Cremor Tartari p. 175 b 0 3 †Sal prunellae p. 367 a 0 4 Liquors   †Liquor Vitae Anodinus p. 555 a 2 6 †Liquor Ophthalmicus p. 557 b 0 6 Liquor Alexipharmicus p. 558 b 1 6 Liquor of Tartar p 177 b 0 6 Liquor for a Gonorrhaea Synopsis p. 741 b 0 4 †Liquid Laudanum p. 169 b 6 0 Liquid Laudanum of Schefer Doron 1 6 Liquid Laudan of Helmont Doron 2 6 Vinum Benedictum p. 566 a 0 8 Acetum Alexiacum p. 576 a 1 0 Pouders   †Pulvis Cornachinii veri p. 641 a 5 0 Pulvis Arthriticus Paracelsi p. 576 a 1 0 White flowers of Antimony p. 339 b 10 0 Antimony Diaphoretick p. 332 a b 1 0 Vitrum Antimonii p. 330 a 0 6 Cinnabar of Antimony p. 342 a 5 0 Regulus of Antimony p. 335 b 3 6 Sulphur of Antimony p. 327 b 5 0 Crocus Metallorum p. 333 b 0 6 Flowers of Sulphur p. 387 a 0 2 †Mercurius dulcis p. 313 a b 1 6 Pearl prepared p. 414 b 3 0 †Our Royal Pouder Doron 5 0 Electuaries   Orvietanum Verum Doron 1 0 †Confectio Anodyna Doron 7 0 †Theriaca Londinensis nostra p. 671 b 4 0 Pills   Pilulae Lunares p. 280 a 16 0 †Family Pills p. 702 b 5 0 †Pilulae Hydropicae Bontii Doron 2 6 †Pilulae Holagogae p. 702 a 4 0 †Pilulae Anodynae nostrae Doron 6 0 Pilulae Odontalgicae Doron 3 0 TO THE MOST SERENE ILLUSTRIOUS AND POTENT MONARCH CHARLES II. BY THE GRACE OF GOD OF ENGLAND SCOTLAND FRANCE AND IRELAND KING DEFENDER OF THE FAITH c. THE AUTHOR William Salmon ONE OF YOUR MAJESTIES MOST HUMBLE AND LOYAL SUBJECTS AND SERVANTS CONSECRATES THIS ENSUING WORK AND MOST SVBMISSIVELY LAIES IT AT YOUR MAJESTIES ROYAL FEET The PREFACE I. WE intend through the Assistance of the Divine Goodness to delineate a compleat Medicinal System wherein we purpose to treat of all Diseases happening to humane Bodies from Head to Foot whether internal or external the Management of which shall not be only Theorical or by a method of Precepts but also Historical from a Series of Observations upon the Bodies of sick People by help of which a kind of Demonstration will be made of the Medical Art and a Pattern or Platform of Practice laid down to the more juvenile Professors of these Studies II. In this History you have 1. The Disposition of the Body of the Sick and for the most part the Cause of the Disease what 2. The Method which was taken in the Cure with an exact account of the Medicines exhibited the order of their Exhibition the various Doses and Success thereupon In this first Volume we have inserted several foreign Observations of other famous Men which in the following Volumes of this Work will be hereafter omitted to the end that by comparing the Practice of the Ancients with our Modern way of Curing the difference may be seen and to what degree of perfection the Practice of Physick has arrived in Our Age. III. And although in this present Book we have not exhibited of our Own Cures above one hundred and sixty or thereabouts yet the whole Medicinal History when compleated will contain above Three Thousand of Our own Observations all digested under their proper Heads the which by reason of the Service they may do the publick we are unwilling should perish by the devouring Jaws of Time for want of a seasonable Publication IV. These Histories or Observations of Cures will not stand alone but upon a Rational and Practical Theory wherein we shall significantly yet completely handle every Disease giving you therein the Names Definition Kinds Signs Causes Prognosticks and Method of Cure of each Distemper according to the Modern and more received ways of Practice which we hope will be so plain and perspicuous that the very reason of the thing will be sufficient to indigitate to any intelligent man the necessity of the Modus Curandi V. This whole Work will be divided into several Volumes and Books in which we shall Treat in order 1. Of Diseases of the upper Ventricle or Head 2. Of Diseases of the middle Ventricle or Thorax 3 Of Diseases of the lower Ventricle Abdomen or Belly 4. Of Feavers 5. Of Chyrurgery in Tumors Wounds Ulcers Fractures and Dislocations Wherein Observations of all the principal Diseases happening to the Bodies of humane kind will be faithfully exposed with many other things of excellent use and absolutely necessary to be known by all the Professors and Practisers of Our Art VI. The Design of the Publication of these Cures being purely matter of Fact is two-fold 1. That such a Cloud of Experiments so exactly taken might not be lost by reason of their exceeding Benefit and Use which they may prove of to posterity 2. That all young Physicians and other ingenious persons whether Gentlemen or Ladies who practice Our Art might have something from Experience which might guide them a little by the hand as it were and lead them through the many Intricacies of Physick and Chyrurgery well knowing that nothing is so pleasantly and so firmly taught as that which is done by Example for as much as every Exemplification is not only an illustration in the Mind but also a Direction to the Intellect in performing the like again VII In the Mean season we cannot but complain to all the Lovers of Art of a late scandalous Abuse put upon Me by one Con s a Potecary or Pot-carryer of Fleet street who reports up and down the Town that I am not the Author of the Books which are published in my name but that only as an Amanuensis I wrot them by the Instruction and Direction of another Gentleman That person he pretends to be the Author of them I confess I know but my acquaintance with him is so little that if all the times I ever were in his Company in my whole Life were put together they would not make completely one half day VIII But as I know no Man would be so kind no not a Father to a Son much less a stranger to another Man to be the Author of so many Books as I have wrote and give the honour and reputation of them from himself to another so I as certainly know that the said Potecary or Pot-carryer cannot prove any Man dead or alive from whom I have personally or by Letter received any Instruction or Direction for the Composing or Writing of this or any other of my Books And I challenge that Lying and Defaming Tongue to prove the least Syllable of what he has spoken in that kind to be Truth IX Surely the Man wanted Wit to publish such a silly lying Story which no Man who does not violence to his own Reason and Understanding can possibly believe who can conceive that any Mortal could have so great a kindness for me for 9 or 10 years to sit by me and
of Squills for an Epilepsy 346 a Gargarisms antepileptick 354 b Gargarisms in convulsions 472b Gangreen 606 a Genus Nervosum hurt 382 a Gluttony 33 a Gout 217 b 378 a Guajacum dangerous in an inveterate Head-ach from the Pox 52 b H Haemorrhoides 108a 412b 630b Haemorrhage 387 b Head-ach 1 a 39 b Head-ach with the Kings evil 2 a Head-ach from the Pox 3 b 5 a 6 a 11 b Head-ach in a young Virgin 5 b 7 a Head-ach with a pain in the Neck 6 a Head-ach with appetite lost 7 a 8 b Headach noise in the ears 7 b Head-ach with many Symptoms 7 b 9 a Head-ach with Cough difficulty of breathing 8 a Head-ach with pain of the Stomach 8 b Head-ach cured by an Issue 9 b Head-ach cured by Horse-leeches 9 b Head-ach cured by bleeding 10 b Head-ach from the heat of the Sun 10 a Head-ach with other Infirmities 10 b Head-ach mortal 11 a Head-ach in a semitertian 12 b Head-ach nocturnal 13 a Head-ach contumacious 15 a Head ach with a Catarrh 15 b Head-ach from vehement Labour 15 b Head-ach from cold 16 a Head-ach cured by purging the Brain 16 b Head-ach its Cause 39 b Head-ach its Prognosticks 41 b Head-ach from a simple Intemperature its cure 42 a Head-ach from heat and moisture its cure 43 a Head-ach from cold and dryness 43 b Head-ach from cold and moisture its cure 44 a b Head-ach from Vapours its cure 50 b Head-ach from a Feaver 50 b Head ach from the Pox its cure 51 b Head-ach from the hurt of the Cranium or menings of the Brain 54 a Heat of the Back 413 a Hectick 182 a Hiccough 606 b Hoarsness 145 b Horstius his Remedies against the Apoplexy 705 b Hypochondriack Meloncholy Scurvy 46 a 51 a Hysterick Fits 369 b 395 b Hypochondriack Melancholy 376 a Hydromel 667 b Hydromel tartarisatum apud Thonerum 755 a I Incubus 501 a see Night mare Infusion of Rhubarb 750 a Infusion of Sena ibid. Infusum purgans è foliis Sena Sennerti 75 b Infusum Vomiterium Sennerti ib Infusum alium Sennerti ib Inflamation of the Eye-lids 32 a b Injection for the Womb 257 a Joels Experiment for a Pocky Head-ach 53 b Ischuria 221 b Iuyce of Calamus Aromaticus to prepare 190 a L Laudanum volatile nostrum 552 b Laudanum simplex apud Poterius 757 a Laudanum vniversal poterij ib Laudanum for a Megrim 17 b Laudanum how taken 111 a b Laudanum for a Catarrh 120 b Lambitive for a Catarrh 170 b Langius his Epileptick water 278 b Laxative Wine 203 a 439 a 440 b 441 b 442 a Leprosy 524 a Lethargy 378 a 581 a 631 b Lixivium for strengthning and drying the Head 198 a Liquor lithontriptick 398 b Liniment of Paraeus against Convulsions 447 a b Liquor antiparilytic Sennert 663 b Linimentum ad Paralysin Valeriota 674 a Lotion for the Feet 199 a Lungs vlcered 133 a M Masticatories 39 b Madness 323 a Maxy his Secret for the Epilepsy 340 b Masticatories in Convulsions 472 a b Mad Dog biting 480 a b Megrim what 61 a Megrim from the Pox 17 a Megrim in a hot scorbutick Body 18 b Megrim in a cold scorbutick Body 20 a Megrim from a foul Stomach 20 b Megrim from Blood over-heated 21 a Megrim from a phlegmatick Stomach 21 b Megrim from a blow on the Head 21 b Megrim with Cough and shortness of breath 22 a Megrim with a Catarrh c 22 b 28 a Megrim with sphacelation of the Brain 25 a Megrim from a Cold 26 b Megrim with the Cramp 26 b Megrim in a Woman lately delivered 27 a Megrim cured by opening an Artery 27 b 30 a 33 a Megrim cured by a flux 29 a Megrim Inveterate 29 a b Megrim in the Winter 30 b Megrim with Pain of the Eyes 32 a Megrim from a cold humor 33 b Megrim form a hot cause 34 a Megrim Periodiok 35 b Megrim its names definition kinds 61 a Megrim its signs 61 b Megrim its prognosticks 62 a Megrim its cure 62 a b Megrim from Wind and Cold its cure 63 b Megrim from consent of the Womb 64 a 245 b 256 a Melancholy 46 a 51 52 a 145 b 318 a 374 a Mercury what 38 a b Mesues liquor in passions of the Heart 647 b Mortification 606 a Morphew 47 a Mouth sore 150 b Montagnanus his Antidote against the Epilepsy 346 Mulsum antiparalyticum 667 b F Neurotick Wine in an Epilepsy 255 a Nerve or Tendon pricked 392 b Neuroticks or Nerve Medicaments 474 a b Nicholas his Experiment for resolving and remitting of Pain 449 a Night-mare 501 a 511 b Night-m in an aged man 501 b Night-m with the rupture 502 a Night-m with vomitting 503 a Night-m with running Pains 503 b Night-m in a young Maiden 504 a Night-m in a young man 505 b 508 a 511 a 512 b Night-mare from obstruction of Courses 507 a 509 a Night-mare upon healing an old Vlcer 508 a Night-m in a Man with a vehement Catarrh 510 a Night-mare in one melancholy 511 b Night-mare in general 512 a Night-m in a Child 514 a Night-m its Signs 515 b Night-m its Cause 516 b Night-m its Prognosticks 518 a Night-mare its cure 518 b O Obstructions of the Womb 481 a Obstructions of the Mesentery 379 b Obstruction of Courses 568 b Old Head-ach 11 a Old Head-ach with breakings out 14 a Old Head-ach with pain of the Womb 14 b Oleum Buxi a Quercetano 749a Oleum Picis nigrae ibid. Oleum Hypericis magistrale Poterii 759 b. Oleum ad Paralysin ibid. Ophthalmy 34 a Opisthotonos 457 b Opisthotonos what 465 a Orvietan of Platerus 473 b Oyl of Guajacum 749 a Oytment against the Palsy 590 b P. Pathology of Diseases 39 a Pathology of the Head-ach 39b Pathology of a Cephalaea 55 b Pathology of the Vertigo 101 a Pain at Stomach 134 b Pathology of the Epilepsy 333 a Palpitation convulsive 407 b Pathology of Convulsions 465 a Pathology of Contractures 493 a Pathol. of the Night-Mare 515 a Pathology of the Tremor 539 a Pathology of the Palsy 648 a Pathology of the Apoplexy 724 a Palsy with a Catarrh 551 a Palsy in a young Man by lying in the cold 556 b Palsy by taking cold after Sweating 560 b Palsy by drinking water too plentifully 561 b Palsy with Contraction 567 b Palsy with Obstruction of Courses and a Dropsy 568 b Palsy by sitting in the Snow 570a Palsy of the upper parts 570 b Palsy in an aged Man 573 b Palsy mortal 574 b Palsy with Cholick pains and retention of Courses 535 a Palsy by taking cold in swiming 577 a Palsy in a middle aged Woman 578 b Palsy in a middle aged Man 619 b 621 a Palsy in a fat Man ibid. Palsy with the scorbute 579 b Palsy in a Woman with Lethargy 581 a Palsy cured by Opiates 585 a Palsy with Hiccough 606 b Palsy in a young Girl 607 a Palsy
ibid. Tincture of Corn-Poppy flowers 750 a Tongue paralytick 605 a Tongue palsied 611 b Torture of the Mouth 456 a 462 b Trochisci sublinguales 169 a Tragea of Crato 213 a Troches of Solenander for a Catarrh 236 b Troches of Mastich 463 a Tragaea for strengthening the Brain ibid. Trismos what 466 b Tremor 522 a Tremor from drunkenness with Leprosy 524 a Tremor from drunkenness 525b Tremor with a vehement Catarrh 526 a Tremor from Worms 527 b Tremor in an aged Man 528 a Tremor from weakness ibid. Tremor from affrightment 530a Tremor from overstraining the Head 530 b Tremor from perturbation of Spirit 531 b Tremor of the Limbs 533 a Tremor in an aged Woman ib. Tremor of the Hands 533 b Tremor of the Muscles of the Cheek-bone 534b Tremor of the Members 535 a Tremor with heaviness 536 a Trembling involuntary without pain 537 b Trembling and shaking 538 a Tremor its Signs 539 b Tremor its Causes 540 a Tremor its Prognosticks 544 b Tremor the Cure 545 a V. Vesicatory for a Head-ach 5 a Vertigo with dimness of sight 37 a Vertigo with weakness of sight 39 a Vertigo from a fall 40 a Vertigo with a disaffected Womb 41 a Vertigo in a Child 42 a Vertigo Mortal 41 a b Vertigo with a malign Feaver 43 a Vertigo in a young Girl 44 a Vert. with pain of the Head 45a Vertigo cured by a Cautery 45b Vertigo with Hypochondriack Melancholy and Scurvy 46 a Vertigo with Head-ach and dbasness 47 a Vertigo with Head and Stomach ach and Scurvy 47 b 84 a Vertigo from fasting and watching 86 a Vertigo with Head-ach and darkness of sight 49 a Vertigo in a sleep from an abscess in the Brain 49 b Vertigo and Apoplexy from a Contusion 50 a Vertigo not far from an Epilepsy 50 b Vertigo that lasted many years ibid. Vertigo from Melancholy 51 a Vertigo and Melancholy 52 a Vertigo with Swooning fits 73 a Vertigo from the Spirits 73 b Vertigo from an abscess in the Intestinum Rectum 73 b Vertigo in a flegmatick habit 74 b Vertigo from a weakness of the Brain 75 a Vertigo essential in the Brain 77 b Vertigo from Choler 78 b Vertigo from a cold viscous flatulent humour 79 a Vertigo from a disaffection of the Stomach 80 a Vertigo with weakness of the Sight 80 b Vertigo with loss of Appetite 82b Vertigo scorbutical and fainting of the Spirits 85 a 86 a Vertigo dark 87 a Vertigo with a Catarrh ibid. Vertigo which became an Epilepsy 87 b Vertigo Idiopathetick with various symptoms 89a 92 a 97b Vertigo with a Convulsion 90 a 92 b Vertigo with corruscation of spirit 90 b Vertigo in an ancient Man 91 a Vertigo with troublesom sleeps 97 a Vertigo from the Stomach 97 b Vertigo with flux of blood 99a b Vertigo concomitant with other Diseases 100 a Vertigo its Names Definition and kinds 101 a Vertigo its Signs 101 a b Vertigo its Causes 101 b Vertigo its Prognosticks 103 a Vertigo simple its cure 103 b Vertigo with dimness of sight its cure 104 b Vertigo from windy vapor 107 b Venenate cause of a Convulsion 386 a b Vertues of the natural Balsam of Chili 762 a Vina Medicata clarata 666 b Vinum Hippocraticum Langij 667 a Vin. Chalibiatum Poterij 753 a Vinum purgans Sennerti ibid. Vinum purgans in hypochondriacis Sennerti ibid. Vinum aliud ejusdem Sennerti ibid. Vinum aliud Sennerti ibid. Vlceration of the Lungs 133 a Vlcer of the Ventricle or Stomach 400 a 479 b Unguentum anserinum 673 a Unguentum de sapone Cratonis ibid. Uvula fallen 155 b W. Watching 48 b Water of Swallows comp 345 b 475 b Water of Mans Blood 345 b Waters antepileptick compound 360 b Weakness of the Brain 75 a Weakness of sight 80 b Wine for a Vertigo 51 b 52 a Willis his Vomit for a Vertigo 106 a Willis his Elixir of Vitriol for the Epilepsy 503 b Wine medicinal for a Catarrh 199 a Wine of Roger Dixon against Convulsions 388 b Willis's water against the Palsy 658 a Wormwood Tincture 116 b Worms 368 b 378 a 570 a 416 b 479 b 570 a IATRICA SEU Praxis Medendi The PRACTICE of CURING BEING A Medicinal HISTORY of many Famous Observations in the Cure of DISEASES performed by the Author hereof Whereunto is added By Way of SCHOLIA a Complete THEORY or Method of Precepts wherein the Names Definitions Kinds Signs Causes Prognosticks and various Waies of CURE are methodically Instituted Digested and Reduced to Vulgar Practice Together with several Of the Choisest OBSERVATIONS of other Famous Men as Forestus Horstius Hildanus Rulandus Thonerus Valeriola Zacutus Platerus Riverius VVillis and some others which are fall'n into the Author's Hand in Manuscript All of them Digested under their proper Heads The first Volume Containing above an Hundred and sixty remarkable Hâ—stories and Observations of the Authors in the Cure of the Headach Megrim Vertigo Catarrh Falling-Sickness Convulsions Contractures Incubus Tremor Palsy and Apoplexy both simple and complicated with other Diseases as the Lethargy Perturbation of Spirit Weakness of Sight Drunkenness Melancholy Extreme Rigor Consumptions Vniversal Weakness Gouts Sciatica Rumatism Wounds in the Head Pricking of a Nerve or Tendon Kings-Evil French Pox burning and malign Fevers Suffocation of the Lungs Oâ—structions of the Lungs Vlcer of the Lungs Coughs Colds Asthma's Want of Apetite Surfeiting Pain of the Stomach Hoarsness Vlcers of the Stomach Vomiting fits of the Mother Pain of the Spleen Scirrhus of the Spleen Obstructions of the Mesentery Convulsions of the Mesentery Pains of the Back and Womb Stoppage of the Terms Stoppage of Vrine Gravell and Stone in the Reins and Bladder Rupture of the Bowels Fistula's Cholick VVorms Leprosy Scurvy c. wherein you will find an exact Account of the Medicines exhibited with the Order of their Exhibition Various Dose and Success thereupon A Work of singular Use to all the Practisers of the ARTS of Physick and Chyrurgery whether Physicians Chyrurgians Apothecaries or charitable and well disposed Gentlemen and Ladies who have espoused the Afflictions of the Poor and Needy Performed by WILLIAM SALMON Med. Profess living at the Blue Balcony by Fleet Ditch nere Holborn-Bridg London London Printed for Th. Dawks His Majesties British Printer in Thames-street Also are sold by T. Passinger at the three Bibles on London-bridge 1684. IATRICA seu Praxis Medendi Salmon's HISTORY of Famous Cures LIBER I. Of Diseases of the Head Num. 1. July 27. CHAP. I. Of the Head-ach I. § 1. THE 28 of March Anno 1664. A poor laboring man one Jacob Fuller who had several years been troubled with an inveterate or old Head-ach commonly called Cephalea fell into our Hands after he had for more than 14 years at times bin tampering with many other famous Physicians to no purpose § 2. The Constitution of his Body was thin lean and spare so that the sick seemed to be in an absolute Atrophia
Causes and of the hope of Cure which we shall consider in the Pathology of each Disease in particular Next of the Therapia or particular method of Curing which Let this Scholia containing l m n o p q be placed immediately after K. and Page 36. in each particular place also shall be at large declared 8. But before we attempt this we are to consider that both Bodies of Mankind as also Medicaments are for the most part hot or cold viz. hot and moist or hot and dry which Physicians call a sulphurious saline Habit or cold and moist or cold and dry which they call a saline sulphurious Habit according to which Habits proper Medicaments are to be destinated 9 However the principles of Physick as they relate to Mans Body or to Medicaments are necessary to be known or at least wise in what Sense Naturalists and Chymists apprehend them In Man there is a Body a Spirit and a Soul these united make the compleat Man these in their Natural State free from disorders perturbations or irregularities renders him in perfect Health If they never so little vary from their Natural State it is in order to Diseases and a final dissolution of the Compositum 10. But whereas we speak here of Body Spirit and Soul we intend a Body Spiritual although we call it Natural But we understand it Spiritual only in opposition to the primary external appearance or outward form as for example in a vegetable suppose Rosemary in its primary external form the Body consists of Stalks Leaves and Flowers but when by the ART of the Chymist an Extraction is made you have a pure subtle and volatile Oyl wherein its Energy Virtue and Power answers to the Life and Soul of Man its Volatility Flame and Oleosity to the Spirit and its material Substance to the Body viz. that Body which we call Natural in opposition to a thing truly Spiritual although it is indeed a Spiritual Body in its kind in respect to its first Earthy or natural form or appearance this Conjunction of Principles in Maâ— is that which Philosophers call the Archaeus the Archaeus of Nature or the Archaeus in Man 11. Now as to the Principles of Medicaments Here Philosophers much vary some as Doctor Willis make five Principles viz. Salt Sulphur Mercury Water and Earth but these five we have proved in our Pharmacopaeia Londinensis lib. 6. cap. 1. to be only three viz. Salt Sulphur and Mercury excluding his Flegm and Caput Mortuum Others as Paracelsus Crollius make but three as indeed they are and these three we make but one as the Body Spirit and Soul in Man make but one Archaeus so the Salt Sulphur and Mercury of all mixt Bodies make but one only true Principle which for distinction sake we in like manner call Potestates or the Powers 12. In proof whereof we say this That we deny not but that as to the outward appearance a Chymist may Extract a Salt in form of Salt a Sulphur in form of Oyl and a Mercury in form of Spirit to which he may give the Names aforesaid but these Names rather respect their form of appearances than the true Nature For he must necessarily grant me that in all Salts as there is a Body so there is an Oleaginous Property which is Sulphur and an Energetick Virtue which is the Mercury or Spirit unless they will deny any Virtue or Power in the said Salt at all So likewise in the Sulphur or Oyl who so Blind as cannot see or feel a Body there which Body by their own Concessions Answers to their first Principle of Salt its oleaginous and flamy property argues their second Principle or Sulphur and its subtilty volatility and penetrating quality argues the third Principle which is Mercury or Spirit Again in the Mercury or Spirit there is no less a Body seen than in the Salt and Oyl which Body demonstrates their first Principle as aforesaid viz. Salt Its Inflamility demonstrates their Sulphur or second Principle and its Energetick or penetrative Power and Force makes manifest their third Principle which is Mercury or Spirit 13. Hence it appears That the Principles of all things are really but one though subsisting under three several forms and Subsistences For Salt is only the Body Spirit and Soul Concentrated the Sulphur is the Salt Spirit and Oyl embodied in a more subtle appearance and the Mercury is the Salt Oyl and Spirit expanded or dilated as may be said to an Infinity 14. So that it is manifest that those three are but one though some may object that they are three different Principles from the Nature of their Operation mistaking the way and manner how they exert their Powers and Forces which is not from the different Nature of the things or Principles so called but from their manifestation or manner of subsistance and appearance this is apparent in an Iron Tool if it be sharp with a Point it only Pricks if it has a sharp Edge then it Cuts but if it has neither Point nor Edge it only Bruises and yet notwithstanding the substance is but one though the forms or appearances be many from whence follows their particular way or manner of action 15. Thus much as to Principles which is what we understand of them and how we would have the Physician understand us through all this following Work viz. What we mean by the Archaeus and what we mean by Potestates or Powers through which the Energy of Medicaments are conveyed in order to the Healing of the Diseases incident to Mankind 16. The Pathology of Diseases we shall explicate under a six-fold Consideration viz. The Name Definition Kinds Signs Causes and Prognosticks of the same afterwards the Therapia shewing the various Ways and Methods of Cure first general according to the three-fold acceptation of Diseases secondly particularly in respect of the various Causes producing 17. This as the Preamble to what we intend We shall now come to shew the Order in which every Disease shall be handled First Diseases of the Head Secondly Diseases of the Thorax or Breast Thirdly Diseases of the Abdomen or Belly Fourthly Feavers Fifthly Diseases of the extream parts viz. Tumours Wounds Ulcers Fractures and Dislocations 18. Diseases of the Head are either first In the Menings secondly In the substance of Brain thirdly In the Cavities of the Brain fourthly in the Cutaneous Teguments of the Head fifthly In the Parts of the Head as Eyes Ears Nose Mouth Palate c. 19. Diseases in the Menings of the Brain are chiefly the Chephalalgia the Cephalaea or old Head-ach the Megrim or half Head-ach Diseases in the Cavities of the Brain are chiefly a Vertigo Catarrh Epilepsia Apoplexia Palsy Convulsion Trembling Incubus c. Diseases in the Substance of the Brain are the Phrensy Melancholy Madness loss or hurt of Memory sleepy Diseases c. Diseases in the Skin or Covering of the Head are the Alopecia Ophiasis Baldness Lousiness Scald-head Wounds of the
thereof be from Worms it is known by these following signs The sick oftentimes grates their Teeth and that many times or for the most part in their Sleep there are also many sower Belchings which by little and little filling the Mouth with an acid humor the Teeth be set extreamly on edge as if they had been eating of sowr things and commonly the Breath stinks or smells not well 2. They are often taken with a trembling of the extream parts and many times are affrighted and vehemently cry out in their Sleep there is also an Itching of the Nostrils and end of the Nose causing a great desire to rub the same about Evening or in the Night time the sick is troubled with much spitting somtimes there is a great heat and flushing in the Face and that of a sudden with a pain and gnawing of the Stomach and Bowels 3. And in some persons there is a contraction of the Muscles of the Abdomen with a grumbling of the Guts and torment costiveness of Body dry Cough Hiccough or some ill tast in the Mouth and somtimes the Worms are seen to come away in the Ordure or Excrements voided by Stool and in some persons there is an 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 of some particular Member in others an 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 of the whole body the body pining away by reason the most of or the principal nutriment is devoured or consumed by the Worms which Nature had otherwise designed for the nourishment of the Body 4. The Cure is not difficult especially if the Disease has been of no long continuance but if the true cause of the Epilepsy is from Worms unless the Sick can be freed from them he will never be cured of his Epileptick Distemper 5. If the Disease be caused of Worms and it has been of a very long continuance then although the Worms which seem to be the Proeguminine cause be taken away yet will not the fits leave the Sick for that by the long continuance of the Distemper a new nearer cause will be generated And this I had twice experience of in two Children who being afflicted with Epileptick Fits arising from Worms for 8 or 9 years together that although I perfectly freed them both from the Worms yet the Epilepsy left them not till much more means was afterwards used whereas another person troubled with the same Disease arising from the same Cause having been but a little while troubled therewith by freeing him from the Worms he was perfectly cured of his Epilepsy also 6. The Cure ought to be performed by mixing Antepilepticks with such things as kill and expel the Worms Take Mercurius dulcis a scruple salt of Mans skull fifteen grains saccharum saturni three grains mix for a Dose to be given at night going to bed purging the Sick the next Morning with a fit Dose of the Infusion of Sena and Carraway seed 7. The following thing is commended by Sennertus Take fine Aloes washed or extracted a dram and half scammony Troches Alhandal of each half a scruple distilled Oyl of Wormwood two drops Oyl of Myrrh and Zedoary of each one drop mix and make a Mass of Pills Dose from a scruple to half a dram in the Morning fasting but if the Body of the Sick be difficult to work upon it will be better to take it over night or about Mid-night 8. If the Worms lye really in the Bowels and not in the Stomach it will be good to give the Antepileptick Medicament by the Mouth but the Medicine killing the Worms by the Fundament in form of a Clyster As Take pouder of Mans skull a scruple salt of the same six grains Oyl of Rue two drops Conserves of Roses two drams mix and give it over-night the next Morning give the following Clyster Take Mutton-broth a sufficient quantity according to the Age of the sick Tincture of Colocynthis from an ounce to two ounces sal Armoniack two drams mix them and give it warm it is an excellent thing 9. After sufficient purging with any of the aforegoing Medicaments or others that may be proper for the same or with Mercurius dulcis which as Sennertus saith may be given from sixteen grains to a scruple or more you may exhibit the following specifick Take Elks-hoof prepared six drams Mans skull prepared four drams Ox horns prepared Diamoschu dulcis red Coral Pearls Emeralds Crystals all prepared Terra sigillata of each two drams seeds of Nigella of Rue of Peony white Ditany Nutmegs Misletoe of the Oak salt of Harts-horn of each one dram roots of Peony Harts-horn prepared Pea-cocks-dung Scordium Marjoram Coralline of each three drams Musk and Ambergrise of each half an ounce mix all in a fine pouder Dose from half a dram to a dram in black Cherry Wine 10. Take salt of Mans skull Mercurius dulcis choice Rubarb Musk Ambergrise of each fifteen grains extracts of Sena and Rubarb of each half a dram mix them together for a Dose and give it at night going to bed with this I cured a Maiden Gentlewoman being given but six times at due intervals having been above three years afflicted therewith CLIV. The Cure of a pure or simple Epilepsy present in the fit 1. The Cure preventive of an immediate impending Paroxâ—sm is performed in the opinion of some great Physicians by adhibiting one Pill of Laudanum Opiatum to four parts of which one part of Oyl of Camphir is added or these following Antepileptick Rouls Take pouder of Peony-roots gathered in a fit time one dram Magistery of Pearl and red Coral Mans skull prepared Misletoe of the Oak of each a dram and half white Sugar dissolved in Tile-flower water a sufficient quantity make according to Art a Confection in Tablets 2. Or you may exhibite four or five drops of the Essence or Powers of Castoreum in a glass of Tile-flower-water Or in defect thereof two or three drops of choise Oyl of Amber or twenty or thirty drops of the Powers of the same in the Epileptick Water of Langius or Aqua Vitae Matthioli Or this following draught Take the Epileptick Water of Langius one ounce syrup of Peony almost half an ounce spirit or Oyl of Vitriol four five six or seven drops mix them to be immediately drunk 3. Or you may give a spoonful or two of this following Potion Take Waters of the flowers of Peony of the Tile-tree of Wall-flowers of Herb-Trinity of each an ounce and half Essence of Peony one dram salt of Mans skull twelve grains salt of Vipers five grains syrup of the juyce of Peony half an ounce mix them for a draught Or Take Tincture of Castoreum and of Peacocks dung Tincture of Arabian Mummy of each a dram black Cherry Wine four ounces mix them and drink it having taken just before it a dram of choise Venice Treacle 4. The Cure in the Paroxysm First let the position of the body of the Sick be rather upright than otherwise and rather in a light and chearful
Line-seed the roots of Althaea of each one ounce Ammoniacum Serapinum dissolved all Night in White-Wine of each half a dram Frankincense Mastick of each two drams Oyl of Foxes one ounce Wax half an ounce make a Cere-Cloth according to Art spread a small quantity of this Ointment upon Leather according to the largness of the wounded Member by which Remedy the Person found himself to be much better 3. We have given you several Examples of Persons that have been taken with the Palsy by this or the like Accidents Some by Bruises Blows and Wounds in the Head and Neck have fallen first into a light Apoplexy then into a Palsy the History of which and their proper Cures as also their Causes and Signs we have given you in their peculiar Places 4. We have likewise told you how difficult or rather incurable this Disease is which is most evident in old Men who are scarcely ever freed from it 5. If a Trembling and Feaver follow upon a Palsy and that also which comes from a Blow or Wound provided the Nerves be not too much bruised and torn it is possible that such a Palsy may be cured but on the contrary a Palsy that is occasioned by some signal Contusion or tearing asunder of the Nerves is really incurable 6. Avenzoar according to the Judgment of Galen says That if the Nerves which serve Respiration be wounded there is emâ—nent danger of sudden Death 7. If the resolved Member grow nothing less nor is weak nor corrupted there is some hopes of a Cure but on the contrary if it grows discernably feebler and smaller and the native Colour perishes it portends no good nor easy Cure to the Patient 8. In the Cure of a Palsy or the resolution of the Nerves from a Wound or any other extrinsical Cause the whole Body is to be purged or Blood is to taken or both is to done and the Humors which have their influx upon the resolved Part are to be diverted and strict Rules of Diet which have been above prescribed are to be followed 9. Proper Topicks should be also set against this mighty Disease outwardly diverse Remedies are to be applyed and made use of in a Palsy proceeding from a Wound such as Emplasters Cataplasms Ointments Fomentations Cupping-Glasses and the like 10 Guido did use this one Liquor very well described by Mesues in the Passions of the Heart with which the whole Back is anointed and it is this Take choice Myrrh Aloes Spikenard Sanguis Draconis Frankincense Mummia Opobalsamum Opopanax Bdellium Carpobalsamum Ammoniacum Sarcocolla Saffron Mastick Gum Arabick liquid Styrax of each two drams or two drams and half choice Labdanum Castoreum of each two drams and half Musk half a dram choice Turpentine the weight of them all pulverize those which are to be pulverized let them be all mixed with the Turpentine then put them into an Alembick which distil over a gentle Fire and receive for Vse the subtil Liquor 11. Guido de Cauliaco did add to this pretious Liquor Herbs proper for and dedicated to the Palsy and as he witnesses it did help more effectually Petrus Forestus Lib. 6. Observ Chirurg 20. C. A Palsy cured by Paracelsus 1. One saith he was troubled with the Palsy whom I cured only with the Essence of Wall-Flowers drawn with the Spirit of Wine 2. Note First it is to be supposed that this Essense was either a Tincture drawn from the dryed Herb with the best rectified Spirit of Wine such as will fire Gun-Pouder Or otherwise such an Essence as is made of the Juyce of the Herb with an addition of Spirit of Wine as we have taught in our Doron Medicum Lib. 1. Cap 15. Sect. 2. § 1. where you shall receive further Satisfaction Salmon 3. Note That as to the use of the Medicament it is possible that he might as well give it inwardly in any proper Vehicle good against the Palsy as apply it outwardly to the Part by Bathings and Fomentations Salmon 4. A compleat Palsy or benummedness and loss of Motion A Boy fifteen years old falling down a stone pair of Stairs had his Arm and Leg benummed and void of moving whose Neck with the hinder Part of the Head and all the Back-bone I anointed with this following Ointment 5. Take Fox Grease two ounces Oyl of Earth-Worms one ounce Oyl of Bricks half an ounce mix them together and anoint therewith It was accordingly done and in short space no Wound Swelling or Palsy appeared in him Paracelsus SCHOLIA The THEORY of a PARALYSIS or PALSY By the Author W. Salmon CI. The Pathology of the Palsy and first of the Notation thereof 1. The Names It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Latin Paralysis Resolutio Nervorum and in English the Palsy Paralysis à 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 id est resolvi dicitur for that the Nerves and the Muscles in whom also the Nerves are inserted are so resolved and weakned that they are wholly unfit to exercise the Motum 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or voluntary Motion 2. The Definition Est videlicet Paralysis motus in Parte una vel pluribus abolitio nonnunquam Sensus simul aboletur ob Spirituum animalium ad motuum spontaneum necessariorum Defectum Sennertus Paralysis Resolutio Nervorum est ubi aut totum Corpus excepto Capite aut alterutrum Latus aut Corporis duntaxat aliqua Pars videlicet Pes Manus aut Lingua Motu ac Sensu simul aut Motu tantum privata est Joel Paralysis describitur nempe quod sit Partium nervosarum à debita tensitate Resolutio sive Relaxatio cujus ratione Motus Sensus nempe aut alter tantum simul uterque in toto Corpore vel in quibusdam Partibus debito more exerceri nequit Willis A Palsy is a loss of Sense and Motion in some Parts of the Body by reason of the stopping of the Conduits or Passages of the animal Spirits Riverius Among these Willis his Definition is the most ample viz. that it is namely the Palsy a Resolution or Relaxation of the nervous Parts from their natural or due Habit by which means Motion and Sense to wit either the one only or both together in the whole Body or in some Parts can not be exercised after their due Manner But Joel wil have it that if the whole Body together with the Head be affected it is not a Paralysis but an Apoplexy and indeed most Authors say That an Apoplexy is an universal Palsy of the whole Body 3. The Kinds or Differences It is either universal call'd 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which the whole Body the Head excepted is affected Or particular called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which some Part or Parts are seised therewith 2. It is either on both Sides of the Body called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Or on the one half or Side of the Body and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 But some Authors use all these Terms
If the Palsy is in the Legs the Nerves affected are about the bottom of the spinal Marrrow and the Vertebrae of the Os Sacrum And thus we must seach out for the place whence the Nerves spring which are dispersed to those Parts which are afflicted with the Palsy 17. From these things it is apparent what Conjugations of Nerves are most afflicted and that in universal Palsies there is for the most part an affliction of the whole Genus Nervosum or nervous System which many time comes to pass from the effects of Poyson and the Contamination of the neurotick Juyce by the fuliginous Vapours of Arsenick Antimony and Quick-Silver 18. Galen relates a Story of a Man who in a cold stormy Time by wraping his wet Cloak about his Neck was taken with a Palsy in his Hand And of another who had a Palsy in three of his Fingers occasioned by a Fall from his Chariot upon his Back whence he concluded that some part of the Nerves of the seventh Vertebrae were hurt in their original to which place applying the means after he had in vain opplyed Medicines to the Fingers he compleated a Cure 19. The Signs of the Causes of a Paralysis are drawn from the primary Causes the Diseases aforegoing the Temperament and Habit of the Patient and therefore when external cold and moist Causes go before as also old age a pituitous habit of Body cold Weather cold and moist Diet or an Apoplexy has preceeded they are Signs of a paralytick Disposition nere at hand 20. Moreover a Catarrh long flowing and at length suddenly stopt without taking away the morbifick Matter is a sign of an approaching Palsy unless the matter of the Catarrh be suddenly conveyed some other way for otherwise it commonly falls upon some noble Part or diverts it lelf to the original of the Nerves in the Brain and of this Case we have had two or three singular Examples all incurable CIII Of the various Causes of a Paralysis or Palsy 1. The general Causes of a Palsy are all those which hinder the Passage of the animal Spirit into the Nerves and Muscles which by how many ways and by what Artifice those hinderances are done we shall in what follows more particularly declare 2. A Paralysis therefore happens when the animal Spirit does not sufficiently invigorate or actuate the Nerves and their Ramifications which is caused either by an Obstruction of the Passages by which they should flow to the respective Parts or from the imbecility and paucity of the said Spirits whereby either their activity is hurt or they are wanting so as that the Nerves can not be sufficiently repleat or filled up therewith 3. Hence the Variety of Palsies comes from great and universal Obstructions a compleat and perfect Palsy arises in which both Motion and Sense are both abolished and this comes not only from the substance of the matter obstructing but also from a malign Quality affecting even the Spirit it self this Obstruction of the Passages of the Spirits happens either in the first Sensory to wit the streaked Bodies or in or nere the medullar Trunks Or in the Nerves themselves to wit either in their beginnings or middle or ends viz in the very Fibres themselves 4. If the first Sensory or spinal Marrow is affected it either obstructs the whole Spine whence comes an universal Palsy below the original Obstuction Or one half thereof whence comes a Palsy only on one Side Or it obstructs the original of the Nerves of some particular Coâ—jugation or Pair either on one Side alone or on both at the same time whence a Palsy is caused in this or that particular Part or Member only 5. Now these Obstuctions are made either 1. by a forrein Matter impacted in them Or 2. by Constipation and Compression from matter abounding without them and that may be either from some particular Tumor offending in Magnitude whereby the Nerves are constipated or compressed Or from a large Flux of Humors out of the Vessels flowing upon and overpowering them Or 3. by solution of Unity by a Bruise or Wound Or 4. and lastly from the excess of heat and cold the Spirits being also in part wasted by the one and as it were congealed by the other 6. An Obstruction in the first or common Sensory or streaked Bodies causes either a general Palsy or a Palsy of one Side And this is the chief Reason why such-like Palsies follow upon an Apoplexy Lethargy or Carus for that in those Diseases the Conduits of the callous Body are at first affected from whence upon the passing off of those Diseases there is many times a Translation of the morbifick Matter into the marrowy Passages of one or more of the Corpora striata whence it is that the Afflux of the animal Spirit into the Genus Nervosum is hindered either in one or both Sides And here if the Obstructions be very great Sense and Motion both are abolished but if not the motive Faculty only suffers loss And if it be but a very small Obstuction the motive Faculty has only been deprived or diminished not taken away 7. But why Sense should not be hurt as well as Motion in every Palsy is manifest as aforesaid from the Magnitude of the Obstuction For if the Obstruction is truly so great as to deprive any Member or Part totally of the animal Spirit then Sense and Motion both cease for that they both are performed and invigorated by the same Nerves and Fibres within the same marrowy Passages But if the Obstruction is small then a small Portion of the animal Spirit is distributed so much as may manage the sensitive Faculty but the motive is hurt forasmuch as it can not be performed but by a larger Proportion or Measure of the said Spirit 8. Moreover a Palsy may be caused not only from the Obstructions of the Corpora striata but also from the Compression of the same by Blood extravasated within the inferiour Cavity of the Brain or a large quantity of Lympha or serous Matter lying upon the same and pressing them together by which means the medullary Conduits will be so straightned as to hinder the Afflux of the Spirit into the same 9. But somtimes the morbifick Cause affects the oblong or spinal Marrow though rarely by an Obstuction yet somtimes by Constipation and Compression and somtimes by a Solution of Continuity whereby a Palsy is excited Now Obstructions are not here so easy to be made for that the obstructing Matter in the Head does not easily fall beyond the Corpora striata but the poysonous Miasms may affect the Spirits and so cause a kind of Paralysis Hemiplegia a Numness or depraved Operation of the Part or Parts 10. But in either the oblong or spinal Marrow especially the latter a Palsy may be excited from a Compression or Solution of Continuity by a Bruise Apostume or Wound by means of which the Blood or serous Humor may flow within the Hollowness or
GUILIELMUS SALMON MEDICINAE PROFESSOR AETATIS SUAE 36 ANN o 1681. Burnâ—â—â— Sculp IATRICA SEU Praxis Medendi THE Practice of Curing BEING A Medicinal HISTORY of above Three Thousand famous Observations in the Cure of DISEASES performed by the Author hereof TOGETHER With several of the Choicest Observations of other Famous Men taken from Craâ—o Forestus Hildanus Skenkius Rulandus Zacutus Platerus Riverius Willis and several others which are falln into the Author's hands in Manuscript All of them digested under their proper Heads Wherein for the most part you will find 1. The Constitution of the Body of the Sick 2. The Symptoms Predominant 3. The Cause of the Diseases what 4. The Exact Method which was taken in the Cure 5. An Exact Account of the Medicines Exhibited with the Order of their Exhibition various Doses and Success thereupon A WORK of singular Use to all the Practisers of the ART of Physick and Chirurgery whether Physicians Chyrurgians Apothecaries or Charitable and well disposed Gentlemen and Ladies who have espoused the Afflictions of the Poor and Needy Perform'd by WILLIAM SALMON Med. Prof. Living at the Red Bulls in Salisbury-Court Fleetstreet London LONDON Printed for Th. Dawks and Langley Curtiss on Ludgaâ—â— Hiâ—l 1681. THE PREFACE I. THE Design of our Publication of these Cures being purely matter of Fact is Two-fold 1. That such a Cloud of Experiments so Exactly taken might not be lost by reason of their exceeding Benefit and Vse which they may prove of to Posterity 2. That all young Physicians and Chirurgians and other Ingenious Persons whether Gentlemen or Ladies who practise Our Art might have something from Experience wâ—â—ch might guide them alittle by the hand as it were and lead them through the many Intricacies of Physick and Chirurgery well knowing that nothing is so pleasantly and so firmly taught as that which is done by Example for as much as every Exemplification is not only an Illustration in the Mind but also a Direction of the Intellect in performing the like again II. The Reason of the Manner of the Publication which will be Sheet by sheet Weekly is from a certain Necessity 1. Because the WORK is like to be very Great and Voluminous whereby the time of its Publication would be long and the Charge of so great an Vndertaking not small 2. For the present satisfaction of the Buyer whereby not only the Value will be in a manner insensible to him but also the Expectations and Earnest Desires of many will be daily answered Who peradventure might think it long to wait the Printing of Five or Six hundred Sheets of Paper This way of Exposing them was by the Advice of some Physicians and Chirurgians Well-willers to this Design as also by the Opinion of the Book seller whereby a continual supply will be provided to the carrying on of this so great a Work which were it to be exposed whole would scarcely be sold under 4l a Book The first sheet will begin Wednesday the 27th of July 1681 and so come out weekly Wednesdays and Frydays till the sum of all the said Cures are Exposed III. Each sheet will treat of a Particular Disease wherein under every History you will have for the most part 1. The Constitution of the Body of the sick 2. The Symptoms predominant 3. The Cause of the Disease what 4. The Exact Method which was taken in the Cure 5. An Exact Account of the Medicines Exhibited with the Order of their Exhibition Various Doses and Success thereupon This Medicinal History will contain above Three Thousand of our Own Observations digested each under their proper Heads wherein also we shall insert several of the choicest Observations of other Famous Men such are those of Crato Forestus Skenkius Rulandus Platerus Zacutus Riverius Willis Hildanus c. which are already Printed and other some which are fallen into our Hands in Manuscripts the which by Reason of the Service they may do the publick We are Vnwilling should Perish by the Devouring Jaws of Time for want of a seasonable publication IV. This Whole Work will be divided into several Books Which will Treat of Diseases of the Head Of Diseases of the Thorax or Brest Of Diseases of the Abdomen or Belly Of Feavers And of Chirurgery relating to Tumors Wounds Vlcers Fractures and Dislocations Wherein Observations of all the principal Diseases happening to the Bodies of human Kind will be faithfully exposed with many other things of Excellent Vse and absolutely necessary to be known by all the Professors and Practisers of Our Art V. Now because many of these Diseases have been cured not with Ordinary Medicines of the Shops but by such as we have peculiarly selected out of a farraginous heap it may be reasonable to publish a Catalogue of the same with their several prizes for as much as that we shall have them always or for the most part ready prepar'd by Vs The Catalogue shews you in which of our Books their Composition Preparation Virtues Vse and Dose are to be found viz. Whether in Our Pharmacopoeia or Doron which is now in the Press and if in our Pharmacopoeia in what Page and Column Those marked with this †Character are principal and so indeed ought to be look upon being medicaments of great Virtue Power and Vse The Catalogue of the Medicaments with their Certain Prises See in the next Page Vale. Advertisâ—ment Our Synopsis Medicinae A Compendium of Physick Chirurgery and Anatomy so oft refer'd to in our New London Dispensatory is now publish'd in II. Volumus price 10 s. Also Our Horae Mathematicae or Soul of 〈◊〉 Astrology hath always been to be had of T. Dawks L. Curtiss price 5 s. The Catalogue of the Medicaments afore specified and the Page in Our Dispensatory where they are to be found together with their certain Prizes by the Ounce Waters ss d. †AQuae Ophthalmicae Nostrae p. 721 a 1 0 †Aquae Benedictae Rulandi p. 391 b 0 4 Aquae Philosophorum p. 183 a 2 6 Aquae Mirabilis p. 446 b 0 4 †Aquae Coelestis p. 447 b 1 0 Aquae Cinnamomi p. 451 a 0 4 Aquae Aromaticae p. 459 a 0 8 †Queen of Hungaries Water Doron 0 8 Spirits   Spiritus Vitae Aureus Rulandi p. 320 a 0 6 †Spiritus Diapente p. 461 a 2 6 Spirit of Wormwood p. 439 a 0 6 Spirit of Vinegar p. 180 b 0 3 Spirit of Scurvy Grass Doron 0 8 Spirit of Saffron Doron 1 6 Spirit of Oranges Doron 1 0 Spirit of Limon Doron 1 0 Spirit of Caraways Doron 0 6 Spirit of Castor p. 441 b 1 6 †Spirit of Harts-horn Doron 1 6 Spirit of Guajacum p. 468 a. b. 0 8 Spirit of Juniper-berries Doron 0 6 Spirit of Lavendar p. 440. b 1 0 Spirit of Mint Doron 0 8 Spirit of Bawm Doron 1 0 Spirit of Niter p. 369 b 0 6 Spirit of Rosemary Doron 1 0 Spirit of Savin Doron 1 0 Spirit of
