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A80404 Supplementum chirurgiæ or The supplement to the marrow of chyrurgerie. Wherein is contained fevers, simple and componnd [sic], pestilential, and not, rickets, small pox and measles, with their definitions, causes, signes, prognosticks, and cures, both general, and particular. As also the military chest, containing all necessary medicaments, fit for sea, or land-service, whether simples, or compounds, such as purge, and those that do not; with their several vertues, doses, note of goodness, &c as also instruments. Amongst which are many approved receipts for several diseases. / By James Cooke, practitioner in physick, and chirurgery. Cooke, James, 1614-1694.; Cooke, James, 1614-1694. Mellificium chirurgiæ. 1655 (1655) Wing C6017; Thomason E1516_1; ESTC R208558 134,119 445

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Supplementum Chirurgiae OR THE SUPPLEMENT To the MARROW OF CHYRVRGERIE Wherein Is contained Fevers Simple and Compound Pestilential and not Rickets Small Pox and Measles with their Definitions Causes Signes Prognosticks and Cures both general and particular As also The Military Chest containing all necessary Medicaments fit for Sea or Land-service whether Simples or Compounds such as purge and those that do not with their several vertues doses note of goodness c. as also Instruments Amongst which are many Approved Receipts for several diseases By JAMES COOKE Practitioner in Physick and Chirurgery LONDON Printed for John Sherley at the Golden Pelican in Little-Britain 1655. COOK 's SUPPLEMENT to the MARROW of Chyrurgery TO THE ACCEPTING READERS FRIENDS ALl rhat I have to acquaint you with as to this part of the Supplement is that considering few having writ fully of Chyrurgery methodically whether more Prolixely or Concisely but they either intermixed Fevers with Tumors c. or put them a part by themselves as may appear in Pareus and Calmeteus I resolving to steere the same course rather choose to follow the latter that so you might at a single view know the cure as well of those Fevers essential as accidental There 's added the Small Pox and Rickets the latter with the rest had come in publick view before any other printed in this Nation if it had been admitted may be the cause was its insufficiency however it hath received advantage thereby You have annexed a Military Chest The method as to Names and Order is Hildanus's the vertues doses c. of all I picked from various Authors a Catalogue of which you have in the Marrow only some others since have fallen into my hands de novo I have this onely to say further That there are several things in all which have been successefully experimented by Your worthlesse friend JAMES COOKE Warwick the 26. of the first moneth vulg March A TABLE general of things contained in the BOOK Sect. 1. Chap. I. DIary Fever Page 3 Chap. II. Simple Synochus Page 7 Chap. III. Hectick Fever Page 11 Chap. IV. Interm Quotidian Page 102 Chap. V. Quartan Page 106 Chap. VI. Compound Fevers Page 128 Sect. 2. Chap. I. Putrid Fevers Page 25 Chap. II. Symptomes of Fevers Page 71 Chap. III. Intermitting Tertian Page 88 Sect. 3. Chap. I. Pestilential Fevers Page 135 Chap. II. Rickets Page 209 Chap. III. Small Pox and Measles Page 260 MILITARY Chest Page 280 In which is contained Simple Purgers Page 281 Compound Purgers Page 293 Cordiall Electuaries and Powders Page 301 Aromaticks Page 315 Waters and Juices Page 319 Syrups Page 325 Roots Page 331 Herbes Page 344 Flowers Page 359 Seeds Page 363 Fruits Page 367 Oyles Page 373 Ointments Page 385 Fat 's Page 392 Plaisters Page 395 Gums Page 401 Mettals Page 408 Meales Page 415 Instruments Page 417 BOOKS to be sold by John Sherley at the Pelican in Little Britain The Life and Reign of Sultan Orchan Second King of the Turks translated out of an eminent Tu●kish Historian by W. Seaman the like not heretofore extant in any language Dr. John Ponet his short Treatise of Politick power The vanity of the lives and passions of men by D. Papillon Gent. The Diocesans trial by Paul Bayne A brief Compendium of the vain hopes of the Jewes Messias Col. Hayes one of the members for Scotland his speech to the last Parliament upon the debate concerning Toleration King James his Judgement of a King and a Tyrant Henry Earle of Surrey his Translation of Virgil into English Meter Bristolls Military Garden a Sermon by Tho. Palmer The Pastors Charge and Cure a Sermon by Nathaniel White A plain fault in plain English The Impiety of Impunity Hugh Broughtons Epistle to the Nobility The Kernel or Extract of the Historical part of S. Augustines Confessions Ephraim Pagitts Christianographie or a Description of the multitude and sundry sorts of Christians in the world Dr. Mayes Relation of the Serpent foun● in the heart of Jo. Pennant in which many curious questions concerning occult diseases are discussed Potters Interpretation of the number 666. Mr. John Milton of Prelatical Epiicopacy Baro. Herbert de Veritate de Causis Errorum Religio Laici c. Disputationum Academicarum formulae Tho. Gatakeri dissert de Tetragammato sua vindicatio Good Reader by reason of the Authors distance from the Press some faults have escaped the most material he prays you thus to correct ERRATA's PAge 27. line 13. read yet for ye p. 27. l. 16 r turgid p. 40. l 7. dele out p. 75. l. 14. r. bole p 114 l. 23. r ℈ s. p 122 l 27 after partem put M j p. 17 2 l. 10 r crass p 173 l 3 after those put in p. 175 l 5 r yea p 177 l 13 r those p 182 l 22 r ill p 194 l 2 after to put be putting out that after used l 4 r Mij p 206 l 10 for and r A p 236 l 9 put a comma after wal-rue l 27 for five r take p 240 l 1 r diabalzemer p. 265 l 4 f. secondly r twofold l 11 r whit p 174 l 22 r ℥ ij p 275 l 10 r plantain water p 286 l 22 for these r this l 23 r ℥ sp 334 l 10 r. ℥ iv p. 337 l 21 r scrophula's p 340 l 12 r ℥ ij p 344 l 10 after kills put wormes p 349 l 19 r cleanscth p 400 l 5 for ℥ s. r. ℥ j. p 404 l 2 r and p 406. l 8 r if p 421 l 9 r be p 423 l 18 r there is after till p 424 l 1 r Arcei p 430 l 9 r ost cocolla De Febribus SECT I. PREFACE DIseases of the body are either outward or inward The latter are either universal afflicting the whole body or particular affecting some parts The first of these are Fevers which may be divided into simple putrid and pestilential the simple are diary intermitting synochus and hectick Before particulars premise these generals First it is a hot distemper of the whole body arising from preternatural heat kindled in the heart and diffused with the spirits and blood through the veines and arteries into the whole body Secondly it 's caused by any thing that kindleth heate in the body as motion putrifaction touching and vicinity of hot things constriction of the pores c. Thirdly it 's absolved First by altering wherein so proceed that the cause be not nourished Secondly by mitigating the Symptomes which are especially thirst his cough vomiting flux of the belly drynesse blacknesse and roughnesse of the tongue c. as after CHAP. I. De Febre Ephemera THis ariseth from the inflāmation of the vital spirits in the heart continuing the space of a day therefore call'd Diary Signes Signes Urin concoct like natural if not it 's changed by obstructions and crudities Pulse quick and oft yet equal orderly great and strong Heat is sudden without loathing lasinesse sleeping or frequent yawning preceding to
