what Causes the Blood is wont to be moved and to bring 〈◊〉 to the distempered Head The Blood delivers to the head the morbific matter received from any other part A Flux of the Serum sometimes from meer fullness Sometimes from other Causes Sometimes the watry humor suffering a flux offends the Head Hence in those that have the Headach as in Convulsive Diseases there is often a clear and copious Vrine The recrements of other parts often carried violently to the head with the Serum The evacuation of the Serum thorow its right ways being suppressed brings its flux to the Head 3 The nutritious juice sometimes the cause of the Headach either 1 Because it is carried with the Blood into the Head 2 Because not being agreeable to the blood it stirs up its effervescency Sometimes the evident causes of the Headach are Convulsions somewhere begun and continued by the passage of the nerves into the Head Convulsions beginning after off are sometimes signs of an Headach shortly to follow Sometimes also the cause of it Coâ—vniâ—â—â—e Headaches seem to arise so from the Viâ—â—era not from Vapours But this sympathetick Distemper perâ—â—ps proceeds elâ—ewhere by reason of an evil ferment communicated to the blood So sometimes it seems to be caused from the Ventricle The Head and the Stomach intimately conspire and mutually affect one another 2 How the Head-ach seems to arise from the Spleen The like reason is for this Disease arising from the Liver Mesentery or Womb. The kinds of habitual Headach are noted It is either Continual â— Intermitting The Fits of the intermitting either periodical or certain â—â— iâ—certain and wandring The prognostick of the 〈…〉 is â—asie or diffiâ—â—lt to secured also the 〈◊〉 of the Disease safe or dangerous By what signs we may pronounce it safe and easie to be cured By what difficult By what scarce possiâ—le By what dangerous Accidental Headach easily cured The habitual affords more indications Two chief scopes of Cure 1 To cut in two the Bed â—â— Root of the Disease 2 To root out the Conjunct Cause The â—â—st or Tinder of the Disease the blood serum nourishing juice nervous Liquor and the Recrements caried thorow the Blood How the inordinations of the Blood may be taken away and prevented The pain of the Head from the serous heap â—ow to be cured Phlebotomy Purges Pills Purging Powders An emetick Powder An Apozem A decoction of woods A Cephalick Decoction impregâ—ated with the Tincture of Coffee Tâ—e Headach from other barious mixt with the serum how to be cured The Headach arising from any Inward how to be cured Rais'd up from the fault of the nourishing Iuice how to he handled Frequently follows the Small Pox and Measles Easily cured An Electuary A Iulep Antiscorbutick Remedies good for it The Headach raised up from the vice of the nervous humour how to be cured It s fault either private or particular Or universal and then letting of blood or stronger Purges are not convenient Remedies called Cephalicks proper here Of which sort are these which are convenient in Disâ—ases of the Brain and in these kind of Headaches A great many of these every where to be found in Physical Books An Electuary Iulep A distilled Water Tablets Tinctures Spirits The use of millepedes notably helps The other part of the conjunct Cause consisting in the weakness or evil conformation of the distempered part how to be handled We are not to despair of the Cure Here those Medicines are only profitable that cut off the inkindling or root of the Disease Chyrurgical Remedies chiefly help here of which are 1. Plasters Medicines raising Whelks and Blisters Liniments Fomentations and Bathings help not An Embrocation or a dipping of the head in cold water oftentimes helps Issues Issues made upon or near the distempered place help little The opening of the Skull cry'd up by many but rarely or never attempted Whether salivation in inveterate Headaches without any suspicion of the Venereal Disease ought to be administred The means and manner of salivation by Mercury unfolded Salivation not always safe wherefore to be suspected in Headaches What the cutting of the Artery may profit in this Disease Nevertheless in this Distemper it is often helpful and by what means is shown Farriers use the like practice And perhaps it may be convenient for the curing of strumous or running humours such as the Kings Evil. The History of a continual and a deadly Head-ach A continual and inveterate Headach passing into a Lethargy A second History of an incurable Headach in a most noble Lady labouring with it for twenty years Remedies of every kind for the curing this Headach try'd in vain Conjectures concerning the reason of this cruel Disease A third History of a deadly continual Headach A conjecture concerning the reason of the Disease A fourth History of an Head-ach excited from a fiery Swelling or an Inflammation of the Meninges An History of an Headach raised up from an Impostâ—ume in the Meninges A continual Headach we always to be accounted incurable An intermitting Headach whose Fits are uncertain are so frequent that we need shew no instances of it The sixth History of a periodical intermitting Headach The Cure of the same The reason of this Case unfolded The seventh History of the same Distemper excited by the default of the nervous Liquor The Cure of it The reason of the Case unfolded An Instance of an intermitting Headach which seem'd to be excited from the womb The eighth History of an intermitting Headach seeming to aâ—ise from the Stomach A reason of this Case delivered The like reason is for other Headaches seeming to arise from the Spleen Liver Mesentery c. The Seat of the Lethargy is the same with that of Sleep and Memory to wit about the Shell of the Brain By this name both the Fits of the Lethargy are called And also the soporiferous disposition or Sleepiness Of which there are various kinds The continual Sleepiness the Coma c. In every Lethargick Distemper there is an excess of Sleep and a defect of Memory The essence and causes of natural and non-natural Sleep rehearsed The causes of preternatural Sleep are An infartion or obstruction of the outward part of the Brain and a recess of the Spirits from thence Sometimes this sometimes that is the cause The Lethargy oftentimes from the serous heap overflowing the outward part of the Brain And sometimes from a Dropsiâ— of the whole Brain Not only a plenty of humour but the malignity often causes this Disease The proâ—atarctick causes of the Lethargy In what respect they are in fault Both the Blood begetting evil humours and sending them to the Brain and the Brain too easily receiving them Vpon what occasions the Brain is prone to the Lethargy The evident causes of this Disease Another conjunct cause of the Lethargy consists in the afflicting the Spirits with some narcotick How opiates causes Sleep How they operate in the Ventricle 〈…〉
well as the other Animal Functions Who are said to be Foolish or to talk idly This is either shorter as the Delirium or longer and with a Feavour called Phrensie or without a Feavour as melancholy madness stupidity What the Delirium is It s formal Reason The Causes of the Delirium 1 Either from the Blood Or 2 From exterior Spirits planted in the nervous Stock By what and how many ways the Delirium is caused by the Blood 1 By reason of its too great heat 2 By reason of untameable Particles carried from it into the Brain 3 By reason of malignant Particles suffused from it 4 By reason of Effluvias or venomous Particles obtruded also on the Brain 5 By reason of its afflux being denied to the Brain How a Delirium proceeds from the irregularities of the exterior Spirits The Prognostick of a Delirium It s Cure Of the Phrensie what it is The Paraphrenesis Their Conjunct Causes The Phrensie not from the Inflammation of the Meninges The Paraphrenesis not from the Inflammation of the Diaphragma Wherefore breathing is hurt in this Disease The formal Reason of the Phrensie This Disease proceeds from the burning of the Animal Spirits The Inflammation of the Meninges stirs up rather the inveterate Head-ach or the Lethargy than the Phrensie Prosper Martianus also asserts this Chymical Spirits in their distilling are sometimes inflamed So the Animal Spirits What the Indisposition of the Brain is to the Phrensy The Procatartick Causes of the Phrensy which are partly in the Blood and Partly in the Brain The evident causes of the Phrensie The differences of it The Prognostick The Cure of the Phrensie Phlebotomy Clysterâ— A Iulep An Apozem A Drink Hypnoticks External Medicines causing Sleep Epithems The means for the preserving of strength Cordials The Histories of sick persons in Hippocrates Lib. Epidem A notable History The Distemper of the Animal Spirits being after a 〈◊〉 manner as it is the cause of the Phrensie so it is of Melancholy Madness and Stupidity The definition of Melancholy That it is a Distemper of the Brain and Heart Its Examples or Types various and almost infinite Melancholy is â—ither 1. Vniversal or 2 Particular The primary Phaenomena of a Melancholick Dâ—â—â—rium From what disposition of the Spirits they proceed As they are compared to Light they are called opacous or full of darkness These kind of Spirits in Melancholy compared to those in Chymical Liquors 1 They are not like the Spirit of Blood as they should be 2 Nor like the Spirit of Wine Such rather in the Phrensie 3 But these are like acid Spirits distilled out of Salt Vinegar Box and such like 4 Stygian Waters are like the Nature of the Animal Spirits in Madness The formal Reason of Melancholy aptly represented by acetous Chymical Liquors There are three chief affections of these which agree with the Animal Spirits in Melancholy 1 Effluvias falling away from these Liquors are perpetually in motion In like manner also the Spirits in the Phantasie of a Melancholick person 2 Effluvias from acetous Chymical Liquors do not proceed far In like manner the imagination of a Melancholick Person though always employ'd comprehends only a few things And therefore every thing is conceived with a greater Image than it should be 3 Effluvias from acetous Liquors do not evaporate so much from open Pores as they make new And in like manner the Animal Spirits whilst they form in the Brain new Tracts produce unwonted and incongruous Notions In Melancholy after the Animal Spirits being for some time vitiated the Conformation of the Brain is also hurt The Affection of the Praecordia in this Disease as to fear and sadness is delivered After what manner the Corporeal Soul is affected in these two passions The cause of either depends partly on the blood and partly on the Animal Action of the Heart The procatartick Causes of Melancholy are Partly the acetous Nature of the Spirits and partly the Melancholy Dyscrasie of the Blood The Distemper begins sometimes from this sometimes from that How it begins from the Spirits and the Animal Government By what means this Disease arises from the Blood Melancholy doth not arise from an atrabilary humour heaped up in some place or mine By what means according to the Antients it is said to arise from the Head How from the Womb. How from the Spleen How from the whole Body The Differences of the Disease 1 In respect of its first Subject 2 By reason of Temperament of the Sick In respect of the next Cause as it is singular or conjunct In respect of the Imagination diversly hurt The Prognostick of this Disease The Cure of the Disease The evident Cause first to be removed Three primary Indications 1 Curatory The healing of the Spirits is best performed by admonitions and artificial inventions concerning the business of Life Yet oftentimes there is need of Medicine besides The Preservatory indication concerning the Procatartick Causes of the Disease Phlebotomy Purging Vomiting Vomitories Purgers Pills Powders Syrups Altering Medicines are of the greatest moment and not pargiâ—g Medicines as the Antients thought An Electuary A Iulep A Distilled Water Lozengâ—s An Apozem Spaw-Waters Chalybâ—ates Steeled Medicines Whey Broths Iuices of Herbs A Bath Hypnoticks The first History An Example of Melancholy beginning from the Spirits The Cure The second History An Example of Melancholy arising from the Blood The Curatory Method proposed Vniversal Melancholy De Morbis Convulsivis Cap. 2. Particular Melancholy is excited by reason of two sorts of Affections concerning Good or Evil. Love-Madness The Reasons of Symptoms in mad Love Iealousie Superstition and Desperation The reason of the Symptoms The imaginary Metamorphosis of Melancholick Persons Madness and Melancholy are akin The Subject of Madness are the Animal Spirits The dispositionâ— of which are like to Stygian Water Three chief Accidents in Madness Which are also to be found in Stygian Water 1 The Particles of this are always in motion And in like manner the Animal Spirits in Mad-men 2 The Effluvia's of Stygian Water every where make new Pores and Passages In like manner also the Animal Spirits in Mad men 3 The Effluvia's of Stygian Water are diffused far In like manner as the Animal Spirits in Mad-men What the Conjunct Cause of Madness is How the Animal Spirits acquire a disposition like to Stygian Water It is shewed in the first place that corrosive and as it were Stygian Particles are begot in the humane Body Wherefore the Nervous Liquor oftentimes becomes corrosive Because the volatile Salt most easily degenerates into an acid and most sharp with the acquired Sulphur Hence the Reasons of Tumours and Vlcers in the Kings Evil and the Cancer are given Hence also the Madness of the distempered Spirits The Original of Madness either from the Spirits themselves or from the Blood It begins for two occasions from the Spirits 1 By Reason of a violent Passion by which They
or other Distempers of the Brain or nervous System if it be not in a short time altered for the better or gives not place to Medicines it remains for the most part incureable 3. If that a total resolution follows from a total obstruction in the beginning of the oblong Marrow or from the Back-bone being vehemently hurt and that sense and motion are both taken away the Distemper is hardly or scarce at all to be Cured 4. Those who are once cured of a Palsie arising from an evident solitary cause do not so easily relapse into the same as when the Disease depends upon a procatartick cause 5. A Palsie happening to men of years to Cacochymical very Scorbutical and intemperate persons although the Distemper be not very great is difficultly Cured As the Palsies are manifold and are from diverse causes so the Cure is not to be instituted always after one manner but after a various method to wit appropriate to every kind of this Disease For the most part there are these three kinds of it or rather there are three means of healing of which there ought to be had concerning the Cure of this Disease now this now that or now another to wit because resolution whatever or in what place soever it be is either caused 1. from an external accident as a stroke a fall a wound excess of cold or the like suddenly Or 2. It succeeds to some other Distemper as the Apoplexy Carus Colick or a long Feavour Or 3. It is primary and a Disease by it self by degrees excited and depending upon a procatartick cause or a previous provision Concerning each of these we shall speak particularly 1. Therefore when the Palsie is caused by reason of some accident with a vehement hurt there are not many intentions of healing but only that the part hurt may recover its pristine conformation And first of all that the Blood and other humors flowing to it being weak and distemper'd and staying there might not increase the hurt Phlebotomy is most requisite in this case and presently to be celebrated then the belly being made slippery by the use of Clysters and a slender dyet if the matter requires it let there be instituted either easily digested meats or moderate Hydroticks or water meats to wit that whilst the sick is kept in bed he may continue in a gentle sweat that all the superfluities may copiously exhale from the hurt part and that the Spirits being gently agitated may repeat their former ways and tracts within those Pores and passages so unlocked by the warm Effluvia's For this end the Powder ad Casum described in the Augustan Pharmacopoea or as it is in ours is of common use let there be given of Irish Slate to the quantity of about a dram in a draught of white Wine warm'd or of Posset-drink made of it and repeated every six or eight hours Besides if there be at hand the Decoctum Traumaticum let it be taken ever now and then frequently in Posset-drink or a Decoction of the Roots of Madder or of Butter-bur or of St. Iohns-wort Flowers Further in the mean time let the distemper'd part be carefully lookt to which may be easily known partly from the hurt inflicted and partly from the loosened members If there be any thing dislocated in it you must take care that as soon as it can it may be put again in its place if a Tumor Contusion or a wound be excited they are to be succour'd by Balsams Liniments Stuphes or Fomentations or Pultesses But if nothing preternatural appears outwardly let a Plaster of Oxycrocium and of Red-lead each alike what will suffice be laid upon it and let the sick be kept quiet and in a moderate heat for three or four days If the resolution remains confirmed and the afflux of new matter be not feared let more resolving and discussing Remedies be applied to the distemper'd places wherefore make use of Fomentations and hotter Oyntments yea natural Baths if they are at hand or at least artificial Sometimes it may be expedient for the distemper'd Members to be wrapped in Horse-dung or in warm grains and to be kept so for some time and lastly between whiles besides the use of these to add Clysters and gentle Purges But if no help follows these administrations the sick ought then to be handled with the like long method and with the same Remedies as those that have an habitual Palsie or any other coming upon other Diseases and confirmed which means of Cure for every common Palsie more deeply rooted shall be shewed anon 2. When the Palsie coming upon a Feavour Apoplexy Carus or other Cephalick or Convulsive Diseases is greatly and suddenly excited first the Physician ought to endeavour the taking away of the conjunct cause which hath almost ever its seat in the oblong or spinal Marrow Wherefore at the beginning of the Disease Blood-letting and Purging if nothing shews the contrary Clysters Vesicatories Cupping-glasses Sneezing Powders Oyntments and other administrations used in Cephalick Diseases to wit which by any means may shake off or pull away the deadly matter fixed to the Medullary Trunk or to the little heads of the Nerves coming from it are to be made use of If that at first the force of Medicine effects nothing within fifteen or twenty days for that the Distemper is radicated and become habitual it must be expunged by a long method and equally by preservatory as well as curatory Indications of which we shall speak anon 3. The habitual Palsie depending upon a procatartick cause whether it be in fieri or in disposition or whether it be made or in the nest or bird either requires a peculiar means of healing There are two chief causes of the former in both which the Curatory Method respecting only the fore-leading Causes is designed after the like manner to wit whether any falling dangerously ill of the Palsie or growing well of it relapses into danger the same Remedies almost are to be insisted on The intentions therefore of healing are First That the offices of Chilification and of making of Blood be rightly performed and matter for the procreating the Animal Spirits be supplied both laudable and sufficient to the Head then Secondly That the Brain being still firm and well made the heterogeneous Particles being excluded it may admit all that are fitting and rightly exalt then into Animal Spirits For these ends I think convenient to propose the following method which ought to be varied according to the various constitutions of the sick In Spring and Fall that they enter into the ordinary course of Physick yea the whole year besides some Remedis are in constant use Blood-letting is not always convenient to all men But though we forbid this it is not for the same reason with the Ancients supposing the Palsie to be a cold Disease but because the Animal Spirits are both procreated out of the Blood and