sweat her and given her Diet drinks for 50 or 60 days together and all without success in a word nothing seemed to be left unattempted she drank Mineral waters and repeated several Courses of Physick spring and fall for many years together but finding no Remedy she gave her self over to dispair she was perswaded by an Eminent Doctor to be Flux't but the scandal of the Cure prevented it another advised her to open the Skull which indeed was good Advice but a very dangerous way of Cure this she refused because of the Modus Operandi At last by the advice of some of her Acquaintance she applyed her self to me § 4. I enquired as much as I could into the Cause and what courses she had proved without success which she related to me as aforesaid I saw the whole habit of the woman was absolutely Scorbutick that she was much and often troubled with Wind and voided no Excrements by the Nostrils These Considerations made me much to doubt the Cure but finding the Woman to be of a strong body to have a good stomach to her food and to be very laborious I was encouraged to attempt it which I performed as followeth § 5. First I caused for three Nights this Clyster to be administred Take Milk or Chicken Broth twelve Ounces Oyl of Aniseeds two Drams Infusion of Crocus Metalorum three Ounces mix and let it be given warm The next morning I gave Confectio Hamech half an Ounce mixt with Mercurius Dulcis sixteen Grains This I repeated three times every fourth day It purged her well and excellently In the intermediate days of purging I cleansed the Head with these solid Errhines Take Confectio Hamech half an Ounce Scammony Gambogia fine Aloes all in fine Pouder of each 2 drams mix them well together for a mass Of this I made long rowls and put them up the Nostrils this I did every Night about an hour and an half before the Patients going to Bed being put up the Nostrils I kept them in with a muffler for about an hour or more by this means her head became evacuated of a vast quantity of filth and truly at about 5 or 6 times using of them more than a pint and half of water viscous flegm and other evil humors were drawn away by which the Head was well cleansed and the sick became very lightsome During the days of these Operations I caused her Head Temples and Nostrils to be anointed with this Balsam Take Oyl of Nutmegs by expression half an ounce Oyl of Amber Oyl of Anniseeds of each a Drachm mix them to anoint with Morning noon and night for ten or twelve days Inwardly after purging we ordered her to take in the Morning fasting 30 or 40 drops of Elixir Proprietatis An hour before dinner 15 or 16 drops of the Elixir of Wormwood At dinner time 3 or 4 drops of Oyl of Sulphur 3 or 4 times in the space of dining and at night going to be about 30 drops of Tincture of Antimony this course to be continued for 40 or 50 days and the Medicines to be taken in Beer Ale or Wine as the Patient liked best but chiefly in Wine for cold Constitutions This course was persued and the sick was perfectly well in two Months time IV. § 1. One Job Parsons a debauched fellow of about 35 years of Age of a Melancholy Complexion and strong Body had for about 8 or 10 years time been troubled with this kind of Head-ach § 2. He was given much to drinking all sorts of Liquors and to great excess but commonly had for a day or two after a most violent and intolerable pain of the Head somtimes almost to Raving or Madness § 3. The cause was from the Melancholy humor abounding which being rarified and made thin with the Sulphurous particles of the Liquors which he drank ascended up and filled the Ventricles of the Brain thereby in some sort obstructing the way of the animal Spirits and causing them to interfere one with another § 4. We Cured him thus first he was purged with this Take Confectio Hamech an ounce extract of black Hellebor Mercurius dulcis of each twenty four grains mix them for two Doses they were given in the morning fasting two days distant one from another This done we gave him the solid Errhines mentioned in the former Cure three times and after all caused him to take these following Pills every Night for 40 days Take Ammoniacum strained one ounce fine Myrrh Aloes in fine Pouder of each two drachms with Syrup of Buckthorn-berries make Pills By this means the Melancholy humor was overcome and the sick became well V. An Observation of a violent pain of the Head arising from the Vencreal Disease § 1. In pursuance of this I enquired as much as I could into all that had been done to him before He had been under four several mens hands and had taken a vast quantity of Physick He had been three times Fluxt first with Mercurius Dulcis next with White praecipitate and lastly with Turpeth minerale He had been several times let blood purged sweat and dieted insomuch that he had taken Diet-drinks for more than threescore days and his Physicians declared him cured § 2. However notwithstanding all the assurances of Physicians he found himself far from well for he complained of a vehement pain of his head so that at certain times it made him go almost Distracted as to other inconveniencies he confest he found none § 3. After this he conversed with new Physicians who told him That the cause of that intollerable pain proceeded from Mercury ill prepared which had got up into his head and Brain and in order to bring it away they new purged him gave him Vomits often made him Issues applyed the Seton Cupping-Glasses Blisters opened the Temporal Arteries gave him new Diet drinks c. But these things were all done in vain for his pain was so far from going away that it raged yet much more intollerably whereupon they gave him over for incurable § 4. After all these things he applies himself to me to whom he related what is before declared I concluded that Mercury might indeed be partly the cause which being elevated and meeting with differing acid juyces might cause a kind of fermentation or working which struglings and combinations might upon any commotion of the head induce that vehement pain § 5. Upon these thoughts I considered what ought to be done in order to this Cure wherein I acted only as my Reason directed me First I concluded That the Mercury ought if possible to be extracted but indeed confess my self ignorant of any way delivered in Authors to perform it and withal doubted whether the thing was possible to be done or no yea his former Physicians had advised him to hold Gold for many months in his Mouth without any success Hence it was my Thoughts that the alteration of the humor chiefly would be best to be attempted that although it
to the more internal Cause I was careful to cleanse the Head both outwardly and inwardly of all the Malign matter outwardly I caused the Hair to be shaved off from all the right side and applyed thereto the common Vesicatory of the Shops which in 10 or 12 hours did draw a very large Blister from which a very great quantity of water ran this very thing gave him much ease 10. I also cleansed the Head inwardly by exhibiting at Night these following Errhines Take Confectio Hamech two Drams pouder of Scamony Gutta Gamba Agarick of each one Dram pouder of Euphorbium one Scruple mix and make long Pellets or rouls to put up the Nostrils This brought away such a vast quantity of filth from the Head by the Mouth and Nose that had I not seen it I could not have believed it from the Mouth of another The Pellets being put up the Nostrils I caused the Nose to be bound close with a Muffler for an Hour and quarter and after the whole working was over I ordered the sick to repair to his Bed and to keep his Head warm These Errhines I repeated twice more 11. The Lunar Pills and the aforesaid Tincture at § 8 aforegoing I caused alternately to be be given every fourth day and upon the Blister I applyed Melilot-Plaster simple twice every day till it was well 12. But that I might confirm the Cure by taking away the radical Cause which was the contaminated Habit of the Body I ordered the following Diet made of many Alexipharmicks remembring therein the Opinion of Sennertus who thinks that Counter-poysons can never be better given than in the malignity of the POX The Diet was this Take Gentian Zedoary Sassafras Contra-Yerva Virginian Snake-Roots Bay-Berries Juniper-Berries of each four Ounces Rosemary Marjoram Sage Betony Vervain Dittany all dry of each three Ounces Cloves Mace Cinnamon Coriander-seed Carraways of each half an Ounce choise and mealy Sarsa two pounds let all be well bruised and infused in Lime-water six Gallons over a gentle heat for 10 days keeping afterwards for 20 days more the Liquor upon the Faeces at which time you may decant the clean Liquor and keep it in clean Glass Bottles close stopt for use Of this he took a quart a day till the quantity aforesaid was wasted and in about five weeks time was perfectly cured this Diet not only altering the Humors and Habit of the Body but also strengthning the Head Brain Bowels and other parts weakned II. A Megrim proceeding from a Hot Scorbutick Habit of Body 1. This hapned in a woman somewhat more than forty years of Age of a hot dry and cholerick habit of Body and sufficiently contaminated with the Scurvy 2. She had wandering pains up and down all over her body her Teeth were many of them perished with the Scorbutick Taint she had many reddish spots in her Arms upon her Breasts and Shoulders as also upon her Thighs and Leggs and she complained that for more than 10 or 12 years last past she had been troubled with many Hot Cholerick and Fiery Eruptions of the Skin and indeed she had a general weakness and indisposition over her whole body her belly for the most part bound her stomach weak and her Digestion very bad 3. She had been with many Physicians some of whom thought it to be the Scurvy as aforesaid others thought it to be the Pox but the honesty of the Womans Life her upright Conversation and the Company she associated her self withal forbad those suspicions as also because she had never the prime or Original Symptoms of the Pox moreover her Husband was a man of good repute and fame and one who had lived 20 years last past in good Health whereby nothing of suspition could arise from him These things confirmed me in my thoughts 4. This pain was certainly within the Skull for it was not outward at all but extream also at the root of the left Eye Now it may be either in the Dura Mater or in the Pia mater and these two being the one thick and the other thin and both close joyned together and to their Vessels it may be hard to distinguish which of them is most affected but if the Dura Mater be afflicted the pain must be outward because of the Pericranium which is joyned unto it If the Pia mater is afflicted the pain is deeper and in the Brain as it were In both the pain may come to the roots of the Eyes because the Balls of the Eyes have Tunicles from the Membranes of the Brain And in regard both Tunicles are distinct with the Brain long-ways it happens that if the Disease be only on one side that only one half of the Head is pained which we call the Megrim but if on both sides the pain is also on both sides Some say there can be no pain in the substance of the Brain because the substance of the Brain is insensible but we know that those parts of the Brain to which the tender Film or Meninx grows and which produce the sensitive Nerves cannot be without sense and may give occasion of pain with the Mennings by consent but in this case the pain is rather stupifying than sensible 5. Now as this pain hapned in a Hot Scorbute so without doubt it was caused by a praeternatural Heat and spirituous Blood over-heated which be degrees weakning the Brain and parts adjacent might make it the more ready to suffer such an affliction as we commonly see after long Diseases of the Head Wounds French Pox c. In all which there is a continual gathering of Excrements in the Head 6. In order to the Cure I thought is necessare to apply Medicaments to remove the Cause She had been tampering with many Physicians before who supposing it to be the Scurvy had loaded her with Spirit of Scurvy-Grass Horse-Radish-Roots Brooklime Water-Cresses Mustard-seed c. and given the juyces of those things likewise in her Drink with gentle purgings but these things were so far from curing her that they made her Disease to rage so much the more vehemently 7. She applyes her self to me desiring to know a Reason why such things as were eminent against the Scurvy and had cured several others to her knowledge should do her no good at all but make her Disease much worse To whom I Answered That in the Scurvy in cold Constitutions those things might have their desired effects but if the Scurvy did chance in a hot and inflamed body their effects would be quite opposite yet it was my Opinion that had those things been over-poured with Coolers and proper Acids she might have had some good by them 8. Over-night I ordered this Clyster Take Quercetan his purging Decoction Eight Ounces Oyl of Roses four Ounces Cassia extracted for Clysters two Ounces Sugar one Ounce mix and give it warm This I ordered to be exhibited every other night the next morning I gave this Purge Take Extracts of Rhubarb and of
parts adjacent I ordered her to take the Powers of Sassafras half a Spoonful at a time morning and night in a Glass of Canary by all which means the Cure was perfected Observations out of other Authors XIV An old Megrim cured by opening an Artery 1. In the Hemicrania when one half of the Head is pained from an hot cause in that kind of pain which Gordonius calls Clavus or the Nail which is a pain fixed in the Temples the opening of an Artery does wonderfully help which I have safely perform'd in many 2. I bound down the Orifice with a single bolster made of a double clout and wet in cold water as in the ordinary opening of a Vein which I bound with such a bandage as Gallen calls the Hare without Ears and the blood never breaks forth afterwards 3. Also I have seen a tedious Cephalea or old universal Head-ach cured in the Hospital by applying a potential Cautery unto the Temporal Artery For the Eschar being come away which was caused by the Potential Caustick applyed upon the Veins and Arteries no flux of Blood follows because industrious nature while she endeavours to separate the Eschar does without breed new flesh wherewith the mouths of the Vessels are closed up 4. Now whereas it may be objected That great bleedings in wounds which are stop'd by actual Cauteries are oft times renewed when the Eschar falls away I answer That thâ—se Eschars are thinner and so fall away sooner and therefore there is not in the mean space so much time as may breed new flesh But such Eschars as are made by Potential Cauteries are more thick and solid and are long before they come away so that there is time enough for new flesh to breed and stop up the hole River Obs 446. XV. A Megrim with a Catarrh the Councel of Fernelius 1. As far as I can gather by your Letters those Pituitous Swellings which now for these many years have been upon your Face and Cheeks arise from a Distillation from the top of your Head into the said parts and because the Catarrh falls so frequently into the same place it may be feared the place it self has some weakness in it which moves the Fluxion to it but from thence no certainty can be learned unless the seat and kind of the Disease be first perfectly understood 2. Now that Megrim touching which your last Letter desires advice is a distinct and different Disease which exacts a peculiar method of Cure For the immediate Cause thereof is a Vapour which arising from Choler flowing out of the Liver into the Stomach does smite and twitch the Membranes of the Brain yeelding matter peradventure to the distillation 3. That same Distillation with which by its so oft returning you are so vehemently troubled must be removed with one Dram of Pilulae sine quibus which are most proper both for your Age and temperament especially if for eight or ten days last past you have taken no Medicine against the Catarrh The next day after baggs as hot as can be endured must be applyed to the Crown of your Head being first shaved morning and evening before Supper for that these may draw the matter out thence from most parts and resolve the same and they must abide on for the space of half an hour or thereabouts and be continued for certain days till the fluxion be stopt 4. Moreover an Astringent Plaster to stop the passages must be applyed to the Temples to those parts through which the humors goe and it must be renewed every other day and not be disused till the fluxion cease 5. If the Humor shall no longer run down by the Mouth and Cheek-bone that the Gums and inner parts of the Mouth may not so easily receive the fluxil Humor let them be washed three or four times a day with an astringent Gargarism Take Sage one handful Mastich bruised half a Dram Harts-Horn three drams boyl them in Wine and Water of each a sufficient quantity then strain it out With this wash your Mouth and Gums 3 or 4 times a day And because all the matter of the Catarrh is not very soon dryed up some part of the Gargarism must be injected by little and little through the Nostrils and Mouth morning and evening before Supper that thereby the Cavity of the Brain may be purged 6. Keep in the mean season a fit diet live sparingly eat meats of good juyce and drink thin Wine very well allayed with Water partly because of the cold distemper of your Brain and partly because of the hot Distemper of your Liver keep your self from immoderate drinking eating Broths and other moist meats also from wind cold and rain use moderate exercise in the morning before Dinner at going to Bed let your Arms Back Thighs and Leggs be rubbed downwards keep your Belly always soluble either by Nature or by Artificial means as suppositories or Clysters which Clyster may be the ordinary Clyster lest your body abound with Excrements 7. Often take this following Purge Take Pilulae sine quibus two Scruples Pills of Agrick one Scruple make them into a Mass with Syrup of Stoechas and form seven Pills of which you may give three over-night and four the next morning 8. The Bags which are usual mentioned at § 3 aforegoing Take Anniseeds Fennel-seeds Bay-berries bruised of each two Drams Millet half a pound common Salt six drams apply them all to the Crown of the Head The Astringent Plaster mentioned at § 4. above Take Vnguentum desicativum Rubrum half a Dram Mastick poudred one Dram make them into a Plaster and apply it to the Temple of the pained side From my House at the Red Balls in Salisbury-Court Fleetstreet where my Synopsis Medicinae is to be had London Printed for T. Dawks L. Curtiss sold by T. Basset J. Wright R. Chiswel 1681. The Chapter of the Megrim continued Numb 8. August 20. XVI An Inveterate Megrim cured by a Flux of Blood by the Bowels 1. One Girardus was troubled with a most vehement and inveterate Megrim to whom many and various things were prescribed both internal and external 2. The Temporal Arteries were opened and the Seton was applyed to the Nape of the Neck which mitigated the pain but little 3. At length when nothing more seemed to be don but all hopes were past Nature put her self forth and expelled by stooll a large quantity of a dust and black coagulated blood in one night about four pounds weight by which his Megrim was very much abated 4. Now his Forces being mightily weakned by the same yet they were easily restored by giving Cinnamon Water with Confectio Alkermes and some other Cordials 5. About three weeks after he had another flux of blood again and at the same time of the Night wherein he cast forth by stool about five pounds of Blood lastly about two days after he ejected a pound and half more 6. During the Intervals of these fluxes it was
We answer first That in an External Pain of the Head or the Pericranium there is for the most part if not always a sensation of soreness upon the least touching of it whereas if the Pain be internal there is no appearance of any such thing Now several great Anatomists as the most excellent Bartholin does affirm There belongs to the Skull both a Pericranium and Periostium whereas Fernelius says An external Pain of the Head does reach to the Roots of the Eyes it is supposed when the Pericranium is only afflicted but if the Periostium be only afflicted that sign will alwayes be wanting 13. Hitherto of the general Causes of Pain in the Part which are indeed the Effects of the more prime Causes there remains now that we shew the true Cause of Pain it self wheresoever it happens The original of all sense and motion is from the Brain from whence the Animal Spirits runing in their proper Chanels to wit the Nerves convey the same through and into all parts of the Body from Head to Foot the free Current of these Spirits according to their own natural Motion are only in Bodyes free from Pain but if the Motion be torrid by any kind of force or violence or if any part in which these Spirits abound be any wayes hurt whereby Motion is obstructed they flow thither in great hast and by an Irregular Motion to remove that obstruction but not being able by that mighty afflux of Spirits there is a Collision or beating one against another in the several Chanels of the Nerves by which Pricking them Pain is immediatly Excited and the magnitude of that Pain is according to the greatness of the Flux of these Spirits and the vehemency of their Collision XXXI The Prognosticks of a Cephalalgia 1. Where the Causes are simple from a simpe Intemperature of the parts whether it be with in or without the Skull it is always without danger and of no difficult Cure and an external Headach is always easier to be Cured than an internal 2. If it proceeds from matter abounding whether in the Periostium or Pericranium without the Skull or in the Menings of the Brain within the Skull the Cure is much more difficult than when it Rises from a simple Intemperature yet it is without danger unless the matter flowing Causes an Apostemation of the Brain which is for the most part mortal 3. That Headach which arises from consent in the Stomach will be as durable as the Cause from whence it proceeds and when the disaffection of the Stomach is removed the Pain of the Head will then Cease 4. If it proceed from Drunkenness it is without danger and commonly terminates in the space of twenty four hours If it proceeds from a Feaver or the French Pox its Prognosticks as to the danger in time of Cure are to be fetcht from the Prognosticks of those Diseases If it be in a sharp Feaver with thin and white Urine it is dangerous For that a strong sulpherous and violent hot Matter is sent to the Brain from whence there is danger of a Phrensy If it be without a Feaver it signifies according to Hippocrates in Coacis an Apoplexy or Epilepsy to be at hand For that much of a Saline sulphurious Matter cold and moist with a certain kind of Viscosity afflicts the Brain the same understand if the Headach be accompanied with a Vertigo or Deafness or Numbness of the Hands 5. If it be caused from a contusion Wound or Fracture of the Skull the danger is according to the greatness of the Cause in a simple Contusion or Wound it is without danger in a Fracture of the Skull there is hope of Life and Recovery while the Menings of the Brain remain unhurt but if they were hurt though the fracture be Cured and the Wound Healed there will be continually a return of Pain either at certain Periodical times or upon the least disturbance of the Brain the which can be no otherwise remedied then by perpetual keeping the Skull open with a Plugg 6. In a Headach proceeding from Repletion or matter abounding if Pus Snot or Water flow forth by the Nostrils Ears or Eyes there will be hops of a speedy and sudden Cure But if a strong Pain in the Head seises suddenly without Evacuation following or Mitigation of its Vehemency it is Mortal For it shews the destruction of the Animal Faculty which is now without sense of the matter Causing the grief moreover in a great Headach it is of evil Consequence to have the outward and extream parts cold For by the vehemency of the pain and heat by vertue of strong attraction to the part affected there may be danger of an Inflamation 7. If so be a vehement Headach feizes after the Cure of a Disease in the Visera or Bowels in the Thorax or Abdomen proceeding from Putrefaction it shewes a translation of the matter to the Brain from whence arises for the most part an Apostemation which is mortal XXXII The Therapia or Method of Cure and first of a Head-ach proceeding from a simple Intemperature of heat and dryness 1. The Method of Cure depends upon the Cause according to the Proverb sublata Causa tollitur Effectus if it be only external or outward and proceeds from a simple Intemperature of heat and dryness it must be Cured by the application of things cold and moist 2. In this Case you may anoint the Temples Forehead and parts pained with this Oyntment Take Oyl of Roses Oyl of Water-Lillies of each one ounce Oyl of Poppy-seed by expression half an ounce mix them and apply it leaving the Sick to his Repose but if the Pain be very vehement it will be good to mix with the aforesaid Oyls about an ounce of Vinegar of Roses then in this mixture dip Cloaths or Rose-Cakes applying them to the place afflicted binding them on 3. Or you may take fair Water making it moderately warm and with a Spunge dipt in the same you may Bath or foment the parts afflicted For thereby the Head will be humected the Pores will be opened and the hot fiery Particles which was the Cause of the Disease will exhale But in this last Case it will be never the worse if you mix with the warmed Water afore-said a half or third part of Vinegar of Roses 4. Inwardly the Sick may Take Conserves of Roses and Flowers of Water Lillies of each two ounces Lozenges of Sugar pearled an ounce and a half made into an Electuary with a sufficient quantity of syrup of Violets At Night going to Bed and the Morning following he may take this following Refrigerating Potion Take Waters of Endive and Succory of each three ounces Violet Water two ounces to which add syrup of the juyce of Citrons one ounce and a half mix them for two Doses 5. Let the Food be cooling and of good juyce such as Chickens Fishes of gravelly places and Rear Eggs and such Meats as are Souced and
therewith it is a great Remedy and of mighty force to remove the aforesaid Evil. 4. If these things do not you must apply your self to the use of Narcoticks Take spirit of Wine half a pint Opium half an ounce dissolve the Opium therein and strain it in the strained Liquor dissolve Camphir two drams Bath the part with this it shall not fail you 5. Lastly the Diet ought to be heating and drying his Bread ought to be made with Fennel-seeds Caraway-seeds or Anniseeds well Baked or twice Baked as Biscuit he may now and then drink generous Wine provided it be moderately Spiced Wine and the Wine of Pope Adrian which is no mean thing 6. If it so be that moisture super-abounds we must have other Considerations in order to the Cure For that we have now something of matter to take away if the Symptoms be not very vehement we first apply our selves to the taking away the Cause otherwise if the pain be vehement we must first endeavour the alleviation of that 7 As to the six Non-Naturals he ought to chuse a free clear serene Air to live in he ought to forbear Sleeping in the day time and if possible to make choice of the Night for his Rest he ought to use Exercise and Motion For thereby the Humours come to be Rarified the Pores to be opened whereby a great part of the humid matter seem to Exhale his Food ought to be heating and drying and therefore Roasted Meats are better for him than Boyled Wild Foul are better than tame and Sawces made of Spice are better than those made of Fruits or other cold things let his Drink be generous or fragrant Wine and especially spic'd Wine things of Volatile parts such as Roots of Parsley Water-cresses Mustard Raddishes and the like are of good use So also Citron Orange and Limon-peels candied Coriander Comfits and such like things he may Eat freely of 8. All things of a cold Nature such as Purslane Lettice Cucumbers and Mellons are to be avoided as Poyson so also Hogs-Flesh and the Flesh of Water Fowls His Bread ought to be well bak'd and Biscuit if he likes it it transcends all other things with which he may Eat Almonds Nuts Raisons of the Sun Pine-Nuts Dates and such like but all manner of Milk Meats as also Pease Beans and other Pulse are to be avoided 9. Having now shown the Patient what he is to do it now remains to shâ—w what is the Physicians part he is in the first place to take Care That these Symptoms be alleviated which is by the application of things hot and dry and such are those things which we have not particularly ennumerated in the forepart of this Section where we treated of a Head-ach from a simple Intemperature to which may be added if the Pain be vehement Camphir dissolved in the spirit of Wine and mixed with Oyl of Pepper half an ounce Oyl of Roses an ounce strained Opium three drams make a Liniment according to Art wherewith let the part pained be anointed 10. To the Head may be applyed a Cucupha or Cap Take Pouder of Orrice four ounces Pouder of Cloves two ounces and a half Nutmegs Storax and Benjamin of each one ounce mix them to make a quilt of 11. Moreover let the Sick smell to a Perfume made of Musk Ambergrise and Liquid Storax or he may smell to an Essence made of the Oyl of Rhodium mixt with equals parts of the Oyl of Sassafras 12. Fumes also of Amber Frankincense and the like are very profitable being taken-in by a Funnel at the Mouth two three four or six times or more 13. Hitherto of the easing of the Symptom it remains now that we use our Endeavour to take away the Cause without removal of which we cannot hope for a certain Cure but there will be a Repetition of many Paroxysms this is done either by Topicks externally applyed or Medicaments internally given 14. As for Topicks it is necessary that the Head be Purged with propâ—r Errhins either liquid as these following Take Juyce of Beets Juyce of sweet Marjoram Juyce of Prim-Roses and Juyce of Rue of each equal quantities mix them and let them be Injected into the Nostrils 15 Or you may use this which is inferior to none Take half a pint of White Wine dissolve in it Euphorbium one dram which let the Sick Snuff up the Nostrils by means of which the Head will be abundantly Purged 16. Them that like not the Liquid Errhins they may use these following Take Confectio Hamech one ounce Scammony Gutta Gamba Agarick troschiscated of each half an ounce Euphorbium in a very subtle Pouder one dram mix and make a Mass for Errhines to be put up the Nostrils by which the Head will be extreamly Purged these Errhines may be used about two hours before going to Bed for four or five several Nights 17. But the most excellent of all things of this kind is the Sternutatory of Decker's which altho some may esteem to be dangerous not only the Experience of that learned Man but our manifold Tryals of the same have sufficiently evinc'd the contrary And we can say upon our own Knowledge That its Operation is almost Miraculous 18. If these things do not manifold Frictions ought to be used to the extream parts Cupping Glasses may be applyed to the Shoulders Hips and Brawny parts of the Arms and Thighs or for those that Fancy not Cupping Glasses Vesicatories may take place in those parts which said Cuppings or Blysters ought to be so often repeated till the Humidity is apparently drawn away I have often times Cured this Disease by drawing Blysters two three or four several times over the whole Head 19. Where the Disease proves Rebellious and will not yield to any of all those things t is necessary that a Seton be applyed to the Nape of the Neck or Issues be made in the Arms and Inferiour parts of the Thighs which ought to be continued till the Habit of the Body is altered 20. Thus far as to Topicks we come now to internal Medicaments that we may take away the Root of the Cause If moisture abounds not much it may be evacuated by Sweating For which purpose you may give fifteen or sixteen grains of Bezoar Minerale in an ounce and a half of Treacle Water or in Aqua Vitae Mathioli 21. You may also give the Tinctura Sudorifica Paracelsi to two drams or more mix it with an ounce of Sylvius his Prophylactick Water if these things provoke not Sweat powerfully you may exhibit Volatile Salt of Toads or Vipers to six or seven grains mixed with one of Mithridate or Venice Treacle 22. If these prevail nothing you must have recourse to Opiats amongst which Our Specifick Laudanum or Confectio Anodyna and Guttae Vitae are chief Some have used the Liquid Laudana of Helmont and of Scheffer as also the Laudanum of Peter Faber with the same success 23. But if the cold and moist Disposition
to bed six eight or ten Drops in Wine or Broth anointing also the Nostrils within therewith Take Chymical Oyl of Nutmegs three drams Chymical Oyls of Marjoram Rosemary and Amber of each half a dram Oyl of Mans Skull Musk and Ambergrise of each one scruple mix them together the Musk and Ambergrise being fiâ—st ground into a subtle Pouder 65. Or this Take Oyl of Oranges or Orange-flowers two drams Fat of Roses one dram Oyl of Amber one scruple Chymical Oyls of Rosemary Sage and Spicknard of each fifteen drops mix them together and let them be used as the former 66. If those things cannot be had we commend in the place thereof the dayly use of Our Electuarium ad Tabidos or Our Treacle the greater and lesser Compositions but chiefly the Electuarium Antipestilentiale either of which may be taken Morning or Night to the quantity of one dram drinking afer it a little Glass of Pope Adrian his Wine or a small quantity of the Queen of Hungaria her Water 67. Lastly Let the Room in which the Sick lodgeth or is most conversant in be Perfumed with the following Suffiment Take Amber Yellow Sanders Raspings of Juniper-wood Mastich Olibanum Storax Calamita Gum Sanderach of each half an ounce Benjamin Orrice-roots Frankincense of each two drams Cloves Nutmegs Mace of each one dram make all into a gross Pouder which sprinkle upon Charcoal set on fire 68. With this the Room may be Perfumed Morning and Night every Week and if he so pleases he may take the Fume thereof into his Mouth through a Funnel twice or thrice a week for by this means the Head will be exceedingly dryed XXXVI The Cure of the Head-ach from Vapours ascending up into the Brain 1. If it proceeds from Drunkenness it suddenly passes off and needs none of our Instructions for the Cure of it if it proceeds from Melancholy Platerus commends the following Take Catholicon half an ounce Diaphenicon two drams Hamech a dram mix them and take it with Sugar or an ounce of the Syrup of Fumetory or with Whey or with Cock-Broth 2. Or let the Sick take these Pills Take Pilulae Indiae two scruples Pilulae Agregativae half a dram with the juyce of Fumetory make a Mass of Pills 3. Or this which is stronger Take species Hiera without Saffron a dram and half Extracts of Polypody and of all the Myrobalans of each two scruples Scammony extract of black Hellebor of each a scruple Lapis LaZuli prepared half a dram Oyl of Lavender-flowers twelve drops with syrup of Fumetory make a Mass of Pills which may be given from half a dram to a dram 4. Those that cannot take Pills may take the following Decoction Take Roots of Bugloss Bark of Tamarisk Bugloss and Scabious flowers Raisons stoned of each one ounce Staechas half an ounce seeds of Millons two drams Polypody Dates Sena of each six drams Prunes numb 12. Indian and Cheb Myrobalans of each a dram being all bruised infuse twenty four hours over a gentle heat then boyl and strain out to the strained Liquor add syrup of Roses solutive and of Peach-flowers of each one ounce Sugar and Nutmeg in Pouder of each enough to sweeten and aromatize it This Portion repeat if need be 5. Or instead hereof the Pulvis Diatartara Rulandi which is this Take Sena six drams Crystals of Tartar one ounce Fennel and Anniseeds of each a dram Cinnamon half a dram Sugar of Roses a dram and half or two drams make all into fine Pouder This is a pleasant Pouder and may be given a Spoonful at a time often 6. If it proceeds from Vapours from the Stomach you may give Pills of Hiera Picra or Pilulae Aloephanginae which are of extraordinary use as also the Elixir Proprietatis Paracelsi 7. If the Vapours or Fumes proceed from the Womb you may Purge with Pilulae Cochiae or Pilulae foetidae or with Our Family Pills with Aloes these things cleanse and open the Womb after a wonderful sort 8. Afterwards proper Hystericks may be given of which in their place However this following Composition is mightily commended Take Species of Hiera Picra two drams Agarick Turbith of each one dram Troches Alhandal Resinous Scammony Nutmeg Mastich of each half a dram Ginger a scruple Sal Gem half a scruple Oyl of Cloves and Lavender-flowers of each three drops with syrup of Staechas make a Mass of Pills Dose from half a dram to two scruples the one half may be given at Night going to Bed and the other half next Morning following 9. Lastly in all these Cases it will be of principal moment often to administer some of the Clysters in the former Section for they mightily draw Vapours from the Head XXXVII The Cure of the Head-ach arising from a Feaver 1. We ought indeed to take away the Cause if we would have the Effect to cease but because the doing of that would be somtimes long and the urgency and vehemency of the Symptom many times requires the more speedy remedy we shall here point them forth to you as they are to be used in order Ancient Physicians used immediately to open a Vein cheifly the Cephalick but this we decline 2. If it be external the parts Pained ought to Bathed or fomented with Warm Water in a pint of which three drams or half a ounce of Sal Prunellae is dissolved this ought to be continued for half a hour or there abouts This done 3. You may Embrocate the Head with this Take Rose-Water four ounces Vinegar of Roses two ounces Oyl of Roses one ounce the white of one Egg mix them by beating them well together and Embrocate as aforesaid after which dip Flax Cotton or double Linnen therein and apply it after the manner of an Epithem Or instead hereof you may anoint with Vnguentum Populneum or Our Vnguentum Narcoticum both which are of good Use But a Cataplasm of Vervain made by beating it with Vinegar is said to be a Specifick 4. This done this following Clyster from Joel ought to be given to move the Belly for thereby the heated parts will be much cooled the Feaver much abated Vapours will be drawn downward and the Pain of the Head will be signally eased Take Violet leaves herb Mercury Betony Marjoram Centory the less of each one handful Pulp of Coloquintida one dram the herbs being bruised boyl all in a pint and half of Water till three quarters of a pint only remain which strain and to the straining add Hiera simple one ounce and half Oyls of Violets and Camomil of each two ounces common Salt one dram mix for a Clyster which you are to exhibit warm 5. Inwardly you are to use Antifebriticks mixing with the same a few drops of the Spirit of Sal Anmoniack and in all his Drink let him take Salt of Wormwood ten grains mixed with Juyce of Limons half a spoonfull 6. If these things do not after bathing with the Water at § 2. above you may at
Night going to Bed apply the following Take Vinegar of Roses one ounce Poppy water in which one dram of Sal Prunellae is dissolved two ounces Spirit of Wine in which Camphir one scruple is dissolved half an ounce Opium extracted with Spirit of Wine and Inspissated to the thickness of Honey two drams white Poppy seeds bruised one ounce Oyl of Poppy seeds by Expression one ounce and half the White of one Egg Terra sigillata two ounces mix all well and upon R se Cakes Cloth or Leather apply it as a Pultise 7. The next Morning following let him take a strong decoction of Cink-foil made in part water part wine and made pleasant with a Syrup of the Juyce of the same herb repeating also the Clyster afore prescribed if occasion be mean seas n let Nothing be left undon towards the removal of the Primary Cause viz. the Feaver but let every thing be done in Order In respect both to the Feaver and the Pain of the Head Blisters on the soles of both feet are of most admirable effects XXXVIII The Cure of the Headach arising from the French Pox. 1 The Headach arising from the French Pox is to be Cured by taking away that Disease by the Roots but we Intend not here a Headach arising simply from the Pox but rather one arising from the ill management and vitious application of Medicaments by ignorant and illiterate Persons pretending to that Cure 2. It is Caused for the most part from Mercury ill prepared ascending up into the Brain and sometimes from the Irregularity of the Patient in both these Cases the Cure is exceeding difficult nor has many Physicians performed it scarce has any Attempted it the most Acurate and Faithfull Hartman has in a manner Concluded these Pains Incurable so what we have to say or declare here is wholly without President 3. Former Physicians in this Case have prescribed a Repetition of Salivations others constant Diet Drinks made of Guajacum sassafras and sarsa according to the common manner 4. Others have given strong Vomits and purges continuing their use till the Patient was brought well near to his Grave others have applied the Seton Cupping Glasses Vesicatories and the like to various parts of the Body 5. Others have applyed Errhines Sternutatories Masticatories and Gargarisme to the Nostrills and Mouth others have applied Oyls Unguentâ— Cataplasms and Plasters to the parts affected of various kinds of qualities both with and without Quicksilver 6. Others have given outwardly and continued the use of Opiats for many mo ths others have used strong Sudorificks and Caused the Sick to sweat six eight or ten times or more and yet notwithstanding all these things have proved ineff ctual 7. Others wiser then their fellows have made use of all those distinct Remedies to one only Patient and yet alas without success 8. What now Remains to be done which these Men have not done or what way can be further thought of to deliver the Sick from such perpetual excruciating Torments 9. But that we may rightly attempt this Cure if possibly it may be performed since so many have shot a side from the Mark and gone so far astray from Truth it behoves us to make a scrutiny both in the Cause of this Herculean Affect and the Cause of the Errors and Unsuccessfullness of the former prescribed Remedies 10. And first as to the Cause of the Malady the Procatartick first or remote Cause is doubtless a Mercurial Venom if not the Body of Mercury it self contaminating the Tunicles Ventricles and in some measure the substance of the Brain it self 11. The Proegumine latter proximate or conjunct Cause is an Acid Salt intimately mixed with the blood and carried with it to the Films Ventricles and substance of the Brain 12. This acid Salt 't is probable will not simply be the Cause of the pain of the Head but meeting with the Mercury thereupon the least Motion or Agitation it seizes upon the Mercury from whence arises cloudy obscure and poysonous Fumes such as you see when Quick-silver is put to be dissolved in Aqua Fortis which Fumes if they be in the least manner received into the Head by the Nostrils will immediately cause a most intollerable Head-ach 13. Now this Pain made by the Operation of these Fumes is either from their stretching the Films of the Brain or Interrupting the Animal Spirits in the Cavities where they are generated or conveyed or in the Vessels of the Brain it self or else from their vellicating or fretting the parts which they touch or from their Venine property being wholly Poysonous thus much as to the Cause 14. Now it appears That if an Acid Juyce or Salt be the proximate or conjunct Cause of this Pain that all those things which breed and generate an Acid Salt must be directly opposite to the Intention of Health 15. And whereas all the former Artists and and Men of this Profession whatever things they Considered of in order to the Cure of the Disease they never missed the constant use of Guajacum to wit in a Diet prepared therefrom 16. Now whereas Guajacum contains a most acid Salt and even in the highest degree as every Chymist that has wrought therein can tell you and produces an acid Salt or Spirit which will dissolve Mettals Stones Bones and the harder Substances it is no wonder indeed that they have so often attempted this Cure without success and missed their desire in it 17. Now it remains knowing the true Cause of the Disease and the Reason why the former Remedies had no Effect to institute and lay down a Method of Precepts which being put in use may infallibly Vanquish this hitherto Incurable Disease 18. The chief matter lies in the Diet next in that thing which will effectually draw out the Mercury 19. By the constant use of the Diet for forty sixty or a hundred days the Blood comes to be throughly and perfectly sweetned through a destruction of the said acid salt and by the Medicament which we call Hercules by reason of its mighty Power and Operation the Mercury is destroyed extracted and drawn forth 20. But by what means or Act it performs it is yet doubtful to us what we can most resemble it to is the Operation of the Head of a Viper or Poysonous Serpent in Curing the Biting of the same Creature which if Remedies be neglected is always Mortal 21. Yet if you immediately apply to the place Biten the bruised Head of the Serpent after the manner of a Cataplasm in which Head is contained as most Authors think all the Poyson of the Creature the Sick shall be perfectly freed from all manner of danger and in a short time become throughly well again 22. As to the Diet let it be made after this manner Take spring Water twenty five quarts Mealy Sarsaparillae two pounds and half Virginian Snake-root Contra yerva of each four ounces infuse all the Sarsaparilla all Night in the Water
from Hypochondriack Melancholy which being it self along and Inveterate distemper may be the Cause of the Continuance of such as arise in part by consent therefrom For sending fumes into the Ventricles of the Brain by the continued circulation of the Blood it naturally followes that Pain must be naturally excited and that almost continually especially upon any sudden or violent Motion or Exercise any Grief or Trouble of Mind any anxious Thoughts or any change or alteration of the Air the reason of which last we have largely declared in Sect XXXIX § 3. and 4. aforegoing To these causes may be added the natural weakness of the brain from the birth by reason of which from almost every small Occasion this Pain of the Head is excited 8. Hence it appears That the persons most subject to this Disease are such as are of a Cold and dry Habit of body of which disposition are all Hypochondriacks and such as are of a Cold and moist Constitution the Ventricles of whose brains are almost perpetually filling filled with Recrements If it be objected that such cannot be subject to manifold Fermentations of the blood because of their cold Habit of body which is an enemy to Fermentation To this we answer That neither Heat nor Cold are simply of themselves either the Materiall or Formall Causes of Fermentation but only an Accidental Cause which are stirred up accidentally from the fit or convenient mixtion of proper Salts this Spirit of Vitriol and a solution of Salt of Tartar in fair Water or fair Water it self although they are both of hem externally Cold and also Cold in their operation yet being mixt together in a fit proportion they excite a most incredible heat which may be said indeed to be the Accidental Cause of the Effervescency and the same may be done in Our bodies although Cold and Moist if that Humidity meets with a Salt proper for such an Operation XLI The Prognosticks of a Cephalaea or Old Headach 1. This Disease if it has not been of long standing is the more easy to be cured but if it has been of any long standing it is commonly very difficult So also if it proceeds from the French Pox. 2. It is scarcely ever Cured if it followes after a Fracture of the Skull or be caused by evil Conformation of the parts or proceeds from a pure and natural or haereditary Weakness of the Brain unless that the Skull be opened and a peice thereof taken out 3. And as it for the most part happens either to people of a cold and dry Constitution of a Melancholy habit Or to such as are of a cold aâ—d moist Constitution of a Cachectical habit So in both these Conditions the Cure cannot but be very difficult for in the first cause the Melancholy habit must be altered else you do nothing at all and that is no easy thing to do and in the latter the Cold and moist habit must be removed if you perform any thing which is a matter of no small moment 4. If it proceeds from consent of other parts you must alter their Habit and Constitution for till the Cause be taken away the Effects can never absolutly cease And according to the difficulty of altering the nature qualities and disposition of those parts such will be the hopes of Cure in this Disease 5. If it be complicated with any other Disease as a Cough Catarrh c. the Cure will yet be so much the more difficult for till they are removed the Cephalae can never be Cured because it is certain that those Concomitants contribute mightily to this Disease 6. That which proceeds from a Fermentation of the Blood is the most easy of this kind to be Cured for upon the stopping of the Fermentation the pain not long after ceases But then this falls out again that if the Fermentation is renewed so will this Pain be also XLII The Cure of a Cephalaea or old Head-ach in a cold and dry Constitution of Body or arising from Melancholy 1 If it be in a cold and dry Habit from a simple Intemperature without Cause from any other part the Cure will not have that difficulty in it as if it proceeded from Melancholy In this Case you are to warm and humect the parts Take Oyls of Camomil and Bays of each half an ounce Oyl of Nutmegs by expression mix them well together and anoint very well all the places pained Morning Noon and Night before a convenient Fire embrocating the parts also at the same time 2. Inwardly also ought to be given things which heat and humect the parts as Take choice Canary a quart spanish juyce of Liquorice one ounce dissolve it therein let it settle then decant the clear and let the Sick take thereof every day Morning Noon and Night it is a specifick in this Case for the constant use hereof for long time does admirably warm comfort and moisten the parts and indeed alter the whole habit of the Body 3. If the season of the year will admit it may be drank with equal parts of Juyce of Strawberries or Juyce of black Cherries the last thing is marvelous for this purpose The Wines made of the Juyce of Strawberries and black Cherries by fermentation being constantly drank either alone or mixt with the Canary as before prepared are yet much better 4. If it proceeds from a Melancholy habit of Body you must use the Topicks formerly mentioned in the Cure of a Cephalalgia from cold and dryness with the things even now ennumerated adding also the erradication or changing of the Melancholy Habit without which all things are done in vain How this is performed we shall teach when we come to Treat of the Cure of Hypochondriack Melancholy to which I shall principally refer you 5. Yet the following things have not been used without success Once in three Weeks or a Month you may Purge with Pilulae de Lapide Lazuli Or with this Infusion Take Water a pint Sena one ounce Green Roots of Polypody half an ounce Salt of Tartar one dram make an Infusion to purge with 6. Somtimes also may be used the Tinctura Melanagoga Grulingij which excellently evacuates the Melancholy Humor Some commend the Diasena Nicolai half an ounce at a time to one ounce But it is thought that Confectio Hamech given alone from half an ounce to six drams exceeds most other things 7. Thus Compounded it is good for weak Constitutions Take Confectio Hamech one ounce Cassia extracted or Diaprunum Lenitivum or Catholicon two ounces mix them for two or three Doses 8. If the Stomach be foul let the Vinum Elleboratum be given half a Spoonful at a time with an ounce of Oxymel and as much Wine of Squills or half an ounce of Platerus his Walnut Water 9. In the Intervals of Purging the Sick may constantly drink Quercetans Decoction of an Ox-Spleen Or the Decoction of Crabs taking also now and then Wine of Black Cherries Pope Adrian his