symptomatical is when the same is in any particular part from which by the common vessels the putrid vapors are continually communicated to the heart such appears in Plurisies peripneumonias and inflammations of other internall parts Again the primary continuall are double for one extends from the beginning o the end without remission and is called Synochus or Continens but others have manifest fits and remission and are of three kinds according co the variety of their fits as a continuall Tertian Quotidian and Quartan Other differences tre given which are either accidentall or arising from the ormer all which shall briefly and severally be explained CHAP. I. De Febribus putridis AS continual Fevers are variously differenced so they might be distinctly handled but it 's needlesse being the same remedies may serve onely a little varying according to the degrees of the disease which depends rather upon the judgement and art of the Physician then necessity of peculiar precepts therefore they may be fitly put together what is necessary in respect of difference may be noted Before entry be made upon particulars receive these generals Causes First Putrid Fevers arise from hot vapours stirred up from putrid humours preternaturally heating the heart Secondly they invade cum horrore rigore no antecedent cause preceding yea no procatarctick unlesse the body be so disposed that it 's moved upon small occasion Heat from the beginning is not sharp propter suffocationem in the increase biting propter fuliginosum excrementum urin is crude or obscurely concocted pulse from the beginning small the systole more swift then the diastole because of the abundance of fuliginous vapours Thirdly the immediate cause is abundance of sharp biting putrid vapours that cannot be discussed The mediate is putrid humours either so in the ill natures thereof from ill aliments easily putrifying or from external as obstruction of the pores Fourthly Cure the cure in general is absolved first by opening a veine in continual Fevers on the third day in intermittings after Some gentle lenitive premised it 's to be repeated the same day if for evacuation after by intervals if for revulsion sake Secondly vomit with aqua benedict c. Thirdly purge where first use lenitives before preparing especially in continual and acute Fevers then stronger after preparing ye this may be omitted if the humors in primis viis are not mixt w th the blood in the veines or it be turned Fourthly sweat by medicament not too hot lest the Fever be increased yet those may be used in the beginning It 's to be repeated as oft as necessary V. Diet in which let meats of good juice and easie of concoction be used drink is either to be nutritive in great weaknesse or medicinal as decoct Hord. c. In continual at first give little afterward more copious in the very fit of intermitting none lest the separation and exclusion of the putrid humour be hindered But to return to particulars A continual primary Fever is begot of putrid humours conteined in the greater veines and arteries and differs according to the various nature of the humour A putrid Synochus ariseth from putrid blood in vena cava and although it may be distinguished into many fits yet it spends forth it self as in one lasting from the beginning to the end Of this there are three simple differences The first is when from the beginning to the end it endures equal in this through the whole disease there is the same quantity of putrifaction and this is called acmastica The second is cal●ed epacmastica in this the fit increaseth a little because there is more putrified then dissipated The third is called paracmastica in this the fit decreaseth here being lesse putrified then dissipated these have also their four times if they conclude in health yet various for acmastic hath a short beginning and increase but a longer state c. This is to be observed Time in putrid Fevers is doubly to be considered either as to the symptomes or as to concoction or crudity which two although they oft fall out in other Fevers yet not in Synochus Now a Synochus is twofold the one from putrid blood the other from putrid choler putrified in the greater vessels which is named according to the humour putrified for although the whole mass of humours contained in the veines obtaine the name of blood yet it 's to be considered in its four parts the more temperate thereof being called blood the hotter bile the more crude and cold phlegm and the more thick and faeculent melancholy Now if the more temperate part call'd blood do abound and putrifie it causeth Synochus sanguinea but if the bile then Synochus biliosa The signes Signes of the several continual Fevers are distinctly as followeth Synochus putrida sanguinea hath the same signes set down in a simple Synochus but more vehement as heat watching paine of the head thirst unquietnesse urin in the first two dayes is not much unlike healthful but afterward it 's red thick very confused and without sediment yet sometimes there 's abundance of red and thick sediment the pulse is great swift often unequal and inordinate the systole greater then the diastole if there be abundance of humours heaped up in the stomach in the beginning it provokes vomiting If Synochus Biliosa the urin is sharp fiery although in the beginning crude pulse swift and oft loathing cholerick vomiting and stooles thirst bitternesse of the mouth blacknesse and drynesse of the tongue delirium it oft falls out in summer in a dry and hot habit this is distinguished from a continual Tertian thus for this hath fits and that none A continual Tertian signes are the same with a burning onely by reason of the bile it 's more sharp every third day the cause of the remission is as well the distance of the place where the vapours are begot as also the lesse quantity thereof for the present vapours are dissipated before others come in the place A continual Qua●tanes signes are the heat is obtuse and not so sharp as from choler yet sharper then from phlegme the thirst is lesse then in a Tertian but more then in a Quotidian the pulse at beginning slow seldome languid after strong quick and very unequal the urin in the beginning thin after various the body dry and leane the colour yellow the temper cold and dry age declining and the time Autumne sometimes often spitting Quotidiana continua it 's more sharp towards the evening every day because of the motion of the phlegme the heat in the beginning is to the touch gentle after more sharp but unequal because of the crasse humours which are difficultly dissolved Urin in the beginning is white waterish and troubled after somewhat red and thick Pulse slow seldome and lesse then in other Fevers Thirst little sweat seldome unlesse salt phlegme be present the face is puft up loose and lividish time winter temper cold and moist excrements
veines afflicting every 4th day Signes As there are various differences arising from several causes so the signes vary also which are as followeth Retching yawning and heavinesse of the whole body cold following which in the beginning is little in the progresse like those who are very cold in winter-time not so pricking as breaking the heat because of the thicknesse of the matter burnes little the sick hath two well-dayes betwixt his fits Hence it falling again on the third day the ignorant call it a Tertian The pulse is rare and slow but in the vigour of the fit quick and frequent Urine in the beginning thin and watery after more coloured and thick Sweat at first very little but after in abundance The bones are as if they were broken whence the pain perceived in quartanes is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The signes of the spurious are dejection of the appetite vehement thirst paine of the head rednesse of the urine and as follow in other Fevers if it be dangerous then there is great weaknesse on the fit-day the urine is very red and troubled Cause Causes of the true is a melancholick humour putrifying gathered in the mesaraick veines and neighbouring parts from the like causes amongst the which is vineger The spurious is either from choler adust or melancholy mixt with a portion of bile some are of themselves without any other disease preceding others follow some diseases Those that are dangerous arise from burning diseases generated of atrâ bile from the adustion of the melancholick humour or yellow bile converted into ashes Prog. Progn It 's of long continuance and sometimes lasts a yeare especially if it begin in the Autumne yet more hard if from atrâ bile If it fall out in old the weaknesse of the heat being not able to conquer the matter If it be double i. e. when two fits fall out by two continual dayes and the third day escapes if it be joyned with a grievous affect of any of the bowels more easie if it be legitimate and the bowels not affected if in summer if black urine appear all the signes of concoction are specially to be eyed It 's deadly if it change to a quotidian quia fit mutatio illius febris quae for●s movetur in eam quae intrà a quartane following an epilepsie cures it A dysentery if short is safe otherwise deadly bleeding at nose coming upon a quartane pessima est because the humour causing a quartane being thick cannot be evacuated at the nose Therefore such evacuations during long cause a dropsie therefore it 's presently to be prevented by opening the basilica by which the putrid blood is drawn out and the pure hindred from flowing at the nose Cure Cure is to begin with more gentle means after with more strong first open either the median vel basilica presently in the beginning the first wayes being evacuated if plethora be present not presently if it be absent in more abundance if the blood come forth black and thick but if it be thin presently stay it To evacuate the first wayes use these ℞ rad buglos ℥ ij herb 4. emol mercurial betae an Mi. prunor dulc par 5. 