms three or four live Lice in a poched Eg if we beleeve Zacutus which is a most sordid medicine A live Moth laid on the Navel til it die A live Spider in a Nut shel hung about the Neck placed to the pit of the heart til it die Amongst Magick things are reckoned the Patients bepissing of Nettles Cloths dipped in his Urin and exposed to the Air and many other things concerning which see Petraeus The Differences are taken from the Causes One is from those things that generate plenty of choler which are either External as sweet things hot meats and drinks Poysons especially as the Gal of a Leopard the biting of Vipers and venenate things and then we must act with things Alexipharmacal peculiarly opposite to the Nature of the Poyson in which also we must have regard to the manifest qualities Or Internal as are 1. A hot and dry distemper of the Liver and then the Urine is vehemently colord and thick the Excrements of the Belly are dyed of a Saffron color the Feet and hands are hot 2. An Inflamation and Impostumation of the same of which formerly Another is from those things which do hinder the puresying of the blood and the separation and Exclusion of Choler as are 1. The compression of the bladder of Gal by a Schirrus of the Liver or some other Tumor which see above 2. The Obstruction of the same from thick flegm plenty of Choler stones and other Causes which is either in the passage reaching to the Liver by which it is attracted and then the Excrements are dyed or in that tending to the Duodenum by which 't is cast forth and then the Excrements are white or it comes to pass by default of the Liver and then the right Hypochondry is distended if it become hard it foretels a Dropsie or by default of the bladder it self and then it invades suddainly the belly is slow to stool the Excrements because they are not dyed look white It is cured 1. With things that open obstructions amongst which prevails Dodder of Vetches the Decoction of the Strawberry Plant with horehound and Raysons the Juyce of Nettle Roots bruised in wine with Saffron Young Geese Dung gathered in the Spring dryed and given one dram weight Cremor Tartar diluted with steeled Wine spirit of Tartar c. 2. With Purgers given by course with openers amongst which Rhubarb and Hiera Picra are the best Another is from those things which do suddenly expel choler from the inward parts to the Circumference of the Body which cheifly comes to pass in acute Feavers in which either it is cast forth critically and then there went before Signs of coction and the Disease is Cured Or Symptomatically by reason of its plenty and Acrimony and then it happens before the seaventh day If it be without a coldness 't is thought to be either from a weakness of Nature or from an Inflamation if with a coldness the Feaverish matter is cast forth from the Bowels and veins to the Skin In the Cure we must have respect both to the Feaver and the Liver Article VII Of an Atrophy An Atrophy is a drying and wasting of the whol body arising from the disappointment of its nourishment The Subject is the whol body especially in relation to the soft Parts the Fat and Flesh the harder Parts indeed may be dryed but they cannot be so diminisht that from thence the whol body should decrease There is no need of SIGNS whenas the affect is apparent to the Eye The CAUSE is the disappointing of nourishment which proceeds either by default of the nourishment when that either failes that it is not taken not attracted not
it It respects the same things as a schirrus of the liver Amongst things that disgest in wardly are commended the root of ferne the pouder of dead nettle in meats the wood of tamariske boyled in steel water to a third part The composition of ferne rootes one ounce dodder of vetches two drams boyled in eight ounces of strong wine to the consumption of a third part Outwarly amongst emollient things Fabricius unguent is of force compounded of Gum ammoniacum one ounce oyle of sweet almonds white lillies bens grease each two ounces the juice of hemlock foure ounces vinegar of squils two ounces The Differences are the same as of a schirrus of the liver I. One is new come which afflicts with pain extending it self to the very throat Another inveterate which is void of al paine neither doth it easily kil a man unless the liver be drawne into consent II. One affects the spleen only according to its substance which also is bounded with the figure of the spleen though this do sometimes according to its longitude appear as round sometimes according to its latitude somtimes swels according to al its dimentions Another is poured forth into other neighbouring parts also that for the most part it comprehends al the left region of the belly Article III. Of an Vlcer and wound of the spleen Concerning an Vlcer there is nothing to be observed but that it followes inflamations and tumors and casts forth its matter somtimes by urine vomiting or stool It must be purged cleansed headed A wound is either in its superficies which is less deadly or in its substance which by reason of the effusion of blood is deadly wheresoever it is it pours forth black blood for the most part also it affects the stomach causeth thirst and paine to the throat the matter somtimes is voided by the urine carried through the caeliacal artery to the trunk of the great artery and hence to the emulgents 'T is cured also with vulnerary potions Chap. 2. Of