Vapors somtimes from the whole Body somtime from its parts as the Arm-pits Privities Feet From the whole Body either because of some propriety of temper or by reason of the blood and seed being corrupted in the Womb or through some accident during the time of a Womans Belly-bearing From the Parts by afflux of Excrementitious Humors in moist bodies which being thrust thither because they cannot freely exhale they conceive putrefaction and stench In the Cure regard is to be had of universal Remedies Let the Diet encline to dryness and resist Putrefaction Let also the foresaid parts be often washed with a Decoction of Scabious Mirrh Guaiacum and anoynted with an Oyntment of Orice-Roots Lignum-Aloes Ballom of Citrons and Nutmeg compounded together or let them be sprinkled with Pouders Title III. Of the Diseases incident to the Hair Chap. 1. Of falling off of the Hair THe third kind of external Diseases are those of the Hair under which are comprehended Shedding of the Hair Graynes of Hair Dandruff and the Plica Shedding of the Hairs is when they do for certain Causes fal from the Body It is divided into certain sorts viz. Defluvium Calvities Area and Tinea 1. Defluvium is such a falling of the Hairs that either all or most of the Hairs fal of here and there in several places It is known most easily It arises from divers Causes 1. From defect of nourishment as is seen in persons having the Consumption and such as are sick of a Malignant Feaver In the Consumption there is no Remedy In other sorts the Head must be frequently rubbed that the nourishment may be brought thither The Head must be washed with a Decoction of Capillary Herbs 2. From the Pravity of Humors which Eate and corrode the Roots of the Hairs In which case universal Remedies being premised things moderately Discussing are to be used Ladanum is to be mixed with Oyntments 3. From the Rarity of the Skin Then such things as thicken the Skin as Ladanum Oyl of Mastich and Myrtles a Decoction of the Roots of Burdock made in Lie II. Calvities Baldness is when the Hairs fal wholly of from the fore part of the Head T is known by the Eye-sight It Arises from defect of Aliment dryness of the Brain either through Age or some violent cause as too much use of carnal Embracements There is no Cure of baldness yet it may be preveted and deferred 1. By good Diet in which biting salt and astringent things strong Wine too much venery ought to be avoided 2. By supplying nutriment to the Hairs by such things as correct the dryness of the Brain 3. By drawing Aliment to the Roots of the Hair In which case Moderate frictions are good and drawers joyned with things moderately astringent Ladanum dissolved in Oyl of Mastich Washing the Head with a Decoction of Faenugreek c. III. Area is the falling off of the Hair from certain parts of the Head so as to leave bare bald patches here and there arising from a bad and corrupt Humor fretting the Roots of the Hairs It is known by the sight and by the differences of which anon It arises from the Humor named in the description especially from Flegm Salt adust and putrified through fault of the Brain and an hot Liver and corrupt meates as toad stooles c. The Cure is easie if the Disease be fresh If the place being rubbed quickly grows red If the Extremities of the bald patches which border upon the hairy parts begin to shoot forth Hair afresh Hard if the Skin be thick fattish and wholly void of Hair If the Disease be old None if the place being rub'd grows not red T is Performed 1. By Evacuation of the Vitious Humor by purges and Apophlegmaiismes 2. By driving back the said Humor while it is in Flux 3. By digesting the same when it is fastened into the Skin by Medicines hot and of thin parts not very dry least the Aliment be Discussed First the Weaker sort as Southern-wood reed-Roots burnt afterward the stronger Mustard Water-Cresses white-Lilly Roots which ought at first to be more Liquid and left so long on til some alteration be perceived in the Skin Beares-Grease helps by a secret Propriety of which with the Hairs of a Bear burnt Oyl of Mastich-tree and other things before recited an Oyntment may be made T is divided two manner of waies 1. Into Alopecia which keeps in its spreading any kind of Fignre and happens in the beard and hair of the Head in any Age And Ophiosis which begins on the hind part of the Head exceeds not the length of two fingers creeps towards the eares with two heads and in some as far as to the Fore-head til the two Heads meet before It cheifly haunts Infants Herein also the Skin is superficially Excoriated the Color thereof changed and if it be pricked Wheyish blood Issues forth 2. Into that which springs from the Whoremasters Pox that which comes from the Leprosie which is incurable and that which comes from other gentler Causes IIII. Tinea when the Hairs fal off one by one being Eaten and consumed by certain Worms T is known because the Hairs are shorter one than another and uneven Smal worms thick in their ends The color of the Hair becomes like that of Ashes It arises from Excrementitious Humors penetrating into the Hairs with their nourishment and therein by Heat changed into worms T is Cured Universal Remedies being premised by Abstersion with docoction of great Nettle smal Centory c. Chap. 2. Of the Porriga and Plica POrrigo Dandruff is when a man scratches or Comes his Head and there fals somwhat out like Bran. It arises from serous Cholerick and