being extravasated it falls upon the Tunica Cornea Others think that these Vapours enter through the Optick Nerve the chief Organ of Sight and through that are carried as through a Pipe from the Brain and original of the said Nerve to the Orbicle of the Eye but this cannot be for no kind of Vapours can be carried through Nerves of any kind for that they are not only the Channels of the Animal Spirits but also always full thereof and it is against the nature of Vapors to fall downwards unless forced by violence which here is wanting 6. Truly in the midst of all these misapprehensions We judge directly opposite viz. That these Vapors assaulting chiefly the fore part of the Brain are confounded with the Animal Spirits wherewith the brightness of the Images offered to the Brain by the Optick Nerve is rendred unequal and darkned in many places so that to the Brain there is offered a shew of false Apparitions and visions confounded with the true Image of things And that this is done in the Brain and not in the Eyes the Vertigo which for the most part doth accost these various Visions and false Images does apparently shew for that the Spirits then in the Brain are also confusedly agitated whence follows a turning and wheeling about or giddiness after which the Scotoma or darkness by which the patient becoms as it were almost blind forasmuch as by degrees those multitudes of Vapours do wholly obscure and enwrap the Spirits the which happens in that part of the brain which is the highest and which gives the original to the Optick Nerves 7. This Disease took the youth by fits without any other Symtoms than what we have already declared by which it appeared to be truly a Scotoma most Physicians would have begun this Cure with Blood-letting but I fearing to diminish the forces and strength of the body advised to another course First I exhibited a Vomit Take infusion of Crocus Metalorum six drams Oxymel of Squills half an ounce Bawm water four ounces mix them for a Dose This I repeated once a week for a month 8. The next day I purged him with Tinctura ex tribus which gave him ten or 12 stools the way of making of it you may see in my Doron Medicum lib. 2. cap. 7. sect 16. this Purge I repeated every third or fourth day for about three weeks time for purgers ought to be used in all the species of a Vertigo if the matter sending forth those vapours consist in the first passages Or if such an evaporation arise in the Head from impure blood mixed with choler as here it was apparent from whence these impure vapors have their Original 9. In the intervals of purging I ordered 8 or 10 drops of the Spirit of Sal Armoniack to be given twice a day in this following Juleb Take syrup of the juyce of Endive syrup of Succory of each one ounce syrup of the two opening roots half an ounce waters of Wormwood and Succory as much as is sufficient mix and make a Juleb At night I ordered the Pulvis ad Vertiginem Cratonis to be given in this following Electuary Take Conserve of Roses and of Marjoram of each an ounce and half flowers of Peony Citron peels Rob of Currans of each half an ounce Canded Quinces one ounce Pouder of Amber of Coral and of Coriander-seed of each one Dram Fennel and Peony Roots of each half a dram Mastich a scruple with Syrup of the Conserve of Citron Peels make an Electuary of which you may give the quantity of a Chesnut at a time 10. As to his Diet I ordered things which bred but few Vapors as Fish of gravelly places Coneys and such like to be eaten with sower sawce and in all his Drink that some few drops of Oyl of Sulphur should be put because all acid things chiefly Oyl of Sulphur not only hinder the rising of Vapors but greatly strengthen the Stomach and the other Viscera and so cool the blood whereby the generation of the matter causing the Scotoma is certainly prevented by this means the Youth was in five weeks time Cured II. A Vertigo arising in a Flegmatick Habit of Body with weakness of Sight 1. This hapned in a Man 48 years of Age of a cold moist and flegmatick disposition who had for 3 or 4 years been at times much afflicted therewith 2. The Cause from all the Symptoms that did appear was a repletion of the Brain by a cold and watery humor pituitous and serous every where filling the windings and spaces of the brain thereby generating plenty of Wind so that when the Head was moved the humor being stirred and following the motion of the Head as we said before of the Spirits the Vertigo would be excited and he complained of a fluctuation within his Skull as he thought for without doubt there was great plenty of the Humor moreover he had signs of Phlegm abounding in all parts of the body 3. Seeing all the preceeding Symptoms I much feared least it should terminate in an Epilepsy Apoplexy or Carus because the Paroxism would now return often and be of long continuance forasmuch as a Vertigo of this kind is wont to terminate in those dangerous Diseases now this it does not by simply cooling and moistning the brain but by the immense plenty of the humor the which in such as have dyed of an Apoplexy we have found the Skull being opened and Authors Report that in some it hath come forth by Floods moreover I also much feared blindness because it does often arise from Wind and a Fluctuation of the said humor to the Optick Nerves 4. In order to his Cure I considered fiâ—st that the cause ought to be removed which was the Flegmatick habit of the body and watery quality of the blood secondly that the brain and its windings might be freed from the ventosity and humor abounding thirdly that the parts already afflicted and weakned might be strengthned 5. As to the first intention of Cure I prescribed this Clyster Take fat Broth a pint Tincture of Colocynthis an ounce and half Oyl Olive two ounces Oyl of Anniseeds a dram mix for a Clyster This Clyster I caused to be repeated every fifth or sixth day Every morning fasting I gave him two or three spoonfulls of syrup of Juyce of Pellitory of the Wall made with Honey which I ordered to be continued for six weeks Every fourth day I purged him with the Tinctura Phlegmagoga Grulingij which evacuated him notably and spent the watery humor largely See it in our Pharmacop Lond. lib. 4. cap. 7. 6. But that we might as well strengthen Nature and help her in her Acts as altogether weaken by purging I prescribed the Electuarium ad Tabidos to be taken to the quantity of a Nutmeg in the intermediate days of purging and now and than to take a glass of choice Wormwood Wine whereby the sick might be refected and comforted and every other night
Scab or Exulceration spreading over his whole Legg 2. The Pimple was black the Exulceration lasted two years but was removed by the application of hot Ashes and so was cured the ninth year 3. Now for two years he was not troubled but seeing he had a weak Stomach though not exulcerated he suffered want of Appetite and when Dinner was delayed he fell into a Vertigo and pain of the Head he could not use his Faculty of Imagination nor continue a Discourse upon any thing but presently he forgot 4. I shall give you my Opinion concerning his Temperature He is of Constitution cold dry and melancholick which I prove from his slenderness costiveness and want of Hair his Muscles are small his principal Members as his Heart is cold his Pulse slow and rare he is fearfull his Liver dry and hot and yet that heat do's not exceed the coldness of his Heart 5. That he has a dry Liver it appears because his Veins are small and straight That he has also a hot one is clear for he has been sick of Feavors which proceeds from Choler and those Pimples shew an Adust humor 6. His Brain Temperate for he is shamefac't and his animal Operations good he abounds in heat He is temparate as to siccity he is moderate in his sleep and his Stomach always cold 7. His custom was always to take Medicines but he was inordinate and kept no good time as to his Studies in Winter he often sate with cold Feet to which he added slothfulness and never gave himself to Exercise 8. The Causes and Symptoms are next to be enquired into from whence the Indications of Cure arise Three things he suffers about the Stomach first weakness the Cause of this is Intemperateness for neither soon nor well does he Digest therefore is the Distemperature from cold 9. Secondly He suffers also want of Appetite because coldness is the Cause of want of Appetite for the matter which before was evacuated by the Legg runs back to the Stomach and chiefly a Salt Rheum from whence there is a loss of Appetite 10. Thirdly When he does not Dine soon it presently comes to a swimming in the Head this is a Symptom of the Stomach for it is done by consent as Vapors arising from the Stomach for the Appetite craves adust humors from the Liver which coming to the mouth of the Stomach ascend up to the Head from whence Avicen To suffer Hunger is to fill the Body with ill Humours 11. He suffers pain in his Forehead and this grief is from the Stomach The Animal Operations of the principal faculties of the Soul are diminished he cannot use his Imagination nor speak well the cause is some cold intemperature of those parts 12. It may be questioned from whence comes this Intemperature from the paucity of the Spirits and evil Concoction in the Stomach from thence the Liver is adust and so the Heart is cold whence is a paucity both of Vital and Animal Spirits 13. Another reason for the intemperature of the Spirits is for that the Liver generates blood that is cold from whence also humors that are dull and cold arise it is doubtless originally from the Intemperature of the Stomach for the adust Humors are cold and sharp and so are the Rhumatick 14. Secondly the cold Intemperature of the Brain comes not only from the paucity of the Spirits but also from the intemperature of them 15. The Curative Indications or Symptoms are taken from these which are Evacuation and Alteration the matter is to be evacuated and the Stomach to be altered by somewhat that is contrary 16. He must Evacuate all first and afterwards warm the Stomach by the way of alteration increase the Spirits and make them warmer these are augmented when the Stomach is prepared to digest and the warmness of the Liver is remitted 17. There is need to warm the Stomach and to cool the Liver but there is nothing to be done to the Head although the Liver is hot yet I would not open a Vein lest there should follow a paucity of Spirits I would have you to loosen the Belly with Cassia or Hiera for we have seen your Urine that 't is red and crude thin and full of many Excrements 18. They may be concocted with the Syrup of Fumitory Honey of Roses Decoction of Chicory and other things They may be evacuated by Rhubarb and Confectio Hamech and the Evacuations should be repeated according as there is occasion 19. Afterwards to procure an Appetite I would annoint it with the Oyls of Spiknard Mastich Mint and with Spices somtimes I would administer Sugar of Roses with the Species Aromaticum Rosatum 20. But for change it is better to apply somewhat outwardly Let him not go into hot Baths unless in September when he does use these let the Liver be annointed and strengthned with the Oyntment of Sanders premising Embrocations of cold Distilled Waters for the cooling of the Liver Scholzij Consul Med. Obs 311. XXXVI A Vertigo with Pain at the Stomach 1. There are four things to be done that we may prevent the Vertigo and other Maladies which proceed from the repletion of the Head First all Causes are to be avoided which fill the Head with Fumes or stir up the Humors Secondly if Humors abound in the Head they are to be brought thence or diverted Thirdly the Vapours are to be dispersed and the Head strengthened Fourthly that some Preservatives be administred for the Vertigo and Apoplexy 2. First there is nothing certainly fills the Head more than mid-day sleep and drinking after Supper in sleep after meat gross thick and very dark fumes fill the Head in that abundance as in a Furnace in which wet Timber is laid and the Head being full of Vapours the whole Body is weighed down the Man is made sadder a Vertigo is near at hand and also somewhat that is Apoplectick 3. And although to dryer Natures mid-day sleep is not inconvenient or dangerous nevertheless it cannot be any waies profitable to those who have not a little of repugnant and unwholsome humidity in the Stomach and there is a difference between fumes which come from dry Timber and what come from wet 4. Moreover if cold drink be always taken after meat and the Stomach belch many fumes are exhaled chiefly great quaffing before sleep and long feasting and banqueting are pestiferous and hurtful both to Head and Stomach nor can the mouth of the Stomach be closed for when it belcheth or is any way disordered and then endeavours to take some repose what otherwise can follow but a repletion of the Head and a Catarrh then the Vertigo also troubles 5. Great cares and weighty affairs do extreamly encrease this Distemper if attended immediatly after eating so also meats that beget fumes and too great a quantity of liquor or large drinking 6. It is requisite such be avoided by those who desire not to be troubled with Catarrhs or a Vertigo as also those
from a cold or moist Humour Or from Water contained in the Cavities being the Excrements of vitiated Blood which the more easily make an Impression thereon from the weakness of the part 6. And sometimes it is caused from a Bladder of Water contained in the foremore Ventricle of the Brain to which I was an Eye Witness 7. For a person Dying of a Vertigo accompanied with a Feaver being opened we found no other Cause of his Disease nor of his Death but a Bladder of Water about the bigness of a small Hens Egg lying in the foremost Ventricle of the Brain 8. This Man for many years had been obnoxious to a Vertigo otherwise constantly in perfect Health and lived to the Age of seventy years at first the fits came but two or three times a year afterwards they came once a month and as the Man grew older and older the Disease grew stronger and the Paroxisms grew more frequent and of a longer continuance so that he had a fit once a Week 9. The last Fit he complain'd That all things turned round violently and although he leaned upon a Table call'd out vehemently for some body to hold him for he should fall by the hasty turning round of things he desired forthwith to go to Bed and whilst he lay still he seemed to be somewhat pacifyed but upon the least turning of his Head or any part of his Body he cryed out that the Bed and House would be turn'd topsy-turvy all this was without any Convulsion Frenzy or Madness or the least appearance of a Feaver except about four or five hours before his Death 10. If it be Sympathetick it is by consent from some other part as the Indisposition of the Stomach or other Viscera if it be from the Stomach it is known from the Weakness thereof Sickness at the Stomach want of Digestion Crudity Pain and Wind afflicting that Bowel from whence an Evil Blood is generated filling the Ventricles of the Brain with many Recrements 11. Or from a fermentation of the Blood from whence windy or flatuous Vapours arises filling the said Cavities 12. If it be caused by consent from any other part you may know it from the Indisposition of the said part pain or weakness thereof In a Woman if it proceeds by consent from the Womb she must have been troubled with affections from the Womb a long time before-hand 13. A third Cause is from a Windy Vapour generated or arising from Hypochondriack Melancholy which is known by the Signs of that Distemper 14. The fourth and last Cause is either from the ill Confirmation of the Cranium and parts adjacent wherein there may be some extuberance in the inward Table of the Skull compressing the Brain or a Compressure thereof by a Fracture of the Cranium or a Conglutination of the Vessels of the Brain viz. of the Arteries or Veins from all which causes the Animal Spirits upon the least occasion being disturb'd excite a Vertigo 15. It remains now That we enquire into the Cause of the Darkness of the Sight which we Judge to be from Vapours or Wind vehemently assaulting the forepart of the Brain thereby Clouding and Confounding the Animal Spirits wherein the Images or appearances of things directed to the Brain by the Optick Nerve are rendred unequal and clouded or darkened so that there is either a false appearance of things as when they turn Round or no appearance at all by reason of the darkning of the Sight 16. And this is done in the Brain by the confusion of the Animal Spirits through a preternatural Agitation or Commotion and not in Eyes themselves For that the Spirits are inwrapped with those cloudy Vapours in the highest part of the Brain which gives the Original to the Optick Nerves LIX The Prognosticks of a Vertigo 1. If the Disease be Retent or in one that is Young or if the Paroxism be not vehement but suddenly over the Sick is without Danger and the Cure may be easily performed the same also if it be without darkness of Sight 2. If it be Originally in the Brain or of any long continuance the Paroxism vehement and not suddenly passing over the Cure will be more difficult 3. If it comes Haereditarily from the Disposition of the Parents or from a Native weakness of the Brain it is for the most part without Cure 4. So also if it arises from the ill Confirmation of the Cranium unless the Sick can give any particular Description of the place so afflicted that a part of the Skull may be taken out whereby the Extuberance of the inward Table Compressing the Brain may be removed or those windy Vapours or excrementitious Humours exciting a Vertigo may be Evaporated and drawn away 5. If it has been of long continuance and in Aged persons it is for the most part Incurable so also if it proceeds from a Bladder of Water in the Ventricles of the Brain unless the Skull be opened and the said Bladder be taken out 6. Those afflicted with a Bladder of Water although out of the fit almost always complain of dullness and heaviness of that part of the Head where it lies as did the person we spoke of before and I doubt not if the Skull were but timely opened and the Bladder removed it might be the means to save many a Patients Life 7. An affect not much unlike this is often seen in Calves which when the Country-man sees to be Vertiginous by their turning round he commonly opens the forepart of the Head and by taking out a Bladder of Water saves the Life of his Beast which otherwise would suddenly dye 8. If it proceeds by consent of other parts The Prognosticks depend upon the removing of the said Indispositions for so long as they remain there is no hope of the Cure of the Vertigo 9. If it proceeds from Hypochondriack Melancholy or a Vapour generated in the Brain the Cure will be exceeding difficult to be performed For as much as the Melancholy Humour is hard to Conquer or overcome 10. In cold and moist Constitutions it is apt to degenerate into an Apoplexy Epilepsy or Lethargy LX. The Therapia or Method of Cure and first of a Simple Vertigo or without Dimness of Sight 1. The Cure of a Simple Vertigo is not very difficult and has commonly but two Intentions The First is to discuss the flatulent Spirit troubling the Ventricles of the Brain or to still and quiet the too great Emanations of the Animal Spirits Secondly to comfort and strengthen the Brain hurt or weakened by the said flaculency and Irregularities of the Spirits 2. The first Intention is performed by heating Cephalicks anointing or bathing the Coronal Sutures Temples Forehead and Nostrils with spirit of Rosemary Lavender Carraways Sage Juniper Savin or sweet Marjoram all which have a mighty power to discuss any Ventosity lodged in the Cortex of the Brain 3. But above many other things we commend the following as such of which we have
had a very large Experience first the Powers of Rosmary which wonderfully Sympathize with the Brain and strengthen all its Faculties 4. Secondly the Powers of Sassafras which are indeed a great Medicine and a specifick in this Case the Powers of Oranges and Limons are admirable being indeed partly demonstrated from their Signature but the Powers of Nutmegs and Amber are Inferiour to none of the former 5. Lastly we commend the Essences of Musk and Ambergrise above all other things For that they dissipate Vapours and comfort and fortify the Brain above all other productions whatsoever 6. Now the Medicaments here enumerated as to their external use ought to be well bathed upon the places before mentioned twice or thrice a day at least also some few drops of them may be dropt upon the Palms of the Hands and so drawn strongly up the Nostrils from whence comes an Incredible relief This if it be done five or six times a day it will be so much the better 7. The second Intention which is to comfort and fortify the weakened Brain to prevent for the future the Extravagancies of the Animal Spirits is performed for the most part by Internals of which any of the things before enumerated may be taken from ten drops to twenty thirty or forty according to the Age Sex and Strength of the Patient and they may be exhibited either in some Cephalick Water or Cordial or generous Wine 8. But for as much as Musk and Ambergrise are thought Inimical to Women troubled with Vapours or subject to Hysterick fits we here forbid their external use to the Head or upper parts 9. Inwardly they may be thus given Take Musk twelve grains Ambergrise five grains Peacocks Dung a scruple Venice Treacle half a dram mix and make a Bolus to be given every Night going to bed drinking after it one ounce or two of good Cinnamon Water 10. This alone Medicament transcends al others in most cold and moist Diseases of the Head and Brain especially in Vertigo's Epilepsies Lethargies and other Drowsy-Diseases for it comforts and restores the profligated Animal Spirits almost to a Miracle 11. We could prescribe many other things of great Power and Virtue truly efficacious for this purpose but do here forbear knowing this last Medicine to transcend them all 12. Moreover we can speak upon true and certain Experience that we have not only Cured many of the Vertigo herewith but also several supposed Incurable Hystericks Women that for the space of twenty or thirty years have been continually vexed with those Fits and lived without hope of Cure the effect has been so admirable that the said Hysterick fits have never returned any more LX. The Cure of a Vertigo with Dimness or Loss of Sight 1. The Indications of Cure are threefold first to discuss so much as may be the matter and to quiet the wandring Spirits the second Intention is to remove the Conjunct Cause and to take it away by Revulsion and Derivation thirdly to remove the Procatartick Cause and to strengthen the part afflicted 2. As to first Intention for discussion the things prescribed in the former Section against a Simple Vertigo may be very profitable here but if the strongest of those Remedies prevail not you may after the use of them apply this following Cataplasm Take Barley Meal a pound Oyl of Roses three ounces Poppy-water enough to make it of the thickness of a Pultise to which add Opium half an Ounce first dissolv'd in the spirit of Wine and then inspissated to the thickness of Honey 3. If the former cannot be had you may apply this Take Barley Meal a pound Oyl of Roses four ounces white Poppy seeds well bruised three ounces boyl all in a sufficient quantity of Poppy water to the consistence of a Pultise which apply to the Temples and Fore-head and if the Head be shaved it may be applyed over the whole Head 4. Now to quiet the irregular Motion of the Spirits If the Disease be inveterate and vehement and will yield to no common Remedies you may give a few grains of Laudanum beginning first with two grains and increasing of it half a grain every third day till you come to five six or seven grains 5. Or if you would rather use a Liquid Laudanum as those of Helmont Scheffer or any other you may begin with ten drops and so increase the Dose three or four drops every third day till it come to thirty or forty 6. The second Intention is for removing the Conjunct Cause which is done first by Derivation and that either with Emeticks or Catharticks 7. If the Stomach be foul Emeticks take the first place you may exhibit in the Morning fasting this Take Vinum Benedictum six drams Salt of Vitriol two scruples mix dissolve and then give it It Works admirably and may give the Patient six eight or ten easy Vomits according to the foulness of the Stomach the use of this Medicine I cannot but Commend having Cured several of a Scotoma by twice or thrice exhibiting it alone without any other thing 8. Some commends the flowers of Antimony and doubtless being Corrected they are a good Medicament others Crocus Metallorum given in substance from three to six grains others Vitrum Antimonij from one grain to three and some set a great value on Mercurius Vitae given from half a grain to three well prepared 9. But before all these later things the Emetick Tartar of Mynsicht is to be preferr'd given from three grains to six in a glass of Sack 10. Paracelsus mightily commends the Salt of Vitriol which may be given from two scruples to a dram and half according to Age and Strength he says It is a specifick in all Vertiginous and Epileptick Diseases and truly Experience has often confirmed it 11. For weaker Constitutions and such as are fearful to take Antimonials Vinum scilliticum and Oxymel scilliticum are given with good success from one ounce to two ounces and half either alone or mixed with half a dram of Sal Vitrioli 12. After the Exhibition of Vomits t will be necessary to carry the matter downwards by proper Catharticks among the number of which of Pills he may take Pilulae Agregativae de Agarico Cochiae Aureae Rudij or Our Family Pills either with or without Aloes 13. The following Composition is mightily approv'd of Take Pilulae Aloephanginae Coch ae ex duobus of each a dram Resin of Jallap half a dram Chymical Oyl of Lavender or of sweet Marjoram twelve drops syrup of Buck-thorn enough to make it into a mass of Pills Dose from a scruple to half a dram early in the Morning with good Government Here the Pilulae Lunares have place which may be given twice a Week à gr iij ad viij they are a specifick 14. Those that cannot take Pills may take the Species Sanctae half a dram or the Pulvis ex tribus which carries off the cold pituitous Humour after an admirable manner
again to be repeated to which I added syrup of Meconium one pound which he took in all respects as the former by the taking of which last We did not only confirm and secure to us the healthful Disposition of the Lungs but the Catarrh was also in some Measure mended thereby the next Intention is to remove the Catarrh for which I ordered an ordinary Decoction to be made with Guajacum Sarsa Liquorice and the Carminatitve seeds which he was to take as his daily Drink 7. In the next place I gently Purg'd him with this following Liquor Take White-wine a pint Sena two ounces Ginger a dram Cream of Tartar two drams digest all Night or if you will a Day and a Night in a sand heat then strain it sweeten with a little white Sugar and keep it for use This he took about three ounces at a time in the Morning fasting and it did purge him notably I Caused him to repeat it every five or six Days for four times 8. In the Intermediate Days of Purging and also for sometime after the Purging was over I caused him at Night to take a little Pill of the following Composition Take Thebian Opium extracted with the spirit of Wine and Inspissated to a thickness to make Pills thereof one ounce Venice Treacle five drams Liquid storax two drams Chymical Oyl of Wormwood one dram mix them all well together and with Ginger in fine pouder a sufficient quantity make up a mass of Pills 9. The Dose is three grains which may be Continued augmenting half a grain every third or fourth Day for thirty forty or sixty Days as necessity shall require with the continual taking of this Medicine for two or three Months the sick was perfectly Recovered and Restored to his former Health LONDON Printed for Th. Dawks and L. Curtiss The Chapter of the Catarrh continued Numb 33. III. A Catarrh with a great Obstruction of the Lungs in a Young Married Woman accompanied with a deep Consumption 1. The Person thus afflicted was about twenty eight years of Age and for eleven years past had been in some measure troubled with these Griefs the habit of her Body by what I could gather when she was formerly in Health was Sanguine but by reason of the long continuance of her Disease she became of a cold and moist Temperature so that she seem'd to be wholly made up of Flegm for she spit a vast quantity of frothy pituitous matter 2. Her Body became so emaciated and wasted that she seem'd to be a very Skeleton her Lungs was so obstructed and stopt and the difficulty of Breathing so great that for more than ten years she could not lye along in her Bed upon her Back 3. Nor when I came to her could she in the least express her Self by Words and her Breath so short as if she had been Breathing her last in so much as that I could scarcely believe she could Live two or three hours to an End and the By-standers feared she would not Live till the next Morning 4. The Cause of this Disease was originally a fierce Catarrh which followed her more or less for ten or eleven years as aforesaid as it was related to Me whence came her thin and Consumptive Body and the evil Disposition of the Lungs aforementioned 5. She declined by degrees but for many years as was said before could not lye along in her Bed however the two last years were remarkable for the height of her indisposition and the two last months before I took her in hand the Distemper seem'd as if it had arriv'd to its Extremity so that now she must have Remedy or inevitably Perish 6. Many things all along were used to Restore this wretched Creature but all in vain and by Relation it cost her Husband some hundreds of pounds but to the great dis-advantage of this miserable Soul for instead of being benefitted by what was administred to her she became very much worse 7. In order to this Cure there are three principal Intentions the first to open the great and mighty Obstructions of the Lungs without which Death would speedily take Possession the second is to take away the Conjunct Cause of the Disease thirdly to fortify and strengthen the weakened parts that for the future they might rightly perform their Functions whereby also the consumed Carcass might be repleat and filled again with Flesh 8. The first Intention which was opening the Obstructions of the Lungs was performed by these following Medicines Take Canary a pint Tincture of the Juyce of Liquorice three ounces spirit of Sal Armoniack forty drops mix them for a Pectoral of this I ordered her to take a Spoonful every two hours in a little Glass of Rhenish Wine sweetned with Sugar and not to fail of the constant taking of the same till it was gone 9. In the Intermediate times between the taking of each Spoonful I ordered her often to take with a Liquorice stick this following Syrup Take Syrup of the Juyce of Citrons four ounces syrup of the Juyce of Scurvy grass two ounces syrup of Maiden-hair one ounce Volatile Sal Armoniack two drams dissolve it in half an ounce of Mint-water and mix it with the former Syrups to be taken in the Intervals as aforesaid 10. She began to take of those Medicines about four a Clock in the Afternoon and by eight the next Morning she fetcht her Breath indifferent well and could a little use her Tongue she still continued the use of these things and in about two days time more she not only Breath'd very freely but also spake exceeding well and in her own Opinion as well as ever she did in her Life 11. About a Week after she could lye down all along in her Bed which by her own Confesssion was more than she had done for ten years before for that the Catarrh was so Vehement and Suffocative that she could never attempt it without danger of Choaking 12. I ordered her for her ordinary Drink a Decoction of Guajacum Sarsa Liquorice Carminative Seeds which I caused to be Sweetned for her dayly Drink and withal that she should continue and repeat the use of the aforesaid Medicines for two or three months if occasion were 13. After twelve days were over I ordered her to take every Night a Pill of the Laudanum described in the aforegoing Observation and according to the Method there directed 14. And that she should every Morning fasting for the Restoring Comforting Strengthening and Confirming the weakened parts of her Poor Consumptive Body take a dram or two drams of our Electuarium ad Tabidos and drink after it a glass of choice Canary for that mightily Restores takes away Weaknesses and repleats a lean Body with Flesh 15. During the time all those things were a performing I caused her Head to be anointed Morning and Night with Chymical Oyl of Rosemary one part mix'd with the Oyl of Nutmegs by expression three parts 16. Moreover her Stomach
Woman having lately lain in by taking cold was seized with a vehement Catarrh but she being Hysterick instead of the foregoing Antiscorbutick Water I prescribed the following Anti-hysterick Water 17. Take Cows Milk six quarts Tansy Featherfew Motherwort of each four handfuls stinking Arrach three handfuls Castoreum sliced and bruised four ounces the spleen of an Ox dryed sliced and bruised 6 ounces Nutmegs bruised one ounce distil in a glass Alembick in Balneo Mariae to dryness which cohobate three or four times upon the faeces distilling always to dryness and taking Care of Burning in which distilled Water dissolve Volatile Salt of Hartshorn and of Amber of each half an ounce This was mixed with the Guajacum Diet two or three ounces at a time and drunk as aforesaid 18. Another person subject to a Leipothymia or Swooning had been obnoxious to a fierce Catarrh for nine Months who was Cured with the former Medicaments save only instead of the Antiscorbutick Water before mention'd there was mixed with the Guajacum Diet one ounce or two of Angelica Water the greater Composition also I ordered the said Water upon any fainting or illness at Heart to be taken one ounce or two alone by which means she became perfectly well 19. Lastly a noble Lady of about thirteen years of Age having been for two or three years past afflicted with a Scorbutick Catarrh being sometimes better sometimes worse by following the Directions first above written was perfectly Cured in two Months time X. A Catarrh with a Vehement Pain of the Head in a cold and moist Constitution and a Scorbutick habit of Body 1. This befel a Woman of about fourty eight years of Age who was of a lusty Body fat and corpulent smooth soft Skin Flaxen colored Hair and one that seemed to be made rather for Ornament and Beauty Sake than any other purpose her Urine was small in quantity thin clear and somwhat palish 2. This Disease had afflicted her for about 18 or 20 Months the Catarrh was very troublesom to her for sometimes she would be in danger of Choaking her Head-ach was apparently a Cephalaea and probably might arise by consent from her Stomach for her Stomach was often out of order weak and the digestive Faculty almost overcome 3. The whole habit of her Body abounded with a cold and watery humor and sometimes out of her Stomach would she spontaneously cast a pint or more of clear Water without any praevious Sickness of that Bowel or any disposions to Vomit and somtimes she would have a Sickness at Heart as if she would Dye away immediately 4. These last Symptoms were great demonstrations of a Scorbutick habit which Disease is called Stomacace in Greek as if one should say the Stomach Disease however to confirm this Opinion she had wandering redish or violet colored Spots appearing at times all over her whole Body chiefly in her Arms Thighs and Leggs 5. The Cause of all this Disease was the fluxion of the Acid Salt in the Blood by reason of which there was a Coagulation as it were of the thicker parts of the Blood and a too plentifull Separation of the Serum which Serous juyce was emptied into Various parts of the Body in its passage or circulation for as much as the Blood being weakned and undon in its Crassis it was unable to cary with it its Serum as it ought to do and so to convey it to the Reins as its proper Receptacles 6. Hence it came to pass that part of that Serum was emptied into the Stomach whence its exceeding moisture part into the Vessells of the Lungs whereby she had withall some shortness of Breath part into the Cavities of the Brain whence also those many excrements which she avoided partly by the Palate partly by the Nose 7. This Disease had been of a pretty long standing which made it so much the harder to Cure for as much as the whole Body seemed to be contaminated with that Acid juyce moreover the whole habit was cold and moist and such Diseases never admit of the easiest cure However I did not dispair since her Age was not extream nor was her Strength much impared and she her self was of an observant willing chearfull and believing Mind which in this Câ—se is of no small advantage to the regaining of Health nor could we perceive the Nerves to be any way afflicted 8. Truly the Disease is complicate and therefore so must be the Indications of Cure for though the Catarrh be the principall mattter afflicting yet with such things as are proper thereto we must always mix Cephalicks and Antiscorbuticks not forgeting also somtimes to mix with them Antithydropicks 9. And as the cause of the Disease is an acid Salt dissolved in the Blood and for the most part fixed it is necessary not only to begin but also to continue the Cure with such as are Alcalies and chiefly such as are Volatile and somtimes also in this case nitrous Salts may not be amiss if given in a fit time and by a Wise Hand 10. For they not only in part absorbe the acid Salt in the blood but certainly makes the flammula Cordis much more clear and also so comfort and strengthen the Blood in restoring it to its due Crassis that it may be able to carry along with it its Serum to empty it by the Emulgent Arteries into the Reins 11. That these things might be both securely and pleasantly accomplished I prescribed the Lunar Pills to be given for a while twice a Week and afterwards but once a Week Rhubarb which Momanus so much commends against Feavers I found of great use here being taken for a pretty while after the ceasing to take the Lunar Pills 12. Take Endive water a pint choise Rhubarb half an ounce make an Infusion in twenty four hours then strain out by pressing the dose from one ounce to three or four every morning according to Age and Strength This being given long opens Obstructious carrys off the Morbifick Matter though it be never so gross viscous and strongly impacted in the Body but it ought not to be given over till the Obstruction is wholly removed 13. Also for change of the Purging matter by reason the Disease was stubborn and of long continuance I now and than gave her Decoction or Tincture of Colocynthis which evacuated and dryed the Head marvellously 14. This following Pouder I gave her to half a dram or two scruples she took it mixt with Conserve of Roses every Morning and Night in the intervals of Purging Take Mastick Olibanum of each an ounce and half Amber one ounce Musk one dram and half Ambergrise half a dram make all into a fine pouder and mix them I put in the Perfumes for that they were greateful to her Moreover from the use of this Pouder she Confessed she received a very great Benefit 15. By the Nostrills I derived the offending matter by proper Errhines and Sternutatorys The Errhine I exhibited was this Take
he lies on Back be fomented with such a Decoction as this Take Pisidia an Earth so called from the place whence it comes in Virtue like fine Bole Balaustins Cypress-nuts Gauls each an ounce Allum three ounces boyl them in Bean-water for a fomentation Then lay on the Rupture-plaster mixed with the former Pouders Ex Consiliis Fernelij XXXI A Catarrh or Flux of Rhume into the Lungs 1. I Understand by the Relation of a most Skilful Physician that a Gentelwoman about six and thirty yeares old who had bore many Children has for these three years been troubled with a fluxion of Rhume into her Lungs which Causes her to Cough and is like sometimes to Choak her especially when her Courses began to flow which fluxion though it have Continued long yet there is no Sign of her Lungs being corrupted she not being fallen away in her Body nor is there any appearence of a Feaver nor is the digestive faculty defective 2. But it is now to be feared lest humours putrifying or becoming more sharp should exulcerate the Lungs And that which is most of all troublesome she feels a perpetual Coldness in her Head of which she vehemently complains 3. Now to stop this defluxion many Learned Physicians have appointed several Medicaments whereby they have provided for the health of the whole Body and the parts affected viz. her Head and Lungs yet there is no good done the same Symptomes continuing which did before trouble her 4. And therefore she desires Remedies from me to stop that old defluxion of Rhume into her Lungs and to free her from these hazards she is subject unto 5. Which that I may do it more conveniently Wee must first Consider the Cause thereof which being Known may be opposed by proper Remedies I Conceive the principal Cause thereof to be a cold and moist Distemper of the Brain which from the Reliques of its Aliment and the Vapours arising out of the lower parts into the Head does generate many Wheyish humors which by the Energy of the Brain are driven out into the Lungs 6. This Cause by chance may be assisted by a distemper of the Liver which is over-hot especially in a Body not enjoying the Benefit of transpiration such as is the Body of a very fat Woman and the Lungs having a long time Receiv'd this defluxion they are thereby filled and so a Periodical Phthissick is caused by fits which come at uncertain distances of time 7. In the first place I conceive it very necessary that the humour Collected in the Head be hindred from falling into the Lungs and secondly that what is already gathered in the Lungs be brought up by the help of Medicines with Coughing and spiting 8. And these endeavours may accomplished if her whole Body be purged this fall of the Leaf with Pills good for the Head viz. Aggregative Pills and sine quibus Agarick being added to them which let her take twice a month after her first sleep 9. But before the Pills are taken her Body must be Purged with a Decoction of Sena made in a Pectoral Decoction wherein Agarick and Rhubarb must be infused and an ounce of Syrup of Roses added to the strained Liquor 10. To these you may add the frequent use of Clysters and her Body being Purged open the Basilica Vein of her Right Arm and take two small Porringers of Blood 11. And because the defluxion upon her Lungs proceeds from her Head apply a Cephalick Fomentation made of lie of Vine branches wherein Orrice Root of Florence Calamus Aromaticus Schenanth Betony Marjoram Sage with Sena leaves are boyled adding to the end of the Decoction a fourth part of Red Wine with this foment her Head in the morning for the space of an hour which being dried anoint it with Nard oyl and Chymical oyl of Turpentine with a little Aquae Vitae a long time together laying thereon Cotton Wool filled with pouder of Florentine Orrice Marjoram and Sage 12. Which if it do no good and the Coldness continue apply then the Plaster de Betonica of the larger Composition adding thereto Benjamin Storax Pitch and hot Cephalick Pouders as of Orrice-root Cypress-root Marjoram with a little Tupentine but the Hair must be first shaven off 13. From these we must come to Cauteries which must be applied to the top of her Head avoiding the Sutures let her in the Winter continue her Cucufa and Head Coverings Let her Nostrils continue open and if they happen to be stopped she must use first Liquid Errhins then more strong ones which are not otherwise to be used in this sort of Disease 14. To strengthen her Head make a Confect of Conserve of Rosemary-flowers Treacle Methridate preserved Citron peels preserred Nutmegs mix with Conserve of Colts-foot and Bâ—rruge and all made up with syrup of Staechas in the form of an Electuary 15. And her Lungs in whose wind pipes very much Flegm is contained must be Cured with pectoral or Cough Decoctions made of the Roots of Elicampane Florentine Orrice Dragons with Betony Hyssop Savory and other Cough Medicaments Also a Lohock must be provided of the Root of Aron or Cucko-pintle and of dragons Roasted under the Embers which being beaten must be mixed with the pulp of Sebestens Jujubes Raisons of the Sun and Diatragacanthamum Frigidum all being made up into a Lick-pot with syrup of Maiden hair let her frequently take it from a Liquorice stick The pouder of Fox Lungs may be added thereto It will be also good for her to suck in the steam of a Pectoral Decoction with open Mouth Ex Consiliis Fernelij XXXII A Catarrh with loss of Appetite 1. The most Illustrious Lord Lord William Compton President of Wales being afflicted with a Distillation from the Head to the Gums and also with lost Appetite I Cured as followeth 2. Take Sena well picked from the stalks half an ounce Rhubarb two drams Agarick one dram Cinamon six drams Infuse them all for twelve hours in Borage and Succory water warm of each ten ounces in the Morning they were boyled to the wasting of four ounces after being strained six or seven times and sweetned with four ounces of Sugar 3. He took of this two ounces when he went to Bed with which in the Morning he had a great stinking stool that being the 21 of April on the day following in the Morning he took five ounces of the said Decoction by which he had 8 stools 4. The day after he took Pil. Aureae de Rabarb of each one dram by which be had 13 stools After the third stool he began to be better there being Broth taken 5. The Body being well Purged the following Decoction was administred take China sliced two drams Sassafras cut in thin round peices half an ounce Boyl them in eight pound of Water till half be wasted of this he took four ounces at the least for eight days every fourth day taking two scruples of Pil. Ruffi And so was Cured Hall on