the Symptomes of the spleen Article I. Of the paine of the spleen and black Jaundice The Symptomes of the spleen are a pain of the Spleen The black Jaundice the hypochondriacal affection and the scurvy I. The pain of the Spleen ariseth from the solution of its continuity and distension of its membrane This is caused both from things external as blows fals c. and internal viz. â—â—â—ammation inflation tumors ulcers c. But it must diligently be distinguished both from those pains which are felt in the left side especially after meat or riding which proceed either from wind or from serous humors which flowing into the spaces of the peritoneum that sticks close to the coates in that place do distend them from the muscles and from the paine of the muscles which is felt if they be prest a little The Cure requires no narcoticks for when as it is cloathed only with a thin coate the paine is not exquisite II The black Jaundice is a change of the skin of the whol body into black 'T is known by the color it self It ariseth from the same causes as the yellow Jaundice doth except that there the liver here the spleen is in fault But t is harder to cure because if it be by default of the bladder of gal there is a greater corruption of choler if by default of the spleen the humor is more stubborn and there is a fear of a dropsy Medicines of steele are commodious in it and also a dry bath after which the body must be clensed with an emulsion of hemp seed the face with beane flower water mixt with wine Article 2. Of the Hypochondriacal affection The Hypochondriacal affection is a filth of vitious humors collected in the branches of the vena porta caeliacal Mesenterical arteries by reason of the hurt of the spleens concoction without putrefaction and by sending forth of vapors causing many Symptoms 'T is called Hypochondriacal by reason of the place of both Hypochondries by which is understood that part of the body which under the bastard ribbs reaches as far as the loyns on both sides and comprehends with the muscles the bowells themselves 'T is called also the windy passion by Diocles and Aetius for the familiarity of winds conteined in the left hypochondry and it obtains the name of Melancholly when as the brain is affected by consent As was said before The Signs are fetcht from the symptoms of the natural vital and animal faculties there is 1. A crudity of the Stomach by reason that it is ill nourisht by the vena porta from the Spleen which is followed with a continual spitting Flegme filling the mouth with moisture vomiting up of the thicker parts of the humor either generated in the stomach or sent from the spleen and somtimes so sowr that the teeth are on edg there goes before it an ebullition of the same in the stomach wind distending the neighbouring parts that somtimes the patient falls into swouning fitts a discussion of the thinner parts of the humor by insensible perspiration somtimes with a Feaverish shaking which a certaine heat Follows presently vanishing in sweat 2. Pains in the stomach which reach even to the back returne upon taking of meat when 't is concocted or cast forth they cease they draw the kidneys into consent by communion of membranes 3. Costiveness of body both by reason of the dryness of the vessels in both sides and because the meat is changed into a flegmatick viscous humor and so 't is not moved forward by the gutts and pertinaciously adhering to them is the cause of astringency 4. An inflammatory heat as it were of the Hypochondry which by motion meat drink hot things grows more fierce which is attended somtimes with a redness of the cheeks and whole face by reason of vapors ascending a diary Feaver vanishing in sweat by reason of the dispersing of them through the whol body by large drinking 5. A Vrine sometimes thin by reason of the passages obstructed and the retention of wind from whence the fit begins sometimes troubled and thick by the admistion of humors with a sediment somtimes of red sand in which the tartarous parts of the blood are coagulated 6. A Flatulency and waving especially in the left hypochondry the wind being imprisoned in the cavity under the midriffe arising from the connexion of the stomach caule cholick gut and bowels 7. Anxiety both because the meat half concocted is resolved into wind and causeth a straitness and because being carried to the neghbouring vessels affected with a hot distemper it boyls as it were with that Fiery heat and distends the hypochondries and so causeth a straitness in those parts which have nerves from the sixth conjugation 8. A Palpitation of the heart either by consent of the stomach or by the contention of the part it self against the malignity of the vapors which is more frequent with some at the increase of the Moon by reason of