what meaâ—â— in the Brain The History of one presently kill'd by taking too large a Dose of Opium Sometimes a Lethargy arises from Narcotick Particles begotten in the Body Even as Convulsions from a nitro-sulphureous or explosive matter What things belong to the Theory of the Lethargy Its symptoms The chief of which are a sleepiness and oblivion By what means the other faculties of the Soul to wit the knowing desiring and locomotive are affected The evil of the Disease reaches also to the Cerebel Hence breathing is often hurt or altered This proceeds not from the Inflammation of the Midriff From whence the Lethargick Feaver Not from Phlegm putrifying in the Brain Nor is the former always the cause of it in the Lethargy Lib. de Morb. Convuls Cap. viij p. 96. More often the effect of this Disease proceeds from the Organical Circulation of the Blood being hindred or altered How none dyes without a Feaver The Prognostick of the Lethargy When the Disease is desperate When it is only so When some hope may be conceived From whence more hope may be had Whence more of hope than of fear A red Swelling coming upon a Lethargy sometimes cures it Lib. 9. of Convulsive Diseases The Cure of the Lethargy Phlebotomy almost always necessary Outward Administrations Internal Rememedies Iulep Spirits A Powder A Vomit or Purge How they are indicated When to be avoided Starification Catharticks Erthines Sneezing Powders and Apophlegmatisms c. A Blistering applyed to the Forepart of the Head very much helps The first History The reason of this A second History The third History The Cure described Sleepy Diseases do not arise by reason of the Ventricles of the Brain being filled with water The ends or limits of the Lithargy as to the places distempered are constituted Some sleepy Distempers lesser than that viz. Sleepiness and the Coma The Caros is greater than it Continual Sleepiness described It s Seat assigned In what respect it differs both from the Lethargy and the Coma. The conjunct cause of Sleepiness What the deluge or Anasarca of the Cortical part of the Brain is To which happen an heaping up or as it were a stagnation of the Blood about the compass of the Brain Also a Torpor or Sleepiness of the Spirits The Cure of Somnolency An History The 〈…〉 Sick 〈◊〉 The sleepy Coma. The reason of it The Coma is either a primary Disease or it comes after other Distempers The Cure of it when it is a Disease of it self The Cure of the Coma as it is the symptom of another Disease In Lib. Of Convulsive Diseases Chap. viij 3 Of the Caros How it differs from the Lethargy and the Apoplexy The Seat of the Caros is a little deeper in the Brain than that of the Lethargy It s Conjunct Cause The Caros is either a primary Disease or it cometh upon other Distempers The Prognostick of the Carus The event of this Disease is various sometimes it passes into an Apoplexy Sometimes into the Palsie It s Care is the same with the Lethargy and the Apoplexy The first History Another History Long Waking is either the symptom of other Diseases or else is a Disease of it self The cause of natural Waking consists in the restlessness of the Spirits and the openness of the Cortical part of the Brain In like manner also preternatural Watching depends upon one or both The former means described by shewing how many ways the unquiet or elastick Spirits stir up long waking First Because being recalled for Sleep into the middle part of the Brain they grow tumultuous Secondly Because being called back into the nervous Stock they impetuously leap forth And so either into the interior Nerves serving the Praecordia and Viscera Or into the Spinal Marrow and the exterior Nerves The causes of the aforesaid Distempers assigned The Cure of them declared The second sort of thorow or long waking arising both from the too much openness of the Brain and from the unquietness of the Spirits its foreleading Cause Which also causes waking in Melancholick People For the same reason Coffee causes waking An History shewing an example of this Disease A description of the waking Coma The cause of this Distemper shewn It is more often a symptom of other Distempers than a Disease of it self The Seat of the Incubus is in the Cerebel A Description of it It most often proceeds from natural causes The Seat of this is falsly placed in the Brain The Praecordia truly labour The cause doth not stick partly in the Brain and partly in the Breast The next cause of this is the hindrance of the inflowing of the Spirits to the Praecordia This not in the Parts affected Nor in the Nerves themselves But happens in the Cerebel where the first Spring of the Spirits is From whence the sense of the Weight proceeds Whence loss of motion proceeds Wherefore the fit being so grievous is so soon ended without leaving any evil Whence after the Fit the tremblings of the Heart and the Praecordia The Incubus of it self rarely dangerous The Prognostick of the Incubus The Event of it is shewn It s Cure Infants and Boys obnoxious to this Disease how they ought to be handled The Stat of the Vertigo A Description of it The Causes and the Manner of the non-natural Vertigo The Reasons of them shewn Why looking down from on high and passing over Bridges cause a turning round in the Head How Drunkenness A perturbation of the Spirits in the Brain and a revocation of them from their flowing into the Nerves depend mutually on one another From what causes the preternatural Vertigo is wont to be excited Sometimes the Vertigo is a symptom of other Cephalick Diseases Sometimes it is excited by reason of the Distemper of other distant parts viz. from the stomach spleen c. and so by two means 1. Either by reason of the Flood of the Blood being kept back 2 Or by reason of an inordinate recourse or flowing back of the Spirits towards the Brain Not by reason of vapours elevated from these parts is it excited The immediate Subject of the Vertigo is the Animal Spirits The mediate the Callous Body It s formal reason It s Conjunct Cause 1 From the perturbation of the Spirits 2 From their ways or passages being obstructed This is seen by things helpful and hurtful The more remote foregoing cause of the Vertigo consists both in the vice of the Bloud and of the Brain The Reason of the former explained The vices of the Brain noted The differences of this Disease It s Prognostick The Cure of the Vertigo There are three chief intentions of healing 1 To take away the root or feeding of the Disease 2 To remove the procatartick causes 3 To take away the Conjunct Cause The Curatory Method as shewn Why vomiting Medicines are so much noted in this and other Diseases of the Head What is to be done out of the Fit for prevention sake Electuary A distilled Water Tablets Chalybeats or Steel-Medicines Spirits Powders Cases
pain of the Head is wont to be accounted the chiefest of the Diseases of the Head and as it were to lead the troops of the other Affections of that part for that it is the most common and most frequent symptom to which indeed there is none but is sometimes obnoxious so that it is become a Proverb as a sign of a more rare and admirable thing That his Head did never ake The Headach though it be a most frequent Distemper hath so various uncertain and often a contrary original that it seems most difficult to deliver an exact Theorie of its appearance containing the solutions of so manifold and often opposite things This Disease being constant to no temperament constitution or manner of living nor to no kind of evident or adjoyning causes ordinarily falls upon cold and hot sober and intemperate the empty and the full bellied the fat and the lean the young and old yea upon Men and Women of every age state or condition Hence because they cannot satisfie any one sick with this Distemper with the causes of it most commonly they say they all proceed from Vapours Further the Cure of this Disease is more happily instituted not so much by certain Indications as by trying various things and at length by collecting an Extempory method of Healing from things helping and hurting Wherefore if I should go about to untye this hard knot by drawing forth the matter more deeply and more accurately I must ask for pardon if I am carried by a long compass thorow the various Series and Complication of Causes and if at length by any means the Aeriology or the Reason of this Disease may be fully detected a more certain way to its Cure may be opened Therefore that we may go on more fully to institute this Pathology or shewing the Causes or symptoms of this Disease we ought first of all to unfold the Subject and the formal reason of this Disease together with the Causes and differences then to subjoyn the Curatory method and to illustrate it with some more rare Cases and Observations As to the former as all pain is a hurt or violated Action or a troublesome sension or feeling depending on a Convulsion or a Corrugation of the Nerves the Subject of the Headach are the most nervous parts of the Head that is the Nerves themselves as also the Fibres and Membranes and such as are more and most sensible seated both without and within the skull But the parts of this kind which are affected with pain are first the two Meninges and their various processes the Coats of the Nerves the Pericranium or skin compassing the skull and other thin skinny Membranes the fleshy Panicle of the Muscle and lastly the skin it self As to the Brain and Cerebel and their Medullary dependences we affirm That these Bodies are free from pains because they want sensible Fibres apt to be wrinkled and distended the same for the like reason may be said of the Skull 2. But whensoever pain is excited any where about the nervous parts of the Head its formal reason consists in this That the Animal Spirits being drawn one from another and put to flight cause the containing Bodies to be pulled together and wrinkled and so stir up a troublesome sension or feeling But that which so distracts the Spirits that from thence a troublesome feeling arises is some improportionate thing rushing upon the Spirits themselves or on the Bodies containing them which entring the Pores of and spaces between the Fibres pulls them one from another and so drives the spirits dwelling there into disorder 3. As to the differences of the Headach the common distinction is That the pain of the Head is either without the Skull or within its cavity The former is a more rare and a more gentle disease because the parts above the Skull are not so sensible as the interior Meninges nor are they watered with so plentiful a flood of Blood that by its sudden and vehement incursion they may be easily distended or inflamed above measure Secondly The other kind of Headach to wit within the Skull is more frequent and much more cruel because the Membranes cloathing the Brain are very sensible and the Blood is poured upon them by a manifold passage and by many and greater Arteries Further because the Blood or its Serum sometimes passing thorow all the Arteries at once both the Carotides and the Vertebrals and sometimes apart thorow these or those on the one side or the opposite bring hurt to the Meninges hence the pain is caused that is interior which is either universal infesting the whole Head or its greatest part or particular which is limited to some private region and sometimes produces a Meagrim on the side sometimes in the forepart and sometimes in the hinder part of the Head There are many other differences of this Disease to wit That the Pain is either light or vehement sharp or dull short or of continuance continual or intermitting its approaches sometimes periodical and exact sometimes wandring and uncertain Also by reason of the Conjunct Cause which as shall be declared by and by sometimes is the Blood sometimes certain excrements of it as either the Serum or nourishing juice or vapours or wind sometimes it is the nervous liquor sometimes a congression or striving of it with the bloody liquor The Headach may be called either bloody and that either simple or else serous vaporous or otherways excrementitious or else Convulsive from the humor watering the nervous Fibres and irritating them into painful Corrugations Concerning these that we may proceed methodically we shall rehearse in a certain order the various kinds of this Disease with their Causes and it seems good that we distinguish the Pain of the Head to be either accidental or occasional and habitual The former is wont to be excited without any foregoing cause or previous disposition by the solitary evident cause as when an Headach happens almost to all men after the drinking of Wine Surfetting lying in the Sun or vehement exercise also in the fitts of Feavours to wit forasmuch as the Blood being incited more than it was wont and boiling up immoderately very much blows up and distends the Membranes it passes thorow yea the Serum and Vapors copiously sent forth from it then growing hot and rushing on the Membranes pull and provoke the nervous Fibres Secondly The habitual pain of the Head hath some procatartick or more remote Cause fixed somewhere by reason of which it is troubled either constantly or often so that though it sometimes intermits yet it often returns of its own accord and is excited also upon every light occasion but this whether it be continual or intermitting hath neither always nor only the Suffusions or too great Evaporations of the Blood or Serum for the Conjunct Cause although these are often present where notwithstanding they are rather
Inflation a Rumbling or some other Perturbation of the distemper'd Spleen happens in the left-side that the Headach as if raised up by it by and by frequently suceeds hence presently 't is the voice of the people that these Vapours being sent forth from the disturbed Spleen stir up the pain of the Head But indeed we may grant that the Headach arises sometimes from the default of the Spleen yet reject this opinion that it ought for this cause to be imputed to Vapors but indeed either to an evil Ferment transmitted into the Blood from the Spleen or from a Convulsion from thence communicated to the Head by the Nerves because in the Spleen evilly affected the Melancholic humor being degenerate sometimes into a Vitriolic Nature sometimes a biting sometimes a sharp or otherways infestous is oftentimes heaped up which of its own accord being shaken forth by reason of plenitude or occasionally by reason of some perturbation and being confused with the Blood impresses a Fermentation upon it by which its Liquor rushing by it self on the Membranes of the Head or growing hot with the nervous Liquor causes painful pullings or haulings Further it is no less probable that sometimes a Convulsion being excited in the nervous Fibres which are very much disposed about the Spleen brought thence by the passages of the Nerves of the wandring and Intercostal pair and continued to the Head impresses the like Distemper to the Membranes predisposed to it 3. A reason may be also rendred according to the same Pathology to wit either from an evil Transmission of the Ferment or a continuation of the Convulsion for Headaches which are said to be raised up by consent from the Liver Mesentery the Womb and other parts The habitual Headach the Aetiology or the Reason of which we have already sufficiently handled is yet divided into certain kinds to wit it is either Continual or Intermitting but the periods of this are sometimes determined to a certain time and are sometimes wandring and uncertain we shall speak briefly of each of these 1. Sometimes therefore it happens that some are afflicted with a Continual pain of the Head to wit for many days or months little intermitting unless when sleep helps in which case we suppose that there is not only present a Procatartick or leading cause but also a Conjunct somewhere fixed and constant For besides that the parts affected or that are wont to be affected are weak and their watering liquor much depraved is apt to stagnate or to grow hot with other humors there is moreover oftentimes excited in them a breaking of the unity to wit an Inflammation a red and painful swelling a Scirrhous tumor or Imposthum or of some such kind about which whilst the humors of divers kinds do meet together and are heaped up there arise almost perpetual pains by reason of the nervous Fibres being continually pulled or hauled These kinds of Headaches do not rarely end in sleepy distempers and at length deadly for when I have opened the Heads of many dead of these Diseases the signs or footsteps declaring the aforesaid kinds of Morbific causes have appeared some examples of these shall be added hereafter 2. The habitual Headach is for the most part Intermitting whose sits as they are certain and Periodical or coming at a set period of time are wont often to return in the space of half a day and night or once in twelve hours Some more rare cases I have known which exactly repeating the Fits came every other day yea once in a week or a month It is an usual thing for Headaches that seem to be driven away to return again about the Equinoxes or Solstices to wit because at these times the Blood and Humors conceive greater Turgences or risings up than are wont and therefore are more apt to grow hot with the watering Liquor of the nervous parts of the Head and to renew the wonted fits of pains But when about these times of the year Headaches return they are not prorogued by a longer accession for a great while but for the most part having gotten subordinate periods they are wont to infest at some certain standing hours for the space of twelve hours When therefore a Periodical Headach hath its daily fits for the most part the reason of these as of Intermitting Feavors ought to be sought from the fault of the Morbifick Matter arising to a plenitude at a set time and then growing hot For it may be supposed that the proper Liquor is perverted somewhere about the Membranes of the Head and the nervous Fibres evilly disposed or doth not well pass thorow them wherefore when the nourishing Juice placed also on the same parts from the Blood is not presently assimilated nor doth well agree with the other humor at length from both of them heaped up together and disagreeing a mutual growing hot arises and from thence a painful pulling of the Fibres but for that the fits of the pains are not always at the same distance after Eating but arise in some sooner and in others later and sometimes before sleep and sometimes after the cause is that partly the offices of Concoction and distribution of the Aliments are performed sometimes sooner sometimes later and partly because in these the nervous Liquor and in those the nutritious Juice is most in fault wherefore as the fulness of this happens sooner and of that later so the times of the fit vary we shall illustrate these afterwards with observations made concerning the cases of sick persons 3. When the fits of the intermitting Headach are wandring and uncertain the Procatarxis or foregoing cause of the Disease is neither great nor constant nor is the Evident Cause continual Wherefore when that either cause is oftentimes absent and one of them often wanting the fits of the Disease are not tyed to certain times but in some they are as it were by chance and accidental in others in whom a predisposition to this Distemper is a little more firmly rooted the pains of the Head more frequently molest and are ordinarily excited by reason of various occasions yea and for some they are wont to be most certainly expected The reasons of the fits so variously happening appear clearly above from the Aetiology delivered of this Disease besides the whole business shall be illustrated anon by examples CHAP. II. The Prognostick and Cure of the Headach SO much for the Causes of the Headach which being so various and diverse and their Series so perplex'd and intricate it will not seem easie to keep one Method concerning all cases of the Sick whereby we may be led presently to the true knowledge and Cure of this Disease nor is there less difficulty concerning its Prognostick But common experience affords some observations from which it may be gathered that the Cure of this Sickness is sometimes easie sometimes difficult or scarce possible so that from thence it may be
lawful to declare the event of the Disease either safe or very dangerous or wholely uncertain Truly if any one enjoying formerly a perfect Health should fall into something a cruel Headach and of some long standing by reason of a more strong Evident Cause as drinking of Wine Surfeit Venus immoderate Exercise or such like forasmuch as the fore leading Morbid Cause is not as yet firmly laid we may pronounce such a Distemper to be safe enough and not pertinacious But if the Morbific disposition should be inveterate so that for many years the fits repeat often of their own accord and upon every light occasion this though not dangerously sick yet we predict it not easie to be Cured Further the Cure will be yet more difficult if Hypochondriack or Hysterical Distempers oftentimes troublesome are oft wont to excite the Headach at every turn or if the taint of an inveterate Venereal Disease be rooted in any distemper'd part If that the pain of the Head shall be not only inveterate but almost continual that we might suspect it to arise from an Inflammation or a Scirrhous Tumour an hot Swelling an Imposthum or Worms there is none or very little hope of Cure especially because the sick will refuse great remedies as Salivation or opening the Skull which if they be made use of perhaps at any time with any fruit or success yet the former and this two for the most part are wont to be tedious to the sick before they can effect any thing worth the trouble and expectation The pain of the Head either Continual or Periodical if it be great and hath joyned with it a Vertigo Vomitting or other Convulsive or Soporiferous Distempers shews a suspicion of great danger even which often passes into a deadly Apoplexie and not seldom into an Epilepsie Palsie Blindness Deafness and other funestous and incurable Diseases The Curatory method of the Headach comprehends many Indications and those of a various kind according to the manifold Species Causes and differences of this Disease which will not be an easie thing here to set down and rehearse in order The accidental Pain of the Head with the remote Evident Cause and its consequences ceases for the most part of its own accord or at least is taken away by letting of Blood Rest and Sweat The habitual Pain by reason of the diversity of Causes viz. both the Procatartick and also the Conjunct suggests also different intentions of Healing we shall here briefly touch upon the chief of these and to which all the rest may be placed In every habitual Headach whether Continual or Intermitting there are two chief scopes or intentions of Cure to be met with to which all the other Curatory intentions ought to be aimed and by which we should provide against either Cause of the Morbid Procatarxis 1. To wit in the first place that all the Tinder or inkindling of the Disease be cut off you must endeavour that both the matter flowing to the distempered places of the Head or those evilly disposed or apt from thence to flow to them be supprest or called from thence to another place then moreover that Convulsions in other places excited and that are wont to be propagated from thence into the Head be prevented 2. Then secondly it must be indeavoured if it may be done that the Disease it self or its Conjunct Cause may be rooted out that the places of the Head predisposed to Headaches whether they be only enfeebled or hurt in their Conformation whilst they are defended from the frequent Excursions of the infestous matter may recover their former state and vigour Which kind of Indication though it be very seldom suddenly or wholely performed yet sometimes the Cure is by degrees laboured out by diligence and care however fixed and rooted the Morbid matter be As to what appertains to the first scope of healing which is first and especially to be regarded we said that the Matter or Humours which are wont to be gathered together about the parts of the Head predisposed to the Headach and to excite the fits of the Disease are either the Blood or the Serum or the nourishing or nervous Juice or Liquor Moreover with every one of these Vapours and Effluvia's as also Recrements sometimes Bilous sometimes Melancholic sometimes Acid Salt Sulphureous and of some others of a various kind taken into the Blood from the Viscera sometimes from those and sometimes from these we have shewed to be transferred by its passages into the Headâ— against the force and incursion of all these Medicinal fortifications are to be instituted 1. And in the first place if the leading cause to pains or a disposition thereto lye about the Membranes of the Head for that the Blood being hot and apt to rise up rushes by heaps into the Membranes of the Head and when it cannot easily pass thorow them distending the Vessels above measure and pulling the nervous Fibres excites the fits of this Disease whose signs are a Sanguine temperament heat and a flushing or redness about the head and face also an high pulse and shaking with veins distended with Blood presently it must be endeavoured both that the Blood be made more sedate that it may not be so readily moved into rage or swelling up as also that it be not incited and boiling up may not be carried with a greater tendency or inclination into the Head than into other parts nor in like manner be compelled to stagnate by reason of the bosomes of the Meninges being too full Wherefore if the fit infests long let blood in the Arm or the Jugular Vein out of the fit sometimes it is expedient to take Blood from the Sedal Veins with Leeches to wit by this means that the Blood by chance boiling up may be brought down towards that place to which it often tends of its own accord Let there be Medicines of Vinegar Rosecakes and Nutmeg or some other Epithems or Medicines of the same nature applyed to the Head Also give to drink Iuleps Emulsions or Decoctions which allay the fervour or madness of the Blood Let the Belly be cooled and kept soluble by the use of Clysters Moreover for prevention use at times Whey or Spaw-waters also drinking of Water a thin and a cooling diet help the shunning of Wine spiced Meats Baths Venus violent motions of the mind or body yea and of all hot things is to be ordered Then for the fixing of the Blood its Effervescencies or growing hot must be prevented for which Distilled Waters Juices of Herbs or Decoctions Electuaries Powders and especially Crystal Mineral are in frequent use There is no need here to add a method or particular forms of Medicines when in this case almost every body labouring is wont to be his own Physician being taught by frequent experience from things hurting or helping 2. It is rarely that the Blood alone or only by it self is
