infirmities and gave over Physick nere six months But meeting with one formerly a Patient of mine that I had cured though a different case encouraged him to come to me or acquaint me by Letter first with his condition whereupon he wrote to me living at a great distance and gave me a full Relation of his case defiring my advice and assistance the ein submitting to what course I should appoint him I considering the whole story I was sufficiently satisfied of the Disease that he was deeply seised with the Scurvy as the Syndrome and Concurrence of symptoms did certainly discover Whereupon I sent him my Treatise of the Scurvy to contemplate his Difease at large and to be useful to him as a Guide with a Box of Scorbute Pills and an Elixir and bad him proceed in the use of them according to Directions which he did for Three weeks then gave me an account that the violence of his Disease was much abated the Symptoms more mild and easie and not so frequent those nights he took a Pill he slept more quietly then at other times in his stools came away little lumps of a slimy jelly of a dark colour or blackish after which he was much at ease his Belly and Hypochonders were more flat and soft that since his Physick some dark spots appeared in several parts of his body with a moisture upon his skin as enclining to sweat some nights but chiefly towards morning This I liked well and farther appointed him the Sudorisick Medicine hereafter mentioned to help forward and procure breathing Sweats twice in the week which I judged to be of great advantage to him this he diligently performed seven or eight times until the spots vanished and then his spirits were more brisk and chearful and more fit for business having thrown off that impure matter and dispersed the Cloud of Scorbutic vapours that clogged and darkned his spirits his sleep now was quiet and to be short the symptoms that formerly molested him did not appear but was reduced beyond expectation I gave him some cautions and advice lest he might relapse which he punctually observed and stood firm for seven or eight months after Since I hear nothing of him but suppose him to be well for which he was not ungrateful I might Comment largely upon this case and illustrate the Scurvy in the several Symptoms though disguised by various names usually given not respecting the causes but I pass on I have yet a farther Account of these Pills how and in what principal Cases I have used them successfully for diseases and infirmities of the Head so accounted though arising from inferior parts most often as Apoplexy Epilepsies Convulsion Palsies Vertigoes Soporiferous and drowsy Infirmities Rheums Head-aches c. This Medicine is profitably used by Eradicating their causes that require Abstersion and Evacuation in the lower Regions of the Body Diseases ascribed to the Head though appearing there yet for the most part do arise from inferiour parts occasioned by their Impurities Obstructions and Disorder for one that is Idiopathically Afflicted ten are Sympathically affected by consent of parts and transmission of some Morbifick matter thither the Disease appears in one part but the foundation and cause is Radicated in another and to that part must the cure be directed And therefore if well observed we frequently meet with Scorbutic Palsies Scorbutick Convulsions Apoplexies Sleepy Diseases pains of the head Giddiness trembling of the Nervs Deafness dull Sight and Blindness and all these arising from the Scurvy or Scorbutick impurity of the body oftentimes and these are not cured but by Anti-scorbutic Medicines and those that endeavour otherwise with their Specificks and appropriate Medicines to the parts where such Symptoms and Diseases do appear labour in vain and are frustrated in their intended Cures I might instance in many more cases wherein this Medicine hath done me good service but that would be too tedious to relate therefore in general I must say for Sorbutic persons and the various Symptoms that attend that Disease whether in this part or that part these Pills are the best Abstersive and Purgative Medicine I ever made use of being so amicable and friendly to nature in their Operation performing with so much ease and gentleness that I have given them to the weakest bodies with good success proportioning the dose according to the ability of the body I shall here set down the Dose and Circumstances that belong to the taking of these Pills The ordinary Dose for man or woman is three Pills some Bodies though very seldom require four and sometimes two Pills is sufficient for weak bodies and such as work freely with a small matter So much difference there is in bodies for purging that two of these Pills are sufficient for some but most commonly three Pills are required seldom four therefore try your body first with a lesser Dose then if it require more you may add to the next and in so doing you will not err For example If you have a stubborn body difficult and hard to purge and the first Dose works but little Tutius est peccare in defectu quā in excessu the next Dose you may take one Pill more but if you have a lax gentle body freer in Operation than you expected then abate a Pill if the first work too nimbly with you The difference of bodies is such in Operation especially purging that they require a different Dose or quantity for their proportion which cannot so exactly be determined and appointed by the praescience of the most skilful Physician but by a rational