4. semi frig major anisi an ʒ ij epithy ʒ iij. coq ad lb j s. in colat dissol catholici ℥ j. ol viol cham an ℥ js sacch rub ℥ j. f. clyst injiciendus pridiè sequentis potionis horá commodâ ℞ sen mund ℥ s. scm anisiʒ j. flor borag fumar an Mi. liquir ʒ iij. coq ad ℥ iij. in colat dissol mannae syr ros an ℥ j. f. pot In the beginning purge gently lest it turne to a double or treble quartane or a continual should be caused the dayes free from fits are best both to purge and bleed in yet sometimes blood may be drawn on the same day five or six houres before the fit because the humour beginning to move rhey are more easily drawn forth Zacutus thinks it most profitable to be done in the full of the Moon for then by the force of it the terrene humour is boyled and made more fluid and so more fit to be drawn By this he eased many and prevented other dangerous diseases It 's dangerous to reiterate bleeding for thereby the body is cooled and the disease made more contumacious yet if the Hemorrhoids be not open which is very profitable leeches may be applied and those excellently draw away the next cause of the disease heaped up in the meseraicks especially if the matter tend thither which is known by the itching of the fundament and in those in which the hemorrhoids never flow Malleoli vena post brachii phlebotomiam utiliter aperitur whence oft the Fever ceaseth or ends the sooner especially in women whose courses are stopped or flow more sparingly The opening of the left hand salvatella by Zacutus is esteemed admirable but especially ad Quart contumacem saphenae sec in pede mirabilis Some do it in the conjunction others in the decrease of the Moon two houres before the fit for three fits following 2. The offending matter is to be concocted and prepared by iteration with splenetick humecters as are fumaria capill Veneris Ceterach rad eringii decoct raporum syr de pom. redolentibus c. Or ℞ asparag brusci cichorii buglos macerat in vino alb an ℥ j. cortic tamarisc ℥ s. fol. borrag buglos ceterach capill Veneris fumariae chamaed chamaepit an M. j. liquirit ℥ j. flor trium cordial an p. 1. coq ad lb j. s. in colat dissol syr Byzant capil Veneris an ℥ ij f. Julep pro iiij dosibus matutinis quae etiam ulteriùs continuandae sunt ad multos dies For the contumacy of the matter needs long preparing If the sick be more dainty broths may be prepared of part of the foresaid simples chosing those more grateful to which profitably may be added as also to Juleps crcm tart In the time of preparing purgings are to intervene every third or fourth day giving some cathartick with this caution that so long as the matter is very crude the more gentle are to be used but concoction increasing a little more strong The matter of the purgers are to be noted that they need not be enumerated Sometimes it 's profitable to prescribe an Apoz both preparing and purging for foure or five doses which may be composed of the matter of the foresaid Julep with addition of purges by which a good part of the diseased matter may be drawn forth If the crassenesse and oppugnancy of the humour with a cold distemper of the bowels adjoyning threaten length of the disease and dropsie then more powerful movers are to be used as ℞ rad 5. a periti in vino alb maceratarum an ℥ j. rad enul camp gentian aristoloch asari an ℥ s. fol. chamaedrys agrimon lupul. borag ceterach absinth centau minor an M. j liquir ras passul mund an ℥ j.
Abstaine from all things that may ferment the melancholy humour as aliments that are thick and tough and are hard to be concocted as pork venison hare c. The Drink is to be pure white-wine or claret vel decoct sarsapar vel aq Hord. chalyb. The quantity of the aliment is to be but little that so strength may be preserved for too much generates abundance of crudities and so lengthens the disease Be very sparing in drinking for nothing renders the Fever so contumacious as too abundant drinking for it fills and distends the Spleene In the day of the fit eate not at all unlesse it be sixe hours before the fit long sleep humects and therefore profitable yet shun it in the beginning of the fit Gentle exercise before meat in the intermitting dayes is good or instead thereof rubbings the belly being first freed from excrements Those called periculosae are most hardly cured Allum the quantity of half an egge with half a nutmeg and some sugar made into a powder and given in some posset-drink at the beginning of the fit hath cured many when many more valued medicaments have been succeslesse CHAP. VI. De Febribus com ositis Semitertiana COmpound Fevers are when Fevers are joyned with Fevers They are joyned variously for sometimes a non-putrid as a Hectick is joyned with a putrid Sometimes a putrid with a putrid and these either a continual with a continual which is scarce observed or an intermitting with an intermitting vel vice versa Intermittings with continuals have a double manner of complicating an intermitting tertian with a continual quotidian or a quotidian intermitting with a continual Tertian and these are called Semitertianae though the first more properly These may be divided variously Some are confusae when two Fevers begin and end at the same time so as they are scarcely discernable which is from various humours putrified and confused in one place or implicitae when they may be severally known others Subintrantes when another fit begins before one ends other Coalternae when one fit ending another begins shortly after other Communicantes when the sit of one begins presently after the other fit Some are intermittentes under which are conteined first a Tertian as double which is either when it afflicts once every day or twice in one day and it ariseth from bile putrifying in two places in the mesaraick veines So treble which afflicts thrice in the space of two dayes viz. once in one day and twice in the other and ariseth from bile putrifying in three places Secondly Quotidiana duplex which afflicts the sick twice every twenty four hours space Thirdly Quartana double which leaves one day free but the next two molests So treble in which the sick are afflicted every day Fourthly some are Continuae such are Semitertians this is a Fever composed as hath been said of a continual Quotidian and an intermitting Tertian afflicting continually but every other day cum rigore It also ariseth from the same causes yet very frequently from the inflammation of some of the bowels It 's known by the signes of both Fevers They are caused from yellow choler without and phlegme within the vessels putrifying and is named Horrifica because it doth not onely cause shaking at the beginning of the fit but also through the whole course of the disease especially in the beginning and the increase with the two fits joyned together in one viz. the Tertian and Quotidian with many reduplications which are no other then unequal shakings motions in the same fit returning by certain intervals from a mutual combate of the two Fevers in which if phlegme abounds there followes horror and coldnesse of the extreme parts but afterward the bile overcoming the body is hot and the Fever seemes to tend ad vigorem Again when the victorie returnes to the phlegme there is coldnesse and horror and so the combate is accustomed to endure untill the Fever comes ad vigorem Hence it is that shakings appear onely every other day viz when the fits of the Tertian are strong and joyned with the Quotidian but when the Quotidian onely bears the sway there is wont to be no horror Yet this is to be noted certain maligne Fevers are to be found which are without mixture of a Tertian and Quotidian and so without any concourse of bile and phlegme that are Horridae And in them the shakings happen from sharp and maligne vapours which are elevated from the corrupt matter of maligne Fevers biting and gnawing the sensible parts But that is properly called a Semitertian either exquisite when putrified phlegme and bile abound equally or spurious when either choler exceeds phlegme or when phlegme exceeds choler In the first the Symptomes of the Tertian are greater in the latter the Symptomes of the latter So if bile exubera●e then the whole Fever is more shaking and sometimes with it is associated rigor also it s more hot and bile is cast out by vomit stoole or sweat but if phlegme prevailes extreme cold occupies the extreme parts and little shaking is present