them and make Water by drops with exceeding pain and that while the Stone is gathering together is thin and clear of somwhat whitish color but being concrete 't is wont to settle like unto Oyl with a gravelly sediment white like to scabs if the Stone be brittle The CAUSE and CURE must be fetcht from the Chapter of the stone of the Kidneys If it cannot be broken and expeled it must be cut out concerning which see Chirurgions For breaking of it serves the Composition of Salt of white Tartar one ounce and Parsty Water one pound mixt together and streined through streining paper dyed of a yellow color with Orange Pils also the Pouder of Palmer Worms concerning which consult with the peculiar treatise of Laurembergius And also the blood of a Goate nourisht with Plants that break the stone distilled taking at meat those stuffings which ought to be made of its Kidneys and other Bowels and Guts For mitigation of the Pain a Bath is good which must be followed with an unction of the Cod Pubis and perinaeum with the Compound Oyl made of Oyl of Scorpions bitter Almonds the Fat of a Cony and Hen of each one ounce and an half and the Juyce of Pellitory of the Wal two drams There meet us some Differences of the stone I. One is smal and light in which a vagous and wandering tickling afflicts about the pubes and perinaeum the which is easier broken Another a little bigger in which there is felt the weight of some heavy thing lying upon it so that going through uneven places is difficult and painful and dancing much more diffiult they piss often and the Urin can hardly be kept in which is white thick turbid with a purulent Sediment or like to the snivel of the Nose when they should piss the stone driven in the way the flux of Urin is intercepted there is a most sharp pain towards the latter end of pissing when the stone stirred up by the Course of the Urin as if it were comming forth doth more violently compress the Sphincter muscle at other times it affects the whol passage of the Privity somtimes the Nut. Striving to piss is accompanied with a desire to go to stool because the greatness of the stone from the perinaeum stimulates the right Gut as wel as the Neck of the Bladder This can hardly be Cured any other way than by cutting II. One is concrete which sends no gravel from it in the Urin. Another not concrete in which the Urin doth cast off some gravel and that either white or red which must be distinguished from that of the Kidneys by other signs of the stone of the Bladder III. One is which grows in the bladder it self to which that said before accords Another which descends from the Kidneys through the Vreters into it and then signs of the stone of the Kidneys went before there was a pain reacht from the Kidneys to the bladder according to the length of the Ureters the Nephritical pain is either ceased or troubles little This some do beleeve may be broke by the Indian Plant called by Manardus Payco and by other things IV. One is which doth not cleave to the Bladder and therefore may be taken forth more safely by cutting Another which cleaves to the top of the bladder and hangs down as it were from it and then al the symptomes reckoned formerly are more obscure there have been those seen who have carried it without any paine nay it can by no meanes almost be removed without injury to the patient Of which see Tulpius observat l. 2. c. 5. Article 2. Of an inflamation scab ulcer and fistula of the bladder An inflamation of the bladder doth not so much possess the substance of the bladder which is thin and bloudless as the sphincter muscle of the neck of it The signes of it are a bitter paine in the perinaeum with redness and heat a suppression of the urine with a great endeavoring to piss costiveness of the body because the right gut is streitned by the greatness of the inflamation a distension of the pubes and pecten to the navel by reason of the abundance of water The cause is the same as of other inflamations The cure is difficult because the affect is deadly for the most part about the seventh day especially a Feaver comming and the stoppage of urine and stools yet if it be gentler and the inflamation being changed into matter the impostumation break inwardly and is emptied by the urine there is better hopes and also an erysipelas arising about the superficies of the skin and plenty of water being made sometimes t is suddainly dissolved 'T is ordered after the manner of other inflamations Repellers must not be applyed long because the bladder is membranous and is easily bound up the urine supprest and the nerves hurt II. A Scab of the bladder is known by an itching in the pecten by the strong smel of the urine by a branny sediment residing at the bottom It ariseth from sharp and salt humors corroding the internal superficies of it 'T is cured in old folks hardly the humors are partly to be emptyed partly qualifyed by the four cold seeds violet flowers strawberries either taken inwardly or outwardly injected through the urethra III. There is no need to say what an ulcer of the bladder is it appears from the former The signs of it are scales and matter which flow forth only with the urine and sink in it and so 't is distinguisht from an exulceration of the urinary passage in which the matter and filth either goes before the urine or appeares presently at first comming forth or also flows forth without urine There is a continiual torment about the bladder pubes and perenaeum the urine also is thick and somtimes mixt with matter somtimes with blood c. The causes are divers of which in the differences The cure is of little hopes both because the bladder is membranous and because the urine which is biting by its continual running down hinders its consolidation 'T is ordered after the manner of other ulcers The differences are taken cheifly from the causes I. One is from cantharides and then if it be lately we must give milk plentifully by and by consolidate If it be inveterate it must be cured as other ulcers Another is from sharp urine which the use of pure wine and hot meats hath caused and then we must act with cooling diureticks Another from sharp or salt humors as it were knawing its internal superficies and then 1. We must empty with cassia and turpentine 2. We must temper them with water lillies lettice endive c. Another from the stone of which formerly II. One is in the bottom in which the pain is felt about the pubes Another by the urinary passage in which at the time of pissing the pain is felt more and especially when they begin and when they make an end to piss IV. The
