doe appear to prove this Avicen in Book 4. fen 2. tract 1. chap. 98. brings for an example the small Pox of Children in the declination of which sometimes death follows not by reason of the Pockes which are in declination but by reason of the Feaver and malignant quality annexed Another example there is that a man may dye in the declination of a Synochus not by reason of the essence of the Feaver but by neglect of the malignant matter the cause of it or being preposterously handled as Galen notes in his third Book of Crises these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies and houres than the decretory daies can by reason of the various temper of the Humours and the diseased as shall further appear in the next assertion for an acute Disease hath shorter times and a Chronical longer The four times of a Hectick Feaver are not taken from the matter nor from the Symptomes but from the essence of the preternatural heat which works upon the primogenious humidity of the heart whose beginning is when the feaverish heat begins to work on the rorid substance of the heart the augment when it begins to consume it the state when the humidity is consumed the declination on when that native humidity begins to be restaurated CHAP. VII Certaine Physical Canons or Rules for practise ALL Rules for Curing are taken either from the Disease or from its Efficient cause or from the nature and situation of the affected part or from the Symptomes from the Disease as a Feaver whose preternatural heat is in the Spirits Humours or solid parts and is not simple but conjugate viz. hot and dry which according to Hippocrates axiome {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is things are cured by their contraries that is by coolers and moistners and this is the first Canon The second is taken from the morbifical putrid matter which requires an ablation or removing The third from the nature and site of the affected part as if the braine be affected it requires other remedies than the Lungs and this other than the Stomack Liver Spleen Guts Reines Bladder or Wombe from the Symptomes if they be great with imminent danger of life as if a Syncope be accidental to a Feaver we must oppose that omitting for a while the cure of the Feaver but if they bee small we must respect both so that we principally attend the Disease The feaverish beat both of continual and intermitting Feavers arising from a putrid filth cannot safely and wholly be extinguisht before the putrefaction be repressed and the impurity taken away for the method of curing requires this that first wee remove the cause then the effect unlesse something more urgent forbid it the impure Humour then is first to bee purged forth and then if any extraneous heat be left either in the Humours or parts it is to be extinguished and by preparatives and things opening obstructions to be removed but against this Doctrine it is objected That things cooling doe per se encrease obstructions incrassate the matter and hinder its evacuation and the stipation being increased and the fuliginous vapours included the putrefaction is doubled On the other side aperient detergent and purging Medicines are all almost hot and therefore per se are bad and intend the Feaver In this difficult case we must use the temperate Rootes such as are the sharp Dock Grasse roots Butchers Broom and Asparagus which open obstructions without any manifest heat and doe not increase the feaverish distemper and so the worst is prevented If the body bee strong this method is strictly to be observed that is to remove the efficient cause and thorowly to open the obstructions with the aforesaid aperitive meanes and then the putrid humour is to bee purged although the Feaver be a little exasperated by the Medicine that does it but when by the fire of the Feaver the strength is much resolved then we are to use cooling Medicines both inwardly and outwardly as Juleps Epithems c. which with all possible speed may extinguish the heat omitting a while the cause for it is not safe to increase the Feaver by such things as cut off the cause lest life depart with the Disease but it is better in my judgement to extinguish the burning Feaver though you somewhat transgresse against the cause but in curing of putrid Feavers the first place is due to the cause that part of the matter be emptied then to imitate Nature by preparing it which when by her assistance it shall appear to bee coct then it possible to eradicate it that the Feaver be not diuturnal the emptying of the matter may be either by bleeding or purging at the very beginning if nothing hinder Bleeding in all putrid Feavers especially the continual is not to bee neglected saith Galen in the eleventh of his Method of curing having premised a cooling Glister or Suppository if the Patient were bound nor in intermitting Feavers when there is a plenitude or pulsative paine in the head or tossing of the body with a suffocating heat lest it degenerate into a continual Feaver or the putrefaction spread wider and it is to bee done on the intermitting day or at the time of remission in a continual Feaver provided age and strength allow it if the Feaver be very vehement and urgent to let bloud in that violence is to kill the Patient saith Celsus and if the body be weak let bloud a little at a time so the strength will not bee impaired because part of the burthen with which Nature was opprest being taken off she doth the more easily bear the rest and with lesse force tame and subdue it saith Galen and we ought not so much to estimate the years as the strength of the diseased A late Writer hath published that Bleeding ought to be celebrated in all Diseases which I cannot allow though I admit it in most but more sparingly when the Feaver is from a cold humour lest by its refrigeration the crudity be doubled and doe not easily admit of concoction if the Disease will suffer it the best time for bleeding is the Spring if not it may be administred at any time of the year if strength permit especially if there be a plenitude suppression of the Courses or Hemorrhoids If the Sick be bound in body before you let bloud give a Suppository or Glister or eccoprotical Medicine that is gently purging lest that the putrid matter should be rapt or forced from the first region of the body into the greater Veines and so inquinate the bloud and make it more impure the same is to be observed before we give a peritive medicines Purging is to be used at the beginning if the matter bee turgid Aphor. 10. Sect. 4. in Diseases very acute purge the first day if the matter invite to excretion
and moist meats and seized on by the same Disease and thus a Winter quotidian would bee longer to him than a Summer one If the pulse be frequent swift and great it declares an acute Feaver of quick motion If the rigour be long it shews the length of the Disease because the Humour is putrefied out of the great Vessels if short it shews the contrary If it alwayes invade at the same hour the Disease will be long because it shews the Humour to be fixt and hardly to be eradicated but if it anticipate or come later it will be shorter and bee more easily extirpated sometimes the quantity of the matter is the cause of the anticipation as the paucity is of the tardation The vehemency of the Symptomes in the fit doth indicate the vehemency and velocity of the morbificall matter If the later fit last longer than the former it shews the augment if shorter the declination of the disease If in a former fit there was an evacuation made by sweat and yet the next fit be as long it denotes the length of the Disease from the quantity of the matter If at the beginning the Urine bee coct the Feaver will be short if crude long for the Urine is of good judgement in Feavers continual or intermitting That water is tenuous in which appear no contents but is of white colour and denotes crudities