Conjecture untill the first experiment and tryal of their bodies which uncertainty is not in the Medicine but in the diversity of bodies and after the first Dose taken your own reason then considering the condition of your body with the former will prompt you in the next whether to keep to the same to augment or abate * Solutiva enim fortia cum succis texuperanibus magnam spirituum faciunt solutionem And remember this as a necessary caution that you covet not strong Purges and large Evacuations to have many stools in a day a common error which offers violence to Nature and forceably sweeping down both good and bad together * Eradicativa evacuatio optimè perplures per sicitur eva cuationes minorativas but rather choose to draw away the offending matter gently by degrees giving Nature time for separation the pure from the impure and noxious four or five Stools in a day is sufficient but not to exceed six and that number I intend you to aim at and no more and thus doing you will find Physick much more beneficial nature more kindly assisting and not at all weakned Some there are who unless their Physick work half a score or a dozen times think they have kept House for nothing and their Money cast away accounting the goodness of their Physick by the number of Stools but they
USEFUL DISCOVERIES AND PRACTICAL OBSERVATIONS IN Some Late Remarkable Cures of the Scurvy By E Maynwaringe Dr. in Physick Cognitio Sequitur Curaetiones LONDON Printed by A. M. for T. Basset under St. Dunstans Church in Fleet-Street 1668. To the Diseased IN vain it is to Discourse and have the Notion of Diseases unless also efficacious Medicines be found out to answer their Indications for Cure Which to do is the most difficult and laborious part of Physick And this we may conclude from the often frustration and disappointment of Medicines in their effects after Learned Consultations and deliberate Determination of the Disease Causes Part affected c. rightly stated Here is the great Check given to the Physicians Learning and until this tryal of the Medicine he receives no repulse but goes on smoothly with Applause and boldly but finding his Medicine take little or no effect for the purpose intended is then at a stand a while But being loth to receive a baffle from the Disease does prescribe another and perhaps another after that a fourth and a fifth and sometimes many more if the Disease be contumacious and stubborn and this some will call a Methodical course of Physick But I shall not harp upon that string This Disappointment is too often observed in the practice of Physick and this arising only from ineffectual languid erroneous Medicines and how does this come to pass but that the care and burthen of this work rests upon those that are unable and unfit to manage it or by trusting too much the credit of Authors and their traditional Medicines either Galenical or Chymical relying upon their authority and the truth of their Writings which have deluded and frustrated the expectation of many And this I have observed in practical Authors and Pharmacopaeas of both Sects Medicines collected and borrowed from one another and delivered thus from hand to hand none knows who first invented them or whether any of them ever made or tryed them that highly extolls and gives large encomiums of their vertues That many of these are Delusions either in the process or the efficacy of the Medicine to my own cost and Labour I have experimented and must say with Helmont that great Philosopher Vexatio parit intellectum and therefore do Caution others lest they suffer upon this Rock but he that will purchase to himself excelling Medicines being accomplished with literature with the ground-work and Canons of the Art let him not tye himself up or credit too much this or that Author but follow the dictates of his own reason confirmed and guided by collateral experiments and herein a Physician daily exercised shall in time attain to great knowledge and satisfaction in Medicine and purchase to himself Medicaments of great worth and value and this must be every Physitians proper Labour and daily endeavours that rationally intends and rightly goes about to improve and advance the efficacy and power of Medicines that they may have their praise and fame in the World and the Physician much satisfaction and content in their wonderful Operation It is not Sitting in his Study alone and poring upon Books but his own manual Operation and Inspection over his Servants that gives the great stroak to the business the other does very litle without this but both must needs do well and I must say and that justly he that practiseth Physick with a bare speculative traeditional and book-reading knowledg of Medicines is very unskilful in the true fundamental knowledg of Medicines and is as unfit to prescribe or appoint Medicines in hazardous or difficult cases as the that by only reading of Navigation is unable to manage and conduct a Ship to East-India And this is reason to averr for he knows not what a Medicine is nor can he give a good and certain account upon his own knowledg of the Nature of any Ingredient but has all upon trust This or that man says it the conclusion will not handsomly follow Ergo It is so No wise man that can gain a certain knowledg of his own will borrow at hazard of another considering the untruths and Erorrs that are scattered abroad in most Writings that he which lives only by borrowing thus shall run himself out of credit and Reputation in