juyces in the veins or in the substance of the body are changed into a serous matter which attracted by the kidnies slides through them and descends to the bladder Article III. Of an Ischury An Ischury is a suppression of the Vrine by reason of the disappointment of the expulsive faculty so that none of it can come forth There is no need of Signs in an affect so manifest The Cause is the disappointment of the expulsive faculty the causes of which we shal explaine in the differences The Cure must be hastened least it regurgitace into the whole body oppresse the liver infect the blood and cause a danger of suffocation Oftentimes the humors putrefie feavers are kindled and unless they pisse before the seaventh day they dye There is no cure if it arise by reason of the deadly concourse of fits if it come from a wound of the back bone or luxation of its vertebrae If the hickops or a tenesmus come upon it It respects 1. The symptom it self that the urine be provoked here meet us a pressing of the belly with holding of the breath putting up of a catheter unless an inflamation doe hinder or of a wax candle dipt in oyl of sweet almonds suppositories and sharp glysters by reason of the communion of the right gut with the bladder fomentations of the pubes and perinaeum with the decoction of pellitory of the wal melilot chamemel Cataplasms of horse raddish bruised and fryed in butter The juice of a cray fish baked and strained through hair given in wine The salt of beane cods The decocti-of buck-thorn in wine of gillyflowers with their root dryed in the shade with wine of quinces 2. The Causes of the Symptom of which in the differences An Ischury is divided twofould One from Diseases of the bladder which is known by this that a continnual desire to pisse doth oppress them the pubes is distended and pained by the collection of abundance of urine by putting in a catheter plenty of urine flowes forth with ease Those diseases are 1. A stupidity by reason of which it feels not its spur either by reason of a palsey and obstruction of the nerve or the aversion of the spirits and then although the bladder be ful there is no desire to pisse nor no paine felt 2. A cold distemper contracted from cooling causes and then such causes went before diureticks must not be used unless the body be purged first 3. A streightness either by reason of a tumor of the muscle compassing the neck or by Reason of a stone and other things formerly alledged if from this 't is somtimes cured with an emulsion of the seeds of purple violets made with speedwel water 4. Too great an extention then the urine hath been retained too long against the wil we must act with fomentations of pellitory of the wal with oyl of sweet almonds Another is from the streightness of the urinary passage which is known from hence that the urine is not voided by compressing the bladder and that a catheter is difficultly put up See the Cure in its chapter II. One is exquisite of which we treated even now Another Spurious which is knowne by this that the bladder is empty so that no water flowes forth though a catheter be put up There is no heaviness or distention or paine perceived about the pubes though you presse it It ariseth either by default of the Kidnies which do not attract or expel the matter of the urine either by reason of its owne diseases of which formerly or by reason of some external error viz. because the serum is either consumed or converted to some other parts Or by default of the uriters which either are bound up or obstructed and then the patient was subject to the paine of both kidnies there is a great heaviness in the loins and somtimes a vehement paine torments every where there is little or no desire to make water But the specificks in this disease are thought to be earth worms in number five drunke with sweet wine An egg-shel purged from which a chick in hath been hatched Goats piss dranke warme ' its caule and guts applied to the belly c. To an Ischury belong A deminution of the water which in malignant and acute feavers is therefore bad because it is a signe that the nerves are affected And the slowness of urine when it is voided at longer distances than it was wont because they differ from an ischury only gradually therefore we wil treate no more of them Article IV. Of a strangury A strangury is a voiding of urine by drops made with or without paine and a continual urging to piss arising from a continual goading of the expulsive faculty of the bladder by reason that the sphincter is affected or from the weakness of the retentive faculty oppressed with the least burthen The Signs of an affect so manifest are evident The Cause is explained in the definition viz. the irritation of the expulsive or weakness of the retentive facculty but from whence they are shal be exprest in the differences The Cure is of little or no Hopes almost if it come upon an Iliack