Selected quad for the lemma: cause_n

Word A Word B Word C Word D Occurrence Frequency Band MI MI Band Prominent
cause_n decoction_n powder_n purge_v 1,580 5 12.8280 5 false
View all documents for the selected quad

Text snippets containing the quad

ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A35961 The anatomy of human bodies, comprehending the most modern discoveries and curiosities in that art to which is added a particular treatise of the small-pox & measles : together with several practical observations and experienced cures ... / written in Latin by Ijsbrand de Diemerbroeck ... ; translated from the last and most correct and full edition of the same, by William Salmon ...; Anatome corporis humani. English Diemerbroeck, Ysbrand van, 1609-1674.; Salmon, William, 1644-1713. 1694 (1694) Wing D1416; ESTC R9762 1,289,481 944

There are 12 snippets containing the selected quad. | View lemmatised text

could hardly speak or breath and when she endeavoured to throw off the Burthen she was not able to stir her Members And while she was in that Strife sometimes with great difficulty she awoke of her self sometimes her Husband hearing her make a doleful Inarticulat Voice waked her himself at what time she was forced to sit up in her Bed to fetch her Breath sometimes the same Fit returned twice in a Night upon her going again to Rest. I. THe Brain of this Woman was primarily affected especially in the hinder Ventricle of the Brain near the Spinal Pith for the Muscles of the Parts seated below the Head are agrieved which appears by her difficulty of breathing and the hindered Motion of her Breast Thighs and Arms. Hence the Heart is affected with the Lungs II. This Affection is called Incubus or the Night-Mare which is an Intercepting of the Motion of the Voice and Respiration with a false Dream of something lying ponderous upon the Breast the free Influx of the Spirits to the Nerves being obstructed III. The antecedent Cause of this Malady is an over-redundancy of Blood in the whole Body whence many Vapors are carried to the Head and there detained by the Winter-cold streightning the Pores and thickning those Vapors and narrowing the Passage to the beginning of the Spinal Marrow which hinders a sufficient Passage of the Animal Spirits to the Nerves and this constitutes the containing Cause IV. For while the Passages of the Nerves are compressed by the more thick Vapors detained about the lower part of the Brain at the entrance of the Marrow into the Spine sufficient Animal Spirts do not flow into the lower Parts which causes the Motion of the Muscles to fail Now because the Motion of the Muscles for the most part ceases in time of sleep except the Respiratory Muscles therefore the failing of their Motion is first perceived by reason of the extraordinary trouble that arises for want of necessary Respiration Now the Patient in her Sleep growing sensible of that Streightness but not understanding the Cause in that Condition believes her self to be overlay'd by some Demon Thief or other ponderous Body being neither able to move her Breast nor to breath Then endeavouring to shake off that troublesome Weight as apprehensive of some ensuing Suffocation but not being able to move the rest of her Members she believes them under the same Pressure Upon which when she tries to call out for assistance but because of the streightness of her Respiration she is not able to speak distinctly she makes an inarticulate Noise with great difficulty In this Strugling she continues till the Animal Spirits detained at the lower Part of the Brain by the Compression of the Spinal Marrow and there collected in a greater quantity at length forced by the continual Flux of Spirits from the Heart violently make their way through the Pith into the Nerves and Muscles and restore Motion to the Parts Then the Patient moves her Body and wakes and by that motion those thick Vapors are dissipated and being awake she is forced to take Breath to repair the Loss which she suffered for want of Respiration But because there is yet a larger quantity of these Vapors still remaining in the Head hence it comes to pass that if she fall asleep again especially if she lye upon her Back the same Evil returns in regard those thick Vapors settle more easily toward the hinder part of the Head near the Marrow V. Now that they are Vapors and not Humors is plain from hence that the Malady is so soon mastered which could not be done so suddenly were they Humors which would rather cause an Apoplexie or some other more dangerous Evil that they are thick and not thin Vapors appears from hence because the thin Vapors would pass more easily through the Pores though narrower which the thick cannot do which requires motion of the Body to dissipate them which Motion ceasing in Sleep they stick to the Place and streighten the Pores of the Nerves But if any cold ill Temper of the Brain happen at the same time those Vapors are easily condensed into Humors by that Cold which if detained in the Head cause Heaviness the Coma Apoplexy and the like If they flow from the Head to the lower Parts they breed Catarrs with which our Patient was wont to be troubled in the Winter-time VI. This Malady is dangerous least the collected Vapors being condensed in the Head should breed a Coma Apoplexy or the like VII It consists in removing the Antecedent Principal and containing Cause and the Corroboration of the Brain VIII To purge away the Antecedent Cause or the great quantity of Humors let the Body be purged with Pill Cochiae Powder of Diaturbith or this Potion ℞ Leaves of Senna ʒiij White Agaric Rhubarb an ʒj s. Anise-seeds ℈ ij White Ginger ℈ s. Decoction of Barley q. s. Infuse them and to the Straining add Elect. Diaphaenicon ʒij IX Then because she is plethoric take away ℥ viij or ix of Blood from her Arm. X. After Blood-letting let her take every morning a Draught of this Apozem ℞ Root of Calamus Aromaticus Fennel Stone-parsley Capers an ʒvj Herbs Betony Marjoram Dodder Succory Borage Sorrel an m. j. Flowers of Stoechas m. s. Iuniper Berries ℥ s. Blew Currants ℥ ij Water q. s. Boil them according to Art adding toward the end Rubarb white Agaric an ʒij Anise-seed ℥ s. Cinnamon ℈ j. s. Make an Apozem of lb. s. XI To expel the containing Cause Errhinas snuft up into the Nostrils or a sneezing Powder of Root of white Hellebore Pellitory Leaves of Marjoram and Flowers of Lilly of the Valley greatly conduce XII To corroborate the Brain let her take a small quantity of this Conditement ℞ Specier Diambr Aromatic Rosat an ℈ ij Conserve of Flowers of Betony Sage Anthos candied Root of Acorns an ℥ s. Syrup of Stoechas q. s. XIII To the same purpose let her wear such a Quilt as this upon her Head ℞ Leaves of Rosemary Marjoram Thyme Flowers of Lavender an ʒj Nutmegs ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them into a gross Powder XIV Keep her in a pure and moderate hot Air. Let her Diet be sparing but of good Juice and easie Digestion Let her Suppers be more moderate then her Dinners Her Drink must be small her Exercise moderate and so must her Sleep be and let her be careful of sleeping upon her Back Lastly a sedate Mind and a soluble Body are of great moment in this Case HISTORY XII Of the Apoplexy A Strong Man about forty years of age both a great Feeder and Drinker complained of a heavy Pain in his Head for two Months together but took no care of himself but followed on his usual Course of Drinking Fore-noons and After-noons but at length one Morning waking in his Chamber after he had muttered out three or four inarticulate Words he fell of a sudden void of
vehement agitation by reason that respiration is hindered grows hot in those places and being mixed with the Air unequally and difficultly passing to and fro by vehement respiration are forced all frothy into the Mouth VIII The Fit lasts till that malignant and sharp Vapor be altogether discussed and returns again when the depraved matter stirred anew sends forth the same Vapors to the Original of the Nerves The Fit is more or less vehement and does less hurt to the principal Functions according to the quantity and quality of the evil Matter IX Now because this ill and acrimonious Humor is bred in the Brain and because the Fits were frequent and vehement and the Disease of nine Months standing therefore the Cure was difficult but the Strength and Age of the Patient gave great hopes of Cure For being but a Child the very change of Youth out of one Age into another many times effects the Cure as Hippocrates testifies X. The Cure is to be performed either in the Fit or when the Fit is gone off In the Fit Castor green Rue Oyl of Marjoram Amber Nutmegs and the like are to be held to the Nostrils XI When the Fit is past the Original Causes are to be taken away the antecedent Cause to be removed the depraved quality of the containing Cause to be removed and the whole Brain to be corroborated XII Let the Body be gently Purged with two drams of Heira Picra or Diaphaenicon or with one Scruple and a half of Powder of Diacarthamum or an ounce of Purging blew Currans XIII Then let him drink twice or thrice a day a draught of this Decoction ℞ Roots of Male Piony Misletoe Sassafras-wood an ʒvj of Calamus Aromatic Valerian an ℥ s. Herbs Marjoram Rue Calamit Rosmary Vervan Laurel-leaves Flowers of Stoechas an M j. Iuniper-berries ℥ s. Seeds of Anise Wild Carrots Fennel an ʒ j. Seed of Male Piony ʒ iij. Raisins cleased ℥ ij Water q. s. Boil them to an Apozem of lb j. s. Before he drinks this let him take a small quantity of the following Conditement ℞ Spicier Diambr ʒ j. s. Roots of sweet Cane candied Conserves of Anthos Flowers of Sage Betony an ℥ s. Syrup of Stoechas q. s. XIV Sometimes instead of the Apozem he may take a spoonful of this mixture ℞ Epileptic water of Langius ℥ iij. Water of Lime-tree Flowers of the Lilly of the Valleys an ℥ j. Syrup of Stoechas ℥ j. s. XV. Upon his head let him wear this Quilted Cap. ℞ Leaves of Marjarom Rosemary Thime Flowers of Lavender and Red Roses an Two small handfulls Cloves Benjamin an ℈ j. Beat them into a gross Powder XVI Let the Patient be kept in