but if it be meanly crasse with white contents smooth and equal it shewes coction and the brevity of the Feaver If the matter be not contained in the greater or lesser Veines but in the Stomach then the signes are to be taken from the dejections or stooles if in the instruments of respiration from the spittle if in the habit of the body from the sweat Hippocrates in the first and second Book of Prognosticks but that these four times may the better be distinguisht we shall set downe some examples of particular Diseases by which you may guesse of the rest The beginning of a Feaver is then said to be when the humour in which the Feaver doth consist is crude the augment when it begins to be concocted the vigor or state of the Disease is most vehement when it appears most concoct the declination when all Symptomes doe abate or in a word an obscure concoction determinates the beginning a manifest the augment a perfect the state The beginning of a Phlegmon is when the part is filled with bloud the augment when the fluxion ceases and the bloud collected putrefies from which putrefaction is caused a heat and from that heat a greater diffusion distending the part more though there be no new afflux the vigour is when it is turning to pus the paine and hear being greater the declination when the pus flowes forth or is digest and resolved The beginning of an Ophthalmy is when there is a deflux of a thin crude copious humour to the eye the augment is when the humour is more crasse and hath some signes of coction the state is when it is yet crasser and less when the eye-lids are glued together like to those that sleep the declination when all things are more gentle without the distinction of these times the remedies reckoned up by Hippocrates Apho. 31. Sect. 6. would little availe this Disease The beginning of an Ulcer is when the sanies is watry thin and incoct the augment when it is lesse and thicker the state when the Pus is tenuous white and equal when crass and little the declination these four universal times of Diseases are not alwayes equal nor comprehended within a set number of dayes not only in divers Diseases but in the same one is sometimes longer sometimes shorter and not alwayes equal Besides these signes the anticipation of the fit doth declare the augment of the Disease as the tardation doth declination though it is not universally so for some quotidians tertians and quartans by a certain propriety of the Disease have from the beginning to the end always anticipated as others have always been more tardant If the fit anticipate and be longer than usually and more vehement and the intermission shorter more impure and the feaverish heat increased and the Symptome◠〈…〉 it more grievous they denote the state but if it be shorter slower more simple and the Symptomes lesse they argue a declination of the whole Disease The like observation may be made of Symptomatical Feavers which arise from the inflammations of the Viscera whose times are the same with those of Phlegmons All this is to be understood of 〈◊〉 Diseases and not of those lethal which run not through all these times manifestly because some kill in the beginning others in the augment others in the state and seldome or never in the declination unless the Disease be malignant and the strength so deject that it cannot expel the morbifical humour though it be concoct CHAP. VI Of the four times of Disease◠in special IN the former Chapter we treated in general of the constitution of the whole Disease now of the Paroxysme or Fit having first told what time is and what a Paroxysme a Period or Circuit and what a Type and wherein they differ Time is the number or measure of motion according to priority and posteriority saith Aristotle in the fourth of his Physicks but Galen in his Book to Thrasybulus describes it otherwise for he sayes Time is an alteration of the morbifical matter made either by the natural or preternatural heat since the times of Diseases are essentially measured by the mediate passions caused in the living parts of our bodies and those in relation to coction A Period is the time of intermission and remission when a Feaver returns from one place to the same againe as for example if a Tertian Ague begin the tenth hour with rigour and the third day return the same hour with rigour it shall be an intermitting tertian if a Feaver begin with cold it shall be an intermitting quotidian if with horrour a quartan In the Period Paroxysme or Circuit is concluded the Type which is nothing else but the order of intension or remission comprehended in the period which denotes both the time and species of the Disease saith Galen The matter of intermitting Feavers is sometimes moved from one place to another sometimes moves not but rests quiet in a part now when the matter is moved the times of intermitting Feavers are Six viz. The beginning the inequality the increment the state declination and integrity or interval The Fit or Paroxysine is divided into the accession which is the worser part of the whole Circuit beginning from the first invasion and lasting to the state and remission which is the more benigne part saith Galen in his Commentary on Aphoris 12. Sect. 1. and Chap. 3 4 5. of the times of Diseases now to the accession belong the four first times to the remission the
is greater and swifter than the systole the substance colour and sediment of the urine differ little from that which is Natural Galen to Glan And its fits are very easie if it arise from the inflammation of some Bubo or from the suppression of some humour the urine shall be higher and thicker with a little sediment and that crasse and crude it invades with rigour and easily degenerates into an unputrid Synochus if the Sick bee plethorical or into a Synechis if he be Cacochymous or into an Hectick if it be neglected or ill cured Such are most subject to it as are picrocholous and of a hot and dry temperament and in the Summer time if it be exquisite it is cured by the benefit of Nature alone and for the most part its fit is twenty four hours but sometimes lasts till the third day when the vital spirits are most crasse if it be prorogued longer it is not exquisite but is either an unputrid Synochus or joyned with a putrid Feaver into which it easily degenerates The rule for Cure is not taken from the matter because there is none but from the essence of the Feaver which consists in the preter-natural heat wch ought to be remedied by coolers and moystners for the faults of the spirits cannot be taken away by purging or bleeding because here is neither cacochimy nor plenitude Hippocrates in the Fourth part of his Book of Dyet in acute Diseases and Galen in his Book of Procatarctical Causes cured Menander sick of a Diary caused by heat with Paregorical and Diaphoretical Medicines as Baths Frictions and Oyntments We use Baths when wee intend to relax the skin call forth tenuous fullginous vapours and change the habit of the body but in the declination of the Feaver with gentle friction that we may cause sweats and the fumid excrements may be discussed and then especially when there is no crudity in the chief Vessels nor inveterate obstruction of the viscera nor hardness or weakness lest that the crudity bee carried into all parts of the body if none of these things be then the Sick may safely wash otherwise not least that the obstruction and weaknesse of the viscera bee increased and the tumor if there be any It is good against the thickness and obstruction of the skin from cold or astringent causes if a Diary have its rise from driness and heat let the Bath be luke-warme and not hot having first emptied the belly if it were costive with a Suppository or cooling and moystning Glister least it degenerate into a Hectick or Synochus If from the thickness of the skin by reason of too great cold or by use of aluminous Baths Diaphoretical and Paregorical