each one dram make of them all a very fine Powder add to it of Sugar what will suffice boil them to the consistence of Tablets with six ounces of black Cherry-water of the Tincture of Coral one dram make of them Tablets according to Art to the weight of half a dram Eat three or four in the Morning and at five of the Clock in the Afternoon drinking after them a draught of Tea Or Take of the Tincture of Coral one ounce take of it from fifteen to twenty drops twice in a day in a little draught of Iulep or of the distilled water They who are of a Phlegmatick or more Cold temper may take a Dose twice a day either of the Tincture of Antimony or of the Spirits of Armoniac impregnated with Amber of Coral or of Spirits of Harts horn or of Sut in a proper Vehicle We ought not to omit or postpone the use of Millepedes or Woodlice for that the Juice of them wrung forth with the distilled Water also a Powder of them prepared oftentimes bring notable help for the Curing of old and pertinacious Head-aches I might here propose divers other kinds of Medicines yea all those which I have formerly heaped up against Convulsive Distempers may be brought hither But yet the most difficult knot of the Cure of the Headach remains to be untied to wit how the conjunct Cause of this Disease and fixed consisting in the weakness or hurt Conformation of the Fibres may be healed or taken away Although this is sometimes incurable to wit when as a Scirrhous or Callous Tumor or some other old and fixed swelling has possest the Meninges yet for that the knowledge of this is uncertain and that the leading Cause how cruel soever it seems is sometimes overcome by a long course of Physick therefore in every Head-ach so long as the Patient will admit of Remedies let it not seem troublesome to the Physician to prescribe those things which seem most convenient Therefore first of all which we hinted before you must carefully endeavour that the nest or feeding of the Disease be cut off or intercepted and that the frequent coming of the fits be hindred for so the indisposed Fibres so long as they are no more affected only by the means of Nature will recover health In this case the helps of the Medical Art are rather to be sought from the Chirurgical part than from Physick for whatsoever is taken at the mouth going about by long turnings and windings spends all the vertue before it comes to the Membranes of the Head Among Chirurgical Remedies first Topicks are met with and among these Plasters are of most profitable use and oftentimes give the greatest benefit Let not these be very hot which may rather draw the humors to the distemper'd place but moderately discussing and strengthening I was wont to prescribe Plasters of Red-Lead and of Sope with double of the proportion of the Plaster of Paracelsus to be applied to the part it being first shaven and to be let remain there for some time The Antients frequently administred Plasters made of Mustard and such as raised wheals or whelks over the parts and it is a daily practice to apply sometimes to all the hinder part of the Head and sometimes to the former Vesicatories or blistering Plasters against most cruel Headaches when ease is got from these more hot Topicks it is because by these administrations plenty of the more sharp Serum is drawn away from the disaffected part Liniments of Oyls and Oyntments though often made use of effect little because as I think if they should penetrate deeply into the tones of the Fibres they would loosen them more so that they would more easily lye open to the Incursions of the Morbifick matter Further they stop up the Pores of the skin whereby the Effluvia's do less evaporate Almost for the same reason as hot stupes or Fomentations made of boiled Spices or other Cephalicks oftner hurt than profit forasmuch as they draw the humors towards the distemper'd parts and also open the Pores and passages whereby they are more readily admitted it is that a Bathing of the Head or an Embrocation or washing of the Head at the pumps in hot Baths is used with no better success for Headaches When on the contrary it hath been beneficial to many to pour cold water every Morning and Evening on the temples forehead and forepart of the Head yea to wash or pump the whole Head every Morning with cold water or at least to dip it into a Bucket or Pit of water Another Chirurgical help especially for an inveterate and cruel Headach and much cry'd up is wont to be the burning or cutting of Issues in several parts of the Body It is without doubt that these being made in the Arms or Legs are both less troublesome and do bring something of help because they draw away the feeding of the Disease in part and call it away far from the distemper'd part Besides Issues in the nape of the Neck and a Seaton in the hinder part of the Neck behind the Ear or near it also a piece of the root of wild Hellebore being put into an hole made in the Ear because they evacuate much serosity and draw it to other Emunctuaries to wit the Glandulas are oftentimes administred with benefit But indeed there hath been a talk and much expectation from Cauteries made on the grieved place or near it and so large Issues have been made on the top of the Head or nigh to the joyning of the Sutures If we should measure this practice by the fruit or success it will appear to be rarely beneficial but more often unlucky For I never knew any healed but many troubled with Headaches to be much the worse for it And truly reason plainly tells us that where a Fontinel is made thither the Serous Humor flows from the whole bloody Mass and by consequence from the whole body and oftentimes is there heaped up more copiously than can constantly be put forth by that Emissary wherefore there ordinarily arise about Issues a red swelling pustles and various humors Why should I not then believe that a Cautery made nigh to the grieved part of the Head should rather cause the Morbific matter to be there heaped up There is yet another Chirurgical operation cry'd up by many for a pertinacious Headach but by none that I know of yet attempted to wit an opening of the Skull near the grieved place with a Trypaning Iron This our most ingenious Harvey endeavoured to persuade a Noble Lady labouring with a most grievous and inveterate Headach promising a Cure from thence but neither she nor any other would admit that administration Indeed it did not appear to me that there could be any thing of certainly expected from the opening of the Skull where it was pained if an Imposthum lay hid there this had been the only way of Cure
the change of the Air or the year the great Aspects of the Sun and Moon violent passions and errors in diet she was more cruelly tormented with them But although this Distemper most grievously afflicting this noble Lady above twenty years when I saw her having pitched its tents near the confines of the Brain had so long besieged its regal tower yet it had not taken it for the sick Lady being free from a Vertigo swimming in the Head Convulsive Distempers and any Soporiferous symptom found the chief faculties of her soul sound enough For the obtaining a Cure or rather for a tryal very many Remedies were administred thorow the whole progress of the Disease by the most skilful Physicians both of our own Nation and the prescriptions of others beyond Seas without any success or ease also great Remedies of every kind and form she tryed but still in vain Some years before she had endured from an oyntment of Quicksilver a long and troublesome Salivation so that she ran the hazard of her life Afterwards twice a Cure was attempted though in vain by a Flux at the Mouth from a Mercurial Powder which the noted Emperick Charles Hues ordinarily gave with the like success with the rest she tryed the Baths and the Spaw-waters almost of every kind and nature she admitted of frequent Blood-letting and also once the opening of an Artery she had also made about her several Issues sometimes in the hinder part of her Head and sometimes in the forepart and in other parts She also took the Air of several Countries besides her own native Air she went into Ireland and into France There was no kind of Medicines both Cephalicks Antiscorbuticks Hysterical all famous Specificks which she took not both from the Learned and the unlearned from Quacks and old Women and yet notwithstanding she professed that she had received from no Remedy or method of Curing any thing of Cure or Ease but that the contumacious and rebellious Disease refused to be tamed being deaf to the charms of every Medicine Further this so long possessing the out-parts of the Head though it could not invade the cloysters of the Brain yet when I visited her unfolding its ends in some other parts of the nervous kind it had begun to stir up most cruel pains in her members and also in her Loins and bottom of her Belly as is wont to be in the Rheumatism and in the Scorbutick Colick If we should inquire into the Aetiology or the Causes of this inveterate Disease we can suspect nothing less than that the Meninges of the Brain being from the beginning more lightly touched had afterwards contracted an habitual and indelible vice It appears by the History that the distemper at first arose from a Morbific matter which was translated into the Head after an ill cured Feavour Then perchance by reason of some hurt brought to the Membranes the tone of the Fibres was so much endamaged that afterwards the Humors flowing in them both the nervous and others being heaped up to a fulness or growing hot by mere aggravation raised up the fits of the Headach But at length the diseased cause growing worse by reason of the frequent fits it seems that the unity of those Fibres were so much broken that from thence little Tumors or Scirrhous knots or swellings being riased up in all the exterior Meninge or in a great part of it produced pains almost continual and those apt to be made worse or imbitter'd upon every light occassion Certainly it seems most likely that the invincible and permanent cause of so long and yet not deadly Headach proceeds from some such thing viz. a Scirrhous Distemper of the Dura mater the Pia mater being in the mean time safe For from any other cause if there had beee a conflict of Nature and Medicine with the Disease either a quick death or a joyful victory had far sooner been obtained A noted Gentleman of about forty years of Age strong and healthy going a journey for a whole day in a continual rain the wet beating on the hinder part of his Head caught cold and the next day he began to feel a pain in that part which in a short time after becoming very bitter afflicted him night and day and kept him almost continually without sleep For the Cure of this Distemper Phlebotomy Purging Glisters Blisterings and Remedies to cause rest yea and many others of every kind though diligently applyed by the Counsel also of many Physicians helpt little or nothing When the Disease notwithstanding these grew every day worse after a fortnights time preternatural swell'd kernels and painful arose all about his Neck the pain in his Head nothing remitting Further the Tendons of his Neck being very much distended and stiff became very troublesome to him to which in a short time succeeded Convulsive motions and a sudden leaping of the Tendons in several parts with a delirium and at length the sick person worn out with pains and watching yielded to death Though we had not leave for the dissecting the dead body yet it may be suspected that both the Pericranium and the Meninges in the hinder part of the Head cloathing the Cerebel where they are more thick and very nappy were first affected and then from thence the evil was afterwards communicated to the whole Head and wandered into all the nervous stock when as in those Membranes transpiration was hindred from the cold and the wet and also the tone of the Fibres very much hurt it is probable that the nervous Liquor watering them being then hindred in its motion and stagnating did burthen the containing bodies then that being depraved in its Complexion grew hot with other humors flowing thither and being at length coagulated with them grew together into Scirrhous and Strumous Tumors and so laid the copious seed-plot of a most grievous Headach Then afterwards when through watching and perpetual pains a great inordination of the Spirits and a great Discrasie of the Juice watering the Head were produced for that reason the knotty Concretions in the Neck the stifness of the Tendons and at length Convulsions and Convulsive Motions followed in the Brain and in the whole nervous Stock and so when as the animal oeconomy or regiment was much decayed and that the motion of the Praecordia could not be continued the vital flame expired Sometimes deadly and incurable Headaches are no less raised up from a fiery swelling and Imposthum than from these kind of knots and little pimples of the Meninges Sometime since a young man of the University whenas he had complained for a fortnight of a most grievous pain in the Head incessantly afflicting him it was at length increased by a Feavour and afterwads waking Convulsive motions and talking idly followed at which time a Physician being sent for letting blood Clysters Plasters Revulsives Blistrings also internal Remedies which call away the Flux of the Blood and Humors
from the Head being carefully administred profited nothing so that death soon followed His Skull being opened the Vessels leading to the Meninges were full of Blood and very much distended as if the whole Mass of Blood had flowed thither so that the bosoms being dissected and opened the Blood presently rushing forth flow'd to the weight of several ounces above half a pint Further the Membranes themselves being distemper'd thorow the whole with a fiery Tumor appeared discoloured These coverings being taken away all the infoldings of the Brain and of its Ventricle were full of a clear water and its substance being too much watred was wet and not firm Without doubt in this case the incursion of the heated blood into the Meninges and the heaping of it up there exciting the Phlgemon or fiery swelling was the cause of the Headach and of the following Delirium Then the Blood being accumulated there when it could not circulate flung from it self plenty of Serum by which the whole inward part of the Head was over-flowed so that the Disease at first perhaps curable by Phlebotomy from thence afterwards became mortal I remember another Academick who after a long Headach under the temporal Suture tormenting him perpetually for three weeks together immediately fell into a deadly Apoplexie His Head being opened a fiery swelling had grown in the Meninges near the place where the pain was from which being ripened and broke the filthy bloody matter falling on the Brain had distemper'd its substance with a rottenness and blackness Besides these invincible causes detected by Anatomy I observed more chances after the same manner as of other sick people by which we may conclude its Aetiology to be the same or very near of kin with the signs and symptoms of the like nature and but now described But although a continual Headach especially if it be without intermissions for many weeks is not without danger yet we ought not therefore to despair of its Cure because the cause of this how fixed and immoveable soever it seem oftentimes by the long use of Medicines and sometimes without them is helped by Nature and time however in a case almost desperate there is need of some Medicines lest the present Distemper should pass into a worse to wit a Soporiferous or Convulsive Thus much for a Continual Headach it now remains that we should propose some more rare examples and instances of the Intermitting Therefore that we may let alone here the Headaches whose fits being wandring and uncertain proceed from the Blood or Serum rushing on the distemper'd places as cases very well known and commonly seen we shall now shew you now some select Observations of this Disease either periodical or caused by the consent of some Inward As to the first we have shown the periodical fits of the pains of the Head to be produced by the nutritious Humor or by the nervous Juice we shall now shew you Examples of either A venerable Matron of about forty five years of Age of a lean habit of Body and indued with a Cholerick Temper after she had lived for a long time obnoxious to Headaches wont to be caused occasionally she began about the beginning of Autumn to be troubled with a periodical pain of the Head This Distemper invading her about four of the Clock in the Afternoon was wont to continue till midnight when being wearied with pain and watching she was compelled to sleep then afterwards awaking out of a profound sleep she found her self well again She being sick after this manner for three weeks suffered the daily fits of this Disease and forbore to take any Medicine which she greatly abhorr'd but at length her Appetite being lost and her strength worn out being forced to seek for Cure after letting blood and a gentle Purge she took twice a day for a week or two the quantity of a Chestnut of the following Electuary and grew perfectly well Take of the Conserve of the Flowers of Succory and Fumitory each three ounces of the Powder of the Root of Aron Compound two drams and a half of Ivory one dram and a half of yellow Sanders and of Lignum Aloes each half a dram of the Salt of Wormwood one dram and a half of Vitrial of Steel one dram of the Syrup of the Five Roots what will suffice to make an Electuary In this Case that after a disposition to the Headach the fits of the Disease became at length periodical after the manner of intermitting Feavours the cause without doubt was the assimilation of the Chyme or nourishing Humor into Blood being hindred because when its provision being received into the Mass of Blood could not be overcome it was wont after a little stay to disagree and with its particles to grow hot therefore presently the Blood swelling up that it might shake off the incongruous mixture laid aside its recrements as in other parts so especially and with a greater sense of trouble into the before weak Fibres of the Meninges or hurt in their conformation This Matter being poured on the Head or rushing of it self thorow the sensible Fibres or growing hot with the Juice watering them raised up the fit of the pain but now described which continued until the heterogeneous particles growing hot with their mutual coming together were either subdued or exhaled A very comely Woman tall and slender being for a long time grievously obnoxious to distempers of the Head was wont sometimes to be troubled for many days yea weeks every day as soon as she awaked in the Morning with a most Cruel Head-ach afflicting her for three or four hours and in the mean time she was vexed with a weight of her whole Head a numness of her sences and a dulness of mind which kind of Distemper together with the pain like discussed Clouds vanished before noon and left her quiet and calm Then again the next morning it possessed her Head like a dark Cloud For the Curing of it I prescribed the use of Purging Pills Phlebotomy sparingly besides a Blistering and Spirits of Harts-horn or of Sut with Cephalic Juleps or Waters That in this Lady otherways than in the other sick Lady the pains of the Head rather followed after sleep than were healed by it the reason seems to be because in this morning Headach the Morbific Matter resided in the nervous Juice whose more notable crudity and fuller aggestion about the Head happen immediately after sleep as we have elsewhere shown at large But the other Evening fits of this Disease depended upon the fulness and swelling up of the nourishing Liquor within the bloody Mass and therefore happening so many hours after dinner was not allayed but by sleep which quiets the disorders of the Blood It doth no less clearly appear that the fits of the Headach do arise sometimes by consent from other parts viz. the Womb Spleen Stomach c. and though the complaints and