a warm Air his food must be Meats of easie digestion condited with Marjoram Baum Rosemary and other Cephalics His drink must be small his sleep and exercise moderate and his Evacuations regular Raw Fruit Garlick Onyons and Swines Flesh and all other Meats of hard digestion and ill juice are nought HISTORY XVI Of a Catarrh A Man of forty Years of Age of a cold Constitution and one that had long used a cooling and moistning Diet was troubled first with a heavy Pain in his Head with a proclivity to sleep Afterwards he was troubl'd with a vehement Cough sometimes with deafness noise in his Ears Pains in his Neck Teeth Shoulders and other Parts sometimes a most terrible Cough took him not without some difficulty of breathing and danger of Suffocation sometimes he had nauseousness and was molested with troublesome Belchings and Pains in his Stomach under his lower Jaw rose Flegmatic Tumors which fell and vanished soon after his Nostrils were more then usually dry and he spit little He complained also that he felt a continual chilness in the top of his Head and that his Hair was not so moist as it used to be I. HEre is one molested with a Catarrh which is a Preter natural Defluxion of Humors from the Head to the lower Parts II. The remote cause of this Distemper was a cold raw and Flegmatic nourishment which over-cool'd and weakened the Bowels serving to Concoction and bred a great quantity of Excrementitious Flegm which was the anteceding Cause of the Distemper and which being colected and accumulated in the Brain over-cool'd it and thence fell down upon the lower Parts III. This Flegm augmented in the Brain because it had not heat enough to concoct and dissipate so cold and thick a Humor besides that the Passages to the Nostrils and Palate were obstructed IV. This Obstruction happens in the inner Parts of the Head by reason of the viscosity of the Humors stuffing up the narrow Passages for the Evacuation of those Excrements Therefore not able to pass the regular way they flow to the inner Parts of the Ear where they cause Noises Deafness and Pain sometimes to the Larinx and Lungs which causes vehement coughing and danger of Suffocation sometimes to the Stomach and other Parts where they breed several Maladies In the Exterior Parts this Obstruction happens by reason the Pores in the top of the Head are filled with Humors contracted by the External cold and that cold continuing in those refrigerated Parts causes that chilness complained of by the Patient And this cold not only hinders the Passage of the Vapors but condenses them under the Pericranium into a serous and flegmatic Humor which being ill concocted becomes salt and sharp Which for want of dissipation falls down upon the Teeth Neck Shoulders c. and causes those Pains complained of V. That the ordinary Passages were obstructed is apparent from the driness of the Patients Nostrils and Hair and because he spit so little VI. This Affection is not a little dangerous in regard the Symptoms that attend it may bring a Man into a Consumption and breed occult and dangerous Apostems in the inner Parts VII In the Method of the Cure the Body must be Purged twice or thrice with Pill Chochiae Powder of Diaturbith or Diacarthamum or such a draught as this ℞ Leaves of Senna ʒiij White Agaric ʒ j. s. Anise-seed ʒ j. Choice Cinnamon white Ginger an ℈ s. Decoction of Barley q. s. Infuse them then add to the straining Elect. Hiera Picra ʒ j. Diaphoenicon ʒ ij VIII Then the Brain is to be dried and strengthened with the following Apozem ℞ Roots of Acorus Fennel an ʒ vj Galangal ʒ iij. Herbs Marjoram Betony Thime Rosemary Baum Calamint an M. j. Laurel-leaves Flowers of Stoechados an M. s. Seeds of Anise Fennel an ʒ ij Laurel-berrys ʒ s. Water and Wine equal Parts Boyl them to an Apozem of lbj s. Of which let him take three or four draughts a day IX Noon and Night after Meals let him take a small quantity of this Conditement ℞ Specier Diambr Diamosch Diagalanga an ʒ s. Conserve of Anthos red Roses an ʒvj Candv'd Roots of Acorus ʒiij Syrup of Stoechas q. s. X. While he follows this course Masticatories and Errhines may be used
Tragacanth or the white of an Egg to be form'd into a slat Cake and sowed up in a silk Bag and hanged about the Patients Neck XV. While these things are doing give him sometimes a Draught of this Decoction ℞ Roots of Tormentil greater Consound Snake-weed an ʒvj Knotgrass Pimpernel Plantain Shepherds Purse Sanicle Purslain an M. j. red Roses M. s. White Poppy Seed ʒv Seeds of Quinces and Lettice an ʒj s. Raisins of the Sun ℥ ij Water q. s. Boil them into an Apozem of lbj s. to which add Syrup of Quinces and Sowre Pomegranates an ℥ j. s. XVI Now and then let him take a small quantity of this Conditement ℞ Trochischs of seal'd Earth ℈ ij Pulp of Quinces Conserve of red Roses an ʒvj Syrup of Poppy Rheas q. s. XVII If these things will not stay the Bleeding clap a Cupping-glass with much Flame to both Hypochondriums without Scarification Or else give him fourteen Grains of the Mass of Pill de Cynoglossa or Hounds-tongue reduced into three Pills Or else this Amygdalate ℞ Sweet Almonds peel'd ℥ j. The four greater Cold Seeds ʒj White Poppy Seed ʒiij Decoction of Barley q. s. Make an Emulsion of lb s. To which add Syrup of Poppy ʒj s. Sugar q. s. Mix them for two Doses XVIII Avoid a cold and dry Air and a very light Being Observe a cooling and thickning Diet and drink small Drink Abstain from Exercise nor cover the Body too hot sleep long and keep the Belly Soluble HISTORY X. Of the Pose or Murr and Loss of Smelling A Gentleman about thirty years of Age was wont to snuff up Powder of Tobacco into his Nostrils which caused him to sneeze At length being taken with the Pose or Murr yet he continued his Powder of Tobacco which he took three or four times a day which made him void a great quantity of flegmatic Humors through his Nostrils and Palate however his Murr encreased to that degree that he quite lost his Sense of Smelling And then his Sneezing brought away little or no Matter I. THis Gentleman lost his Smell by reason of that Pose which is a cold and flegmatic Distillation from the Ventricles of the Brain and falling into the Ethmoides Bone and the Membranes belonging to it II. This flegmatic Matter by reason of the Gentlemans frequent Sneezing and Contractions of the Membranes of the Brain and consequently the streightnings of the Pores and Detentions of the Vapors was copiously collected in the Ventricles of the Brain and expelled down to the Ethmoides Bone The diminutive Holes of which when it was not able to pass it so obstructed that no Odor could come to the inner Parts of the Nostrils which caused the Loss of the Smell III. Because this Pose which hinders the Smell continued long the Cure proves the more difficult IV. After due Evacuation of the Body care is to be taken of the Head which is to be corroborated with hot Cephalics given in Apozems Conditements Powders c. the better to attenuate and discuss the Vapors ascending thither V. To open the Pores Frictions of the Head and Fomentations with hot and opening cephalic Decoctions After which put on a dry Quilt of the same Cephalics upon the Head of the Party VI. Put up into the Nostrils such things as are proper to cut and attenuate thick Humors as ●…amphire Vinegar of Squills and Root of wild Radish bruised VII Let him continue the Use of these things for some time which if they prove ineffectual the only way will be to make an Issue in the Neck VIII Let his Food and Drink be condited and intermixed with hot Cephalics and let him feed sparingly Let his Sleep and Exercise be moderate and let him be sure to keep his Body open HISTORY XXII Of the Tooth-Ach A Young Lad about fifteen years of age of a flegmatic Temper having after hard Exercise exposed himself bare-headed to the cold Air and the Wind was taken with a most terrible Pain in his Teeth upon the Left-side which extended it self to the innermost and upper Parts of the Head There was no Swelling in the Gums of the the out-side of the Cheek no Redness or Inflammation only out of one of his Hollow Grinders he felt a certain serous salt sharp Humor distil as cold as Ice I. THis Malady is by the Physicians called Odontalgia or the Tooth-ach II. The anteceding Cause was flegmatic and cold Humors gathered in the Body which by the Heat of Exercise being attenuated into Vapors and carried to the Head and there not only detained by the External Cold shutting up the Pores but also being condensed into a scrous sa●…t and sharp Liquor and not able to pass through the Passages appointed for the Evacuation of the Excrements of the Brain fell upon the Jaw-teeth on the Left-side and there caused a most cruel Pain III. That this is a salt serous cold Humor the Patient himself finds by the Taste of the Drops that distil out of his Teeth into his Mouth IV. The Pain proceeds from hence because the little Nerve inserted into the Cavity of each grinding Tooth together with the Periostium that surrounds every Cavity is corroded by the sharp Humor and vexed by the extraordinary Cold of it V. The Pain extends it self upward to the inner parts of the Head because the little Nerves of the Teeth inserted in the Cavities are Branches of the third and sixth Pair No wonder then that those Nerves being grieved carry the Pain to the inner Parts of the Head besides that 't is very probable that that same sharp and salt Humor falls down to the Teeth all the whole length of those Nerves through the Holes of the Cranium from whence those Nerves issue forth and so not only the Particles which are inserted into the Roots of the Teeth but the whole Nerves from the Cranium to the Teeth are infested with that Humor VI. There was no Tumor in the outer Part of the Jaw because the Humor which caused the Flux did not abound in quantity but was only sharp and very little Nor was there any Swelling in the Gums because the Humor did not stay therein but issued out from the hollow grinding Teeth VII Neither was there any Redness or Inflammation in the Gums or Jaw for though the Humor were sharp yet it was actually and potentially cold so that it could not breed any Inflammation or hot Distemper VIII This Pain is not to be contemned for that being so terrible as it is and causing continual want of Sleep and Commotion of the Humors and Spirits it may produce Deliriums Convulsions and continual Fevers IX In the Cure the Anteceding Cause is to be taken away then the Containing and the Original is to be removed the Pain to be asswaged and the Head to be corroborated X. Let the Body be purged with one Dram of Powder of Diaturbith or Diacarthamum or with these Pills ℞ Mass of Pill Cochiae Golden Pills an