Medicines must be boyled in the water for those take away obstructions and provoke sweats being of a hot and tenuous substance and cause the cooleness of the water to penetrate the deeper but these being temperate or hot in the first degree and of thin substance as the Roots of Marsh Mallows Fenugreek Flowers of Camomel Melilot and Elder by these means the closeness of the skin is to bee made open least perspiration being hindred the Humours bee inflamed together with the Spirits and so a putrid Feaver ensue to the great damage of the diseased The ancients used Bathing more for delight than health which custome is now out of use We in France use Baths of plaine water or with a decoctron of Plants not for pleasure but for the cure of an Ephemera because they moysten contemperate the feaverish heat and empty acrid vapours To wipe off the sweat is good with gentle frictions with warme Oyle because it opens the pores of the skin and calls forth the spirits from the center to the circumference but too vehement doth stop them up Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed or from labour because there is no need of evacuation Frictions are good in those from obstruction and repletion but not in those from inanition though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment that the discutient water or oyle might pierce the deeper and the same Galen in other procatarctical causes uses contrary remedies as for labour he commands rest for watchings sleep for anger calmness for sadness joy and for venery chastness these have no need of Frictions only anoynt them with Oyle of Violets and smooth over the body in the remission and before meats If it be from Drunkenness command a Vomit if from cold use Diaphoreticks if from obstruction of the viscera incisive and aperient Medicines if from a Catharre purge next day if from an Ulcer or Bubo wee must attend the cure of Ulcers and Tumours and so of the rest The Diet is to be ordered according to the variety of the cause if hot weather be the cause of the Diary and the Patient be young and his viscera good without obstruction plethory or cacochymy of soluble body and cholerick constitution at the declination of the Feaver he may be cured with plentiful drinking of cold water if otherwise the Cure is to be altered you must not nourish him in the augment or vigour of the Fit but in the end or out of it Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. If you weigh the cause of the Disease the strength of the sick the age and sex you must nourish him with meats of good juyce altered with cooling Herbs which nourish speedily oppose the feaverish heat but stick not in the pores of the skin for the whole body ought to bee fluxil and transpirable Hippoc. at the beginning of the sixth Book of his Epidem Sect. 6. and for this the chief thing is the juyce or cremor of Barley If it proceed from anger watchings labour immoderate venery hunger sadness then we must nourish the sick with flesh brothes c. if from crudity gluttony or from suppression of some Natural excrement constipation of the skin ulcer tumor or great paine then let the diet bee thinner and if with the Feaver there be a plethory or cacochymy that must be taken off by bleeding this by purging not for any urgency of the present Feaver but for fear of a putrid in brief in all Diaries whatsoever is the cause the nourishment must be Medicamental and if the body be bound it must be thus loosened Take of boyled Hony an ounce Mouse turd powder of Hiera and salt gem each two scruples and make a Suppository or else make this Glister Take of Mallows Violet leaves Borage Lettice each one handfull Prunes twelve of the four greater cold Seeds each two drams water-Lilly-flowers and Roses each a small handful boyl them in water to a pint streine it and dissolve in it Cassia with Suger and the Simple Diaprunes each six drams or as much of Galens Hiera and Diaphaenicum if the Patient be a Sea-man Porter Carter c.
before it is necessary we take their differences first from the essence of heat then from the subject in which the Feaver is or from the manner of the motion of heat or from the cause of the Disease or from the matter or symptomes The first difference then is from the essence of the praeternatural heat by which some action is alwaies hurt because there is a recession from the natural state and by how much the greater and more vehement this heat is by so much the greater ought the Feaver to bee accounted as for example a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Burning feaver may be said to bee greater than any other Feaver because its heat being more intense it appears more acrid and mordent than any other humoral Feaver but on the contrary if you compare it with an Hectick it is less than that because this possesses the very substance of the heart but that the Humours near unto it Another difference may bee taken from the subject wherein the Feaver is as for example by how much the nobler the part affected is by so much the more vehement the Feaver as that Feaver which proceeds from a Phrensie peripneumony or inflammation of the Lungs or from a Plurisie by reason of the parts affected shall bee farre more dangerous than that which follows an inflammation of the Reins Spleen or Foot besides the Feaver is proportionate or improportionate in relation to the subject and thence shall be esteemed greater or less as a Burning feaver is proportionate in a Body hot and dry of youthful age at Midsummer or in a hot and dry region and consequently less dangerous than the improportionate which should happen to an aged body cold and moyst in the Winter season and in a cold and moyst Country as Hippocrates doth excellently note it Aphor. 34. Sect. 2. The Third is from the manner of the motion and motions here is nothing else but a swift or slow transition from one subject to another the swift motion is as often as the heat passeth from a crasse thick subject to a tenuous one as for example as oft as an intermitting Feaver doth pass into a continual or other putrid one and on the contrary the slow motion is as often as an Ephemera or putrid feaver degenerates into a Hectick for the Spirits are easier set a fire than the Humours and these easier than the solid parts of heart and body likewise an unputrid Synochus being neglected doth easily pass into a putrid one and so of other sorts of Feavers The Fourth is from the efficient cause which is three-fold the one evident the other internal the third occult the evident is drawn from those Six non-natural things as from the air inanition or repletion c. the internal from fluxions on the stomack or lungs obstruction crudities or putrefaction of humours c. The occult cause may be double external and internal the external as the contact of a Torpedo impure copulation the use of malign and venenate medicaments c. from whence are Feavers epidemical endemical sporadical and pestilential saith Hippocrates and Galen the internal cause is hard to bee discovered because besides the putrefaction there is a certain venenate air or breath which is for the most part unknown to us whether it depend on the element of Stars and therefore is called by Hippocrates Quid divinum as was that sweating sickness in Brittaine which did not only depopulate England but Germany and France The Fifth difference is from the matter which consists either in the spirits or the humours or the solid parts and these three Hippocrates in the sixth of his Epidem last Section text 19. calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is containing contained and impetuous bodies The containing are the solid parts in which are caused Hectick Feavers both universal and particular they first invade the substance of the heart then equally the other parts these primarily and per se possess the substance of some private part from whence they are communicated