two Beds in one and the same Chamber overwhelmed with a most profound Sleep which had oppressed them the day before after they had eaten some roots which they had dug up in the Garden being it seems Henbane which they took for Parsnips After they had both Oyl and Oxymel poured down their throats and a Feather thrust down a great way that made them vomit I prescribed for them tincture of Castor with a spoonful of Treacle-water which Remedies I had then about me to be given them at every turn all night besides that they should anoint their Nostrils and Temples with the same Tincture and if it might be done that a strong Clyster should be given them the following day the old Man first and afterwards the Son awaking returned to themselves the sleepiness being almost wholely shaken off In these distemper'd after the reliques of the Narcotick were cast out by Vomit left they should do further hurt there was only need that by fit Medicines among which Castor deservedly is esteemed to be contrary to the venom of Opiates the Spirits being excited should be set free from the sleepy poison afflicting them CHAP. IV. Of some other sleepy Distempers viz. a continual Somnolency the Coma or heavy Sleeping and the Caros or a deprivation of the Senses IN the former Chapter we have fully shown what doth belong to the knowledge prognostick and Cure of the Lethargy properly so called But we did not only therefore affirm that the seat of this Disease was in the unequal compass the cranklings or infoldings of the outward part of the Brain because we had there assigned the repository of the Memory and the porch of Sleep although we might from hence conclude it but besides because it hath appeared so to me from Anatomical observations very often that the Lethargy does not arise as is commonly thought from the interior Ventricles of the Brain being distemper'd for we have known these to be frequently overflown with water and sometimes distended with extravasated Blood and yet the sick whilst they lived were free from the Coma or any great stupidity I must confess that sometimes the Dropsie of the whole Brain causes the continual sleepiness but in this case not only the internal Cavity but also the Intersitia or the spaces between the outward Infoldings are filled with a flood of waters The Lethargy therefore being confined to the outmost borders of the Brain we so constitute its limits that those circlings about being almost wholely possessed together with the interspersed Marrow perpetual and inexplicable Sleep or hard to be rid of with oblivion or forgetfulness is induced in the mean time the middle part of the Brain or the Callous body from whence the Animal Spirits irradiate or beam forth into all parts both sensible and motional being almost unhurt for the total eclipse of this causes the Apoplexy as shall be shewed hereafter But indeed on either sides of these ends or limits other soporiferous distempers are ordinarily found which though of kin to the Lethargy yet some of them are lesser than it as Somnolency or continual sleeping and the Coma only one is greater as the Caros Therefore we shall now and in order speak briefly of every one of these as also of some opposite passions viz. thorow waking and the waking Coma and first of Continual Sleepiness Most Authors call this not a Disease but an evil habit or a sleepy disposition for the distemper'd as to other things are well enough they eat and drink well go abroad take care well enough of their domestick affairs yet whilst talking or walking or eating yea their mouths being full of meat they shall nod and unless rouzed up by others fall fast asleep and thus they sleep continually almost not only some days or months but as it is said of Epemenides many years wherefore we ought to believe this a Disease and worthy of Cure which defrauds one of more than half his life The seat of sleepiness as that of the Lethargy is to be placed in the outward part of the Brain but with this difference that the material or conjunct Cause of this Distemper though it vexes or troubles always without doors yet it penetrates less deeply than the Lethargy yea it disturbs or affects almost the whole superficies of the Brain or the mere Cortical substances of the infoldings the included marrow being almost untouch'd in which respect it differs not only from the Lethargy but the Coma also for in the Distempers which we described though continual sleep presses on them yet 't is easily broken off then besides being fully awakened they remember many things and converse with their Friends though immediately prone again to sleep whence it appears that the cause of this Disease sticks only in the outer border of the Brain nor does it enter deep into its compass as other sleepy distempers do But indeed it may be suspected that while the Blood every where washing the border of the Brain with thick rivulets and instils every where into it a subtil water for the matter of Spirits oftentimes a great plenty of water flowing thither with it and entering together the Cortex and remaining there mightily fills it and like an Anasarca in the Body swells it up But this Cortical or shelly part being swelled up after this manner and as it were dropical so presses the Medullary infoldings every where lying under it that the expansion of the Spirits being hindred by reason of the Pores of the exterior part of the Brain being something bound up sleepiness is induced to which it happens that the Blood that by reason of the Cortex of the Brain being intumefied with water as it were between the Skin Circulates less expeditiously thorow all the neighbouring parts and so is apt to fill the Vessels and bosoms and to stagnate in them by which means it comes to pass that the exterior border is yet more compressed and so the spaces requisite for the emanation of the Spirits are also more streightned Indeed this appears to be part of the cause from hence because this kind of sleepiness by reason of the Blood not freely circulating in the Head and therefore apt to stagnate is wont to make red the Face with a certain blueness and blackness Further whilst the subtil Liquor which is for the matter of Spirits passing thorow this pond or deluge heaped together in the Cortex of the Brain goes forward into the Marrow lying under it is probable that with it do creep thorow some extraneous and as it were very small Narcotick particles which growing to the Spirits immediately render them torpid or stupid and prone to sloth of their own accord This Distemper as I have observed in many is not very dangerous for as it often happens it is wholely Cured or at least remaining for many years without the Carus or Apoplexy which is wont to be feared it doth
feel no sleepiness or heaviness in the fore part of their head no desire or approach of Sleep I have known some distemper'd after this manner who when they had lived for many nights continually without Sleep seemed still chearful active strong in their stomach and ready for business and not to want Sleep The cause of this without doubt is because the burnt and melancholy Blood supplies the exterior part of the Brain with a nervous Juice that is not soft and favourable but too much parched and stuffed with adust particles which for that reason is apt neither to stay long within the Pores of the Brain nor gently to embrace and hold the Animal Spirits Further the Spirits themselves procreated out of it become of their own nature too Elastick and unquiet so that they are not easily setled or are prone of their own accord to Sleep But these more fixed do not readily fly away nor being wearied do suddenly grow faint but indure for a long time without any great refection and yet remain lively Concerning this waking disposition of the Animal Spirits as it is the same in Melancholicks we shall have an opportunity of speaking of it more largely hereafter We may also here take notice that for the same reason to wit that the adust Particles of the Melancholick and torrid Blood being poured into the Brain together with the nervous Juice causes waking the drinking of Coffee also in use formerly among the Arabians and Turks which is drunk by our Country Men either Physically or out of wantonness all sleepiness being driven away doth produce unwonted waking and an unwearied exercise of the Animal faculty that some having a necessity to study late in the night or presently after drinking or a full meal by drinking a due quantity of this Liquor become still waking and perform any hard task of the mind without sleepiness Surely the cause of this is because this drink insinuates adust particles of which it is full as may be perceived both by the smell and taste immediately into the Blood and then into the nervous Juice which still detain the pores of the Brain open by their agility and inquietude and add to the Spirits all sleepiness being shaken off certain provocatives and madness by which they are excited to a longer performance of their offices Further we shall deliver afterwards where we speak of Melancholy those things which belong to the preventive Cure of this long waking or the removing of the Morbific cause In the mean time for the taking away immediately this symptom as often as it is grievously troublesome we noted that Opiates were little profitable for a bare Dose being given doth rarely cause sleep and render the sick more weak and languishing It often better succeeds if they go to bed and take some soft and pleasing Liquor as our own Ale clear and mild or Posset-drink with Cowslip Flowers boiled in it or an Emulsion of Melon Seeds and Almonds in a great quantity to wit two or three pints I was some times past consulted with about an old Hypochondriacal person who besides other Symptoms usual in that case was for many years obnoxious to frequent very troublesome and noisie belchings he was wont every day two or three times for about two hours continually to belch with such a noise that he might be heard far and near at a great distance But sometimes for a week or two and sometimes for a month this belching would be changed into a long waking for having that Distemper much remitted this Gentleman was kept without sleep almost whole nights and when he had thus been for three days and sometimes more perfectly waking he seemed not to want sleep and complained not of sleepiness dulness or languor of spirits And when Narcoticks rarely brought to him any help he took sometimes in the evening a Posset made of Ale and Canary Wine and night coming on he sometimes drunk Distilled Waters by the use of which oftentimes he got some sleep then afterwards his waking perfectly vanishing by degrees his belching returned Hence it appears there was but one cause for either to wit the adust particles and irritative being poured forth from the bloody Mass sometimes into the coats of the Ventricle and sometimes into the Cortical part of the Brain Secondly besides these distinct Distempers of Sleep and Waking or their inordinations there remain other conjunct or complicated irregularities of them in which the acts of either function are prevaricated together Which indeed is observable in that Distemper or affection called the Waking Coma of which we shall now speak briefly Those sick with the Waking Coma although they are continually prone to Sleep yet they can scarce sleep at all but after the manner of Tantalus up to the chin in the Lethaean River to tast which as soon as he stoops down the water slides away from him and sinks lower For they feel a cruel heaviness in their Heads with a sleepiness or numness of all their senses and faculties that they hardly endure to turn themselves in their Bed or to be disturbed by the by-standers with talking and expect they shall presently fall into a sweet sleep but when they would indulge it and endeavour strongly to embrace it various phantasms rolling about in their mind keep them still waking neither are they suffered to take any sleep at all which seems to them to be still at hand Upon this not seldom follows a Delirium that whilst the sick lye with their eyes shut they perpetually talk absurd and senseless things and fling about hither and thither their Arms and Legs excessively and being raised up they look about them doggedly It is an usual thing for those sick of Feavours to remain a whole night as it were drowned in sleep and in the mean time are scarce silent a minute of an hour but murmur various things to themselves also sometimes cry out houl and leap out of Bed If the reason of these be inquired after we may say that the Pores and passages in the Brain which are the walking places of the Spirits are very much possessed with a thick and so periferous matter poured forth from the Mass of the Blood that the Spirits being very much hindred from their wonted expansion and mutual commerce an heavy and invincible sleep seems to hang over them but because some sharp and highly active particles like so many goads cleave to these Spirits they are perpetually incited into motion and so some of them break thorow the ways howsoever fast shut and stopped with mounds and run forth either directly or obliquely as they can and thus such motions of theirs however confused and diverted by reason of impediments and not able to exercise compleatly the Animal function yet they easily drive away or hinder its cessation and rest for this reason indeed such who are distemper'd with this Disease are like those living under the Pole who only see
as if they were enervated and cannot stand upright and dare scarce enter upon local motions or if they do cannot perform them long yea some without any notable sickness are for a long time fixed in their Bed as if they were every day about to dye whilst they lye undisturbed talk with their Friends and are chearful but they will not nor dare not move or walk yea they shun all motion as a most horrid thing Without doubt in these although the Animal Spirits do after a manner actuate and irradiate the whole nervous Stock yet their numbers are so small and in so few heaps that when as many spirits ought to be heaped together somewhere in it for motion there is great danger lest presently in the neighbouring parts their continuity should be broken Wherefore when the spirits inhabiting the Brain are conscious of the debility of others disposed in the Members they themselves refuse local motions for that it would be too difficult a task to impose on their companions wherefore the sick are scarce brought by any perswasion to try whether they can go or not Nevertheless those labouring with a want of Spirits who will exercise local motions as well as they can in the morning are able to walk firmly to fling about their Arms hither and thither or to take up any heavy thing before noon the stock of the Spirits being spent which had flowed into the Muscles they are scarce able to move Hand or Foot At this time I have under my charge a prudent and an honest Woman who for many years hath been obnoxious to this sort of spurious Palsie not only in her Members but also in her tongue she for some time can speak freely and readily enough but after she has spoke long or hastily or eagerly she is not able to speak a word but becomes as mute as a Fish nor can she recover the use of her voice under an hour or two In this kind of spurious Palsie arising from the defect or rather the weakness of the Animal Spirits than from their obstruction it may be suspected that not only the Spirits themselves as to their first numbers of them and particular originals are in fault but besides that sometimes the imbecillity and impotency of local motion doth in some measure also depend upon the fault of the explosive Copula suffused every where from the blood into the moving Fibres For indeed from a very Cacochymical blood or full of juice and for that cause vappid and liveless as the Animal Spirits are but few that are instilled into the Brain so it is probable that those themselves derived from the Brain into the Nerves being disposed at length within the muscular Fibres do meet with other Nitro-sulphureous Particles which we have somewhere shown to be necessarily required to the Musculary motion from the so vitious blood that are but dull and degenerate from the Elastick power wherefore indeed the Spirits being concreted so evilly within the Muscles even as Gun-powder being full of more thick feculences rarely and weakly perform the acts of explosions As to what belongs to the other species of the Palsie in which the sensitive faculty is also affected we say that this is hurt either by it self or together with the motive and such an hurt of both together doth almost only happen forasmuch as the passages and ways of the Spirits are more firmly shut up so that whether they tend forward or backward all their irradiation is intercepted That sometimes happens though rarely from the Morbific matter fallen down from the Brain into the oblong Marrow but more often by reason of a grievous hurt of the Spine or Back-bone as from a fall from on high stroke or wound inflicted on them For from such occasions by compressing the marrowy cord or by too much distending or writhing it all the tracts of the Spirits are blotted out Sometimes the sensitive faculty is hurt by it self the motive being still safe this is sufficiently obvious and the reason very clear of the organs whose Nerves are only sensible to wit as of the sight hearing tast and smell But indeed that in the extream habit of the body or members the touch or feeling sometimes perishes the loco-motive power being unhurt as is ordinarily discerned in Lepers those distemper'd with the Elephantiasis and some Mad-men who are wont to go naked and lye on the ground whose skin and musculous flesh are so benumned that they feel not the gashes made in their flesh with a Pen-knife nor Needles any where thrust into them this I say seems very hard to be unfolded But as to this it may be said that perhaps the same Nerves carry the instincts of motions and the impressions of sensible things forward and backward or to and fro but that the same Fibres which are loco-motive are not altogether or chiefly sensible We have elsewhere shewed that its power is performed by the tendinous and musculous Fibres but the sensible Species is almost only received by the membranaceous Fibres wherefore the outer skin is the primary organ of feeling after this the Membranes covering the Muscles and lastly those constituting the Viscera are somewhat affected by the Tangible object Wherefore the loss or hurt of feeling arises by reason of an hurt brought to the exterior Membranes to wit when the Fibres of these are obstructed by a Vitriolick matter or are benummed very much by excess of cold so that the Animal Spirits which ought to receive their impressions are excluded from their organs And indeed from hence it appears that these inhabiting the exterior Membranes are only affected because sense being lost the members wither not as when deprived of motion but remain full and round which is a sign that the Animal Spirits entring still the Nerves and fleshy Fibres do contribute their virtue to the office of nourishment after what manner we have already shewn but when motion is lost the Spirits are almost wholly banished from those parts and the flesh consumes because the nourishing matter though carried thorow the Arteries is not assimulated We have largely discoursed of this in our Treatise of the Nerves The Theory of this many-form'd Disease being now at length finished its kinds and differences all or at least the most and chiefest of it together with the reasons of each of them being rehearsed in order we shall shew next those things which belong to its prognosticks and Cure 1 Every Palsie whether accidental or habitual and either of them whether universal or partial or whether suddenly excited or by degrees if it happens that the knowing and vital faculty be unhurt it ought not to be accounted an acute Disease but being free from sudden danger admits a long Cure or at least an endeavour of it 2. This Disease coming from a solitary evident cause as from a stroke a fall wound c. or coming upon the Apoplexy Carus Convulsion the Colick
become also Elastick in the motional Fibres by reason of the bloody Copula therefore if plenty of this be taken away they grow weak and deficient Which thing indeed I have observed in many and for the most part languishings and tremblings to have been begun in the Arm out of which the blood had been taken However in some indued with a sharp and hot blood and apt to flame forth too much though disposed to the Palsie it is sometimes convenient to let blood a little and sparingly About the Aequinox a Purge ought to be instituted and after due times between to be iterated three or four times But first if nothing oppose let a Vomit be given of the Salt of Vitriol Sulphur of Antimony or an Infusion of Crocus Metallorum or of Mercurius Vitae then let there be taken Pills of Amber or of Aloephanginae by it self or with the Resine of Ialap every seventh or eighth day At other times we prescribe Cephalick Remedies such as in the sleepy Diseases viz. Electuaries Powders Spirits and Volatile Salts Tinctures Elixirs with distilled Waters and Apozems sometimes these sometimes those or others Let Issues be made in the Arm or Leg yea in fat people and such as are full of ill humors in both together or between the shoulders Let them drink all the year medicated Beer of Sage Betony Stechades Sassafrass Wood and Winterines Bark Wine and Women ought to be forbidden or but moderately to be used If that the Palsie be excited after a previous disposition either of one side or in some members and that it still continues notwithstanding the first attempt of Medicine a long and complicated method is always requisite and oftentimes doth not suffice for not only the Disease or its conjunct cause or its foregoing severally but all together ought to be opposed for which ends Phlebotomy being for the most part interdicted only a gentle Purge and rarely is convenient Besides some chief Cephalick Medicines and Antiscorbuticks are wont to help against the foregoing cause of this Disease But all of this sort are not convenient to all yea as we have observed in the Scurvey according to the various Constitutions of the Sick there are also Remedies of a diverse kind and virtue For to Cholerick Paralyticks to wit in whose sharp and hot Blood there is much of Salt and Sulphur and very little of Serum the more hot Medicines and indued with very active Particles are not agreeable yea are often hurtful which things notwithstanding are very profitable to Phlegmatick persons whose Blood is colder and contains much of Serum and but few active Elements Wherefore for this twofold state or condition of sick persons it seems convenenient that we institute here a double Method of Cure and two classes of Medicines of which these may be given to cold Parlyticks and those to the hot In the former case for the taking away the Procatartick cause after Vomiting and Purging being rightly instituted I was wont to prescribe according to these following forms Take of the Conserves of the leaves of the Garden Scurvy-grass of Rocket made with an equal part of Sugar each three ounces of Ginger Candied in India half an ounce of the rinds of Oranges and Lemons Candied each six drams of the Powder of the Claws and Eyes of Crabs each four scruples of the Species of Diambre two drams of Winterens Bark one dram and a half of the Roots of Zedoary the lesser Galingal of Cubebs the Seeds of Water-Cresses Rocket each one dram of the Spirits of Scurvy-grass Laevender each two drams of the Syrup of Candied Ginger what will suffice to make an Electuary Take of it about the quantity of a Walnut at eight of the Clock in the Morning and at five in the Afternoon drinking after it a pint of the following Decoction warm or Coffee with the leaves of Sage boiled in it six ounces of or â—per Wine three ounces Take of the shavings of Lignum Sanctum six ounces of Sarsaparilla and of Sassaphras each four ounces of white and yellow Sanders of the shavings of Ivory of Harts-horn each half an ounce infuse them according to art and boil them in sixteen pints of Spring water till half be consumed adding of Crude Antimony in Powder and tyed in a rag four ounces of the Root of the Aromatick Reed of the lesser Galingal each half an ounce of the Florentine Iris one ounce of Cardamums six drams of Coriander Seeds half an ounce six Dates make a Decoction to be used for ordinary drink Going to sleep and first in the morning let a Dose of the Spirits of Sut or Harts-horn or of Armoniacal Amber or of Blood c. be taken with three ounces of the following distilled water Take of the leaves or roots of Aron one pound of the leaves of Garden Scurvey-grass of the greater Rocket of Rosemary Sage Savory Thyme four handfuls of the Flowers of Lavender three handfuls the outer rinds of ten Oranges and six Lemons of Winterans Bark three ounces of the roots of the lesser Galingal of Calamus Aromaticus the Florentine Iris each two ounces of Cubebs Cloves Nutmegs each two ounces all being cut and bruised pour to them of white Wine and of Brunswick Beer or Mum each four pints distil it in common Stills and let all the liquor be mixed together Sometimes in the place of the Electuary may be taken for fifteen or twenty days a Dose of the Tincture of Sulphur Turpentined of the Tincture of Antimony or of Amber Also sometimes Elixir Proprietatis or of Poeony let them be taken in a spoonful of distilled Water drinking after it three ounces of the same Also sometimes the following Powders or Lozenges may be taken by turns in the medical course Take of the Powder of Vipers flesh of Monpillier prepared one ounce of the hearts and livers of the same half an ounce of Species Diambre two ounces make a Powder take one dram once or twice a day with the distilled Water three ounces or with Viper Wine with a Decoction of the leaves of Sage of the root and seeds of the Burdock and the Candied roots of Eringo made of Spring-water what will suffice and boiled to one moiety six or eight ounces in the Morning warm expecting to sweat after it Take of Bezoartick Mineral Solar half an ounce of Cloves powdered two drams mingle them make a Powder and divide it into twelve parts let one be taken after the same manner twice in a day between these kind of Remedies gentle purging may be often used Take of the Powder of the picked roots of Zedoary the lesser Galingal each half a dram of Species Diambre one dram of the Powder of the seeds of Mustard Rocket Scurvygrass Water-Cresses each half a dram make of them all a fine Powder add to it of the Oyl of the purest Amber half a dram and with white Sugar dissolved