the fits grow out slower and oft endure a long time yet not with thirst or suffering great burning These Fevers are known by what hath been spoken the Pulse is often and unequal and the Urin crude thin and ill-coloured and sometimes filthy with ill or no sediment These Fevers are dangerous and in them the stomach Progn and nervous parts are much afflicted and drynesse of tongue thirst alienation of the minde watching doth follow It may in reference to the choler be esteemed an acute disease but in respect of the phlegme a chronical Sometimes it 's prolonged from a moneth to seven The Cure Cure thereof is to be taken from those medicaments which are necessary to oppose a Tertian and Quotidian and when it 's continual follow the method propounded in all putrid continual Fevers so that if choler have predominancy then those things which respect it are to be more used but if phlegme then those things which do more prepare and purge it where Agaric may bear the laurel And lastly where both bile and phlegme abound equally a like proportion of both remedies are to be mixed SECT III. The Preface MOst that have writ of Fevers have distinguished a pestilential Fever from a maligne and so handle them in various chapters by the name of a pestilential understanding the true plague but a maligne that which is commonly called Spotted or that which though it be epidemical and contagious is lesse dangerous and in it more escape then die whereas if the essence of a true plague consists in it more die then escape Yet these Fevers differ amongst themselves onely according to the greater or lesser degrees of m●lignity and ought to be cured as with the same method so with the same medicaments and therefore may all be included in the following Chapter to which may be given the general name And after it to conclude the Section with another
habits the first wanting free transpiration the latter being open to all injuries the present Causes that foretell may be warre famine unseasonable times The middle dispositions that foretell is when the present dispositions of the body conjoyne with the above-said Signes as sadnesse deep fear disturbance in sle●p voluntary lazinesse thirst watching loathing for all these shew the humours to be strayed from their natural temper and to begin to corrupt f●om which a pestilent Fever ariseth The Signes discovering at present may be drawn from threefold Symptomes for Symptomes are the effects of diseases and the disease cannot be well known without the eff●cts Some are taken from the Actions hurt others from excretions and others from the qualities changed to which may be added those drawn from the effects coming upon it To understand this a right premise first that Symptomes of the Plague and maligne Fevers are almost the same onely the first are more cruell then the latter Secondly there 's no absolute pathognomical signe to be given of these Fevers for both buboes and Carbunole may be wanting in the true Plague and again they may appear without malignity for the spots they are sometimes absent in pestilent Fevers yet present in those labouring of the suppressed courses and in some children from a light Ebullition of blood though no Fever appear yet of all Signes these most certainly discover these Fevers Thirdly observe all Signes propounded are not found in all sick but onely part of them which is sufficient for according to the disposition of the body and intensenesse or remissenesse of the disease now this Symptome now that is wont to appear Lastly note although the Signes in a pestilent and a malign Fever may also be found in other Fevers yet they may be as it were proper in this Fever First quia in hisce febribus peculiarem quandam conditionem prae se ferunt which is not found in other Fevers for head-ach loathing vomiting measure of heat while they happen in pestilential Fevers acquire a peculiar maligne condition which differs them from themselves while they appeare in other Fevers So that they may be discerned by a mean Artist Secondly the Symptomes do not keep that proportion amongst themselves in these Fevers which is found in other Fevers for although the heat be gentle to the touch the Pulse not much changed or little appearance of a Fever yet there 's excessive head-ach watching sometimes delirium and other Symptomes which follow and are oft joyned with burning Fevers all these considered for Signes the Vrin is sometimes like those in healthful bodies i. e. when humours offend more from maligne quality then putridnesse it oft continues thus in the first dayes but after is thick and troubled Sometimes in the state it appears concoct yet the sick hastens to death Sometime it 's thin and crude having no sediment if any it 's not true Yet very oft it 's thick and filthy of high colour having a thick red confused and troubled sediment yea all dispositions of Vrin may happen in this disease from the various alterations of the putrid and corrupt humours The Pulse is as changeable as the Vrin notwithstanding the heart is vehemently afflicted from the venomous quality therefore the Pulse by occasion of it is variously altered according to the variety of times and divers conditions of the disease for in principio oft its almost natural and agreeing with a healthful Pulse but in progressu morbi augmento it 's oft small weak and unequal Yea sometimes it will be greater being increased by reason of heat because the heart to repel such an assaultant moves more then necessity requires for the ventilating the heat Cardialgia or that vulgarly call'd heart-ach discovers malignity especially if sociated with distension of the praecordium and head-ach Thirst sometimes is great if the feverish heat be much yet sometimes is wanting when it 's remisse Loathing and abhorring all sorts of Aliment no lesse then the most ingrate medicaments arising from maligne vapours afflicting the stomach Vomiting being from the same cause especially if in the beginning Some vomit presently upon taking solid things and retaine well liquid others contrary some in the casting up of either with them vomit various humours in the meane time thirst drynesse and blacknesse of the tongue increaseth Shakings oft and inordinate happening oft in a day stirred up from sharp biting vapours and such things as are alien to nature delating the sensible parts which seldome happens in other putrid fevers because in them the halatus acquires not the like malignity It s true in intermitting tertians endued with malignity sometimes Signes of malignity may be taken from cold and shaking it sometimes happening in the beginning of the fit in which the flesh is as if frozen the face appears like one ready to die the Pulse so little it can scarce be perceived After the heat follows which neither in the increase or state is much to the touch or perceived sharp yea the flesh to the declination perseveres indued either with a warme heat or coldish By reason of the increase of heat the Pulse may be bigger but it will be small weak oft and unequal many other Symptomes of a pestilent Fever will be joyned all which confirmes that there 's not onely continual but intermitting pestilent Fevers Weariness of the whole body in the beginning and pain joyned as if the members would break from vapors spread in the whole body Head-ach watching and delirium all from the foresaid vapours which if they invade the membranes procure head-ach if the braine it self heating and drying it if gently then watching if more intense then it produceth delirium Other Symptomes might be added arising from this venomous quality not found in common fevers unlesse the Fever be very great In this Fever the paine is very peculiar in that it 's very various sometimes possessing the Occiput otherwhiles the Sinciput now the forehead then the eye-browes sometimes the Scapula's sides back and other parts of the body sometimes it afflicts continually the same place otherwhiles changeth the place and in all these cruelly afflicting To some happen sleepy affects as those whose braines are stuffed with pituitous excrements which being liquified by hot vapours arising from the lower parts hinder the functions of the braine A bilious flux of the belly arising either of it self or moved with a light cause as gentle Glisters or Purges and after contumaciously perseveres killing many In these the excrements stink much from great putrefaction possessing the humours Abundance of wormes is used to be cast forth especially in the beginning of the disease generated from the notable putridnesse of the humours Sweatings oft putting forth in principio yet small little and unprofitable Heat to touch is so milde and gentle that it scarce seemes to be a Fever the Fever being caused more from maligne quality then vulgar distemper or putridnesse Rednesse of the eyes