his Profession if blind Fortune be not very much his friend 'T is most certain and true that the Ingredients of any Medicine are not known by reading of them but by their single and compound preparation and separation of their constituent parts and thus by handling and Chymically dissecting their bodies each part lies bare and presents it self to your understanding And farther An Ingredient whether of the Animal Vegetable or the Mineral Family changeth its Nature and Effect according to the variation of its Consorts with whom it is joyned that it is not the same compounded with this as it is with that but works a different effect because many times they act upon each other subduing and moderating each others peculiar Nature that a median nature does result And therefore great care and knowledg in the Physician is required about the choice and conjunction of Ingredients that he be able to look through their several Natures to find out their similitude and repugnancy their concord and discord for hereby is known what properties will be advanced and what depressed and this an able Chymical Physician can dâ—scern as having a perspective thorow knowledg the other is but Exterior and Partial and as the composition of Ingredients may alter and change their Natures so likewise their various manner of Preparation singly do change an Ingredient that it is made this or that as a perite Artist pleaseth exalting or prostrating and killing this or that quality as his purpose requireth And here by the way I must take notice of the traditional and unprofitable account of Vegetables that our Herbals give of which the Chymical Physician takes little notice and is a small assistance and guide to him in the Election of Plants for his several Intentions Being satisfied long since that Medicament was the most weighty and considerable part of Physick and that a deficiency or error there is a greater disadvantage and detriment to the Patient then in the determination of the Desease I did eagerly apply my self to Medicines according to the ancient custom and general practice of the most learned and famous Physicians in all places who were industrious Artists diligent in preparing their own Medicines until this later age with as much curiosity as my knowledg could possibly direct At first I was desirous to make Experiments and be fully informed in Galenic Medicines being grounded upon those Principles by my Academic Education and was tenacious enough of that Doctrine unâ—il a clearer prospect of truth did appear gained by Observations in practical Philosophy a serious ratiocination and strict examination of Principles and received Opinions but being removed off that Basis and confirmed by Chymical Tryals relating to Medicine I
ancient and most famous Physicians to acquire by their proper labour and sedulous industry some great Arcana's secret and choise medicines of excelling vertue which they esteemed as a treasure and gave them peculiar names to be distinguished and known by and that such medicines might be known to the world for the good and benefit of the Diseased they did publish their vertues as Angelus Sala in the Preface to his Precious Antidote does apologize for himself in doing the like Etiam magninominis medicis solenne olim fuit medicamenti alicujus particularis virtutes quas quisque accurata observatione annotaverat peculiari quodum tractatu literis consignare Oper Med Chym. pag. 420. sayes he It has been the ancient custom of Physicians those men of great fame to write a Treatise of the vertues of some particular medicine which they had noted by strict observation then he extols the efficacy and worth of his medicine and excuses the concealment of the preparation Helmont also that great Philosopher and Physician had his private medicines which he highly valued so also in the Writings of the most Eminent Physicians we find they had their Arcana's secret medicines which they would not discover save only their vertues and manner of use therefore I may say as Angelus Sala Quod si illis hoc vitio non fuit datum neque mihi qui eorum ad exemplum But since the late fashion of Prescribing came up in use some ignorant buzzards which I could name that have objected this against me perhaps of our own Faculty think this an empirical way but therein they discover their ignorance not knowing the ancient and most legitimate way of Practice and what is the whole duty of a Physician See what Famous Quercetan sayes upon the Question An medicum deceat 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Quer Rediviv pag. 218. Whether a Physician ought to make medicines He will tell you you are Pseudomedicus a Counterfeit Physician if you do not make medicines Pray look there and then you will say 't is a shame for a Physician not to be expert in making medicines As a duty and following the Example of the most Eminent Physicians I have been and am a constant labourer in Pharmacy thereby to acquire and purchase the choisest Medicines that Art and pains can procure and by continual making and altering upon tryals I have purchased as noble Medicines I think as any man can procure not but that other Physicians that have been thus diligent in Preparation of Medicines as I have been may have as good but without this Labour and Industry no man can be master of such In particular the forenamed Elixir as it is now improved and advanced I have a great esteem for and is a great assistant to the Stomack in the office of Digestion