to the heart and to the rest of the solid parts as to the Lungs Midrist Stomach or Liver c. The contained are the four Humours which offend either in quantity or quality in quantity as often as these Humours are more or less enflamed in the heart without putrefaction and hence are the Epacmastical Acmastical and Paracmastical Feavers in quality in relation either to touch sight or taste according to Hippocrates as by the touch of the Pulse some are judged mordent others milde and temperate in comparison with others others appear moyst as bilious Feavers such as are your continual tertians or burning Feavers all which are mordent especially about the state of the Disease and before the Crisis the mâ—lde ones are such as the true Diary Feaver which ends with a sweat or moystness and your unputred Synochus and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is moyst of which Galen makes mention against Lycus for these in respect of other Feavers are called milde and temperate To the sight are referred the red ones as the unputred Synochus which is from a more fervid bloud the white ones as Quotidians the livid as Quartans Syncopal or Pestilential Feavers others are arid and horrid to the eye as the colliquating Hectick and that of the second or third degree In relation to taste some are said to be sweet as those from natural Flegme and many bloudy ones which even after putrefaction retaine some sweetness others are bitter as the bilious others salt as those from salt flegme and the hybernal causes or winter burning Feaver The impetuous are the vital animal and natural spirits in the vital spirits is caused a Diary of one day if the spirits be tenuous of more daies If they be crasse but more of this in its proper place Some Feavers are long others short some diurnal others nocturnal some ordinate others inordinate some periodical others erratical according to the condition of the Sick the quality of the morbous matter or its quantity and motion The Sixt difference of Feavers is taken from their Symptomes as often as a part is possest with an inflammation and these Feavers are always continuall whether bloud choller or flegme superabound if bloud the Feaver is called Phlegmonodes if choller Erysipelatodes and Typhodes or burning and they have another name or appellation from the part affected as from the Liver Hepatica from the Spleen Splenica from the Bladder Cystica from the Throat Cynanchica from the Head Phrenitica Lethargica Comatosa from the Lungs Pneumonica from the Side Pleuritica from the Midriff Diaphragmatica from the Wombe Hysterica from the Stomach Stomachica c. CHAP. III. Of the division of Feavers ALL Feavers of what sort soever are either Essential or Symptomatical the Essential is either simple compound confuse erratick pestilent or of malignant nature The
fresh humour from whence follows a new fit which for the most part lasts twelve hours sometimes more sometimes less according to the quantity of the humour oppressing the part The quantity of the Humour whether much or little cannot of it self be the cause of the longitude or brevity anticipation or tardation of the fit it is true a great quantity doth oppress the part and a small is quickly resolved but that alone cannot be the efficient cause because the same motion is observed to bee from a small and great quantity and that it is so let choler or melancholly be found in any part of the body putrefied it is most certaine that choler will move neither sooner nor later than the third day nor melancholly than the fourth therefore the quantity of the Humour alone cannot be the cause of the circuits or of the longitude or c of feaverish fits But rather the quality is the cause of the length or shortness of the anticipation or post-position of the fits which your epileptical insults seeme to manifest for they proceed not so much from the quantity of the humour as from the quality offensive to the braine and thus Womens courses flow at set moneths and dayes not by reason of the quantity of the bloud but quality whether they be much or little unless somewhat intervert the course of Nature and so wee must judge of the Humours in which there is a certain occult quality unknown to us which causes flegme every day yellow choler every third day and melancholly every fourth to grow furious and bee moved Hippocrates seems to favour this opinion in his Proaemium to the first Book of Prognosticks where hee thus Prophecies {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. whether there be nor somewhat Divine in the Disease which according to Aristotle in proportion answer to the Element of Stars now the starry Element is said to be that which operates beyond the order or power of the Four Elements and is scarce comprehensible The habit of the body whether dense or rare may be the cause too of the length or shortness of the fits but the anticipation or tardation may bee referred to the substance of the matter or to the multitude or paucity the substance is either crasse or tenuous if crasse and clammy the fits shall be longer if tenuous shorter if to the multitude or paucity a little is easier dissipated and resolved than a great deal from these two then the anticipation or tardation of the fits may bee caused The Fifth cause of the Circuits may be from the strength for if the alterative and expulsive faculty of every part be strong they will cast off all the excrement to the parts destined for it by Nature contrariwise it they bee both weak that remaining doth by degrees putrefie because it is not discussed and so it moves sooner or later according to its quantity or quality or both together and the paroxysmes are longer or shorter The complication of Feavers may change the course of Circuits because some are from a cold Humour crasse and clammy others from a hot and tenuous so the one is moved corrupted and resolved sooner the other later from whence is the shortness or length of the fits besides our dyet whether good or bad if in tempestivous doth help or hurt much or the Patients intemperancy and irregularity The efficient cause of putrefaction is either external or internal the external doth chiefly depend on corrupt meats or evil juyce which can no way be corrected by the help of Nature and which are apt to corrupt and affect the Viscera the internal cause is either from obstruction or the occursion of putrid things for obstruction caused by crasse viscid Humours hinders perspiration and so the Humours reteined and neither discussed nor cooled doe easily putrefie though they be good and hence a Feaver of the same force is that obstruction which proceeds from a plenitude of the Vessels which is above our strength for they therefore putrefie because they cannot be concocted nor governed by our enfeebled strength The occursion of putred things doth first corrupt the Spirits then the Humours as the filthy exhalations and putrefaction of vapours drawing in the Air from the Gallical Elephantiacal and of those infected with a putrid or pestilent Feaver CHAP. V. Of the Constitution of Feavers SEntentious Hippocrates in the 12th Aphorisme of the first Section reduces the times of Diseases to two viz. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that according to Galen in the first Book of Crises chap. 4. is the constitution of the whole Disease or its duration conscribed within its four times viz. the beginning increase state and declination the knowledge and distinction of which times is so necessary for a Phisician that without it hee can neither prognosticate aright nor prescribe proper diet or remedies The signes of these four Universal times are taken from the Idaea or species of the Disease from its motion from the nature of the fits from the figure of the body from the strength of the Patient from the season of the year and age of the Patient from the pulse and rigor from the hour of the fit and the vehemency of the symptomes from the length or shortness of the fits from the nature of the evacuations from the crudity or coction of the Urine and of the Humours causing the Diseases The Idaea or species of the Disease is chiefly taken from its motion for a swift motion shewes that the state will be quickly and a slow motion that it will fall out later Thus a burning Feaver by reason of its essence is said to be vehement and quickly comes to its state and a pestilent Feaver by reason of the governing faculty it affects is vehement and hath a speedy state and an inflammation of the Lungs by reason of the dignity of the part speeds to its state From the nature of the fits you have these Signes if they be short the state is near if long afarre off From the Figure of the body if the face with the Hypochondria bee suddainly extenuated it denotes the Feaver to be acute and of swift motion but if the body be not impaired it is a signe of its longitude If at the beginning the Sick be more than ordinarily weakned it shews the Disease to be acute and of swift motion if otherwise to be diuturnal If the season age region custome and dyet of the Patient be all agreeing the Disease shall be short if otherwise long as for example if a young cholerick body at Midsummer in a hot Country feeding high on meats of good juyce and drinking pure wine should be taken with a tertian it shall sooner leave him than if hee were an old man in a cold Country and Winter season fed with cold
not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectickâ— or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
Hectick is in the solid parts and of the putrid in the humours but an Ephemera joyned with other Feavers makes no compound otherwise there could bee no simple Feaver the symptomes also which accompany Feavers constitute no compound one because they are not of the essence of Feavers though they increase foment and prolong them The Erratick Feaver is so called because its fits observe no proportion for their beginnings are inordinate resembling no species of any certaine simple or compound Feaver an Erratick Feaver then is of no certaine species for it is neither quotidian tertian nor quartan nor much less a continual for being so called from the uncertaine insult of the fits it is plaine it cannot bee continual though it may bee joyned with a continual as well as other intermitting Feavers an erratick then is from no certaine kind of humour as other intermittings are but either from the humours confounded together and unequally premixt and putrefying in the habit of the body or from one humour but changed from it self and passing into another for how much the humours are changed in the body of the sick so much are the circuits of the fits varied and bloud is most of all transmuted when it putrefies part of it passing into yellow choller part into black The causes of these Feavers are many one is the inequality of Summer and Autumne another when a humour begins to putrefie in a particular part and another flowes to it from other parts which was before bounded in them or was redundant in the whole body a third is errour in diet quantity or quality of the humour strength of the Patient c. they are long and of evil judgement he that would distinguish them rightly must bee well versed in the knowledge of simple Feavers both continual and intermitting The signes of Compound Feavers differ not from those of the simple intermitting as a double intermitting tertian begins as a simple with rigour and sometimes with vomiting and ends with sweat Compound Feavers are seldome of divers intermittings but if it happen the first dayes they are scarce discernable Compound Quartans begin with horrour as the simple intermittings and they are the longest of all they are thus distinguisht a double quartan growes furious two dayes and is quiet the third the fourth and fifth again is furious and so consequently a triple quartan every day begins with horrour but every fourth day the Feaver is more grievous as if it were a simple quartan Every intermitting Feaver of divers kinde may be complicate with another of the same kinde if it be in divers places as if a quotidian bee mixt with a tertian on one day there shall be two fits but on the next only one that of the quotidian and on the third day there shall be two on the fourth but one and so forwards the one shall begin with coldness the other with rigour If a quotidian be mixt with a quartan then the fourth day there shall bee two fits one with coldness the other with horrour on the other dayes but one that of the quotidian If a tertian and quartan concur the first insult shall be of the tertian with rigour the second day there shall be no Feaver the third day the tertian shall recur on the fourth a fit of the quartan on the fifth another of the tertian on the sixth none on the seventh there shall bee a double fit one of the tertian and another of the quartan and so on If a putrid Feaver be joyned with a Hectick it makes a compound because the heat of this possesses the substance of the heart that the humours The signes of both are taken from the pulse hard and unequal from the urine mordent heat and manner of their motion if it be bilious the invasion will be every third day if a quartan every fourth if a quotidian every day either with rigour horrour or coldness and the exacerbations and remissions of the putrid Feaver will be at its set hours CHAP. XXII Of a Semitertian Feaver THis Feaver Hippocrates calls the horrid Feaver from its horrour or violent shaking it is a Compound Feaver and is two-fold exquisite and not exquisite that is made up of a continual quoridian and an intermitting tertian for it is more easie for a quotidian to be continual than a tertian and its fits are longer than those of a tertian Besides the horrour is not every day but every other day when then the fits both of tertian and quotidian meet together and are confounded but on the middle dayes there is only a refrigeration proper to the quotidian the reduplications are every third day not such as a tertian but dimidiately like them because the type of the tertian is changed by the flegme of the quotidian This Feaver is sometimes caused from a continual tertian and intermitting quotidian and not from two continuals or two intermittings as Archigenes and Celsus would have it whose opinions were they true it would not be horrifical as Hippocrates and Galen describe it for horrour proceeds from rigour and cold mixt The Non-exquisite is two-fold too the one when choller predominates the other when flegme if choller prevail there is a rigour and no horrour and it comes sooner to its state without many reduplications the heat is more acrid with vomitings and dejections yellow c. but if flegme predominate there is rather a chilness than horrour and many reduplications with flegmatick excretions less heat c. these Feavers are frequent in Aethiopia Italy and other hot Countries the gentlest of them is twenty four hours the middle sort thirty six the strongest forty eight if it bee exquisite every third day it is horrifical the pulse hard and unequal and so the heat the urine crass and turbulent sweats in these Feavers are bad because they are symptomatical and not from Nature conquering c. This Feaver is reckoned amongst the deadly and sometimes lasts a whole month sometimes degenerates into a Hectick sometimes to a Dropsie by reason of the many obstructions sometimes it is shorter when the matter is little and contained in the common ducts For the Cure if need be first give a Glister then take of Cinamon half a dram Agarick Trochiscate two scruples Rhubard four scruples honey of Roses and Diaphaenicum each an ounce infuse them in a decoction of Succory Hyssop Liquorice Raisins stoned Figgs Anni-seed flowers of Time Bugloss and Elder all night over the warme embers streine it and give it at the time of remission Take of the simple sirrup of Vinegar four ounces use it with the decoction of Barley or with Ptisâ—an made of Barley Raisins stoned Figgs and Liquorish or with a decoction of Sorrel rootes or Water and Sugar if Vinegar displease use sirrup of Pomgranates In a spurious one if choller predominate let your cholagoges exceed the Phlegmagoges and so on the contrary if the stomach be offended give gastrical Medicines