Legs but also in the Arms and because of Winter approaching a strong Lye is to be made wherewith I would have the Arm bathed and then I would have it rub'd with a course Cloth and by this means I would exulcerate these parts and so keep them that they might not heal whereby much of the Morbifick matter will be drain'd out 4. And because of the distillation on the brest the distemperature is much augmented and neither the Decoction of Guajacum applyed by the present Physician can take away the Preternatural frigidity and humidity therefore there are two other Remedies to be used the first is this Take the juyce of Pauls Betony or syrup of Betony four ounces Extract of Calamus Aromaticus one dram mix them Let him take every Morning two Spoonfuls for ten days 5. If this Medicine does but little good then for ten days more let him Take the Decection of Carduus Benedictus with the syrup of the juyce of Carduus and when he has drunk it warm in the Morning Let him keep in bed for two hours after he has taken it 6. But if these two Remedies a good Diet being still observ'd avail not the body must be purged and a Cautery made which indeed ought to be first done before these two latter Remedies be tryed 7. As for Purgation I know nothing better than Oxymel with Agarick or Gesner his Oxymel Compound which will do very well 8. I would omit white Hellebor and encrease the weight of Agarick I found this to be very good to those that breath painfully especially if it be taken with Manna and Syrup of Roses solutive 9. Now as concerning hot Baths there is nothing seems more convenient seeing they do cool the natural heat and divert the matter of a Catarrh by drawing it forth therefore as I think this help is not to be neglected but I would have them such as would both warm and dry exulcerate and eat the Skin and may also be drunk of Scholzius Medic. 20. ex Cratone LXVI A Catarrh with danger of suffocation 1. It is difficult to Cure Catarrhs that fall on the Breast for these Reasons first because the temper of the Head is much Chang'd and the distempers of the Breast more previous 2. Another is from the Indications to be Cured which are diverse If the matter of the Distillation be thin it requires things cooling and thickning But if it be tough thick and Viscous then such things which Expectorate and do help the Lungs viz. Cutting and cleansing Medicines 3. Catarrhs that afflict daily does render the persons Melancholy because either they dispair of recovering their Health or they use various and sometimes improper and unsafe Medicines but however it is the Nature of the Disease and the Sick person is to be considered and we are to be directed by Reason according to the rule of Hippocrates he that has not success when he acts according to the Rule of Reason must go no further 4. I could here recite my Experiences concerning the Nature of the Sick person and the Disease but I am not in love with prolix Discourses and tedious Commentations 5. Three things therefore occurr worthy observation in Reference to a Cure first that the temper of the Head which without doubt is both hot and moist be Corrected and that care be taken that it is not hurt either by External or Internal Causes 6. Secondly that the thinness of the matter distilling be also help'd Thirdly that the Breast be succored on which the Catarrh falls least the distillation should suffocate or stop the breath and wrong the Lungs 7. As to the first many Remedies are found out amongst Physitians but those which with their too great heat are of a drying nature are less safe Washings also in a Decoction of cold and drying Herbs can scarse be Commended if they be of too abstersive a quality 8. But when either Custome or Necessity requiers it you may use a Lixivium in which the leaves of red Roses and Myrrh are boyl'd and when you have so done you may wash the Head with cold Water and then apply a warm Cloath fumigated with the Pouder of Roses and Storax and making a bag of Roses and Myrrh add thereto the Pouder of Coral and then apply it to the Coronal suture very frequently 9. If a greater dryer be required make a Bagg of Barley-meal and the Gum of Ivy and apply to the hinder part of the Head 10. But if the distillation be any thing vehemenâ— take Leaven with the Pouder of red Sanders mix'd with Vinegar and apply to the Head as a Plaster I would not as some do add to it the spirit of Wine 11. Some trust much to Vesicatories made of leaven moistened with Vinegar and mingled with pouder of Canthatides and then the hair being shaven off apply it to the Coronal Suture 12. Yet I do not advise that this remedy be applyed unless extream necessity requires it such as the stoppage the Breath 13. When that action ceases by which Life it self is supported all things that are strong ought to be taken for the preservation of Life it is safe not only to use vesicatories but also Cauteries Frictions strong Ligatures and all things besides which may divert the matter of the Catarrh 14 Air that is moist whether it be hot or cold is not good neither is it safe suddenly to go out of a hot place into a Cold or in places under the ground or in Chambers that are moist as those that are covered with tile and are made like a vault Night Air and to sleep with the Windows open are dangerous 15. Let him hold in his Mouth both in the night and day time these Rouls Take fine Bole prepared two drams Gum Arabick Tragacanthum of each two scruples seed of white Poppy one dram Nutmeg toasted half a dram Sugar-Penids one ounce sugar candy half an ounce with the mucilage of the seeds of Quinces in Rose-water make little Rowles 16. A good diet must be observ'd and that which Causes the Repletion of the Head with sumes must not be used 17. There is one thing not to be omitted which is that after a pouder for suppressing the Vapours is taken you would Use the flesh or juice of Quinces 18. The said pouder is to be taken prepared after this manner Take Coriander prepared six drams red Coral red Roses of each one dram Pearls one scruple Sugar five ounces mix them 19. If you will not Use the Pouder dissolve Sugar in Rose-water and add a little of the juice of Quinces and make a Confection in Morsels Let him take one after meat or a small spoonful of the Pouder 20. These things here related have Reference to my second Intention and will Contribute much to the Removing of the stoppage But where the the matter runs with that vehemency that it cannot be stopped nor dried up and causeth some difficulty of Breathing you must continue the use of cooling
66. LXXVII A Catarrh feaveral Epidemicall Anno. 1658. 1. In respect of the preceeding violent frost of the Winter and the succeeding Immoderate heat of the Summer no one living could remember such a year the Excesses of heat and cold being both so extream 2. From the Ides of December almost to the vernal Equinox the Earth was covered with Snow and the North Wind constantly blowing all things were Frozen Also afterwards from the begining of the spring to the begining almost of June the Wind being still in the same Corner the season was more like winter then spring unless now and then a hot day happened between 3. While the Winter continued unless that a Quartan Feaver contracted in Autumn Infected some among our Country-men there was a moderate state of Health and freedom from Popular Diseases 4. The Spring coming on an Intermitting Tertain as used to do every year before fell upon some 5. About the end of April a Distemper arose suddenly as if sent by some Blast of the Stars which laid hold on very many together that in some Towns in the space of a Week about a thousand people fell sick 6. The particular Symptom of this disease and which first afflicted the Sick was a troublesome Cough accompanied with great Spitting and a Catarrh falling down upon the Palate Throat and Nostrils as also a feaverish Distemper Joined with heat and thirst want of aptite a spontaneous weariness and a grievious Pain in the Back and Limbs 7. But the Feaver was so remiss in some that they could go abroad and follow their affairs in the time of their sickness yet complaining in the Interim of want of strength and of languishing a loathing of Food a Cough and a Catarrh 8. In some a very hot Distemper plainly appeared that being thrown into bed they were troubled with Burning Thirst Waking Hoarsness and Coughing and that scarcely without any Intermission 9. Somtimes there came upon this a bleeding at the Nose and in some a Bloody-spittle and frequently a Bloody-flux and those who were taken with this disease being of an Infirm body and a decaying Age not a few died of it but the more strong and almost all of a healthfull Constitution Recovered 10. Those who of this disease sickned and died for the most part died by reason of the strength being leasurely wasted and serous heap more and more gathered together in their Brest with the Increase of the Feaver and the difficulty of breathing like those sick of an Hectick Feaver 11. We are to Enquire concerning this Disease what Procatartick cause it had that it should suddenly arise in the middle of the spring and almost the third part of manking should be distempered with the same in the space of a Month then the signs and symptoms being carefully Colected the formal Reason of this disease as also its Crisis and way of Cure ought to be Assigned 12. It is Known by Common Experience as well as by the Testimony of Hippocrates that the Northern Wind is most apt to produce Catarrhs but why the Catarrhs did not spread at least in some peculiar places all the Winter and Spring but only in one Months space and then Joyned with a Feaver and that this distemper should become Epidemical doth not so plainly appear 13. I know many deduce the Cause from the vnequal temper of the air at that time which although for the most part very Cold yet the North wind somtimes lessening there would be a day or two very hot between wherefore from this occasion as from Cold taken after heat men Commonly fall sick 14. But indeed for Exciting the distemper so suddenly rising and commonly spreading there is required besides such an occasion some great precedent Cause or Predisposition though the other perhaps might suffice for an evident Cause for to afflict them with this Distemper 15. We ought to suppose that all men almost were prone and inclinable to this Disease otherwise no Evident Cause could have Exercised its Power so potently on so many wherefore it seems very likely that this sickness had its Origin from the Intemperance and inordination of the year and as the Autumnal intermitting Feaver going before was the product of the preceeding immoderate heat so this Catarrhal Feaver depended altogether upon the following part of the year being so extreamly Cold. 16. For the blood being fermented by the very hot Summer and Inclinable to the Feaver before described then being made more sourish by the Urgency of the Autumn and apt for a Quartan Feaver after wards being a little Eventilated by reason of the strong Cold of the Winter and hinder'd from its due Perspiration Returned yet its discrasy or Evil disposition and readily broak forth on the first occasion given 17. Wherefore when the blood in the middle of the Spring as the Juice of Vegetables being made more lively and also began to Flower and grow Rank by reason of the continued stoppage was straitned in its Circulation and easily made prone to a Feaverish Effervescency and as the serous water redounding in the blood could not Evaporate outwardly because of the Pores being still straightned by the Cold Restagnating within and chiefly falling upon the Lungs where it might be moved about instead of an outward breathing forth Excited so frequent and troublesem a Cough 18. The original therefore and formal Reason of this Disease are founded cheifly upon two things viz. That there happened together a greater Effervescency of the blood than Usual from the coming on of the Spring and also a stoppage or great Constriction of the Pores Excited by the too great cold of the foregoing Season that therefore there was not a free space granted to the blood flowing or Luxuriating in the Vessels the business being after the same manner as if wine began to grow hot should be put into vessels Closely shut up for by this means either the Vessels or the liquor were in danger to be lost 19. Wherefore to be Concise the Cause that this Disease began in the middle of the Spring having presently spread largely seised very many was not the blast of a malignant Air whereby the Sick were distempered as if struck with a blasting but at this time the blood being Inspired by the Constitution of the Spring and so Luxuriating and apt to grow hot was Contracted or straitened in its motion and the Effluvies being constrained inwardly could not be sufficiently Eventilated or cooled 20. Every year tho temperate it is usual in the Spring and Autumn for some Epidemical Diseases to Reign because at this time the blood being as it were Restored Flowers a new and therefore Intermitting Feavers and somtimes the small Pox ordinarily spread in this season 21. Wherefore t is no wonder after a great unequal Constitution of the year and not Natural when in the Spring the blood boyling up more lively within the Vessels by Reason of transpiration being hindred could not be freely Circulated and sufficiently
that are in them we shall endeavour to dry the Brain because if it be nourished with good nutriment there is but little Excrement generated 7. Therefore a frequent spitting is put under the name of a Catarrh which rather proceeds from the Stomach and Lungs than from the Brain and because it is not our purpose here to treat of the Essences of Diseases therefore in the following we have purposed to speak of them singly Poterius Cent. 3. Observ 92. CV An Inveterate Catarrh 1. A certain Worthy Gentlewoman of 35 years of Age having consulted with some Physicians in Vain within a short time being under my Cure she grew perfectly well 2. For the removing of this ill disposition the Cause whereof had a tendency to a Dropsy we gave Conserve of Roses with the Stomachal specifick and to take away Obstructions Sulphur Metallorum was used 3. The strength being renewed and the distillation destroyed the person was restored to his former Health the true method of Cure is as we have said therefore I would have you take notice how wide they are from the truth that Inculcate as if the Brain were to be dryed the Liver to be cooled and the Ventricle to be warmed Poterius Cent. 3. Observ 93. CVI. A Catarrh in a Woman with Child 1. My most dear and pious Wife often but chiefly when she was with Child was troubled with a Catarrh and a pain in divers parts of the Body I do not believe she used a purge three times for twenty years such was her healthfull disposition 2. But by my advise she drew into her Nostrils the Suffumigation of the best Mastich and that six times a day by which she alwayes had so suddenly help that afterwards being as it were a Vice-Physician to her self for so she would merily tell me she Prescribed tâ—â— same thing oftentimes to her self I not knowing it 3. I have Cured so many Catarrhs caused by a thick Lympha with a Suffumigation only Or the Vapour of Vinegar poured upon a hot Iron that it is needless to name any 4. In Cholerick Catarrhs I have also observed many for Example sake the honest Matron Lydia de Rovers which alwayes did very well being first purged with the following mixture which she took by spoonfuls 5. Take Our Prophylactick Water or in defect of that Vinegar rectified an ounce and half Mint and Bawm-water of each two ounces syrup of Corn-poppy an ounce Crabs eyes levigated half a dram Laudanum O piatum one grain mix them Barbet Prax. lib. 1. cap. 4. Observ 1 2 3. CVII A Catarrh causing a Cough 1. A certain Man a Dyer laboured under a sharp Catarrh which caused a most extream and strong Cough chiefly in the Night so that somtimes he cast up Blood with his Coughing 2. His Urine was very thin and but little colored I exhibited the following Bolus Take Cassia newly extracted ten drams Diagredium three grains distilled Oyl of Anniseeds three drops mix them well he took it an hour before supper in the night he toke Confectio Diatragacanthon frigidum 3. In the Morning fasting and at Night going to bed he took the following Tragea or Pouder Take species diaireos simplex two drams brown sugar Candy fine white sugar of each six drams mix them by the use of these things he was quickly well Gabelchoverus Cent 4. Observ 13. CVIII A Catarrh falling upon the Brest with difficulty of Breathing 1. A Senator was taken with a grevious Catarrh mighty difficulty of breathing with a pressure or heaviness or straitness about the Ventricle with a Urine thin and Cholerick 2. I Exhibited to him the following syrup at twice Take syrup of Camomil flowers two ounces syrup of the Juyce of Scabious one ounce water of Ladys thistle of Colts-foot and of Veronica of each two drams mix them He eat also Succory roots Candied his wife came to me 3 days after and told me her husband had much profited by the prescription 3. I then prescribed to him Saculum Stomachalem or a Stomacher quilted with Spices and the Brest and Stomach was anointed with the following Liniment Take Vnguentum pectorale one ounce Oyl of Camomil two drams mix them he related that by twice applying of these things the matter and straightness of his Brest was gone to his great Satisfaction 4. But by reason of his Suppers at Night and large drinking he complained a fresh of his Catarrh falling upon his Brest Arms and other parts of his Body for which I prescribed the following Decoction 5. Take Raspings of Guajacum three ounces Raisons three ounces roots of Polypody Liquorice rasped of each five ounces Galangal seeds of Annise and Fennel of each one dram Cinnamon two scruples spring-water twelve pints boyl and make a Decoction according to Art 6. His Feet also were washed with this following Take leaves of Willow Mallows Thyme Camomil-flowers of each one handful Poppy-heads number six boyl in a sufficient quantity of Water to wash the Feet with 7. Lastly he often took Confectio Diatragacanth frigid by the use of which things for a little while he became perfectly well Gabelcoverus Cent. 4. Observ 65. CIX A Catarrh with a pain of the Head 1. A certain Gentelman about thirty years of Age his native Constitution hot and dry chiefly in respect of his Stomach was obnoxious to a Catarrh having also great pains about his Temples accompanied with a weakness of the Head 2. The Operations of the Animal internal Faculties were thereby Impeded his Appetite was much abated and a vehement Thirst presently seised him about the time of Dinner and Supper 3. Now that the Catarrh is the Cause of all the principal Diseases Physicians not without Cause do agree there are seven Chanels according to Hippocrates to which the matter flows from the Head to wit the Eares Eyes Nostrils Palate Ventricle and Arteries the Vertebrae of the Back-bone and the Nerves 4. As to the present Observation we must Inquire into the Antecedent Cause of these distillations where the Head offers it self in the first place being the Receptable and Cistern of the serous superfluity For as much as every mans Mouth and Tongue is naturally wet from whence also the Membranes of the Brain are found when anatomized to be sprinkled over with a certain aqueous kind of humour 5. But where the Intemperature of the Parts happens by a multitude of Fumes and Vapours the matter of the defluxion is thereby encreased and accumulated chiefly when that the hot and dry Constitution of the Vessels of the second Concoction by taking in too soon the humidity of the Aliments and by disturbing the Chylous Juyce of the Stomach may administer occasion of feeding and nourishing the Malady 6. From whence It is very Evident why they that are afflicted with frequent distillations or Catarrhs are also subject to a cold Stomach 7. For the immoderate heat of the Liver and Spleen hurts the Stomach two ways to wit either by dissipating and debilitating
with their immoderation the native heat of the Stomach or by extenuating the Region of the Stomach and Belly in so much that they wast and pine away 8. Moreover the Vessels of Sanguification often generates Catarrhs For the serous humidity yet crude is too hastily and soon Attracted by the Stomach which afterwards because the fault of the first Concoction is not amended in the sccond by the vehement attraction of the vessels being naturally hot and dry comes and remains in the mass of the venal and arterial Blood and from the ebullition and boyling of the Blood is caried thence to and gathered in the head as their proper Receptacle 9. It is no wonder then that the head abounds with humid and moist Vapours when besides these there are many external Causes which concurr to produce this effect such as the Retention of usual Evacuations the South Winds c. 10. This is plain in the present Case because the hot and dry constitution of the Vessels of sanguification are discern'd by these signs Galen proposes to wit the Coldness and weakness of the Stomach in digesting which proceeds either from its inequal temperature or from some hurt receiv'd from an external object and defluxions from the Head often falling down thither 11. As to this Gentlemans Head which did abound from his younger years with an Excrementitious humidity the reason must be That it being hoter than what it should be did attract too readily the serous matter and for the above-mentioned Causes did cherish and nourish the same 12. Next as to the great pains he endured about the Temples the reason thereof is the matter still encreasing and growing outragious did endeavour an Egress and so did vellicate the sensible parts the too great humidity of the Brain did dull and blunt the Internall senses and did also Cause a kind of dullness and torpor of the Animal Spirits which might occasion that weakness of the Brain whereof he complained 13. The reasons why his Appetite was very much abated was the falling down of the serous matter upon the Ventricle which hindered the Concoction another reason was the humectation of the Stomachical Nerves slowly exciting a sensible Appetite 14. Now follows the Indications first that the too hot and dry intemperature of the Vessels of Sanguification be corrected secondly That the matter copiously running to the Head be driven back Thirdly That the matter of the Catarrh gathered in the Head be resolved derived and evacuated 15. Now as to the first of these we prescribed him a Purgation to be taken every half year for the Evacuation of the serous humidity then a Lentive Hydragogue to be taken in the spring of the first tops or buds of Elder dryed with a slow heat the quantity of one dram in the Decoction of Prunes 16. In the fall it will be convenient to Use the syrup of Buck-thorn a description whereof you may know by Soliander and in Our Dispensatory 17. This or the like being done I advised the oppening of a Vein by which not only the serous and wheyish Blood may be deminished but all the Venial kind may be helped â—y an amicable refrigeration 18. After which this following long digestive will not be inconvenient which is to be thus prepared Take Roots of Succory one ounce and half Parsly Liquorice of each half an ounce leaves of Fumetory Centory the lesser of each one handfull and half the flowers of Elder half an handful the seeds of Fennel one dram and half boyl them in the whey of Goats milk thrice distilled strain to a pound and half and take of the decoction twice every day for the space of a fortnight four ounces 19. These being continued let him afterwards take morsels of Mechoacanna five drams with a fasting Stomach to purge withall drinking the decoction of pease for cleansing 20. Neither are sweats to be neglected on the following days but first you must take either the Electuary or Rob of dwarf Elder half an ounce dissolv'd in the water of the flowers of Elder or the spirit of dwarf Elder half an ounce mixed with the water of Fumitory two ounces or other Hydrotick Medicines as burnt Harts-horn Terra sigillata Lapis Bezoar c. 21. Lastly for Corroberating and for prevention of too great heat use often the following pouder about two hours before Meat Take Conserve of Roses Vitriolated one ounce and half species Diarrhodon Abbatis one dram the syrup of Conserve of Citron-peels a sufficient quantity make an Electuary 22. For the second to wit That the matter flowing to the Head be drawn back which I judge may be done by taking those things Inwardly which restrain and repress the crude Exhalations ascending from the Vessels of Concoction of such use are the Morsels mentioned above whereof every Evening before sleep two drams may be taken Diacydonium simplex half an ounce after meat and also the fourth part of a Confected Nutmeg being good for to Cause rest 23. Outwardly Baths of proper herbs were prescribed such as the decoctions of the flowers of Sage Bay-tree Garden Thyme the flowers of Camomil Betony and red Roses 24. Frictions and Ligatures are to be used in the time of bathings and evacuations of the Menstrua may be made by opening the Veins in the Legs Or a Cautery may be made in the left Thigh 25. As to the third viz. the attenuation derivation and evacuation of the matter flowing together inwardly we may try to Effect this by Masticatories therefore some grains of Mastick may be chewed frequently in the morning 26. Or according to Fernelius Take sugar Candy one ounce and half Mastich half an ounce Long-peper Pyrethrum staves-acre of each one dram make Pills to be put into Noduls and then to be broken between the Teeth 27. Also sternutatories may be used begining first at those more light to wit the Water of Marjoram drawing it up often when it is a little warm Or Take the Roots of Beets one ounce whole Barley Liquorice Currans of each half an ounce Water ten ounces Honey two ounces make a Decoction to a third part in the strained liquor macerate the roots of Pyrethum one dram the tops of Marjoram the seeds of Nigella of each one pugil after twenty four hours let the liquor be expressed which is to be snuft up the Nostrils pretty warm 28. Outwardly let the Air be dry and without being too warm which if otherwise by loosening the Humours would fill the Head and for convenient suffumigation you may use some of the Pouder of styrax Calamita a little of white Amber being added 29. Or troches may be made for a fumigation viz. Take styrax Calamita Benzoin of each one dram and half Tacamachacca two drams Cloves Cinnamon of each one dram Conserve of Roses a sufficient quantity for incorporating some drops of the water of Cinnamon being added make Troches for a fume for the Richer sort Musk five grains may be mixed therewith 30. Little bags for the
upon any of the extream parts as it is known partly by Tumor Inflamation or pain so likewise it manifests it self by a sudden and often removal of the same and translation thereof to some of the other parts 5. If it falls upon the Nerves it is known by a pain and weakness of the part going before a gradual increase of the same pain and weakness then a decrease of the pain with numbness and a kind of want of feeling an increase of the weakness and numbness and somtimes there is added a shaking and trembling of the part together with a whitish kind of painless Tumor 6. This I have observed in several insomuch that some very Learned men have pronounced it to be a Palsy or Paralytick affect whereas it was nothing more or less but a Lymphatick flux upon the Nerve weakning the same the stopping and removal of which has been for the most part the Cure of the Disease without using any Antiparalyticks at all CXXXIX The various Causes of a Catarrh 1. The Causes of a Catarrh are manifold both according to the kinds and according to the parts of the Body afflicted 2. In general it is Caused by a flux of the Lympha made sharper than ordinary either with the Acid Salts or Sulphureous Particles 3. If it proceeds from an acid Salt it is caused from a hurt of the Blood in its Crasis whereby being dissolved by the acid Salt now in Flux it is not able to carry along with it its Serum but as it passes along up and down here and there it loses the same and if any part be weaker than ordinary whether by nature or accident there it commonly leaves a Flux of Serous humors which late Authors call Lympha or a lymphatick Juyce 4. Sometimes it heaps them upon the Glandules and according to the various position of the Body and proximity to other parts so they discharge themselves whereby a fluxion of Rhume is Caused in the said parts adjacent 5. If the said Lympha be discharged upon the upper or lower Maxillary Glandules the parts afflicted with the Catarrh are the Mouth and Throat 6. If it be discharged upon the Brain filling its Cavities there may be a flux on the Nose Eyes and other parts 7. If it be discharged upon the Axillary Glandules oftentimes the Arms Pleura and parts adjacent are affected 8. If it be discharged upon the Glandules of Groin it causes a flux upon the Hips Thighs and the parts adjacent to them 9. If upon the Glandules of the Mysentery it causes a watery disposition of the whole blood and sometimes endangers a Dropsy or other hidden and occult Diseases 10. But if the Blood abounds too much with Sulphur its whole substance becomes too much losened and dis-jointed so that great separations of the Lymphatick Juyce are not easily made but by reason of the excessive heat thereof it looses its Serum after the manner of a Vapour 11. Whence it is that the Catarrh or flux of Rhume is caused from a thin matter and has for the most part its habitation in the Cavities of the Brain 12. So that in a sulphurous saline habit of Body the Catarrh is for the most part accompanied with Vapours offending the Head in both Cases but more especially where the Acid Salt abounds it may proceed from a Rupture of the Lymphatick Vessels in the parts descending from the Head 13. Whereby there is not only caused a great flux of Rhume in the Mouth but also being very fierce vehement and plentiful it oftentimes falls upon the Lungs whereby either Obstruction Tumor or Erosion of the part commonly ensues whence is Coughing dangerous Suffocation Ulcers of the Lungs Phthisicks or a Consumption of the Lungs that is to say where the Catarrh has been of long continuance and without remedy 14. Some say a Catarrh is only caused from a flux of Rhume falling from the Head without admission of any other way of fluxion whatsoever but this being strictly examined will be scarcely found probable For as much as no passage can be found from the Head but by the Glandula pituitaria and Os Cribosum whereby a certain passage is found to the Nostrils 15. But there can be no reason from that cause or way of fluxion for an immediate and fierce Rhume to flow to the Mouth in great abundance as is commonly to be seen in those which have Catarrhs immediatly after drinking wherein the matter lately drunk shall immediately flow by the Salivatick passages into the Mouth and be straight way spit forth again 16. That it is chiefly the same liquor is apparent from this that in spitting the tast of the Liquor whither salt sour sweet or bitter will be alwayes in the Mouth and almost as perfect as if it had not been swallowed which alone Consideration forces us into the thoughts of a new Theory relating to the Catarrh For as much as the matter even now put into the Stomach is forthwith spit out of the Mouth again by a passage thorough the Salivatick Vessels as aforesaid 17. The Procatartick or remote Causes comes partly from fault of the nourishment and that may be known by what is Eaten or thorough fault of the Concoctive or nourishing faculty the which may be known by the defects of the Stomach and evil disposition of the Mysentery 18. The nourishment taken in is either Evil or too much in quantity whence often times comes Surfeting and for the most part in a cold habit of body which has been fed with cold moist and slimy Meats and drinks excessively taken in and ill digested whence Vapors Ventosities and a sharp chylous Juyce is bred 19. To these Causes also we may add a Southern Air long sleeping especially in the day time sloathfullness and idleness and taking of extream Colds whereby many crude humors are engendred which nature not aptly disposing of them they by a vitious quality are thrust upon other parts 20. Cold taken by the Feet naturally produces a Catarrh a fluxion of Rhume from the Brain upon the Eyes Nose and parts adjacent which is by consent from the sympathy and Community of the parts for that the cold is Communicated to the Brain by the greatest Nerves that come thorough the marrow of the Back-bone whereby the innermost parts of the Brain are immediatly affected so as that they cannot retain their Humidities as naturally they ought 21. Riverius says that a Catarrh is caused by cold from shutting up the external Pores especially in those times wherein the Body ought most to Sweat hence it comes to pass says he That men very much enflam'd or heated by violent Exercise or otherwise running suddenly in the cold Air are troubled with Catarrhs 22. Which is the reason that this Disease is most frequent in Autumn because the Body being made thin and the Pores opened in the Summer time casting forth many excrements by Insensible transpiration if they be presently stopp'd by Contraction of the Body
with cold do cause Humors and Vapours to fly into the Head and Center of the Brain 23. So that about the beginning of Autumn there are not only Catarrhs but also abundance of watery humors are sent forth by most men by Urine and Stool whence comes fluxes of the Belly at that time 24. How great this evacuation by the Pores is which is usually made by insensible transpiration Sanctorius has taught in libro de statica Medicinae where he shews that those Transpirations are larger than all the sensible evacuations put together so that if the Meat and Drink of one day be eight pound in weight the insensible Transpiration will be five pound whereby it appears that all the other sensible evacuations made by Urine Stool Mouth Nose c. cannot exceed three pound 25. Moreover the loss that is made by a sensible Sweat is very remarkable some that have gone to the Royal Bagno have weighed themselves both before and after Sweating and in an hours time Sweating little more or less have come out ten pounds lighter than when they came in 26. Hippocrates saith That the Lungs being enflamed draw humors from the whole Body and especially from the Head and the Head being made hot from the Body spits forth that thick matter but by what ways this humor is drawn from the Head the good old Man has not told us nor can we imagine except by those passages by us a little above enumerated CXL The Prognosticks of a Catarrh 1. It is easier to Cure in a sulphurous saline Constitution than in a saline sulphurous because the ways and means of cooling a hot Constitution or habit of Body are much more facil than to remove a cold and moist habit 2. If the Disease be recent it is much easier to be Cured than if it has been of long standing and it is yet more easy to be Cured in a young person than in an old 3. A Catarrh in an old Man or Woman and of long standing is for the most part incurable and somtimes it degenerates into a Palsy 4. If the humor saith Celsus flows from the Head into the Nose it is small if in the Jaws it is worse if upon the Lungs it is worst of all and saith Hippocrates a Catarrh is scarcely to be Cured in such as are very old 5. The greater the Lymphatick flux the more difficult is the Cure and if it be Caused from the evil disposition of the Stomach it is so much the more dangerous lest the humor should flow suddenly and cause a Suffocation unawars or by its sharpness should prick vellicate and excoriate the Stomach as it has once hapened to a young Woman a Patient of mine the vehemency of which Symptom is scarcely to be expressed 6. If it immediately comes at the end of any other Disease it is for the most part Critical and may be easily cured but if it be made after a Feaver or any other violent Distemper by translation of the matter to the Brain it is dangerous and sometimes mortal 7. If it be accompanied with Hysterick fits or with a Lethargy Carus or other sleepy Distempers 't is very dangerous if an Apoplexy follows upon it it is commonly Mortal 8. If it be accompanied with Hypochondriack Melancholy I will not say It is Incurable but it may be very well accounted one of Hercules's Labours the Cure is also very difficult in those that are Crooked CXLI The THERAPIA or method of Cure of a Catarrh and first of the Cure in a hot Constitution 1. If there be a great flux of Rhume in the Throat and Mouth and if it be thin and from a hot Cause there is a necessity immediately to cool the Blood and the hot disposition of the parts affected that thereby the Vapours arising from the Rarification of the Blood and ascending up to the Head Brain and other parts may be prevented 2. For this purpose it will be necessary to cool the Body by a Clyster such as this following Take an Emulsion of the four cold seeds a pint Oyl of Roses four ounces Salt two drams mix for a Clyster and let it be exhibited warm 3. Inwardly the Body may be cooled more especially if it be bound also by giving Cassia new drawn or Electuarium Lenitivum or syrup of Roses solutive with Barley-water or Diaprunum in the same drinking after Emulsions made of sweet Almonds and of the four Cold seeds and such like 4. And that the Derivation may be more firm it will be good to give this following Liquor for the ordinary Drink of the Sick Take Emulsion of sweet Almonds a gallon pure sal Prunellae in Pouder three drams fine white sugar three ounces and half or more according as the sick likes it in sweetness this Salt will intimately mingle it self with the Blood and quench all preternatural heats although it will most signally make the Flamula vitae burn more clear it may be drunk to a quart a day 5. Riverius commends this following Purge Take of the best Rhubarb four scruples yellow Myrobalans rubbed with the Oyl of sweet Almonds half a dram yellow Sanders half a scruple infuse them in Lettice and Purslane-water and strain it adding of Manna and syrup of Roses solutive of each one ounce mix and make a Potion instead of the aforesaid Waters you may use if you please a Decoction of cold Herbs and Tamarinds 6. The second Intention is to condense and thicken the humor Take syrup of the juyces of Lettice Purslane and Plantane of each four ounces Emulsion of the four greater cold seeds syrup of Corn Poppies of each six ounces syrup of Violets and of red Roses of each an ounce and half mix them and make a Julep to be taken Morning and Evening two ounces more or less according to Age and Strength at a time 7. Or instead thereof the Sick may take Diacodium solidum which may be eaten now and than all the day long taking at Night this following Dose Take syrup of Poppies six drams syrup of Lettice two drams Emulsion of the cold seeds two ounces mix them for a draught 8. If these things do not we must come to such as are more powerful among which are our Liquor Vitae Anodynus or Confectio Anodyna our Laudanum the Liquid Laudana of Schefer and Helmont the Trochisci de barbaris cum Camphora and the Narcotick Pills of Platerus 9. Outwardly pickled Herrings may be applyed to the Soles of the Feet the Temples and Forehead may be anointed with Vnguentum Populneum mixed with a quarter part of Oyl of Nutmegs by expression Or you may apply this Take Oyl and Vinegar of Roses of each two ounces the Whites of two Eggs beat them very well together and Embrocate the Head therewith applying afterwards a piece of Rose-Cake dipt in the same 10. This following is commended as an excellent thing to cool thicken and sweeten the humors Take spring-water six ounces or if you please Almond
Milk as much sugar one ounce the Yolks of two new laid Eggs beat them very well together and stir them upon the fire which is to be taken as hot as conveniently it can Morning and Evening for three days 11. The following I know by manifold experience to be good Take Conserve of red Roses four ounces the whites of two Eggs the levigated Pouder of Amber one ounce Pouder of Olibanum six drams white Terra sigillata three drams mix all well together by beating in a Mortar of which let the Sick take the quantity of a Wall-nut Morning Noon and Night 12. Lastly as the most excellent and admirable of all things and that by which this Cure must be Consumated is the continual taking of the Oyls of Salt Sulphur or Vitriol in all the Liquor the Sick Drinks 13. Platerus commends this in all Fluxes and Defluxions Take Emeralds prepared a dram and half Male-peony seeds husked extract of Male-peony-roots of each two drams red Coral prepared three drams Salt of Coral one dram Wood of Aloes in pouder two drams and a half biting Cinnamon seeds of Sorrel of Purslane of Docks of Misleto of the Oak Cochinel or grains of Kermes of each two drams Pearls prepared Hartshorn philosophically prepared of each four scruples Salt of Pearls one dram extract of Saffron eight grains mix them with juyce of Citrons or Quinces three ounces and let them ferment in the Sun or by the fire and after keep it close stopt for use 14. If the Catarrh has concomitant with it a Diarrhoea you must use Medicines for both especially when a salt or sharp water flows from the Brain to the Stomach first have respect to the Defluxion then to the Diarrhoea As to the Defluxion purge not with strong Medicines but gently by Nose and Mouth Divert by washing the Feet with hot Water and Decoctions made of Cephalicks and Astringents use also Frictions and Cupping-Glasses and strengthen the Head by Emplasters and Fumes of which see more in the Cephalaea Falling-sickness Apoplexy and Palsy 15. Then for the Diarrhoea purge the Stomach gently then strengthen it using also things which are astringent 16. If the Catarrh proceeds from a hot distemperature of the Blood you ought to purge with gentle things as syrup of Roses Cassia Manna Catholicon Diaprunum Tryphera Persica c. Or this Take Rhubarb four scruples Spicknard half a scruple infuse in water of Iva arthritica or ground pine strain dissolve some of the even now ennumerated things therein 17. This following is said to cleanse and purify the Blood Take Hops Fumitory of each a handful Cordial flowers a pugil Sebestens number twelve Tamarinds half an ounce Liquorice rasped three drams Polypody half an ounce Sena two drams Epithymum Time of each one dram make a Decoction in a sufficient quantity of Water strain and infuse therein Rhubarb one dram yellow Myrobalans a dram and half Spicknard a scruple strain again and mix therewith syrup of Roses an ounce or Catholicon or Triphera half an ounce make a Potion 18. Or this Take Cheb yellow and Indian Myrobalans of each an ounce Polypody an ounce and half Raisons stoned number forty Cordial-flowers two drams Spicknard half a dram infuse in Wormwood-water boyl a little and strain to which add juyce of Roses six ounces Manna four ounces Sugar two ounces dissolve for a Potion Dose three or four ounces at a time 19. Joel commends this Cholagogue Take choice Rhubarb a little bruised a dram and a half Tamarinds cut small half an ounce Succory-water six ounces mix and digest for a night then boyl it a little and strain it strongly out by expression to the strained Liquor add Pulp of Cassia newly drawn one ounce or syrup of Roses solutive two ounces make a draught to be taken warm at five or six a Clock in the Morning 20. After due purging this may be taken every morning fasting Take Conserve of Roses an ounce species Diatragacanthum frigidum three drams pouder of Olibanum two drams pouder of Amber fine Bole in pouder of each one dram with syrup of dryed Roses make an Electuary 21. In the day time for change as ordinary Drink this may be taken Take sweet Almonds blanched three ounces Pompion seed husked one ounce and half Melon seeds one ounce white Poppy and Lettice seed of each half an ounce beat them together and with a sufficient quantity of Barley-water or distilled water of Milk make an Almond Milk of which make Barley Cream by adding two pounds of the pulp of Barley and a small quantity of white sugar boyling them a little of this he may take eight or ten ounces at a time once in the Fore-noon fasting and as much once in the Afternoon between Dinner and Supper and if he so like he may put in a few drops of the Oyl of Sulphur or Vitriol 22. At last at bed time he may either take Pilulae è styrace Or this following which Benedictus Faventius used with good success Take juyce of Liquorice two drams washed Aloes one dram Pilulae de Cynoglosso half a dram syrup of Violets enough to make a mass of Pills Dose a scruple at bed time Or instead thereof you may give my Laudanum which in my Opinion is inferiour to no Medicine of like kind in the World 23. Lastly as a principal Topick this following Emplaster may be applyed to the Coronal Suture Take Turpentine of Chio Mastich Frankincense of each one dram Gum Elemi a dram and half Gum Sandarach Olibanum red Coral red Roses Myrtles Balaustians Pomgranate-peels fine Bole all in pouder of each two drams with Oyl of Roses and Wax of each a sufficient quantity make an Emplaster which spread upon soft Leather or linnen Cloth to be applyed as aforesaid CXLII The Therapia Or method of Curing a Catarrh in a cold and moist habit of Body 1. In the Cure of a Catarrh proceeding from a cold and moist Cause you are to consider whether it be gentle or fierce flowing down with violence 2. If it be gentle it is the more easily cured and is commonly performed by Interceptives or things having a thickning and astringent force which are either Cold as Purslane Lettice Cucumbers Poppies of all sorts Opium and other cold things among stones prepared Emeraulds have a great name for they stop all sorts of Fluxes in any part of the Body whatsoever 3. Those things which thicken and dry are all sorts of Gums chiefly Gum Arabick Tragacanth Frankincense Olibanum Mastich and among Woods Juniper Guajacum Sassafras Rosemary Oak yellow Sanders wood of Aloes and wood of the Balsam-tree 4. The herbs and plants may be prepared into a syrup by taking their clarified Juyces and boyling them to a syrup with fine sugar or honey Opium may be made into a Confect or Laudanum as we have almost in an hundred places declared these various Woods among which we should have also enumerated Lignum Nephriticum are prepared for Medicine by boyling them in water
Valesius 7. Inwardly the humor was derived by a decoction of Sena and Rhubarb in which a little Cream of Tartar was dissolved which purged her well and effectually after purging I gave her Crato's Epileptick pouder which she took every Morning fasting 8. Her drink was that mentioned in the former section made of Guajacum sarsa and sarsafras the which she drunk with a prohibition from all other Liquors and by the Use whereof she found much good 9. I caused her Head to be shaved and for twelve or fourteen days to be Bathed morning and night with the powers of Amber either alone or mixed in Equal quantity with the powers of Oranges and Lemons by which the Brain and nervous parts were comforted 10. Also I ordered her to take about two drops of the Oyl of Rosemary or rather twenty drops of the Powers of the same in all her Guajacum diet which warm'd dryed and comforted the Head and Brain 11. The using of these things caused an apparent Abatement of the force of the Disease and in length of time an absolute Cure 12. However after the fits seemed to have left her they Return'd again but at larger distances of time to wit about six months I advised to the assiduous Use of the same Medicaments concluding that that which had so far weakened the Disease as to make the Intervals of each fit to be five or six Months would if constantly followed totally take away the same and so it proved she continued the use of these things for three months or more after which she was perfectly Cured nor so far as I know had ever another Paroxysm VI. An Epilepsy in an Antient Man mortal 1. This Man being sixty three years of Age was siezed with the Falling sickness as he was a rich man so nothing was wanting towards a Cure nor did he spare any Cost for to attain his wish'd for Health 2. Several Physicians had him in hand and many things were done as Cupping Blistering Bleeding Purging Exhibition of specificks but all to no purpose he dyed in the fourteenth fit at which time I was sent for 3. Immediately concluded him Incurable as soon as I saw him of which opinion I was partly because of his great years and partly because of the vehemency and long continuance of the Paroxysm 4. And indeed it was the longest For he never lived to have another but dyed as was supposed as he was Coming out of the fit at which time he Used two or three short words of Prayer and so gave up the Ghost 5. After he was Dead the body was opened as also the Head As to those Viscera in the Breast and Abdomen he might truly be said to be Eusplanchnous that is one of sound Bowels but the Cavities of the Brain abounded with a watery humour which at first was clear and viscous but being Cold thickish and white 6. And in the fore Ventricle of the Brain was found a small Blader of water as for the substance of the Brain it was free from any contamination we could discern save its Vessels were very full of Blood from which Experiment and Observation somthing more of the Cause of the Epilepsy is to be understood 7. Another antient man was seised with the Epilepsy who also dyed in a fit when his Head was opened nothing was found within the Cortex of the Brain which might be called a preternatural matter but only an Abundance of moist humor the Brain it self as it were overcome and contaminated with a moist viscous Juyce 8. Also a Woman about fifty years of Age was taken Epileptick she lived three Months in which time she took many Medicaments nor in that space was there any probable means neglected at length she dyed of a fit 9. After she was dead there was a great flux of Blood at Nose her Head being opened the Cavities of the Brain were found filled almost with Blood which could not be but by a mighty Concussion of the Brain in which through the Violence of the Agitation some of the Blood-vessells chiefly the Arteries thereof must be broken 10. Indeed the whole Head was so full of Blood when it was opened that by reason thereof we could not make any singular Inspection into any other parts of the same 11. A Child also about a year and half old was seised with Epileptick fits and dyed in its fourth fit the Head being opened the whole Brain was so contaminated that it seem'd to be nothing but a mass of filthiness and putrefaction 12. Many of the like Examples we have seen but the most of those which were of grown years and dyed by force and violence of the Disease had either a bladder of water lodged in the Cavities of the Brain or the said Cavities were repleat with a watery humor or the substance of the Brain was continued with a viscous humidity LONDON Printed for Th. Dawks and L. Curtiss The Chapter of the Falling-sickness continued Numb 63. VII The Falling-sickness in a little Boy 1. This little Youth by reason of a fright fell into fits not very unlike those which we call Fits of the Mother which fits by degrees and length of time degenerated into a true Epilepsy 2. The Child was the only hope of its Parents and Heir to all their Fortunes which made them so much the more concerned for his Cure he first fell into the Hands of several Men of great repute and fame for their Learning but chiefly for their knowledge in Physick these men did him no good at all mistaking the Cause of the Disease 3. For when he was a little Infant he had a sore in one of his Leggs near the Ankle this drying up or being healed by Art without purging brought upon him an evil habit of Body so that he often complained of a heaviness or dull pain of his Head 4. From whence I conceive that the Disease might rather be caused from the Translation of the matter to the Brain than from any fright how great and sudden soever though I believe Nature might take advantage thereby to make the first manifestation of the Disease and no further I believe it to be a Cause 5. The first thing I did in order to this Cure was to make a couple of Issues the one on the same Legg where the Sore formerly was the other on the Thigh of the other Legg 6. This done I applyed Vesicatories first to the Soles of the Feet then to the Nape of the Neck upon the Vertebrae thereof also I made a gentle kind of Revulsion by Sternutatories and Errhines applyed to the Nostrils 7. I purged him gently with Sena stewed with Prunes which was repeated five or six times and was indeed all the purges I gave him 8. Afterwards I caused him to take my specifick magistral Antipileptick Pouder and to continue the same for two or three months 9. His Drink I ordered to be a Decoction made as follows Take Guajacum Sarsa Sarsafras