for it mainly fortifies and roborates that Faculty so that the bad effects of a weak or depraved Digestion are notably Corrected and amended as crudity and indigestion flatulency or winde Nausiousness or Vomiting Fulness or Opression Loss of Appetite Eructation or Belching and this it performs by asisting the Stomack 's Digestive Ferment being deficient and decayed by Age Intemperance Incongruous Dyet Disorder or Natural Infirmities One Case amongst the rest relating hither I well remember which I think good to relate A woman that had been troubled with the Scurvy for some years though scarce taken notice of but supposed to be from other causes what symptoms did appear amongst the rest for some time she was molested especially in a morning with a driness in her mouth and an ill taste afterwards her stomack would nauseate sometimes and soon after did begin to vomit whereupon she took several medicines to stay vomiting and to strengthen the stomack but all in vain and rather aggravated her Griefs straining to Vomit with more violence and little or nothing came away when I was made acquainted with it and understanding the Symptoms to arise from the Scurvy upon examination of the whole matter I sent her this Elixir with directions and at the third or fourth Dose her Vomiting and nauseating was gone and much at ease then I appointed her the Scorbute-Pills to be used intermittingly with this Elixir for some time and soon after the other Scorbune Symptoms which molested her vanished and she regained her former health Whereby you may observe that the Scurvy will not be tamed but by Anti-scorbutic Medicines and although some Symptoms of the Scurvy be common and like with those from other diseases whereby many are deceived in their causes yet if they arise from a Scorbutic Root they will not be cure but by Anti-scorbutic Medicines and therefore whar Symptoms of Sickness do appear in any person ought strictly and nicely to be examined by a discerning judgment to know the right spring and foundation of their Rise But to proceed Not only the Stomack and first Digestion is benefited and assisted by this Elixir but the subsequent Digestions are promoted and their defects corrected hereby and this Medicine I use successfully against many Infirmities seated in the Mesentery Guts Liver or Spleen as when they are languid and weak degenerating and falling off from their duties are obstructed with crude depraved Matter wanting Spirit and Vigour and acuteness of Ferment fit for their proper works from whence Hypocondriack Melancholy Stitches Pains Tumors and flatulent Distensions of the Hypoconders and Belly In such cases this Medicine penetrates atteneates opens and discusseth roborates and gives great relief and likewise for Melancholy drooping Spirits and Palpitations of the Heart Angustness and Compression about that Region arising from a Scorbutic Feculency and Impurity an ill-affected Spleen or Matrix from whence Vapours do assurge to afflict the heart and vital Spirit this Elixir is a proper help and also effectual in Scorbutic Asthmaes difficult and short Breathing Coughs and Scorbutic Consumptions But of these you may read at large in my Treatise of Consumptions and I have there appropriated two excellent and highly graduated Medicines for Consumptive persons a Restaurative Essence and Balsamic Extract with which I have recovered some beyond expectation That you may be the more cautious in examining the Symptoms of Diseases what foundation they have and whence they do proceed that you may not labour in vain for a cure I have noted a remarkable Case in a Patient of mine worth your Observation which was thus A young man about thirty years of Age a Student and tenderly bred was subject to short and difficult breathing but without a Cough or very little he was advised to many Pectoral Medicines to open and strengthen the Lungs which he used but with little effect his Disease by time increased upon him and he was troubled with palpitation of the Heart and stoppage of Breath in his Sleep that he was affraid of Suffocation he then unhappily fell into the hands of an Emperick who purged him with violent Medicines so that he began to be Hydropical did
takes a disgust to a Medicine she seldom agrees with it after à levioribus incipere procedere ad fortiora est ordo Sapientum though it be never so good therefore at the first begin with a little dose for tryal though the Medicine be very amicable and the next time you may encrease and take a little more The manner of taking is thus Roll it in a little Sugar and swallow it down Take it at Night having eaten but a little Spoon-meat for your Supper in Bed covered warm and a quarter of an hour after drink a draught of Rosemary-Posset or Mace-Ale then you may sleep as you find your self disposed Or you may take this Medicine in a Morning very early after the same manner and lye in Bed half that day sleep if you will that does not check the Medicine you will have the benefit of Transpiration in your sleep Somnus Cohibet omnem evacuationem preter Sudorem aph nor are you to expect great Sweats but only moist Breathings not at all troublesome Some perhaps being too hasty and desirous to effect their Cure may think one or two great Sweats may do as much good as half a dozen gentle breathings Saepius mediocriter Sudomovere melius est quam Semel modum excedando viresprosternere and so shorten the time of their Cure but I cannot approve that Course to impair Nature by