they are best when quiet and unmoved The humour is to be carried away by gentle Clisters and purged epicrastically alwaies adding Cardiacal Medicines against the malignant and venenate quality and if the Patient be nauseative give a vomit Take a sufficient quantity of broth and boyle in it Mercury Balme and Burrage each a handful the tops of Dill with Cammomel and Meâ—â—lot-flowers each a smalhandful course Bran two Pugills Figgs twelve Aniseed two drams streine it and dissolve of Hiera an ounce honey of Mercury and oyle of Cammomel each anounce and half the yolks of two Eggs and give the Glister Take of Mallows Violets Barrage Purslane Balme each a handful Prunes sixteen of the four greater cold Seeds each two drams Water-Lilley-flowers a handful dissolve in the colature Diaprunum simple and Cassia with Sugar each six drams honey of Roses and oyle of Roses each an ounce and half give it at the time of remission Take of Manna of Calabria and sirrup of Roses solutive with Agarick each an ounce and half drink it in a little fresh Chicken broth boyle in the broth three drams of Citron pill Take of Cinnamon a scruple Rhubarb four scruples Tamarinds two drams Cassia newly drawn an ounce and half infuse them all night over warme embers in Chicken-broth in the decoction of Succory Purslane Citron-seeds Bugloss and Water-Lilly flowers straine it and adde sirrup of Violets of nine infusions or of Succory with a double quantity of Rhubarb or of Roses solutive an ounce and half give the potion Take of Agarick Trochiscate for flegme Rhubarb for choller half a dram imperial Pills a dram with honey of Roles or sirrup of Violets make them up Take of the sirrup of Citron pill Conserved and of sower Pomgranates each two ounces Balme and Bugloss water each six ounces Take of Bugloss roots two ounces dried Citron pill one ounce it flagme abound but of Sorrel and Grass roots if aeruginous or prassinous choller each one ounce Succory Endive Purslane Lettice Burrage Scabious Devils-bit each a handful Balme and French Lavender for flegme each half a handful Raisins stoned twenty Liquorish six drams Prunes for choller eight white Poppy and the four greater cold Seeds or Carduâ—s Benedictus and Aniseed each two drams for flegme the Cordial flowers a Pugil boyl them in water to a pint add sirrup of Pomgranates three ounces which is good for them both make an Apozem and aromatize it with a dram and half of Saxafras if you would make a magistrall sirrup in one part of the decoction without sirrup infuse of Cloves a scruple Agarick Trochiscate an ounce for flegme or Cinnamon a dram and Rhubard an ounce and half for choller straine it and boyle it gently to a sirrup with Manna and sirrup of Roses each half a pound the dose is two ounces in a decoction of Burrage or broth twice a week CHAP. XXV Of the Cardiacal Feaver THis Feaver hath its name from the heart and is of the same kinde with malignant and colliquating Feavers and not much unlike to the Syncopall there is a great heat with it and the face lookes red great strivings of the heart little and frequent breathing insomuch that they are compeld to sit upright like the Orthopnoical and are pained on the region of the heart the Disease inclining they have a thin sweat a cold breath and then follow syncopes and death The cure is the same with that of a Burning-feaver both for cooling and moystning diet and for bleeding premising the Glister there described if the body be bound in alterating the humours adde a fourth or sixth part of hot Alexipharmaca by reason of the malignant and pernicious quality that is impressed and then empty the humours with Manna Cassia c allay the thirst with Julep of Violets or Poppies Amongst malignant Feavers are reckoned also those that doe variously impair the substance of the body whether by degrees or speedily as the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is a kind of Feaver in which by reason of the excessive heat the sick seem to be suffocated and may be called an crysipelatose one and is cured as a continual tertian {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is the moyst Feaver is so called because presently after the first day the sick begin to sweat and by sweating their strength is so wasted that they finde little or no benefit by it in the year 1528. this Feaver spread it self from England into France and in short space killed the stoutest men by sweating all remedies against it being invalid the French named it Suette and numbred it amongst the Pestilential by reason of its maligne and venenate quality the Greeks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by Hippocrates the restless implacid Feaver in this the sick are alwaies tossing changing their posture of lying loath all things are distended in the Hypochondria thirst watch or are delirous in their sleep The internal cause is a crass acrid and bilious humour imbibed in the coates of the stomach sometimes it is from internal pains the pulse suddenly failes and the use of all remedies is prevented let the diet be incisive refrigerating and moystning and if occasion be give this Glister Take of Violet leaves Gourds Purslane and Nettles each a handful the four great cold Seeds and Nettle-seed each two drams Camomel and Violet flowers each a pugil boyle them in water to a pint and in the colature dissolve Diaphaenicum honey of Roses and Oxymel simple each an ounce oyle of Water-Lillies an ounce and half To allay the thirst use the juyce of Pomgranates or Citrons or the sirrups made of them c. Take of Cinamon a scruple Rhubarb four scruples Cassia newly drawn an ounce and half infuse them in the infusion of Damask Roses or in the decoction of Succory Marigolds Burrage Prunes with Nettle-seed and the Cordial flowers streine it and give it procure sleep with sirrup of Poppy and a little Diamargaritum frigidum {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by the Latines the Colliquating Feaver by whose vehement heat not only the fat but the flesh and substance of the solid parts are melted away this is of the kind of malignant Feavers it is caused two wayes the one when the colliquationis by degrees as in Hecticks and the Marasmus the other when both fat and solid parts are suddainly dissolved and this is a most grievous and dangerous disease it differs from a Marasmus because in this that portion of flesh which is colliquated is always like a vapour breathed forth by insensible transpiration but in the colliquating Feaver it flowes to the belly in the species of a bilious stinking crass humour the external causes are watchings sadness