two handfuls Seeds of Lettice Parsley Dill an ʒij Fat Figs. nō vij new Milk and Water an 〈◊〉 ij boyl them to the Consumption of the third part then strain them After he had used this Apozem two days he voided every day much viscous and tough Matter together with his Urin and after he had made use of two of these Decoctions he was quite freed from his troublesome Distemper ANNOTATIONS THere are various Causes of the difficulty of making water Inflammation Imposthume Stone in the Bladder the Flesh grown over a cold Distemper of the Bladder and Sphincter thick and viscous humors either mixed with Urine or sticking close to the Bladder and it's Sphincter with several others of the same Nature of which the two latter are the most frequent But all in particular do not only cause a difficulty of Urine but sometimes absolutely stop the Urine as it happened to the Boy before mentioned which they who cut off the Stone had viewed and thought he had the Stone and judged him to be cut But I believing his Distemper arose not from the Stone but from a thick and tenacious Flegm that stopped up the Bladder and the passage of it as I had observed had frequently happened to younger Children rather chose to begin the Cure with attenuating lenifying and Diuretic Medicaments seeing that many times such Medicaments expel little stones also But in this case when Children cannot swallow ungrateful Medicines I have known flowers o●… Camomil boyl'd in new Milk with Figs●… do a great deal of good especially i●… after the boiling and the straining the said Flowers be lay'd to hot to the Region of the Hair and the Decoction at the same time given to drink Forestus in the same case commends Pellitory and Chervil boiled and applied hot to the Region of the Hair with Butter and Oyl of Scorpions Mercurialis applauds Garlick bruised and applied to the Bladder Amatus of Portugal extols a Turnep hollow'd and fill'd with Oyl of Dill and then roasted in the Embers afterwards bruised and laid on OBSERVATION VIII Suppression of the Courses JOan Elberty a strong Maid of about twenty four Years of Age complained that her Purgations had stopped for four Months so that she was in a very bad Condition tortured with pains in her left side and Head sometimes troubled with Suffocations and her Stomach quite gone After I had ordered her an attenuating and heating Diet and forbid her all things that generate tough and viscous Humours the sixth of Ianuary I Purged her with Electuary of Hiera Picra then I prescribed her this Apozem to drink three times a day ℞ Roots of Lovage Master-wort Fennel stone Parsley Valerian an ℥ s. Sassafrass-wood ʒiij Nep Mag-wort Peny-royal white-Mint Fever-few an one handful Flowers of Camomil half a handful Seeds of Lovage wild Carrots Gith an ʒij Laurel Berry ʒj s. Tartar of Rhenish-wine ʒvj stoned Raisins ℥ ij common Water q. s. boyl these for an Apozem of two pints The 11th of Ianuary I Purged her again with an Infusion of the Flowers of Senna and Agaric with a mixture of Hiera Picra The next day I prescribed her another Apozem to drink like the former ℞ Root of Master-wort ℥ j. of Elecampane Valerian Parsley an ℥ s. Dittany round Birth-wort an ʒiij Mug-wort Nep Savio Foverifew Rue Peny-Royal an one handful Southernwood Flowers of Camomil an one handful Seeds of Parsley Gith Lovage wild Carrots an ʒj s. red Vetches ℥ j. s. common Salt and White-wine an equal parts make an Apozem for two pints Fourteenth of Ianuary I prescribed her this Electuary of which she was to take the quantity of a Filberd before she drank of her Apozem ℞ Specier Diacurcume Cremor Tartar Trochists of Myrrh Hoglice prepared Steel prepared an ʒj seeds of Parsley Nep Venetian Borax an ʒ s. Salt Prunella Eastern Saffron an ℈ j. reduce all these into a very fine Powder to which add Oyl of Iuniper Amber an ℈ j. of Dill drops vij Electuary of Hiera Picra ℥ s. Syrup of preserved Elecampane Roots q. s. make an Electuary Moreover because she felt a hardness at the bottom of her Belly about her Navel I prescribed this Sere-cloth ℞ Gum Opoponax Galbanum dissolved in Vinegar Emplaster de Cumino of Melilot an ʒij of Castor Pulverized ʒj mix them and make them into a Roll to be spread q. s. upon red Leather The nineteenth of Ianuary she was let Blood in the Saphena Vein of the left Foot and bled indifferent well The last Apozem was repeated again which she took together with her Electuary till the twenty eight of Ianuary at what time her courses came down very copious after that she was very well in Health ANNOTATIONS A Long suppression of the Courses is oft-times the Cause of very great Distempers For from hence arise Suffocations of the Matrix and the pale Colours of Virgins hence Palpitations of the Heart Vertigo's terrible pains in the Head Joynts Back and Loyns Fevers Swooning Fits Coughs difficult breathing Cholic and Nepheretic pains and lastly the evil continuing long Melancholy Passions swelling of the Bowels and Dropsies Therefore the Cure is not to be delay'd for the longer the Courses stop with so much the more difficulty are they provoked to come down The Cause of this Distemper is the Narrowness of the Vessels of the Womb which again are accompanied with several other Causes as Obstruction Constipation Coalescence or growing together Compression and Settlement But the most frequent Cause is an obstruction occasioned by thick and viscous humors Which thickness and viscousness is either in the Blood it self when it is too cold or viscous or else when Excrementitious Flegmatic and Melancholy Humors are mixd with the good Blood and with that good Blood carried to the Veins of the Womb where they cause the Oppelation But this Obstruction and Viscousness of the Humors as it is more or less or has been of longer or shorter Continuance so the Cure is performed by gentler or more violent Medicaments with more ease or more difficulty But in the Cure of our Patient we were forced to use the stronger Medicaments as well in regard of the cold season of the Year as the greatness of the Obstruction For she was wont to eat green Fruit and course Meats that beget a viscous and cold Nourishment which had gathered together a great quantity of the thick and crude Humors OBSERVATION IX An incurable Hoarsness A Holland Boor in a quarrel between Carters had received a wound with a Knife in the right side of his Neck near his Throat The wound was soon cured by a Chyrurgeon After some Months he came to me to prescribe him something for an Extraordinary hoarsness with which he began to be troubled so soon as he had received the wound and which the Physitian who had had him in Cure together with the Chyrugeon could no way remove with all the Looches Lozenges and Decoctions which they
Steenacker a Schoolmaster a very weak Man was so hard to be Purged that sometimes he could not be moved with Compositions of Antimony and other vehement Cathartics On the other side there are some that the very looking upon Physic will give them a Stool Thus I knew a Young Lady whom the very smell of the Physic Purged as well as if she had swallowed it for when she took the Physic it seldom worked more Alexander Benedictus also and Erastus Iohanes Postius and Rondeletius quote the like Examples of such as have been Purged by the smell of the Physic only OBSERVATION XXXVI A Stinking Breath THE Son of Iodocus N. a Nobleman had a very Stinking Breath His Parents believed that the Original of this Malady proceeded from his Stomach and for that reason many times gave him Hiera Picra which doing him no good they came to me I presently found that the Cause did not lye in his Stomach but in his Gums and Teeth for that the dregs of his Meat detain'd long in the spaces between his Teeth and there corrupting begot that Evil Smell I ordered them there to cleanse his Teeth twice or thrice a day very well with a Tooth-Pick and then to wash them well with his Water ℞ Powdered Allum ʒj common Water ℥ v. Cinnnamon water ʒ s. Oyl of Vitriol ix drops mix them well together After he had used this for a few days the ill smell of his Breath was no longer perceived ANNOTATIONS THere are several Causes of a stinking Breath sometimes it proceeds from Exulcerations of the Lungs as in Phthisical People Sometimes from ill vapours corrupting the Lungs as in the Scurvy sometimes according to Bauhinus from the loosness of the Valve at the beginning of the thick Intestine through which the continual stench of the Ordure passing through the thin Guts and the Stomach breaths through the Mouth sometimes it proceeds from the fault of the Teeth only when they are not well cleansed every day so that the remnants of chawed Meat corrupt and putrify between the spaces In which last case an alumm'd-water is mainly beneficial for that it resists Putrefaction and preserves the Teeth from all Corruption OBSERVATION XXXVII Want of a Stomach CHristian ab Ummersom a Wine Merchant in March 1636. was troubled with a Nauseousness and loss of Appetite for many days so that for want of feeding he was become very weak Now because the Pestilence was very rife at that time he thought he had got the Infection But it was not the Pestilence but his own Preservative which he drank every day before Dinner very plentifully that was the Cause of his Malady that is to say Wormwood-wine wherefore I forbid him to drink that prescrib'd him a proper Diet and after I had gently Purg'd his Body gave him the following Conditement ℞ Roots of Calamus Aromatic Nutmegs Mace Flowers of Sulphur an ℈ j s. Cremor Tartar ʒ j. choice Cinnamon ℈ j. Cloves ℈ s. Powder them very