violent and large Exhaustions you thereby frustrate the benefit of the Medicine which rightly used will prove very succesfull for the purposes appointed This Sudorific Extract may be taken twice in a week on the intermitting dayes when you do not purge having first taken three doses of the Scorbute Pills to cleanse the stomack and bowels before you begin to Sweat that the grosser matter and impurity of those parts be not driven into the habit of the body For going abroad observe this if you take the Sudorific in the Morning you must not go out that day the Pores being open but if you take it over night the weather not cold and searching but temperate or hot you may go forth next day if your disease strength and condition of body admit Those persons that use the three Antiscorbutic Medicines before mentioned do observe this order except in some special Cases and complicated Diseases by particular advice First they begin with the Scorbute-Pills to cleanse the Center of the Body as the Stomack Guts Mesentery Liver and Spleen The next day and all the intermitting days between Purging they use the Elixir to strengthen the declining Faculties and rectifie the Digestions and after three doses of Purging Pills taken they begin with the Sudorifick Medicine to purifie the Blood and cleanse the habit of the Body and these are to be used twice in a week proceeding also with the other Medicines in their turns as before But now you are come to use the Sudorifick Extract you may take the Scorbutic Pills but once in the week whereas before you took them once in four or five days this is my course and practice in curing the Scurvy and 〈…〉 it is a 〈…〉 according to the Canons of Art is also verified by much experience to be most effectual The chief reason why I am so large here in the general use of these Medicines is to avoid the daily trouble of directions in writing to each particular Patient except there be good cause I have now finished what I proposed in my self to make Publick The Nature of this spreading Disease the Scurvy its variety of Symptoms and appearance that it may be known though in a various dress and disguise the usual complicated affects that associate and attend it its internal essential Causes manner of Generation and seat of Radication in the Body the external procuring and promoting Causes the chief indications so Cure three Anti-scorbutic Medicines laid down as exemplars answering the scope of those curative intentions and some remarkable Observations in Practice And this is the summ of the whole Work FINIS
deserted the Galenic Medicines as inferiour to that I discovered and was presented to my view and ever since have labored in Chemical Pharmacy as being the most excellent way of preparing Medicines Some Objections are made by the Learned and by the Ignorant against Chymical Medicines but to vâ—ndicate them from common slanders and clearly to determine the difference between these and other Medicines will take up more room than can be afforded in this place and therefore must of necessity wave it expecting an Opportunity hereafter to ventilate that Subject Only by the way I must noâ—e that Chymistry suffers much and is eclipsed in its reputation by some illiterate pretenders and bold fellows not qualified Philosophically but rudely intruding upon the Art without a due preparation and legitimate induction brings scandal upon the learned deserving Professors and defamation to the Art by Vsurping the Title of Doctors and Chimical Phisicians that many are deceived by them which are not able to discern the difference between a Doctor of Physick and a crafty Empyric But the ingenious Phylosophical Artist ought to be cherished and incouraged in his Operations and rational Tryals But to my purpose intended in my Treatise of the Scurvy having traced that Disease from its Infancy and Generation to its full groweth and strength its chief places of Residence variety of appearance and monstrous deformity it remains I should now propose some effectual means to check and subdue the prevailing power of this spreading Disease that daily growns and encreaseth to the ruine and decay of Nature being possessed and seated in the Vital Principles Seducing and Constraining them to enormity and defection from the regularity in which they were planted by Nature And having strictly surveighed the condition and nature of this Disease with its variety of attendants and additional strength being ready to joyn with any Morbific cause and be transformed I was unwilling to sit down here and rest with a contemplative knowledg of this Disease and leave the greatest part of the work undone the subduing and vanquishing of it by powerful Medicines nor being willing to commit the remaining part to the industry and care of others for good reason I have therefore laboured to form Medicinal Instruments to oppose this Contumacious Herculean Disease and as fit means for this encounter I prepared three Medicines of a different Classis and Operation to meet with the variety of Symptoms and Scorbutic Complications In the Cure of the Scurvy at least in most Scorbutic cases there are three intentions of cure to be aimed at the first is Purgation or Cleansing to carry off that Scorbutic Impurity or Degenerate Matter lodged in the Stomack and Bowels de praving and alienating good food daily received Secondly roborating and strengthning the digestive Faculties which are debilitated and alienated from the integrity of their Offices