a threefold consideration especially First when healthful windes do not blow this is evident for if the aire be not difflated and moved with the winde it easily corrupts Secondly when it 's defiled with polluted putrid and stinking vapours and this is most powerful and most frequent those vapours arise from Marshes Lakes Pooles Bogs Fish-ponds or other watery places which are standing or stuffed with filthy matter or waters wherein is steep'd lime hemp or from stinking Sinkes Dunghils and narrow lanes that stink or from dead carcases unburied Or from caves and dens in which the aire hath been very long shut up le ts out a stinking putridness by Earth-quakes or by other accident Thirdly as the aire exceeds in its first quality or it be in a preposterous condition so it afflicts men this happens various wayes but especially when it exceeds too much in hotness moistnesse being the principle of corruption hence the South-winde continuing long hath beene a speciall cause of all pestilential Fevers if it exceed in drinesse it 's lesse hurtful yet an enemy to our nature therefore if it extraordinarily exceed it procures the like affect with the other especially if therewithal be joyned excessive hotnesse by this also is fruit corrupted If it exceed in coldnesse it procures pestilent Fevers by stopping the pores whence is procured greater putrefaction and more grievous venosity and hence these Fevers are more dangerous then in Summer because then the passages are more open through which that which is putrid easily exhales and preternatural afflux from the naturall is fitly breathed out The inequalities of the times are wont to be the cause of these Fevers viz. when it 's one while hot then cold now dry then moist succeeding one another oft interchanging and continuing long as when after long heat comes extreme cold suddenly or when after long raine extreme drynesse followeth so contrary or when the aire is preposterous as hot in winter and cold in summer for hence is procured great confusion of humours thence acquiring an ill condition fit to produce maligne Fevers especially in those bodies which before by reason of ill diet are plethorick cacochymick or have notable obstructions To these causes may be added the aire altered by the afflux of ill Planets as the ☌ of ♄ ♃ and ♂ in which are humane signes especially ♂ being Lord and by these diseases are procured from no other cause then by the change of the aire Now this change is either from a manifest quality i. e. when from their influence the aire is changed or from an occultnesse when from the hidden force of the starres without notable excesse in the first qualities The first is undubitable and consented to by al Philosophers that these inferiours are governed by the superiour constellations for as the alteration of the aire which happens quarterly ariseth from the annual motion of the Sunne so the great diversity of years one being very moist another very dry when as the Sunne holds the same course in the Zodiack every year it could not be unlesse it depended upon the various Aspects of the Stars though the other not so easily beleeved is proved by Astrologers To these may be added Eclipses Meteors especially Comets which seldome ever appear but epidemical and pestilent diseases and various mutations follow in the world as may appear by the effects of that which appeared November 17. 1610. to the truth of which all Europe may give an experimentall testimony The next cause is Aliment when by reason of a certaine ill diet morjapparatus is drawn on which is the cause sine qua non and the efficient internal of all maligne and pestilent Fevers for from ill and corrupt nourishment pestilential diseases arise especially if it happen from the foresaid constitutions of the aire Famine is another cause according to the proverb A Plague followes a Famine for then the poorer sort filling themselves with ill aliment thence followes an ill habit and especially if after penury comes suddenly plenty for then they too suddenly gorging themselves with much meat which cannot by reason of the weak heat of the parts be rightly concocted whence a maligne putridnesse is acquired Again when Aliments good in themselves acquire a putrid ill quality such as Wheat Barley when either too long kept or put into ill and noysome places so also flesh or when it dies of it self For drink these may cause viz. putrid and corrupt wine and water of corrupt and putrid and stinking Lakes also other corrupted liquor The last is the non-natural as excretion and retention motion and rest sleeping and waking and the passions of the minde and these may be looked upon onely as adjuvant causes disposing the body to receive maligne putrefaction First the retention of the Menses in women other accustomed evacuations in men as the Hemorrhoids Hemorrhagiae and Fluxes of the belly which in some happen by intervals if they fall out in Epidemical constitutions they usually produce maligne diseases for that which should be cast out as superfluous and burdensome to nature being retained easily beget putrefaction So too great evacuations either of blood or other humours much weakens the body diminisheth the native heat which receives more easily the pollution of the ill and pestilent aire Too much idlenesse and too much exercise also affects the first for want of free ventilation which causeth putrefaction the other opening the pores and dissolving the heat makes a more easie way to receive the seed of contagion Too much sleep heap up many excrements and fills the body with humidities which most easily putrefie But too much watching generates crudities more then the native heat is able to regulate whence many obstructions are caused and so transpiration is hindered which generate putrefaction Passions of the minde as vehemently to move the body and disturbe the humours greatly hasten on this evill especially fear and sorrow which calls the vital spirits inward whence the strength of the heart being much broken is lesse able to resist danger yea and the commotion of the humours in the veines and their vehement disturbance dejects the natural constitution and begets maligne putrefaction However it 's thought the Plague in armies is more raging not so much from the ill diet as the apprehension of the danger of death Prognosticks are uncertaine therfore no event to be assured till there be manifest conquest either of the disease or nature Prognos which is discernable either at the end of the state or the beginning of the declination therefore in the beginning and encrease judgement is to be suspended if the Pulse keeps equal and in order in these Fevers although the Fever appears great there is alwayes good hope but contrary if inordinate unequal and contracted dangerous especially if it hath appeared weak from the beginning yet these differences of Pulses are not so pernicious in maligne as in common Fevers for although the Pulse intermitting in young is deadly
yet in this they have escaped a healthful Pulse is dangerous discovering nature so weakened that it cannot enter upon the concoction of the maligne matter hence it not being touched there followes little labour and here the Fever is little as in external Tumors so long as the part is overwhelmed from the abundance or ill quality of the matter it causeth neither paine nor Fever but when nature averse to the matter enters upon the combate and attempts to convert it into pus then at that time the Fever discovers it self So in maligne Fevers the sick seemes to be freed from it when yet it 's worse and he hastens to death Delirium in this Fever is most frequent neither is it to be feared when it 's asswaged by sleep especially if it vanish with abundance of sweat for it 's a signe the matter is called from the braine to the habit of the body a delirium persevering is most pernicious it shewes it will degenerate into a true phrensey Contractions and leaping of the members is wont to happen oft in these fevers they are convulsive motions and very dangerous and the more if joyned with delirium for they discover the braine to be much hurt the trembling motion of the tongue and hands are deadly it arguing very great weaknesse and nature to be overcome by the disease Deafnesse although in the beginning of acute diseases be most dangerous yet appearing