came into my thoughts which possibly may not be unwelcome to you 4. A certain Country-man hard by being a long time afflicted with an Epilepsy sent for an Emperick being then about the Age of forty this Man gave him a violent purge which wrought both up and down at one time by the benefit of which even against the opinion of Hippocrates lib. 2. Aphor. 42. he was freed from the Falling-sickness 5. But immediately after he was through the Obstruction of the Optick Nerves deprived of his sight he lived four years but never recovered his sight 6. Another example I shall give you of the like effect of this bad Artist's Skill another Country-man being for many years troubled with the Epilepsy and being now arrived at the twentieth year of his Age received a violent purging Potion from the aforesaid Emperick he was thereby freed indeed from that Disease but yet very unhappily 7. For not long after the peccant humours did flow down in such an abundance that besides an Inflamation in his right Eye he had an insufferable pain in his Head which with the continual flux of the humours brought at last the loss of his sight of that Eye 8. Now that his other Eye might be preserved I prescribed him some Medicaments to be taken now and then after a few days For it is dangerous to Cure suddenly if it be not safely too 9. Therefore Hippocrates prudently admonishes in lib. 1. Aphorism 22. not crude but concocted humours are to be healed and removed 10. A crude humour says Butinus because of its thickness and coldness is in motion flow nor does easily yield to Physick thence from the commotion of them bad Symptomes follows and so much the worser oft time by how much the Medicine is gentler in its attraction and the humour by its grossness stronger in its resistance or more fixed or is immur'd between strait passages Hildanus Cent. 5. Observ 5. LXVIII A Falling-sickness arising from one of the Legs 1. A certain Noble Youth being afflicted many years with the Epilepsy askt my advice That it was the Falling-sickness the affections did declare the signs of which were that the principal Faculties together with Sense and Motion were subverted When yet notwithstanding the perceiving it before hand the short stay of the fit it not often invading nor the disturbed Functions being altogether corrupted or vitiated do rather argue it to be a symtom than an absolute Epilepsy or rather a middle symptom intervening between an Epilepsy and a Vertigo 2. Of this Disease there are three kinds the first proceeds from the vitious temper of the Brain another by consent from the Stomach the third from any other part of the body this last is known by this token that it falls not suddenly without warning but the Patient has a discerning of it some little time before it comes 3. And indeed such was this of Our Patient it cannot be accounted of the first kind for before the fit he discerns as it were a kind of subtle Spirit or Vapour to arise or ascend by degrees from his said Leg and from the great Toe of the same to the Brain and without doubt there the fountain of the Disease is fixed 4. But when as it is wont to be with many men the exhalations from the inferior parts into the Head are as it were perpetual in whom such a symptom as here in our Patient does not arise it is most evident that the exhalation contains in it a malignant and venemous quality which offends the Brain 5. And it is very agreeable that the Legg from whence the cause comes should have been long vexed with Fluxes and Ulcers whereof although the Patient be free yet it is most likely that there remains a bad quality in some part by reason of which the matter there gathered partaking of that Venom and touching the Brain by certain Intervals hurt its Faculites 6. But when it might be said That he was often troubled with the pain of the Stomach and with the Cholick it is not dissentaneous that he is thus afflicted through the Sympathy of these parts 7. The Cause of this Distemper is a cold humour and from thence it may be concluded the Disease is Chronick the continual pain of the Stomach as well as the pain of the Cholick do testify and shew the Temperament to be cold and moist 8. The Curative Indications are these viz. the evacuation of the cold humors the warming of the Stomach the strengthening of the Concoction the drying warming and strengthning of the Legg and when the Head receives matter transmitted from any other Cause it is a certain sign that it is afflicted with weakness 9. Therefore endeavours must be used to strengthen it that it may be the better able to resist and beat off the assaults of such Enemies although this Disease be of its own nature very grievous yet there is great hopes to be conceived of a recovery 10. For according to Hippocrates those young Men that are afflicted with the Falling-sickness are freed very much by the change of Age times seasons and Diet and some that are Epileptick before they arrive to the ripeness of Age meet with a change 11. As to the Cure although the humour to be evacuated seems to require no light Medicines yet by reason of age I think it better to use them Therefore then I shall be content with one simple Medicament But that being repeated let him take every other day about an hour before Supper one dose of pil Ruffi with pil Agarick of which this is the composition 12. Take the best Aloes Ammoniacum of each one ounce the best Myrrh half an ounce bruise them a part and then mix all together with Aromatick Wine make a paste Dose one pill the weight of a scruple let them be taken to at least two drams and every other day let him take three spoonfuls of Oxymel simple 13. Evacuation being made the flatuous humours are to be discussed and the Ventricle to be strengthened taking for some days a Confection of Ginger to the quantity of a Walnut in the morning with an empty Stomach 14. Diatrion pipereon Galeni simplex is the best also before Eating let his drink be of Wormwood-wine in the place of salt add to all his Meat the pouder which is made of Sugar two ounces Cinnamon half an ounce 15. Let his Legs be rub'd often in a bath made of a Lixivium in which are boyled Marjoram Wormwood Roses Sage Betony Rosemary Lavender with the addition of Wine 16. The Finger from whence that venomous Vapour proceeds must be anointed at night before sleep with Treacle dissolv'd in aqua vitae 17. It will be a very good praecaution if before the fit even while he feels it a coming that he use things to bind the parts as either the root of the Finger the Ankles and Knee 18. Great care is to be had of the Head a Lixivum being often adhibited in
discreetly administred availed her any thing it being the unhappy custom and practise of her and her Freinds to change often both Physician and method of Physick if the expected Event did not happily follow and court every Emperick and outlandish Mountebank for a Cure 9. The Vertiginous disposition accompanied with a short Delirium being the forgoer of the Epilepsy it plainly denotes the cause of this Distemper being planted in the middle of the Brain has its dependance upon a certain Inordination of the spirits viz. 10. Those Inhabiting there began to admit at first an heterogeneous Copula which being heaped up plentifully and moved either of its own accord or accidentally while it was shaken of moved and inferred those Distempers by reason of the spirits being molested and not yet very Explosive afterwards she gradually growing worse the perturbations of the spirits did excite their manifest Explosions and turn'd the Vertigo and Delirium into the Epilepsy 11. From hence it must doubtlessly follow the Maid being sick about her ripe age that as the Natural so the preternatural ferment Explicates it self first at that time wherefore as it falls out that the menstruous purgations do then burst forth so the seeds of the Falling-sickness whether Innate or acquired then budded forth a little and by degrees were ripened to fruit 12. When the preternatural ferment first appeares oft times the natural following it defaces and blots it out hence the Epilepsy of young ones goes no further than puberty or ripe age 13. But if that ferment or taint of the Disease happens after the Menstruous flux or together with it and ceases not presently it for the most part remaines during Life unconquerable and not to be vanquished by any remedies 14. If a Cautery by chance being made on this sick person freed her from fits of the Disease it may then be very justly concluded that fontanels or Issues may be advantagiously administred in the Cure of the Epilepsy 15. For wheresoever an Emissary is opened for the constant Evacuation of the serours water both from the Blood and Nervous juice there flows out with it very many Heterogeneous and morbifick particles that thereby the Brain might be freed and discharged from the Disease Willis de Convulsivis Cap. 3. Observ 1. LXXVII Epilepsy Ideopathick Or Originally in the Head 1. A Brewers Daughter of Oxford had been from her Infancy very subject to a Rheum in her Eyes otherwise of a strong and healthfull constitution being daily accustomed and inured to hard Labour 2. About the fourteenth year of her Age she began to be afflicted with Epileptick fits which she had near the greater Changes of the moon 3. Being invited to her Cure I gave her a Vomit of Precipitate Solar and ordered it to be renew'd three days before every New and Full Moon besides that she should take twice in a day a dram of male-peony root in pouder with a draught of black Cherry water 4. There happened so long an Intermission of the fits by virtue of these Medicines that she seem'd to approach very near to a Cure afterwards when they returned the very same Medicines recovered her and then the Menstruous flux breaking forth and keeping its true Periods she was for the future happily delivered from that Disease 5. I think it not amiss in the curing of the Epilepsy to begin with a Cathartick but if the sick can easily endure Vomiting first let an Emetick be administred and repeated for several months four days before the full of the Moon 6. For Infants and Youths may be prescribed wine of squills mixed with the fresh Oyl of sweet Almonds as also salt of Vitriol from half a scruple to one scruple 7. Those of riper years and of a stronger constitution may take the following Medicines Take of Crocus Metallorum or Mercurius vitae four grains to six or Mercurius dulcis sixteen grains to one scruple bruise them together in a Mortar mix them with the pap of a roasted Apple or Conserve of Burrage one ounce make a Bolus 8. Or you may take an Infusion of Crocus Metalorum or Mercurius vitae in spanish wine from half an ounce to one ounce and half Or take of Emetick Tartar of Mynsicht four grains to six 9. They who are of a weaker and tenderer Constitution let them take of the salt of Vitriol one scruple to half a dram and half an hour after let them drink several pints of posset drink and then provoke and reiterate Vomiting by puting a Feather or Finger down the Throat 10. The day after Vomiting unless there be a just cause of forbearance let the Blood be taken out of the Arm or from the Hemorrhoid Veins with a Leech then the next day after let a purging Medicine be taken which may be repeated constantly four days before every new Moon 11. Take resine of Jalap half a scruple Mercurius dulcis one scruple of Castor three grains of Conserve of the flowers of Peony one ounce make all into a Bolus 12. Take pil faetidae the greater two scruples pil Histericae a sufficient qantity make thereof five pills 13. Take of the strings of black Hellebore macerated in Vinegar dry'd and poudered half an ounce of Ginger half a scruple of the salt of Wormwood twelve grains of the Oyl of Amber two drops make a pouder and give it in the pap of an Apple 14. Take of the powder of Hermodactils compound one ounce of humane skull prepared six grains make a pouder let it be given in a draught of the Decoction of Hyssop or Sage 15. On the days wherein they do not purge let there be Administred specifick remedies morning and evening about the time of the change of the Moon For in these there is vertue as is said to Cure this Disease by a certain Innate and secret Energy of these there are a great many to be found and are prescribed in various forms of Compositions 16. The most simple Medicines which experience has found to be very successful are the roots of the male Peony and the seeds of the same Take of the roots of the male Peony powdered and dried one dram to two or three give it twice a day in the following Tincture 17. Take leaves of missletoe of the Oak two ounces of the root of Peony sliced half an ounce of Castor one ounce put them into a close Vessel with simple water of Betony or Peony and white wine of each one pound of the salt of missletoe of the Oak or the common missletoe two ounces let them digest close in hot sand for two days take three ounces with a dose of the aforesaid powder 18. The poorer sort of people may take of the aforesaid powder in a decoction of Hyssop or Castor made with fair water and white Wine 19. Cut also the root of Peony into little bits and being strung upon a thred hung about the Neck I suppose both after the manner of a Neck-lace and also so as to touch
of an approaching Epilepsy and sometimes of a fit ready to come in those that have had it already but all these signs are not to be expected to be found in one person but some of them in one some in another according to their various Natures and Dispositions Qualifications Habits and Constitutions CXLVII The various Causes of the Falling-sickness 1. There are many Causes of an Epilepsy which arise in part from the quantity or quality of the matter causing 2. The place where the prime Cause lodges is within the Encephalon and springs from the indisposition of the parts within the Skull 3. But it may be demanded how that can be in those kinds of this Disease where the Paroxysm begins in the extream parts and ascends by degrees up to the Head 4. Truly this seems only to be so and happens by meer Accident For that the Morbifick Cause subsists about the Encephalon it self thereby causing immediately a great insensibility and dis-order with a vehement Contraction of most of the Members and Viscera 5. By which it appears that the Encephalon and original of all the Nerves are possessed with the Morbifick Cause 6. The opinion of Galen was that an Epilepsy was caused from an imperfect obstruction of the Ventricles of the Brain but the true Cause of an Epilepsy is from the sudden Rarifaction and Explosion of the Animal Spirits inhabiting of the middle the Brain and these are the first and immediate Cause of this Disease by which the Brain being as it were blown up and tumefied is rendred insensible and the Nerves appending thereto are put into Convulsions whence comes the sudden accession of the Fit the deprivation of both the internal and external Senses 7. The Procatartick Cause of the tumultuating of the Animal Spirits we do not just now deliver that being known almost to every one but the Proeguminine Cause deserves a little to be enquired unto 8. For that the Animal Spirits should be so rarifyed as to tumultuate and to make those preternatural Explosions of their own accord is not reasonable to believe but there must be somewhat that must go before as the Act of the sensitive Soul to stir up those kinds of perturbations viz. 9. There must be something which must obstruct their regular and natural Motions and this in some persons which we have seen opened that dyed of an Epilepsy was either a bag of water in the Cavities of the Brain or a viscous water or other corrupt matter yellow green blew c. filling the said Ventricles by reason of which the said Spirits assemble together in a tumultuous manner as aforesaid 10. These Spirits making their explosions upon the the original of the Nerves and indeed the Nerves of the whole Body affect the other spirits in the nervous system by way of Consent whence it is that though the Disease seem to begin in the Hand or Foot yet the original thereof is absolutely in the Brain it self 11. Barbet says that the nearest Cause is the Lympha vitiated in the Brain and irritating the Nerves by its sharpness and indeed he was not far off from the Truth 12. For Nature being hurt by such a kind of sharpness sends as it were Floods of Spirits towards the relief of the parts afflicted but by reason of this vitiated Lympha falling upon the original of the Nerves the influx of the Animal Spirits is hindered whence follows immediately Convulsion 13. And by reason that the Community betwixt the nervous Systeme and the animal Spirits is cut off by the Matter interposing thence follows the so sudden deprivation both of Reason and Sense and of all regular motions 14. Decker is of the opinion that it is an acid Lympha that Causes this Obstruction and indeed that is most probable because that nothing can prick or vellicate so much as acid things and all Obstructions made by Acids are commonly great and the Coagulations difficult to be dissolved 15. Whence it is That Diseases arising from an Acid Salt as for certain the Epilepsy does are of so difficult Cure 16. Deckers saith That from the Thumb of the left Hand he had somtimes observ'd a sharp matter to be mov'd towards the Heart and Brain so that the Patient was sensible of it 17. This is nothing but what we said before of this Disease proceeding by consent from the extream parts 18. But the chief Observation that Deckers makes hereof is this That the said Thumb being bound had sometimes kept back the Fit and that the sick had been several times so delivered from the approaching Fit 19. This is confirm'd by Galen de locis affectis lib. 3. cap. 5. Also Johannes Schenkius de Epilepsia Lib. 1. Obs 82. affirms the same 20. I knew the person very well that had it arising from the Foot aforementioned 't is probable the same thing might have succeeded in him but my Youth and want of Skill in Physick for it is near twenty years since hindred my putting the thing in tryal 21. If it proceeds from the Womb pains of Loins does preceed for those Women are for the most part troubled with vehement Head-aches 22. The remote Causes thereof says Barbet are to be sought in the milky Glandules the Womb and other parts for whatever it is whether it be Choler Flegm the Pancreatick juyce the Seed or menstruous Blood that makes the Lymphatick Juyce sharper easily causes an Epilepsy 23. The Brain not being rightly disposed the region of the Brain is by all concluded to be the primary seat of this Disease 24. But Willis will by no means admit water heaped up within the Ventricles of the Brain nor a thick viscous humor impacted in the passages of its Pores to be the Conjunct Cause of this Distemper for saith he such Causes are begot by degrees and would shew some certain signs before hand of their first coming upon one 25. To which we answer that so they do else how comes it to pass that we have so many previous signs of an approaching Epilepsy as we have a little above enumerated 26. But saith he the assault of the fit being over such a matter could not wholly be discussed in so short a time but that from its Relicts some impediments of the Animal Functions would remain which rarely happens in the Epilepsy unless it be inveterate 27. To which we Answer that there is no such need that the matter should be wholly discussed in so short a time for it has been observable that the intervals between each fit comes not so much from the discussion of the matter as by the quieting of the Animal Spirits which force their way through the Obstruction 28. So that when the continuity of the nervous System is made up with the original fountains of the Animal Spirits the Fit passes off but when the obstructing matter fluctuates afresh and dissolves again that continuity then there comes an accession of a new fit 29. From hence it may certainly be
concluded That the middle of the Brain is always the primary Seat of the Epilepsy and that originally the morbifick Cause is stored up in that Region 30. But the Distemper growing inveterate it gradually spreads it self through the whole Brain enlarging its dominions after a wonderful manner scattering the Morbifick Matter every where up and down which subjects the whole much like Garrisons in Conquered Countries keeping the vassallated people under subjection 31. Its dominions being enlarged through the whole Head extends it self likewise to the nervous Appendix so that the semination of the Disease like lightning is diffused thorough the whole nervous Systeme but sometimes one Nerve is more affected than another whence Convulsions follow sometimes in one part somtimes in another 32. And if the nervous System be universally a like affected the Convulsion generally affects the whole Body 33. The Cause why Epilepticks fall down with violence is partly from the surprize and sudden coming of the fit whereby all their Reason and Sense is taken from them and partly from the Convulsion of the Nerves adjacent to the Head which being strongly contracted the whole Body is vehemently carried forth and falls violently 34. From these Contractions other parts become swelled and tumifyed as the Lungs maxillary Glandules both upper and lower out of which the Lymphatick Juyce being strongly pressed and squeesed forthwith the Spittle appears like foam at the Mouth CXLVIII The Prognosticks of an Epilepsy 1. The Epilepsy is a Disease hard to Cure if it be inveterate or of long continuance it is so much the more difficult and the Idiopathetick is harder to Cure than that which is by consent 2. That which is in Infants is of all the easiest to Cure and much more easy while it is Recent the Child having had but few fits 3. That which is Hereditary is never to be cured and antient Physicians were of the opinion that if it happened to people which were much in years that it was also incurable but experience has contradicted that 4. For we have known people above fifty years of age Cured but we confess it has been with great difficulty 5. In some persons it is cured without the help of Physick in whom siezing upon them young it has continued ten twelve or fourteen years but at their arriving at puberty or ripeness of age or in Virgins at the coming down of their Terms the Disease of its own accord has left the Patient 6. Though in this Case I am very apt to believe that there might be some congruous and benevolent Directions in Heaven of the principal Stars or principal Significators which might be adjuvant to the Native at that time 7. If all the Functions be abolished the Convulsion vehement and strong the Paroxysm of long continuance and Excrements flow forth of their own Accord the Cure will be exceeding difficult 8. If it comes from external Causes or evil Diet Surfeiting or Drunkenness the Convulsion mild and the fits not long the Disease will not be very difficult to Cure 9. Hippocrates says That an Epilepsy coming in Boys at fourteen years of age and in Girls before twelve is curable but after the age of twenty five it is incurable as appears by his Sect. 5. Aphor. 7. and of this opinion is Galen but the latter part of this Prognostick as we said before is not always true 10. A strong Epilepsy often kills the Patient in the fit or else turns into an Apoplexy by reason of the strength of the Symptoms whereby there is a great Concussion of the Brain and a profligation of the strength of the whole Body 11. Riverius tells us a strange kind of Story that somtimes the Concussion of the Brain will be so great in the fit that some pieces of the Bones called Processus Mamillares will come out of the Nostrils 12. If the Falling-sickness comes of Melancholy it commonly degenerates into Madness by which means the morbifick matter offends the very substance of the Brain it self whereby being corrupted it obfuscates or darkens the Animal Spirits whence comes a Melancholy Dottage 13. If the Epilepsy proceeds from a thick Lymphatick Juyce it for the most part degenerates into an Apoplexy or Palsey 14. If a Quartan Ague or a violent burning Feaver comes upon an Epilepsy it commonly Cures it because by the vehemency of the heat the Morbifick matter comes to be dissolved rarifyed and discussed 15. If the fits are often repeated and every time grow stronger and stronger the Animal Faculties will be quickly obliterated by reason of which the Vital Spirits come to be tainted from whence the Vital Functions comes by degrees to be profligated 16. And this seems to be by consent of the Nerves serving the Praecordia so that at length the whole Body languishing the Pulse being quell'd the Vital flame is not long after extinguished 17. The reason why this Disease often ends in a Palsy Madness or Melancholy is from the conformation of the Brain being depraved by the manifold and tumultuous rushings forth of the Animal Spirits whereby its natural state is so perverted that the morbifick Particles of another kind are admitted whereby the Animal Spirits are either fixed or become dull and sluggish being depressed by the Morbifick matter afflicting 18. If the Falling-sickness happens to Children and they be not freed from it about ripeness of age being overcome by a new and natural fermentation of the Blood the Disease will continue and 't is much if it be not incurable to Death CXLIX The Method of Curing the Epilepsy and first of the Cure of Infants 1. The Cure of the Falling-sickness in Children differs something from that in elder people for that in the latter strong Evacuations are commonly used which we cannot do in Children nor indeed is there that need and necessity because such a heap of morbifick matter cannot be supposed to be in them as is in those of elder years 2. The chief things we use to Children are Revulsives Discussives and Specificks 3. For Revulsion Blysters may be applyed to the nape of the Neck or behind the Ears or an Issue may be made behind the Ear whereby the Morbifick matter is plentifully drawn away or the Seton may be applyed to the nape of the Neck which may run for two three or four Months 4. Blystering Plasters also applyed to the soles of the Feet may be very profitable for by reason of the consent of parts they sometimes Cure to a miracle 5. Issues a so in the Arms and Legs are also approved of by many Learned and Experienced men if the Child be two or three years old Cupping-Glasses with Scarification may be applyed to the Shoulders Loins or both 6. I knew a Chyrurgian which lanced the Head and cut many deep flashes even to the Cranium whereby the Child bled extreamly after which he healed them forthwith up again upon which the Child recovered and had no more fits 7. If the Paroxysm be
tedious and violent and a watery humor flows forth at the Nostrils it will be good to shave the Head of the Child and to apply a Vesicatory over the whole Head this I have known sometimes to Cure at the first drawing it may be repeated if occasion be two or three times 8. It cannot be done in vain but with great advantage to the Sick forasmuch as that the watery juyce or degenerated Lympha which is the Conjunct Cause of the Disease is clearly drawn away 9. And this is more admirably done and with greater advantage in Infants than in persons of elder years because as yet in Children the Sutures of the Skull are not perfectly closed whereby not only the aforesaid degenerated Lymphatick Juyce but also the preternatural Vapours lodged in the Cavities of the Brain are drawn forth 10. This done the Soar being healed we must make use of Discussives of which the Powers of Amber are of mighty force being Bathed upon the whole Head so all the Powers of Sage Rosemary Lavender sweet Marjoram Thyme Tansey Featherfew Savory and such like 11. For they pierce and penetrate through the flesh Pericranium and softness of the Skull whereby not only the Menings of the Brain but the Brain it self are marvellously dryed comforted and strengthened and the Animal Spirits themselves recreated 12. The Temples Forehead and Nostrils ought to be bathed with the same and this ought to be done twice a day for two or three Weeks together 13. After which the Epileptick Emplaster of Franciscus Valesius may be applyed to the Coronal Sutures for as much as it is said that that Plaster alone never fails of the Cure the Composition and Preparation whereof you may see sect 73. § 4. aforegoing of this Chapter 14. Moreover it will be profitable that the the Hands and Feet should be bathed with these Potestates or Powers aforenamed not only because it might probably have a rise from those parts but also by reason of the consent and sympathy of the same 15. The third Intention consists in the exhibiting of proper Specificks if the Child be two three or more years old the Gilla Theophrasti or Salt of Vitriol may be profitably given 16. For as Paracelsus says They are specificks in rooting out the Falling-sickness especially in Children for by gentle Convulsions of the Stomach they cause Vomiting whereby the root of the peccant matter is taken away the Stomach cleansed and strengthened from whence an laudible Chyle is generated whereby strong and salutiferous Spirits are bred in the Heart and Brain 17. This same salt of Vitriol may be given two three or four times according as you see the Disease increase and it is so safe that it may be given even to young Children the Dose to Children is ten grains to half a dram according to their Age and Strength 18. If it be given by a wise Hand it will not only evacuate the humor upward but also derive a part of the morbifick Cause downwards 19. Some commend Hiera picra or the Infusion thereof in a proper Liquour truly the thing is good but 't is too bitter to be given to Children 20. The following things I have proved as Specificks in this Case Take pouder of Male-peony seeds and roots of each one dram and half pouder of Mans skull salt of Hartshorn and pouder of Nutmegs of each a dram Elks-hoof prepared half a dram mix them in a fine Pouder Dose from 15 grains to half a dram 21. Take Castoreum a dram and half prepared Amber half a dram pouder of Peony-seeds and Peacocks dung of each two scruples Oyl of Lavender ten drops mix them Dose ten grains to a scruple 22. Take Nutmegs a scruple pouder of Peony-roots and seeds of each two scruples Misleto of the Oak one dram Castoreum Mans skull prepared Musk in fine pouder of each four scruples mix them together and make an Electuary with the Extract of black Cherries Dose one dram to two drams giving after it a little Cinnamon water 23. Take Tincture of Castoreum Tincture of Mans skull of each an ounce Tincture of Lavender-flowers Tincture of Saffron of each six drams spirit of Mans skull half an ounce Powers of Amber two drams mix them the Dose one dram or more in proper Liquor 24. Take Water of the flowers of the Line-tree Water of the flowers of the Lilly Convally of each six ounces syrup of the juyce of Alkermes syrup of the juyce of Male-peony-flowers of each four ounces spirit of Angelica the greater Composition spirit of Castor of each three ounces strong Cinnamon-water Aqua Coelestis of each two ounces and half Powers of Rosemary Sage Lavender Origanum and sweet Marjoram of each half an ounce white sugar enough to sweeten them well mix all together and so you have a Liquor whitish red of which you may give the Child half a spoonful every Morning and Evening alone or in a glass of Sack 25. With this following Pouder I have cured several Take choice Musk one dram Ambergrise Cochineal Salt of Mans skull of each a scruple mix and make a Pouder which may be given with a little Conserve of red Roses drinking after it a Glass of choice Canary 26. Also our Epileptick Pouder which we have commended in the Cure of the Vertigo is inferiour to very few things 27. Riverius commends this Take Peony-seeds a dram and half Lavender-flowers a pugil Amber two scruples make a fine pouder 28. Columna saith That the root of Wild Valerian given in pouder in Milk has cured very many 29. Vntzerus commends the Gall of a black sucking Puppy but of a Bitch for a Girl to be taken to three or four drops in Tile-flower water he saith it will cure to a Miracle 30. Riverius commends the Back-bone and the Members contracted to be anointed with this following Liniment Take Oyl of Rue Oyl of Earthworms of each two ounces Oyl of Castor a dram and with a little Aqua Vitae make a Liniment it ought to be well rub'd in twice a day Morning and Evening 31. That learned Man and great Chymist Maxy commended to me this as a great secret that would never fail Take Venice Treacle Confect of Alkermes of each half an ounce salt of Mans skull fine pouder of Cocheneel Musk in subtle pouder of each two drams Ambergrise a dram mix and make an Electuary of which the quantity of a Nutmeg may be given the Child every Morning 32. He also commended to me salt of Vipers mixed with equal parts of salt of Mans skull and Musk as a remedy that had scarcely any equal 33. Moreover he told me from manifold and large experiences that all fixt Alchalies if often and long taken would infallibly Cure this Disease for that they enervated the Acid juyce and the sowerness of the Blood which he conceived to be the Cause of this Disease 34. And that he knew more to be cured by taking of Volatile and Fixt Alchalies such as are Salt
a dram mix them with the Civet and then with the Musk and Ambergrise in fine pouder if you please you may add Pouder of Cloves half a dram Peacocks dung two scruples the Dose from half a scruple to a scruple or more 79. If this prevails not we must be necessitated to come to the use of Opiats of which our Gutta Vitae is inferiour but to few being given from fifteen drops to twenty five or thirty in a glass of Sack 80. Or if the Sick likes not this they may take our Laudanum beginning first with a small Pill of two grains and so encreasing it by degrees to six or eight grains or more 81. To these you may add all the Opiats we have ennumerated in cap. 4. sect 142. § 55 ad 63. aforegoing where you have a large Catalogue of them and to which we refer you 82. There are multitudes of other things which are specificks against this Disease which we have gathered together in the last Edition of Our Synopsis Medicinae lib. 3. cap. 29. sect 94. § 8 9 10 11 12 13 14 15 16. 83. Outwardly for Topicks we advise that the Head and Coronal Sutures as also the Forehead Temples Nostrils Back-bone Hands and Arms Feet and Legs being extreamly well bathed Morning and Night with the Powers of Rosmary Sassafras Oranges Limons sweet Marjoram Sage Lavender Amber or any of them or a Compound mixture of them together or with the Apoplectick Balsam of Horstius or Mynsicht or the Balsamus Catholicus Steinbergij Balsamus Polychrestus Mynsichti the Balsamus Mnemonicus Sennerti Balsamum Nervinum Schroderi Balsamum vitae Balsamum Paralyticum Horstij Balsamum Paralyticum Clossaei or the Balsamus Cephalicus all which you may see in Our Pharmacopoeia in their proper places Applying over the Coronal Sutures the Epileptick Emplaster of Valesius at sect 73. § 4. above 84. If at last these things being used nothing prevails we must come to the last and only remedy which is the Trepaning and opening of the Skull to let out those malign Humors or Vapours 85. The following superstitious Observation Joel saith Has been proved by experience That the day before John Baptists day at the bottom of the root of Mugwort others say at the root of Plantane certain Coals like burnt or dead Coals will be found which being reduced into pouder and given a dram at a time in water of Tile-flowers or of flowers of Lilly-Convally will quickly and infallibly Cure 86. I fear this is a Monkish Cheat and that the Coals were designedly before hand put there because they are not to be found at the same time at the roots of all the Plants of the same Species but only at the roots of some which the promoter of the Miracle can before hand directly go to I once saw those Coals at the bottom of two or three Plantane-roots which my Director after the digging up of two or three in vain did find out but we dug up above twenty more at the roots of which we could find no such thing which made me to mistrust the deceit 87. Yet Deckers saith That they are almost always to be found under Mugwort being very old acid roots consisting of much Volatile salt it may be as he says I will not much contend 88. The usual Amulets which are born and worn by hanging about the Neck are Vervain Peony Misletoe of the Oak Elks-hoofs Hypericon c. Take Peony-roots Misletoe of the Oak of each one ounce Elks-hoofs Nutmegs Cloves Mace of each two drams Rue Hysop of each a dram and half pouder them grossly and put them into red Sarsnet to be hung about the Neck CLI Of an Epilepsy caused by Distemper of the Womb. 1. Although from what we have already said the signs causes judgments and method of Cure of an Epilepsy may be known proceeding from what cause soever yet by reason that which arises from distempers of the Womb is more eminent and remarkable we shall here say somthing to it in particular 2. This distemper is much more grievious than that which preceeds simply from a Distemper of the Brain because the Symptoms concomitant are more numerous and vehement It is to be known as before is said from a preceeding Distemper of the Womb wherewith the Sick has been for some time afflicted as Tumors Wounds Ulcer Wind Filthiness c. from whence comes pain stink putrefaction fits of the Mother so called c. 3. If the cause be from the Womb affected the Sick seldom or never foams at Mouth but there are present also all or most of the Symptoms of Hysterick fits for there is not only a Convulsion as in a simple Epilepsy but there are also present other Symptoms proper to the part afflicted 4. Some Authors take the cause from foetid vapors arising from the Womb proceeding from a malign and putrified matter not always of one kind but somtimes proceeding from the seed somtimes from the Blood sometimes from vitious humours which infest sometimes one part somtimes another somtimes the Heart and then it causes Fainting and Swooning fits and somtimes the Brain whence comes a Vertigo Apoplexy or an Epilepsy 5. If those vapours or that matter be much and plentiful the Disease will be of longer continuance If little it will be the more easily discussed if it be malign many evil Symptoms will remain after the Fit is over if not the sick will be pleasant and merry 6. An Epilepsy arising from distemper of the Womb will be as perdurable as that Distemper nor will there be any hopes of curing the one till a way be found out to remove the other 7. Yet it is not so rebellious as a true and simple Epilepsy though the accidents or symptoms be much more heavy and grievious and somtimes it is cured by the bare application of fit Hysterick Medicaments and so perfectly as that it returns no more Indicationes Curativae 8. The Indications of Cure are two-fold as in a pure Epilepsy to wit either in the Paroxysm or out of it The Cure in the fit is to be directed to take away the strength and malignity of the Convulsive affection which how that is to be performed we shall remit you to what we have already spoken hereof save that in composition with those things you will do well always to mix Hystericks especially such as may affect the Womb by their proper Odour as well as by their specifick qualities 9. Out of the fit the Cure is to be instituted as in that of fits of the Mother adding thereto such things as are specificks in the Cure of the Epilepsy but this is to be chiefly noted that whereas the Head is the principal part afflicted so also such things as strengthen the Head and Brain are principally to be made use of 10. Sennertus commends this following as an excellent thing Take Roots of Peony Scorzonera of Bryony Misletoe of the Oak of each half an ounce Polypody of the Oak one ounce Rue
drams seeds of Anise of Fennel and of Hartwort of each two drams flowers of Bugloss and Rosemary of each a handful and half make a Decoction in fair water strain and in a pint thereof infuse pure Agarick one ounce Ginger Galangal Rubarb of each two drams strain again and with white sugar make a syrup which aromatize with a little Cinnamon in pouder with this the Body ought to be once or twice a Week cleansed during the whole Cure if the Sick cannot take a purge in this form let them take it in the form of Pills as above-mentioned 22. The Body being sufficiently cleansed the Head and Womb may be corroborated with some of the things abovenamed or with this following Take choice Venice Treacle five ounces of the best spirit of Wine a pint Camphir two drams digest in a glass close stopt in Horse-dung or sand for a Week then distil in Balneo with a gentle heat so that the Alembick may not grow very hot draw off about a third part and repeat the distillation three times the Dose is one Spoonful Morning and Evening adding thereto four drops of the Oyl of Vitriol or six drops of the Tincture of Coral and sweetening it a little with white Sugar 23. Or this which may be exhibited in the time of the Paroxysm also Take syrup of the juyce of Peony one ounce syrup of the juyces of Rue and of Bawm of each half an ounce liquid extract of Castoreum two drams extract of Juniper-berries a dram and half extracts of Angelica and Zedoary of each one scruple of the former spirit two drams Lavender-water one ounce mix them Dose one spoonful 24. Among the number of Corroboratives are accounted Mithridate and Venice Treacle Confect of Alkermes Diamoschu dulcis Bezoar stone given with Scorzonera water but most effectual things are the Oyl and Powers of Amber which may be given in the fit as also to provoke the Terms 25. If the Courses be obstructed you must use with your Corroboratives such things as provoke them among which some highly commend this Take green branches of the Fir or Pitch-trees one handful Mugwort half a handful tops of Juniper bark of the Beech-tree of each a handful Celandine leaves of the Alder-tree of each half a handful roots of swallow-wort and round Birthwort of each five ounces make a Bath in fair water for the sick to sit in for about half an hour The Belly and lower parts after bathing may be anointed with this Take Oyls of Rue and Bays of each an ounce Chymical Oyls of Aniseeds of Cloves and of Camomil of each a dram mix them CLII. The Cure of an Epilepsy by consent from the Stomach 1. If vapours arising from the Stomach to the Head be the cause of the Falling-sickness it is known by a certain pain going before a perturbation and sickness at Stomach with a kind of heaviness or weight about the Precordia want of Appetite weakness of the Concoctive Faculty belching of Wind with other like Symptoms 2. The Sick also upon the accession of the Fit is sensible of it before-hand and it oftentimes comes upon an emptiness of the Stomach or too long fasting 3. Children are often affected with this Disease from this very cause when either the Milk is corrupted in their Stomachs or it was before hand of a vitious quality from some evil habit of Body in the Nurse and then it is known by gripings in the Bowels of Child the Ordure being either of a Saffron or of a Verdigrise like colour 4. In order to the Cure purgation is necessary and that kind of Purgation by Vomit more especially if the Sick is apt to that evacuation The Bilious humor Physicians say needs no preparation but thick tough and viscous flegm they say ought to be prepared before-hand for evacuation that it may be the more easily expelled which thing Dr. Willis stoutly denys Sennertus advises to prepare the matter by taking Honey of Roses Oxymels Syrups of Betony stoechas and such like 5. If the Sick is not apt or does not easily Vomit the cause may be removed by things which work by Stool as Hiera picra pilulis ex Aloe in a cholerick cause Agarick Jallap in a flegmatick cause sena Hellebor c. in a melancholy cause 6. In this case the stronger Purgers are not to be used lest they draw too much or new matter to the Ventricle and thereby augment the Disease by a continued hurting or weakning of it 7. The Stomach being cleansed you must strengthen it with proper corroboratives In a hot cause you may apply Topicks made of Oyls of Quinces of Roses of Olives Omphacine of Water-Lillys of Lettice of Nightshade c. in a cold cause Medicaments made of Mastich Mint Wormwood Cloves Nutmegs and such like 8. Inwardly let the Food be given warm and temperate in respect of quality not sharp or salt or fat or oyly and Trallianus forbids the drinking of Wormwood or other bitter things lest lying in the Ventricle they should be converted into Choller yet doubtless where the cause is from cold moist and indigested flegm things hot and bitter can do no hurt however other things of a warming Nature may easily be given instead thereof as Coriander-seeds Betony Cheb Myrobalans preserved Nutmegs which come from the Indies extract of Juniper-berries rolls of Aromaticum Rosatum and Caryophilatum Syrups of Mastich and Cinnamon c. from which various Medicines various Compositions may be made according to the humour abounding If the cause be from heat and bitter and choller you may use Conserves of Wood-Sorrel Marmalade of Quinces Quiddony of the same Oyls and Spirits of Vitriol Salts Sulphur Nitre c. of which also things may be compounded 9. Now in the mixion while you are compounding things to fortify the Ventricle you must be sure not to forget such things as are Specificks against the Disease afflicting to wit the Epilepsy for by this means the Sick will soon be restored to his pristin Health 10. Take Conserves of Roses of Betony and of Peony of each two ounces extract of Juniper-berries half an ounce pouder of Mans skull four scruples Indian green Ginger preserved half an ounce Oyl of Vitriol ten drops with syrup of the Conserve of Citron-peels and juyce of Peony-flowers make an Electuary 11. Take pouder of Cloves two drams extracts of Peony of Calamus Aromaticus of Carduus of each one dram Indian green Ginger condited two drams with sugar a sufficient quantity make Morsels 12. Take Mans skull prepared Peony-roots Scorzonera Nutmegs Misletoe of the Oak of each one dram seeds of Anise and Fennel of each one dram white Amber Peony-seeds Peacocks-dung of each half a dram Cubebs Anacardiums Galangal Tormentil roots Virginian Snake-roots Rosemary-flowers of each a scruple white sugar two ounces make all into fine pouder Dose two scruples to two drams CLIII Of an Epilepsy arising from Worms 1. If any one be taken with Epileptick Fits and the Cause
the forces or strength of the Sick so much as to put the life of the Patient into apparent danger or at least make the disease incurable for as much as the Sick has a very strong and Giant-like disease to contend with all and it requires all the skill and wit of the Physician to conserve the strength and Vigor of the diseased for if that be impared by unnecessary bleedings or loss of blood that loss you will afterwards find but to the Cost of the Sick to be altogether irreparable 4. Sennertus a man as much for bleeding as most Physicians prescribes it with very much caution as first if signs of Plenitude appear which although we admit not of yet we make the construction thereof to be if there be any extravasation of blood and that in our Opinion can only be truly called plenitude and then it is reasonable that that which nature has cast forth and does daily cast forth should be taken away and this is known by one evident and manifest sign viz. that the Sick is very apt either to bleed at Nose or else to spit Blood and that in large quantities In this cause as also where the blood is mixt with much Melancholy the same Author would have bleeding immediatly and in the first place to be attempted a Clyster or proper purge being before hand given and then also you ought not to draw away the Blood largely but sparingly 5. In malo verò in veterato venae Sectio tutò omittitur but if the disease is inveterate old or stubborn and rebelious blood letting may saith he in his Practise lib. 1. par 2. cap. 31. be safely omitted and that doubtless for the reasons by us already declared 6. In the next place the morbifick cause is to be carried off by due purging And this according to the mind of Erastus is not to be don only twice thrice or four times but to be continued even for some months the Purgatives ought not to be too violent but according to the strength and constitution of the Body of the Patient and to be re-iterated every third or fourth day But when you see the Animal faculties begin to be restored and the symptoms apparently to remit purgation ought to be used the more seldom as once in seven or nine days but yet at that rate to be continued for at least a year 7. And this is truely the reason why many afflicted with stuborn Epilepsies have mist of a Cure because as well as specificks proper and long exercise of purgation has been pre-remitted for which cause sake when the Sick has been in an apparent hopeful way of Cure the Physician or his Epileptick has given over too soon the necessary and proper evacuation But at length Purging may be defered to longer space of time as to once a month c. moreover you ought to begin with the more gentle things and then by degrees to administer the stronger till you come to the strongest of all but in this Case the body and constitution of the Sick and your own reason ought to guid you 8. Among the more profitable Purges Agrick in a cold moist viscous and pituitous constitution is said to have the preceedency and after that Jallap and Mechoacan or rather Elaterium and Cambogia In a Cholerick habit authors highly prize Rhubarb and that not undeservedly and next after that choice Aloes Colocynthis and Scammony In a Melancholy habit Hellebor bears away the bell and next after that the best Alexandrian Sena and in this latter case a proper mixtion of Colocynthis and Scamony cannot be amiss how ever we will not only give them the names of some of the principal purges but we will also give you some brief forms of purging 9. Purging Decoctions Take any proper specifick Decoction quantitate sufficiente boyl or infuse therein Agarick trochiscated six drams choice Sena one ounce Ginger Galangal of each one dram strain six ounces thereof and sweeten it with two ounces of Honey of Roses for two Doses Or if the Stomach be very foul make a Decoction of Groundsel in Water or Wine which strain and sweeten and exhibit to six ounces or more but if the Decoction be made in distilled water from Peony or other Antepileptick Herbs 't will be so much the better 10. Purging Syrups Take syrupus de spina cervina one ounce and half syrup of Damask Roses one ounce mix them for a Dose Or Take syrup of Buckthorn Oxymel of squils of each ten drams Wine of squils half an ounce mix for a Dose Or Take Peony roots gathered in a fit time one ounce true Acorus Misletoe of the Oak of each half an ounce Hysop Betony Sage Rue Prim-rose leaves Carduus Benedictus seeds of Peony and Fennel of each two drams flowers of the Tile-tree of Lilly-convally of Primroses of each two handfulls polypody of the Oak of each half an ounce choice Sena two ounces Carthamus seeds hul'd one ounce Agarick trochiscated six drams strings of black Hellebor prepared half an ounce Ginger Galangal of each two drams Citron peels Nutmegs of each one dram Infuse all in quantitate sufficiente of Peony water afterwards boyl gently and strain and make it into a syrup with white Sugar to which add Oxymel of squills three ounces dose two ounces or more Oxymel Helleborated is mightily commended by Gesner and others so also Syrupus Helleboratus Quercetani 11. Purging Wines Take Mechoacan half an ounce choice Sena an ounce Gummy turbith six drams Ginger Galangal Cinnamon Nutmegs of each one dram Cloves grains of Paradice of each half a dram flowers of Lilly-convally Arabian Stoechas of each a pugil Rhenish wine a pint bruise all and infuse in a Glass close stop't in a warm place strain and filter through brown paper and sweeten with white sugar dose two ounces some commend the Vinum Helleboratum Vinum Antimoniale and infusion of Crocus Metallorum or of the flowers of Antimony to the skies and that not undeservedly if given by a prudent hand so also the dissolution of Sal Vitrioli in Rhenish Or this following of Erastus Take roots and seeds of Peony of each a dram and half Cinnamon Mace Galangal Ginger Cloves of each one dram Sena one ounce Turbith or Agarick six drams Wine twelve ounces Peony water eight ounces digest twenty four hours sweeten with sugar three ounces and then strain through Hippocrates his sleeve for three or four doses many more excellent wines for this purpose you may find in Our Pharmacopaeia and Doron lately published 12. Purging Electuaries Take Electuarium Diaphoenicon three ounces de succo rosarum two ounces and half Antidote Convulsive two ounces Turbith Esula prepared of each a dram Castoreum Scamony of each two scruples Costus Ginger Cloves of each one scruple Saffron seeds of Cumin and Rue of each ten grains with syrup of Roses solutive make an Electuary dose half an ounce to an ounce The Antidotus Convulsiva is thus made Take Misletoe of the