fine Then add Roots of Candid Elecampane ʒ vj. Conserve of Anthos ℥ s. Ginger condited ʒ vj. Oyl of Vitriol drops xv Syrup of Limons q. s. Make a Conditement Of this he Eat a small quantity Morning and Evening and sometimes before Dinner absta ining from Wormwood-wine which after he had taken for some time his Nauseousness ceased and his Appetite returned From that time he had so high an Opinion of this Conditement that for some Years he caused his Apothecary to make it as he said for the preservation of his Appetite and his Health ANNOTATIONS GAlen ascribes to Wormwood a heating cleansing corroborating and drying faculty Whence Pliny writes that it corroborates the Stomach and that the Savour of it is with great benefit translated into Wine And as true it is that Wormwood-Wine so much now in use but by most detestably abused is no new thing but an antient invention and very well known among the Physitians of old which is apparent from hence that Diascorides sets down various Compositions of it where he says that it is profitable for the Stomach moves Urine accelerates slow Concoction and cures the Maladies of the Spleen and Kidnies and Yellow Jaundise want of Appetite and Distempers of the Stomach That it prevails against Inflations and Distension of the Hypochondrium expells round Worms and brings down the Courses All which Commendations of Wormwood-Wine Oribasius also confirms but though Wormwood and Wormwood-Wine have many excellent qualities yet there are bounds and limits set to all things which if we exceed we render good things mischeivous for that the best of Medicaments and Nourishments if taken immoderately prove hurtful so I have many times observed that the excessive and inordinate use of Wormwood-Wine causes Inappetency extraordinary weakness of the Stomach Liver and the whole Body Vertigos in the Head loss of Memory Epilepsies Dropsies and several other Maladies to which the daily drinkers of Wormwood-Wine are exposed many times to the utter ruin of their Healths after which nothing but Death ensues as it befel N. Heymerick who dy'd of a Cachexy and Dropsie and Anthony N. who dy'd of an Epilepsie both daily drinkers of Worm-wood-Wine Therefore Wormwood-Wine is only to be drank upon occasion I will here add one foolish Story in the Year 1635. when the French Army quartered in Nimeghen the French to preserve themselves from the Pestilence drank Sack betimes in the Morning But some of the Noble Men asking what the Dutch-men drank to preserve themselves from the Infection the Vintner answered Wormwood-Wine which being a sort of Wine which they had never tasted they called for some but when they had tasted it they cry'd out the Devil take the Vine that yeilded such Wine as that for certainly said they this is the very Wine which the Iews gave Christ upon the Cross for the French-men thought the Grape it self had been so bitter not knowing it to be a mixture OBSERVATION XXXVIII A Wound in the Lungs with a Musket Bullet IN the Year 1636. in May during the Seige of Schenck Sconce a Trooper of our Army in a Horse-Charge was Wounded with a Musket-shot in the Right side of the Breast about the Pap three Bullets passing through his Breast and his Right Lung and going out again about the Scapula at three several Holes in his Back When he was brought to Quarters at Nimeghen I went along with the Chyrurgeon and by the Condition of the Wounds gave him over for Dead However that he might not Dye through any negligence of Ours we bound up his Wounds losen'd his Belly with a Glyster and gave him proper Medicines to stop the Blood flowing out of the Lungs we also thrust in a Pipe of Lead into the lower Wound through which the Blood and Matter might be Evacuated but finding it could not be conveniently done in that Wound we opened a more convenient passage in his side by an Intercostal Incision For Diet I forbid him all sharp cold Salt Acid things
manifest Cause as Menstruous suppression refrigeration corruption of the Seed or the like OBSERVATION LIX Loss of Appetite Mr. Hare an English Gentleman about Thirty Years of Age having for several days together contrary to his custom fed excessively hard and by that means disturbed the Functions of his Stomach and collected many crudities therein lost his Stomach to that degree that for a fortnight together he could scarce eat any thing at all at length by my advice he took this Vomit ℞ Green-leaves of Asara-Bacca ʒiij bruise them and press out the juice with ℥ ij s. of the Decoction of Radish add to the expression Oxymel with Agaric ℥ j. mix them for a Draught This caused him to Vomit stoutly afterwards I ordered him to eat three or four Mouthfuls of candied Elecampane Root three or four times a day to observe a warm Diet to abstain from Immoderate eating to drink generous Wine but in a less quantity and after Dinner and Supper because his Stomach was very moist to eat a bit or two of a raw Salt Herring and by this means he recovered his Stomach again within a few days ANNOTATIONS LOss of Appetite sometimes proceeds from a hot Cause as a hot Distemper of the Stomach a Fever abundance of Choler and then it is cured with Choler purging and Refrigerating Medicines Sometimes it proceeds from a cold disposition of the Stomach which happens either through weakness of the innate Heat as in old Men or through bad Dyet and thence Crudities collected in the Stomach or else by reason of cold humors flowing from the Head or other Parts to the Stomach Now in every cold Disposition of the Stomach by reason of the weakness of the Concoctive faculty mary crude flegmatic moist and cold humors are collected in the Stomach which weaken the heat of the Stomach and dissolve the strength of it and blunt the Sense of Attraction and Suction In the Cure of this Distemper t●…●…lear the Stomach from the filth of Crudities Vomits are mainly necessary But if other Purgatives are to be made use of Hiera Pills are chiefly commanded by Galen Then a Dyet is to be observed upon things of good juice and easie of Digestion hot and dry not fat or oily which take away the Sence of Suction The use also of most hot things Ga●…gale Calamus Aromaticus Rosemary Marjoram Hysop Sage Lawrel-berries hot Seeds all Spices and the like all generous Wines and mo●…e ●…pecally Wormwod Wine Spirit o●… Wine is commended by all either simple or distilled off with Juniper-berries Seeds of Anise Caraways Fennel Cinnamon or Cloves all Hippocras and Cinnamon Water sublimated out of Wine Matthiolus extols his own Aqua Vitae which is used by many Physitians Levinus Lemni above all extols Ginger either dry or condited to help Concoction restore the Appetite dispel Wind and consume Crudities Others are for swallowing some few Pepper-corns either whole or cut into three or four pieces I have observed in my Practise that the Roots of Elecampane alone so condited that they still retain their bitterness are more effectual than all the rest by the 〈◊〉 of which I have made those who have lost their Stomachs in a short time in a few days very hungry I also used to give them pulverized with strong Wine and have found them answer Expectation For they warm the Stomach yet not too much consume Crudities promote Concoction corroborate open dry and dispel Salt meats also very much excite the Appetite So that I have observed that the eating of a third or fourth Part of a Pickled Herring after Dinner or Supper has recovered a lost Stomach if the Person be not very old for it extreamly drys and corroborates the Stomach For though a Herring be hard of Digestion when it is boyl'd or broyl'd yet taken out of the Pickle and eaten raw it is easie of digestion OBSERVATION LX. A Superfoetation THE Wife of Dionysius N. a Souldier living at Nimeghen in October 1637. was brought to Bed of a Boy lusty and at the full time which she Nursed her self after she was Delivered her Terms came down in due order and she was indifferent well all the time of her lying in like other Women after her Month was out she went about her business as before but the seventh Month after her delivering being at Church she felt such a suddain alteration that she was forced to return home where a Midwife being sent for her Waters came down accompanied with the throws of Delivery and while the Women were all admiring what the matter should be she was brought to Bed of another lusty sound Child which she Nursed with the former and may be alive still for ought I know ANNOTATIONS SAys the Great Hippocrates the mouth of the Womb of such Women as are with Child is compressed And Galen observes that if the Mouth of the Womb be shut 't is a sign of Conception and he says it is then so close shut that it will not admit the point of the smallest Bodkin But granting all this yet we must not conclude from hence that there can be no Superfoetation though it rarely happen For says Aristotle if after Conception there be Copulation there may be a Superfoetation though rarely for that the Womb though very rarely closes it self till delivery Thus Hippocrates those Women have Superfoetations whose Wombs are not exactly closed after the first Conception He also gives us an Example of Superfoetation in the Wife of Gorgias who Conceived a Girl and when she was near the time of her delivery Conceiv'd again I knew a Woman says Albucasis that was again impregnated when she had a dead Birth in her Womb. Says Cardan Superfoetation is rare yet seen at Millan in our time Says Dodonaeus Superfoetation is very rare yet there has been an Example of it in the Wife of a very honest Man And Plater gives us two Examples of Superfoetation But now granting Superfoetation the Question is how the Superfoetation can be brought to perfection Aristotle says that if after the first Conception a Woman Conceive again the Superfoetation may be nourish'd but if the first Conception be grown then the second proves Abortive Which is the Opinion of Hippocrates Plinie Dodonaeus Bauhinus and others Reason also seems to agree with Experience which teaches us that the first Conceiv'd and first increas'd draws the chiefest part of the Nourishment to its self by which means the latter Conception must be depriv'd of Nourishment and consequently dye and be expell'd as an Abortion But if the last Conception draws sufficient Nourishment and be sufficiently perfected and do not prove Abortive it is impossible it should be ready so soon for delivery as the former and yet it will be delivered in time as we find by this Example by me recited for the ratities sake Yet Nicholas tells ye a greater Wonder I knew says he the Wi●…e of Zachary de Scarparia who brought forth a Male Child and three Months