in the state foretels safety especially in maligne Fevers for it 's observable that thousands labouring of those Fevers upon coming of deafnesse in the state although other Symptomes were very dangerous yet they have done well for it 's a signe the strength of the braine is sufficient to thrust out the noxious humours from the internal parts to the externall Sneezing in some diseases is deadly but in maligne Fevers although cruel Symptomes hold forth danger yet it holds forth security Cardialgia or hichough do threaten danger and shewes the stomach grievously afflicted with a venomous quality a great loathing of meat is most dangerous it signifying the stomach abounding with an ill quality and the temper thereof altogether overturned so that the laudable aliment which before was most familiar it loaths and hates The suppression of all evacuations in the beginning and increase of the disease is good for it shewes the diseased matter not to be so malicious as to stirre up nature before its due time but nature as yet overcomes If nothing be cast out in the state and Symptoms be cruel it 's ill it being a signe either of the diseases continuance or else doubtful whether it will end well or no. Because the maligne matter not cast out but continuing long it so afflicts and weakens the braine and produceth the phrensie lethargie which is most hard to remove Blood drawn if it be pure according as it ought it 's dangerous for it 's an evident signe that there is either more venomous quality then putrefaction or else the putrefaction is lodged in the veines next the heart and so cannot be drawn forth From urin no prognostick can be made in a pestilent Fever or if any yet uncertaine For not only confused filthy thicker and thinner urins which in other Fevers is ill but also those which are like healthful Yea and many signes of concoction manifestly appearing in the urin it changing the patient dieth worse and is removed but yet concoct urins having a laudable sediment and that continuing many dayes and day by day uniting it self more and descending by degrees into the bottome of the glasse is perpetually a certaine signe of safety also in maligne and pestilential Fever For it shewes the natural faculty is strong enough to conquer the adverse maligne quality therefore in maligne Fever where there is great feare of the sick by reason of cruell Symptomes yet if there continue Signes of concoction in the urin safety may be prognosticated with great confidence Vrin fat and oleous black or livid with the Hypostasis black or livid doth certainly pronounce ill Abundance of urin a lessening of the Fever not following is ill because it signifies colliquation Sweat in this Fever although it fall out with requisite conditions yet if not on a criticall day there cannot be safety judged Yea sometimes the Fever remits the first day by sweating but after the Symptomes increase the sick after many sweatings dies For much sweat not lessening the disease ariseth from the wasting of the whol body neither is that to be credited that critical sweats in this Fever is never profitable nam quò minùs venenositatis febris obtenuerit eò magis prodesse poterunt as in other vulgar Fevers this is a certain observation if the sick from the beginning of the Fever break forth with frequent sweats it may be profitable being a signe that nature by little attenuates the matter and casts it out by sweat The Flux of the belly of all is most uncertaine for if it happen in the beginnig it may be sometimes good otherwhiles deadly Againe premise some concoction maybe seene in those labouring of a Flux yet they may die though sometimes some escape Yet it 's thus to be distinguished when the venomous quality is of most force by which the matter from the beginning falleth down by a Flux of the belly that 's more secure but when the disease ariseth for most part from putrifaction of the humors it s worse if the Flux come at first The spots when they are many great of good colour and break forth critically they pronounce nature the Victor but if few lesse and ill colour and symptomatical it signifies the disease prevailes Furthermore if they return in after they appear it 's worst for it shewes the morbifick matter to flow inwards Exanthe mata appear in various parts and are companions of great malignity and therefore portend great danger Carbuncles and Buboes testifie the same when they are wont to accompany these Feavers whereof they are a peculiar character for in them more die then escape Anthrax and Buboes farthest from the heart increase sooner and come to maturation these are lesse dangerous yet if the humours increase suddenly with cruel symptomes it 's ill Very great Carbuncles of a naughty colour with eating Vlcers or which are changed into a Gangrene are deadly as also those near the heart or passe nigh the throat This is certain many Carbuncles are more dangerous then few contrary the more Buboes the more secure then few Parotis in maligne and spotted Fevers in the increase or state is deadly but if they appear little at the declining of the disease and come to suppuration they are safe Cure Cure Respects preservation cure and removing of Symptomes Preservation of those on whom it is not yet broke forth consists especially in removing the causes which fit the body to receive the Fever and those things that produce it which are either internal or external the first are Plethona Cacochymia and
obstruct the second are especially naughty aire and wandering Contagion those that dispose the body to the disease are either by nature or accident above measure moist weak loose fine dense and compact bodies More moist is to be dried and those more dry are to be kept so therefore the more moist are to shun a full diet and large drinking and all moist aliments as fruits fishes south-winde and fogs especially in the night idlenesse long sleeps especially at noon bathes and all other things which humect the body The weak body is to be restored with an analeptick and strengthening medicaments the fine and loose require the same with the moist but the dense and compact because they are disposed most of all to receive a pestilent Fever they are to be freed with more diligence from Plethora Cacochymia and obstructions which causes when they produce these Fevers in all bodies as the first causes they are perpetually to be removed Plethora calls for cutting a vein if nothing hinder As the time of the yeare being too hot or cold or the state of the aire pestilent then it 's to be forborn unlesse fulnesse ad vasa urgeth much or accustomed evacuations of blood as Haemorrhoid Menses Haemorrhag be supprest for blood being drawn the pestilent aire is more easily received and oppressing the actions makes the disease more hardly to be conquered even as in those which after drinking of poison make it more easily penetrable and more hardly cured Cacochymia requires purging proper to the humour offending fit Preparatives premised if necessary provided they be benigne mixing with them some things of a Bezoartick quality Obstructions being caused from a multitude of crosse and tough humours the multitude is to be evacuated crasse attenuated and tough clensed 1. By reason of external causes prevention is to be appointed as first the excesse of the aire is to be corrected i. e. the hotter to be cooled the more humid to be dried with fires both in publick wayes and private houses as much as may be The fires are to be made of juniper bayes nosemary and the like Secondly all causes are to be removed which may infect the aire Thirdly if it be infected it 's to be dissipated which is done by fires fumes and shooting great guns most effectual but if it be endued with a very pernicious quality it 's best to remove and those that are constrained to stay are to use frequently Antidotes and those no lesse quantity then are prescribed to cure The Cure is to be taken from the putrifaction and the maligne quality the Fever is to be opposed with cooling and humecting the putrifaction with evacuations and alterings and the maligne quality with Alexipharmacons Here blood is first to be drawn a glister premised for that 's most fit because of the greatnesse of the disease the hot distemper and putrifaction but if the fault lie in the quality of the blood it 's to be taken away with the greatest prudence for bleeding then may rather hurt then do good the vital faculty being thereby rather debilitated and death hastened therefore if the maligne quality be more then the putrifaction which may be knowen as before lesser