malignant Medicines c. and this is not lethal The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration but sometimes by manifest excretions The signes are rusous crass stinking dejections sometimes fat and viscid with a spume or froth which indicates heat the nose grows sharp and the eyes hollow which latter signes if they appear at first we are not to meddle Hippocrates proposes two remedies the one the cremor of Barley the other cold Water with acid sirrup made up with Sugar and not with Honey give Glisters if occasion be or eccoproticks for the first region of the body with opening and cooling decoctions if there be obstructions and condites and cardiacal powders as are described in the Chapter of a continual tertian CHAP. XXVI Of the Feaver from Crudity {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Feaver from Crudity though the word Crude be applied to various things yet in this place it is taken for a raw cold humour contained in the first passages or in the whole body this Feaver differs from an Epiala not in matter nor in the place of putrefaction but in malignity and therefore is not voyd of danger especially if it be joyned with an inflammation of stomach or liver for sometimes it is without them If the crude humour putrefie in the first passages there will be a nauseousness sower belchings with idleness or unseasonable exercise as Venery presently after meat c. if it bee in the whole body the urine will be thin and watery the contents divulsed the colour pallid plumbeous or livid the whole bulk somewhat swelled the pulse unequal obscure with a dulness of the senses make a Glister with Hiera Catholicum honey of Roses oyle of Camomel decoction of Mallows Mercury Origanum Dill c. Take of Catholicum an ounce infuse it all night in the infusion of Damask Roses streine it and adde sirrup of Succory with Rhubarb duplicated an ounce and half give it in the morn if strength and age permit and a high tinct urine require it let bloud in the axillary veine in small quantity with a narrow Orifice All attenuating things used must not be very hot lest the Feaver be increased Take of sirrup of Vineger and juyce of Endive each two ounces Succory Wormwood-water each six ounces Take of Grass-roots Butchers Broom and Asparagus each an ounce of Succory Agrimony Endive the Capillary Plants Sea-wormwoode ach a handful Origanum and Balm each half a handful seeds of Carduus Benedictus Citron and Anise each two drams flowers of Bugloss and Time each a pugil boyle them in water to a pint with Oxymel simple three ounces make an Apozem and aromatize it with Cinamon Take of Cinamon a scruple Rhubarb four scruples Catholicum half an ounce Cassia newly extracted an ounce infuse them in part of the Apozem and to the expression adde sirrup of Roses with Agarick an ounce and half give the potion and give no stronger take of the Conserve of Citron pill three drams old Mithridate or Treacle or Aurea Alexandrina a dram with Sugar give the Bolus next day three hours before meat Books printed and are to be be sold by John Hancock at the first shop in Popes-head-Alley next to Cornhil A Book of Short-writing the most easie exact lineal and speedy method fitted to the meanest capacity composed by Mr. Theophilus Metcalse professor of the said Art Also a School-master explaining the Rules of the said Book Another Book of new Short-hand by Thomas Crosse A Coppy-book of the newest and most useful hands Four Books lately published by Mr. Thomas Brooks Preacher of the Gospel at Margarets New Fish-street 1 Precious Remedies against Satans Devices or Salve for Beleevers and unbeleevers Sores being a companion for those that are in Christ or out of Christ that sleight or neglect Ordinances under a pretence of living above them that are growing in Spirituals or decaying that are tempted or deserted afflicted or opposed that have assurance or want it on 2 Cor. 2. 11. 2 Heaven on Earth or A serious Discourse touching a well-grounded Assurance of mens everlasting happiness and blessedness discovering the nature of Assurance the possibility of attaining it the Causes Springs and Degrees of it with the resolution of several weighty Questions on Rom. 8. 32 33 34. 3 The unsearchable Riches of Christ or Meat for strong men and Milk for Babes held forth in two and twenty Sermons from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill 4 His Apples of Gold for Young-men and Women and A Crown of Glory for Old Men and Women or the happiness of being good betimes and the Honour of being an old Disciple clearly and fully discovered and closely and faithfully applied The Godly Mans Ark or City of refuge in the day of his Distress Discovered in divers Sermons the first of which was preached at the Funeral of Mistris Elizabeth Moore Whereunto is annexed Mistris Moores Evidences for Heaven composed and collected by her in the time of her health for her comfort in the time of sickness By Ed. Calamy B. D. and Paster of the Church at Aldermanbury The Covenant of Gods Free Grace unfolded and comfortably applied to a disquieted or dejected soul 2 Sam. 23. 