VVine ℥ iiij or v. Steep them all Night and the next day strain them through brown Paper This draught she took the sixth of May in the Morning about nine she began to Vomit without much trouble at first but at length she brought up a whole Chamber-pot full of Yellow green Choler mixt with a tough and Flegmatic Slime and her Vomiting ceasing she had also two or three Stools but still the Ague continued in the same condition but then I prescribed her a Magisterial Wormwood-Wine in this manner ℞ Carduus Benedict Lesser Centaury VVormwood an two small handfuls Lucid Aloes ʒj Cut the Herbs small and hang the mixture in a long bag in a Glass Vessel filled with 〈◊〉 viij of small white French or Rhenish Wine Of this Wine she drank four Ounces Morning and Evening for the first two days but afterwards because it gave her three or four Stools a day no more then only once a day that is to say in the Morning the fourth day through the use of this Wine the Ague became simple much milder and shorter and from that time abating by degrees upon the eighth day left her quite however for more certainty I ordered her to continue the Wine for four days longer which gave her two Stools a day and thus both her Appetite and her sleep returned and she recovered her lost strength in a few days ANNOTATIONS AT this time intermitting Bastard Agues were very rise about Nimeghen and the neighbouring Parts obstinate and of long continuance in some simple in others double Physic seldom cur'd them ordinary helps nothing avail'd not would Blood-letting do any good Some felt a slight Pain in the right Hypochondrium some Vomited great store of Choler of their own accord some were troubled with Head-aches others with anxiety of Heart all were very thirsty during the Fit very Cold and Shivering at the beginning but intensely Hot at the end That the Cause of this Ague proceeded from the Excrementitious Choler putrifying in the Follicle of the Gall and neighbouring Parts the very Signs and the Fever it self sufficiently declar'd Somtimes the Cause of the Disease being Evacuated by Vomits the Disease ceas'd sometimes neither Vomits nor Purges would avail for that though they purged away a great quantity of Choler yet they left some remainders of the corrupt Choler behind to which new Humors flowing were Infected with the same Corruption Blood-letting nothing profited because the Seat of the Distemper lay neither in the Veins or Blood Refrigerating Medicaments could not subdue the Choler because they could hardly reach thither in regard the Follicle attracts that one which is most bitter and hottest in the Blood Upon these Considerations I thought that the Cure of this Disease required some cleansing opening bitter and moderately hot and that in a thin and liquid substance that by reason of its liquidness it might be able to penetrate the Mesaraic Veins more easily and by reason of its heat and bitterness be more eagerly drawn by the Follicle and be more effectual to concoct Crudities remove Obstructions resist Corruption cleanse the part affected and expel Noxious and Superfluous Humers To answer all which expectations I thought nothing better then the foregoing Wormwood-Wine with which I have Cured several without any other Remedies Nor let any one wonder that I give Wine in Fevers contrary to the Opinions of all the Ancients for that the Ancients meant simple and not Medicated Wines seeing that both Galen and several others both Ancient and Neoteric Physitians recommends Wormwood-Wine in Agues Some question whether Medicaments prepared with Wormwood are proper in exquisite and Bastard Tertians Trallian allows them in Bastard not in Tertian Agues and with him Avicen Oribatus and Amatus of Portugal agree But says Galen If the signs of Concoctions appear then thou mayst safely Administer Wormwood-Wine which is otherwise a Soveraign Preservative of the Stomach when molested by Choler To decide the Question therefore I say that Wormwood is not less proper in Exquisite then in Bastard Agues especially after Concoction in regard it potently cleanses Choler and Purges as well by st●…ol as Urine for which reason it must of 〈◊〉 abate an Ague by removing the Evil Mat●…er that Feeds the Distemper and that therefore the heat and draught of it ought not to be scat'd especially if it be given with other refrigerating things in regard that the Choler being remov'd the heat will cease OBSERVATION LXXX The Cholic Passion PEter Galman a German Merchant in March the weather being cold and rainy had the hap to Travel along with me at what time not being able to heat our selves by riding the excessive cold brought upon him a most vehement Cholic passion so that he could no longer sit his Horse alighting therefore at the first good Inn we came to we warm'd our selves by a good Fire and apply'd warm Cloths to his Belly to mitigate the pain but the pain increasing more and more for want of other Medicaments that were not there to be had I took of common Sope and White-wine of each ℥ j. and after I had warmed them very hot over the Fire I added ℥ j. of Spirit of Wine In this mixture I dipped a Linnen-cloth doubl'd fourfold about a hands breadth and apply'd it hot to his Navel and by that only Topic freed him from his Pain within a quarter of an hour ANNOTATIONS BEsides several Remedies against a Flatulent Cholic to be given inwardly there are various Topics which being outwardly applied are of singular Vertue as we found by this quick and successful Experiment In this case there is an Oyl of Sope the Extraction of which Sennertus teaches us in his Institutions that it is very prevalent nor is Oyl of Galbanum less effectual Galbanum also it self dissolv'd in Wine or Aqua Vitae then mixt with Castoreum and applyed like an Emplaster to the Navel as also Caranna and Tacamahacca dissolved with Spirit of Turpentine are of singular Efficacy Holler prepares this Liniment of Civet Which he says he has often tryed ℞ Oyl of Rue Nard an ʒvi Galbanum dissolved in Aqua Vitae ʒiij Melt them together then add Civet gr iiij Saffron gr vj. Horstius anoynts the Navel with Treacle mix'd with a little Civet And it is not amiss to apply warm to the Belly equal parts of Common Salt and Sand tyed up in a Linnen Bag. The Ophite or Serpents stone heated and applyed is also in great esteem among the Vulgar Little Bags also of Flowers of Dill Cammomil Melilote Cummin Anise Fennel seed and the like sprinkl'd with warm Wine or gently boyl'd in Wine and applyed hot to the Belly One thing more I may add concerning Sope which a Mount●…bank in France was said to have Cured several Persons of the Wind Cho●…ic his Secret was this ℞ Malmsey Wine lb j. Spanish Sope ℥ s. or ʒvj and sometimes also an ℥ Salt ʒij Dissolve these altogether for a Glyster OBSERVATION LXXXI An
Boyl these in Common-water q. s. adding at the end Leaves of Senna cleansed ℥ j. s. white Agaric ʒij Fennel-seed and Dill-seed an ʒj s. Make an Apozem of 〈◊〉 ij The following Emplaster was likewise applied to the part affected ℞ Sulphur finely Powdered ʒv Castoreum ʒj Tar. ʒvj Oxycroceum Plaister ℥ s. Balsome of Sulphur ʒij For a Plaister to be spread upon red Leather After he had taken all his Apozem and that his pains remain'd in the same condition I prescribed him another purging Decoction of which he drank twice a day ℞ Sassafrass wood ʒvj Roots of Eringos Cammoch Lovage an ʒj Masterwort Fennel stone Parsley an ʒ s. Vervaine Rosemary Betony Majoram Germander Ground Ivy an Mj. Savine Flowers of Stoechados an M. s. Anise-seed Iuniper-berries ʒiij Boyl them in Common-water q. s. to 〈◊〉 ij Then add Syrup of Stoechas ℥ iij. For an Apozem Two days after the former Plaister was laid on again and when he had drank up his Apozem I gave him the following Vomit which brought up a great quantity of Viscous Flegm with Choler ℞ Leaves of green Assarabacca ʒiij Bruise them and press out the juice with ℥ ij of the Decoction of Raddish to which add Oxymel Scyllit with Agaric ℥ j. Mix them for a Potion When all these things did no good I applied this other Plaister ℞ White Mustard-seed and of Nasturtium an ʒj Castorium ℈ ij Euphorbium ℈ j. s. Spanish-So●…e ʒx Pine-Rosin and Turpentine an ʒiij Mix them well to spread upon Leather After this had stuck on two days it had raised innumerable little Blisters in the Skin out of which a green Humour flowed from the inner parts in great quantity so that in four days he felt great ease The Plaister being removed I laid on Colewort-leaves but observing the Plaister not to be very violent but that it only gently drew out the internal Humors and kept the Blisters open without Corrosion I laid it on again and so in twelve days the pain went quite off and the joynt was so corroborated that the Patient went about without any trouble but for fear of a relapse I gave him the purging Apozem again and the Plaister of Sulphur was laid on for a Fortnight longer which absolutely compleated the Cure ANNOTATIONS THough the Sciatica be a kind of a Gout yet because of the Place the Cure differs in some Remedies Sometimes it is very hard to be cured because that joynt is not so profound that Topics cannot reach it by reason of the thickness of the Muscles that lye over it and for that inward Medicines require a great deal of time to abate and remove the Cause This Disease proceeds from too much fullness of Blood sometimes from a defluxion of cold and and sharp Humors In repletion Blood-letting is requisite which in a very great repletion is to be done in the Arm then in the Thigh affected The Vein is to be opened in the Ham or else the Sciatica Vein I have cured said Galen the Sciatica