malignant Medicines c. and this is not lethal The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration but sometimes by manifest excretions The signes are rusous crass stinking dejections sometimes fat and viscid with a spume or froth which indicates heat the nose grows sharp and the eyes hollow which latter signes if they appear at first we are not to meddle Hippocrates proposes two remedies the one the cremor of Barley the other cold Water with acid sirrup made up with Sugar and not with Honey give Glisters if occasion be or eccoproticks for the first region of the body with opening and cooling decoctions if there be obstructions and condites and cardiacal powders as are described in the Chapter of a continual tertian CHAP. XXVI Of the Feaver from Crudity {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Feaver from Crudity though the word Crude be applied to various things yet in this place it is taken for a raw cold humour contained in the first passages or in the whole body this Feaver differs from an Epiala not in matter nor in the place of putrefaction but in malignity and therefore is not voyd of danger especially if it be joyned with an inflammation of stomach or liver for sometimes it is without them If the crude humour putrefie in the first passages there will be a nauseousness sower belchings with idleness or unseasonable exercise as Venery presently after meat c. if it bee in the whole body the urine will be thin and watery the contents divulsed the colour pallid plumbeous or livid the whole bulk somewhat swelled the pulse unequal obscure with a dulness of the senses make a Glister with Hiera Catholicum honey of Roses oyle of Camomel decoction of Mallows Mercury Origanum Dill c. Take of Catholicum an ounce infuse it all night in the infusion of Damask Roses streine it and adde sirrup of Succory with Rhubarb duplicated an ounce and half give it in the morn if strength and age permit and a high tinct urine require it let bloud in the axillary veine in small quantity with a narrow Orifice All attenuating things used must not be very hot lest the Feaver be increased Take of sirrup of Vineger and juyce of Endive each two ounces Succory Wormwood-water each six ounces Take of Grass-roots Butchers Broom and Asparagus each an ounce of Succory Agrimony Endive the Capillary Plants Sea-wormwoode ach a handful Origanum and Balm each half a handful seeds of Carduus Benedictus Citron and Anise each two drams flowers of Bugloss and Time each a pugil boyle them in water to a pint with Oxymel simple three ounces make an Apozem and aromatize it with Cinamon Take of Cinamon a scruple Rhubarb four scruples Catholicum half an ounce Cassia newly extracted an ounce infuse them in part of the Apozem and to the expression adde sirrup of Roses with Agarick an ounce and half give the potion and give no stronger take of the Conserve of Citron pill three drams old Mithridate or Treacle or Aurea Alexandrina a dram with Sugar give the Bolus next day three hours before meat Books printed and are to be be sold by John Hancock at the first shop in Popes-head-Alley next to Cornhil A Book of Short-writing the most easie exact lineal and speedy method fitted to the meanest capacity composed by Mr. Theophilus Metcalse professor of the said Art Also a School-master explaining the Rules of the said Book Another Book of new Short-hand by Thomas Crosse A Coppy-book of the newest and most useful hands Four Books lately published by Mr. Thomas Brooks Preacher of the Gospel at Margarets New Fish-street 1 Precious Remedies against Satans Devices or Salve for Beleevers and unbeleevers Sores being a companion for those that are in Christ or out of Christ that sleight or neglect Ordinances under a pretence of living above them that are growing in Spirituals or decaying that are tempted or deserted afflicted or opposed that have assurance or want it on 2 Cor. 2. 11. 2 Heaven on Earth or A serious Discourse touching a well-grounded Assurance of mens everlasting happiness and blessedness discovering the nature of Assurance the possibility of attaining it the Causes Springs and Degrees of it with the resolution of several weighty Questions on Rom. 8. 32 33 34. 3 The unsearchable Riches of Christ or Meat for strong men and Milk for Babes held forth in two and twenty Sermons from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill 4 His Apples of Gold for Young-men and Women and A Crown of Glory for Old Men and Women or the happiness of being good betimes and the Honour of being an old Disciple clearly and fully discovered and closely and faithfully applied The Godly Mans Ark or City of refuge in the day of his Distress Discovered in divers Sermons the first of which was preached at the Funeral of Mistris Elizabeth Moore Whereunto is annexed Mistris Moores Evidences for Heaven composed and collected by her in the time of her health for her comfort in the time of sickness By Ed. Calamy B. D. and Paster of the Church at Aldermanbury The Covenant of Gods Free Grace unfolded and comfortably applied to a disquieted or dejected soul 2 Sam. 23. 5. By that late Reverend Divine Mr. John Cotton of New England The Ruine of the Authors and Fomenters of Civil War as it was delivered in a Sermon before the Parliament at their monthly Fast by Mr. Samuel Gibson sometime Minister at Margarets Westminster and one of the Assembly of Divines The New Creature with a description of the several marks and characters thereof by Richard Bartlet FINIS Of the Name The definition of a Feaver The division of heat The division of ascititious heat From the essence From the subject From the manner of the motion From the efficient cause From the matter The containing The contaâ—nâ—d The impetuous From the Symptoms The simple Feaver An unputred Synochus The Homotonos The Epacmasticâ— The Paracmastical The putred Synochus The Synechis Intermitting Feavers A Hectick Compound Feavers The Confuse The Erratick From the Humour From the quality Object against this opinion From the quality From the habit of the body From the strength From the complication The cause of putrefaction What the catasâ—aâ—â—â— it From whence are the signes of these timâ—s From whence is the Idaea of the Disease 2 From the fits 3 From the figure 4 From the strength 5 From the season 6 From the pulse 7 From the rigour 8 From the houre 9 From the Symptomes 10 From the duration of the fits 11 From the evacuation 12 From the urine Signes when the matter is out of the veines How to distinguish the four times of Feavers The foâ—â— times of a Phlegmon Signes of the times of an Ophthalmy The four times of an Ulcer What time is What a period is What is the type The time of intermitting Feavers from moveable matter The division of the fit The first time The second time The third The fourth The fifth The Sixth The times of these putrid are but four The signes of the times of these Feavers The augment The state The declination From whence the times of a Diary Feavers without putrefaction of the Humours The times of mortal Feavers The times of a Hectick Of Bleeding Purging Of the name Of the external causes Of the internal causes Of the Singes Who are subject to it The Cure The profit of Baths What a Synochus is The Signes The Cure A Cholagoge Feavers from Humours equally putrefied The Causes The Signes How many wayes a Crisis may be The Cure The cordial powder An Epithem for the heart A Plaister A Liniment for the Liver Feavers from humours unequally putrefied The division of these Feavers The external Causes Causes internal The causes of a not exquisite continual Tertian Signs Pathognomonical of a causus Signes assident Signes of exquisite Tertian Prognosticks The Aire His Drink Bleed A cooling Glister A Bole. A Rule to be observed A Julep A Purge for Choler Of the Name How a continual and intermitting differ External causes The Signs A Glister A Vomite A Purge for the Flegme Bleed A Julep An Apozem Pills Of the Name The Causes The Signs Prognosticks The Cure A Rule for purging A Glister A purge for Melancholly A Vomit An altering Julep An Apozem Lozenges The Oyntment for the Spleen Whence a double Tertian The Causes The Signs A Caution A Julep A Purge for choller Pills A Bolus A Cordial powder A Vomit A Suppositary A Purge A Julep An Apozem A Purge A bolus Lozenges for the Liver The division of this Feaver The Signs Signes of a bastard Quotidian The Cure A Suppositary A Glister A purging Potion A Julep Pills A Condite A Liniment A Plaister Of the Name The Cure The Signâ— Prognosticks The Cure A Glister A Bole so melancholly A Purge for melancholly Pills Vomit An Apozem for choller adust An Apozem for salt flegm A Purge for 〈◊〉 flegme A purge for flegme and melancholly A Bole A Purge for choller adust An Opiate Lozenges A Plaister for the Spleen The Causes Presages A powder for an intermitting quartan Of a confused Feaver A Compound Feaver Of the Erratick Feaver The Causes The signes of a Semitertian Signes of a non exquisite Semiterâ—ian Prâ—â—nostiâ—â—s A Purge A Sirrup against thirst An opening Apozem Of the Name The Definition The Division The Causes Signes of the first degree Signes of the second degree Signes of the third degree The Cure A Glister A Potion Baths A Liniment A Condite The Cure of the second degree An oyntment for the brest The choyce of Milks The third degree A short cure of a Compound Hectick The division and difference of malignant Feavers Of a Leipyria Feaver The Cure A Syncopal Feaver The Cause The signes from prassinous choller The Cure A Glister for flegme A Glister for aeâ—uginous choller A minorating Purge for flegme A purge for choller Pills A Julep for flegme An Apozem The signes The cure Typhodis Feaver The moyst Feaver The restless Feaver The signeâ— The Cause A Glister A Potion The Colliquating Feaver The cause The signes Of the Name The Signs A minorating purge A Rule A Julep An Apozem A Purge