5. By that late Reverend Divine Mr. John Cotton of New England The Ruine of the Authors and Fomenters of Civil War as it was delivered in a Sermon before the Parliament at their monthly Fast by Mr. Samuel Gibson sometime Minister at Margarets Westminster and one of the Assembly of Divines The New Creature with a description of the several marks and characters thereof by Richard Bartlet FINIS Of the Name The definition of a Feaver The division of heat The division of ascititious heat From the essence From the subject From the manner of the motion From the efficient cause From the matter The containing The contaâ—nâ—d The impetuous From the Symptoms The simple Feaver An unputred Synochus The Homotonos The Epacmasticâ— The Paracmastical The putred Synochus The Synechis Intermitting Feavers A Hectick Compound Feavers The Confuse The Erratick From the Humour From the quality Object against this opinion From the quality From the habit of the body From the strength From the complication The cause of putrefaction What the catasâ—aâ—â—â— it From whence are the signes of these timâ—s From whence is the Idaea of the Disease 2 From the fits 3 From the figure 4 From the strength 5 From the season 6 From the pulse 7 From the rigour 8 From the houre 9 From the Symptomes 10 From the duration of the fits 11 From the evacuation 12 From the urine Signes when the matter is out of the veines How to distinguish the four times of Feavers The foâ—â— times of a Phlegmon Signes of the times of an Ophthalmy The four times of an Ulcer What time is What a period is What is the type The time of intermitting Feavers from moveable matter The division of the fit The first time The second time The third The fourth The fifth The Sixth The times of these putrid are but four The signes of the times of these Feavers The augment The state The declination From whence the times of a Diary Feavers without putrefaction of the Humours The times of mortal Feavers The times of a Hectick Of Bleeding Purging Of the name Of the external causes Of the internal causes Of the Singes Who are subject to it The Cure The profit of Baths What a Synochus is The Signes The Cure A Cholagoge Feavers from Humours equally putrefied The Causes The Signes How many wayes a Crisis may be The Cure The cordial powder An Epithem for the heart A Plaister A Liniment for the Liver Feavers from humours unequally putrefied The division of these Feavers The external Causes Causes internal The causes of a not exquisite continual Tertian Signs Pathognomonical of a causus Signes assident Signes of exquisite Tertian Prognosticks The Aire His Drink Bleed A cooling Glister A Bole. A Rule to be observed A Julep A Purge for Choler Of the Name How a continual and intermitting differ External causes The Signs A Glister A Vomite A Purge for the Flegme Bleed A Julep An Apozem Pills Of the Name The Causes The Signs Prognosticks The Cure A Rule for purging A Glister A purge for Melancholly A Vomit An altering Julep An Apozem Lozenges The Oyntment for the Spleen Whence a double Tertian The Causes The Signs A Caution A Julep A Purge for choller Pills A Bolus A Cordial powder A Vomit A Suppositary A Purge A Julep An Apozem A Purge A bolus Lozenges for the Liver The division of this Feaver The Signs Signes of a bastard Quotidian The Cure A Suppositary A Glister A purging Potion A Julep Pills A Condite A Liniment A Plaister Of the Name The Cure The Signâ— Prognosticks The Cure A Glister A Bole so melancholly A Purge for melancholly Pills Vomit An Apozem for choller adust An Apozem for salt flegm A Purge for 〈◊〉 flegme A purge for flegme and melancholly A Bole A Purge for choller adust An Opiate Lozenges A Plaister for the Spleen The Causes Presages A powder for an intermitting quartan Of a confused Feaver A Compound Feaver Of the Erratick Feaver The Causes The signes of a Semitertian Signes of a non exquisite Semiterâ—ian Prâ—â—nostiâ—â—s A Purge A Sirrup against thirst An opening Apozem Of the Name The Definition The Division The Causes Signes of the first degree Signes of the second degree Signes of the third degree The Cure A Glister A Potion Baths A Liniment A Condite The Cure of the second degree An oyntment for the brest The choyce of Milks The third degree A short cure of a Compound Hectick The division and difference of malignant Feavers Of a Leipyria Feaver The Cure A Syncopal Feaver The Cause The signes from prassinous choller The Cure A Glister for flegme A Glister for aeâ—uginous choller A minorating Purge for flegme A purge for choller Pills A Julep for flegme An Apozem The signes The cure Typhodis Feaver The moyst Feaver The restless Feaver The signeâ— The Cause A Glister A Potion The Colliquating Feaver The cause The signes Of the Name The Signs A minorating purge A Rule A Julep An Apozem A Purge
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
doe appear to prove this Avicen in Book 4. fen 2. tract 1. chap. 98. brings for an example the small Pox of Children in the declination of which sometimes death follows not by reason of the Pockes which are in declination but by reason of the Feaver and malignant quality annexed Another example there is that a man may dye in the declination of a Synochus not by reason of the essence of the Feaver but by neglect of the malignant matter the cause of it or being preposterously handled as Galen notes in his third Book of Crises these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies and houres than the decretory daies can by reason of the various temper of the Humours and the diseased as shall further appear in the next assertion for an acute Disease hath shorter times and a Chronical longer The four times of a Hectick Feaver are not taken from the matter nor from the Symptomes but