passion proceeding from an obstruction of crude and thick Humors no Feaver following it which may attenuate the Humors 'T is ordered according to the diversity of the Causes of which hereafter The Difference is taken from the Causes I. One is with pain proceeding from the irritation of the expulsive faculty and it ariseth 1. From the Acrimony of the Urin which either is inferd by external Causes as meat and drink hot and Salt new and dreggy drink which when it cannot be concocted commodiously and hath a power to ferment the Humors and loosen the Belly if it be quickly carried to the Kidneys 't is carried crude to the bladder and stimulates it Then drinking of spanish or Mallego wine does good Nut-megs Goates Fat put on the Navel Or from internal Viz. Sharp Humors either produced there or sent from elsewhere which being viscous do by their clamminess stick to the Orifice of the bladder and somtimes by their long continuance exulcerate the same They are known by this that the Urin is red and Yellow there is a sharp biting felt with a heat and thirst The Cure requires emptying by Cassia and Turpentine Tempering by coolers and moistners and a bath of sweet Water Promotion of the Vrin By Salt of Acorns of bean stalks half a scruple Oyl of Wax three drops in the Decoction of red Vetches By the pouder of stones squeezed from the Heads of Snails given in Wine 2. By matter sent from the Liver Kidneys or else where and then some of it wil appear in the Urin whey with Sugar of Roses is good 2. From the Stone which Excoriates the bladder to which we must have respect 3. From an inflamation of which was spoke formerly 4. From the affects of the neighboring Parts for upon an Inflamation of the right
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
or by other diseases by which also the retentive faculty of the same is wont to be weakned In particular 't is caused cheifly 1. From too much cold and then the pain which ariseth about the Region of the Kidneys descends to the lower part of the Belly and afflicts like to Nephritical pains See a Fomentation in Ludovicus Burgesia p. 1. c. 6. 2. From a sudden fright and then outwardly may be applyed the Fomentation even now mentioned inwardly a little Oxycrate 3. From a Swouning where the Confection of Alkermes and de Hyacintho take place 4. From Anger 5. From a Flux and then drying Meats must be administred the Patient must be kept in Bed we must act with Cordials and Strengtheners III. The Birth coming forth not Naturally where 't is a common admonition that the navel of the infant what way soever it comes forth be thrust back into the womb again If it be difficult and cannot be promoted otherwise 't is happily furthered by giving three grains of Mercurius vite in wine as Billichius witnesseth in his observations IIII. The stay of waters al other things being ready for the birth and then the membranes must not be broken least violence be offered either to the navel or some member a fomentation ought to be ordered with warm water which must be followed with a limiment of fresh butter V. An immature falling down of the waters and then fresh butter is good amongst moistners we must have a care of the outward air VI. Collick pains which are taken away by giving oyl of sweet almonds with cinnamon water or a carminative glyster following VII A weakness of strength by the birth and then may be administred water of Tophies Harts-Horn Confection of Alkermes Cinnamon water VIII The slow comming forth of the secundines either because they are too thick and tenacious and stick close to the sides or because they swel by the long labor of bringing forth or because the Navel is either broke or cut off before the Secundine is come forth There are commended the Secundines Specifick the Eyes of a hair taken in March of which in Hartmans Chymiatry c. See Burgesia l. 1. c. 14. IX The Pains after birth by reason of the too great strainess of the vessels which are prevented by giving of the Queens pouder after the first birth which is compounded of the grearer comfrey one dram Peach Kernels Nutmeg of each two scruples Amber Greese half a scruple and one dram weight is given in broth if there be a Feaver in wine if not X. Too great a flux of blood after the delivery either by reason of its plenty or because she hath used hot things or because of its thinness In the cure take place ligatures a cloth dipt in Oxycrate applyed to the Loyns and al the back bone because there the Vena Cava Runs down Terra Cimolia dissolved in Vinegar applyed to the same XI An insufficient Purgation by reason of the thickness of the blood detained nine Months induced by heart which is known from hence that it was more in the menstruous Flux In the Cure takes place the opening of the Saphena but not before the womb is restored to its place The use of Syrup of Maiden-Hair with Hyssop water Wormwood water Suffumigations Fomentations c. But if her Purgation were not more in the Flux of her Courses nor she did not abound with blood we must act by dyer and meats of good juyce XII A Feaver which is 1. From the generation of milk which is free from danger it must be committed to nature observing a goverment in dyet and sweats must be promoted in which that is wont to end 2. From the suppression of the after purgation in the cure of which note 1. That a vein is most commodiously opened in the ankle if that cannot be done cupping glasses with