quantity is to be drawn if the putrefaction infect more then more plenty may be taken and so more especially if maligne Fevers arise ex morboso apparatu and putrid humours kept within the veines and then bleeding may be reiterated twice or thrice until the heap of vicious humours contained in the veines be exonerated which humours rise in these Fevers but bleeding is to be maturely appointed in the beginning of the disease for it 's ill in the progresse the malignity then having diffused it self into the whole masse of blood and so it doth not only not help but also exceedingly debilitates nature so that many think it not good the fourth day being past especially when they begin to be common or cruel then it 's diligently to be observed who of the sick gaine benefit by bleeding for in some kinde of Synochus in which putrifaction is intense and malignity remisse bleeding diminisheth it but in others the nature whereof consists almost altogether in malignity bleeding is more pernicious This appears in a true plague in which many and most approved have had experience of that all the sick who have had a veine opened have died So also in pestilential Pleurisies it doth more hurt then good making the disease only more cruel yea and in other epidemical diseases endued with lesse malignity yet in which the malignity was almost altogether in vitio the same event hath happened as in that epidemical Catarrh which wandred through Europe in Anno 1580. in which scarce one of a thousand troubled with it died yet almost all who were let blood perished and that 's diligently to be observed that in the Cure of Carbuncles bleeding is to be used to fainting that so the boiling blood which is the cause of the Carbuncle may be drawn forth more abundantly But this is only in a simple Carbuncle without malignity in the other it 's not safe it 's controverted whether a veine is to be opened when exanthemata's or spots appear For answer some think it a hainous fault to draw blood then in that the humours are carried at that time from the Center to the Circumference which motion is altogether to be helped but by the opening a veine it 's altogether hindered and the blood drawn from the Circumference to the Centre for emptiness being made in the inward part the blood contained in the external parts doth run into the internal But notwithstanding this with the more sound Physicians this is not regarded but bleeding is prescribed if the spots appear in the beginning of the disease and in those dayes in which venae sectio ought to be performed in case sufficient hath not been drawn before it must be drawn moderately lest it procure danger For those that break forth in the beginning are not critical but symptomatical arising from a notable ebullition and heate of blood and maligne humours putrified and therefore cannot hinder natures motion which is none at that time nay if they appear in plethorick bodies having red and thick Vrine if a veine be not cut nature not being able to overcome so great a quantity of humours oft procures great hurt by their sudden rushings into some internal part and there causing a dangerous inflammation Yet this is cautiously to be performed lest the veines being emptied too much a retraction of the humours may succeed from the external to the internal parts therefore only the great plenitude thereof is to be removed And thus the expulsive motion of nature is helped to the superficies of the body as hath oft been observed in these where ven sect hath been warily performed within few houres after a safe Critical sweat hath followed and in this account although nature might be judged sufficient to overcome its enemy yet it 's
belly and an extension of the Hypochondriacal parts although outwardly they appear extenuated Cough difficulty of breathing with other faults of the lungs They are averse from lying on either side Those that belong to the vital influx are the veines and arteries are more slender then ordinary in the first affected part the pulse small and weak a moderate ligature cast about the elbow or knee doth not so soon swell and colour the part beneath and above it with blood as in sound children of the same age their appetite is moderate or unduly weak I have known it very much yet no Feaver present they are usually averse to sweet things they sometimes weigh heavier then other children of the same age and stature The next are signes of the differences of the Rickets The differences are taken 1. from the essence of the disease 2. causes and 3. conjoyn'd diseases These receive subdivisions Under the first is the secondary essence the magnitude and vehemency of the disease with the spirits and times the magnitude is the mildnesse or fiercenesse of it Under the vehemency is the slownesse and quicknesse of its motion For the times they are generally foure beginning increase state and declination in all which consider first the beginning is when it appeares to our understanding Secondly the increase and declination in long diseases may be subdivided as the increase may extend beyond the consistence if the progresse be to death and the declination is either legitimate i. e. when the sicknesse declines to health or spurious i. e. when the disease remitting falls into another kinde The last are taken from the spirits or strength of the childe for if the disease fall in upon a childe lesse strong it must needs be more dangerous then if on one strong The differences as to the causes are various as either it 's a natural affect or newly contracted The first is twofold viz. either properly i. e. when the sick is born actually affected with the disease or improperly i. e. when he is strongly disposed by his native principles to fall into it this difference is of more use to prevent then to cure The disease may be said to be newly contracted when not fomented by a naturall disposition and this is also twofold either succeeding some foregoing disease or it 's immediately produc'd by an erroneous use of the six non-naturals The difference by reason of other diseases conjoyned those most usually are Dropsy of the head faults of breeding teeth Asthma Phthisick Hectick a slow and erratick Feaver and the Ascites i. e. that Dropsy when water is got betwixt the flesh and skin these have a certaine dependence upon this disease and the causes of it those that have little or none at all are a Maligne Feaver French Pox Scurvy and struma●s The first sort of diseases may happen to children although the Rickets have not preceded yea they may be the cause to introduce it to deliver in signes answerable to these differences would be needlesse those belonging to the three first may be seen in the diagnosticks the fourth in the prognosticks Indeed those that belong to the times may be a little more considered especially those that pertain to the beginning that so its first rise may be known those that discover it new begun are those signes that are ascribed to the Animal action Also those that next adjoyne as the knots of the wrests greatnesse of the belly c. and these taken together do certainly discover the presence of the disease from the beginning These signes more intense with the extenuation of the parts denote the increase In the state they are more outragious c. as for those signes appertaining to the causes if it be a natural disease improperly so call'd there 's a weak and sickly constitution 2. diseases of one or both Parents as cold and moist distemper ill habit cachexy dropsy atrophy c. 2. Sloathfulnesse effeminacy idle life of the Parents 3. Errors of the mother during her being with childe 4. Debility of the new-born infant if it be not from hard labour with many others For signes of the disease newly and totally contracted after birth they are contrary to these as for the signes belonging to the severall conjoyned diseases they may be seen in their several cures elsewhere handled The essences of the disease consist in a cold and moist distemper want of inherent spirits their astonishment the softnesse loosenesse c. of the Tone of the parts the unequal distribution of the vital spirits unequal nutrition of the parts and imperfect distribution of the animal spirits these are essentials Causes Causes are either such as on the Parents part may produce it or those which happen to children after birth The causes on the parents parts are either such as relate to the generation of the seed whereof the Embryo consisteth Others have reference to the Embryo now conceived and yet in the womb The faults of the generation of the seed proceed either from