Flegmatick Humors which are carried to the Head with the nourishment of the Hairs the more thin parts being Discussed the thicker stick about the Hairs and go into dandruff They are attracted by an over-bot brain The Cure is by Evacuation of the peccant matter By Discussion and Abstersion with some astringents A Decoction of Vetches and Mallows is good in this Case II. Plica is a tangling and folding of the Hairs into Elfe-locks or thickly thrummed and matted bunches arising from plenty of matter profitable to nourish the Hairs but unprofitable for nutriment of the Body and causing divers Symptomes It is known by bunchings and complications of the Hair pains vexing the Joynts and bones convulsions plenty of Lice The Nailes of the great Toes are rough and scaly black like a Goat-Bucks-Horn The Cause cannot sufficiently be explained T is thought to be a Matter affording plenty of nourishment to the Hairs but such as is hurtful to the Body as familiar to the Hairs as in the running Gout Wheyish matter is to the joynts or Polygonon and bone-glew to the Bones whereupon if the Haires be shaven they shed blood It arises from a peculiar corruption of the place Aire and water T is carryed thither with the Blood somtimes Witchcraft may be joyned The
by the Moons motions and provoked by the Humors agitated by the Moon begins to assaile the morbifick matter expels the same and so works the Crisis IIII. The knowledg of the event of a disease respects four things 1. The Event it self in general 2. The Termination 3. The time of Termination or the duration 4. The Manner The signs which shew the same are termed Prognosticks and among them the chief are those that declare Crudity or Coction 1. The knowledg of the event of a disease in general depends upon a comparision of the strength of Nature with the strength of the disease to which the foreseeing the state of the disease confers much The strength of Nature is judged both by its natural Causes as wel immediate viz. the natural Constitution of the parts in Temper Conformation and unity as mediate or remote viz. the six non-natural things so called as also by its effects viz. the Actions evacuations and qualities changed The strength of the disease is gathered from things essentially inherent causes external and internal helpers and effects or consequences thereof Here note 1. Oft-times from many smal ones the greatest signe drawen 2. Many times one strong signe is prevailes more in signification than many weak ones 3. Because some signes are better or worse as they are joined with strength or weakness of nature therefore the signs must be compared both one with another and with the strength of the sick patient 4. Those are the worthyest signs which declare the strength or weakness of the vital faculty 5. Oft times when some signs of Coction appear the patient may nevertheless perish by reason or some malignity which betrayes it self in a weak pulse a parched tongue c. 6. By how much the symptomes are less and fewer the disease is so much the weaker and contrarily 7. That they are less dangerously sick whose disease is sutable to their Nature Age or custom or season of the yeare than they whose disease is like none of these 8. That there is greater danger when turgent humors offend than when such as are quiet provided they be not fixed in some part when the disease comes from some large and frequent Error in point of Diet or the other things non-natural so called when the Humors are mixt than when they are simple When a solid matter offends than when a liquid c. II. The Termination of the Disease and whether it wil tend to Health or Death is gathered from the actions natural vital and Animal From things voided and qualities changed not that those things do presently declare Life or Death but because they promise hope of Recovery or terrifie by suggesting a fear of Death And therefore 1. In respect of the natural Actions 1. It gives good Hope 1. If the patient do easily take and retaine what is given because it signifies the good condition of the natural faculty 2. If the Patient eat such things as he or she was delighted with in time of health II. Those following breed an ill event 1 If the patient desire meat when his strength is wasted for that is the custom of those that are at deaths dore and happens either by reason of a soure juice slipt into the stomach or by reason of the great wasting of the body by the disease 2. If the patient have a most exact sence because that proceeds from a great Inflamation in the bowels 3. If he loath meate in accute diseases and other pernicious signes are present 4. If in burning Fevers his tongue being dry he thirst not because it signifies either Raveing or great decay in the Appetitive faculty unless the stomach be moistened with an humor falling from the Head 5. If in an acute disease the thirst which was is suddenly taken away and gone without any cause the tongue remaining dry and the urines crude because 't is a signe the patients senses languish II. In respect of the vital Actions I. It is a good signe 1. If the pulse depart not much from its natural symmetrie or due proportion and there be other good signs 2. If when there is some change to the worse it happen from some discernable cause 3. If there be no fainting felt nor panting of the Heart or in case there be they proceed from consent 4. If respiration be according to nature and other good signs are present because from hence we gather that neither the chest nor the Lungs nor the midriff are affected 5. If the same be great or swift for though it should signifie great abundance of fuliginous excrements yet it argues withal the readiness of the organs and the faculties strength II. 