scarification are wel applyed to the thighs and leggs 2. The time of the flux being over past and a feaver urging a vein in the arm may be opened 3. From the store of vitious humors in which we must diligently consider whether the sick ought to be purged or not the time of the flux being over only gentle ones must be administred Things that alter which stop the flux as cold things sour things must be aavoided Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XIII Of the Affect of the Belly A single Chapter Of the Rupture of the Navel and Inflamation of the Muscles of the Belly AMongst the affects of the belly is A Rupture of the Navel and Inflamation of the Muscles of the belly Omphalocele which is a swelling of the Navel from the Guts Caul water wind or a fleshy substance fallen into it or arising there The Signs Cause Cure do vary according to the Nature of the Differences The Differences are taken from the Causes One is Intestine or Enteromphalos when the Guts slide into the Navel which is known by this that the Tumor is not very hard nor soft holding the breath it increases and the Patient lying on his back it sinks the Guts going back into their place with a noise and rumbling It ariseth from blows fals jumping lifting of a heavy weight hard labor riding crying out Mourning Laughing c. In the Cure it requires 1. The putting of the Guts into their place 2. The astriction of the peritonaeum relaxt the consolidation of it if it be broke amongst Medicines are Comfrey Sanicle through-wax Rupture wort Boyled in red wine and given Incision must be admitted at last when no other things do good By Ligature somtimes we provide against this affect Another is of the Caul or Epiplomphalos when the Caul slides into the Navel which is known by this that the Tumor in one paâ—â— is softer broad at the Basis and narrow towards the top that there is no pain present and the same being prest with the Fingers it sinks the Caul returning into its place It ariseth from the same Causes The Cure is the same but in a soft and young body 't is easier Another is watery or Hydrophalos when the Navel is lift up into a Tumor by water which is known by this that the Tumor is lax and if it be prest 't is neither increased nor decreased that 't is joyned with a waving and holding a Candle to it it appears clear and perspicuous It ariseth from water collected between the Peritonaeum and the Skin of the belly proceeding from the Causes mentioned in the Dropsie In the Cure take place things drying and discussive if these succeed not incision made like a half Moon Another is windy when wind distends the Navel which is known by this that the Tumor is soft yeilds to the Finger gives a sound like a drum and let the Patient lie which way he wil it is not changed
the Skin with a spot which is red broad and dispersed up and down The SIGNS are it seazes the patient with shiverings after which a Feaver follows There is a vehement biting and burning so that smal bladders somtimes arise The color is red inclining to yellow not red inclining to brown which being pressed with the finger vanishes and quickly returns A pain which is neither pulsative nor vehement and stretches it self out to the neighbouring parts without tension These signs are not observable in an Inflamation or Phlegmon The CAUSE is Chollerick blood which is bred by an hot Liver whereby it becomes more thin and movable or by nature many times because of a maligne quality it is driven into the outward parts or is moved by external Causes c. The CURE is hard if it follow upon the baring or fracture of bones It if turne from the external to the internal parts It is putrifie or suppurate If it arise on the Head or Face because the Tumor being augmented it causes the squinzy If in the Liver or Womb of Women with Child because it kils the Infant It respects 1. The driving away of the Disease to which end are subservient 1. Blood-letting from the Liver or median Vein in Plethorick and gross bodies 2. Purgation by the cooler sort of choler-purgers 3. Provocation of sweat by Venice Treacle in Elder-flower water c. 4. Application of Topick or external Medicaments which must be liquid and thin and frequently renewed The principal are the Lapis Medicamentosus Crollij Menstrual blood dissolved in Groundsel-Water and Rose-vinegar Balsom of Litturige with Camphire in Frog-spawne-Water Decoction of red Myrrh and Olibanum each one ounce in Wine and vinegar of each four ounces A Linnen bay ful of wheat bran heated The Liniment of Sebize at the end of his Book de Acidis 2. Preservation from this Disease Where Blood-letting is useful twice a year Purgation by Choler-purges Diet enclining to cooling and moistning wearing of stockings wet in Frog-spawn-water The use of that Preservative mentioned by Sinnartus in his second Book of Feavers Chap. 16. It is divided two manner of waies I. One is Exquisite to which the general rules aforesaid agree Another is Bastard and that either Phlegmonodes Oedematodes c. Wherein the Tumor is greater II. One is Simple in which the top of the Skin is colored and tainted and dry scales are raised like bran In this case after general remedies cooling Topicks are to be applied and the discussion must be left to Nature Another is Vlcerous in which after the pustles are broken saines or Blood-Water and quitter come out It quickly breaks froth with an evident Fluxion It has great moist pustles