Labdanum one ounce styrax Calamita half an ounce wood of Aloes Galliae moschatae Cloves of each one dram Myrrh Frankincense of each half a dram Musk four grains Oyl of Nutmegs by Expression half a dram Marjoram water a sufficient quantity mix and make Pomambers But above all external things the Potestates or powers of Amber are found to have the prevalency being bathed on the Coronal Sutures Temples Nostrills nape of the Neck Spina dorsi Stomach and Pulses of the wrists morning and night for severall days together 48. The fourth and last intention of Cure is to corroborate or strengthen and confirm the Brain after that the morbifick cause by the use of the former things is taken away Sennertus approves of this Take roots of Swallow-wort of Elecampane of Devills-bit of Cloves of Peony of each six drams Bay-berries two drams Sage Time Rosemary flowers of each one dram species Diamoschi Dulcis Diapliris Dianthos of each half a dram mix in a fine pouder Or this of Nevius Take Peony seeds bones of Harts-horns viz. those at the roots of the horn Ivory of each half a dram Mans skull Elks hoofs Pearls of each two drams make all into a fine pouder 49. A potion for the same purpose Take waters of Magpies and of Swallows of each two ounces Epileptick water of Langius spirit of Black-cherries of each one ounce Essence of Peony-flowers three drams Tincture of Coral half a dram extracts of Dittany and Rue of each four grains distilled Oyl of Sage two drops Sugar tabulated and pearled five drams mix them together 50. The following Electuary is said to be of Excellent use Take Mithridate electuary of Eryngo roots of each one ounce and half Conserves of Betony and Rosemary of each two ounces and half pouder of Sassafras six drams juyces of Rue and Marjoram of each half an ounce Castoreum three drams Mans-skull Elks-hoof of each two drams roots and seeds of Peony seeds of Nigella and of wild Rue Roots of Pyrethrum Hyssop of each one dram with Honey of squills a sufficient quantity make all into an Electuary which insolate for a month Dose two or three drams 51. These Rouls are also commended Take species Diamoschi Dulcis diapliris Diapeoniae Misleto of the Oak Carduus Benedictus of each one scruple seeds of Peony of Citrons roots of Pyrethrum of each half a dram white Amber Cloves Nutmegs Harts-horn Mans skull prepared of each ten grains with white sugar dissolved in Lilly-convally water a sufficient quantity make Rouls 52. A Confortative Balsam Take Oyl of Nutmegs by Expression one dram Civet one scruple Musk Ambergrise of each six grains Oyls of Lavender of Marjoram of Rue and of Amber of each six drops mix and make a Balsam to anoint the places aforenamed with also it may be given inwardly morning and night from half a scruple to a scruple drinking after it a little Black-cherry wine or Epileptick water of Langius or strong Cinnamon water 53. Over the Coronal sutures you may also apply this Emplaster of Sennertus Take Oyls of Castor of Rue and of Orrice of each one ounce distilled Oyl of Amber half a dram roots and seeds of Peony Misleto of the Oak of each one dram seeds of Nigella and of Rue Castoreum flowers of Lavender of the Tile-tree of Lillys-Convally and of Arabian Staechas of each one scruple with wax and Rosin of each a sufficient quantity make an Emplaster to be applyed as aforesaid Or you may apply that of Franciscus Valesius formerly described in sect 73. § 12. of this chapter which is said alone to cure the Disease and to strengthen the Head and Brain in such sort as that it shall never return any more 54. This Disease is somtimes Cured by Amulets hung about the Neck and Wrists made of the roots and seeds of Peony Or Beads made of the Misletoe or Elder which grows out of a Willow Or of Coral Emeralds Jasper and those other things mentioned sect 150. § 88. In which section we have treated of the general Cure of this Disease and to which we refer you as to a place where you will have many things of singular Use not so much as named in the Paragraphs of this present section CHAP. VI. Of CONVULSIONS The AUTHORS Observations I. A Convulsion in a middle Aged Man proceeding from the Cholick 1. A Man about thirty eight years of Age having had many Paroxysms of the Wind Cholick at length they became so extream as to bring him into certain fits and so pass off I was sent for in one of those fits and when I came to see the Sick I presently found they were Convulsive and that the Convulsion was vniversal over the whole Body 2. The whole body was cold as if it was almost dead and drawn up on a heap the calfs of the Legs were contracted into hard Knots of a great magnitude the Hams were drawn up the Belly was contracted into a heap his Back was bent Neck drawn aside his Fingers Hands and Arms shrunk up and his Mouth writhed in a very odd posture 3. The condition the Sick lay in was very lamentable and deplorable and in all Appearance nothing but Death could be expected yet the man having had already several of the like fits and being naturally of a strong habit and constitution of Body and not much brought down thereby I doubted not but if we could but restore him out of the present fit that there might be sufficient hopes of recovery but the great danger lay in the Extremity of the fit 4. To reduce him to himself we conveyed as well as we could into his Mouth this following dose Take spiritus Carminativus half an ounce Powers of Caraways thirty drops mix them it was forced down his Throat after which his Bowels began suddenly to make a noise and in about two minuts time he broke wind both upwards and downwards 5. All the Convulsed members I caused to be very well bathed with the Powers of Amber by a chafing-dish of Coals and by the use of them in less than half an hour we were Instrumental in restoring of this lamentable spectacle his Head Temples Forehead Nostrills Cheeks and Lips I caused to be bathed with the powers of Rosemary so that in a very short time he came very well to himself again 6. But by reason his Body was bound up or very Costive I caused this following Clyster to be exhibited Take Decoctum Commune a pint Oyl Olive or Oyl of Bay-berries two drams Chymical Oyl of Anniseeds six drops or forty drops of the Potestates or powers Infusion of Crocus Metallorum two ounces Manna an ounce and half mix and dissolve and exhibit it warm This gave six or seven stools and brought away a great quantity not only of hardned Excrements but also of Viscous slimy green yellow blew and otherwise discoloured matter so that the Sick confest himself to be extreamly eased 7. Being thus well recovered my next care was to
the whole nervous systeme was throwly heated and the cause of the Convulsion dissolved which by a Cart load of Internal medicaments could never have been so exquisitely and so suddenly performed moreover the Nerves themselves were mightily corroborated and strengthen'd 10. But during all the time that this was a doing outwardly inward Medicines were not wanting to be used for I sent down also with the said powers of Amber the spirit of Saffron which she much desired and confest she found much good in the powers of Cloves and the Potestates Convulsivae and Nervosae which I ordered her to take either as her Stomach liked or alternatim in Sack as aforementioned these things she failed not to perform and in one months time became perfectly well beyond mine or her Friends expectations 11. But whereas she was troubled with an extream watching so that for some times she could not sleep for two or three days and nights together I ordered her now and then to take in the evening twenty five thirty or forty drops of my Guttae Vitae in Sack and so repose upon it which she did several times and in a short time removed that troublesom symptom moreover after that she became well I ordered her to continue for some time the use of the former internal nervous Medicaments and matutine reception of the Elixir proprietatis VIII Convulsion fits in a Child proceeding from Worms 1. The exquisitness of the cure and the speedy performance thereof makes me to insert this example A little Boy of four or five years old was of a sudden seiz'd with Convulsion fits and that without any praevious cause that his Relations or by-standers could apprehend these fits had afflicted the Child for about two months coming somtimes once in two days and somtimes once a day and somtimes twice a day 2. A stranger accidentally seeing the Child advised its Parents to give it of my Family Pills two at a time every Morning fasting or every other morning according as they found them to work and to continue the use thereof for a week or longer they did so the Pills purged the Child without any Pain and in about ten or twelve days time brought away about fourteen long worms a span or more in length after which the Convulsions ceased of their own accord and the Child presently mended and grew exceeding well upon it 3. This thing was don some years since but of late Mr Hollier told me he gave them to a young Girl who had not been well and the cause of whose Disease seemed to be very abstruse one or two doses at most brought a way from her several hundreds of Worms after which she persently mended and grew very well IX Convulsion fits attended with a Lethargy which were Mortal 1. A young Maiden about seventeen years of Age was seized with Convulsion fits as it was thought by taking cold in the Snow being put to Bed some of the Neighbour-hood advised her Parents to make her drunk with Brandy in hopes of a Cure it was don and the Maid drunk about three quarters of a pint or better of that liquor whereupon being overcome with it she became very sick and afterwards went to sleep the next day the Creature awaked not about noon they disturbed her but she desired still to sleep 2 Hereupon I was sent for because they feared their Child would dye when I came to her another Convulsive fit seized her again which after a while went off but the sick remained sleepy after this manner she continued for a week or more 3. Considering her condition I presum'd it to be a Lethargy which accompanied the Convulsion they desired my help but truly I plainly told them I knew not well what to do however outwardly I advised to bath all the External parts Head Temples Vertebrae of the Neck and Back-bone as also the parts afflicted with the Convulsion with Powers of Rosemary which was don but no amendment succeeded this was don for about eight days but the Lethargy still increased as for internal Medicaments we could get nothing down her Throat It was once attempted but she was in danger of Choaking so that for the future we totally desisted to offer any thing of that kind 4. Upon the fourteenth day after her first seizure she was taken with her last fit upon which by reason of the Extremity thereof she expired after she was dead above half a pint of matter not much unlike thick Milk came as I suppose out of her Head by her Nostrills which smelt as strong of Brandy as if it had been Brandy it self which gave me a satisfaction that the Brain was hurt therewith and the Animal spirits being confounded were overcome whence proceeded her Lethargy drousiness stagnation of the naturall juyces and obstruction or rather a suffocation of the Vital flame XX. Convulsion fits arising from Excessive pains of the Gout in both Feet and Ankles 1. A Woman about forty years of Age having been for about three or four years past troubled with the Gout was at last so exceedingly afflicted therewith that she became bed-rid This pain by reason of an accidental taking of Cold it happening in the middle of Winter was increased and raged to that extremity that the sick fell into Convulsion fits which vehemently afflicted her 2. I was forthwith called to her assistance where her Husband related to me the whole progress of her Disease which was very strange and admirable a Physician and Chyrurgian which had been before me had taken away from her at four several times and all in the space of eight days above forescore ounces of Blood hoping therefrom for amendment and Cure but the sick instead of growing better upon it grew worse and worse every day and at length became as is before related Convulsive 3. Moreover she was afflicted with an obstruction of her Courses which by no artifice they could provoke so that the condition of the Gentlewoman seemed to be desperate upon this I caused the parts afflicted to be well bathed with my Guttae vitae and then applyed over the same my Emplastrum Arthriticum inwardly I gave this Bolus Take Venice Turpentine a dram Venice Treacle half a dram Extract of Thebain Opium two grains Oyl of Vitriol ten drops mix altogether for a dose this she swallowed and drank after it a little Glass of Rhenish wine and sugar This was again repeated at night and given twice a day for four days by which the sick had wonderful ease and the Convulsion fits much abated moreover her Terms which had been obstructed for more than fourteen months were provoked and came down very well 4. A little respite from the Paroxysm being obtained I gently purged her with my Family Pills the which she took once a week for six or eight weeks together by the use of which she confest her Body to be exceeding well cleansed and they procured to her also an exceeding good Stomach so that she eat
this affliction was a young Woman of about twenty years of age The Feaver was not only accompanied with extream heat but also Malignity as the Symptoms did demonstrate she being in many parts very full of purple spots whatever the Feaver or its appendent symptoms might presage without doubt the Convulsions were evidence of danger enough for that they gave a signification of the hurt of the Animal spirits without which in this Case the Genus Nervosum could not well suffer 3. From the manifestation of these causes it behoved us to be speedy in the exhibition of proper and fit Medicaments such as might powerfully resist the Poyson and Malignity of the Disease as well as repress the exorbitancy of the Feaver for this purpose I prescribed this Take Electuarium ad Tabidos a dram salt of Vipers seven grains mix them and give it as a Bolus 4. About a quarter of an hour after I caused the Sick to take a little Treacle-water with which was mixt half an ounce of the Aqua Bezoartica Langij these things promoted a powerful Sweat for almost eight hours In the time of sweating the Sick was very thirsty for the quenching of which I prescribed this following Juleb Take Wood-sorrel-water Bawm and Angelica waters all simply distilled of each six ounces Spirit of Angelica two ounces Sal prunellae two drams Salt of Wormwood half a dram syrup of Limons enough to make it pleasant mix them and give the Sick two or three spoonfuls thereof at a time as occasion requires 5. These things thus taken had a singular good effect for the great burning heat was abated and therewith the malignity however to secure the Sick against any more Paroxysms of the Convulsion I the next day caused the same dose of the Electuary and Volatile salt of Vipers to be again exhibited which produced a second Ephidrotick flood exceeding the former but much more pleasant and easy and in this I permitted the Sick to take now and then the juyce of a Sivile Orange for her refreshment 6. The Sweating continued between three and four hours at which time I caused the Nurse to lay the Cloths thinner and by degrees to cool her which was happily performed in less than an hours time after which to comfort and restore her I caused her often to take of this following mixture Take juyce of Alkermes two ounces syrup of Wood-Sorrel an ounce and half syrup of Limons an ounce spirit of Saffron Cinnamon water of each four ounces mix them together of which let the Sick take every two hours a spoonful 7. These things thus given had so happy an effect as to take away the malignity of the Feaver so as that no more Convulsions â—â—llowed and in less than two days time after the spots also wholly vanish'd and by continuing the latter Cordial she was in four or five days time become pretty well so as that she could sit up eat drink and be pleasant with her Friends nor afterwards did she relapse As to her Diet during this time it was partly Gruel partly Mutton-broth Chicken broth Mace-Ale all boyled with Wood-sorrel and Borrage-leaves but she eat no kind of flesh till after the seventh day XXV Convulsion fits happening to a Woman in Labour or but newly delivered 1. This Woman by reason of her hard Labour sell into Convulsion-fits which after her Delivery followed her very thick with fainting away and swooning insomuch as the Mâ—dwife and Women assisting very much dispaired of her life whereupon it was moved that I should be sent for 2. But I being sick and not able to go having heard a relation of the Womans condition sent her the following things I. The Powers of Amber which I ordered to bath withall chiefly the Abdomen and Hypogasters as also the Pubis and secret parts and this to be exceeding well done as also to moisten a thin flannel in the same and apply it hot and so to bind her up with warm Linnen 3. Secondly I prescribed my Gutae Vitae to be taken twenty drops at a time in a glass of Aqua Bryoniae composita for by that means the disturbed Archaeus and troubled Animal spirits would be immediately at rest this I ordered to be taken but once or twice in all unless they found that the Convulsions yet ceased not but they gave her it Morning and Evening for two days space By this she found much rest and ease and through the use thereof the Convulsions left her in a very little time 4. Moreover by reason of the bathing of the Powers of Amber she had either no After-pains or they were so inconsiderable as not to be much taken notice of and vanished as it were upon their first approach such is the admirable exâ—â—â—â—â—â—y and virtue of that precious Medicaments 5. Thirdly To comfort and refresh her spirits I ordered this following mixture to be given her a spoonful at a time once ever hour or two Take strong Cinnamon water eight ounces pure spirit of Saffron four ounces Powers of Carraways one ounce syrup of the juyce of Alkermes two ounces mix them to be given as aforesaid This mightily comforted her and so extreamly refreshed and revived her spirits that by the use thereof with the other things not only her Pain the Convulsive motions but also her fainting and decay of spirit totally left her so that the Woman quickly growing brisk and chearful was restored to her perfect Health and her weakness so much abated that in about nine days time she arose from her Bed and walked lustily every day about her House Observations from other AUTHORS XXVI Two cured of a Tetanos by Valescus 1. He commanded the Sick man to be held upright by four other men which done he poured twenty four pitchers of Water I suppose it was warm water upon him falling from his Head upon his inferiour parts 2. This done he presently placed him before the fire and for half an hour anointed him well to wit from the Neck to the lowest Vertebra of the Hips as also the Loins and Arms with Vnguentum Dialthaea Martiatum and Agrippa mix with Oyl of Castoreum after which he gave the Sick a little broth of a Pullet and he grew well 3. The same manner of Operation and with the same thing he cured another of a Tetanos Valescus lib. 1. cap. 21. XXVII A Convulsion coming from Repletion 1. The cure of a Cunvulsion is to be varied according to the variety of the Convulsive cause for that which proceeds from repletion must be otherwise cured than that which is caused by Inanition and that which proceeds of pain otherwise than either of them 2. For that which is caused by repletion is cured by discussing evacuating Medicines as by Diet conveniently appointed by Purging Bleeding digestive local Medicines exercise Frictions Sulphurous baths and other things appointed by the prescription of some learned Physician which shall oversee the Cure which may consume the superfluous and Excrementitious
humors that possess the substance of the Nerves and habit of the body 3. The Topical remedies are Oyls Oyntments and Liniments with which the Neck Back-bone and all the contracted parts shall be anointed The Oyls are Oyls of Foxes Bays Camomil Worms Turpentine Costus and of Castoreum 4. The Oyntments are Vnguentum Arragon Agrippae de Althaea Martiatum 5. This may be the form of a Liniment Take Oyls of Camomil and Bays of each two ounces Oyl of Foxes one ounce Oyntments of Marsh-mallows and Martiatum of each half an ounce Fox grease one ounce Aqua Vitae an ounce and half Wax quantum suffiâ—it mix and make a Liniment for use Or thus Take Oyls of Worms of Spike and of Castor of each three ounces Mans grease one ounce Sulphur vive half an ounce Wax a sufficient quantity mix and make a Liniment Or thus Take Oyntments of Martiatum and Agrippa of each three ounces Oyl of Turpentine an ounce and half Oyl of Sage half an ounce Aqua Vitae one ounce Wax an ounce and half mix and make a Liniment 6. As to the Diet it ought to be slender and sudorifick with the Decoction of Guajacum because by these remedies the gross tough and viscous excrements which are in fault are digested Paraeus lib. 9. cap. 10. XXVIII The cure of a Convulsion caused by Inanition or emptiness 1. A Convulsion proceeding from Inanition is to be cured by the use of those things which have a natural power to nourish and restore and therefore there ought to be prescribed a Diet consisting of Meats full of good Juyce and Nutriments as Broths and Jellies of Capons Piegons Veal and Mutton boyling therein Violet and Mallow-leaves 2. Conserves must be ordained which may strengthen the debilitated Powers and humect the habit of the Body such as are the Conserves of Bugloss Borrage Violets and Water-Lillies The following broth will be profitable Take Lettice Bugloss Purslane of each an handful of the four greater cold seeds of each half an ounce Barberries one dram half an ounce is better let them all be boyled with a Chicken and let the sick take the Broth every Morning 3. If thirst is vehement the following Julep will be good Take Rose-water four ounces Violet-water half a pint white Sugar four ounces mix them and give it by degrees 4. If the sick is bound in his Body emollient and humecting Clysters are to be exhibited made of the Decoction of a Sheeps-head and Feet Mallows Marsh-mallows Pellitory of the Wall Violet-leaves and other things of like nature with them Or that the remedy may the more speedily be made let the Clyster be composed only of Oyl and Milk 5. Topick remedies may be made in the form of Liniments and Baths A Liniment may be made after this manner Take Oyls of Violets and sweet Almonds of each two ounces Oyls of Lillies and Earth-worms of each one ounce fresh Hogs-lard three ounces new wax a sufficient quantity mix and make a Liniment with which let the whole spine and part be anointed 6. The form of an emollient and humecting Bath Take leaves of Mallows Althaea Parietary of each six handfuls seeds of Time and Fenugreek of each half a pound boyl them in spring-water a sufficient quantity adding at the end Oyl of Lillys nine ounces make a bath into which let the sick eater whilst it is moderately warm 7. When he shall come forth of the Bath let him be dryed with warm Cloths or rest in his Bed avoiding Sweat But if the sick is able to undergo the charge it will be good to order a bath of Milk or Oyl alone or of them equally mixt together Paraeus lib. 9. cap. 10. XXIX The cure of a Convulsion by Sympathy and Pain as by the puncture of a Nerve bite of a venomous Beast c. 1. A Convulsion which is caused both by consent of pain and communication of the affect is cured by remedies which are contrary to the Dolorifick cause If it proceeds from a Puncture or venomious bite the wound must be dilated and enlarged by cutting the Skin that so the venenate matter may flow forth the more freely for which purpose also Medicines which are of a thin and lâ—quid câ—nsistence but of a dry and digestive faculty are to be poured in to call forth and dissolve the Virulency 2. Of this kind are Venice Treacle and Mithridate which may be dissolved in Aqua Vitae with a little of some Mercurial Pouder for this is a noble Antidote and admirable Alexipharmacum Also Cupping-glasses and Scarifications will be good 3. The condition also of all Dolorifick causes is to be opposed by the application of contrary Remedies as if pain by reason of a pricked Nerve or Tendon shall cause a Convulsion it must presently be resisted by proper Remedies as Oyls of Turpentine or Euphorbium mixt with Aquae Vitae and also with other remedies appropriated to the punctures of the Nerves 4. If the Pain proceeds from excess of cold because cold is hurtful to the Brain the spinal Marrow and the Nerves the sick shall be placed in a hot Air such as that of a Hot-house or Stove all the spine of his Back and convulsed parts must be anointed with the hot Liniments above mentioned for that is much better than to expose the Patient suddenly to a very hot fire or warm Bath 5. In the mean time the Chyrurgian ought to take diligent heed that as soon as the signs of the Convulsion to come or at hand or already present do shew themselves that he put a stick or some other wooden thing between the Patients Teeth left they be fast locked up by the pertinacious contraction of the Jaws for many in such a Case have bit off their Tongues 6. For this purpose he ought to be provided of an Instrument called Speculum Oris which may be dilated and contracted according to your mind by means of a Screw Paraeus lib. 9. cap. 11. XXX A Convulsion in a young Man 1. A Young Man had a Convulsion so that he could not bend his Back-bone by help of this following Medicament he could presently walk nimbly 2. Take of rank Butter and old Lard of each three ounces Bdellum Ammoniacum of each half an ounce Myrrh Castoreum of each three draws Flowers of Staechas and Rosemary of each one pugil Nutmegs and Cloves of each one drachm a young Kitling or little Cat unbowelled and striped and cut in peices stop the Belly of a Goose with these things and sew it up and roast it on a Spit and the first Liquor that drops cast away the next save in a Dripping-Pan half full of Vinegar to anoint the cramped or convulsed Back This is a divine Medicine Riverius lib. 4. observ 308. XXXI A rare kind of Convulsion 1. A certain Soldier by a Bullet out of a piece of Ordnance was wounded in his right Arm the Bullet took his whole Arm away only that part next his Shoulder was left as much as
in the mean time her Head and Members were carried violently here and there with convulsive motions 9. If at any time she lay on her left side presently a contraction of her right Hypochondrium inwards with a sobbing and noise vexed her 10. Within a few day her strength being very much lost by the assiduity of the passions she contracted so great an imbecility in her loins and joints of her Legs that she could not lean nor stand on her Feet her Somach distempered either with weakness or the Convulsion return'd back whatever was put into it by vomit 11. In this case as in the former it evidently appears that the animal spirits not only those implanted in this or that part or region had contracted an Heterogeneous Copula to be shaken off by some turns but also the spirits influencing some Nerves being imbued with explosive particles had brought in the perpetual and wandering convulsive motions 12. And when at first it hapened that the Spirits so afflicted did assault not only all the Nerves together nor any indifferently but for the most part only those belonging to the Diaphragma and the Appendices of the spinal marrow so that within those spaces the fury of the spirits perpetually explosing was limitted 13. For this reason it hapened that the convulsive affections being restrained in any one of these parts did break forth more furiously strait way in another 14. And when by their proper instinct their motive force was imployed in one region the same was in the mean time wont to be remitted in another 15. Moreover in this sick person the morbifick matter consisting both of Narcotick and convulsive Particles caused together the paralytick and convulsive distemper 16. Coming to her on the fourth day I gave her an Emetick potion by which she vomited seven times abundance of ropy Phlegm with yellow choler yet without any ease 17. On the next day I took six ounces of Blood from her left Arm presently from thence the Blood being more impetuously carried towards the Head she complained mightily of an Head-ach and giddiness But within three days she being let Blood in the Foot found herself better 18. She afterwards took remedies for the Distempers of the Nerves to wit spirit of Harts-horn and of Blood Bezoartick and shelly powders Juleps and Electuaries Antispasmatical by the use of these the symptoms seem'd to be somthing remitted but yet they remained somwhat after the manner lately described 19. After a fortnight by the prescription of a certain country-Woman she took in a draught of Beer six spoonfulls of blood taken from the Ear of an Ass by which she seem'd on a sudden to be cured For forthwith all the convulsive motions did leave her and she remained free from them twenty four hours 20. But yet the Disease returning the next day with its wonted force would not give place neither to that remedy nor indeed easily to any other she therefore for the future took Medicines methodically prescribed 21. Once within sick days she was gently purged besides she took the powder composed of Bezoar Pearls and Coral with the roots and seeds of Peony also an Electuary prescribed by Horstius for these kind of admirable Convulsions also Juleps and decoâ—tions proper in convulsive distempers 22. Clysters were often used frictions ointments and vesicatories were administred with success within another week the sobbing affection wholly ceased and likewise the other convulsive motions being grown more gentle by degrees very much remitted 23. Growing well of these Distempers a Catarrh falling down in her Throat she was so much troubled that she almost continually spit forth a sharp and as it were a corrosive spittle as if she had had a Salivation by the takeing of Mercury which kind of rememedy indeed hath been found to have been the last event in this case 24. But I wholly abstained from administring it because both the sick and her Friends would not give me leave 25. After this plentiful and troublesom spitting had continued for many days the Disease seem'd almost to be wholly cured so that this noble Gentlewoman being free of her convulsive motions went abroad and was well both in strength and Stomack 26. Only she complained that oftimes in a day she was suddenly afflicted about a minute of an hour with a shivering of her whole Body which kind of Distemper coming upon her somtimes in the Night broke her sleep 27. Within the space of a month this symptom also and likewise her Catarrh wholly ceased But from thence she was somtimes afflicted with an extream soreness in her Ventricle and the passage of the Oesophagus an somtimes also in her Mouth and Pallate that it was feared least the inward skin being fretted those parts should contract an ulcerous disposition 28. Besides she was tormented often in her sleep somtimes also being awaked with the night Mare or Incubus For this I prescribed Spring and Fall a gentle purge to be administred with the use of Antiscorbutick remedies and somtimes Chalibiates or Medicines of prepared Steel which kind of method she observed so much to her benefit that she was in health for many years and is as yet well 29. Among the many remedies which were taken against that sourness and as it were ulcerous disposition of the Pallat and Oesophagus I prescribed that she should drink every morning her own Urine fresh made 30. This whilst it was very saltish was wont to give her great ease but at somtimes her Urine flowed from her thin and plentifully which being nothing salt but like to sour Vinegar from the drinking of that she received little or no benefit 31. The reason of the case but now described seems not much unlike the former unless that in this sick Gentleman the explosive particles had entred into more passages of the Nerves to wit besides the Appendices of the spinal marrow into those dedicated for the office of breathing and also by fits into those designed for the motion of the Tongue and almost perpetually tormented the Spirits abounding in them with rage or fury 32. But that the cure of this Disease happened by the falling down of the sharp humor into the emunctores of the Mouth and Throat we may from thence gather that the material cause of this was the heterogeneous particles and as it were nitrous begotten in the blood which when from thence being pasted through from the Brain they were carried into the nervous stock caused the aforesaid Distempers 33. But as soon as by the help of remedies the more plentiful provision of that matter was hindred and the morbifick particles already produced from the blood Brain and nervous stock were derived into those Emunctories of the Head the convulsive distemper presently ceased and within a short time such a Crisis or secretion still remaining the perfect cure of the Disease followed 34. For as much as the Urine being of it self very salt and as it were Lixivial became at somtimes sowerish which did
the Knee and the part affected is to be kept tyed till the malignant vapour and the sense of pain shall altogether vanish away 4. And if the vellication and pricking should longer continue then the ligature may be somtimes loosned whereby the member may more liberally receive the blood and the enlivening spirit which being done let him presently bind on the ligature and so let him proceed alternately until there be a remission which pain and vellication at length ceasing he may unbind the Ligature 5. This being done let him take one dram of the convulsive powder or half an ounce of the counvulsive Antidote well dissolved in a little broth for defending the Brain and principal members and dissipating the venomous vapours in the same 6. But if that malignant humor give him so long thruce as to lie in Bed then he may if strength will permit cover himself well with coverings till he sweat and so those vapours by insensible transpiration be evaporated 7. These Remedies are to be alternatly reiterated even till a total intermission of the Disease and pain which being done let him the next day take for a purge half an ounce of the purging Electuary Observing all things exactly according to former prescriptions Georgius Horstius lib. 8. cap. 7. LXX Other universal remedies designed for the cure of this Disease 1. Of these there are chiefly three to wit the purging convulsive Electuary the convulsive Antidote and the convulsive Powder 2. The first viz. the puging convulsive Electuary is this Take Diaphaenicum Solidum four ounces the Electuary of the juice of Roses two ounces and half the convulsive Antidote or Treacle here described two ounces the powder of Hermodacts cleansed from the upmost Bark Turpentine Esula of each one dram Diagrydium Castoreum of each two scruples Ginger Costus Cloves of each one scruple the seeds of Rue Cummin Crocus of each half a scruple mix them and with the syrup of Roses solutive make an Electuary 3. The convulsive Antidote Take the rootâ— Peony Misleto of each two ounces Castoreum Sage of each two ounces Bay-berries Mans-skull burnt of each two drams Treacle of Alexandria choice Mithridate of each twelve ounces clarified Honey two pound mix them for a Treacle Electuary 4. The convulsive powder Take the powder of the roots of Swallow wort Elecampane Devills-bite Avens Peony of each one ouncâ— and half Bay-berries half an ounce the tops of Sage Mother of time Rosemary-flowers of each two drams Species Diamoschi Dulcis Plirisarconticon Dianthos of each one dram mix them and make a powder 5. After this manner have we delineated the convulsive Disease with its cure and we have by experience found that the above named Remedies has given such abundant help to Nature that this stubborn dangerous Disease has been overcome and all its symptoms vanished Georgius Horstius lib. 8. cap. 9. LXXI These following things are also good for the Convulsion 1. Make a fomentation of the leaves and flowers of the Tile-tree boyled in Wine after the fomentation take for anointing the parts the Oyl of Line-seed Goose-grease mixed with the Oyl of Cinnamon the Oyl of Earth-worms mixed with Turpentine Take the Oyl of Cammomil one ounce of Earth-worms half an ounce Castoreum the powder of Earth-worms of each half a dram mix them 2. Treacle dissolved in the Oyl of Scorpions and Castoreum is of good use if the distemper proceed from a cold Cause Gregorius Horstius vol. 3. lib. 2. cap. LXXII A Convulsion in a certain Matron 1. A certain Matron was for some days afflicted with horrible fits of a Convulsion accompanied with a kind of foolishness her body was sometimes so imâ—etuously shaken that scarsly two of the strongest men could hold her 2. I having observed that she loathed all kind of Medicaments I advised that her Husband who had been for some time absent should be called and her Members which had been for some days shaken and wasted to be anointed with the following Oyntment 3. Take the Oyl of the flowers of Slotanus one ounce the Oyl of Earth-worms of Foxes of Camomil of Lillies and white Roses of each half an ounce and mix them 4. From that time I never knew that she was ever taken with convulsive fits or other Diseases all the time she lived with her Husband who was a Physitian Fabritij Hildani cent 6. Observ Chururg 26. LXXIII Convulsions considred in general 1. A Convulsion is two fold either universal or particular an universal Convulsion is three-fold either the Head and whole Body is contracted and drawn to the Breast or the Head Neck and the rest of the Body is convulsed and drawn to the hinder parts and Back or the whole remains immoveable and inflexible to either part 2. A particular Convulsion is only that which seises one part 3. This Disease either proceeds from repletion or emptiness or from the putrid malignant Vapours elevated to the Brain and the original of the Nerves 4. All Convulsions are dangerous but particularly that which proceeds from emptiness the Nerves being too much dried by immoderate Purgations vomits a burning Feaver c. cannot be easily moistened or humected and oft-times the strength is loosened and destroyed by the sharpness of the Disease before the Nerves can recover their former Humectation and be reduced to some good temper 5. Wherefore Hippocrates did rightly pronounce a convulsion from Hellebor to be deadly because of the immoderate Evacuation which also an incurable siccity and driness does follow 6. The same Author affirms that a Convulsion occasioned by a wound is also incurable because of the hurting and inflamation of the Nervous parts by which great pain comes which by consent grievously afflicts the Brain 7. A Convulsion from Malignant and venomous vapours is no less dangerous For by them the Brain is not only afflicted but also the Heart to which the vapours are carried by the Arteries 8. In the cure of this Disease the cause is to be looked to If the Convulsion proceed from repletion according to Hippocrates it requires evacuation wherefore a good Diet is to be instituted the Body is to be Purged and a vein is to be opened and the part affected and the whole marrow of the Back-bone is to be anointed with the following Oyntment 9. Take Oyl of Earth-worms of Foxes of each two ounces Oyl of Turpentine of Wax of Castoreum of each half an ounce Mans grease three ounces juyce of Earth-worms one ounce mix them and apply them hot 10. But if the Distemper proceed from inanition and siccity purgative Medicine and blood letting must be avoided and meats that are moistning or humecting and nutritive must be used 11. If the Patients thirst be great then the following potion may be exhibited Take the water of Bugloss Roses and Violets of each four ounâ—â—s syrup of Violets four ounces mix them and make a Julep which the sick may take as often as he pleases 12. Emulsions of the cold seeds and the Milk of sweet
Almonds are very agreable as also the Conserves of Violets the flowers of Water-lillies Nenuphar and Borrage 13. If the Belly be not in good temper you may administer a Clyster let it be such a one as is both emollient and nutritive made of the broth of Mutton Capons and Hens with the Yolks of four Eggs and a little of the powder of Saffron Mace and Cinnamon-water 14. The part affected and the marrow of the Back is to be anointed with the following things Take Mans fat the Oyl of Violets and sweet-Almonds of each two ounces the juyce of Earth-worms three ounces mix and apply them warm 15. If the Convulsion be by consent that is to say if it proceed from pain inflamation and tumefacton then the pain is to be asswaged the inflammation is to be extinguished and the tumefaction of the Member is to be resolved and dissipated in which Case the following Oyntment is agreeable even to a wonderful manner 16. Take Oyl of Sage Dill Cammomil Foxes the juyce of Earth-worms Mans grease of each two ounces Oyl of Turpentine Aqua vitae of each one ounce Saffron one dram mix them and make a Liniment 17. Ambrosius Paraeus who deserves eternal Encomiums does exceedingly commend the following Liniment to be used in Diseases of the Nerves chiefly those which arises from a cold cause Take Sage Ground-pine Marjoram Rosemary Rue Lavender of each one handful the flowers of Cammomil Melilot Dill-Hypericon of each two pugils Bay and Juniper-berries of each two ounces the roots of Pyrethrum two drams Mastick Benjamin of each one ounce and half Turpentine one pound Oyl of Earth-worms Dill and Whelps of each six ounces Oyl of Turpentine three ounces Mans-grease two ounces Crocus one dram white Wine one pound and half Wax a sufficient quantity bruise those that are to be bruised and pulverise those that are to be pulverized afterwards let them be boyled in a double vessel with the several Oyls and grease above mentioned and then make a Liniment according to Art adding in the end three ounces of Aqua vitae 18. But if the Convulsion proceed from evil and malignant vapours afflicting the Brain and other noble parts the digestion and suppuration of the Wound must be accelerated and although cold defensitives impede the Elevation of the vapours yet because thâ—y retard the suppuration of the wound and â—urt the Nerves they are not to be used but with great judgment 19. This one thing I shall add that to those Liniments which are applyed to the Wound there be always added some Treacle Mithridate and the Bezoar stone 20. Mithridate also Treacle the Bezoar-stone Harts-horn and other Alexipharmacks taken in at the Mouth does agree very well an Epithem is to be applyed to the region of the Heart as also to his Wrists Fabritius Hildanus de Gangrena cap 26. LXXIV A Convulsion in a fat Man 1. A man fat thick and flegmatick about the age of five and thirty having after supper a great pain in his Head was suddenly taken with an universal Convulsion through his whole Body insomuch that I never before had seen the like 2. For his Leggs and Arms were not only convulsed but also the muscles of his Breast yea a most violent Convulsion had seized the whole Body he lay speechless with his Mouth shut if he had been pricked there followed a contraction of the Hands and Feet but he had some Sense so that it did not appear to be an Apoplexy 3. This Fit continued two whole days and three nights till Death gave him a Quietus est 4. Coming to him at night I ordered Frictions and Ligatures and having by an Artifice opened his Mouth I ordered Oxymel to be put into his Mouth as also a sharp Clyster to be injected 5. In this difficult Case I did press earnestly for consultation with Cornelius Ericius my Colleague whose Sentiments of the Disease and of the Necessity of the Clyster which was prepared was the same with mine 6. We agreed in giving him for a gentle Purge for he was very phlegmatick one dram and half of Pil. Cochiae dissolved in a little Sage-Water by this he had three stools yet he continued as he was 7. At night returning again we anointed the whole Nape and the whole Back-bone with the Oyl of Turpentine mixed with the Oyl of Foxes and we did exhibit again Pil. Cochiae but was nothing the better 8. Afterwards the following Sternutatory was prescribed Take white Hollebore black Pepper Staves acre of each one scruple and half beat them into a fine Pouder and then by a Quill put it up into the Nostrils 9. But this also did no good for it did not cause Sneezing which without Controversy was a mortal Sign at the same time his Teeth being opened a little of the following Compound was poured into his Mouth very often 10. Take the Conserve of the Flowers of Rosemary one ounce Mithridate half an ounce choice Treacle three drams Oxymel simple and Squills of each half an ounce Syrup of Staechas half an ounce mix them neither was any thing the better by this for he dyed the third night Petrus Forestus Lib. 10. Observ 103. LXXV A Convulsion arising from a pain in the Joints 1. A certain noble Woman having a long time kept her Chamber by pains in the Joynts and growing thereby flegmatick she was sadly afflicted almost every year with the Gout and at length the pituitous matter being imbibed in the Nerves she had a mighty Convulsion 2. Among many things we prescribed for Diet this one thing we thought convenient to be taken in stead of Wine viz a kind of Mead made of the Decoction of Marjoram Sage Betony with a little Cinnamon and Honey 3. We did commend frictions of the Vertebrae and Neck and that she would avoid all perturbations of the mind and to keep the Body always in a good Temper we ordered for her the following Clyster Take roots of Marsh-Mallows white Lillies of each half an ounce Sage Betony Hysop Rue of each one handful the Flowers of Carduus Benedictus Rosemary Cammomil Centaury the lesser Herb Mercury of each one handful and half Staechas one pugil Carthamus-seed half an ounce Caraway and Fennel-seed one dram and half Polypâ—dy half an ounce Bran one pugil white Agarick one dram and half boyl them all together in common Water to one pound of the straining I add Benedictum laxativum half an ounce Electuary of Hiera Picra three drams Oyl of Lillies Oyl of Cammomil of each one ounce and half with a little Salt make a Clyster 4. But if this will not do because of the hardness of the Belly I would advise a more emollient Clyster of the Decoction of Mallows and Marsh-Mallows c. 5. The minoration of the pituitous matter being made by Pil. Hierae simplex we endeavoured for the better Evacuation of the same to render the matter more thin and fluxile by Syrups made of the Decoction of Sage Marjoram
Ground-Pine Germander Hysop and the like the Syrup of Staechas Honey of Roses and the Syrup of Betony being added 6. First for Purgation we exhibited these following Pills Take Pills of Assajaret and Agarick trochiscated of each half a dram with Honey of Roses make seven Pills 7. Let her take afterwards the following Apozem Take the bark of the roots of Barsley Fennel Butchers-Broom Asparagus of each half an ounce the Flowers of Rosemary one pugil Hysop Marjoram Sage Germander Ground-Pine Betony of each one handful Annise and Fennel one dram and half Carthamus-seeds half an ounce Polypody of the Oak one ounce Tyme one pugil make a Decoction in water to one pound of the straining you may add Syrup of Staechas Calamint Honey of Roses strained of each one ounce aromatize it with a little Cinnamon Mace and Nutmeg and let it be after the manner of a Claret 8. I did purge her again with the following Pills Take Pil. Faetidae Cochiae Pil. Hermodactylis of each one scruple Castoreum three grains make seven Pills 9. And after I had used dry Cupping-glases with Scarification in the shoulder blades and hipps we then made use of Masticatories and Apophlegmatisms for these not only divert but also draw the matter from the Head and hinder the Defluction thereof from the Brain to the Nape and Vertebrae Treacle Mithridate Diamoschi Conserve of the Flowers of Sage and Rosemary were taken and outwardly the Back-bone as also the other convulsed Members were first anointed with the Oyl of Foxes and Earth-Worms then with the Oyl of Costus and an Ointment made of Bdellum rowling all up in the skin of a Wolf 10. The Members were for some time kept in a Decoction of Whelps in Wine and Oyl 11 And that Experiment of Nicholas which resolves and remits the pain was not neglected Take a fat Goose open it and throw away the Garbish and after you have put into the Belly thereof a Cat cut in small peices with Lard Myrrh and Frankincense sow it up putting it on a Spit which roast then set a Dish under it wherein is Vinegar in which the first Fat dropping was laid aside but that which distilled afterwards was reserved for Vse 12. Let the Goose after this be boyled in the said Vinegar and the greatest part of the Fat will be separated and will swim above the Vinegar which being mixed with the first anoinâ— therewith the convulsed Members 13. I have known some to be freed from pain by using only a Bath of common Oyl with a Decoction of Earth-Worms but the Members must be contained within the hot Oyl and a Plaister of Earth-Worms must be applyed to the affected Parts 14. Caesar Landulphus said he was cured by Cats-mint common Oyl Worms and the Oyl of Fâ—xes although he had a Convulsion in his Hipps and Leggs it returning about half a year after was presently well by taking Sarsa-Parilla Forestus Lib. 10. Observ 104. LXXVI A Convulsion in an old Man 1. A certain old man of Delf having a Convulsion in his Neck and Arm I exhibited to him Pil. Cochiae with a small quantity of Castoreum afterwards I gave him Pil. Cochiae Fetidae and his Neck also being anointed with the Oyl of Lillies Earth-Worms and Foxes this old Man recovered even to a Miracle 2. Also another sick Person was freed from Convulsions thus a Vein was opened then a Decoction was made of Sage Betony Marjoram Staechas and the like to which was added also Syrup of Staechas and the Pills above mentioned were exhibited then Errhins and cephalick Purges were administred 3. After this we came to use Topicks first anointing the parts with Oyl of Lillies and Cammomil and then for greater Discussion we proceeded to the use of the Oyls of Rue Bays Orris Ducks and Goose grease and at length of Petroleum a little Aqua Vitae being added as also a little of the Pouder of Castoreum with Marsh-Mallows and Martiatum Forestus Lib. 10. Observ 106. LXXVII A Convulsion from too great Repletion of the pituitous Juice 1. A Man drowsy and flegmatick every day filling himself with thick Beer and living a very idle life being about the age of forty fell suddenly into a Convulsion of the Arms and Leggs 2. Having understood by several Causes and Signs that his Convulsions proceeded from too great plenty of the pituitous Juice or Humors I ordered that according to Celsus he should keep a continual Fire in his Chamber it being cold Weather which does certainly offend the Parts 3. I took care that the Belly was kept in a good Temper the Cream of Ptisan was ordered for him as a Diet as also rear Eggs Chickens or a Broth in which Hysop the Mother of Tyme Sage Elder Savory were boyled 4. I praescribed to him a Clyster which having purged him sufficiently I ordered him to use twice a day continually the following Decoction Take Sage Marjoram Cowslipps Betony Bay-leaves the flowers of Rosemary and Staechas of each one handful make a Decoction in Aqua Mulsa for one pint 5. Afterwards I purged him with the following Pills Take Pil. Cochiae and Fetidae and of Agarick of each one scruple with Betony water make five Pills after the purge of Actius I did exhibite one dram of Castoreum with Sage-Water 6. After one or two days his Head being purged again with Errhines and Apophlegmatisms I ordered one dram of choice Treacle with two ounces of Aqua Mulsa 7. And I anointed his Neck Back-bone and the inferior Vertebrae with the Oyl of Spike of Costus and Castoreum the Oyl of Pepper and Earth-Worms by which Remedies he was at length cured Petrus Forestus Lib. 10. Observ 107. LXXVIII A Convulsion from outragious Choler 1. One dwelling in the City of Delf who was intemperate and a great Feeder fell under the Praedominancy of fierce and sharp Choler by reason of continual Crudities being taking with a violent Griping and Evacuation as well above as below he fell into swooning Fits which brought him into a Convulsion of the Hands and Feet and a Contraction almost of all the Muscles 2. For the Muscles of his Breast Throat Neck Back and Belly were so convulsed that every one that saw him looked upon him as one just ready to expire for subduing of this stubborn Malady I proposed the following Drink for cleansing the Ventricle from that sharp and gnawing Humor 3. Take the Decoction of Barley not husked three ounces Syrup of the manifold Infusion of red Roses one ounce mix them 4. By this he vomited up many cholerick humors and had several watery Stools 5. For his swooning his Face was often sprinkled with Water and Wine was often held to him to smell at Frictions were also used afterwards both for repressing the Impetuosity of Choler Vomiting and Loosness as also his great Thirst and frequent Swooning Take Rob de Ribes two ounces Rob of Cherries Syrup of Quinces of each one ounce Lozenges of Sugar pearled one ounce and half mix