not only the Digestive Office of the Stomack but the subsequent Digestions also Thirdly Depuration of the Blood and cleansing the habit of the Body Nature dischargeth her self from within and sending daily to the exterior parts those also must be tainted more or less as the Symptoms will manifest and therefore do require to be freed from feculency and the Blood purified To answer these three Purposes I prepared three Principal Medicines viz. Scorbutic-Pills Catholick-Elixir and a Sudorific-Extract These Medicines I have been reforming and improving alwost seven years to advance their Efficacious Dies diem docet but most gentle and benigne Operations And for the better effecting this endeavour and aim the constant and daily use of them in divers Scorbutic persons attended with different Symptoms of the Disease and complicated with divers other Diseases gives great information and satisfaction to me in the several accounts I receive of their Operations both at home and abroad by Letters from remote parts of this Kingdom whereby I am taught which way and wherein 't is possible to improve them and to give them as great a Latitude of Universality and extent of Operation Nihil est fimul inventum ac perfectum in their peculiar Classes as long experience and daily use can dictate to their several repeated processes and tryals of making and this is my Study and daily experience in Chymical tryals to improve these and all other Medicines I use in my Practice that they may attain to such perfection and energy as Cito tuto jucunde to relieve the Diseased in the most contumacious Maladies and deplorable Cases remediable hereby Medicines will gain greater esteem and the Art its deserved repute and Fame if Physicians by their own care and pains as they ought would manage this Work and be as Industrious and skillful in this as in the other parts of their Profession But occasions call me off from this Discourse I must hasten to finish the remainder which is a more part cular account of the Operation of Medicines in the Cure of his Difease with some remarkable Observations in difficult Caâ—es and dubious Complications I have met with lately in Practice of necessary Consideration to others in like manner Diseased London From my House in Clarken-well-Close E. M. Med. D. Of such Purgation and proper Purgatives as is requisite in Curing the Scurvy PUrgation or Clensing is praemitted as a regular and due course in the cure of most Diseases and it is instituted chiefly to cleanse the first region of the body and to carry off what superfluous or degenerate matter is to be voided by the gutts And this operation is necessary in the cure of most Diseases though seated in other parts for although the infirmity lye not in the first region of the body neither in the Stomack Gall Gutts Mesentery Liver nor Splene yet 't is aggravated if those parts be foul and probably may be the original and foundation of those remote Infirmities by consent or transmission nor shall medicine carry its vertue without impediment and abatement or food clearly conveyed to nourish the body if those parts be foul clogged and obstructed Now to make choice of a fit and good Medicine that will cleanse the Stomack Gutts Mesentery Liver and Spleen without offering injury to their peculiar Crasis or Ferments that is not to alienate them from their proper distinct natures not to impress and stamp new qualities upon them this is a Medicine you may freely use and expect great relief from in keeping the forenamed parts pure and clean and such a Medicine is to be used in the cure of scorbutic persons but if you use Purgers of a deleterious and virulent quality that act per modum veneni they will characterise their virulencies and exotick adverse properties upon the parts alienate and debilitate the ferments in their Functions and Offices and the often use of them impairs Nature very much though for the present sometimes alleviation does acrue from the evacuation procured though by bad means and of this nature are most of the Purgers in use as Senna
Climates doth abound with a serosa Colluvies a Serosity or Superfluous watery humor a good Sudorisic Medicine is of great use for when this serous matter abounds and increase the ther by the insufficient Attraction Separation of the Reins that should expend and drain it or the Pores shut up and Trauspiration denied that should insensibly exhaust it doth then by Preternatural Retention degenerate and change its Nature and Properties that which was mild turns acid sharp and molesting and variously degenerating doth cause several Diseases and Pains in divers parts of the Body as it Circulates in the Vessels or extravasated and wandring about being expulsed from part to part as hostile and injurious by the strength and fortitude of the Archeus or innate spirit that inhabits as the Life-guard in each part of the body This Sudorisic Medicine prepared for the purposes aforesaid I appoint in all Scorbutic Cases requiring Transpiration or Sweating and I find great success in the use of it especially being now much altered and improved Many Diseases are expulsed by Sudorificks that purgatives cannot prevail against the reason is this First because some Diseases do arise and depend upon a flatulent Spirit or Meteor that is generated in the body and these Diseases are more accute and dangerous than others because their matter is more active subtile and of suddain motions being of the Nature of a Spirit is more