T is quickly come to solution and of its own accord and so t is distinguished from Herpes To this al other things corresponding cooling Topicks or external Medicaments may be applied til the color of the skin be altered See the Cure in Rulandus Article II. Of Herpes or the Shingles Herpes Fermica or the Shingles is a Tumor raised by Yellow choler pure and unmixt with other Humors upon the surface of some part of the body and creeping along to the neighbouring parts The SIGNS are a broad Tumor ruffing the Skin hardness pain sense of burning it makes a Circular kind of progress the middle parts healing while the extream parts break out a fresh The CAUSE is Yellow choler sincere or unmixt and thicker than in St. Anthonies fire proceeding from its causes The CURE respect 1. The whol Body which must be Evacuated 2. The part affected which must be gently cooled Digestion must be used and discussion by dryers if heat permit It s divided into Simple and Eating I. The Simple or Milet fashon'd Herpes roughs the top of the Skin and is quartered only under the Epidermis or Skarfe-skin raising thereupon very smal pupples which have very smal height from the skin like the graines of milet If the pustles are whole cold and dry things must be used if broke cleansers Water of quick-Lime and Sugar of Lead are very good A Decoction of Arse-smart and Resberry leaves in water and Wine c. II. The Eating or devouring Herpes the pustles being broken exulcerates the true Skin spreading it self in depth and breadth and is long in coming forth by little and by little it has dry pustles lasts long and comes unattended by a Feaver Thus it is distinguished from an Vlcerous St. Anthonies fire Stronger Medicaments must be used in these sorts of shingles Chap. 3. Of Tumors springing from Flegm Article I. Of the Tumor cald Oedema OEdema being the only Tumor arising from Flegm is a swelling caused by Flegmatick matter which Nature exples into the parts of the Body The SIGNS are the softness and loosness of the Tumor pain none or very little whiteish color no heat The CAUSE is Flegmatick matter the colder and moister part of the blood which is somtimes expelled by Nature somtimes tends downwards by its own weight and settles in the extream parts It cheifly quarters upon the Hands and feet being Members remote from the Fountain of Heat The CURE is performed 1. By Diet which must not occasion Fleagm and crudities Fish are allowed that swim in stony-bottomd Rivers 2. By Alteration and Digestion where Oxymel and Oxysaccharum are good 3 By Resolving with Discussers but the part ought first to be heated by frictions and fomentations 4. By Suppuration if by pulsation and pain we perceive it tending thereto Whereof see Platerus The Differences are sundry I. One springs from Flegm alone which is more lasting and is for the most part discussed by Resolution that is to say through the pores of the Skin Another comes from it and other Humors mixt therewith which sometimes suppurates especially if it be in an hot part II. One arises of it self which is not dangerous Another sort follows other Diseases as the Consumption cooling of the Liver c. Which is dangerous and threatens death In the Cure regard must be had of the Diseases upon which it depends Chap. 4. Of Tumors proceeding from the Melancholick Humor Article I. Of the Tumor called Scirrhus THe Tumors which arise from the Humor of Melancholick are the Scirrhus and Cancer The Scirrhus is an hard Tumor without pain springing from a Melancholick Humor which is thick clammy and roaping The SIGNS are little or no pain over-great hardness want of feeling when it is pressed The CAUSE is an Humor either Malancholick that is to say the dreggy part of the Blood or the natural Malancholick Excrement or somtimes also Flegmatick which is either thickned by heat dissipating the thinner parts from thence Inflamations St. Anthonies fire c. Follow or it is hardened by an Immoderate Application of repellers astringents and strong Discussives The CURE is None if it have no feeling otherwise some cure may be T is hard by reason of the stubbornness of the matter It is performed
Causes I. One is from Resolution which may be known by this that the part affected is loose and the softer part thereof drawn to that part that is sound and that the sense in the part affected is very obtuse and dull that the eye lids in part fal down that the face is extended without any wrinkles at al and that it continually inclineth toward the inferior parts It ariseth from the very same causes from which it portendeth a palsy or an apoplexy It is Cured in the manner as a palsey I. By Vniversals where note wel 1. That before the fourth or the seventh day unless there be a fear of the before mentioned diseases we must have no recourse unto the stronger sort of medicaments 2. that a vein is to be opened first in the Arm and after that under the tongue 3. That Cupping-glasses with scarification ought rather to be applied unto the shoulder blades than unto the first vertebrae lest that if they be too often imposed on the neck they may haply cause a trembling II. By Particulars and then Errhines and Apophlegmatismes are of good use Gargarismes are not to be administred before errhines lest that the matter be thereby drawn unto the face Outwardly let therebe inunctions of Castoreum Let the mouth by Ligatures be reduced again unto its natural state Let the sick person