from the essence of the preternatural heat which works upon the primogenious humidity of the heart whose beginning is when the feaverish heat begins to work on the rorid substance of the heart the augment when it begins to consume it the state when the humidity is consumed the declination on when that native humidity begins to be restaurated CHAP. VII Certaine Physical Canons or Rules for practise ALL Rules for Curing are taken either from the Disease or from its Efficient cause or from the nature and situation of the affected part or from the Symptomes from the Disease as a Feaver whose preternatural heat is in the Spirits Humours or solid parts and is not simple but conjugate viz. hot and dry which according to Hippocrates axiome {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is things are cured by their contraries that is by coolers and moistners and this is the first Canon The second is taken from the morbifical putrid matter which requires an ablation or removing The third from the nature and site of the affected part as if the braine be affected it requires other remedies than the Lungs and this other than the Stomack Liver Spleen Guts Reines Bladder or Wombe from the Symptomes if they be great with imminent danger of life as if a Syncope be accidental to a Feaver we must oppose that omitting for a while the cure of the Feaver but if they bee small we must respect both so that we principally attend the Disease The feaverish beat both of continual and intermitting Feavers arising from a putrid filth cannot safely and wholly be extinguisht before the putrefaction be repressed and the impurity taken away for the method of curing requires this that first wee remove the cause then the effect unlesse something more urgent forbid it the impure Humour then is first to bee purged forth and then if any extraneous heat be left either in the Humours or parts it is to be extinguished and by preparatives and things opening obstructions to be removed but against this Doctrine it is objected That things cooling doe per se encrease obstructions incrassate the matter and hinder its evacuation and the stipation being increased and the fuliginous vapours included the putrefaction is doubled On the other side aperient detergent and purging Medicines are all almost hot and therefore per se are bad and intend the Feaver In this difficult case we must use the temperate Rootes such as are the sharp Dock Grasse roots Butchers Broom and Asparagus which open obstructions without any manifest heat and doe not increase the feaverish distemper and so the worst is prevented If the body bee strong this method is strictly to be observed that is to remove the efficient cause and thorowly to open the obstructions with the aforesaid aperitive meanes and then the putrid humour is to bee purged although the Feaver be a little exasperated by the Medicine that does it but when by the fire of the Feaver the strength is much resolved then we are to use cooling Medicines both inwardly and outwardly as Juleps Epithems c. which with all possible speed may extinguish the heat omitting a while the cause for it is not safe to increase the Feaver by such things as cut off the cause lest life depart with the Disease but it is better in my judgement to extinguish the burning Feaver though you somewhat transgresse against the cause but in curing of putrid Feavers the first place is due to the cause that part of the matter be emptied then to imitate Nature by preparing it which when by her assistance it shall appear to bee coct then it possible to eradicate it that the Feaver be not diuturnal the emptying of the matter may be either by bleeding or purging at the very beginning if nothing hinder Bleeding in all putrid Feavers especially the continual is not to bee neglected saith Galen in the eleventh of his Method of curing having premised a cooling Glister or Suppository if the Patient were bound nor in intermitting Feavers when there is a plenitude or pulsative paine in the head or tossing of the body with a suffocating heat lest it degenerate into a continual Feaver or the putrefaction spread wider and it is to bee done on the intermitting day or at the time of remission in a continual Feaver provided age and strength allow it if the Feaver be very vehement and urgent to let bloud in that violence is to kill the Patient saith Celsus and if the body be weak let bloud a little at a time so the strength will not bee impaired because part of the burthen with which Nature was opprest being taken off she doth the more easily bear the rest and with lesse force tame and subdue it saith Galen and we ought not so much to estimate the years as the strength of the diseased A late Writer hath published that Bleeding ought to be celebrated in all Diseases which I cannot allow though I admit it in most but more sparingly when the Feaver is from a cold humour lest by its refrigeration the crudity be doubled and doe not easily admit of concoction if the Disease will suffer it the best time for bleeding is the Spring if not it may be administred at any time of the year if strength permit especially if there be a plenitude suppression of the Courses or Hemorrhoids If the Sick be bound in body before you let bloud give a Suppository or Glister or eccoprotical Medicine that is gently purging lest that the putrid matter should be rapt or forced from the first region of the body into the greater Veines and so inquinate the bloud and make it more impure the same is to be observed before we give a peritive medicines Purging is to be used at the beginning if the matter bee turgid Aphor. 10. Sect. 4. in Diseases very acute purge the first day if the matter invite to excretion