in the compounded Poeony water and boiled up to the consistency of Lozenges six ounces make Lozenges according to art weighing each half a dram Eat of them three or four twice in a day drinking after every Dose of the liquors before mentioned Take of the Powder of Virginian Snakeweed two drams of the lesseâ— Galingal one dram of the gummed extracts of the remains of the distillation of the Elixir Vitae of Quercitan two drams of the Flowers of Sal Armoniack or the most pure Volatile Salt of Sut or Harts-horn one dram of the Balsom of Peru one scruple of the Balsom of Capivus what will suffice to make a mass let it be made into small Pills involved in the Species Diambre The Dose is half a dram evening or morning Take of the Resine or Gum of Guaicum three drams of the Species Diambre one dram of the Chymical Oyl of Guaicum rightly rectified one dram and a half of liquid Amber what will suffice to make a mass let it be formed into Pills to be taken after the same manner If that the Palsie happens in a Cholerick temper or to a young Man it admits only of milder Medicines and all the more hot things and Elastick do but imbitter the Disease The following forms are in use for the taking away of its foregoing cause Take of the Conserves of the Flowers of Betony of Fumitory of Primroses each two ounces of the Species Diambre one dram of Ivory Crabs Eyes and Claws each four scruples of the Powder of the Flowers of Poeony two drams of Lignum Aloes of yellow Sanders each one dram of the Salt of Wormwood one dram and a half and with the Syrup of the Flowers of Poeony what will suffice make an Electuary The Dose is two drams twice in a day drinking after it either the simple water of the Flowers of Aron or of the following Compounded Water three ounces or of the Decoction of Sage with the leaves of Tea infused in it four or six ounces Take of the Roots of Aron or Cuckopint of the male Poeony Angelica Imperatoria each half a pound of the Flowers of Sage Rosemary Marjoram Brooklime Water-Cresses each four handfuls of the rinds of six Oranges and four Lemons of Primroses Cowslips Marigold flowers each three handfuls let them be all bruised and cut and pour to them of new Milk six pints of Malaga Wine one quart distil them in common Stils and let the whole liquor be mixed together Sometimes instead of the Electuary may be taken between whiles for fourteen or fifteen days of the Syrup of Steel of which let one spoonful be taken in three ounces of the distilled Water It may be made after this manner Take of the whitest Sugar dissolved in black Cherry Water and boil'd up to a consistency eight ounces adding to it of our Steel in Powder three drams let them be stirred together over the fire and then by degrees pour to it of the Water of Rosemary warm twelve ounces let it boil gently for a quarter of an hour scumming it and pouring it forth warm thorow an hair sieve or strainer There may be also made steeled Lozenges after this manner to wit with Sugar sufficiently boiled with Steel adding of the Chymical Oyl of Amber or of Rosemary half a dram and presently let it be poured forth that it may flow into a consistency of Lozenges The Dose is two drams twice in a day drinking after it of distilled Water or of the following Apozem six ounces Take of China Root one ounce of the shavings of Ivory Harts-born each half an ounce of white and yellow Sanders of the Wood of the Mastick-tree each half an ounce let them be infused in warm water and close stopt for a whole night six pints in the morning add to them of the Roots of Chervil of sweet smelling Avens of Broom and Parsley each one ounce and a half of the dryed leaves of ground Ivy Sage Germander Betony each one handful of Coriander seeds three drams let them be boiled till half is consumed then add to it of white Wine half a pint and strain it into a jugg upon the leaves of Water-Cresses bruised two handful Let it infuse warm and close shut for two hours strain it again and keep it in a close Vessel well stopt In the Scorbutick Palsie the Juices and expressions of Herbs do often bring notable help Take of the leaves of Brooklime Water-Cresses and Plantan fresh gathered each four handfuls bruise them together and pour to them of the distilled Water but now described eight ounces squeese the juice strongly forth and keep it in a glass and take of it twice or thrice in a day three or four ounces At the extream Physical hours viz. Morning and Evening may be taken these following Pills Take of Millipedes prepared three drams and a half of Pearls one dram and a half of the Root of the Cretick Dittany one dram Venice Turpentine what will suffice to make a mass let it be formed into small Pills the Dose is half a dram drinking after it a draught of the distilled Water For ordinary drink let there be prescribed either a Bochet of Sarse China yellow Sanders c. or small Ale with the dryed leaves of ground Ivy boiled in it and of Sage with the Wood of Sassafras infused therein 2. Whilst these things are doing for the taking away the foregoing cause of the Disease there is no less a curatory care required for its conjunct cause to wit that all obstructed places being opened they might admit the Animal Spirits free from stupefaction and that they may pass freely thorow There are two chief kinds of Remedies which conduce to those ends viz. one particular and private to be applied to the distemper'd places to wit that by Fomentations Oyntments Plasters and such like outward applications the sleepy Spirits might be awakned and their passages opened the other universal to wit that the Blood and Spirits and the other humors and the active Particles flowing in the whole Body being very much agitated and put into a rapit motion like a torrent they might cast down and remove all impacted heaps or stays by which the Spirits are obstructed The administrations used to the distempered parts are so ordinarily and commonly known that it were superfluous to insist here on the describing them more largely First Liniments made out of Oyls Oyntments and Balsoms are to be applied according to the temper of the Patient more or less hot and with frictions or strong rubbing twice a day Sometimes before these are made use of Fomentations made of Cephalick Herbs or spices boiled in Spring Water adding to it sometimes Strong Waters Wine or Bear or their Lees. Further oftentimes it is convenient to make about the distemper'd places Blisters and to use Cupping-glasses and Medicines to take away the hairs and to raise pimples Little Bags and Plasters often help Moreover
conjunct cause yea and do not always drive forward but pull back the matter impacted in the Nerves do greatly shake and often break it in bits so that when the continuity of the heap is broken the Animal Spirits themselves easily dissipate the Particles of the Morbific matter loosened one from another We have before mentioned another reason of the help of Emeticks in the Sleepy Disease which also may have a place in the Palsie Instances and examples of Paralyticks are so ordinarily and almost daily met with that their various Types and Histories would fill a Volume if they should be described Wherefore I shall only add here some few and more rare ones to wit one or two by which the chief kinds of this Disease may be illustrated For as it will be little to the purpose to describe the resolutions of members excited by outward accident as from a fall wound or stroke I shall insist only on those cases where the Palsie either arises by its self after a previous disposition or comes upon some other Disease Some time since a certain Gentleman strong and well flesh'd and beyond the tenth lustre of his age almost ever healthful at length being given to a sedentary and idle life and from thence becoming more dull and heavy than usual refused any exercise and more hard motion of the body moreover he was wont to be melancholick and sad upon any light occasion yea sometimes to break forth into weeping and tears without any manifest occasion This man a little after which I also observed in many others was distemper'd with an imbecillity and trembling of all his members and then with a resolution of the lower parts to which Disease for that he was melancholick and soon weary of Medicines he gave himself up as overcome and by degrees being made more weak and languishing he dyed within six months I remember many others but especially two committed to our Cure who were highly ingenious and very learned in the former part of their life but afterwards in their declining age partly through the evil disposition of the body and partly through the perturbation of the mind became dull â—nd forgetful and after that notwithstanding the use of the Remedies in the beginning of the Disease Paralytick In these kind of cases first the Brain it self as to its temper and make seems to be so weakened that the Spirits inhabiting it becoming torpid and wandring out of their tracts did not rightly perform the acts of Memory and Imagination then by reason of their failure and disorders in their first spring or fount which are not enough taken notice of till they become uncureable there is a necessity that an impotency or an eclipse of the motive faculty should succeed in the nervous appendix But the Cure of these Distempers as often as they are excited from such an occasion is ever very difficult because the antecedent cause is hardly or scarce ever taken away A young man of a Sanguine temper ingenious and for the most part healthy sitting in a Chair after a large supper and immoderate drinking of Wine was so distemper'd with a numness or stupidity in his right hand that his Gloves which he held in it fell of themselves out of his hand then getting up and endeavouring to walk he felt a resolution or loosening in his Thigh and Leg of the same side and a little afterwards falling into a certain hebetude or dulness of mind and stupefaction yet without an Apoplexy for he was still himself answering aptly to questions asked him though but slowly and with difficulty and doing those things that were bid him Presently a skilful Physician being sent for Phlebotomy Vomiting and Purging were celebrated in order Cupping-Glasses Scarification Oyntments Frictions and other fit administrations were carefully applied Nevertheless the Palsie increased that besides the motion of his members on the right side being taken away he also lost the sight of that eye yet still being stupefied and sleepy he was compos mentis and knew his Friends and being conscious of his infirmity and solicitous for the recovering his health he took all remedies were given him but notwithstanding all this the animal functions daily more and more languished and at length by their consent the vital so that about the seventh or the eighth day from thence falling sometimes into a Delirium and sometimes into Convulsions or other distractions of the Animal Spirits his strength being at length quite lost he yielded to Death His Head being opened the anterior cavity of the Brain was filled partly with Ichorous Blood partly concreted and in clodders or gobbets with plenty of Serum Hence as it is easie to conceive from this deluge pressing upon one of the Streaked bodies and binding up its Pores and Passages the flowing of the Spirits into the nervous appendix of that side was hindred and for that reason the resolution in the respective members was excited and because of the optick chamber where it is inserted into the Streaked Body being also pressed together the Eye of that side lost its sight further because the Callous Body chambring that den was somewhat pressed by the heaped matter from thence the hebetude and stupefaction of the chief functions of the soul were excited yet without their subversion or inordination By reason of the evil being fixed on the substance of the Brain and the Spirits inhabiting it these sorts of Distempers do proceed and not from the impletion of the Ventricle as appears clear enough by this instance and by what we have elsewhere mentioned A Servant to a certain Nobleman being about forty years of Age indued with a sharp Blood and Cholerick temperament and for some time obnoxious to the Vertigo whilst he was riding in the Country to a certain Village being taken suddenly with a dizziness in the Head he fell upon the ground headlong and being instantly taken up by the inhabitants and put to bed he lay for many hours insensible and as if dead But afterward being awakened he felt an universal Palsie and all his members loosened on both sides Visiting this Man the day after I took from him presently about twelve ounces of Blood and prescribed forthwith some other Remedies both outward administrations and also inward Medicines to be carefully given him and indeed with good success for after five or six days he began to bend and stretch forth his hands and feet yea though slowly to move them about hither and thither then by the constant use of Remedies within two months he was able to rise up to stand on his feet and to walk a little with the help of Crutches then using at home for some time daily a temperate artificial Bath he got strength and motion by degrees in his members at length as soon as the season of the year served going to the Bath within a fortnights time by the use of the Baths he grew perfectly well and leaving his
into passions of sadness fear anger or hatred so that they resist not the incursions of the extraneous matter and more readily conceive a burning themselves The evident causes of the Phrensie are either more remote viz. whatever things are wont to excite a Feavourish intemperance as Surfeits Drunkenness a very vehement disturbance of either body or mind usual evacuations being suppressed with many others or more near as a Feavour and its dependences and adjuncts to wit if it be pestilential malignant or after an evil manner if it arises by reason of a Surfeit taken from very incongruous Meats or Drink or if it succeeds violent passions as of Love hatred envie indignation or sadness or immoderate studies for these kind of occasions render the Blood and Animal Spirits growing Feavourishly hot very propense to the frantick Distemper Since that this Disease depends rather and more immediately upon the Soul than upon the Humors or solid parts being distemper'd its kinds and differences are neither various nor manifold In respect of magnitude the Phrensie is either great or moderate also continual or intermitting to wit according as the Animal Spirits are more or less inflamed and as they receive the food of their burning continually from the Blood or by turns Secondly As the burning begins only in the Brain or together with it in the Cerebel it is commonly distinguished into the Phrensie or the Paraphrenesis which is as much as to say that either the spontaneous Animal Functions are only or chiefly hurt or else together with them the vital also But this Disease as to the Feavour on which it depends hath its nature and manner malignant or free from malignity also according to the temper of the sick the Phrensie is distinguished into Sanguineous Cholerick Phlegmatick or Melancholick and this not improperly for the Animal Spirits are wont to grow hot and burning after a diverse manner in this Disease according to their various dispositions The Prognostick in this Disease is always doubtful and the event is to be instituted with an evil suspicion For the Phrensie of it self as Trallianus says is a most acute and most dangerous Disease then if it comes upon a Pestilential or malignant Feavour or of some other evil kind we cannot but expect the end of it to be mortal If a Phrensie happens in a sound body well habited of a Sanguine temperament and young there is greater hopes of health than if it were sickly aged lean or Cholerick and obnoxious to violent Passions If the Phrensie remitting by frequent turns have lucid intervals it is better than if the fury should be undiscontinued But if the sick sometimes seem to be better yet after moderate sleep to awake always furious it is a sign that the Disease is pertinacious and for that reason dangerous for that a new stock of incentive matter is from thence carried to the Brain which indeed we have elsewhere shewn to be made far more plentifully in sleep than waking A Phrensie is in a short time terminated with the Feavour either in health or death or else it is protracted and remains after the Feavour or at length it is healed or passes into other Diseases to wit the Lethargy or Madness or Melancholy If the Feavour having a laudable Crisis either by Sweat or great quantity of Urine is fully cured for the most part the Phrensie also ceases but if the Feavour be not cured and carries still the Morbific matter to the Head so that besides the Animal Functions being depraved the vital begin to fail which appears by the Pulse and breathing being altered for the worse if the Urine be pale if that frequent bleeding at the Nose if Vomiting and Convulsion happen the Physician concludes death to be at hand Sometimes a Feavour though it be not at once or fully Cured yet passing away afterwards slowly and by degrees leaves a Phrensie or a talking idly behind it which if it doth not by its stay obliterate the former tracts of the Spirits in the Brain either will end by little and little of its own accord or is to be healed by the help of Remedies If that by reason of the Phrensie being long protracted the Meninges or the Cortex of the Brain be possessed from the Blood or Serum there heaped up and stagnating with an inflamed tumor or a serous deluge the Lethargy or sleepy Diseases follow the Cure of which is often very difficult or not at all But if from a long Phrensie either the Animal Spirits though their burning should cease contract a vicious nature or that the passages and Pores of the Brain are perverted a perpetual raving oftentimes succeeds the former Disease passing into Madness or Melancholy or foolishness or stupidity Wherefore it is vulgarly said of those that are Frantick and not soon Cured that their Brains are crack'd or broken so that after that they are always Mad or raving In the Cure of the Phrensie we ought to respect at once the Feavour and the Fury The Feavourish burning of the Blood or its immoderate growing hot which for the most part is the antecedent cause of the other effect ought in the first place to be appeased and allayed and the Animal Spirits to be cherished and freed from any great burning If the Phrensie happens about the beginning of the Feavour or the middle of it the same Remedies in a manner and the same method or curing conduce to either end But if this Distemper comes upon this whilst it is at a stand or at its height the means of Curing are oftentimes repugnant to either and there is need of great caution lest whilst we endeavour to help one Disease we do not increase the other in this case the vital indication concerning the preserving of strength obtains the first place and the taking away of blood or purging is not to be rashly and copiously celebrated In the former case when the Feavour and the Phrensie are almost both of an age Phlebotomy rarely or never is to be omitted but is presently to be performed and if strength will bear it let it be afterwards repeated For nothing depresses and diminishes the immoderate flame of the blood like to this Remedy and nothing more averts or recals its burning from the Animal regiment Wherefore if the matter requires it let a vein be opened sometimes in the Arm or Hand sometimes in the Leg or Foot and sometimes in the Neck or forehead perhaps sometimes it may be expedient to open the temporal Artery yea also to take away blood in other places by Leeches and sometimes by Cupping-Glasses For this gives the chiefest help and according to Galen is the most powerful and principal Remedy and is wont to fulfil very many indications in a Phrensie But for the prevention of the Feavourish matter being carried from the Bowels into the Head Clyters are of chief use with which if need be let the Belly be continually kept slippery Vomiting
it self fom the beginning Melancholick foulnesses deposes them in the Spleen which receiving again after their being exalted into the nature of an evil Ferment is more vitiated in its disposition by their foulness Fourthly But besides it is said there is another kind of Melancholy distinct from the Hypochondriack and the former that is begotten in the whole Body together this is nothing else than the Mass of Blood being degenerated from its true nature by reason of errors in the six non-naturals and for many other occasions doth acquire at Atrabilary or Melancholick disposition that is where the Spirit being depressed the Sulphureous Particles together with the Saline and also with some Earthy are carried forth for the Melancholick disposition of the Blood is very much a-kin to this Sulphureous-saline which we have shewed oftentimes to excel in some kind of Scurvy For what causes and upon what occasions this is wont to be produced may be sufficiently known from the Aetiology of that Disease being at large explained The differences of this Disease may be easily gathered from what hath been said for in respect of its first subject which is sometimes the Soul sometimes the Body or rather the Blood it is called either Animal or humeral Melancholy Again it is impressed according to that with various powers to wit it is first impressed either on the Rational Will or the sensitive concupiscible or irascible Appetite also it is divided into very many kinds as it is employed about diverse things to wit either Sacred or Magical or Humane the huge cense or bead-roll of which is almost infinite the chief of which that are wont to come within the Cure of Medicne are Religious Amorous and Jealous Melancholy 2. By reason of the temperament of the sick according to which the Particles of the Melancholick blood being made sometimes Sulphureous sometimes Saline or Earthy the Spirituous being depressed are exalted more or less a Delirium or sadness fury or stupidity are more or less variously joined to Melancholy 3. The Disease is either continual or intermitting according to the conjuct cause either stronger both the Hypostasis of the Spirits and also the bloody Mass being both together vitiated or else lighter and less deeply fixed so that the Distemper'd sometimes are well enough for many days or months yet apt to relapse upon any great occasion 4. In respect of the hurt Imagination there are very many types of Melancholicks to be met with yea almost innumerable yet the chief difference of which is that some are dilirious in all things and others in one thing only The Prognostick of this Disease though as to health or death it is for the most part safe yet by reason of the event it is very uncertain For some quickly grow well others not of a long time and others are never cured This Distemper suddenly excited from a solitary evident cause as a vehement Passion is far safer than by leasure invading after a long Procatarxis or foregoing cause For the former if the evident cause be presently removed often ceases of its own accord or with a little help but in this latter for that the Mass of Blood and the whole heap of Animal Spirits are departed from their due disposition and not rarely the conformation of the Brain as to the tracts of the Spirits is altered The Cure very difficultly and not under a long time succeeds Melancholy being a long time protracted passes oftentimes into Stupidity or Foolishness and sometimes also into Madness further sometimes it brings on Consulsive Distempers or the Palsie or Apoplexy yea sometimes a violent Death As to the Cure there is little or no hopes if the Distemper'd being very contumacious and refractory reject all Medicines and every method of Physick Further there is scarce any better thing to be expected from them who lying sick with only imaginary Diseases take all Remedies and require still more and of diverse kinds to be given them As the Cure of Melancholy as it is always difficult and long so it is wont to be mighty intricate and perplexed for that it ought to be diversly and variously instituted in respect of the evident Procatartick and Conjunct causes of its kind also by reason of the Symptoms daily arising Neither is it only behoveful oftentimes to change the Remedies and Method of healing but also variously to make use of between whiles warnings deceits flatteries intreaties and punishments But first of all the Evident Cause of this Disease if any noted thing went before should be inquired into and if it may be either presently removed or else its removal to be in some sort feigned Further the affections of the mind being vehement and stirred up from thence are either to be appeased or subdued by others opposite Wherefore to desperate Love ought to be applied or shewed indignation and hatred Sadness is to be opposed with the flatteries of Pleasure Musick a desire or vain glory or also a pannick terror In like manner as to the rest of the Passions you must proceed to quiet or elude them The Curatory Method accommodated for the healing of Melancholy suggests many other indications the chief of which and to which the rest may be the better placed are these three commonly noted viz. Curatory which respects immediately the Disease and its Conjunct Cause Preservatory which cuts off the Procatartick and Evident Causes and Vital which is imployed about conserving of strength As to the first Indication the intention of the Physician is so much to lift up make volatile and corroborate the more fixed or dejected Animal Spirits that being also apt to go backwards or out of the way that afterwards they may irradiate more freely being stretched forth the whole Brain with a full and not broken beam for the Acts of the Imagination Judgment and other principal faculties and so lively actuate the Praecordia and make them to vibrate or beat strongly that the Blood being more plentifully inkindled it may be projected from thence without stop or stagnating into the whole Body Therefore for the healing of the Spirits first of all it is to be procured that the Soul should be withdrawn from all troublesome and restraining passion viz. from mad Love Jealousie Sorrow Pity Hatred Fear and the like and composed to chearfulness or joy pleasant talk or jesting Singing Musick Pictures Dancing Hunting Fishing and other pleasant Exercises are to be used They who care not for Sports or Pleasures for to some Melancholicks they are always ingrateful are to be roused up by imploying them in more light businesses sometimes Mathematical or Chymical Studies also Travelling do very much help moreover it is often expedient to change the places of habitation in their native soil Those who will still stay at home are to be warned that they take care of their Houshold affairs and that they should govern their Family that they should