'T is a bad sign 1. When the pulse is either very languishing very slow and very seldom which is worst of al or very little and very soft and very hard or exceeding frequent but not very swift nor very great 2. When Respiration is great and swift because it is usual only to such as are distracted great and frequent because it signifies Inflamation or Pain of some of the Instruments of Respiration great very seldom because 't is a sign of distraction 3. Respiration smal and swift because it proceeds from plenty of fuliginous vapours with pain or inflamation of some of the instrucments of Respiration smal and slow because it shews a weak faculty Smal and obscure so that the Patient is hardly discerned to breath because it intimats the Virtue decayed little obscure and frequent because it proceeds from pain or inflamation of some part necessary to respiration Smal and seldom because it signifies extream debility and therefore the breath of the Patients does then come forth cold 4. Sublime Respiration in which the Chest is exceedingly dilated and that which is inspired is little but withal in regard of the urgent Necessity most dense and frequent because Hippocrates makes such nigh unto death 5. Respiration with Rattling especially if it be joyned with other pernicious Signs because such is that of dying persons III. In respect of Animal Actions I. These are good signs 1. Not to be distracted which though it be no certain sign of recovery seeing many die in their right wits yet in diseases wherein the Brain is affected either by it self or by accident it is no bad sign 2. For the Patient to lie in his bed as himself has formenly been accustomed and as sound persons are wont to do that is to say in such a posture and gesture viz. if he lie on one side with his Neck Arms Legs bending somwhat inwards with his body streight up not falling down towards the Feet 3. For a Trembling to follow a Palsie because 't is a token of nature overcoming or abating the disease II. Bad signs are 1. Raving which though never safe yet it is then less dangerous when 't is accompnnied with laughter and good signs is light and not continual when continual and vehement 't is more dangerous bold and rash is worst of
Another by Induration and then the matter is clammy and hard natural heat strong the tumor it self diminished and the Hardness is encreased Another by Corruption and then the part appeares lead-colored and black and the heat and paine are diminished Point 1. Of an Imposthume Two things follow a tumor which proceeds from Humors viz. an Imposthume which is sometimies attended with a Cavity An imposthume is a collection of purulent matter or quittor in the Cavity of of some part proceeding from the Humor which causes the swelling The Subject is the parts and their Cavities The Signs may be fetcht from the third difference of tumors ariseing from humors where the business of suppuration is handled The Cause is the Humor it self which natural heat ripens and turns into quittor Hence it is various according to the variety of the Matter The Cure has respect to two certain times or seasons I. When quittor is in making and then we must act 1. By anodines and paine-asswagers Oyl of worms is exceedingly commended 2. By Ripeners and that temperatly hot and clammy in hot tumors and soft and moist bodies such as sweet oyl wheat flower milk crummy part of wheaten bread with such as are yet hotter in cold tumors and cold Natures and parts such as terpentine fire-rosin larch-rosin pine-rosin sigs raisons diachylon simple II. When quittor is made where we must go to work with 1. Evacuation either Insensible which is dangerous not only where there is great quantity of matter for feare of hardning the same but in al cases by reason of accrimony which may be increased by delay Or sensible and in this case the Imposthume must be opened either by more benigne medicaments amongst which are Diachylon simple with mustard-seed figs and salt or by stronger that is to say potential and actual Causticks 2. By Clensing with detergents viz. Juice of smalladg of Centory round birth-wort wormwood Betony Agrimony c. 3. By breeding of flesh with Sarcotick medicaments 4. By covering all with a scar by Epulotict medicaments among which is Emplastrum Diapalma In respect of the Differences they are manyfold I. Either it is from Blood and then it is easily ripened and being ripened it affords laudible quittor Or from other humors which arises with difficulty has somwhat in it like quittor green and yellow II. Or it is pure and simple quittor like either to pap hony suit oyle lees and wine dregs and sometimes mixed with many other things III. The Impostume is either in fleshy parts and then it is easily changed into quittor or near the joints in nervous and weak parts which have little Heat in them and then it is ripened with difficulty IV. Either the quittor flowes up and down in the Cavity and is gathered into the receptacle thereof or it is shut up into a peculiar membrane and bag Point 2. Of the Hole in an Imposthume The Sinus or holly hole in an Impostume is when the quittor diffusing it self in the depth thereof the neighboring skin does not cleave to