for delays in such cases are dangerous and it must be done by some minorating Medicine that part of the impurity being taken away the remainder may the more easily be concocted for according to Hippocrates Aphoris 22 Sect. 1. we ought to move that which is concoct and not the crude matter nor at the beginning unlesse it be turgid and for the most part it is not and afterwards to purge with a stronger Medicine unless it be done by the benefit of Nature neither are we always to wait for the concoction of the Humours especially where the matter is turgid and with its fluctuating motion running from place to place perturbes the whole body as it happens in the most acute Diseases If the Feaver be continual it is better to purge at the time of remission whethe it be in the morning or evening than at the time of its exacerbation or upon an odde or decretory day if strength give leave otherwise they are first to be refreshed with nourishments of good juyce and those rether liquid than solid because those are of easier distribution and then wee are to use meanly purgers appropriate to the humour but if the Feaver bee intermitting then purge on the day of rest or upon the fit day if the fit come not till after Dinner at which time the humour is moved by Nature to expulsion the strength having first been repaired by nourishments for then it is easier and with less pains driven forth being in motion as I have found by experience in curing of Quartans as oft as I gave Phisick on the fit day besides it may be confirmed by reason for that purging bee instituted according to Art we must consider the motion of Nature whether she tends upwards or downwards and the season of the year and the inclination of the Sick for if it be Winter and the Patient aged and vomit easily and his stomach be full of crude clammy flegme He ought to have a Vomit saith Polybius in his Book of good Diet which is falsely ascribed to Hippocrates the Great for the Six Winter moneths purge by the upper parts on the other side If hee vomit not easily he is not to be forced saith Galen and after him Aetius but is to bee Purged downwards by some Medicine accomodate to the morbifical humour at first purging those purgers which have an astriction with them ought not to bee used as Myrobalans juyce of Roses and the Sirrups compounded of them especially if there be obstructions which usually accompany putrid Feavers and in purging of the humours we must be careful to use such preparation that the passage be made open Hippo. Aphoris 9. Sect. 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is when we would purge a Body we must make it fluxil that the humour to bee emptied may yeeld and be obedient to the traction of the medicament for if the passages be obstructed and putrefaction caused for want of ventilation then before we purge wee are to use incisive Medicines for the crasse humours detergent for the clammy and so to clear the obstructions and sometimes we are to appease and allay some heady humour which ought not to have been purged that by its furiousness and fervor it rush not on some principal part or by its acrimony exulcerate where it passes The manner then of preparation is to be proportioned to the humour for the mitigation of the Disease as for example in acute Feavers we use Sirrups and Apozems which are made of such things as are attenuating and cooling or which are detersive and not very hot as you may see in the second part of my Enchiridion but in diuturnal slow Feavers which flegme or melancholly ingenders stronger and hotter means are required and those fierce humours which bleeding will not temper nor purging carry away we must bridle and obtund with refrigerating Medicines not of thin substance lest they be more exagitated nor of crasse because they hinder evacuation but of a middle nature which have a little austerity or acidness or both joyned with them such as are your Omphacium juyce of Sorrel Pomgranate or Citron by which the acrimony and putrefaction of choler may be retunded and the heat kindled in the humours be impeded from spreading any further If besides the putrefaction there shall be any suspicion of venenosity we must mixe with the former such things as by a similitude of substance doe represse it whether inwardly or outwardly applied which shall be described in our Tract of malignant and pestilent Feavers detergent and attenuating Medicines are to be fitted both for preparation of hot and cold Humours because both Humours by their clamminess or crasseness may obstruct as is manifest in vitellinous choler if a detersive and attenuatory faculty bee joyned with a cold quality as in Succory it is the more efficacious and of more frequent use than that joyned with a hot quality as in Worm-wood Hyssope Origanum and that is to be used in hot Diseases these in cold with mulse and not with plaine water especially when the heat is sluggish and the means not easily inflamed but on the other side with cooling Medicines we at once resist both the fervor of choler and heat of the Feaver and prepare the vitious humour which doth foment it before we purge by a diverse