it will seem to the purpose for us to inquire into the reasons A long Gout oftentimes gets to it the Scurvey and some Scorbutick Distempers are so like the Gout that they are not easily distinguished The reason of the former is both the like Dyscrasie of the Blood in either Distemper depending upon a fixed Salt as also for that Gouty people being for a long time fixed either to their Bed or Chair the Scorbutick disposition easily comes upon them Secondly The Scorbutick Distempers which imitate the Gout are the Rheumatism and the wandring Scorbutick Gout the reasons and causes of which and how they may be discerned from the Gout we need not repeat here having already delivered them in our tract of the Scurvey The Gout hath so near a relation to the Stone or Gravel in the Reins that either distemper as if they had the same original most often meet together for scarce any is sick of the Gout but is found to be also obnoxious to the other Disease Further an inveterate Gout is wont to excite stony Concretions in the Joints such as the Stone doth in the Reins Hence I think it is most likely that the Stone or Gravel in the Reins doth arise from a like if not wholly the same cause that we assigned for the Gout to wit the Saline fixed matter being deposited from the Blood in the Reins doth grow hot with the acid humor being there poured forth thorow the nervous passages and by that means doth frequently induce Nephritick pains or of the Reins then from either matter being coagulated after growing hot doth form the Stone For the illustrating this Pathology farther here being no place for it it shall be deferred to another time Every Body is wont to give a Prognostick of the Gout to wit that it is safe enough but most hard to be Cured 1. As to the former this Distemper is not only free of it self from danger but on the contrary preventeth most other Diseases For Gouty people by reason of the Saline fixed Dyscrasie of the Blood are little obnoxious to Feavours but for the most part live free from a Consumption and other more grievous Distempers of the Bowels or Head because the Recrements of the Blood and nervous Juice are continually laid up in the Joints 2. But as to the latter the so great difficulty of Cure the reason is that for the taking away the foregoing cause of this Disease there is required a most perfect amendment of a double Humor viz. of the Blood and nervous Juice to wit that they may beget no Saline fixed or plainly acid Particles and moreover a restitution of the weakned Joints neither of which can ever be easily obtained And besides this it happens that the Conjunct Cause of this Disease subsists in places greatly at a distance so that the virtues of no Medicine are able to reach them Sometimes it happens by reason of the Fluxions of the Gouty Matter being suppressed or beat back that sometimes torments of the Ventricle of the Bowels and of the Belly sometimes a straitness of breathing an Asthma or other Distempers of the Breast and sometimes also an Apâ—plexy and other sleepy or Convulsive Diseases are excited which being observed it may be objected that the Mine of the Gout is not the same as we but now described because its Saline part if it were the same which is destinated for the nourishing of the Joints would not be from thence expelled or deferred or laid up elsewhere then as to the other part to wit the laying up of the acid seeds in the accustomed place it seems that it should not be easily repercussed or of it self suppressed in its way or any where else translated to be very hurtful to any part But indeed it is easie to reply to this that an acetous portion of the Gouty Matter may be repelled or suppressed flowing thorow the nervous passages and so it being poured in to other parts doth oftentimes excite most grievous evils Indeed the nervous Liquor and its Recrements for that they consist of very subtil and active Particles upon every light stop or repulse are driven into diverse deflections and flowings moreover when these grow turgid or meet with the Particles of humors of another kind and grow hot with them they stir up various Distempers or such as are painful and Convulsive and not rarely because the dissimilar Particles are mutually coagulated sometimes Strumons sometimes Cancrous or otherways malignant Tumors arise Instances very remarkable of these kind of effects we have shewn in our Treatise of Convulsive Diseases But especially concerning a Maid who by reason of the Inguinal Glandulas or the Kirnels about the Groin being hardly pressed and hurt with a Truss for a Rupture fell into a Vertigo and Convulsive Distempers and shortly after had great Scropulâ—'s or running Sores growing on the same side in the Neck After the same manner by reason of the Goutish Mine being restrained from its wonted place and suppressed within the nervous Passages or otherways translated sometimes most wicked Distempers arise Whilst I was writing these I was sent for to a Noble Matron who sometimes past being obnoxious to the Gout and that very much after about three months last past she had laboured almost continually with a languishing of the Ventricle with a queasiness â—auscousness and vomiting at length I know not upon what occasion falling into frequent swoonings or loss of spirits a little after she was troubled with a Vertigo with a loss of memory and sometimes with a light Delirium and when she had continued thus for some days and free in the mean time from the Gout and growing well in her stomach she eat with an appetite broth twice or thrice in a day and once a day flesh meat and digested it without any trouble by this manifest sign indeed it appears that the Recrements of the nervous humor which were wont before to fall down by the Spinal Nerves into the Feet to the Mine of the Gout afterwards being deposited in the Ventricle thorow the Nerves of the wandring pair and the Intercostals did stir up the continual troubles in it which at last partly restagnating in the Brain and being partly translated into the Cardiack Nerves or those going to the Heart those last Distempers of Swooning of the Vertigo and the Delirium succeeded The Curatory method suggests three primary Indications the first of them Curatory to be administer'd only in the Fits for the allaying the pains and for the sooner ending of them Secondly Preservatory being destinated for the intervals of the fits endeavours the taking away of the foregoing cause of the Disease that the fits of the pains may more rarely or less or not at all be repeated Thirdly Vital which institutes by what kind of food and by what Remedies strength may be sustained in the cruel Torments and life be prolonged and also refreshed or
Recrements of the nervous humor subsiding here as it were upon its bottom neither can be drawn back by any of the Vessels nor pass into the cavities of the Intestines there is a necessity that it must erect in this part it s morbid nests The evident causes are of a double kind to wit first those that do injury to the Brain and nervous stock by causing a greater provision of the Morbific matter or secondly those which by agitating or shaking the Blood and humors stir up the Mines gathered together and before quiet and provoke them into painful heats or fermentings It would be tedious here to examine the manifold and diverse occasions by which the Colick pains are brought upon those predisposed for these often are caused by great inordinations in the six non naturals and the mutations of the Air and the Year and moreover by what help should be expected by the untimely administring Medicines themselves From what has been said the differences of this Disease may be easily known For first by means of the causes we have shewn the Colick to be either accidental which is caused by reason of the Intestines being provoked by sharp contents such as we but now described it Secondly By reason of the place affected the Colick is sometimes superior sometimes inferior sometimes lateral or of the side as the Morbific matter is fixed either sometimes in this part sometimes in that part of the Mesentery or in other infoldings of the Abdomen Thirdly By reason of the sickly condition and temperament of the sick it is called a Bilous or Cholerick a Phlegmatick or a Melancholick Colick also either simple or Scorbutick not that these imaginary humors excite of themselves the Colick but according to the dispositions of the Body distemper'd various Symptoms are made or caused to vary As to its Prognostick it is commonly known that the accidental Colick to wit excited from a solitary evident cause is most often safe and with an easie matter cured but the habitual as to its disposition it is very difficult to be rooted out so that the fits may no more return and its fits sometimes are pertinacious notwithstanding Remedies and sometimes continue many days yea weeks and months 2. The Colick disposition frequently succeeds long intermitting Feavours and continual being evilly handled for that the nervous Liquor being highly vitiated gathers together many Recrements which are deeply deposed into the Infoldings of the Abdomen as it were the more open receptacles Further for this reason an Epidemical Feavour rages some years to which the Colick is joined as its Pathognomonick or peculiar Symptom hence in like manner a long and grievous Scurvy causes also the Colick because it perverts the nervous liquor 3. After the Colick pains have raged for sometime in the Belly they fall oftentimes into the Loins and then the Disease increasing or growng worse they enter upon the members and the muscles almost all in the whole Body and at length oftentimes end in the Palsie which certainly is a manifest sign that the Morbific matter is not carried by the Arteries but by the Nerves and that its subject or seat is not the cavities or the coats of the Intestines but the nervous Infoldings of the Mesentery For because the Lumbary pains or those of the side do come upon the torments of the Belly besides that the Nerves of either place communicate the cause is further for that the Morbific matter being much increased in the Head slides down not only into the wandring pair but also into the spinal Marrow and entring into it and setling in its bottom causes pains to arise in the Loins and afterwards in many other Nerves which proceed from the Spine or Back-bone and in other Members and Muscles distemper'd lastly it brings in the Palsie by the passages of the Nerves being stuffed by the Morbific Matter heaped up to a plentitude in them 4. The more cruel Colick and very much raging whose cause is an Inflammation or an Imposthum of some Intestine for the most part induces the mortal Iliack Passion The Curatory method in the Colick as in most intermitting Diseases suggests three primary Indications The first of which Curatory to be administer'd in the fit respects the allaying of the pains and for the sooner and more easie taking away the coming of the Disease Secondly Preservatory which shews the taking away the cause of the Disease without the fit that the fits may not be often repeated or more grievously infest Thirdly Vital which supplies Remedies for the preserving of strength in the torments and most cruel Cruciations and for the cherishing of the Spirits Concerning these we shall speak a little more sully in order 1. We almost only respect the Curatory Indication in the accidental Colick for the evident cause which is an irritation of the Intestines by sharp contents being removed the pains for the most part cease of their own accord nor do they return without the like occasion Wherefore for the quick curing of this Disease the practice is well enough known to every common person among the vulgar to wit presently to administer softning Clysters Topick Anodynes and Narcoticks to which if a Feavour be joined or feared letting of blood is often used with success We shall set down forms of these and the order of using them in the Cure of the habitual Colick Therefore for the healing of this Distemper in the fit there are two chief Intentions to wit both to take away the painful breach or solution of the unity and to allay the burning or growing hot of the Fibres and the Spirits in them For the former you must endeavour both that the matter impacted in one or more Mines may be shaken off or subdued and also that a flowing in of new matter may be hindred The second Intention which ought chiefly and continually to be insisted upon is performed by Anodynes chiefly and Narcoticks After what manner and by what Remedies every one of these are methodically to be done we shall now shew you Most often the Cure of the pain of the Colick and that rightly is begun with a Clyster Let this at first be gentle and only emollient by which the Corrugations or the wrinklings of the Fibres may be allayed and the burning Spirits flattered or pleased For this end warm Milk with Sugar or Molossus or Syrup of Violets is convenient as also Emollient Decoctions of Mallows Marsh-mallows Mercury with the Flowers of Melilot and Elder with the Oyl of Almonds or of Olives also a Decoction of a Sheeps-head or Calves-feet sometimes a Clyster of mere Oyl of Olives or of Linseed Oyl is wont to help before any others But if the more gentle Clysters do not loosen the Belly nor are easily ejected there must be given such as will more provoke and press or as it were stroke forth the humors by the little mouths of the Arteries For which end
acquired 34. what natural instinct brings to them ibid. some examples and instances of it ibid. Brutes in some things are taught by the impressions of sensible things 35. the direct sensible Species creates in them the Phantasy and memory ibid. the reflected the Appetite 36. by example imitation and institution also 37. how far 't is they are able to know ibid. their Syllogisms 38. their raciocination what and how vile 39 A Burning-Glass placed before a dark Chamber declares how light is made 77 C. CAros how it differs from the Lethargy and Apoplexy 136. its seat a little deeper in the Brain than that of the Lethargy ibid. it s conjunct cause ibid. 't is either a primary Disease or comes upon other distempers ibid. its prognosticks 137. its cure the same with the Lethargy and Apoplexy ibid. its Histories ibid. Cartesius and others their opinions concerning the Souls of Brutes 3 Coma waking its description 141. its causes shown ibid. more often a Symptom than a Disease ibid. V. Caros Colick whence its denomination 225. why counted among the Diseases of the Nervous stock ibid. its description ibid. its seat not always or often in the Gut Colon neither in its Cavity or Coats ibid. it s conjunct cause are not the contents of the intestines nor the humour impacted in the Membranes 226 the Nervous Liquor seems most of all to contribute to its cause ibid. its seat and part affected 227 228. why pains of the Loins often come upon Colick pains ibid. in what the foregoing cause consists ibid. the evident cause 229. the differences of this disease ibid. its prognosticks ibid. its câ—re ibid. to 233. its Histories 233 234 Corporeal Soul the subject of the rational 41. after what manner 't is affected in melancholy and madness 191 Custome its force 89. a notable example thereof ibid. D. DEafness sometimes proceeds from the loosness of the Drum 73 Declination of age disposes some to foolishness 211 Delirium what it is 179 its formal reason ibid. its causes either from the blood or ex teriour Spirits planted in the Nervous Stock 180. by what and how many ways it is caused by the blood ibid. how it proceeds from the irregularities of the exteriour spirits 181. its prognosticks ibid. its cure ibid. the primary Phaenomena of a melancholick Delirium and from what dispositions of the Spirits they proceed 188 Desire and aversion chiefly imploy the Soul 51. how excited c. ibid. to 53 Digby and others their opinion of the Souls of Brutes 3 Dreams what they are 93. sometimes excited by the Spirits inhabiting the Brain sometimes inhabiting other parts viz. the Stomach c. 94. they sometimes stir up local motions ibid. Drunkenness and looking down from high places c. how they cause a Vertigo 146 E. EAR and its uses 71 72 Eating is a certain solution 62 Epicurus and his late followers opinion that the Soul is made of Atoms 2 3 Epilepsy its seat the middle of the Brain which is the seat of the Apoplexy also 161. Eye its description and reason of its diverse conformation inquired into à p. 78 to 86 F. FEar its character c. 53 54 Feeling more thick but most ample of all the senses 60. its kinds c. from 60 to 62. what its proper organ 168 Fire its definition agrees by its causes and essences with the Soul of Brutes 5 Fishes why they rejoice rather in the Water than Air ibid. they breath by the Gills ibid. Flame V Fire part of the Soul 22 31 33. its difference from light 76 Foolishness V. Stupidity G. GAssendus his assertion of the Soul 4 according to him every body is either lâ—cid or illustrated 77 Gometius and Pereira deny the Souls of Brutes to have sense and perception 2 Gout a distemper of the Nervous Stock 214. its subject its appearances rehearsed ibid. parts affected 215. morbiâ—ick matter not any simple humour ibid. in its mine two humours concur and mutually grow hot exemplifyed how ibid. the Blood full of a fixed Salt as it were its feminine the Nervous Liquor being sharp the masculine seed 216. its foregoing causes ibid. 217 218. the evident causes of the goutish fit 218. whence the debility of the Ioints 217. differences of the Gout 219 wont to be complicated with the Scurvy and Stone and the reason of that shewed ibid. its prognostick ibid. cure ib. a notable history of the Stone converted into the Goâ—t and of the Gout into the Stone 224 H. HEad-ach the most common and chiefest affection among diseases 105. its causes so manifold that they can hardly be methodically recited ibid. hence its cure often instituted empirically ibid. what things belong to its pathology ibid. its subject ibid. it s formal reason differences and kinds 106. either within or without the Soul universal or particular ibid. many 〈◊〉 differences noted ibid. an habitual one hath always a more remote cause besides the evident ibid. its causes a p. 107 ad 110. arising from the Nervous Liquor it chiefly infests in the morning 108. how stirred up by many humours meeting together and growing hot ibid. the habitual one chiefly depends on the fault of the Nervous humour 109. its kinds noted at large 112 113. how it seems to arise from the Spleen mesentery or womb ibid. its prognosticks 113. cure from 114 to 125. Histories ibid. a continual headâ—ach not to be accounted incurable 123 Hearing its excellency as to use and activity performed at a distance c. 69. its organ described 71 Heart hardned what it is 47 Histories of head-achs from 121 to 125. of one killed presently by taking too large a dâ—se of Opium 128. of Lethargick 232 c. of continual sleepiness 135 137. of long waking 140. of the Vertigo 151 152. of the Apoplexy 160. of the Palsie 174 175 176 177. of the delâ—rium or Phrensy 187. of Melancholy 197 198. Histories of mad people are to be sought in Hospitals for mad people 208. A notable History of the Stone converted into the Gout and the Gout into the Stone 224. of the Colick 233 234. of a mortal madness from eating the leaves of Wolfs-bane 204 Hope 53 54 I. IMages light and colour are of the same substance 75 Imaginary Metamorphosis of melancholick persons 200 Imagination V. Phantasy Incubus or Night-mare its seat in the cerebel 142. its description ibid. it most often proceeds from natural causes ibid. its seat falsely placed in the Brain ibid. the Praecordia truly labour in this Disease ibid. its cause doth not stick partly in the Brain and partly in the Breast ibid. its next cause is the hindrance of the inflowing of the Spirits to the Praecordia 143. this not in the parts affected nor Nerves themselves but in the cerebel where the first spring of the spirits is ibid. from whence the sense of the weight and loss of motion proceeds ibid. why the fit being so grievous is so often ended without leaving any evil ibid.