the flesh beneath it The Sign is the going before of an impostume and tents by which it is best of al searched The Cause is the quittor it self which being kept in far below does make by its acrimony coney holes as it were and draws together the excrements of the whol Body The Cure is imposible if it have collected a Callus and hardness Doubtful if much and unconcocted matter is voided forth pain felt in the Hole Hopeful if little quittor good and white come forth and there be no pain 'T is performed I. By Evacuation of the quittor which is done either by bare clensing if the Hole tend downwards with barly water melicratum or mead and wine sod with hony or by Opening so that either the whol cavity be cut asunder if it be smal or only the lower Orifice if it be great and the part cannot be cut without danger II. By production of flesh with Sarcotick Medicaments where note That an excrement must be removed as wel if it be thin as thick least it stick in the Ulcer Most with the dryer sort as Orobusmeal Orice root Birthwort Myrrb Tutty pompholyx in such as are dry with the less dry as Franckincense Barly meal and Bean meal in such as are dry If the hole be not wide open liquid medicaments are to be cast in by a syringe and to be let alone a good while By want of pain and voidence of little quittor and wel digested we may guess of the soodering and growing together again of the skin and flesh and by contrary signs of the Contrary As for what concerns the defferences either they are shallow and little or deep and broad Either strait or oblique They tend either upwards or downwards and that way the worst quittor is evacuated Article 2 Of diseases consisting in Magnitude diminished A disease of Magnitude diminished is the diminuition of the parts of mans body in their natural magnitude There needs no signs seeing the disease it self is evident The Causes are want of aliment either because it is drawn away or because the channelar e obstructed Straitness of the place in which a part ought to be augmented section putrefaction refrigeration ustion of which in their places The Cure is undertaken I. By repairing the part with plenty of good nourishment in which case drinking of wines meats of thick juice little exerciâ—e indifferent rubbings are useful A Dropax or pitchy medicament of which see the Pharmacopeia II. By regeneration if a member be pluckt away which is the work of nature alone only let the Physitian remove the impedicaments c. Chap. 6. Diseases in Situation A Disease of situation or connexion is the sejunction of such parts of the Body as ought to be conjoined and a conjunction of such as ought to be separated 'T is needless I should speak of Signs because the disease is of it selfe apparent The Causes consist in those things by means of which the parts are fastened together and touching luxation we shal speak in the following Article Now the connexion of such things as ought to be separate comes to pass when the intermediate parts are loosned or the ligaments broken or wounded The Cure requires the Conjunction of parts disjoined and separation of parts conjoined And because luxations are most frequent of al the diseases of situation I think it meet in this place to treat of Luxation in Generall Article 1. Of Luxation Luxation in General is the slipping of a joint out of its natural seat into another wherby voluntary motion is hindered The Signs are the unlikeness of the Member to it self as it was before in shape and length Motion hurt pain by reason of Compression of the Nerves Muscles and tendons the sweling of that part in to which the joint is slipt the hollowness of that place from whence 't is fallen The CAUSES are al such things which are apt to stretch or violently
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
taken they escape without halting If towards the Hip commonly they halt after it Both because the bowing tending outwards it is easily crooked Towards the inside and towards the outside it bunches out like a bow as also because being but one single bone it cannot easily be kept in its place It growes together in the space of fifty daies Chap. 2. Of less Frequent Fractures TO the less ordinary Fractures there appertain the Fractures of I. The Nose which is either equally flatted so as to make a saddle-Nose or it is broke only on the one side or it is writhen aside by the Gristle or the bones thereof are broke into smal fritters There is Joyned somtimes a wound and somtimes and Ulcer is raised within the Nostrils Unless the Nose be immediately rectified it must for ever remain deformed II. Of the lower Jaw-bone whose bone is either broken so athwart that the Bones nevertheless do in some measure hold together or so that one bone sticks out above another and one tooth sticks out beyond another They are consolidated within twenty dayes unless Inflamation happen Also the teeth remain sound III. Of the Clavicula or channel bone which is broken either athwart and is easily reduced into its natural seat by extending and compressing the same with a mans fingers or long-waies which has alwaies some Eminency which can hardly be brought into order It s fracture is knowne by the touch and by the pian It is soddered together within the space of twenty daies IIII. Of the Scapula and that either in respect of the shoulder tip and then Inequality is perceived if the hurt part be compared with the sound or in respest of the broad part Then a certain