straine it and clarifie it with Oxysaccharum compound two ounces and aromatize it with powder of Diatriasantalum Take of Polipody of the Oke bruised six drams Sena half an ounce Dodder of Time two drams Annisâ—ed a dram true black Hellebore two scruples whole Cloves two boyl them in part of the former Apozem to three ounces then infuse of Catholicum and confection Hamech each half an ounce in the colature dissolve sirrup of Fumitory the greater or of Apples an ounce and give it Take of Cloves three graines Aniseed two scruples Agarick Trochiscate a dram Turbith bruised four scruples Sena two drams infuse them all in part of the Apozem with an ounce of Oxymel simple upon warme embers to the expression adde of Diacarthamum and Catholicum each three drams sirrup of Fumitory the greater an ounce Take of old Treacle four scruples Conserve of Bugloss flowers or rootes three drams give it with Sugar Take of Cloves three Graines Cinnamon a scruple Anniseed half a dram Rhubarb Tamarinds and Sena each a dram and half infuse them all night in Whey over warme embers with the Electuary of the juyce of Roses half an ounce streine it and adde sirrup of Violets of nine infusions an ounce and half give it Take of the Conserve of Tamarisk or Broom flowers two ounces Conserve of the rootes of Smallage Milt-waist or Maiden-hair each anounce powder of the Trochisks of Capers and of Dialacca or Diacurcuma each a dram make an opiate give half an ounce on the intermediate days drinking a little White-wine after it Take of Trochisks of Capers and Wormwood each half a dram root of Jallop a dram Crocomartis two drams Conserve of the rootes or flowers of Bugloss six drams Sugar dissolved in Milte-waist water and boyled four ounces make Lozenges two drams weight take one every intermitting morne and drink after it a little VVhite wine Take of Gum Elemi an ounce VVax half an ounce Colophonia Turpentine and powder of long Birthwort and Caper bark each two drams Flower-de-luce Cammels Hey Nard Indian and Myrrhe each a dram Styrax Calamite half a dram White-wine as much as will serve to dissolve the gums make a mass of which spread a Plaister on Leather in the figure of a Neats tongue and apply it to the Spleen it softens and resolves its hardness or the Chymical Oyle of Amoniacum with some few drops of sharp Vinegar doth more powerfully resolve any hard tumor of the spleen CHAP. XX Of Feavers annexed to Quartans THe Quintan Sextan Septan and Nonan Feavers differ not from intermitting Quartans either in matter or cure but in the quantity of the humour and disposition of the body rather than from the rising setting and congression of some Starres as the Astrologers would have it all these Feavers have their name from the motion they observe returning upon the fifth sixth seventh or ninth day The cause of these circuits depends not only on disordered diet or the relicks of the morbifical matter not emptied nor on the quantity quality or crasness and clamminess of the humour nor on the influx of the Starrs or disposition of the body but rather from the starry Element which Hippocrates calls something Divine when a quartan is caused from very crasse and tough flegme and a melancholly humour very crass it may then bee extended beyond the fourth day saith Paulus Aegi and Rhasis speakes of those returned every tenth day and once a moneth that the quantity and quality of both humours and disposition of body doe contribute somewhat none will deny but the cause of the Circuits Histories doe report to be referred to the element of Stars Pliny speaks of Antipater the Poet who lived very long and every year on his Birth-day had a Feaver Galen saies he hath seen Quintans but obscurely but Avicen boasts hee hath seen many but they are rarely contingent Hippocrates presages thus of these Feavers the Nocturnal is not dangerous but long the Diurnal is shorter and sometimes they bring to a Consumption the reason is because the night is likened to Winter at which time cold humours move and because in the night season remedies cannot conveniently be administred a Quintan is the worst of all for to the sound or tabid it is death because it is vehement proceeding from an atra-bilarious humour and not from a melancholly juyce a Septan is long but not lethal and so a Nonan The Cure differs not from that of an exquisite or spurious quartan Take of the leaves of Sena three drams the rootes of true black Hellebore one dram of Anise-seed Dodder of Time Diagridium each half a dram Mastick and salt Gemmeous each a scruple Cloves half a scruple make a fine Powder give a dram in a little White-wine on the fit day in the morn early once a week CHAP. XXI Of confused compounded and erratick Feavers ALL these are of the kinde of essential Feavers and differ not from the precedent neither in matter nor putrefaction for they are all putrid but in the seat and motion of the morbifical humour A confused Feaver is so called from the seat when humours doe equally putrefie in the greater or lesser veines as if choller and flegme doe putrefie together in the greater veines there shall be two continual Feavers because these two humours mixt doe putrefie in the same place beginning and ending together and by reason of this mixtion they cannot be known distinctly or apart because their signes are confounded from whence this Feaver hath its name likewise if both those humours putrefie in the lesser veines which are in the habit of the body or in the Stomach Liver Mesentery Spleen or Cuts together in the same place there shall be two intermitting Feavers which mixed doe constitute a confuse and not a compound Feaver On the contrary A compound Feaver is as oft as the humours doe inequally putrefie not in one place as the confused but in divers places together whether in the greater or lesser veines and this Feaver hath its name from the predominant humour as in a bastard Tertian where choller predominates likewise if there be more flegme or melancholly humour it shall then be called a bastard quotidian or quartan which Feavers are com-Pound and not confused because their matter putrefies in divers places and they begin and end at divers hours because every one hath its several essence seat and motion also two quotidians and a double tertian and a double or triple quartan are Compound Feavers as often as their matter putrefies in divers places and thus a semi-tertian which is compounded of choller putrefied in the greater veines from whence is a continual and flegme out of them whence is an intermitting Feaver or of flegme putrefied in the greater Veines and choller out of them and is called a Hemitritaean thus also a Hectick Feaver with a putrid doe make a Compound Feaver because the efficient cause of a