by opening a Vein in the Thigh Some there are that apply Leeches to the Fundament instead o●… Blood-letting Which way Paulus and Aurelian commend if you lay on eight or ten Leeches at a time and Zacutus affirms he has cured the Sciatica with Leeches when other Remedies sailed within the space of ten hours Some prefer Cupping-glasses before Leeches But if the Malady proceed from sharp tartarous and cold Humors Blood-letting does no good unless there be a Plethory but first there must be strong Purging with Elect. Caryocostin and Hermodactyl Pills or Vomits of Ammonia or Asarabacca and then Topics such as asswage Pains sufficiently known to every skilful Physitian Some extract and dissipate the Morbific matter insensibly to which purpose Donatus ab Altomary takes a great quantity of the Stones of sweet Grapes and presses out the Liquor strongly This he heats with its Must then pours it out upon the Pavement and with his Hands strongly compresses into a heap then making a kind of a furrow in the Grape-stones burys the Patient in them up to the Mid-belly and there lets the Patient lye to sweat for half an hour or an hour twice a day Duretus commends Grape-stones in all sorts of Gouts If in Vintage time the Grapes are carried into a Barn and covered with Coverlets till they grow warm and then for the Patient to thrust his Feet Arms legs ●…r else to lay his whole Body in the heap Then which says he There is not a better Remedy under Heaven Solenand●…r also among the best and safest Remedies that corroborate the Parts affected and cherish the natural heat commends the laying the Hands and Feet or other Parts affected in a heap of Grape-stones hot from the Press or heated with new Wine and this continued for fifteen days To which he adds that he knew a Noble Person that could not go who was recovered by the use of this Medicine I knew my self a Country man cured by such a Fomentation for some days together in Horse-dung Matthiolus affirms experimentally that several Sciaticas have been cured with the slimy water of Snails when all other Remedies failed which Paraeus and Laurentius approve Old stinking Cheese kneaded into the form of a Cataplasm with the Decoction of a Westphalia-Ham asswages the Pain draws forth the cause of the Malady and dissolves the rigid hardness of the Part. Sylvius commends a Cataplasm of Dwarf-Elder Barley-meal and Honey Forestus also tells of two Sciaticas cured with laying upon the Part only Nettles boyled in Ale We look upon Balsom of Sulphur among the most effectual Remedies as having more then once observed the happy effects of it Galen commends an Emplaister of Pitch two Parts and one of Sulphur mixt and laid upon the Part affected till it fall off of it self Which Forestus so highly extols as the most effectual Remedy that can be invented only he believes it would be better to equal the proportions of the Pitch and Sulphur If these things or the like avail not then such things must be made use of that insensibly draw forth the matter and that either by diversion or from the Part affected By diversion ●…auteries applied to the Arms and Thighs are of great use So Paschal tells us of a Physitian cured of a pain in his Hipps by a Caustic applied under his Knee of Quick-Lime and Alum Hippocrate●… orders an Incision of the Veins behind the Ears Zacutus of Portugal in ●… defluxion from the Head saw a Person cured by a Caustic applied behind the Ears from whence after the falling off of the Crust for ten days together there flowed a thin and watery moisture and so the Distemper ceased From the Part affected Visicatories and Rubificants draw forth the peccant Matter Thus Douynetus tells us of several that have been cured by the application of Vesicatories Arculanus and others have successfully made use of a blistring Cataplasm in an obstinate pain that gave way to
of the Sight did not proceed from any Fault of the Sight or of the Medinum or the Object II. This Malady by the Physicians is called Vertigo or Giddiness And is a Deception of the Sight which makes that visible Objects seem to turn round arising from a kind of Whirl-pit Motion of the Animal Spirits in the Brain III. The remote Cause is the External Motion refrigerating the Brain and streightning the Passages of it appointed for the evacuating of Excrements so that Flegm abounding in the Body and copiously collected in the Ventricles of the Brain constitutes the containing Cause IV. By those flegmatic Humors the Ventricles are first distended thence the heavy Pain This Flegm augmenting stops up the Passages of the Brain through which the Spirits ought to pass partly by repletion partly by compression so that the Spirits missing their direct Passage and lighting upon the obstructed Passage gets thorough in a circular Motion as Water falling with violence if it meet a Dam in its way recoils three or four times in Circles before it run by V. These whirling Spirits thus circularly carried to the Seat of the Mind intermixing with the Images of visible things which are carried to the same Mind are offered to the common Sensory with the same circular Motion and so occasion that Fallacy of Sight by which all visible Objects seem to be whirled about in the same manner as the Images of visible things VI. But this same whirling of the Spirits does not last partly because the narrowness of the Passages of the Brain is sometimes more sometimes less partly because the Spirits are sometimes thicker and sometimes thinner and pass through sometimes with more sometimes less violence which is the reason the Vertigo comes by Fits For in the Motion of the Body the Spirits are moved with more violence and in greater abundance which if they cannot pass freely and directly through the ordinary Passages of the Brain but light here and there upon the obstructed Passages causes the Fit whether they be thin or thick For the Repulse of the Obstruction puts them into a Circumgyration and the plenty and violent rushing of the thin Spirits makes them they cannot pass but the thick are stoped by reason of their thickness and therefore Drunkards and young People that abound with thin Spirits are as much liable to Giddiness as old Men whose Spirits are thicker But the Giddiness of old Men is more frequent and lasts longer because of their more abounding Flegm longer and more frequently streightens the Passages of the Choroid-Fold Therefore the Vertigo seldom happens when the Body is in Motion and is generally abated and cured by rest VII But because there are not enough of those whirling Spirits that make their way through the Passages of the Brain besides that their ●…ircumrotation hinders them from entring in sufficient quantity into the Nerves This was the reason that this Patient for want of Animal Spirits in the Muscles often fell to the Ground without being able to rise before the Vertigos ceasing the Animal Spirits flowed more copiously again into the Muscles VIII Then the Fit returns again upon the Sight of Wheels turning round Precipices c. because the Images of those things being carried to the inner Parts with that same whirling and unequal Motion affects the Animal Spirits with the same circular and unequal Motion Upon the Sight of Precipices the Vertigo returns in regard the Sight of them striking a Terror into the Beholder the Affright streightens the Passages and by that means puts a sudden stop upon the Spirits which being forced forward by those that come behind because they have not a free Passage are agitated by the Repulse of the Obstruction and forced into a circular Motion IX This Malady is hard to be cured and many times turns to an Epilepsie or Apoplexie or some other grievous Distemper of the Brain and therefore the Cure of it is not to be delay'd X. The Cure consists in removing the primary antecedent and continuing Cause and Corroboration of the Brain XI First Therefore let her be purged with these Pills ℞ Mass of Pill Cochiae ℈ j. Extract of Catholicon ℈ s. Diagridion gr ij Syrup of Stoechas a little For vij Pills XII Though not much good can be expected from Blood-letting yet least the Blood should fly up to the Head in too great a quantity it may be taken from the Arm or if it happen in the time of her monthly Customs out of a Vein of the Foot Let the Vein be opened the Patient lying in Bed and let her not see her own Blood XIII Then let her drink three or four times a day a Draught of this Apozem ℞ Root of Acorus ℥ j. Elecampane Fennel an ℥ s. Herbs Betony Marjoram Rosemary Calaminth ●…hyme an M. j. Sage Leaves of Lawrel Flowers of Stoechas an Ms. Seeds of Anise Fennel Caroways an ʒj s. Cleansed Raisins ℥ ij Water q. s. Boil them according to Art adding toward the end White-wine lb s. Make an Apozem of about lbj. s. Sometimes instead of the Apozem she may take a small quantity of this Apozem ℞ Specier Diambrae ʒj Sweet Diamosch ℈ j. Candied Root of Acorus Conserve of Flowers of Sage Anthos Baum an ℥ s. Syrup of Stoechas q. s. XIV In the mean time let her use this Masticatory ℞ Root of Pellitory Elecampane an ʒj Herbs Marjoram Hyssop an ʒs Black Pepper ℈ s. Mastich ʒv Reduce these into a Powder and then make them into Trochischs with a little Turpentine and Wax XV. Let her Temples Nostrils and Top of her Head be anointed twice a day with this Oyl ℞ Oyl of Nutmegs distilled ʒj Oyls of Rosemary Amber Marjoram an ℈ s. She may also wear the following Quilt upon her Head for some Months ℞ Leaves of Rosemary Melilot Sage Flowers of Melilot an one little handful Nutmeg ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them grossly for a Quilt XVI Let her have a warm Room and good Air. Let her feed sparing and let her Food be easie of Digestion not flatulent and seasoned with hot Cephalics and carminative Seeds Her Drink must be small wherein if a little Bag of Marjoram Rosemary and a little Cinnamon be hung 't will be so much the better Moderate Sleep and Exercise is best when the Giddiness is off but let her Rest in the time of the Fit Keep her Body soluble and take care that all Evacuations be regular and natural HISTORY XI Of the Night-Mare A Woman of fifty years of age in good plight fleshy strong and plethoric sometimes troubled with the Head-ach and Catarrhs falling upon her Breast in the Winter the last Winter molested with no Catarrhs but very sore in the Day-time but in the Night-time when she was composing her self to Sleep sometimes she believed the Devil lay upon her and held her down sometimes that she was choaked by some great Dog or Thief lying upon her Breast so that she