that ever I met with yea where the fits have been so exorbitant as to return above sixteen or eighteen times in the space of twenty four hours and therefore commend the same to the world from so great and large experience CXIV Of Convulsions arising by consent from other parts 1. Many ways are these Convulsions caused according to the part or parts affected or hurt in the Head they may arise from a puncture of the Menings of the Brain in the extream parts from a puncture of a Nerve or Tendon In the Stomach from poison received or from a wound or Ulcer in the Tunicles or Coats of the Stomach or from Worms in the Womb from faetid Vapours or sharp humors contained in the part in a part bitten by a Serpent or other Venomous beast from the poyson contaminating the Animal Spirits by reason of which though the Medium of the Nervous system the Brain it self becomes also affected by consent or compassion rather 2. These Convulsions are all dangerous if of any long continuance before the application of proper Medicaments for if once the Animal powers be over-come farewel Life the further the affect is from the Head and Brain the less is the danger and so much the less as the application is immediate after the Cause Wounds in the Menings of the Brain are very dangerous And though some Authors have reported that several have escaped with Life and perfectly recovered who have had the Menings of the Brain hurt yet ten have died to one so recovered In a puncture of a Nerve or Tendon in any extream part there is great danger and if there is once a mortification and Sphacelous begun there is no way to save the life of the sick but by cutting off the part 3. If poyson be long received it is for the most part Mortal because there is commonly a speedy mortification of the Viscera If there be speedy remedy exhibited there is for the most part hopes let the poyson be what it will if there be an Ulcer of the Stomach and Convulsions thereupon the Convulsions will not cease till the Ulcer is consolidated Convulsions from the Womb if caused of faetid Vapours or humors are commonly cured by cleansing the Womb but if once Ulcers be created in the part the success of the Cure will be doubtful Convulsions arising from Worms in the Bowels are curable while the parts are whole and not gnawn asunder but if the Worms be in great numbers and any of the parts eaten through Death must come and be the Physician 4. Convulsions arising from Cholick pains are curable by taking away the matter causing the Cholick but if the Disease has been of long standing so as that from the sharpness of the humor Ulcers are created or the sick receives no benefit by proper Medicines the case then is very dangerous and so much the more dangerous if it be attended with vomiting a bloody flux bloody urine or spitting of blood or frequent swooning fits and faintings away sickness at Heart and such like 5. The Indications of the cure of these kinds of Convulsions must be taken from their Causes if there be a hurt of the Menings of the Brain there will be a necessity of opening the Cranium with a Trepan after which it is to be cured as in wounds of the Head and Brain mixing with the Neuroticks and Antispasmaticks in the former section proper Cephalicks and such as have respect to the Brain as the Powers of Gentian Nutmegs Sage Lavender Rosemary Spicknard Ditany of Creet c. whether they be considered as relating to their Internal or External use 6. If a Convulsion arise from the puncture of a Nerve oâ— Tendon as often times happens in letting of blood c. in this Case the common way has been to cut the Nerve asunder but by this means the sick has been oblidged to the loss to his Limb or Part for ever to avoid this Inconveniency and the Corruption of the Nerve which must otherwise unavoidably follow you ought immediately to apply to the place Oyl of Turpentine or Oyl of Aniseeds and lay a Pledget dipt in the same over the Wound by this so great Ease has been procured as that the Convulsion has been prevented or suddenly taken way and the Wound soon after cured Some mix with the Oyl of Turpentine or Oyl of Aniseeds Oyl of Roses or Mithridate or Turpentine or Natural Balsum cheifly that of Peru and some Oyl of Earth-worms but if any addition be made to the Chymical Oyls the Balsam of Peru or Opabalsamum are truly the best In punctura Nervi Dixit Sennertus si foramen sit angustius ferre id dilatetur ut medicamenta penetrare sanies exstillare queat but you ought to beware that you increase or exasperate not the Convulsion by increasing the Pain The common Balsam of Sulphur or rather the anisated Balsam of Sulphur are without equal in this Case Lastly over the Wound you may apply this Emplaster Take Wax one ounce Pitch Turpentine of each half an ounce Euphorbium one dram mix and make an Emplaster But in delicate and soft bodies you ought to diminish the quantity of the Euphorbium For it is so vehement hot and sharp that it is not to be applied to a naked Nerve but where the Wound is deep for in punctures of the Nerves Medicaments ought to be applied which have a Power to resist Corruption to dry and are also without sharpness Inwardly you may give the Pouder Spirit Tincture Powers or Elixir of Castoreum either alone or mixed with our Guttae Vitae 7. If the Convulsion arises by reason of Worms you ought to give with the Neuroticks and Antispasmaticks mentioned in the 113 Section such things as have a certain specifick Quality to kill Worms Such are Worm-seed Aloes and most extream bitteâ— things to which add Pouder of Coralline Mercurius dulcis white Precipitate white Vitriol Salt of Vitriol Ens-Veneris volatile Sal Armoniack and Salt of Harts-horn Harts-horn calcined the Dose of any of which having made your choice is to be regulated according to the strength and age of the Patient to whom it is given the which we here leave to the Discretion of the Physician 8. If a Convulsion arises from an Ulcer in the Stomach all will be done in vain unless you apply those things which have Power to absorb the acid and by their softness sweetness and agglutinative properties have Power to cleanse and consolidate the Ulcer among which things are Pearl and Coral levigated and their Magisteries Magistery of Oyster shells Crabs-Claws and Crabs-Eyes prepared but above all things Terra sigillata has the preheminence for immediately upon the taking thereof in any convenient soft and almost insipid Vehiculum as Rose-water or Syrup of Poppies c. the pain of the Stomach has been abated the Convulsions taken off and the Ulcer consolidated to a wonder these things we speak by Experience An ingenious Gentleman a Friend
the Quintessence or powers of Wormwood every morning fasting and half an hour before Dinner the which she did for a month together and so was made perfectly well V. An Incubus in an old Gentlewoman with runing pains 1. This old Matron being about sixty years of age had an old running Sore upon one of her Leggs which had been opened for near fourteen years being weary of the trouble of it she sought for a Cure and at length she meâ— with a Chyrurgion who both undertook and performed it but I think much to her disadvantage 2. For as before she lived as it were in perfect health now she was troubled with running pains all over her whole Body nauseousness or loathing of the Stomach and somtimes vomiting together with a kind of Vertigo in the day-time and the Incubus or Night-Mare in the night 3. She related her case to me upon which after a little consideration seeing there was a complication of Diseases I advised her to the following things first my counsel was that she should have a couple of Issues made one in each Thigh or Legg which run very well for some weeks to wit ten or twelve 4. This done I caused her to take daily Tinctura Sacra or infusion of species Hiera picra in white Wine or other Wine the quantity of two spoonfuls or thereabouts the which she did for near twenty days together whereby all her griefs seemed to vanish and she became lightsom and chearful as she was before 5. However that we might corroborate the Tone of the parts and strengthen the animal and vital Faculties I caused her to take the following drops every Morning fasting and last every Night going to Bed for a month or two or three together 6. Take powers of Rosemary three ounces powers of Juniper-berries two ounces powers of Sassafras one ounce mix them for use Dose from twenty to forty drops in a glass of generous Canary at the time aforementioned VI. The Night-Mare in a young Maiden of sixteen years old 1. This Maiden as yet had not had her Courses lookt pale had a bad Stomach was troubled with vomiting and Indigestion of her Food and at certain times had some short fits of the Vertigo but the great matter which molested her was a mighty affliction of the Incubus or Night-Mare which somtimes was so troublesom and vehement that she feared a stoppage of her Breath in the Night for which cause she was offen affraid to go to Bed 2. Moreover to these things there was adjoyned a Melancholy habit of Body with strange apprehension of terrible things which would then extreamly disturb her so that many times when she was alone she would vehemently cry out as if some great hurt or violence had been offered to her which was indeed only the effects of her Melancholy 3. When I had twice or thrice several times viewed her in some of these passions I conceived her not to be very far from Madness so much had the Melancholy humor prevailed nor as it was could I call those fits any thing but a Melancholy Madness and considering this her constitution her chief Disease the Incubus was so much the more insupportable to her for that she could not be driven out of the opinion but that it was a Spirit which haunted her 4. Her friends requested my help her age and strength of body gave me hopes of cure and her ready compliance to any thing that could be don for her made it so much the more easy first I universally purged her body by a very good Panchymagogue viz. my Family Pills with Aloes which I repeated six or eight times and in a pretty lage dose so as that each dose of Pills gave her twelve or fourteen stools but by reason her Stomach was foul the first two or three doses gave her one or two vomits afterwatds her Stomach being well cleansed they only wrought downwards she took them every 4 or 5 day and in the intermediate days of taking them I caused her constantly to take Morning Noon and Night about half an hour before meals twenty five or thirty drops of Elixir proprietatis in a glass of White or Rhenish Wine and upon the new of the Moon I caused her to take a dose of Spiritus vitae aureus Rulandi made of Colocynthis infused in a small Cinnamon water by this means the habit of her Body was somwhat altered and her Terms were made to flow plentifully whereby she confest she found herself much better 5. By the use of these Medicaments her Incubus was much abated but had not totally left her I caused her Head to be purged with this Errhine Take new Rhenish Wine half a pint juyce of Sow-bread half an ounce Euphorbium in pouder ten grains mix and dissolve the Euphorbium in the Wine Some small quantity of this was put up her Nostrills Morning and Night for four or five days by which her Head was plentifully purged she evacuating by her Nostrills a very large quantity of filthy matter and by the removal of which she thought herself to be perfectly cured now the reason which in part induced me to this way of the cure was a great stoppage which I perceived to be in her Head for that she always breathed through the Mouth and seemed as if she spoke in the Nose 6. But that we might not only take away the near or conjunct cause but also so strengthen the vital Faculties that the Disease might no more return we thought it necessary to come to the exhibition of specificks which comfort and corroborate the Brain and all the principal parts for which purpose I caused her to take for a month together every Morning fasting of this following mixture Take choice Cinnamon-water spirit of Saffron of each ten ounces Damask-Rose-water eight ounces syrup of Citron peels six ounces mix for a juleb to be taken three or four spoonfulls at a time 7. At Noon about half an hour before Dinner I prescribed this Take Bawm water compound eight ounces spirit of Lavender five ounces Damask-Rose-water syrup of Limon peels of each four ounces pure Tincture of Tartar two ounces Powers of Musk half an ounce mix them she took a spoonful or two of it at a time alone by it self and she confest she found it to strengthen both her Stomach and Head very much 8. Lastly at Night going to Bed I ordered her to take of the following Electuary the quantity of a large Nutmeg drinking after it a glass of generous Canary or choise Rhenish wine a little sweetened and to continue the same for a month as aforesaid Take Electuarium ad Tabidos four ounces volatile Salts of Mans skull and of Amber Musk in fine pouder of each half an ounce Powers of Oranges Limons and Rosemary of each two drams Extracts of Saffron of Contrayerva and of Virginian Snake-root of each one ounce mix and make an Electuary she constantly took these things according to my order for about
a Feaver Now the heat in Mans Body arises from the praevalency of the Spirit for where that is strong and turgid the Man is in a good heat or it may be it superabounds but where it is Latent or Languid and weak there the heat is diminished and it may be much less than it ought to be 3. Now the reason why in one Man it should be very much diminished and in another from the same cause it should be as much augmented about its natural temperature seemes to me to be wholy from the strength of the natural constitution and in part from the rarity or density and straightness of the Pores in one more than in another by means of which there is an occasion of a greater wasting or diminution of the Spirit in the one than in the other 4. And this is clear in such as are in continual Feavers who before they sweat are extreamly red and of a vehement burning heat but if by accident or art they are made to sweat well than the heat is not only abated and as it were totally taken away but also that unnatural redness vanishes and leaves in the place thereof a palish whitness Now whereas such a great red colour and vehement heat of Body was caused from the turgency of the Spirits in the Blood now in a vehement fermentation so the loss of that colour and heat was by reason of the diminution and wasting of the said Spirit in sweating a transpiration being made through the Pores of the Skin and this is so much the more evident for that after such sweating the sick although his heat and inflamation is but barely allayed yet he finds himself much weaker and fainter with a certain lowness of Spirit and Dulness 5. And therefore it is that in very strong constitutions and in such who have a greater density and straightness of the Pores than others such upon drinking Brandy and other strong liquors have always a great redness and heat upon them as if they were in a Feaver because of their strength of Body and apt disposition thereof to retain the spirit and native heat how much soever stirred up whereas on the contrary the other through their natural weekness and laxity of the said Pores are subject to a continual wasting of the Spirit and vast diminution of the said internal heat whereby they are rendred pale in countenance and extream faint and feeble and this was indeed the true case of this our Patient 6. This Tremor or Trembling Riverius lib. 1. cap. 10. calls voluntary motion depraved by which the member is somtimes elevated somtimes depressed through the mutual contention between the faculty and the part affected this definition may serve for this place but he seems to fetch it out of Galen de sympt caus lib. 2. cap. 1. who upon this subject doth not wholy agree with himself but calls it in another place motion diminished But Riverius saith That the moving faculty desires to lift up the member and to keep it in that position but the weight of the member presseth it downwards whence comes saith he the Trembling motion 7. The Trembling in this our Patient being very great and his weakness much I was unwilling to purge him for fear of farther weakness but I began the cure with a prohibition of those things which were the Procatartick cause of his Disease and therefore I totally interdicted Brandy to him yet withall gave him liberty to drink for a season now and than a glass of generous Wine least if he was wholly debarred of all strong liquors at once a faintness of the Spirit and general weakness more than ordinary should immediately seize him and therefore in this case I endeavored to make a vertue of necessity and so caused him to take those things which I designed for his cure partly in Wine partly in Mead whereby his restoration was rendred more facile and easie 8. Now whereas the prime first or remote cause proceeded from drunkenness besides interdicting the superfluous drinking of strong liquors so two things seemed necessary in this cure The first was to rectify and restore the the Spirit hurt and diminished in its operations Secondly to comfort and strengthen the parts weakned through the Spirits aberration 9. The first intention is performed by Internal Medicaments chiefly such as are of a volatile property and comfort the animal Spirit And therefore I gave him the following things every Morning fasting he took the Spirit of Harts-horn or the Powers thereof to half a dram in a glass of Wine or Mead and about an hour after the same he eat a hard Biscate for his Breakfast he increased the dose as he found occasion after fourteen days was over I changed his Medicament and gave him instead of the preparations of Harts-horn the volatile Salt of Mans skull from twelve grains to sixteen in old Conserve of Roses the which he took every Morning for a month together in the same manner 10. An hour before Dinner I prescribed him ten grains of volatile Salt of Amber to be taken in Conserve of Roses as the former and to drink after it if he so pleased a glass of Viper Wine and this was also continued for six weeks together 11. About two hours after Supper just at going to Bed he took a dose of Our Electuarium ad Tabidos the quantity of a large Nutmeg and drank after it a little glass of Mead and so reposed himself to sleep the which he continued during the whole course of his Cure 12. The second intention which was to strengthen the Muscles Nerves Tendons and other parts weakned was performed by outward application although it is not to be doubted but that the former internal Medicaments much contributed to the same intention to perform which I caused him for eight or ten days to be Morning and Night bathed first with the Powers Amber or the Powers of Mans skull and then with the Tincture of Myrrh and after ten days he was only bathed Morning and Evening as aforesaid with the pure Tincture of Myrrh made with the Spirit of Wine for near a month more by the use of this means here prescribed and the injoyned abstinence he was in about six or seven weeks time restored to his pristin health II. A Tremor or Trembling in another Man arising from Drunkenness with a leprous Scab 1. He being of a middle age and of a heavy fat and gross Body filled with many ill humors I conceived it necessary first to make a gentle evacuation which I did by exhibiting of my Family Pills with Aloes repeating the same six times at five dâ—ys distance between each Exhibition and withall giving in the intermediate days Elixir proprietatis every Morning fasting thirty drops at a time in a little glass of Canary with all prohibiting him from the ordinary or frequent use of strong liquors 2. At Noon as also between meals when he desired to drink I ordered him to take from
in an Alembick add the juice of Agrimony or rather the juice of Sage and distil them together let the first distillation be light and when the stillitory begins to grow hot take it from the fire and add the juice and then distil them again 11. Infuse Juniper berries for a night in water afterwards let them be covered with Aqua Vita and let them stand eight days together in the infusion and then decant off the clear Liquor and let there be taken ten drams of it every day it strengthens the Nerves and removes the trembling from the Hands 12. But this Balsam is only commended as being good against trembling Convulsion and torture with which the Back-bone and Nape is to be anointed these universal evacuations being premissed Take choice Myrrh Aloes Hepatica Spikenard Sanguis Draconis Mummy Oppopanax of each two drams and half Carpobalsamum Saffron Mastich gum Arabick Liquid Styrax and red Styrax of each two drams and half Musk half a dram Cowslips two handfuls Turpentine to the weight of them all beat them to a pouder that are to be beaten and mix them and then distil them 13. Resolving frictions will be convenient as also covering the Trembling members in hot Sand or hot Ashes or hot Dung if these do no good then make use of the Decoction of Guajacum Petrus Forestus lib. 10. Observ 99. 14. But if this Disease of Trembling be the consequence of some daily indisposition or sickness prepare this or the like confection Take the pulp of young Storks boyled in wine to a mash three ounces the Brains of a Hare roasted one ounce sweet Almonds number thirty fresh pine-nuts washed in Hydromel number twenty Currants one ounce Species Resumptivi two drams Cinnamon three drams Ginger Cloves Galangal Mace of each one scruple Cardamoms half a scruple Musk two grains Sugar-Candy two ounces clarifyed Honey a sufficient quantity 15. If the Trembling proceed from frequent touching of Quick-silver as it somtimes happens to Goldsmiths in the exercise of their trade anoint the part with hot Oyls and such as are in some measure constringent as this which Rendelitius used 16. Take Schaenantus Spica Calamus Aromaticus Cypress Nutmegs of each one scruple Hermodacts Satyrion of each half an ounce the juice of Sage four ounces Oyl of Castoreum three ounces with a little wax make an Oyntment for the Richer sort add the subtil calx of Gold half a dram anoint therewith the Hands and the superiour Vertebrae 17. In the place of Gold add if for the poorer sort two drams of Treacle somtimes a Trembling happens from the fumes of Henbane and white Poppy let him wash his Hands in the decoction of the flowers of Staechas Sage and the roots of Galangal Ex scholis ejusdem XIV The Trembling and palpitation of the Muscles of the Cheek-bone 1. A certain country Woman about the age of thirty five fair and of a good stature was long afflicted with a Trembling or Palpitation about the Muscles of the Cheek-bone this Woman was long without her Flowers therefore I concluded this Distemper might arise from the Womb. 2. After I had ordered frictions both of the Feet and Leggs for diverting the vapours as also ligatures I commended her to use this following decoction Take the roots of Fennel Rhubarb Parsly Butchers-broom of each half an ounce roots of Peony two drams Madder three drams Betony two handfuls Sage Mugwort Vervain Savin Agrimony Hore-hound Marjoram Centary the lesser Scabius Bawm Maiden-hair of each an handful Fumitary Savory of each half an handful Fennel seeds and Faenugreek of each two drams Raisons stoned one ounce Sena one ounce and half Epithymum Polypody of the Oak of each one dram boyl them all in water and to one pound and half of the straining add syrup of Mugwort syrup of Vinegar and syrup of Staechas of each one ounce make an Apozem which she used twice a day by this she was conveniently purged 3. After she took these Pills Take troches of Myrrh two scruples pil Aureae Cochiae of each one scruple with syrup of Mugwort make seven Pills by this she was well purged 4. We also ordered for diverting Cupping-glasses with scarification to the saphenick Veins about the Ankle then two to the Hips then two to the Shoulder blades this being done her Feet was washed in a decoction of Tyme Fetherfew Mugwort Vervain the flowers of Camomil red Coleworts Baum Marjoram Savin Juniper-berries Salt Bran of each one handful boyl them in a sufficient quantity of water 5. Let her for some time receive the vapours there from first and then wash her Feet Throat and Cheek-bone anointing with the Oyntment of Alabaster and Nard thoroughout the whole course of these Medicines she had not but one sit and she grew afterwards well Petrus Forestus lib. 10. Observ 100. XV. The Trembling of the Members 1. That same Trembling which you propose most learned Orpheus in the stongest age of Man cannot proceed but from very grievous and preternatural causes and because I do not understand that the Patients Brain is remarkably afflicted nor that Flegm does any where abound there must be fome extraordinary cause of this symptom 2. Considering the Patients by past-life and the constitution of his Body I am with you induced to think that his Nerves and solid parts are weakned by immoderate use of strong unmixt Wine and of Veneâ—y and that they are now become so feeble that they cannot perform their natural and wonted office 3. Neither being able firmly to move nor to hold the Joints stedfast hence is Trembling caused which is then urgent when the Patient is put in fear either by the presence of great persons or upon some other occasion as is usual 4. And seeing that this Trembling has its original rather from the dryness then the repletion of the Nerves it will hardly admit of Cure even as a Convulsion springing from emptiness 5. Yet if you have a mind to make a tryal you must endeavour a Cure not by purgations or immoderate evacuations but by the contrary causes and a good course or Diet. 6. Nevertheless if you shall perceive any Crudity to stand in the way that may safely be removed either with a Clyster or with a potion of Rhubarb and Agarick you may do it 7. And if also you shall think fit to purge pure Choler which abounding about the Midriff is many times observed to rush into the Nerves of the Spinal-Marrow and somtimes to cause Trembling other whiles nummedness and Palsy the self-same or some such potion should be repeated every tenth day 8. Also he should be prepared two or three days before his purging by Apozems and in the intervenient days if he by bound he must have a Clyster with a good deal of Hiera simple and Honey of Rosemary 9. This method of Cure is to be continued to the thirtieth or fortieth day or at least till his Trembling do begin to go away At which time he must
Trembling of the Joints without any Pain 1. There was a certain woman who above twelve or more years had her left Side in continual motion against her will whilst she waked her left Eye always twinkled her Lips always moved in the action of opening and closeing them together her Arms Fingers and Feet were always stiring yet all this was without any sense of Pain when she slept all was quiet and without motion 2. There was another also about the age of forty a Man Melancholick and Corpulent whilst he was performing some part of his office as a Minister had an Involuntary motion of his left Foot 3. As to the first intention I would rub the Back-bone chiefly about the end of the Neck and the begining of the Os Sacrum universals being praemissed with Aqua aurea Langij the water of Swallows being added with Castoreum and the spirit of Lillys Convally five pints in which infuse a nodul made of Castoreum the flowers of Lavender Staechas the leaves of Rue Sage Betony Rosemary-flowers Camomil Camphir c. After some few days you may decant the clear and use it as aforesaid 4. Also a fomentation to be used before the former things would do much good Take the leaves of Sage Rosemary Germander Ground-pine Betony the flowers of Staechas Chamomil Bay and Juniper-berries c. boyl them all in Wine 5. As to the second intention his Thigh and down the Leg to his very Toe as also his Hand and Fingers is to rubed and fomented with a new sponge in a decoction of Sage-Wine 6. Afterwards a Balsam made of Mans fat is to be used frequently Take Mans fat six ounces clear Turpentine so much the fat of a Badger and a Fox of each three ounces the Oyl of Bays Mastich and Spikenard of each half an ounce Bay-leaves Germander Sage Marjoram of each one handful Aqua vitae rectificate eight ounces steep them in water for the space of twenty four hours afterwards distil them 7. I ascribed much good to the spirit of Tartar well rectified to be exhibited by way of friction Oleum distillatur Galbani Cratonis may be profitably applyed outwardly whose use may be also convenient for the first intention unless the smell offend 8. In the third place I shall say nothing to the government of the whole but I am altogether of opinion that nature may be succored by Infusum Spleneticum Laxativum which being done in the next place I would have exhibited twice a week pil Marocostin one scruple before Supper 9. And in the Morning not omitting universal Corroboratives I would give in the first place Elixir proprietatis Paracelsi then let the Spirit of Turpentine distilled with Vinegar obtain the second place 10. I would strengthen particularly the Head by using Amber-grise with the Extractum ligni Aloes a sufficient quantity of Sugar dissolved in the water of Lilly-Convally make all into Rowls 11. A Drink made of Sorrel is not inconvenient because of the Concurrent affection of the Spleen I do also advise for draining the superfluous humors and strengthening the parts affected a Drink rather then a Bath made of the decoction of China with Sarsaparilla and Sassafras these are the remedies I think proper for this worthy Gentleman Gregorius Host lib. 8. Observ 15. XVIII Of Trembling and shaking 1. This Disease is accompanied with two sundry movings one is while the member is constrained through heaviness and Grief to creep downwards the other is while the member is carried upward from his natural course and faculty 2. This evil is caused altogether through weakness of the Sinews which does plainly decipher old age but privately it cometh of other causes such as a cold temperature of nature cold drink taken either immoderately or out of season especially in Feavers moreover the abundance of Cold Gross and Clammy humors together with too great plenty of Wine unmixt as also old age and fear are the causes thereof 3. There needs no signs to know either the evil or the causes of it because it may be known either by sight or the Patients words or the state of the Body 4. Let the Diet be so ordered that it may be clean contrary to the causes of the Disease and let his Meat be such as will be easily digested and distributed such as Broths Birds and delicate kind of Fishes 5. Against an abundance of gross and clammy humors it is good to use those things that have a power to divide extenuate and cut but he must avoid all things which do hurt the Sinews and chiefly the drinking of Wine that is unmixed he must drink Wine that is mixed with Water or Hydromel or Ale 6. For the Cure they which do Tremble or shake through some manifest error they must altogether abstain from things that are hurtful 7. But if they do Tremble thorough drinking of Wine until they by delivered from the Disease let them drink in the interim Hydromel with the decoction of Sage and Betony 8. If the shaking proceed from cold and and gross humors then minister the Cure which is ascribed for the Palsy and the Cramp coming from Repletion letting of Blood only excepted 9. You must anoint the outward parts of the Body with Oyls that will heat and cover it with soft Wooll then fasten Cupping-glasses without scarification from the first shutting of the Joints which may be drawn to the outward part of the skin and so thereby humors may the easier be discussed and driven away 10. Also it is good for the Sick to drink daily five grains of Pepper with one ounce and half of Mulse there are moreover certain other simple Medicines which being taken do help Trembling that is Castoreum root of Althea decoction of Agrimony and the Brain of an Hare 11. The Medicines and especially the Oyntments which are prescribed for the cure of the Palsy are to be used here as remedies against this Disease Barrows method lib. 1. cap. 29. SCHOLIA The THEORY of a TREMOR or TREMBLING By the Author W. Salmon XIX The Pathology of a Tremor or Trembling and first of the notation thereof 1. The Names It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Latin Tremor and in English Trembling or Shaking 2. The Definition Tremor est motus voluntarius depravatus quo qui laborant membra libere movere et propensa vel suspensa servare non possunt sed membrum à facultate animali in altum sublatum pondere suo deprimitur iterumque à faculte motrice erigitur Trembling or shaking is a symptom of the hurt of the Animal faculty and depravation of the Motive by reason of which the parts can neither move freely nor keep their station being lift up by the moving faculty and then depressed downwards by their own weight whence comes a Trembling motion 3. The kinds or differences Although some make these as kinds or differences of a Tremor that it is either greater or lesser Or that it is either of the
So likewise there is made an exâ—eeding compression of the Nerves when they are vehemenâ—ly extended or strained by Force beyond their natural Composure whereby the Channels of the animal Spirit are straightned or made narrower and so forced to diffuse it self into the adjacent fleshy Parts whence it comes to pass that as soon as there is a relaxation of the extension there is also a relaxation of the Nerve which being defective in Spirits is immediately weakned and taken with a Tremor But this as we said before seldom lasts long for that there being no real obstruction in the Organ there is in short time a new supply of Spirits whereby the hurt occasioned by the Force is again repaired XXII Of the Prognosticks of a Tremor or Trembling 1. A Tremor proceeding from watching want of eating or drinking two much exercise light fear or joy or distemper of the mind is for the most part without danger and when the causes cease it ceases 2. A Tremor coming from an internal cause although of it self it is not mortal or otherwise dangerous yet it is apt to degenerate into an Apoplexy Lethargy Convulsion or Palsy whereby it becomes the more perilous 3. The more vehement the Tremor is and in the more noble Parts so much it is the more evil and the longer its continuance so much the more doubtful is the Cure and if it be on the left side according to Avicen it is yet the more evil for that it is observed that the innate heat of those Parts more easily fails or is diminished 4. A Tremor in old Persons is seldom or never cured because of the great imbecility of the Brain and animal Spirit and for the most part it ends in Death 5. An hereditary Tremor or that which comes from long drinking of vast quantities of Wine Brandy and other errors of Diet more especially in those who have by nature the Organs of the animal Spirit very weak are very seldom cured and they either remain in the same state or it encreases upon them with Age. 6. If a Tremor degenerates into a Convulsion it is dangerous and for the most part mortal unless the Convulsion can be suddenly removed for that as some think there follows a great exsiccation of the nervous Parts whereby the free afflux of the Spirit is prejudiced and from the privation of which an opposite habit is begot 7. A Tremor in a burning Feaver often presages a Delirium for by reason of the ardent heat whereby the Blood is inflamed gross Vapours are mixed with the Spirits in the Brain and Cerebel whence comes a confusion and hurt of the Senses which is not without danger 8. A convulsive Trembling in the extream Parts chiefly in the Hands is dangerous and so much the more if it be attended with a Consumption of the whole Body 9. A Tremor in a slow long or lingring Feaver is less dangerous but in a vehement burning and acute Feaver it is not without peril and in this case if a Delirium follows with a Convulsion it is mortal 10. A Tremor in a Phrensy and Melancholy arising from yellow choler changed into Atrabilis is very dangerous if not mortal because of the malign quality of the humors as Hippocrates in Coacis testifies which are inimical to the original of the Nerves and the whole Genus Nervosum 11. A Tremor hapning to a Woman in Child-bed by reason of the Secundine or After-birth is of very evil consequence for it signifies a putrefaction and malignity of the humors which contaminate the animal and suffocate the vital Spirits 12. A Tremor hapning in an Apoplexy or Lethargy is very dangerous so also if it comes from emptiness or extream evacuation whereby the Spirit is exhausted and diminished and the natural heat dissipated and at length abolished A Trembling of the lower Lip presages vomiting to be at hand XXIII The Therapia or Method of cure of a Tremor or Trembling 1. In order to the cure of this Disease we must have respect to the causes 1. The Procatartick or external causes ought in the first place to be removed 2. The Matter generating the vital and animal Spirits ought to be augmented 3. The Brain Cerebel and Genus Nervosum ought to be corroborated and strengthned 4. The Body and the fleshy Parts if emaciated and wasted ought to be restored and conserved 2. If therefore the external or remote cause of a Tremor shall proceed from great drinking of Wine Brandy or any other external cause or causes before enumerated to which the sick has been accustomed they ought immediately to be removed for otherwise what ever we shall do to promote the Cure will be in vain But whereas we forbid those to drink Wine Brandy c. whose Disease has been caused thereby yet by reason the sudden abrupt and total prohibition of those Liquors might be of immediate evil consequence we must prescribe somthing else to be used in stead thereof And therefore in stead of the Liquor to which the sick has been accustomed let him drink Hydromel Metheglin or Mead but with great moderation and temperance 3. Or in stead thereof he may take this Take Hydromel or Mead twelve quarts Betony Sage Rosemary of each four handfuls sweet Marjoram Penny-Royal Mint of each one handful bruise and infuse four and twenty hours then boyl gently one hour cool strain let it settle decant off the clear and bottle it up with two Cloves split and put into each Bottle Or thus Take fair Water fifteen quarts white Sugar seven or eight pounds pure Sal Prunellae an ounce and half dissolve all together in the Water and make it boyl for an hour being almost coâ—â— work it up with Ale-yest putting into it in a Bag with a Stone in it and these following things Take Coriander-seed Sage Rosemary Marjoram Penny-Royal Mint of each four ounces Ginger bruised Juniper-berries Bawm of each three ounces Jamaica-Pepper Anacardiums of each two ounces Cloves Nutmegs â—f each one ounce bruise what are to be bru sâ—d and let them work in the Liquor two or three or four days the working being over let it stand to grow fine two or three weeks or till you see it is very pure and clear then bottle it up and let the sick take it moderately as their câ—nstant drink 4. If the Disease proceeds from any venene or poysonous cause you must give such things as are Antidotes against the Poyson and Malignity If it proceeds from pestilential Poyson you may give this following Take Extracts of Saffron Contrayerva Virginian snake-root Gentian Zedoary of each an ounce Castoreum in fine Pouder five drams Bezoar oriental two drams and half Musk one dram Juyce of Alkerns a sufficient quantity to make it into a soft Electuary of this the sick may take the quantity of a Hazel-nut or Nutmeg three times a day viz. Morning Noon and Night drinking after the same a little glass of one of the former Liquors If the Patient be
Nerves 25. Seventhly when the Convulsions seise upon this Woman a certain motion goes before in her Bowels which she plainly perceives which motion proceeds from the aforesaid matter begining to work and stirr it self or from vapors raised out of the said matter by its commotion as in a sympathetick Epilepsy arising from the inferior parts such commotions are perceived in the Belly when the fit is about to come 26. Lastly this Disease began to shew it self after the Patient had miscarryed and took its encrease during the time of her afterwards being with Child which signifys that a bad humor collected in the veins of the Womb not sufficiently voided by the monthly purgations did fall into those nervy parts and did at last cause these impediments of sense and motion 27. These things thus laid down let us come to the Cure which must be directed to these indications viz. that the hot and dry distemper of her Bowels be corrected that the Melancholick and burnt humors which I take to be the cheif cause of these symptoms be prepared and evacuated the obstructed passages be opened and the chief Bowels producing these humors be strengthened 28. I shall briefly propound such Materials as are fit to satisfy these Indications and those the choicest promising this Prognostick that Diseases proceeding from Melancholy are of all others most hard to cure and if they seise upon the Nerves they are yet harder to cure and confirmed old Diseases of the Nerves are Incurable whence it follows that this case propounded is hardly vanquishable by remedies and that there is little hope of cure 29. I advise nevertheless that this cure should be undertaken seeing many things daily fall out besides hope and many Diseases are cured which were accounted desperate 30. In the first place therefore her Diet must be of good meats and easy digestion somwhat cooling and very moistening of which kind are the flesh of young Beasts and new soft Eggs the other particular of her Diet are left to the prescription of Physitians 31. The rest of the Cure must be begun with the laxative Clyster after which must follow the next day Blood-letting in her left Arm to eight ounces And if the Blood be corrupt or infected with any bad quality she must be let Blood again the next day out of her other Arm in like quantity 32. After bleeding let her use the following Broths Take roots of Bugloss and Asparagus of each one ounce leaves of Agrimony Ceterach Maiden-hair and Cichory of each one handful boyl them in Cock-broth and dissolve therein one dram of Cream of Tartar let her take thereof for twelve days together 33. In every fourth Broth infuse all Night three drams of Sena one dram of Aniseed and in the strained liquor dissolve one ounce and half of choice Manna Let her take it and be ordered accordingly 34. Her Broths being ended let her use a Bath to sit in luke-warm of a decoction of Barley and sweet Almonds let her sit in it twice a Day for three days together at good distance from meal-times 35. The Day after her last use of the Baths let the Vein of her left Ankle be opened and take away six ounces of Blood 36. Afterwards let her drink the Whey of Goats-Milk for fifteen or twenty days taking at first one Cup afterwards two or three as her Stomach can bear for the more she shall drink the more good it will do her now the Whey must be presently made before she takes it of Milk newly milked by boyling the same one walm and as soon as it begins to boyl therein to sprinkle a little quantity of Juyce of Lemons or Vinegar and presently removing it from the Fire for presently the Whey will be separated from the cheesy substance which is made exceeding clear by straining and clarifying the same with the white of an Egg and may be drunk in great quantity without offending the Stomach so that it is by many drunk after the rate of mineral Waters with great profit 37. Every fourth or fifth day let two ounces of Manna be dissolved in her first Cup of Whey during the rest of the Summer let the Bath to sit in be repeated once or twice a week that her Hypochondria may be moistened and the Acrimony of the offensive humor tempered 38. If she be not loose-bellied let her take a Clyster every other day 39. Take Conserve of Eglantine-berries four ounces Conserve of the Flowers of Borrage Violets and Tamarinds of each two ounces Conserve of the roots of Elecampane and Citron-Peels preserved of each half an ounce Ivory-shavings two drams Salts of Worm-wood and Tamarisk of each one dram and half two preserved Myrobalans Confectio Alkermes half an ounce with Syrup of Maiden-hair make an Opiate of which let her take the quantity of a Ches-nut every Morning two hours before meat and drink a little Wine allayed with Water after it 40. And because the Disease is very stubborn and cannot be vanquished unless by Remedies very long continued in Autumn the Cure must be begun again beginning with a Clyster then letting-blood after which the following Apozem shall be used for 12 days together 41. Take root of Asparagus Butchers-broom and Bugloss of each one ounce roots of Enuâ—acampane Bark of Caper-roots middle Rind of Ash and Tamarisk of each half an ounce Leaves of Agrimony Borrage Burnet Cichory Ceterach Maiden-hair of each one handful fragrant Apples ripe and cut into bits number two Flowers of Borrage Violets and Tamarisk of each one pugil boyl them to a pint for three Doses adding to each Dose one dram of Crystal of Tartar Salt of Worm-wood and Tamarisk of each one scruple Syrup of Maiden-hair one ounce let her take it for twelve days in the Morning three hours before Meat renewing the Decoction every third day 42. In every fourâ—h Dose infuse all Night three drams of Sena Aniseed one dram and in the strained Liquor dissolve two ounces of choice Manna let her take it and order her self accordingly 43. After the Apozem let her again use the Bath to sit-in according to the aforesaid Directions the day after her last use of the Bath let her Fundament be chafed with a course Cloath and fasten two Horse-Leeches to those Parts that swell most and draw away five or six ounces of Blood 44. The next day make Issues in both her Legs on the inner side and keep them open a long time 45. Take Juyces newly pressed forth and clarifyed over a gentle Fire of Borrage Bugloss Fumitory Cichory and Endive three pints Juyce of fragrant Apples newly pressed out and clarified two pounds Sena six ounces Epithymum three ounces Agarick newly trochiscated and choice Rhubarb of each one ounce and half Mace and Cloves of each one dram infuse them and boyl them according to Art till there remain fifteen ounces And therein dissolve fifteen ounces of Sugar make all into a Syrup perfectly boyled of which let her take two ounces