whence the trembling of the Heart and Praecordia after the fit ibid. the Incubus of it self rarely dangerous ibid. its prognosticks 144. its Cure ibid. how infants and boys obnoxious to this Disease ought to be handled ibid. Insects appear to have fiery Souls because they want sulphurous and nitrous food 8 Instances of passion merely Physical 46 Instinct natural what it is 34. what it brings to Brutes ibid. examples of it ibid. it dictates to them what 's wholesome what not 35. leads not only to simple actions but to very complicate ones ibid. yet those always and in all of one kind only ibid. how 't is wont to be compared with acquired notions 37. and with the impressions of sensible things ibid. with habits learned from example or institution ibid. with notions learned from experience and imitation ibid. Intellect in man presides o're the imagination c. 38. and discerns its errors sublimates its notions and divests them from matter and contemplates immaterial substances judges and directs its propositions deduces from these others more sublime thoughts beholds it self by a reflected action and contemplates other things remote from sense as God c. 39. it depends upon the Phantasy 41. by reason of the various constitution of this and the Brain Souls seems unequal 42 Issues made upon or near the distemper'd place help little 119 K. ALL Knowledge from sense 57 L. LEthargy its seat the same with that of Sleep and Memory 125. its Fits are call'd by this name ibid. and the soporiferous disposition also 126. of which are various kinds ibid. its causes ibid. to 128. what things belong to its theory 129. the chiefest of its symptoms ibid. by what means the other faculties of the Soul as the knowing desiring and locomotive are affected ibid. it s evil reaches also to the cerebel ibid. hence breathing often hurt or altered ibid. which proceeds â—ot from the inflammation of the midriff ibid. its Fever from whence ibid. and 130. none dyes without one ibid. its prognosticks ibid. its cure 131 to 133. Histories ibid. its ends or limits as to the places distempered are constituted ibid. some sleepy distempers lesser than it the Caros greater ibid. Light Colours and Images the same substance 75. Light and Flame their differences 76. wherefore Light either reflected or refracted goes forward only in streight lines ib. it can pass through a Chamber in the mean time not to be perceiv'd ibid. 't is primary or secundary ibid. the differences of these 77 Lobster its Anatomy 11 12 Local motion stir'd up by the appetite 36 Love how excited 50. it and hatred transitory passions 51. its object set up like an Idol in the Phantasy and worshipped 50 Love-madness 199. reasons of its symptoms ibid. Lucid part of the Soul 22. shines diversly 31. alteration of the flamy part impressed by it 32 Lungs how differ in Birds and four footed Beasts 17. for what end perforated in Birds ibid. M. MAdness and Melancholy are a-kin 201. the subject of Madness are the Animal Spirits the disposition of which are like to Stygian Water ibid. three chief accidents in Madness which are also to be found in Stygian Water 201 202. the conjunct cause of Madness what it is ibid. the original of Madness either from the Spirits themselves or from the Blood 203. it begins from the Spirits from two occasions ibid. by what means it comes upon Melancholy 204. how upon a Phrensy ibid the original of Madness sometimes from the Blood ibid. it is either hereditary the reason of which is shown 204. or acquired and so either by reason of errors in the six non-naturals or by reason of Poysons ibid. History of a mortal Madness from eating the leaves of Wolfs-bane ibid. the reasons of the symptoms of Madness explained 205. wherefore mad-men are audacious ibid. from whence their immense strength ibid. wherefore they are never tired ibid. wherefore they are not easily hurt ibid. the differences in respect of the original magnitude and time ibid. the prognosticks ibid. the cure from the indications of continual Madness 206. the curatory indication as to discipline ibid. as to Medicines ibid. the preservatory indication consists in altering Medicines as whey c. specificks c. ibid. the vital and curatory indications 208 Melancholy its definition 188. 't is a distemper of the Brain and Heart ibid. its Examples or Types various and almost in finite ibid. 't is either universal or particular ibid. the primary Phaenomena of a melancholick Delirium and from what disposition of the Spirits they proceed ibid. as they are compared to light they are call'd opacous or full of darkness 189. these kind of Spirits in Melancholy compared to those in Chymical Liquors ibid. they are not like the Spirit of Blood as they should be nor like the Spirit of Wine for such is rather in the Phrensy ibid. but these are like acid Spirits distill'd out of Salt Vinegar Box and such like ibid. the formal reason of Melancholy aptly represented by acetous Chymical Liquors ibid. there are three chief affections of these which agree with the Animal Spirits in Melancholy 190 191. in Melancholy after the Spirits being for some time vitiated the conformation of the Brain becomes also hurt 191. in this Disease the affection of the Praecordia as to fear and sadness is delivered ibid. after what manner the corporeal Soul is affected in Melancholy and Madness ibid. the cause of either depends partly on the Blood and partly on the Animal action of the Heart ibid. the Procatartick causes of Melancholy are partly the acetous nature of the Spirits and partly the Melancholy discrasie of the Blood and the distemper begins sometimes from this sometimes from that 191 192. how it begins from the Spirits and the Animal Government 192. by what means it arises from the Blood ibid. Melancholy doth not arise from any atrabiliary humour heaped up in some pâ—ace or mine ibid. by what means according to the Ancients 't is said to arise from the Head ibid. how from the Womb ibid how from the Spleen ibid. how from the whole Body 193. the differences of this Disease in respect of its first subject and by reason of the temperament of the Sick and in respect of its next cause as it is singular or conjunct and in respect of the imagination being diversly hurt ibid. its prognosticks ibid. in the Cure the evident cause is first to be removed ibid. and herein are three primary indications first Curatory c. 193 194. secondly Preservatory c. 149 altering Medicines are here of greatest moment and not purging as the Ancients thought 196. Histories of this Disease 197. particular Melancholy is excited by reason of two sorts of affections concerning good or evil 199 Melancholick persons their imaginary Metamorphosis 200 Metamorphosis imaginary of melancholick Persons 200 Millepedes notably help in the cure of the head ach 118 N. NEmesius attributes sense and perception to corporeal Souls and farther the
use of an inferiour reason 3 Nervous Liquor how a cause of the head-ach 108. the habitual head-ach depends chiefly upon its fault c. 109 wherefore it oft-times becomes corrosive c. 202 Nutritious juice how it excites the head-ach 108.110 111 O. OPâ—ats how they cause sleep 128. how they operate in the Ventricle or Brain how as assigned by Webfer 156 P. PAlace or seat of the humane mind in the Phantasy 41 Palsie what it is 161. its seat ibid. it s conjunct causes 162. in the Palsie either motion or sense only or both together is hurt ibid. spontaneous motion is abolished by reason of the ways being obstructed either in the beginnings or middle passages or about the ends ibid. the ways are obstructed by impletion or compression or by a breaking of the unity ibid. an obstruction in the streaked Bodies causes the universal Palsie or the Palsie of one side ibid. why sense is not hindered as well as motion in every Palsie 163. why all Muscles of the Eyes and Face are not loosened in an universal Palsie ibid. a compression of the streaked Body sometimes stirs up the Palsie ibid. a paralytick obstruction doth sometimes happen in the oblong and spinal Marrow ibid. a Palsie often succeeds Stupidity ibid. a Palsie sometimes from the pressing together of the Marrowy chord ibid. sometimes from the unity being broke 164. the seat of the Palsie sometimes in the Nerves themselves which are either obstructed or compressed or the unity broken ibid. an obstruction sometime in the beginning of the Nerves sometimes in the middle or in their utmost processes ibid. the other conjunct cause of the Palsie ibid. in every Palsie the matter is not so thick or cold as it is vitriolick and other ways infestous to the Spirits ibid. the blasting or withering of Trees like the Palsie ibid. the more remote foregoing causes of the Palsie ibid. the Palsie is either a primary Distemper and a Disease of it self or secondary coming upon or succeeding other Diseases ibid. why the Palsie often succeeds convulsive Diseases ibid. why the distemper of the Colick 166. why the Gout ibid. the evident causes of the habitual Palsie ibid. want or paucity of Spirits oftentimes the cause of the spurious Palsie ibid. for which reason old men are obnoxious to this Disease 167. also scorbutical Persons and such as are full of ill humours ibid. also others long sick ibid. hence some dare not venture on local motion others endeavouring cannot bear it long ibid. the second kind of Palsie in which motion and sense are hurt at once ibid. the third kind in which sense only is affected 168. why feeling is sometimes lost and motion safe ibid. the Prognostick ibid. the Cure 171. Histories and Examples of Paralyticks 174 Paraphrenesis what it is 181. its conjunct causes 181 182. wherefore breathing is hurt in this Disease ibid. its Prognosticks 184. Cure 185 Parts of the corporeal Soul 22. parts serving for hearing how they differ in man and some four-footed Beasts 74 Passions their History from 45 to 55 Phantasy or imagination the power thereof in Brutes 38. 't is often deceived ibid. in man 't is the intellect presiding over the imagination V. Intellect the seat or palace of the humane mind in it 41. the pleasing of it and the senses cause sleep 90 Phantastick desires are immense 52 Phrensy V. Delirium Platonists and Pythagoreans affirm'd the Soul of Brutes to be an incorporeal substance 2 Pleasure and Grief the two primary affections of the Soul 48. they affect the two roots of the Soul viz. the Brain and Praecordia ibid. and 49 Praecordia wherefore and how esteemed the seat of holy affections 47. why call'd the seat of Prudence and Wisdom ibid. they and the Brain the two roots of the Soul 48. they truly labour in the Incubus 142 Prototype of a sound by and by stirs up innumerable Ectypes 70 Pupil of the Eye in some round in others longish the reason inquired into 83. its colour in some black in others grey reddish or otherwise colour'd the reason shewn ibid. R. REasons of very many Authors perswade that the Soul of Brutes is not only corporeal but fiery 5. the reason of good and evil either concerns the corporeal Soul by it self or united to the Body or subjected to the rational 45. reasons of Colours and Images unfolded 77. reasons of the symptoms in Love-madness explained 199. of Tumors and Vlcers in the Kings Evil c. 202 203. of symptoms in Madness 205. why wise and strong men are not always begot of strong and wise men 210 S. SAlivation in inveterate head-achs without suspicion of the Venereal Disease whether it ought to be administred 119. the means and manner of salivating by Mercury unfolded 119 120 Sense what it is 56 57 to 60 Serum how it excites the head-ach 108. its evacuation through its right way being suppressed brings its Flux to the head 110 Sight the most noble Sense 75 77 78 Sleep unknown or greatly controverted what it is 86. Schneiderus's opinion that it is an inorganical faculty of the Soul ibid. its subject not the whole Body 87. the Animal Spirits its immediate subject ibid. all the Spirits injoy rest but not in sleep c. ibid. it s immediate subject is the knowing part of the sensitive Soul ibid. the mediate are the Bodies contemning it 88. its formal reason and beginning ibid. and causes 89. 't is either natural not natural or preternatural ibid. by what and how many ways it begins from the Brain first affected 90. not from fumes ibid. its matter conveyed only by the Arteries 91. why raw and indigested meats induce sleepiness ibid. how it seems to begin in the Eyes ibid. the effects thereof 92. why those that sleep are apt to be cold outwardly ibid. the Blood performs its offices better in sleep ibid. what it affords to the lucid part of the Soul ibid. benefits of sleep noted ibid. Soul the contemplation thereof whereto it conduces 1. divers opinions of the Soul 2 3. three things to be considered in the Soul of Brutes 6. various kinds of Brutes Souls described c. 7. Insects have fiery Souls c. 8. whether fiery Souls in Bloodless Creatures 13. the corporeal Soul in man subject to the rational 18. a double subject of the Brutal Soul 22. whence two parts thereof c. ibid. the sensible part divisible 23. the Animal Spirits constitute its Hypostasis ibid. its beginning 29. frames it self before the Body and increases with it ibid. the Bodies duration depends upon it ibid. like flame it has its trepidations c. 31. as strong in sense and motion as a machine 32. if immaterial also rational ibid. the common sensory not the whole Soul 33. 't is like a self-moving musical Organ 34. the rational far exceeds the Brutal how both joyn'd in man and how they frequently disagree 38. the rational Souls priority ibid. the first act of either is simple apprehension ibid.
the second enunciation 39. how little the Brutes Soul can do in respect of man 40. Authors for two distinct Souls in man ibid. which reason also dictates 41. the rational does not exercise the Animal faculties nor obliterate the sensitive by its coming nor transmute it into a mere power ibid. by what bond united to the Body ibid. the corporeal its subject ibid. created and poured into the formed Body not propagated extraduce 42. plurality of Souls in man manifested by their differences ibid. the rational of it self without affections and how it governs and orders them and the Phantasy 43. in things to be known the corporeal obeys it but not in things to be done and inclining it self to the flesh fights against it ibid. how 't is reduc'd to obedience ibid. it oft seduces the mind ibid. it s twofold state 45. its lucid part feels or perceives the impulse of all objects and is moved by them 56. after what manner the corporeal Soul is affected in Melancholy and Madness 191 Spirits their distinct offices in various provinces c. 24 25. how they receive sensible species so very divers 57. the Animal the immediate subject of Sleep 87. for what causes they lye down of their own accord 89. compell'd into sleep by Narcoticks 90. their penury perswades to sleep ibid. the distemper of the Animal Spirits being after a diverse manner as it is the cause of the Phrensy so it is of Melancholy Madness and Stupidity 188 compared to light they are opacous or full of darkness 189. these kind of Spirits in Melancholy compared to those in Chymical Liquors for they are not like the Spirits of Blood as they should be nor the Spirits of Wine for such are rather in the Phrensy but like acid Spirits distâ—â—â—â—d out of Salt Vinegar c. ibid. Stygian Waters like the Animal Spirits in Madness ibid. three chief affections of acetous Chymical Liquors which agree with the Animal Spirits in Melancholy 191. after the Animal Spirits in Melancholy being for some time vitiated the conformation of the Brain is also hurt ibid. how the Animal Spirits acquire a disposition like to Stygian Water 202. the original of Madness either from the Spirits themselves or from the Blood 203. it begins from the Spirits for two occasions ibid. Squinting whence it comes 82 Stupidity arises chiefly from the failing of the imagination and memory 209. wherefore the Organs of these faculties labour in this Disease ibid. chiefly the Brain first as to magnitude and by reason of figure ibid. as to substance or texture 210. its evil conformatiâ—â— as to its pores and passages whence Stupidity sometimes proceeds from both of them being in fault together ibid. what the antecedent causes of foolishness are ibid. ripeness and the declination of Age dispose some to foolishness 211 great hurts of the head sometimes cause dâ—ting or want of ingenuity ibid. and frequent Drunkenness ibid. and vehement affections ibid. and the more grievous Diseases of the head ibid. the differences of this Disease 212. how Foolishness and Stupidity differ ibid. Stupidity its degrees ibid. the prognostick ibid. if from an hurt of the head evil ibid. if excited from a Lethargy it admits of Cure ibid. sometimes 't is cur'd by a Fever ibid. the Cure requires both a Master and a Physician 213. what the Labour of the former ought to be ibid. what the Medical intentions are ibid. what kinds of remedies are shown ibid. T. TAngible species immediately carried either to the cerebel or to the stroaked Bodies 61. and from thence go forward sometimes to the other faculties ibid. Taste of kin to feeling c. 62 63 Tears their matter 80 Touch the same Nerves are observ'd to serve for its sense and motion 63 V. VEnus an enemy to the Brain and Nerves 55. necessary to the preserving of the individual 62 Vertigo its seat 145. a description of it ibid. the causes and manner of an unnatural one ibid. why looking down from on high and passing over Bridges cause it 146. how Drunkenness causes it ibid. from what causes the preternatural one is wont to be excited ibid. sometimes 't is a symptome of other cephalick Diseases sometimes 't is excited by reason of the distemper of other distant parts viz. from the Stomach Spleen c. 146 147. not by reason of Vapors elevated from these parts 147. its immediate subject is the Animal Spirits ibid. it s formal reason ibid. it s conjunct cause 148. is seen by things helpful and hurtful ibid. the more remote foregoing cause ibid. the differences of this Disease ibid. its prognosticks 149. the Cure ibid. the curatory method shown 150. why vomiting Medicines are so much noted in this and other Diseases of the head ibid. what is to be done out of the Fit for prevention sake ibid. cases and examples of the sick in three Histories and the reason of the case of the second History described 151 152 Vices of the Brain noted 148 W. IN Waking the Spirits inhabiting the cerebel are disturbed with the Spirits of the other Regiment 93. why those being disturb'd perform their offices better whilst these lye quiet in sleep ibid. a double consideration of waking 95 Long Waking of two sorts 't is either the symptom of other Diseases or a Disease it self 138. how many ways the unquiet or elastick Spirits stir it up 139. its causes assign'd ibid. its Cure and History ibid. Natural Waking its cause consists in the restlesness of the Spirits and the openness of the cortical part of the Brain 138 Want or paucity of the Spirits oftentimes the cause of the spurious Palsie 166 Watching preternatural depends either upon the restlesness of the Spirits or the openness of the cortical part of the Brain 139 Weeping its causes and the manner of its being made described 80. wherefore a bewailing is oftentimes joyned with weeping ibid. wherefore it comes from sudden joy 81. why mankind only or chiefly weep ibid. Wise and strong men why not always begotten of wise and strong men 210 Withering or blasting of Trees like the Palsie 164 FINIS Advertisement DOctor Willis's Practice of Physick being all the Medical Works of that Renowned and Famous Physician Containing these Ten Treatises following viz. I. Of Fermentation II. Of Feavers III. Of Urines IV. Of the Accension of the Blood V. Of Musculary Motion VI. Of the Anatomy of the Brain VII Of the Description and Use of the Nerves VIII Of Convulsive Diseases IX Pharmaceutice Rationalis the first and second Part. X. Of the Scurvey Wherein most of the Diseases belonging to the Body of Man are treated of with excellent Methods and Receipts for the Cure of the same Fitted to the meanest Capacity by an Index for the explaining of all the hard and unusual Words and Terms of Art derived from the Greek Latin or other Languages for the benefit of the English Reader With a large Alphabetical Table to the whole With Thirty Copper Plates Done into English
the whole Body and Parts not only many and distinct but after a manner dissimilar But that some object that the Soul of the Beast because it perceives or knows that it feels to be immaterial for that Matter seems to be incapable of Perception that indeed had been likely if that Perception should pass beyond the limits of Material things or higher than what inspires them which things are usually attributed to Natural Instinct or Idiocrasie or peculiar Temperaments that I may omit Sympathies and Antipathies But who should be the Betrother I profess the great God as the only Work-man so also as the first Mover and auspiciously present every where was he not able to impress strength Powers and Faculties to Matter fitted to the offices of a Sensitive Life The Pen in the hand of the Writer Disputes Intreats gives Relations of things and is in the mid'st between things past and things to come and why should we not believe that greater things than any of these may be done when the Skill of the Deity is present Lastly If any one shall affirm that most subtle Substance and wholly Etherial which serves for the Vital Oeconomy or Government to be immaterial for that it enters upon the sluggish Disposition of inanimate Bodies let him remember to be indulgent to me if by chance I call it material for that it subsists very much below the Prerogatives of Reason But I shall not stand upon these things for truly I have prepared a far othergates defence to wit I speak not from the Tripos like an Oracle nor from the Chair but as one of a low form I play not the Prophet or Dictator but the Philosopher neither do I plant an Opinion but propose an Hypothesis and open my Iudgment Geometry has its Demonstrations in it self we are Skill'd in that part of Philosophy where it aboundantly suffices to have brought Logical Proofs Surely he only certainly pronounces who professes his Errors and whil'st he Philosophizes about Man remembers himself that he is a Man But that according to the Adage that I should declare some to be rather sick in Soul yea first and chiefly than in Body otherways than the Schools of Physicians which refer the Primary Seats of all Diseases into solid Parts Humors and Vital Spirits or innate Heat I say from our Hypothesis to wit that this Soul hath a material Subsistence extended equally with the Body and peculâ—ar Parts Powers and Affections may be concluded that it is found obnoxious also to preternatural Diseases and not seldom wants Medical help Moreover That the Corporeal Soul doth extend its Sicknesses not only to the Body but to the Mind or rational Soul which is of an higher linage and that it often-times involves it with its sailings and faults I think is clear enough in our Pathology or Method of Curing Further for the proving these two distinct Souls to be together and subordinately in Man as much as Authority and the force of Reasons can I think is there proved which Opinion is so far from that I need to fear it should be censured for Pernicious or Heretical that on the contrary we hope it is altogether Orthodox and appears agreeable to a good Life and Pious Institution from hence the Wars and Strivings between our two Appetites or between the Flesh and Spirit both Morally and Theologically inculcated to us are also Physically understood for that I see and approve the better things and follow the worser and this The Flesh lusts against the Spirit and the Spirit against the Flesh. So generally comes to pass in us for as much as the Corporeal Soul adhering to the Flesh inclines Man to Sensual Pleasures whil'st in the mean time the Rational Soul being help'd by Ethical Rules or Divine favours invites it to good Manners and the works of Piety Further from hence the chief Arguments is brought against Epicurism and Atheism for that it is moved by the force of Reasons our Sensitive Soul even as that of the Brutes miscarrying the other perpetually survives for truly being perswaded of an after and Eternal State why doth it not make it its whole business that it may live more happily in it or at least not miserably But also that it may be objected that there cannot be therefore two Souls in Man because many forms cannot actuate at once the same Matter It may be answer'd that the Supream form of the same Subject doth sometimes subordinately include many others but specifies it only a Compound Also the Corporeal Soul being subordinate to the Rational subsists immediately in the Humane Body and this Superior is in the same that mediating It would be a much more difficult solution of this hard Business if the Inferior Soul of Man common to that with the Brutes should be also affirmed to be immaterial for by what knitting together can two independent Souls subsist in the same Body being from thence separated and Combined by no common Bone into what place can they depart severally Certainly as to reason it is more probable and to the Humane government more agreeable to affirm that one most subtilly Corporal Soul is joyned immediately to the Body and is intimately united and that by the intervention of this Soul another immaterial residing in its Bosom inhabits the Body and is the supream and principal form of the whole Man But that after Death the Corporeal Soul being extinct this survives and is Immortal That the Corporeal Flameous and lucid Nature of this Soul and its Parts and Affections may be the better known I have thought it necessary to describe the Vital Organs both of all Kinds of living Creatures by the Action of which the Lamp of Light is maintain'd and also to shew plainly laid open even to their intimate recesses and least and secret Passages the Brains both of the more perfect Brutes and also of Man The Anatomy of which being manifold not being able to perform it only with my own hand and Skill being also almost continually interrupted by my Practice the Famous and Skilful Anatomist and Physician Dr. Edmond King was much helpful to me by his assiduous and notable assistance and labour Also that learned Man and my most intimate Friend Dr. John Masters Skilful in Physick and Anatomy imployed much of his Labour and Diligence in the same Business Out of his various Zootomie or Anatomy of the more perfect Beasts and many-flower'd dissection the wonderful things of God are very much made known for as much as in every the smallest and vilest little Animals not only the Face and Members but also the inward Parts as it were the Hearths and Altars for the continuing the Vital Fire shew them to be of a most Elegant and Artificial and plainly Divine Structure As to our Pathology or Method of Cure I must confess that in delivering the Theory of Diseases leaving the old way I have almost every where brought forth new Hypotheses but what being founded upon Anatomical