and the taking of Tobacco is very Beneficial XI Decoctions of Guaiacum Sassafras and Sassaparil prepared with hot and drying Cephalics to provoke Sweat now and then are of great use XII This Quilt may be made for the Patient to lay upon his Head ℞ Leaves of Rosemary Marjarom Thime Flowers of Lavender an two small hand fuls Mastic Frankincense an ʒ j. Cloves Nutmegs an ℈ j. For a Quilt To anoint the Temples and top of the Head which is every day to be done use this Liniment ℞ Oyls of Rosemary Amber Marjoram an ℈ j. Oyl of Nutmegs pressed ℈ ij Martiate Oyntment ʒ ij XIII If notwithstanding all this the Catarrh continue make an Issue in one Arm or in the Neck XIV Let him keep in a moderately warm Air observe a good Diet roasted rather then boil'd condited with Spices and hot Cephalics avoid Radishes Mustard Garlic Onions which raise and fill the Head with Vapors His Drink must be sparing but strong moderate sleep and moderate Exercise HISTORY XVII Of an Opthalmy A Person about thirty Years of Age abounding with hot and Choleric Blood having heated himself the last Winter at an extraordinary compotation of strong Wine and then exposing himself in a bitter cold Night to the extremity of the weather presently felt a sharp pain in his Eyes with a burning heat the next day a very great redness appeared in the white of his Eye with a manifest swelling of the little Veins He could not endure the light so that he sat continually with his Eyes shut sharp Tears flowed from his Eyes which when he opened his sight appeared to be very dim I. HEre the Part affected was the Eye in which the annate Tunicle or the Conjunctive Tunicle was chiefly aggreived the other Parts of the Eye only by Accident II. This Disease the Physitians call an Opthalmy or Blear-eyedness which is an Inflammation of the annate or white Tunicle accompanied with redness heat pain and tears III. The Antecedent Cause of this Disease was an abundance of hot Blood through the whole Body which being violently stirred by the extraordinary heat caused by the Wine and suddainly detained by the Original Cause or the outward extream Cold and overflowing the conjunctive Tunicle constitutes the containing Cause IV. For the blood being moved more rapidly through the Arteries and Veins by reason of the extraordinary heat of the Wine was thickned of a suddain by the external Cold received into the Eye so that it could not pass so speedily through those little Veins as it was sent from the Heart which caus'd the Veins of the Tunicle to swell and distended the Tunicle it self and the stay of the Blood corrupting it and causing it to wax hot and sharp produced the Inflammation V. The Pain was occasioned partly by the distention of the Tunicle partly by the acrimony of the Humors corroding the Tunicle VI. He could not endure the Light partly because the Pain was exasperated by admission of the External Air partly because the Eyes being opened the Animal Spirits presently flow into it as they are determined for the benefit of seeing and distend the Eye which destension augments the Pain for the avoiding of which the Patient keeps his Eyes shut to avoid the distension of the Part. VII Now in regard the sight proceeds from the copious Influx of the Spirits into the Eye and because the Tunicle cannot endure that distension hence the Eyes being open the sight grows dim in regard that the fewer the Spirits are the duller the sight is VIII The Tears issue forth chiefly upon opening the Eye by reason that the Caruncle in the larger corner of the Eye that lies upon the hole in the Nose is twitched and contracted in each Eye by the neighbouring Inflammation especially if any injury of the Air accompany it and by reason of that painful contraction does not exactly cover the Lachrymal point so that the hole being loose and open the Tears flow forth in greater abundance And they are sharp by reason of the Salt mixt with the serous Humor and seem to be much sharper then they are by reason of the exquisite Sense of the Tunicle which is now already molested IX This Opthalmy threatens great danger to the Eye in regard that by reason of the Winter cold the discussion of the Humors flowing into the Annate Tunicle is the more difficult and the longer stay of it may hazard the Corrosion and Exulceration of the Annate and the Horny Tunicle and so produce a white Spot a Scar or some such blemish in the Sight X. In the Cure the antecedent Cause is to be removed as being that which nourishes the Containing and the Original Cause is to be removed that the Containing one may be the better discussed XI The Body is first to be Purged with one dram of Pill Cochiae or half an ounce of Diaprunum Electuary Solutive adding a few grains of Diagridium or else such a Draught ℞ Rhubarb ʒ j. s. Leaves of Senna ʒ iij. Tartar ʒ j. Anise-seed ʒ j. Decoction of Barley q. s. Infuse them and then add to the straining Solutive Diaprunum Electuary ʒ iij. XII The Body being Purged open a Vein in the Arm and take away eight or ten ounces of Blood Then Purge again and if need be bleed again XIII To divert the Excrementitious Humors from the Brain to the Eyes Cupping-glasses may be applied to the Neck and Shoulders or a Vesicatory behind the Ears Which if they prove not sufficiently effectual make a Seaton in the Neck or apply an Actual or Potential Cautery to the Arm or Neck XIV To asswage the Pain drop into the Eye the Blood of the Wing-feathers plucked from Young Chickens or Womens Milk newly milked from the Breast or the Muscilage of the Seeds of Flea-wort and Quinces extracted with Rose-water or the Yolk of an Egg boiled to a hardness or else the following Cataplasm laid upon the Eye ℞ Pulp of an Apple roasted ℥ j. s. Crum of new White-bread ℥ iij. Saffron Powdred ℈ j. s. New Milk and Rose-water equal Parts Make them into a Cataplasm XV. The Pain being somewhat asswaged this Collyrium may be dropped into the Eye ℞ Sarcocol fed with Milk ʒ j. Tragacanth ʒ s. Muscilage of the Seed of Quinces q. s. XVI For discussion of the Humor contained in the Tunicle foment the Eye with a Spung dipt in the following Fomentation warm ℞ Herbs Althea Fennel Flowers of Camomil Melilot an M. j. Water q. s. boil them to eight ounces then add Rose-water ℥ iij. XVII After Fomentation lay on the Cataplasm again or else drop the following Collyrium into the Eye ℞ Alloes washed in Fennel-water ℈ j. Sarcocol steeped in Milk ʒ j. Saffron gr vij Eyebright and Fennel-water an ℥ j. XVIII Let him keep in a temperate and clear Air free from Dust and Wind and Smoak let him avoid too much Light and wear a green p●…ece of Silk before his Eye His Diet must be sparing
℈ j. Diagridion gr iiij with Syrup of Stoechas Make up vij Pills XI To evacuate the Humor contained in the Ventricles of the Brain make use of this Errhine ℞ Iuice of Mercury Marjoram an ℥ s. of Beets ʒj s. Or else instead of this take the following Sternutory ℞ Roots of Pellitory White Hellebore Leaves of Marjoram an ℈ j. black Pepper gr v. For a Powder XII To strengthen the Head open the Pores and dissipate the cold Humor prepare this Quilt ℞ Leaves of Rosemary Marjoram Sage an M. s. Flowers of Lavender Melilot red Roses an one small Handful Nutmegs Cloves an ℈ j. Frankincense Mastich an ʒj Beat them into a gross Powder for a silken Cap. XIII Also lay this Plaister upon both Temples ℞ Frankincense Mastich an ℈ j. Sagapen Tacamahacca an ℈ j. s. Mix them and spread them upon black Silk Nor will it be amiss to make use of Conditements and Cephalic Apozems of Marjoram Rosemary Sage Betony Conserves of Anthos Sage c. Tobacco also taken in a Pipe is an excellent Remedy XIV Let the Patient also frequently wash his Mouth with this Decoction warm ℞ Root of sharp pointed Dock ℥ j. Male Piony ℥ s. Marjoram Sage Hyssop Thyme Betony Rosemary an M. j. Fennel and Aniseseed an ʒij Wine q. s. Boil them to lb j. XV. After he has washed his Mouth let him put into the Hollow of the Tooth with a little Cotton one Drop of Oyl of Basil or Cloves In extremity of Pain a little Spirit of Wine may be held in the Mouth to the Teeth affected But this is not to be done often for fear of hurting the Lungs XVI To divert the Humor apply a Vesicatory behind the Ear or in the Neck and keep it open for some time XVII These Remedies not availing in extremity of Pain give the Patient toward Evening three grains of Opiate Laudanum in a Pill or thirteen grains of the Mass of Cynogloss Pills or two or three Scruples of Philonium Romanum XVIII Let his Diet be condited with hot Cephalics avoiding all salt sharp and acid Diet that fill the Head with Vapors Let his Drink be small Let him sleep long exercise moderately and keep his Body open HISTORY XXIII Of those Tumors in the Mouth called Aphtae A Woman of about thirty years of Age was taken with a continued Fever accompanied with an extraordinary Faintness yet without any vehement Heat or great Thirst which in two days had brought her extreamly low Her Pulse beat slow and unequal Her Urine was like that of a Man in perfect Health So that she complained of no excessive Pain in any Part but of an extraordinary Weakness of her whole Body which was such that she could not sit upright in her Bed The fourth Day she perceived a Difficulty to Swallow so that her Drink would not go down her Throat and Gullet without Pain Trouble and Impediment At the same time her Palate Gums Tongue and Chaps were full of little white Pustles without number Her Taste was also so far gone that she relished nothing that she eat I. THis Woman was seized with a Malignant Fever accompanied with Aphtae which are certain Exulcerations in the upper part of the Mouth with an extraordinary Heat II. The Anteceding Cause were putrid Humors sharp and malignant contained in the