quality as more at large in the Second part of our Enchiridion There are some that stoutly maintaine the opinon of Avicen That thin cholerick humours ought to be incrassated before they be purged which opinion seems to contradict Hippocrates and Galen and may thus be reconciled If sincere or excrementitious choler be thin it is not to bee incrassated before purging but presently to be cast forth for so it easily yeelds to the attraction of the Medicine and thus the opinion of the Greeks is true but if the same choler be crasse and tenacious as the vitellinous is then it is to be attenuated and deterged as Avicen would have it otherwise it cannot be driven forth but by force and damage to the Patient but if it be mixt with bloud then wee are to expect concoction from the benefit of Nature but the Fautorers of Avicen object against the opinion of the Greeks That unlesse the thin humours be incrassated they will be fixt in our members penetrating into the most retired parts of our bodies to which objection some answer If the choler be infixt it will grow thick and cause obstructions and then extenuating and detergent and not incrassating Medicines are necessary or by attenuating remedies Nature is helped to excerne the noxious humour by urine or sweat neither doth the strength of this Argument reach to preparation before purging shall that which is crasse then be attenuated and that which is tenuous incrassated Galens opinion is that That which may return to its natural state be altered as by incrassating the thin viz. in Diseases of the Breast and attenuating the crasse but
not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectickâ— or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
is greater and swifter than the systole the substance colour and sediment of the urine differ little from that which is Natural Galen to Glan And its fits are very easie if it arise from the inflammation of some Bubo or from the suppression of some humour the urine shall be higher and thicker with a little sediment and that crasse and crude it invades with rigour and easily degenerates into an unputrid Synochus if the Sick bee plethorical or into a Synechis if he be Cacochymous or into an Hectick if it be neglected or ill cured Such are most subject to it as are picrocholous and of a hot and dry temperament and in the Summer time if it be exquisite it is cured by the benefit of Nature alone and for the most part its fit is twenty four hours but sometimes lasts till the third day when the vital spirits are most crasse if it be prorogued longer it is not exquisite but is either an unputrid Synochus or joyned with a putrid Feaver into which it easily degenerates The rule for Cure is not taken from the matter because there is none but from the essence of the Feaver which consists in the preter-natural heat wch ought to be remedied by coolers and moystners for the faults of the spirits cannot be taken away by purging or bleeding because here is neither cacochimy nor plenitude Hippocrates in the Fourth part of his Book of Dyet in acute Diseases and Galen in his Book of Procatarctical Causes cured Menander sick of a Diary caused by heat with Paregorical and Diaphoretical Medicines as Baths Frictions and Oyntments We use Baths when wee intend to relax the skin call forth tenuous fullginous vapours and change the habit of the body but in the declination of the Feaver with gentle friction that we may cause sweats and the fumid excrements may be discussed and then especially when there is no crudity in the chief Vessels nor inveterate obstruction of the viscera nor hardness or weakness lest that the crudity bee carried into all parts of the body if none of these things be then the Sick may safely wash otherwise not least that the obstruction and weaknesse of the viscera bee increased and the tumor if there be any It is good against the thickness and obstruction of the skin from cold or astringent causes if a Diary have its rise from driness and heat let the Bath be luke-warme and not hot having first emptied the belly if it were costive with a Suppository or cooling and moystning Glister least it degenerate into a Hectick or Synochus If from the thickness of the skin by reason of too great cold or by use of aluminous Baths Diaphoretical and Paregorical Medicines must be boyled in the water for those take away obstructions and provoke sweats being of a hot and tenuous substance and cause the cooleness of the water to penetrate the deeper but these being temperate or hot in the first degree and of thin substance as the Roots of Marsh Mallows Fenugreek Flowers of Camomel Melilot and Elder by these means the closeness of the skin is to bee made open least perspiration being hindred the Humours bee inflamed together with the Spirits and so a putrid Feaver ensue to the great damage of the diseased The ancients used Bathing more for delight than health which custome is now out of use We in France use Baths of plaine water or with a decoctron of Plants not for pleasure but for the cure of an Ephemera because they moysten contemperate the feaverish heat and empty acrid vapours To wipe off the sweat is good with gentle frictions with warme Oyle because it opens the pores of the skin and calls forth the spirits from the center to the circumference but too vehement doth stop them up Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed or from labour because there is