the man or woman or from the whole body or parts only dedicated to generation That which depends on the whole body hath the strongest influence into the childe The fault of the seed is from a cold and moist distemper of the matter whereof the seed is generated which falls out in parents of a cold and moist constitution occasioned from ill juice a cachexia dropsey green sicknesse unsubdued before conception as also such effects as pollute the blood as scurvy French-pox and jaundice 2. The penury of natural spirits occasioned by extenuation of the bodies from vehement evacuations chronical diseases wasting the strength not repair'd before coition imperfect concoction of the last aliment c. 3. The stupour of the matter transmitted to the parts of generation as in soft and effeminate constitutions over-moist and full diet delicacy of life immoderate sleeping c. 4. Such parents as were subject to it themselves in childhood These are faults depending from the whole body Those that peculiarly reside in the Genital parts are their to much coldnesse somtimes moistnesse whence they cast forth either an unfruitful seed or propensity too this disease as is in those troubled with a waterish gonnorrhea red and white fluxes in women the application of too cold medicines as Narcoticks especially if oft used Thus much for the principal causes before conception Now for the faults of the mother while the Embryo is in the womb As 1. A cold and moist distemper of the womb 2. All those things which hasten crude and impure juices to the Embryo as naughty dyet which heap up crudities imperfection of the first and second concoction moist and cold-diseases 3. All those wayes which defraud the Embryo of due aliment as excessive evacuations especially of blood sucking children too long after conception 4. Excessive sleepinesse of women with Childe sloathfulnesse ease vehement labour Hence note moderate labour watching and exercise which offer no violence to the womb are
a liniment fram'd of the yolks of egges juice of plantain being mixed long in a leaden mortar To preserve the face some have used rose-water and other astringents but very unfitly for great portion of the impurities being sent to the face which from the loosenesse and moistnesse of the skin is apt to receive them are by this means not only kept in but also thereby nature is hinder'd in its motion therefore when the Pox appear they may be anointed twice a day with oyle of sweet Almonds to help on their ripening and being ripe which is discerned by a spot in the middle open them with a gold or silver needle or rather let them break of themselves however the oyle is to be used till such times as the crusts fall off for it qualifies the sharpness of the choler ripens and hastens the fall of the crusts which otherwise would lodge the matter under them and so deeply ulcerate the skin oile of new nuts newly drawn without fire mixed with a like quantity of rose water and reduc'd to a liniment is most efficacious I have with good successe used oile olive ℥ ij and carduus-water ℥ js mixt together After which few scars have remain'd if through the neglect of these or the like medicines notable scars remain it 's to be help't as much as may be with the oyle of yolks of egges and sheeps sewet For filthy scars first wash the face with water of bean-flowers or water distill'd from cowes dung in May after anoint them with mans grease Or ℞ oil of sweet almonds and white lilies each ℥ i. capons grease ʒ iii. powder of the roots of piony oris and lytharg of gold each ℈ s. sugar candy ℈ i. mixe all these well together in a hot mortar and strain it hard thorow a linen cloth and anoint the places morning and night and after wash them well with the water distill'd from calves feet or in want thereof some of the foresaid waters The fourth and last businesse is to remove symptomes which are various as itch and exulceration especially in the palmes of the hands and soles of the feet by reason of the compactnesse of the skin hindering their eruption to help which hold those parts in hot water or foment them long in an emollient decoction If itch fall out in the face which causeth the sick to scratch whence followeth notable scars use this ℞ leaves of po●●itary M i. flowers of chamomile and melilot each p. s. boile them in lb j. of scabious water in the straining adde wood-binde water in this being hot moisten some cotton or fine lint often moistening the itching Pox therewith Vlcers that arise from maligne and eating Pox are to be cur'd with white ointment camphorated Or ℞ burnt lead ℥ ii litharge ℥ i. white lead wash t and vineger each ℥ s. oyle of roses ℥ iii. honey of roses ℥ i. three yolkes of egges myrrh ℥ s. waxe sufficient to make an ointment for convulsion epilepsy palsey hearing hurt inflammation of the eyes c. See in their proper chapters only if a bloody flux accompany wherein oft the Pox become deprest the following is admirable ℞ the roots of five leafe and tormentil each ℥ i. leaves of pimpernel and scordium each M i. yellow sanders and shaving of ivory eachʒ ii boile them in water to ℥ xii in ℥ iii. of the straining dissolve aq naphae and of roses each ℥ s. troch viper ℈ i. bezoar gr iiii make a potion which give to those that are greater at one draught twice a day but to such as suck give of it often in a spoon The Measles require the same cure with the Pox only observe there 's in the masse of blood a double excrement the one thick the other thin the measles is from the last which it may be is the cause of their discussion without maturation To these are referr'd first pustles of the bignesse of lupins without rednesse inflammation or fever being white and fill'd with serous humours these after three dayes break and die and are seldome dangerous there are other tubercles as some red invading with heat and dry cough other like red spots burnt c. which have nothing singular in the cure THE MILITARY CHEST WArs prophesied must be accomplished Providences are oft-times real Comments on holy Writ witnesse these times wherein the day of Gods vengeance is in his heart and the yeare of his redeemed is come I shall not dispute or question the truth of that which is so evident as that those who are most against it speak the verity of it in their actings But to passe this and come to meet with those events that occur and are the proper subjects of the discourse as wounds c. and here is not to be expected the methodical cure already elsewhere dispatch't but only as it were a Catalogue of the matter by which it 's effected with their vertues and qualities annexed Now the meanes or matter are either medicines or fit instruments fitly placed in a convenient chest The medicines are either Physical or Chirurgical The instruments are either hard or soft all which are to be fitly placed to prevent confusion and to be ready for use They are by Hildanus divided into twenty Classes whose method we shall follow taking in what he hath judiciously set down only take the liberty to adde where there is necessity requiring that so it may be full for our own Climate In the first Classis is the simple purging medicines which are with their vertues as followeth Agarick It potently purgeth phlegme from the wholebody especially the excrements of the mesentery wonderfully removes the affects of the braine purgeth the brest and the wombe healeth asthma difficulty of breathing and jaundice begets a good colour moves urin and courses is excellent in paine of the collick yet ingrate and adverse to the stomack it 's to be corrected with ginger cloves and being slow in operation may be acuated with salt gem cream of tartar c. it 's hot in the first and dry in the second dose from ʒ i. to ʒ ii in infusion from ʒ i. to five that 's the best which is white light rare brittle at the first taste is sweet but after bitter and stiptick Aloes It 's a remedy against many diseases is conveniently administred in those who are molested in their head for it drawes the vapours ascending from the stomack to the head without trouble and is therefore good in those whose pain in the head ariseth thence It 's profitable in swimming of the head inflammation of the eyes cataracts especially if they arise by consent from the stomack It 's profitable for those that are troubled with nidrous crudities it procures a good colour and removes the excrements of the belly heales the jaundice and those troubled in their sleep preserves from putrifaction and plague and therefore excellent in such seasons It sharpens the sight stayes fluxes of blood and kills wormes