be put into an obscure and dark place lest that by much light the humors being scattered run together unto the nerves Let a looking glass be set oppositely before him Another from Convulsion which is known by this that the part affected is hard and for the most part ful of pain that the sound part is somtimes drawn unto that extended that the skin in one partthereof is rugged and wrinkled and in another extended and lastly that there is here present but very little Salivation or spiting It ariseth from the same Causes with the Convulsion And it is likewise as hardly cured or else not at al if it seize upon both sides of the mouth we cal it then a chymical spasme and be violent strong for somtimes within four daies and somtimes again at the furthest within twelve the matter being transferred unto the head kileth the party thus affected or if it happen in burning feavers a pernitious Phrensy c. II. Another is when the Muscles are affected then the vitious and deformed figure seazeth only that part of the face which the affected muscle covereth Another when the nerves and then their spring-head and beginning being affected the Brain is likewise affected in the one half thereof and half the face also together with the whole body suffereth but if they be affected in their progress â—hen the distorsion or writhing seizeth upon the one half of the face throughout al the parts thereof when the third pair of nerves are affected in regard that the same part thereof standeth forth by the same holes with the moving nerves of the eyes the eye cheifly suffereth if the fifth pair be affected then there is likewise some slight hurt of the hollow or inner parts of the Cheeks but if the first vertebrae of the neck then the hurt that befalleth the Cheeks is so much the greater but then the eye unless withal the Temple muscle into which the fifth Conjugation sendeth forth a smal branch be affected is the more freed from suffering Chap. 3. Of the Ptyalisme APtyalism is a frequent and involuntary spitting and spawling without any Cough or retching proceeding from a superfluity and over great store of spittle Our discourse is of that ptyalisme that is Symptomatical and not of the Critical which freeth the sick person from the disease he lyeth under Of SIGNS there is no need at al. It is termed involuntary the better to distinguish it from that that is by use and Custom whether it be in concluding of a sentence in a discourse or whether otherwise it maketh no matter It is said to be without any cough or retching in regard that what for the most part upon excretion or reaching is cast up out of the Thorax or breast is most properly called spittle and that sallivation or spawling that is cast forth and commeth away without the sâ—id stretching or retching The CAUSE is an excess and over great store of Spittle For if it be considered as it is Naturally in its Mediocrity so it is requisite by its mixture to prepare the meaâ— while its masticated and chewed in the Mouth for the first Concoction to further and help the speech and to be the Vehicle of the several Tastes The CURE in general is to be directed towards and ordered unto the Corroboration of the Tonsils in regard that it is bred in the assistent Glandules on both sides the Tongue which they cal Tonsils by the concurrent heat of the Tongue and the other parts in the Mouth This is done with the Decoction of the Leaves of Myrtle Plantane and Alume c. Which are only to be kept and conteined in the Mouth and not to be Gargarized therewith lest that thereby more Flegm be attracted and drawn unto the Superfluous Spittle It is divided according to the Causes thereof One is from Causes External increasing the Spittle to wit that dangerous and pernitious anoynting with Quick-Silver ful feeding upon moist meats and excessive drinking And this ariseth and sheweth it self after meals Another from internal Causes to wit a waterish and Flegmatick Humor which 1. Somtimes falling down from the brain unto the Jaws mingleth it self together therewithal and then the same thing likewise is done and hapneth in the Relaxation or loosening of the Columella the inflamation and Ulcers of the Mouth The Cure is to be directed and ordered according to that of a Catarrh 2. And somtimes that that is heaped up in the Whol Body is transmitted thither and this most commonly happeneth in Infants 3. Somtimes it as it were sweareth out of the overmoist and empty Stomach and this especially after Chronical Diseases and then a regard is to be had unto the purging of the Stomach by Aloetick Medicaments Frankincense and Mastick taken in wine Meats wel sawced with Mustard and Diagalanga 4. Somtimes it proceedeth out of the Intestines as in Worms from the Spleen as in those that are afflicted with the Scurvy out of the Breast and Lungs c. Title X. Of the Affects of the Mouth Chap. 1. Of the Aphthae or Exulcerations of the Mouth AFfects of the Mouth properly so called are the exulcerations termed Aphthae and Faetor or the stinking of the Mouth and the Breath The Aphthae are certain Hot and Fiery Exulcerations in the highest part or Superficies of the Mouth that have in them somthing of heat There is in this case no need of SIGNS they are sufficiently known by the sight alone The CAUSES as wel External as internal shal be expressed and explained in the Differences The CURE is performed by Repulsion in the beginning with astriction and in