no need of evacuation Frictions are good in those from obstruction and repletion but not in those from inanition though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment that the discutient water or oyle might pierce the deeper and the same Galen in other procatarctical causes uses contrary remedies as for labour he commands rest for watchings sleep for anger calmness for sadness joy and for venery chastness these have no need of Frictions only anoynt them with Oyle of Violets and smooth over the body in the remission and before meats If it be from Drunkenness command a Vomit if from cold use Diaphoreticks if from obstruction of the viscera incisive and aperient Medicines if from a Catharre purge next day if from an Ulcer or Bubo wee must attend the cure of Ulcers and Tumours and so of the rest The Diet is to be ordered according to the variety of the cause if hot weather be the cause of the Diary and the Patient be young and his viscera good without obstruction plethory or cacochymy of soluble body and cholerick constitution at the declination of the Feaver he may be cured with plentiful drinking of cold water if otherwise the Cure is to be altered you must not nourish him in the augment or vigour of the Fit but in the end or out of it Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. If you weigh the cause of the Disease the strength of the sick the age and sex you must nourish him with meats of good juyce altered with cooling Herbs which nourish speedily oppose the feaverish heat but stick not in the pores of the skin for the whole body ought to bee fluxil and transpirable Hippoc. at the beginning of the sixth Book of his Epidem Sect. 6. and for this the chief thing is the juyce or cremor of Barley If it proceed from anger watchings labour immoderate venery hunger sadness then we must nourish the sick with flesh brothes c. if from crudity gluttony or from suppression of some Natural excrement constipation of the skin ulcer tumor or great paine then let the diet bee thinner and if with the Feaver there be a plethory or cacochymy that must be taken off by bleeding this by purging not for any urgency of the present Feaver but for fear of a putrid in brief in all Diaries whatsoever is the cause the nourishment must be Medicamental and if the body be bound it must be thus loosened Take of boyled Hony an ounce Mouse turd powder of Hiera and salt gem each two scruples and make a Suppository or else make this Glister Take of Mallows Violet leaves Borage Lettice each one handfull Prunes twelve of the four greater cold Seeds each two drams water-Lilly-flowers and Roses each a small handful boyl them in water to a pint streine it and dissolve in it Cassia with Suger and the Simple Diaprunes each six drams or as much of Galens Hiera and Diaphaenicum if the Patient be a Sea-man Porter Carter c.
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
till a third part be wasted clarifie it and aromatize it with Cinamon Take of Cloves half a scruple Agarick Trochiscate two scruples Rhubarb and Tamarinds each four scruples Diaphaenicum six drams infuse them in part of the apozem and give it Take of conserve of Succory flowers Citron Pill candied each two drams old Methridate half a dram give it with Sugar three hours before meat Take of Pills Imperial a dram of Agarick a scruple Diagridium four graines make them up with honey of Roses To strengthen the Liver take of the powder of Diatriasantalum two drams conserve of Succory-flowers and Citron pill condite each three drams pure Sugar dissolved and boyled in Agrimony water four ounces make Lozenges of two drams weight and give one every morne if melancholly be joyned adde those things afore mentioned for it instead of Phlegmagoges CHAP. XVII Of an intermitting Quotidian THis Feaver is caused from excrementitious flegme putrefied and every day hath new fits with a refrigeration or chilness the place of putrefaction is the smaller veines and habit of the body and chiefly the stomach which is alwaies almost affected in this Feaver sometimes it is in the mesentery the simous part of the Liver Spleen or Wombe but if it putrefie out of the smaller veines it doth not cause a Feaver but some other Malady as if it be putrid and stinking in the Braine or in the Lungs after Cathars and Astma's or in the Wombe from whence is a Womans Flux or in the Guts from whence are Worms or in the bladder or reines where it is dried into stones of divers colours By flegme is here meant any cold and moyst humour produced in us which may be putrefied from a hot or cold cause that putrefied from heat or the mixture of a serous moysture becomes salt from cold if remiss is caused acid flegme if intense the glassie or albugenious from these severall sorts of flegme are ingendred various Feavers A Quotidian Feaver is two-fold the one from excrementitious flegme which is of sweet taste or insipid for the most part produced in the stomach which when it putrefies in the lesser veines makes an exquisite Quotidian the other is when some other humour besides flegme putrefies with it and it is called a bastard quotidian let the Phisician be careful he coufound not a bastard Tertian or double intermitting Tertian or a triple Quartan which have their fits every day with an intermitting quotidian for their cure is farre different and distinction difficult The causes of this Feaver are not unlike those of a continual quotidian