penetrative and irresistible in its motion as Apoplexy Epilepsy histerical Passions Pestilential Seminaries suddain Swooning c. Which do not yield Obedience to Purgatives being of a more subtile spirituous nature is not ejected by Vomit or Stool as grosser Morbific Humours are but requires a Medicine equivalent and proportionate to their Nature that is penetrative subtile and acute in Operation proper to discuss evaporate and transpire Secondly many Diseases though arising from grosser and humoral causes that would obey the Power and Virtue of Purgatives yet by reason they are lodged in the habit of the body and more exterior parts are out of distance and beyond the reach and sphere of their activity but a good Sudorific penetrates and searcheth all parts raiseth the Seminaries and enters the secret Dormitories of lurking Diseases and gives them expulsion by its subtil Operation and acute Power and here I remember the condition of a Patient which I will relate to you pertinent to the present discourse A young gentlewoman of a fair Complexion and very clear skin by Melancholy and other causes was much altered and become brown muddy and discoloured in particular places afterwards a Scurf did arise and some Pimples here and there which was troublesome by itching this Gentlewoman was let blood and purged often but still her trouble remained then she was advised to a Wash to clear the skin and to take away the heat and pimples which did take effect in a few daies but upon retiring of this humour inwards she fell desperately sick with violent pains in her head and ready to faint away often Hereupon I was sent for and examined the whole matter and finding the acuteness of her sickness to arise from an imprudent repelling of a humour and forcing it back upon Nature which she had brought forth to the skin I immediately appointed her a Dose of my sudorific Extract to be given her which put her into a breathing Sweat and when the Medicine had done its Operation her pains and sickness were almost gone the next day I appointed another Dose to be given her to sweat gently for two or three hours and before the Operation of the Medicine was spent her pain and sickness quite left her and then appeared some of the former Symptoms again upon the skin but without itching The present danger of her sickness being over I caused her to rest two or three daies and gave her an Elixir to take every day to cherish Nature and recover her strength then she fell to the Sudorific Extract again to cleanse the Blood and to breathe out that impurity which was lodged under the skin with convenient intermssion she repeated this Sudorific Medicine three or four times more and then the former Symptoms quite left her and she regained her former beauty and clearness of skin By this you may understand that a Sudorific Medicin some times is effectual when Purgatives cannot prevail yet 't is injurious to Nature to draw back again what she hath protruded and brought forth to the Circumference of the Body and therfore they that rely and insist too much upon Purging thinking to cleanse the whole Body by that Operation only are much deceived Purging is good but not alwaies other Medicines must come in and take their place according as the case requires Purging cleanseth the Center but Sudorificks purifie the exterior parts That you may know when a Sudorific Medicine is required as necessary and advantagious to the Cure I 'le tell you in what cases I appoint this Sudorific Medicine to be taken In curing the Scurvy I find good success thereby to cleanse and purifie the Blood that is degenerate and vitiated with a Scorbutic taint and impurity or when the Pores are occluded and imperspirable the Body tumified and puft up for want of transpiration and ventilation when pricking pains or itching in the flesh molest and trouble by a saline or acrid Serosity extravasated and erratick when spots tumors pustul's scurfe pimples or such like appear upon any part of the Body This Sudorific Medicine discusseth and discipates the confluence of Humours tesorting to any part opens the Pores transpires and drives out the extrementions matter congested and lodged under the skin also when a Lassitude or weariness possess the Limbs when the spirits are torpid dull heavy as it is the case of many Scorbutic persons being alienated from their purity and wonted vigour by a degenerate and depraved alimentary succus cloging and settering them that should support and maintain them with an addisional supply of a congenerous extraction in this case a good Sudorific is the best relief to depurate the Vital stream and alimentary liquors of the Body from whence the Spirits receive strength and vigour again The Dose and Circumstances that attend the taking of this Sudoific Extract is thus to a man or woman of a weak tender body at first I give a dram and half the next time two drams but stronger bodies give two drams at the first dose then two drams and half almayes beginning with a lesser dose and encrease the quantity as from the quantity of a Nutmeg to a Chestunt according to the condition and strength of the body after tryal First because there is great difference in bodyes some require more as hard dry bodyes and thicker skinns being more difficult to transpire and some less as tender moist bodyes of a rare Texture and open Pores more apt to breath out Secondly Nature is better pleased to receive some Medicines gradually then imposing a full dose at first if Nature