in the efficient causes are divided in these three the six nonnatural things the exhibition of Medicines and the action of the Hands 6. The Diet which is proper is such as has a Tendency to warm and dry the Air must be endowed with the same qualities and if the Climate you live in afford you not that benefit you must repair to the place where it must be had 7. Mountanous places and Lakes are to be shuned but if the Air be extream cold it may be corrected with Fires of dry Wood and Cloaths made of skins or furred 8. You are to correct the badness of the Air by dryed Marjoram Staechas Bays Time Rue Origanum Hysop and such like there are some who commend the fumes of Musk Amber and the wood of Aloes 9. Aegenita prescribes that the sick be carried to Maritime places although Avicenna says that moist exhalations are excited and drawn up in the firmament from the next Sea 10. Cold no doubt is an Enemy to the Nerves the Brain and Marrow of the Back-bone 11. As to Meat and Drink they must be both moderate all Physitians almost condemn the use of Wine and advise the drinking of water wherein Honey has been put to which I think may be added a little Cinnamon it may be also qualified with the wine of sweet Pomegranates 12. Let his Bread be choice and well fermented somtimes Bisket may be used let his Meat be for the most part roasted 13. Young Cocks who have never trode a Hen are mightily commended and Fowls that keep in Mountanous places being seasoned with Pepper Cinnamon and such like things 14. Season also the Eggs you eat with Pepper and Cinnamon but they must not be too much boyled and the Yolks are only to be eaten 15. Milk and things made of Milk Fishes all kind of Pease and fruits are condemned the fruits of the Pine tree if moderately taken are commended and are very proper for Paralytick persons 16. A pickle or seasoning with Sage Mint Time Pepper Cinnamon and Cloves tempered and mixed with the Wine of Pomgranats is approved of 17. Beware of day sleeping and of sleeping immediately after meat 18. The Belly must be always kept in good tune if nature be stubborn Clysters must be prepared of the decoction of Figs dryed Centuary the lesâ— having its flower but not its root as some would have Dill Fennel Beets one ounce of Hiera picra Oyl of Dill the Yolk of an Eg and Salt being added 19. The use of Venus is hurtful yet motion warms and attenuates an Author says that vehement wrath and passion did restore one that was Paralytick to his Health to wit Titus the Son of Vespasian 20. Deep and serious thoughts as also Melancholy does hurt extreamly 21. According to Avicenna the administration of Medicines and the Method of Cure ought to be otherwise in the beginning of the Cure than it is in the progress and so on the contrary 22. For about a fortnight Clysters are to be used and easy Medicines then we must proceed to more efficacious Remedies 23. Now as to the present cause For it appears that this is the third or fourth year of this Disease I judge it necessary that powerful and efficacious Medicines be often made use of and repeated whereby the humors might be concocted and often evacuated either by stool or vomit 24. After two or three purges are taken of which any of them shall endure about fifteen days more or less let them be afterwards exhibited fifteen or twenty or forty days more 25. Sudorificks are convenient 26. Outwardly let there be exhibited some remedies such as Emplasters Artifical waters Masticatories Gargarisms Oyntments Perfumes Errhines Frictions Ligatures Cupping-glasses Vesicatories shaving of the Head Cauteries 27. Blood-letting if at all it should be done in the begining of the Disease 28. I do not disapprove of what a late Author writes that in long chronick Diseases there should be ten days of Intermission of the use of Medicines 29. But if the sick notwithstanding all evacuations and nutritive Medicines be nothing the better the same must be repeated again concoctions Evacuations things aleviating and comforting 30. And lastly dry Baths must be used or natural Sulphur Alum and Nitrous Baths 31. For a digestive the syrup of Staechas is proper Oxymel of Squills Oxymel compound and the like 32. Let a decoction be made of Sage Rue Ground-pine Cowslips Daisies Hysop Time Origanum Pyrethrum Carduus Sanctus Betony Asarabacca the wild black Vine or Briony Bugloss the root of Masterwort and the like 33. Things fit for evacuating are Pills made of Euphorbium Pilulae faetidae Majores Pilulae Hermetis with Troches of Colocynthis and the like 34. Vomit may be provok'd with four ounces of the decoction of Radish seeds three ounces of Oxymel simple being added 35. This may be rendred more efficacious this way let the Radish be pierced through in the holes put a peice of white Hellebor then dig up some part of the Earth and lay it there for some days which being done throw away the Hellebor and wash and bruise the radish and let the sick take the juice thereof 36. Treacle and Mithridate does comfort the quantity of a dram and no more may be taken once every day but at divers hours and very cautiously 37. Sagapenum or Opopanax or assa Faetida are of powerful vertues for this purpose according to the received opinion of some learned Men. 38. Some have cured the Palsy by exhibiting Hiera gilded Pepper gilded being also added others by exhibiting every Night gilded Castoreum and gilded Pepper 39. There are some who give two drams of the confection of Anacardina which suddenly provokes Sweat and brings a Feaver which I have here inserted because I have found it prescribed by experienced Physitians though by me it is scarsly allowable 40. One of the Modern Physicians does greatly approve of this following Electuary if half an ounce thereof be taken thrice a day that is to say three hours before Dinner two before Supper and when the person goes to Bed 41. Take the Brains of a Hare fryed in a Frying-Pan one pound the juice of Sage the roots of Acorus of each three drams Cinnamon Cloves Pepper of each half a dram Turpentine washed in water of Ground-pine three ounces Sugar dissolved in Ground-Pine-water a sufficient quantity make an Electuary 42. Another thing he advises after evacuations to make use of dry Baths after which he orders the taking of Treacle for many days 43. Another advised which I take to be very proper for the purpose that when they come out of the Bath the Neck be rubbed and the marrow of the Back-bone either with fresh Orrice root cut or the root of the Lilly until the part be red with rubbing then let it be fomented with a long Spunge according to the length of the Back-bone 44. Dip the Spunge in the following decoction Take the flowers of Cammomil Ivy Sage Staechas Marjoram
prudently to consider the Temperament of the Sick for if you adhibit hot things in a hot Constitution or cold in a cold habit you will but exasperate the Disease and make it so much the more difficult to be cured Now whereas a Paralysis in a cold and moist habit of body is most usual and frequent we shall first lay down a method of Precepts for the Cure thereof 3. Here then since the Disease arose from a long Series of prepared matter and Paralytick Particles begotten in the Blood from a cold and moist external cause this habit must be altered by a long course of a proper Diet which entering into the Sanguinous mass may in length of time and by degrees as the Disease came remove the Discrasy which continually hitherto has breed those heaps of Paralytick Particles 4. For this purpose we commend a Guajacum Diet which you may make after this manner Take Guajacum rasped twelve ounces Sarsa parilla Sassafras rasped Juniper berries well bruised white and yellow Sanders of each six ounces crude Antimony in pouder tyed up in a rag eight ounces boyl all after due infusion in twelve quarts of spring-water till near half be consumed then add Carraways Coriander seeds Rosmary Sage Savory Penny-royal sweet Marjoram Galangal florentine Orrice-root bruised of each two ounces and half Raisons of the sun stoned a pound boyl all gently according to Art strain the Decoction and to every quart thereof add choice Sherry Wine half a pint then dulcify it moderately with double refined Sugar and Bottle it up with a Clove slit in each Bottle and let it be kept for ordinary Drink Let this be drunk during the whole course of the Cure but Morning and Evening drop into the same twenty thirty or forty drops of the Spirit of Mans Blood Spirit of Hartshorn or of Skulls of Soot of Amber of Sal Armoniack or some such like which by their operative quality give a more speedy inlet-into the Genus Nervosum 5. Those who cannot take the former Diet may take this Take new Ale four gallons White-Wine four quarts Juyce of Scurvy-grass three pints Juyces of Tarragon of Water-Cresses and of Brooklime of each one pint shavings of Horse-radish Roots Mustard-seed bruised of each four ounces and a half put these into a bag and mixing them all together let them work up with the Ale for a day or two or till the fermentation is over which done after five or six days bottle up the clear Liquor with a Clove slit in each Bottle and an ounce of pure white sugar Let the Sick drink of this as their ordinary Liquor save in the Morning fasting and last at Night going to bed a Dose of the aforenamed Spirits may constantly be dropt into it 6. But because some cannot take things unless they be grateful to the Pallate a compound sort of Hydromel or Mead may be made very effectual which may be drunk somtimes before Meat or otherwise as the Sick has occasion and it may be thus made Take spring-water ten quarts Honey two pound roots of Acorus and of Orrice dryed Sage and Rosmary of each two ounces and a half boyl them to a consumption of a third part and in the end Aromatize it with Cinnamon half an ounce Nutmegs two drams Pepper half a dram make a Melicrate according to Art This may be done after the same manner for want of Honey with Sugar To this Mead you may add Staechas and Lavender-flowers of each an ounce if you so please 7. Or this following Decoction may be given instead thereof Take roots of the true Acorus Orrice of each an ounce Cyperus Elecampane Zedoary of each half an ounce Rosemary Sage Marjoram Tyme Penny-royal Ground-pine of each one handful Hysop Betony Calamint herb Mastich of each half a handful the flowers of Lavender of Rosmary Staechas Camomil of each one pugil seeds of Anise Fennel Carraways Rue of each two drams Liquorice bruised one ounce Raisons of the sun stoned four ounces make a Decoction in Water adding at the end of boyling a quarter part of Wine dulcifie it with Honey or Sugar and Aromatize it with Cinnamon or with some Aromatical Pouder then bottle it up for ordinary drink 8. Or the Sick may take this distilled Water of Willis his design Take leaves or roots of Aron one pound leaves of Garden Scurvy grass of the greater Rocket of Rosmary Sage Savory Tyme of each four handfuls of the flowers of Lavender three handfuls the outward Rinds of ten Oranges and six Limons Winteran bark three ounces Roots of the lesser Galangal Calamus Aromaticus Florentine Orrice of each two ounces Cubebs Cloves Nutmegs of each two ounces all being cut and bruised pour to them of white Wine and of Brumswick Beer or Mum of each two quarts distil it in common Organs to dryness but with great caution that it burn not and let all the Liquor be mixed together 9. Riverius commends this following Water Take the Chips of Guajacum four ounces Bark of the same one ounce Sarsa parilla one ounce and half China-root one ounce Sassafras six drams Lignum Aloes Galangal of each one dram and half roots of Angelica Peony and Fennel of each three drams and half Peony seeds two drams infuse them all in Water twelve quarts and Wine two quarts for four and twenty hours After add the leaves of Betony Ivy and Sage of each one handful Flowers of the Tile-Tree of Primroses of Stechas and of Rosemary of each two pugils of Lavender one pugil old Treacle half an ounce Citron-Peels and Seeds of each three drams and half Polypody half an ounce Cinnamon six drams distil them in Balneo Mariae according to Art and to every two pints and half of the Liquor put of Manus Christi prepared with Oyl of Cinnamon four ounces Dose four ounces in the Morning fasting and as much at bed-time 10. Infusions especially those made in Wine do good for though Wine especially if it be strong and too liberally taken is no ways convenient yet drawing into its Body other things and being to them as it were a Vehicle whereby their Virtues are conveyed to the Nerves they become profitable being thus made Medicinal You may prepare a simple Infusion after this manner Take roots of Acorus two ounces Raspings of Guajacum twelve ounces leaves of dryed Sage and Rosmary of each one ounce and half Ground-Pine sweet Marjoram musked Cranes-Bill Nutmegs of each one ounce Wormwood Zedoary of each half an ounce White or Rhenish or Sherry Wine ten quarts make an Infusion in a gentle Balneo for a Week then strain filter and dulcifie it with double refined Sugar Give it alone or with Cinnamon-water 11. But while these things are doing we must not be unmindful to remove as much as may be the morbifick Cause which is done by convenient Evacuations either upwards or downwards or both ways and by the other ordinary ways of Revulsion and Derivation But Authors advise that at
it penetrates notably and opens the Passages of the Spirits in the Nerves powerfully comforting the parts and restoring the native heat 10. Next to the Volatile Salt of Beans we commend the Spirit Powers and Volatile salt of Milepedes the making of which we have taught in Our Doron lib. 1. cap. 25. sect 133. these purify the whole mass of Blood and expel its impurities by transpiration they powerfully mortify Acids and therefore cure old stubborn Ulcers Fistula's and Running Sores Cancers Jaundice Scurvy Palsy Numbness and other weaknesses of the Nerves and Joints they ease pains of the Gout Rhumatisms and other dolors of the Nerves and Tendons 11. They which cannot get these Preparations of Millepedes may use Dr. Willis his Pills which may be prepared after this manner Take Millepedes prepared three drams and a half Pearls one dram and half root of Cretick Dittany one dram Venice Turpentine a sufficient quantity to make it up into a Mass which make into small Pills Dose half a dram drinking after it some Antiparalytick water 12. Or thus Take pouder of Millepedes Pouder of Bees dryed of each a dram and half Volatile salts of Armoniack and Amber of each half a dram salt of Vipers or instead thereof of Vrine Oyl of Nutmegs of each half a scruple Balsam Capivi a sufficient quantity mix and make Pills for eight or ten doses to be taken Morning and Evening it is a good Medicine and of great force 13. Take Venice Turpentine Balsam of Peru of each one scruple Viper pouder Bezoar Mineral Volatile Salt of Millepedes and of Amber of each half a scruple mix them together 14. Take Millepedes prepared half an ounce Bees prepared Ponder of Vipers of each three drams Nutmegs two drams Tincture of Salt of Tartar Aetherial spirit of Turpentine of each seven ounces distil in Balneo with a gentle fire so have you a Spirit and Oyl as also a deliquium of salt of Tartar The Spirit may be given in any convenient Vehicle from a dram to two drams the Oyl from seven to fourteen or twenty and the Deliquium of Salt of Tartar from ten drops to thirty You may also mix the Oyl with Oyl of Aniseeds and anoint therewith the parts affected This last preparation is a thing of singular force and use and prevails mightily against a scorbutick Paralysis 15. If a Paralysis comes upon a Feaver Lethargy Carus Apoplexy Epilepsy Convulsion or other cephalick or convulsive Disease and be vehemently and suddenly excited you must labour to take away the conjunct Cause which for the most part has its Seat in the oblong or spinal Marrow and therefore at the beginning of the Disease Clysters Purging the Seton Issues Vesications Cupping-Glasses Sternutatories Errhines Masticatories Oyls Balsams Oyntments Powers and other Exhibitions used in cephalick Diseases which may any way loosen dissipate or otherwise remove the malign and morbifick Matter fixed to the spinal Marrow or Ramifications of Nerves coming from it are to be made use of If these things do not in about a Months space so that the Disease becomes chronick and habitual other Courses though long are to be taken as are both curatory confortative and preservative of which we have largly spoken before 16. If the Palsy proceeds upon or from a Cholick the Cure consists in correcting the Intemperature of the Intestines and evacuating of the vitious humors then that the morbifick Matter which is in the exteriour Members be discussed and the Parts affected corroborated If the Bowels in this case be obstructed you must give Clysters of an humecting and absterging Quality These may be made of Mallows Pellitory Herb Mercury Bears-breech Violet-leaves and Goats Milk to which you may add Cassia extracted Oyls of Violets and of Roses with Goose-Grease and Yolks of Eggs. For abstersion you may profitably add a little Hiera simple or Honey of Violets or of Roses or a little Niter or Sal Prunellae These Clysters if being exhibited once or twice it be not enough you must repeat them three or four times or oftener till the irregular course of Nature is inverted and the depraved humors of the Bowels carryed off 17. After the Belly is opened and molified by Clysters gentle Purgation is to be administred with which temperate Aperients are to be mixed For this Purpose you may give Syrups of Roses solutive and of Violets solutive Manna Rhubarb and Rhubarb with Sena with Powers of Aniseeds If the Disease requires stronger things you may exhibite the Extracts of Esulae of black Hellebor and of Turbith or the Extractum Benedictum which you may see in our Pharmocopoeia But if the Ventricle be lax and humid the use of Hiera will be convenient for that it will then better absterg the humors in the Bowels now if you fear that the heat and dryness thereof should hurt you may exhibite also with it somthing that humects and refrigerates 18. The morbifick Matter being thus taken away you may give such Remedies every Morning fasting as are commonly given to such as are troubled with the Scurvy and hypochondriack Affection As Take spirit of Tartar corrected Aqua Salviae or Mixtura simplex of each a scruple Aqua Paralytica an ounce and half mix them Or you may provoke Sweat with this Take Cowslip and Betony-Water of each an ounce and half Amber and Mother of Pearl both prepared of each ten grains Extract of Galangal eight grains spirit of Tartar rectified half a scruple Manus Christi confected with Oyl of Amber three drams Treacle-Water two drams mix them for a Dose 19. Or with this following Bolus Take Conserves of Betony and Sage of each a dram and half Treacle two scruples Extracts of Gentian Lignum Sanctum and Contrayerva of each half a scruple Salt of Commomil eight grains with Sugar a sufficinet quantity make a Bolus Which being taken let a little Glass of some antiparalytick Water be taken after it Or thus Take Conserves of Sage and Rosemary flowers of each a dram and half Extracts of Gentian of Calamus Aromaticus and of Cloves Salt of Carduus of each ten grains mix them for a sweating Dose 20. Moreover some comfortative antiparalytick Medicament is to be instituted to be taken Morning Noon and Night which may alter the habit resist the Disease fortify the Stomach and corroborate the Parts weakned such as this following Take Extracts of Galangal of Gentian of Virginian-snake-root and of Contrayerva of each half an ounce Viper-Pouder Extract of Lignum Aloes and of Calamus Aromaticus of each three drams chymical Oyls of Rosemary of Sage of Penny-royal of Lavender and of Cinnamon of each two scruples Julep of Kermes or syrup of Male-Peony flowers enough to make an Electuary of a good consistency Dose from a dram to a dram and half at a time We might say more and deliver other things in order to the curing of a Paralysis proceeding not only from these but other Causes but he that has read over our foregoing
twenty Observations cannot be ignorant what Method we hold most fit to be followed in all Cases CVIII The Cure of a Palsy arising from Causes evident and accidental as from a Fall Blow Wound Contusion c. 1. If Blood be extravasated there will be a necessity of letting-blood for the extravasated Blood can never return into its antient Currant again for thereby the Afflux to the Part is presently diminished and abated this done a fit Clyster is to be administred that the Bowels may be made slippery and mollified and be the more ready to cast forth their Excrements 2. Then if it proceeds upon a Fall whereby it may be feared that some of the inward Parts are bruised the Pulvis ad Casum may be given in a fit Dose or Lucatella's Balsam Some prescribe Irish slate to the quantity of about a dram being given in a draught of White-Wine or Tent and repeated every six or eight hours drinking withall the Decoctum Traumaticum frequently or as ordinary Drink or a Decoction of Madder-roots or Butter-bur-roots in half Wine half Water 3. Or you may give Venice-Turpentine made up into Pills with Pouder of Zedoary and Sugar without boyling of which you may give the quantity of a dram or dram and half Morning and Evening drinking after the same the aforesaid Decoctum Traumaticum or Tent or a Glass of mul'd Sack Or you may give this Electuary Take Viper-Pouder half an ounce Extracts of Gentian and of Zedoary of each two drams with Juyce of Alkermes a sufficient quantity make an Electuary Dose a dram at a time Morning and Evening somtimes also gently sweating upon it being kept in the bed that the Superfluities and noxious Matter may copiously exhale from the affected and hurt Part for thereby the Spirits being gently agitated may repeat their former ways and flow through the late obstructed Pores into their wonted haunts 4. But if the Viper-Pouder be given for any time it will be necessary gently to purge the Body once a week with some proper Purge for the said Pouder creating Struglings Contentions Combinations Fermentations and Segregation of Particles in the Blood a morbid Matter will be made fit for Excretion which must be then carried off with a Purge You may exhibit this Take Sena one ounce Rhubarb Salt of Tartar of each two drams Spanish-Juyce of Liquorice one dram Spring-Water a pint White-Wine a quarter of a pint make an Infusion to redness for four Doses 5. As to Topicks Sennertus would have applyed to the paralytick Parts not simply adstringents and refrigerents as in a Contusion without a Palsy but partly discutients and partly adstringents with heating tâ—ings added except an Inflamation be present for which purpose he prescribes this Emplaster Take Mastich Frankincense Gum of Ivy of each half an ounce Pouder of Earth-Worms one dram Marjoram two drams flowers of Cammomil and of Roses of each half a dram Oyls of Roses of Cammomil and of Wall flowers of each one ounce Turpentine and Wax a sufficient quantity mix and make a Cerot or Emplaster 6. If any thing be out of joint be careful that it be reduced as soon as may be into its place again If a Tumor Contusion or Wound be you are to provide for them with proper Balsams Liniments Cerates Emplasters or with Stuphs Fomentations Baths Pultises If nothing preternatural does appear outwardly lay over the hurt Part either the aforesaid prescribed Emplaster of Sennertus or this Take Oxycroceum de Mimio of each a like quantitity mix and melt them together which spread upon new linnen Cloth The Balsam Cerot or Emplaster being laid on let the sick be kept very still and quiet and in a gentle heat for three or four days 7. If the Palsy still remains but the afflux of new Matter be not feared let more resolving and discussing Remedies be applyed to the affected Parts as Fomentations with Spirit of Wine hotter Balsams or the Powers of Medicines which pierce warm and restore without inflaming Or the palsied Parts may be covered with Horse-Dung warm Grains or the Pressings of Graâ—es when flung out of the Wine-Press if it be in a Country where Vines grow Or they may be thrust into the Belly of a Beast newly kill'd or into a natural or artificial Bath and kept there for some considerable time 8. In the Declination you may diminish your Astringents and increase your Digestives that there may be a dissipation of the Reliques and those Medicaments may be made use of which are proposed in a cold and moist Palsy Take Meal of Faenugreek Pouder of Althaea-roots of each half an ounce Pouder of Earth-Worms three drams Ammoniacum Bdellium Goose-Grease of each two drams Oyl of Roses white Wax enough to make a Cerat or Emplaster which apply upon the place affected immediately after it has been well bathed with the Powers of Amber Rosemary or Sage CHAP. IV. Of the APOPLEXY The AUTHORS Observations I. An Apoplexy in an elderly Woman 1. A Woman near fifty years of Age of a cold moist habit of Body having been for some time before vehemently afflicted with a Vertigo was at length taken with strong Convulsions so that the Physicians then present and others which were about her concluded her never able to over-come them these Convulsions and Convulsive Motions often returning and handling her very sorely made her so weak and feeble that a very great shaking and trembling took her almost in every part this trembling going off of her all at once she seemed to be perfectly well 2. But she had not been in this condition above two days when all on a sudden she was taken with an Apoplexy by which it appeared that the morbifick matter which before had seized the Nerves Muscles Joynts fleshy and extream parts was now translated to the Brain the consternation was great for there was loss both of the motive and sensitive Faculties the Patient being in a deep sleep as it were but in all other respects as if she had been dead 3. Being called to her whilst in the Fit and perceiving she was not dead we caused a dram or two of this following mixture to be put into her Month Take subtil spirits of Nutmegs of Cloves and of Rosemary of each an ounce Tincture of Castoreum made with the best rectified spirit of Wine spirit of sal Armoniack of each two drams subtil spirits of Amber and of Hartshorn of each a dram Aqua Antiparylitica two ounces syrup of Stoechas an ounce and half mix them A little of this was put into her Mouth and part of it forced down her Throat 4. In the mean season Frictions were used to all her extream parts and her Temples Forehead Nostrils nape of the Neck and Pulses were bathed with this Take Powers of Rosemary of Sage of Lavender of sweet Marjoram of each half an ounce Powers of Sassafras and of Penny-royal of each two drams mix them to bath withall as aforesaid If these could not have been
happens according to Hippocrates are commonly between the years of forty sixty in which time the melancholy humor is most vigorous 21. From whom says that Oracle nothing can be more convenient than the coming of the Hemorrhoids and that all Care be taken to keep them running for while they run there is no doubt of the present Safety But if that cannot be done the next thing to wit by Cupping-Glasses and breathing of a Vein the Blood must be drawn forth 22. Although there is some help to be had by the extraction of the Blood yet if the Foeculency of the Blood be not carried off they will not answer the End and the more frequent the letting of blood is the Blood is thereby cooled and the Spirits exhausted therefore it must be done with a great deal of Caution 23. For Hippocrates does not absolutely assign and impute the Cause of the Apoplexy to Blood Melancholy and Flegm but rather advises to abstain from such things as will breed not only a plenty of Blood but also a gross thickness of the same 24. Luscious and impure Wines and immoderate Repetions do suffocate and extinguish the natural Heat the Wine of Carduus Benedictus is good as also Vinum Medicatum made of the Infusion of Sena this Wine must not be taken at Meat as also other Medicaments because they trouble and hinder the Concoction and so the Chyle being crude excites and sends up Fumes to the Head whereby the Spirits of the Brain are wasted and corrupted 24. But if it be taken about an hour before Meat I do not see why it should not do good For Sena does wonderfully purge the Organs of the Senses and strengthens the Stomack the Infusion of Sena or rather our Syrup of Apples with Sena will be more convenient 26. The Infusion is thus Take Currans six drams Galangal one dram the flowers of Borrage Violets of each one pugil boyl them in a sufficient quantity of pure Water in the Decoction infuse the leaves of Sena six drams then strain and take of the Expression four ounces to which add Manna Calabrina six drams Syrup of conserv'd Ginger one dram mix them and make a Drink to be taken every day 27. If he would use the Syrup of the Juyce of Apples and Sena he may take one ounce wherewith he may mix half a scruple of Mace now if the Body be not already loose you may make it so if the day before you use the Infusion of Sena or the Syrup you must be careful to apply a Clyster made of the Decoction of Pauls-Betony in the Broth of a Cock or Capon with the addition of a little Sugar 28. There is also this to be observed that none who is apprehensive of falling into this Malady should presently go to bed after Supper but that there be two or three hours between supping and sleeping 29. Among the principal causes of the Apoplexy Hippocrates recites a forth which is when the animal Vertue which influences both Sense and Motion is impeded and the natural heat is through the want thereof suppressed and almost extinguished 30. This happens chiefly to those that are obnoxious to Crudities too much Gluttony and surfeiting and while thus he should rather use Exercise than Rest 31. For by Abstinence and exercise by which says Celsus a most famous Physician he cured many Diseases such are preserved 32. He ought not to sleep immediately after eating and if he should begin to be drowsy he ought by some of the Family to be stirred up and rather excited to some pleasant Exercises than be suffered to sit or lye down for moderate Exercise is healthful 33. He should not much use Venery nor wast himself that way for the immoderate use thereof debilitates the Head and Brain 34. For the most part there goes before this Disease a Vertigo the which indeed presages his Disease to be near which though present yet bespeaks it not dangerous 35. Those Medicines therefore which a little before I have recited I use but in the first place I exhibite the little Lozenges made with the chymical Oyl of Caraways least the evil Matter should obstruct and creat thick Vapours which might hinder the force of other things to be given 36. Such things as correct those Vapours which infect the Brain by their Odour and pleasant Vapour are very profitable you must also boyl Caraways and Amber in Water and take the Vapours up the Nostrils and a peice of toasted Nutmeg must be taken into the Mouth to which let some Ambergrise be added and Castoreum put in Vinegar is to be held to the Nostrils 37. If a continual intermitting Feaver attend this Disease it needs no other Cure if it be weak it increases the Malady if too strong it destroys the Strength for the Danger lyes in the Excess 38. There are some causes in which there is no place for Medicines such as extream Cold a Blow hurting the Chanels and Ventricles of the Brain sudden Joy great Anger and Indignation Commotion of the Mind Astonishment by Thunder by these Persons become Apoplectick 39. If a great Apopolexy attend these there can be no other reason of the Cure than that which is from obstructing Causes 40. If it ends in a Palsy we must use those helps which tends to a Resolution when the Apoplexy begins some are for letting of blood all on a sudden but this is for certain if it does not free the Person it will surely kill 41. Some greatly approve of a Suffumigation made of Amber but learned Physicians think without reason 42. Sternutatories are dangerous yet may be profitable if applyed in due time the Pouder of the Root of Night-shade with Rue Castoreum and Ginger an equal Part to be blown up the Nostrils 43. It will be good to shake the superiour Parts chiefly the Neck It will be convenient to put to the Head a thin peece of Cypress or the Head being shaved to apply a Cupping-glass to the Crown of the Head sharp Clysters are to be given 44. The difference of the Pulse in a cold swooning and in an Apoplexy consists in this that in the former the Pulse is weak in the latter the Pulse is full and strong unless in the very point of Death 45. But if the apoplectick Person lies without Sense and Motion and spiration with snorting is violent and inequal then there is nothing but Death to be expected Crato apud Scholzium Cons 37. XXVII For the Apoplexy 1. Take Pil. Cochiae two scruples Castoreum one scruple Troches of Alhandal three grains with Oxymel of Squills make eight Pills which may be taken at eleven a Clock and the Person may sleep after them 2. Take the the roots of Butchers-broom of Asparagus of each one ounce and half the roots of Liquorice of Sorrel of Succory of Bugloss of each one ounce Florentine Orrice Galangal of each half an ounce the Peels of Citron dryed Betony Bawm Hysop Marjoram Ground-pine Origanum
of the Members and that the serous humours which the Nerves had imbibed might trouble him no more we applyed a dry Stupha every Morning for a whole month 16. Our Sudorifick Antimony was given him to cause him to Sweat at length by the foregoing Medicines we delivered our Patient both from the Apoplexy and Palsy and a thin and light Diet being oâ—served still by him he yet lives in perfect health Petrus Johannes Faber Cur. 40. L. An Apoplexy in a young Girl 1. A Girl ten years of Age after bathing of her self fell into an Apoplexy which proceeded from a flux of gross humors into the Vessels and parts of the Head wherein consisteth the feeling and moving of the whole Body 2. She snorted much in her Sleep and trembled all over her Body I cured her with Oleum Cranij humani giving it with Spirit of Vitriol in Lavender-water Paracelsus LI. An Apoplexy in an elderly Man 1. One Caspar Mayr a Carpenter in the City of Lauginga being about fifty years of Age was taken with a strong Apoplexy of which through the help of God I cured him 2. Being called to him I exhibited the following Sternutatory Take Meal of Darnel pouder of Nigella-seeds pouder of white Hellebor of each a scruple Marjoram Rosemary Sage of each half a dram Musk two grains make all into a subtile Pouder 3. Of this Pouder about the quantity of three pease was blown up into his Nostrils with a Quill by which he sneezed strongly 4. After the Sneezing I gave Oleum Heraclinum to about half a spoonful to be swallowed by little and little by virtue of which almost miraculously he presently came to himself began to speak and know the By-standers 5. Being asked concerning his Disease how he was taken he answered he knew not how he was affected nor that he was deprived of all Sense and Motion however being now fully come to himself he called to mind that before he was taken with this Disease he was afflicted with a pain of the Head and a streightness of the Brest 6. And indeed through the mercy of God he recovered his perfect Health beyond the opinion of all men Martinus Rulandus Cent. 7. Cur. 44. SCHOLIA The THEORY of the APOPLEXY By the Author W. Salmon LII The Pathology of the Apoplexy and first of the Notation thereof 1. The Names It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 à percutiendo in Latin Apoplexia and in English the Apoplexy a word denoting percussion wherein after a wonderful and admirable manner the sick is struck dumb and sensless 2. The Definition Est omnium corporis partium motus ac sensus repentina privatio omniumque animalium functionum interceptio Joel It is defined by Riolanus to be an abolition of Sense and Motion with Respiration hurt which at last brings snorting and suffocation by reason of thick flegm flowing out of the Funnel and obstructing the Larynx or Wind-pipe which does oftentimes and unexpectedly invade a Man or follow some other sleepy Disease all the Ventricles of the Brain but especially the fourth being obstructed wherein unless the matter be discussed in the Spinal Marrow Death unavoidably follows Anot. lib. 4. cap. 2. Fernelius saith That an Apoplexy is a Disease bred by an obstruction of the Rete Mirabile the afflux of arterial Blood out of the Heart into the Brain being thereby intercepted Willis saith Apoplexia vi vocis percussionem denotat propter stupendam affectûs naturam quasi aliquid 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 continentem Sideratio appellatur namque ea correpti tanquam 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 aut numine invisibili perculsi subitò ad terram concidunt atque sensu motu privati totâque functione animali nisi quod respirant cessante quasi exanimes aliquandiu jacent quandoque mortem obeunt sin reviviscunt saepenumero paralysi universali aut hemiplegiâ afficiuntur The Sense of the word Apoplexy denotes percussion and by reason of the stupendious quality of the Distemper containing as it were somthing super-natural it is called a Sideration or Blasting for those struck therewith being as it were Planet-struck or struck with an invisible power fall suddenly on the ground and being deprived both of Sense and Motion and the whole Animal Function ceasing save that they breath they lye for a long season as if Dead and somtimes dye indeed but if they revive they are many times taken either with an universal Palsy or else with a Palsy of one side Riverius saith It is a most deep sleep and a total privation of Sense and Motion breathing excepted wherein the Sick neither opens his Eyes answers nor feels when he is hurt breathing also with difficulty Apoplexia morbus est gravissimus qui primò caput obsidet protinus ac subitò sensu motu universum corpus privat ita ut exitus spiritus animalis a cerebro prohibeatur vitalis aditus à corde ad cerebrum praepediatur à percutiendo nomen habet quôd qui ea laborent veluti de coelo percussi videantur Avicenna apoplexiam definit quod sit otiositas sensus motus per interceptionem spiritus sensitivi motivi ab oppilatione ventriculorum cerebri The Apoplexy is a Disease suddenly depriving the whole Body of Sense and Motion and causing all the Animal Functions to cease breathing only excepted wherein the Sick lies for a season as if Dead 3. The Kinds or Diferences 1. The Apoplexy is either accidental coming of a sudden and falling indifferently upon any Man though not at all predisposed thereto for which no preventive method can be instituted Or it is habitual from a constant disposition in some Men because of which they are at first only exercised with light approaches thereof or rather Symptoms afterwards the Paroxysms are evident but gentle but at length they become more grievous and of which at last they for the most part dye 2. The Apoplexy is distinguished according to its degrees as Sennertus teacheth Lib. 1. Par. 2. Cap. 23. into gentle strong and strongest The gentle is that in which the Sick breaths freely and easily becomes sensible again The strong Apoplexy is that wherein the Sick breaths with very great difficulty and as it were with violence snorting and foaming at Mouth The strongest and most dangerous is that in which all Sense and Motion immediately cease through the whole Body the breath also being stopt in these there is neither snorting nor foaming but the Sick lyes as if perfectly Dead and they ought not to be buried before three days be over for it has been found that in that space of time some so seized have revived again 3. The Apoplexy is also two-fold according to the place the one is seated in the middle of the Brain the other in the Cerebellum 4. It is either from causes conjunct and procatartick or from causes evident as some external violence LIII The signs of an Apoplexy 1. The person before
Tree Price 24 s the Pound or 18 d. the Ounce Tomi primi FINIS The CONTENTS LIBER I. Of Diseases of the Head CHAP. I. Of the Head-Ach The AUTHORS Observations Sect. 1. A Cephalea or old Head-ach in a poor labouring Man p. 1. Sect. 2. A Cephalea in a young Woman 2. Sect. 3. A Cephalea in an ancient Woman of more than twenty years standing ibid. Sect. 4. A Head-ach in a middle aged Man of a Melancholy Constitution 3. Sect. 5. An observation of a violent pain of the Head arising from the Venereal Disease ib. Sect. 6. Another Observation of an inveterate Head-ach proceeding from a Venereal cause 5. Sect. 7. An old Head-ach from the violent running of a Race ib. Sect. 8. An extream pain of the Head in a young Virgin ib. Sect. 9. An Head-ach with a mighty pain in the Neck 6. Sect. 10. An extream Head-ach arising from the Pox ib. Observations from other Authors Sect. 11. The cure of the Head-ach in a certain Citizen of Langinga 7. Sect. 12. A most vehement pain of the Head which happened to a Husband-man ib. Sect. 13. The Head-ach in a young Woman ib. Sect. 14. A pain in the Head with noise in the Ears ib. Sect. 15. A Head-ach accompanied with many Symptoms ib. Sect. 16. A grievous and lasting Head-ach 8. Sect. 17. An Head-ach accompanied with Hoarsness short Cough and difficulty of Breathing ib. Sect. 18. An Head-ach with Wheezing and want of Appetite ib. Sect. 19. A pain of the Head with pain of the Stomach ib. Sect. 20. An Head-ach accompanied with very many Symptoms 9. Sect. 21. A cruel Head-ach cured by an Issue in the Hand ib. Sect. 22. A pain of the Head cured by applying Horse-Leeches ib. Sect. 23. A cruel Head-ach cured by bleeding in the Forehead 10. Sect. 24. An Head-ach by being in the Sun ib. Sect. 25. An old Head-ach with other Infirmities ib. Sect. 26. An old Head-ach 11. Sect. 27. A mortal or deadly Head-ach ib. Sect. 28. An old Head-ach from the Venereal Pox ib. Sect. 29. An intollerable Head-ach 1â— Sect. 30. An Head-ach in a Semi-Tertian Ague ib. Sect. 31. A grievous and lasting Head-ach 13. Sect. 32. A stubborn Pain of the Head ib. Sect. 33. A Cephalalgia or new Head-ach in a certain Matron ib. Sect. 34. An old Head-ach with breaking forth of the Head 14. Sect. 35. An old Head-ach with pain of the Head ib. Sect. 36. A contumacious pain of the Head that could be helpt by no Medicines 15. Sect. 37. A pain of the Head with a Catarrh ib. Sect. 38. A pain of the Head from vehement labor ib. Sect. 39. A pain of the Head arising from cold 16. Sect. 40. A pain of the Head cured by purging the Brains ib. CHAP. II. Of the MEGRIM The Authors Observations Sect. 1. An Hemicrania or Megrim proceeding from the Pox 17. Sect. 2. A Megrim proceeding from a hot Scorbutick habit of Body 18. Sect. 3. A Megrim proceeding from a scorbute in a cold Constitution 20. Sect. 4. A Megrim proceeding from a certain foulness of the Stomach ib. Sect. 5. A Megrim arising from Blood over heared 21. Sect. 6. A Megrim proceeding from a Stomach oppressed with Flegm ib. Sect. 7. A Megrim arising from a great blow on the Head ib. Sect. 8. A Megrim with a violent Cough and shortness of Breath 22. Sect. 9. A Megrim with a Catarrh and Scirrhus tumor of the Spleen ib. Sect. 10. A Megrim which proved mortal in a Sphacelation of the Brain 25. Sect. 11. A Megrim proceeding from a cold taken 26. Sect. 12. A Megrim with the Cramp in many parts of the Body ib. Sect. 13. A Megrim in a Woman which had lately been delivered 27. Observations from other Authors Sect. 14. An old Megrim cured by opening an Artery 27. Sect. 15. A Megrim with a Catarrh the Councel of Fernelius 28. Sect. 16. An inveterate Megrim cured by a flux of Blood by the Bowels 29. Sect. 17. Another inveterate Megrim ib. Sect. 18. Another Megrim cured by opening an Artery 30. Sect. 19. A Megrim returning in the Winter time ib. Sect. 20. A Megrim with pain of the Eyes and inflamation of the Ey-lids 32. Sect. 21. A Megrim cured by opening an Artery in the Temples that by all other means was incurable 33. Sect. 22. A Megrim cured by washing in cold Water ibid. Sect. 23. A Megrim arising from Gluttony ib. Sect. 24. A Megrim proceeding from a cold humour ibid. Sect. 25. A Megrim from an hot cause with an Ophthalmia 34. Sect. 26. A Megrim which came once a month 35. Sect. 27. A periodick pain in the hinder part of the Head ibid. SCHOLIA by W. Salmon the Author of this Work Sect. 28. Of the principal kinds of Diseases 37. Sect. 29. Of the Head-ach its name definition and kinds 39. Sect. 30. The Pathology of the first sort of Headach beforenamed and first of the cause thereof ib. Sect. 31. The Prognosticks of a Cephalalgia 41. Sect. 33. The Therapia or method of Cure and first of a Headach proceeding from a simple in-temperature of heat and dryness 42. Sect. 33. A Headach proceeding from heat and moisture 43. Sect. 34. The cure of the Headach from cold and dryness ib. Sect. 35. The Cure of the Headach proceeding from cold and moisture 44. Sect. 36. The cure of the Headach from Vapours ascending up into the Brain 50. Sect. 37. The cure of the Headach arising from a Feaver ibid. Sect. 38. The cure of the Headach arising from the French Pox 51. Sect. 39. The cure of the Headach proceeding from a hurt of the Cranium or the Menings of the Brain 54. Sect. 40. The Pathology of the second kind of Heach-ach called old or inveterate and first of the signs and causes 55. Sect. 41. The Prognosticks of a Cephalaea or old Head-ach 56. Sect. 42. The cure of a Cephalaea or old Headach in a cold and dry Constitution of Body Or arising from Melancholy 57. Sect. 43. The cure of a Cephalaea or old Headach in a cold and moist Constitution ib. Sect. 44. The Pathology of the Megrim and first of the Notation thereof 61. Sect. 45. The signs of the Megrim 62. Sect. 46. The causes of the Megrim ibid. Sect. 47. The Prognosticks or Judgments of a Megrim ibid. Sect. 48. The Therapia or method of Cure ibid. CHAP. III. Of the VERTIGO Pag. 65. The Authors Observations Sect. 1. A Vertigo in a Youth with dimness of sight called Scotoma Sect. 2. A Vertigo arising in a flegmatick habit of Body with weakness of Sight Sect. 3. A Vertigo proceeding from a fall from a Horse Sect. 4. A Vertigo with a disaffected Womb and pain of the Spleen Sect. 5. A Vertigo in a Child five years of Age. Sect. 6. A Vertigo in an aged Man Sect. 7. A Vertigo with a malign Feaver Sect. 8. A Vertigo in a Maiden with obstruction of her Terms Sect. 9. A Vertigo in a Girl about ten years of age
Tremor or Trembling 545 CHAP. III. Of the PALSY The Authors Observations Sect. 1. A Palsy in a middle aged Man of a gross Body with a violent Catarrh 551 Sect. 2. A paralytick Distemper in the lower Parts of the right Side with the Stone in the Reins 554 Sect. 3. A Palsy in a young Man accumulated through lying in the Cold. 555 Sect. 4. A Palsy in a young Lady accompanied winh Convulsions of the Mesentery 558 Sect. 5. A Palsy in a young Woman occasioned by taking a great Cold after violent Sweating 560 Sect. 6. A Palsy in a middle-aged Man arising from drinking cold Water too plentifully c. 561 Sect. 7. A Palsy in one Part with a Contraction in another 567 Sect. 8. A Palsy in a middle-aged Woman with Obstruction of her Courses and a Dropsy 568 Sect. 9. A Youth of fourteen years of age by sitting in the Snow was taken with the Palsy 570 Sect. 10. A Palsy in the upper Parts with Convulsions of the Stomach and Mesentery Worms c. ibid. Sect. 11. A Palsy in a Man about forty five years of age 573 Sect. 12. A Palsy in an antient Gentlewoman which was mortal 574 Sect. 13. A Palsy in a young Woman with cholick Pains and retention of her Courses 575 Sect. 14. A Palsy in a Gentleman occasioned by taking Cold in Swimming 577 Sect. 15. A Palsy it a middle-aged poor Woman 578 Sect. 16. A Palsy in a very fat Man of about forty years of age ibid. Sect. 17. A Palsy hapning in a scorbutick habit of Body 579 Sect. 18. A Palsy in a middle-aged Woman accompanied with a kind of Letha gy 581 Sect. 19. A Palsy in a Genlewoman of about thirty six years of age 583 Sect. 20. A Palsy in a Gentleman cured by taking of Opiates 585 Sect. 21. Counsel and advice sent in a Letter to a paralytick Patient ibid. Observations from other Authors Sect. 22. A most excellent Oyntment against the Palsy 590 Sect. 23. A Palsy after Child-birth 591 Sect. 24. A Palsy in a Man of seventy years of age 592 Sect. 25. A Palsy of the Eye-Lids ibid. Sect. 26. A Palsy of the Tongue cured by opening the Veins under the Tongue ibid. Sect. 27. A Palsy of the Gullet coming upon a burning Feaver add cured by drinking Wine 593 Sect. 28. A Palsy of the Sphincter-Muscle cured by Ebony 594 Sect. 29. Of the Palsy in Arms and Legs ibid. Sect. 30. A Palsy in a very aged Man 595 Sect. 31. A Palsy in a Gentlewoman from drinking Water ibid Sect. 32. A Palsy in an aged Man 596 Sect. 33. A Palsy or Resolution of the lower Parts ibid. Sect. 34. A Palsy in the Tongue that hindred Speech 597 Sect. 35. A Palsy in the Tongue that hindred Speech and in the Fingers 598 Sect. 36. A Palsy and Convulsion ibid. Sect. 37. A bastard Palsy 599 Sect. 38. A Palsy in one Side of the Body 603 Sect. 39. A Palsy in an antient Gentlewoman ibid. Sect. 40. A Palsy which came by taking Cold in the Rain 604 Sect. 41. A Palsy with greivious Symptoms ibid. Sect. 42. A Palsy in the Tongue and left Arm. 605 Sect. 43. A Palsy in a young Gentleman ibid. Sect. 44. Of the Palsy and Gangreen with a Mortification 606 Sect. 45. A Palsy with a troublesom Hiccough ibid. Sect. 46. A Palsy in a young Girl 607 Sect. 47. A Palsy from the Cholick 608 Sect. 48. A Palsy of both Legs in a young Girl ibid. Sect. 49. A Palsy in an antient Person ibid. Sect. 50. A gentle or light Palsy 610 Sect. 51. A Palsy of the Tongue 611 Sect. 52. A Palsy from Flegm 612 Sect. 53. A light Palsy 613 Sect. 54. A Palsy from an Apoplexy ibid. Sect. 55 A Palsy easily cured 614. Sect. 56. A Palsy variously cured ibid. Sect. 57. A Palsy in the Tongue 615 Sect. 58. A Palsy coming on the sudden ibid Sect. 56. A Palsy in the Tongue after an Apoplexy ibid. Sect. 60. A Palsy in the Tongue hapning suddenly 616 Sect. 61. A Palsy of the Bladder ibid. Sect. 62. A Palsy of the Yard 618 Sect. 63. A Palsy with an Atrophia of the Legs ib. Sect. 64. The Palsy in a middle aged Man 619 Sect. 65. A Palsy in a young Man 620 Sect. 66. The Palsy in a middle aged Man 621 Sect. 67. The Palsy in a young Woman after Child-birth ibid. Sect. 98 A Palsy which hapned to an healthful Man 622 Sect. 69. A Palsy in a Child 623 Sect. 70. The Palsy arising from a Cholick 624 Sect. 71. A Palsy following upon a Feaver ibid Sect. 72. A Palsy following upon cholick Pains 625 Sect. 73. A Palsy of the right Side accompanied with some Defects and Impairment of the Intellect and Speech 626. Sect. 74. A Palsy of the left Side from an approaching Appoplexy 927 Sect. 75. A Palsy upon a Cholick 629 Sect. 76. The Cure of the Palsy 630 Sect. 77. A Palsy and pissing Blood upon the suppression of the Hemorrhoides ibid. Sect. 78. A Palsy degenerating into a Lethargy 631 Sect. 79. A Palsy cured in several Persons ibid. Sect. 80. A Palsy 632 Sect. 81. The Palsy ibid. Sect. 82. The Palsy in a noble Man ibid. Sect. 83. A Palsy 637 Sect. 84. A Palsy of the one Side ibid Sect. 85. A Palsy of the Leg. 638 Sect. 86. A Palsy of the inferiour Parts with a Convulsion and Pain about the Region of the Reins and Thighs 639. Sect. 87. A Palsy of the right Side with the Cramp and a Trembling ibid. Sect. 88. A Palsy from a Cholick 641. Sect. 89. A Palsy after a Cholick ibid. Sect. 90. The Palsy of the Tongue ibid. Sect. 91. Another ibid. Sect. 92. Another ibid. Sect. 93. Another 643 Sect. 94. A Palsy of the Tongue and Arm. ibib Sect. 95. A Palsy with a chronical Pain of the Head ibid. Sect. 96. A Palsy cured in a Man of fifty years of age ibid. Sect. 97. A Palsy of the Tongue 644 Sect. 98. An universal Palsy 645 Sect. 99. A Palsy in the Thumb from the cutting of a Muscle 646 Sect. 100. A Palsy cured by Paracelsus 647 SCHOLIA The Theory of a Paralysis or Palsy by the Author Sect. 101 The Pathology of the Palsy and first of the Notation thereof 648 Sect. 102. The Signs of the Palsy 649 Sect. 103. Of the various Causes of a Paralysis or Palsy 651 Sect. 104. The Judgment or Prognosticks of the Palsy 656 Sect. 105. The general Method of curing the idopathetick Palsy 657 Sect. 106. The Cure of the Palsy in a hot dry and cholerick constitution 675 Sect. 107. The Cure of a Paralysis arising by consent from other Parts or Diseases 677 Sect. 108. The Cure of a Palsy arising from Causes evident and â—ccidental as from a Fall Blow Wound Concusion c. 680 CHAP. IV. Of the APOPLEXY The Authors Observations Sect. 1. An Apoplexy in an elderly Woman 682 Sect. 2. An Apoplexy in a young Man of a sanguine Complexion 683 Sect.