gapings and wretchings precede this Feaver with a coldness of the external parts as of the Nose Fingers Ears Hands and Feet with a paine in the stomach seldome with rigour but with a gentle horrour the pulse inequal inordinate slow and weak at first afterwards more vehement and swift the urine first thin white and crude afterwards thick and turbulent sometimes they vomit flegme have acid belchings swellings of the Hypochondria pale faces and little thirst it usually seazes after noon towards the evening or night its fits are for the most part eighteen hours and therefore it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is partaking of both day and night its intermission is impure by reason of the quantity crasseness and clamminess of flegme which is left by the former fit and is the cause of the following because it is not breathed forth by sweat as in a tertian this pituitous humour is hardly enflamed and moved but the matter being coct the vehemency of the fits cease as in all other wholesome sicknesses its heat is not burning but meanly acrid The signes of a bastard quotidian are confused by reason of the excrementitious choller or melancholly putrefying with it but if choller bee mixt you may know it from the Vomitings stooles urine pulse and a more acrid and mordent heat for some choller will be cast up the excrement will be yellow and the water tinct with choller the pulse inequal and more frequent than in the exquisite the fits shorter with thirst and bitterness of mouth if melancholly be mixt consider its signes with the Spleen ill-affected Let the dyet be hot and drying incisive and detersive let the drink bee decoction of Sarsa Parilla roote sirrup of Vinegar or Hydromel moyst meat that is substantifically moyst is good for all Feavers saith Hippocrates as broths of euchymous flesh altered with Parsley Fennel Hyssop Savory Marjoram Sage Time with a little Endive Purslaine or Burrage if it be spurious the meat is easily corrupted by a feaverish heat as milke by the hot air let them sleep in the declination and not in the beginning of the fit if the sick bee nauseative give a vomit and then what followeth Take of Sope an ounce powder of simple Hiera Agarick and Salt Gemmious each a dram seeds of Coloquintida a scruple beat them in a Morter with juyce of Mercury make Suppositaries and dry them up for your use Take of Origanum Penny-royal Calamint and Mercury each a handful seeds of Dill three drams Agarick two drams Chamomel and Dill flowers each half a handful boyle them in water to a pinte honey of Roses oyle of Nuts each an ounce and half Benedicta Laxative and Hiera or Diaphaenicum each half an ounce make a Glister Take of Polipody of the Oke bruised half a dram wilde Saffron seeds and Sena each two drams Calamint half a handful Anniseed a dram two Figgs flowers of Time a small handful boyle them in water to three ounces in the Colature infuse of Diacarthamum six drams over warm embers sirrup of Roses solutive with Agarick an ounce and give it if it be Spring time and the body young or any evacuation supprest open the right axillary veine then give this Julep Oxymel compound four ounces Sage Betony and Succory water if choller be mixt each five ounces Take of Cocheae Pills and of Agarick each half a dram powder of Hiera a scruple Agarick Trochiscate four graines Trochiskes of Alhandal two graines or if choller be mixt of Diagridium two graines Take of Diarrhodon and Galangal each a scruple Trochiskes of Wormwood two drams Citron pill condite with Honey an ounce Conserve of Sage and Rosemary flowers each two ounces cover it with Gold let him take half an ounce three hours before dinner Take of oyle of Wormwood and Mastick each an ounce oyle of Nutmeg half an ounce mixe at the time of use a few drops of red Wine and anoynt the stomach Take of the plaister of Mastick two ounces of Ladanum an ounce powder VVormwood two drams red Roses a dram Mace two scruples reduce them to a masse and make a scutiforme plaister for the stomach an Epiala being from glassie acid flegme requires the same Cure only stronger remedies CHAP. XVIII Of a Quotidian Feaver from salt Flegme {non-Roman}
and so of other parts Take of Sorrel Grasse Butchers Broome and Asparagus roots each one ounce of both Succories Fumitory and the Capillary Plants each a handful Liquorish six drams Prunes twenty Figgs twelve Endive-seed three drams Anise two drams Elder and Burrage flowers each a small handful Time half a handful boyle them to a pinte and adde honey of Roses and Oxysaccharum simple each two ounces clarifie it and aromatize it with powder of Diarrodon Abbatis In the declination provoke sweat and urine the Disease being contumacious is exasperated by strong Purgers and yeelds not to gentle but by meane ones often repeated is overcome bleed if the Sick bee plethorick young and strength give leave c. Other Compound Feavers being caused from putrid matter are cured by the same method and the same remedies as bastard intermittings are the confused Feavers if from putrid matter in the greater Veines are cured as continual Feavers if not as intermittings the Erratick as bastard intermittings quotidian tertian or quartan CHAP. XXIII Of a Hectick Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Hectick is taken for every Feaver that is hard to be removed whether it be from flegme or melancholly and is opposed to the Schetick Feaver which is easily