Body which being attenuated by the feverish Heat and carried through the Arteries and occult Passages to the Mouth and causing an Exulceration therein constitute the next Cause III. That these Pustles proceed from a certain malignant putrid Humor is plain from the putrid malignant Fever preceding and joyned with them The Malignity of which appeared by the Faintness and Decay of Strength which the Patient endured whereas a Fever seems to shew no such manifest Causes of so much Weakness Then again that it was a flegmatic Humor appeared by the lesser Heat of the Fever and the whiteness of the Pustles IV. This Humor attenuated by the Fever and coming sharp to the Mouth exulcerated the inner rather than the other Parts as the Palate Tongue Gums c. because they are cloathed with only a thin and soft Pellicle which are easily exulcerated by sharp and putrid Humors whereas the former Parts more easily resist the Corruption V. Now because that Pellicle which covers the inner Parts of the Mouth extends it self through the Jaws and Gullet to the Stomach Hence also the Gullet was beset with the same Pustles which caused that Difficulty of Swallowing and painful going down of the Drink VI. Her Taste was lost because the inner Pellicle of the Mouth into which the Gustatory Nerves are inserted and by means of which the Taste happens was so full of those little Ulcers that the Gustable Objects could not come to it Besides that the Tongue being grieved by the Ulcers and infected with bad Humors could not well judge of Savors VII These Pustles are more a Sign than a Cause of danger For they indicate a malignant and dangerous Fever upon the Cure of which their Cure depends VIII The Body therefore being well purged and Blood being taken away and other convenient Remedies administred the Mouth of the Patient must be gargarized with this Decoction ℞ Barley cleansed Roots of Snakeweed Tormentil an ℥ s. Licorice sliced ʒiij Plantain Purslain Knot-grass Oak-leaves an M. j. Flowers of Mallows red Roses Pomegranates an M. s. Water q. s. Make a Decoction to lb j. Add Syrup of Mulberries and Dianucum an ℥ j. s. Mix them for a Gargle IX After she has well gargled her Mouth let her lick and wash the inside of her Mouth with this Syrup ℞ Syrup of Quinces sowre Pomegranates and dry Roses an ℥ j. X. If the Pain grow sharper let her hold new Milk in her Mouth or rather Whey and change it often Then let her lick Syrup of Quinces or dry Roses alone and rowl her Tongue about her Mouth especially when the Pustles are broken XI Let her Diet be refrigerating and such as resists Putrefaction her Drink small or else Ptisans and let her be sure to keep her Body soluble HISTORY II. Of the Aphtae Pustles AN Infant of two months old when the Mothers Milk failed was put to a Nurse of a choleric Temper but otherwise healthy and abounding with Blood and Milk After the Infant had suckt this Woman eight days it began to vomit up curdled Milk mixed with choleric and flegmatic Humors slept unquietly and voided much yellow and green Excrement At last the Mouth of it was full of white Pustles so that through Pain it could suck no longer though it seemed very desirous of the Breast In the mean time there was no manifest Fever nor alteration of the Pulse I. THE Cause of these Pustles was the Nurses serous hot and sharp Milk which the weak Stomach of the Infant could not well concoct but bred much Choler from which sharp Vapors ascending to the Mouth exulcerated the tender Pellicles of the Inner Part of
they are well digested that vitious Ferment being Evacuated IX There is no Fever because no Putrefaction X. He is thoughtful and sad for that by reason of the acid Humors mixed with the Blood the many Animal Spirits are generated somewhat thicker in the Brain so that they do not pass so chearfully and orderly through the narrow Pores of the Brain which makes the Patient thoughtful and musingly Melancholly XI The Body is emaciated because the first Concoction is not well performed which infects the Blood with a Scorbutic quality that renders it more unapt for Nutrition XII This Disease is dangerous for fear of an absolute Atrophy and Consumption of the Natural strength XIII Therefore in the Cure let the Patient be Purged once in eight days with an Infusion of Senna Agaric c. adding thereto a little Electuar of Hiera Picra or Diaprunum or with Chochia Pills Extract of Catholicon Powder of Diaturbith and the like Blood-letting signifies little in this Case where there is no Fever XIV If his inclination to Vomit continue give him some such Vomitory ℞ Fresh Leaves of Asarabacca ʒ iij s. Radish-water an ℥ ij squeez out the Iuice then add Antinomiate Wine ʒ iij. Oxymel of Squills ℥ s. XV. Let him take three times a day some convenient Apozem like this that follows ℞ Roots of Tamarisch Capers Polypody of the Oak Elecampane an ʒ vj. Germander M. j. s. Baum Betony Borage Dodder an M. j. Leaves of Lawrel Water Trefoyl an M. s. Orange-peels ʒ vj. Anise and Fennel-seed an ʒ j. s Raisins cleansed ℥ ij Water q. s. Make an Apozem to lb j. s. XVI Between whiles let him take a small quantity of this Conditement ℞ Roots of Elecampane Orange-peels Condited Conserve of Borage Baum Flowers of Sage an ℥ s. Oyl of Anise drops xij Syrup of Elecampane q. s. XVII In a great distention of the Maw and Intestines with Faintness and Pain such a Bolus will be very proper ℞ Treacle ʒ j. Crabs Eys prepared ℈ j. Oyl of Annise drops iiij Mix them for a Bolus XVIII Instead of his Apozem sometimes in a Morning fasting give him a Dose of this Powder in Ale or Broth. ℞ Crabs-Eyes prepared ʒ ij Red Coral prepared ʒ s. Amber prepared ʒ s. Make a Powder to be divided into four Doses XIX Let his Diet be of good and easily digested Nourishment avoiding all dry'd smoak'd acid sowre rank and crude Victuals Let his Drink be sound stale Ale and small Wine but not acid Let him Sleep and Exercise moderately and evacuate duly and regularly AN INDEX OF MATTER Contained in the TREATISES OF THE Small-Pox Measles AND THE CURES and DISPUTATIONS following AGue Tertian 134 140 Ague Bastard 135 151 156 St. Anthonie's-fire Apoplexy 185 Appetite lost 113 Apthae 204 205 Arabian's Opinion of the Causes of the Small Pox. 4 An Asthma 44 216 The Author rejects the Opinions of all the Physicians concerning the Small-Pox 6 Avicins Opinion concerning the Causes of the Small-Pox 4 B. B●…thing in the Small-Pox dangerous 37 Belly-bound 150 Blear ey'dness whether contagious 109 Bleeding at the Nose 52 116 200 Blindness 197 Bloodletting when to be admitted in the Small-Pox 13 34 Bloodshot Eyes 195 To break the Pox more speedily 19 b. Breath stinking 83 A Burning 64 Burstness of the Guts 86. With a Gangrene 122 C. Camphire debilitates Venery 79. a. b. A Canine Apetite 233 Carus 178 Catalepsis 179 A Catarrh Chimical dissolutions of little use 15 a. Chyrurgical Helps for the Small-Pox 12 Cinnamon water the use of it in the Small-Pox 35 Cholic 98 137 Coma a Disease so called 174 Ill consequences of catching of Cold in the Small-Pox 26 a. b. Concoction difficult 234 A Consumption 75 123 224 Convulsions Epileptic 133 Convulsion 189 Coverlets red contribute to expel the Small-Pox 15 A Cough 158. 214 Cupping-Glasses improper 13 Cure of the Measles 24. a D. Deafness 160 The Diagnostic Signs of the Small-pox 7 Diagnostic Signs of the Measles 23. b Diaphoretics for the Small-pox 14 Diarrhea 120 Duncan Liddel defends the Opinion of the Arabians 5 What Di●… convenient in the Small-pox 10 A Disentery 59 61 73 74 A Dysury 47 E. Emplasters hurtful 15 Empyema 212 Epilepsie 190 Epileptic Convulsions vid. Swoonings Epithemes hurtful 15 Evacuations monthly dangerous in the Small-Pox 32. a. b Expuls●…oes the several Sorts 14 External Parts how to cure 19. a. Exulcerations how to cure them 22. a. Eyes how to preserve 20 Eye-lid seized by the Small-Pox how to cure 37 Eye-lids closed by a Wound 46 F. Face swell'd with a Fall 142 Fever Malignant 69 70 72 Tertian Intermitting 115 Female Purgations suppressed 61. 80. 91 Fernelius of the Small-Pox 5 Figs the use of them in the Small-Pox 15. b The Vertues of them 16. a Fissure of the Skull 102 Fomentations hurtful 15 French-Pox 118 G. Gallic Fever 66 Gargles 19. b Gentilis of the Small-pox 5 Giddiness 181 A Gonorrhea 37 Gout in the Knee 97 Gou●… 154 H. Head-ach 80 103 128 163 Hickup 104 Several Histories of the Small-pox 25 26 27 28 29 c and Measles 38 Hoarsness 49 House-Swallows 13 A Hurt upon the Shin 78 The Hydrocephalus 208 Hypochondriachal Passion 235 Hysterical Suffocation 111 I. Imagination the Strength of it 29 Inflammation of the Lungs 41 221 Internal Bowels may be seized by the Small-Pox 27. a Internal Parts how to ●…re 15. b The Itch. 52 160 Itching in the Measles how to prevent 24. a K. Kidneys pain'd 95 Kings-Evil 143 L. Lethargy 176 What Lotions to be rejected 22. a M. Madness 173 Of the Measles in General 1 Of the Measles in Specie 23. a Melancholy 167. Hypochondriac 169 Mercurialis of the Small-pox 5 Milkie which the best for a Consumption 76. b Milk in a Virgins Breast 132 Mortification of the Legs and Thighs by Cold. 54 The Murr 200 201 N. Nature to be observed in the Cure of the Small-pox 28. a. b Nephritic Passion 63. Pains 125 132 The Night-Mare 183 Noise in the Ears 198 O. An Ophthalmy 108 194 Oyls hurtful 15 P. Pain extream under the Breast-bone 127 Palpitation of the Heart 228 Palsie 50 187 Perforation with a B●…dkin dangerous 21. b Pestilential ●…ever 36 Pharmacutic Remedies 13 A Phrensie 165 Pin and Web. 195 Pitting to prevent 21. a Pits to take them away 22. b The Pleurisie 210 The Pose 200 201 Of the Small-pox in general 1 Of the Small-pox in specie 3 The Causes of the Small-pox 4 The preservative Physic. 9 The prognostic Signs of the Small-pox 8 Prognostic Signs of the Measles 23. b Purgatives whether proper or no. 13 Purging violent 82 Purples 24. a. b. 32 Q. Quick-silver good for the Worms 153 Quinancy 218 R. The Ranula 206 a Red Spots how to take them away 22. a Remedies not to be changed when truly applied 28. b S. Saffron the Use of it in the Small-pox 35 A Scald 46 Scars to prevent 21. a S●…iatica 146 Scurvy 128. When first known 129