Observations and firmly stablished better solve all the Phoenomena of the Sick viz. They declare more aptly the Causes of the Symptoms and shew the Reasons of Curing more accommodate to every Disease But as to the Remedies and Therapeutic Method althô we follow not exactly after the manner of others the Ancients we have nevertheless rejected nothing ratified by grave Authority or approved by daily Experience and besides we have added many things found out Emperically and Analogically by the Moderns Althô it is neither our Hope or Ambition that these should be pleasing to all yet what is my last wish I doubt not but that this may be an help to many for the illustrating the Medical Science and for the more happy Curing of Cephalick Diseases Farewel OF The Soul of the Brutes The First Part PHYSIOLOGICAL SHEWING Its NATURE PARTS POWERS and AFFECTIONS CHAP. 1. The Opinions of Authors both Ancient and Modern are recounted WIth what Pleasures and with what Delight beyond other things the Contemplation of the Soul hath drawn to it self the Wits of Men and most profoundly Exercised them appears even from hence that almost none of the Philosophers of whatsoever Sect they were and of every Age who have not laboured in the search of it But indeed how hard and abstruse it is and with what dark Blackness not less than the shades of Hell it self this Knowledge of the Soul is over-shadowed may be gathered from this because they are opposite and uncertain concerning it yea almost as many Men as there are so many several Opinions have they Published that truly 't is no unjust Complaint of the Soul that she understands all things but her Self Nevertheless in this Age most fruitful of Inventions when that so many Admirable things not before thought on as it were another Ancient World unknown are discovered about the building of the Animal Body when new Creeks are daily found out new humours spring up and altogether another Doctrine than what hath been delivered by the Ancients concerning the use of many of the Parts hath been instituted why may we not also hope that there may be yet shewn a new disquisition concerning the Soul and with better luck than hitherto Therefore however the thing may be performed I shall attempt to Philosophise concerning that Soul at least which is Common to Brute Animals with Man and which seems to depend altogether on the Body to be born and dye with it to actuate all its Parts to be extended thorow them and to be plainly Corporeal and that chiefly because by the Nature Subsistence Parts and Affections of this Corporeal Soul rightly unfolded the Ingenuity Temperament and Manners of every Man may be thence the better known as also the Causes and formal Reasons of many Diseases as of the Phrensie Lethargy Vertigo Madness Melancholy and others belonging rather to the Soul than to the Body as yet hidden may in some part be discovered Then Secondly because the ends and bounds of the aforesaid Corporeal Soul being defined the Rational Soul Superior and Immaterial may be sufficiently differenced from it nor is that Argument admitted so easily confounding them together whereby some deserving very ill of themselves have affirmed the Souls of Man and the Beasts only to differ in degrees of Perfection and so that either alike must be either Mortal or Immortal and alike propagated ex traduce or from the Parent Wherefore that the Dignity Order and Immortality of the Rational Soul discriminated from the Corporeal may be vindicated and likewise that we may make a way to the remaining Pathology or Method of Curing of the Brain and Nervous Stock in which not only Parts of the Body but often the animal Spirits yea sometimes the whole sensitive Soul seems to be affected altho we have formerly unfolded according to our slender Ability not after this manner the Descriptions and Uses of the Brain and Nerves Therefore at present we shall endeavour to deliver a certain Doctrine of the Soul previous to the shewing the Doctrine of the Diseases of those Parts But here it will be first expedient to rehearse the Opinions of others or at least the chiefest and most noted among them From which being put together if not what the Soul truly is may be made known yet what many considering it have thought of it and from thence a little more certain search of it we may enterprize And indeed if we would grow wise concerning the Soul only out of the Pleas of Authors and the Writings of Philosophers of every Age we should be intangled in a Labyrinth of Opinions following for truth mere Phantasms and for the genuine Idea of the Soul as it were the Apparitions of divers Specters But that we may reduce the various Opinions whatever have been declared both of the Ancients and Moderns to some certain Heads it will be fit that we observe some did affirm it to be Corporeal others Incorporeal In either Kind we meet with great diversity of Opinions For first of all among those who thought it Incorporeal some affirmed it to be a Substance existing of it self and immortal others without Substance having only an accidental form Those who believed the Soul an Incorporeal and Immortal Substance differed also among themselves The Platonists and Pythagoreans said the Souls of all living Creatures to be a certain Part of the Universal Soul of the World and that they were depressed or immerged in this lower Body as in a Sepulcher and therefore the Soul when the Animal received Life was not born but dyed for as much as by this inferior Birth it was divided from the simple and undivided fountain of Nature Further they thought that the same Soul so demersed did wander from one Body being dead to another and so by a various Metampseuchosis did inhabit or was a guest sometimes in the Bodies of Men and sometimes of Beasts The Manichees asserted That all Souls being taken out of the Substance it self of God did actuate Terrestrial Bodies and going from hence again returned into God himself The Origenists different from either taught that Souls were Created from the beginning of the World and at first to subsist of themselves then as occasion serv'd that Bodies being formed they enter'd into them being begun and actuated them during Life and that at length they returned to their private or singular Substances The state of which Souls tho some attributed it only to Humane Souls yet there were others who granted the like Immortality to the Souls of the Brutes yea and of Plants On the contrary Nemesius but untruly saith That Aristotle affirmed the Soul to be Incorporeal but without Perfection and Mortal when he had designed the Entelechia or Perfection of every living thing as to wit She as it were arising up of her own accord from Power only of matter rightly disposed understands nothing else but it s own Crasis or Temperament resulting from the mixture which as
the Blood or issuing forth from the little Pores of the Marrow slides forward into the Ventricles of the Brain or at length that matter sliding a little lower and being impacted on the Streaked Bodies either one or both of them causes the Hemiplegia or half Palsie or the Palsie In the mean time as the Spirits within the Callous Body grow free and getting wider spaces they resume their wonted offices which they indeed execute until new matter springing again in the compass of the Brain and being by degrees increased descending into the Callous Body brings on another fit out of which if the Spirits get not by either of the aforesaid ways being wholly discomfited they perish by degrees If you should ask after the nature or disposition of this Morbific matter it may be suspected that the Animal Spirits in the Apoplexy are plainly affected after another manner than in Convulsive passions to wit those obnoxious to this blasting obtain a Copula contrary to the explosive that is Vitriolick rather than Nitro-sulphureous and so by it their spiritous-saline particles are wholly fixed and are hindred from entring into any motions or explosions even as when the Vitriolick particles being beaten and combined with the fulminating gold they quite take away its explosive or letting off virtue and congeal and render immoveable all other active particles like the blowing of a freezing air The Animal Spirits seem to be not unlike the same and their Copula's have divers sorts of adjuncts some of which induce an Elastick and very explosive virtue as in the Convulsive Distempers and others a stupor numness or immobility as in the sleepy Diseases and also in the Apoplexy and Palsie Thus much concerning the Conjunct Cause and formal reason of the Apoplexy as to its Procatartick or fore-leading Causes they are much after the same manner as in most other Cephalick Distempers to wit both the Blood is in fault for that it affords to the Head extraneous particles and very contrary or as it were destructive to the Texture or constitution of the Animal Spirits either begotten in it self or taken from some other place and then the Brain is in fault for that being weak in its disposition and so its Pores and passages too dissolute and lax so that it always and easily admits without impediment the Morbific matter poured forth from the Blood There is no need that we should here reherse or unfold particularly the peculiar reasons of either and the various ways by which it is done but we shall rather referr you to what we have already said very largely concerning the foreleading causes of the inveterate Headach and also of the Lethargy Further the like or the same evident causes which were noted in those Distempers and in other sleepy Diseases ought here to be taken notice of to be shunned carefully by Apoplectick people From what hath been said the differences of this Disease may be easily known 1. What we mentioned but now The Apoplexy is either accidental which is suddenly and at once excited without any foregoing cause and almost indifferently in all from some strong evident cause or it is wont to be esteemed habitual which depending upon a previous disposition hath frequent fits by reason of several occasions 2. From the reason of the subject this Disease is said to be proper either to the Brain or Cerebel or common to both previous and frequent Scotomies or dizziness with mists before the eyes and the Distemper of the Vertigo denote the Brain more obnoxious to this Disease A frequent Night-Mare intermitting Pulse often Swooning and failing of the Spirits argue the Cerebel to be evilly disposed 3. In respect of magnitude it is either universal every function both merely natural and the spontaneous ceasing or it is partial this or that part being affected by it self then for that the faculties of either now all now many only yet none excepted suffer an eclipse for in either regiment the morbific matter descending to the middle or marrowie part possesses sometimes all its whole substance sometimes part of it to wit the fore part hinder or middle part 4. In respect of the antecedent cause the Apoplectical disposition is either hereditary or innate or acquired by means of an evil dyet or other accidents The prognostick or fore-judging of this Disease is always denounced deadly or dubious for the Apoplexy is never without present or future danger But it is worst of all in which besides the abolition of all the spontaneous functions the Pulse and breathing also are either deficient or are performed laboriously and then for the most part it happens with a foam at the mouth and snorting upon which comes a sweat which is often like melted greace and indicates a very sudden death to be at hand Those who are blasted or strucken and are presently deprived of Pulse and breathing and a little after growing cold and seem dead or without any life are not presently to be had from bed or left destitute of Medicinal helps further though there be no hopes of life they ought not to be buried under three or four days because such do sometimes revive again either of their own accord or by the use of Rememedies which certainly comes to pass not because a vital heat is at last stirred up in the heart for it is not there extinguished altogether but because the Morbific matter being discussed or evaporated from the Cerebel the motion of the heart is restored like a Clock when the weights are put on In the Apoplectical fit if any help follows upon letting of Blood there is hope of health But if after this and other Remedies the Distemper continues without intermission above the space of a night or a day or grows worse the case is desparate If after the first speechless fit being over the sick person becomes more nummed and duller and distemper'd with a Scotomy and frequent Vertigo it is a sign that he will be obnoxious to more fits of this astonishing Disease for the aforesaid distempers proceed from the Morbific matter already laid up in the compass of the Brain and there flowing sprinklingly and thence descending thorow the very small Pores only into the middle part which matter whether Vitriolick or Narcotick growing to a greater fulness calls on this blasting or being suddenly smitten The Therapeutick Method is either Curatory for the taking away the fit when it is upon one or preservatory to prevent it that it may not return the former belongs to every Apoplexy the other only to the habitual The assault or fit of this Disease being come if it proceeds not from some outward or vehement hurt of the head although it is not known whether it be excited or no from an invincible cause such as the Blood being let forth of the Vessels or the breaking of an Imposthum in the Brain yet we ought carefully to endeavour the Cure of it And because the
blood being too hot or swelling up is wont sometimes to bring in the Morbific cause or at least to increase it and the same sinking down and becoming more setled sometimes carries it away therefore in the first place you ought to deliberate concerning the moderating its course And hâ—re a question arises concerning the placing of the Patient to wit whether he ought presently to be put to bed or to be detained out of it for some time some religiously observe the latter and that not without reason to wit because in Bed there is a greater propensity to sleep and the blood growing hot and flaming forth more plentifully by reason of the heat of the Bed-cloaths pours forth still more recrementitious matter into the distemper'd Brain on the contrary whilst the sick is thinly cloathed and placed in a Chair the blood flows more slowly and the sinking Vessels seem more apt rather to sup back the humors out of the Head than to send them thither Wherefore if the Patient be strong enough it will be expedient perhaps to let him stay out of bed for six or eight hours till the fâ—ux of the Morbific Matter passes over and the course of the Blood be made more quiet by Phlebotomy and other Remedies carefully administred but the weak and who are of a tender constitution let them be put to bed as soon as they are smitten But let not the sick whether in bed or up lye upon his back but with his head somewhat upright and inclining either to one side or the other Phlebotomy necessary almost in all Apoplectical persons is not to be deferred but the Blood is copiously drawn back by a strong Clyster In the Clyster may be dissolved the Species of Hierae Diacolycinthia and a troubled Infusion of Crocus Metallorum Let a large Blistering Plaster be applied to the hinder part of the Head and other drawing Cataplasms to the Legs and Feet Let the Temples and Nostrils be anointed with proper Oyls and Balâ—oms and let painful rubbings be used almost to the whole Body In the mean time let things that stir up the Animal Spirits and help them out of their bonds be given them viz. Spirits of Harts-horn Sut and the like with a Cephalick Iulep After this the sick being placed in the bed if he be able and doth easily Vomit let an Emetick be given him of the Salt of Vitriol Oxymel of Squills or an Infusion of Crocus Metallorum and then with a Feather put down the throat provoke vomiting four or five times drinking between whiles Posset-drink Vomiting being over let there be given Comforters as the Elixir Vitae of Quercitan Spirits of Lavender or Camphorated Treacle Tincture of Poeony or of Amber or of Coral with Apoplectical Water or other appropriate Waters in a convenient Dose and repeated as the business requires On the second day the same Remedies being still continued let dry Cupping-Glasses or with Scarification be applied between the shoulders or to the hinder part of the Neck or if more blood ought to be taken away let the jugular Vein be opened the Clyster repeated apply to the Nose Spirit of Sal Armoniack or a fume of Galbanum boiled in strong Vinegar Besides let Errhines or Sneezing Powders and things to chew in the mouth to draw away Rheum be used Then in the Evening let a Purge be ordered of Pil. Rudii or a Solutive Electuary of Roses dissolved in some liquor None of these things helping though there be small or no hope the top of the Head being shaven let glowing Iron be held over it or a large Blister made upon it and let the other part especially the Forehead and forepart of the Head be bathed with Bezâ—ardick Vinegar let Leeches be set to the Temples or behind the Ears let also a large Dose of Spirits of Harts-horn or of Sut be often poured down the throat these and other the like administrations are to be used till you see death at hand which as Celsus faith these sort of Remedies only defer but some times hasten life The Prophylactick or preventive Method respects both those who have been troubled with one or more fits and also those who are seen to be prone to it as those who are born of Apoplectick Parents or are frequently obnoxious to the Vertigo the Incubus or Swooning away also such who have short and brawny Necks Let Purging and Bleeding be ordered Spring and Fall where it is convenient as to the former those who are easie to vomit let them first take an Emetick of the infusion of Crocus Metallorum with the Salt of Vitriol or of the Sulphur of Antimony and then after three or four days let there be given a Dose of Pil. Rudii or of Amber and after a due distance between let it be repeated three or four times Let two large Issues be made between the shoulders or if that place doth not please some let them be made in one of the Arms and in the opposite Leg. On other days free from purging let altering and Cephalick Medicines be taken twice a day Take of the Conserves of the Flowers of the Lilies of the valley or of the male Poeony six ounces of the Powder of the Root of the male Poeony half an ounce of humane Skull prepared three drams of the Seeds and the Flowers of the male Poeony powdered each two drams of red Coral prepared of Pearls and of the whitest Amber each one dram of the Salt of Coral four scruples of the Syrup of the Flowers of the male Poeony what will suffice to make an Electuary The Dose two drams morning and evening drinking after it two or three ounces of the following Water Take of the Roots of the male Poeony of Imperatorian Angelica each half a pound of the Root of Zedoary of the lesser Galangal each one ounce of the leaves of the Orchard Mifleto of Rue Sage and Betony each four handfuls of the outer rind of ten Orenges and eight Lemons of Cardomums Cloves Nutmegs each half an ounce all being cut and bruised pour to them of white Wine in which two pints of the dung of the Peacok hath been infused for a day ten pints let them infuse close shut for three days then distil it according to art and let the whole liquor be mixed together Take of the Species of Diambrae two drams of the Powder of the Root of the male Poeony of Zedoary picked each one dram and a half of Pearl one dram of the Oyl of the purest Amber half a dram of the whitest Sugar half a dram being dissolved in six ounces of the water of Poeony and boiled up to a consistence make Lozenges according to art each weighing half a dram Let the Patient eat one or two often in a day at his pleasure Within the fifteenth or twentieth day that the Remedies may not be irksome and may profit the better let them be
if the business will admit it let the Paralytick members be covered over with hot grains or with the refuse of the Grapes when flung out of the Wine-press or let them be thrust into the belly of a Beast new slain or bathed in an artificial Bath or in the natural Baths and be kept for a long while in any of these But if these help not you must then come to universal Remedies or great Remedies of which sort in the first place are Diaphoreticks or sweating Medicines Mercurial Medicines stirring up Salivation and strong Vomiting Medicines of each of which we shall speak briefly In the Cure of the Palsie sometimes Diaphoreticks or Medicines causing sweats do very much help and that they sometimes are hurtful the common people do ordinarily observe Wherefore it is very requisite that we should unfold the reasons of this so different effect and that so indications may be taken as to the use or rejection of them Therefore a plentiful sweating is wont to be helpful sometimes to Paralyticks chiefly for two reasons to wit for that it doth thrust forth or exterminate in a great measure the impurities of the Blood and the nervous juice being apt to breath forth so that the Morbific matter doth not flow any more to the Brain and the distemper'd parts and that whatever hath already flowed forth from them is partly conveyed forth of doors Then Secondly Because the Effluvia's of heat falling away from the boiling blood do very much open the nervous Passages before obstructed whilst in evaporating they pass thorow them and make an open way for the Spirits Wherefore this administration is chiefly and almost only convenient for those whose Blood is not stuffed with fixed Salt and Sulphur but is diluted with a limpid and saltless Serum For on the contrary Paralyticks whose blood and humors are full of fierce Exotick and fixed Particles of enormous Salts and Sulphur and unfit to be exhaled do often receive great harm by a violent and forced sweating Of this kind of effect we have assigned these two causes to wit because that the Morbific Particles by reason of agitation being too much exalted become more outragious then secondly because these being more plentifully brought to the Brain and nervous Stock they oftentimes increase the old obstructions and not rarely produce new That a plentiful sweating or Diaphoresis may be easily provoked both internal Medicines and outward administrations are wont to be made use of The former stir up either the Blood or Serum into an heat or provoke the heart into more swift motions and for that cause whether one or both be done when the bloody liquor is rapidly circulated thorow the Heart and Vessels and is wrought into a frothy swelling up there is a necessity that very many Effluvia's which are the matter of sweat should go away from it For this end Medicines of a various kind are commended to Paralyticks of which the most noted are a Decoction of Guaicum Sarsaparilla c. Spirits and Oyl of Guaicum the simple mixture Flowers and Spirits of Sal Armoniack Aurum Diaphoreticum the Salt of Vipers as also the Powder and Wine of the same the solar Rezoartick minerale Tincture of Antimony c. External administrations move sweat because they hold in and stir up the moderate heat in the whole body and so the blood being made hot is compelled to move more swiftly and to evaporate more and at the same time the Pores of the skin being unlocked readily let forth all the Particles that are apt to exhale For this use besides the Bed-cloaths which only hold in the Effluvia's of heat sent from the body about it still there are little sweating Chairs or Stoves made hot with Coals or with the Spirits of Wine also Hot-houses and Baths of various kinds and forms and our natural Baths are wont to be made use of But of all of them our natural Baths of the Bath if they agree with the temper of the sick are thought to be the best Remedy which the many Crutches hung up as so many trophies of this Disease being overcome belonging to many Cured of the Palsie do sufficiently shew But as the best Medicines if they prove not a Remedy to the Disease often pass into poisons so the use of Baths when it cures not some Paralyticks renders them much worse so that when as the sick had before many members distemper'd and resolved or loosened there was no other occasion for them of leaving behind them there their Crutches unless it were because they could use them no longer We have above shewed the cause of this to wit because bathing shaking or moving the blood and all the humors more exalts all the Morbific and extraneous particles and they becoming more outragious drives them from the Viscera into the bloody mass from whence when they cannot easily evaporate entring into the Brain and nervous Stock increase the Paralytick Distemper and very often adds to it the Convulsive For this reason Bathing sometimes actuates or stirs up the Nephritick and the Gouty disposition and further in many where there was not a disposition it causes a spitting of blood the Asthma or Consumption Wherefore Baths ought not to be tryed without the advice of a Physician and then having tryed them if they seem not agreeable they are to be soon left I have by my own experience sufficiently try'd and known also by that of several other Physicians that some Paralyticks have been cured by Salivation excited by Mercury But I think this kind of Remedy is only to be used to the habitual Palsie to wit which hath its foregoing cause in the Blood and Brain easily moveable and its conjunct cause in the nervous appendix not very fixed But when this Distemper is caused from an outward and great hurt or follows upon the Carus Apoplexy or Convulsions a Salivation or spitting is attempted in vain and sometimes not without great hurt But whoever are indued with a weak and too loose a Brain and are obnoxious to frequent Convulsive motions are not rashly to make use of Mercury Yet sometimes a Salivation in an habitual Palsie are not very fixed hath highly profited forasmuch as by taking away the impurities of the blood it cuts off all the nourishment of the Disease also because some Mercurial Particles whilst passing thorow the Brain and entring the nervous passages divide the Morbific matter impacted in them and drawing its parts one from another variously disperse some forward and others backwards when oftentimes it is the fault of other Medicines that they only urge forward the heap obstructing the ways of the Spirits so that if they pull in not to pieces they drive it more firmly into the obstructed places In some measure it is for this reason also that Vomits do frequently yield notable help in the Cure of the Palsie to wit because they draw away the nourishment of the