removed it hath its name from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is a habit because it is stable and permanent For a Hectick Feaver is a preternatural heat kindled in the solid parts which first occupies the substance of the heart and then diffuses it self into the rest of the solid parts of the body through the Veines and Arteries This Feaver is continual and hath but one fit from the beginning to the end without any intermission or remission unless it be joyned with a putrid Feaver every Hectick is Smple or Compound that is either universal or particular the universal is that which first seazes on the substance of the heart then on the other parts and this is seldome a particular one is that which first invades the substance of some private part and at last the heart and this is frequent as of the Lungs in a Ptissick of the Midriffe Liver c. A Compound one is that which hath a putrid Feaver joyned with it a Simple Feaver is further divided into three degrees the first is when the body of the heart and the other solid parts are newly inflamed and this degree lasts as long as the substantifical and radical moysture doth conglutinate the terrene parts and is sufficient to nourish and foment the fiery heat as Oyle doth the flame of the Cotton in a Lamp and this is hard to be known but easie to be cured The third and worst sort is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it hath adjoyned a hot and dry Consumption and is then when the humour is wholly wasted and all the solid parts are as it were burnt and turned into ashes as the Cotton of the Lamp is for want of the affusion of more Oyle for thus the substantifical moysture being quite spent the native heat is extinguished and cannot bee restaurated by Euchymous aliments and this degree as it cannot be hid so it cannot bee cured The second degree is of a middle nature between them and how much the nigher or further to the first or last is by so much the easier or harder to cure they all differ only gradually The causes external are from the Six Non-natural things as the hot Air long Hunger Watchings suppression of Excrements c. the internal are from a bilious temperament a continual Feaver ill cured as a causus and continual tertian and not from a quotidian or intermitting tertian from a Prisick lientery or such Diseases in which the nourishment being incoct or ill concoct doth not humectate the solid parts which being destitute of their aliment and conceiving a more acrid and feaverish heat grow hot and dried The first degree may be known by the preter-natural heat if at first touch of the Artery it be acrid and mordent if after drink or meat a heat presently flushes in the face from the sublation of vapours this heat is at first so gentle that the Sick deny themselves to be feaverish for things done by degrees cause no paine saith Hippocrates as Plants at their first sprouting are easily pulled up but are hardly known unless by the skilful Herbarist so this degree is easily cured but hardly discovered unless by the learned Phisician The signes of the second kinde are not only from the mordent heat of the pulse being felt but in the soles of the feet and palmes of the hand besides the pulse is harder and dryer than in the former because the feaverish heat works not only on the rorid substance of the heart but on its primogenious humidity whence nourishment failing the Sick necessarily falls away the urine is higher coloured by reason of the intense heat depopulating not only the heart but habit of the whole body but less high than if a putrid were joyned with it this degree hath a great latitude and so is accordingly known or cured Signes of the last degree are a weak pulse small and frequent and hard from driness the urine hath some fatty substance swimming in it like to Cobwebs which denotes a quolliquation of the similar parts the eyes are hollow their humours being wasted the temples fallen the substantifical humour of the muscles being consumed the forehead dryed the nayls crookt the eye-lids scarce moveable the Hypochondria distended the skin hard and dry cleaving to the bones the fleshy substance being wasted A Hectick seldome possesses Children often young cholerick bodies and old men that are of a hot and dry temper and those that are long necked and narrow breasted c. those that have a Hippocratical face are past cure and such as have a looseness The cure of the first degree differs little from that of a Diary for it proceeds from the same manifest causes but more vehement which are inherent in the habit of the body and therefore requires stronger remedies let the diet bee euchymous liquid cold and moyst and incrassating to hinder dissipation as Broths altered with Lettice Purslane Marigolds Violets Burrage Wood-sorrel Spinage c. let the drink be ptissan or water boyled with sitrup of Maiden-hair or the Alexandrine Julep with a little Vinegar if it proceed from an Ephemera old age may be allowed a little small Wine at meals Take of the leaves of Mallows Violets Burrage Lettice each a handful Prunes twelve the four great cold Seeds each three drams Water-Lilly-flowers and Violets each a small handful boyle them in water and in a pint of the colature dissolve of simple Diaprunes and Cassia with sugar each six drams honey of Violets and oyle of Water-Lillies each an ounce and half make a Glister if you would have it nourishing too then boyle them in