cavity is perceived by the touch the Arme just against it is benummed If the fracture be in the neck of the Scapula or in the Jointing of the shoulder Inflamation is soon caused because of the veins Arteries and nerves which spring from the Vertebraes of the Neck V. Of the Brest-bone whose fracture is known by the bones giving way when pressed with the finger by shortness of breath c. and it is dangerous because of the Neighbourhood of the noble parts VI. Of the Ribs which are either so broken that the extremities of the broken bones do neither go in nor stick out And then few are either Feverish or spit blood Or so as that the Ends of the Bones are out of their places Then the flesh above the broken Rib is blown and heaved up and if the place be pressed with the hand a noise is heard of the departing Air. Inflamation Feavers Impostumes do for the most part follow Or the whole Ribs are not broken Then there is neither great pain nor a Feaver VII Of the Back-bone which frequently by reason of the hurt ensuing to the spinal marrow the Membranes and the Nerves especially if the fracture happen by the Vertebra's of the Neck proves deadly especially if a palsie either of the Arms and Hands or of the Legs and Feet do follow thereupon VIII Of the Patella or Whirl-bone of the Knee which is known by inability to go and an hollowness which is perceived in the place of the fracture It happens either long waies and then the bones are easily joyned together again Or athwart or slanting Then no art can so help it as to hinder the Patient from halting IX Of the Bones of the Feet which is wont to be caused by an heavy and strong thing 'T is easily known by sight and touch because the parts are fleshless It is not so dangerous See Galen upon Hippocrates of the Joynts and Fractures And so much shal suffice to have spoken touching External Diseases THE SEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Feavers HItherto we have treated of the external Diseases of the Body The internal are either universal which affect the whol Body or Particular which vex some parts only The Vniversal are Feavers A Feaver is considered generally or specially Generally considered 't is divided into Non-putrid and Putrid Hectick Malignant and Pestilential Title I. Of Feavers in General A Feaver in general is an hot Distemper of the whole Body arising from an Heat Preternaturally kindled in the heart and by means of the spirits and blood through the Veins and Arteries diffused into the whol Body and hurting the natural actions thereof by a Crowd of Symptomes The Part affected is the Heart wherein the heat is first kindled and soon after the whol Body at least in respect of the noble parts somtimes For the Heat being diffused possesses the parts either Habitudinally or Habitually Also their temper consisting in the innate and influent Heat is changed Now this Distemper is joyned somtimes with dryness other whiles with Moisture Hence though the feaverish heat do alwaies tend to dryness yet oft times the disposition of the Body upon which that heat acts and the moisture do hinder the Body from falling into a Morbifick Dryness The Cause is whatsoever kindles Heat in the Body Now heat is kindled 1. By Motion whiles the rest of the parts by frequent smiting one against another causing a conflux of more Humors than can be discussed do grow hot 2. By Putrefaction while by the external Heat the internal is called forth 3. By Contact and Nearness of some hot thing 4. By stopping of the pores and interception of sharp vapors and Sooty steams which makes the body unhealthy and this is the Principal Cause without which other Causes can hardly effect any thing 5. By the mixinre of some hot thing The CURE of a feaver in general is performed by Alteration wherein such a progress must be used as that the Cause be not fomented and by mitigation of Symptomes The principal Symptomes are 1. Thirst the inner coat of the stomach being either parched with the burning heat or soaked with an hot sharp and nitrous Humor 2. Hiccuping sharp and biting Humors twitching and nipping the Stomach 3. Vomiting either by reason of an hot and Chollerick Humor or a very cold Humor or of a thick and Clammy matter or some Vapour 4. Loosness of the Belly when the stomach is so far irritated that it can in no wise embrace or digest the meate and when liquors extreamly cold are drunk down 5. Dryness Blackness and Roughness of the Tongue by reason of sooty Vapours which so burn the same that the Spittleish moisture is consumed which arise somtimes from a clammy humor sticking about the Teeth jaws beclam fur the Mouth 6. Lipothymia and Syncope Swowning and Fainting which somtimes proceeds from the permicious nature of the Humor and somtimes from rusty green or black Choler fermenting and coming out of the Veins into the Heart 7. Shortness of Breath occasioned by the oppression of the Midrif through the fervency of green Choler boyling about the heart or by plenty of Humors somtimes t is caused by the heat of the Heart or Lungs when
IV. The matter being converted into Pus or matter a Section being made in a sloping place is so to be extracted drawn forth It is divided in a Threefold manner I. One is wth a wound of the skin of which we shal speak further in the following Chapter Another is without any such wound of which we now speak in this place II. Another is in which the Muscles of the Temples are bruised together Then doting a Palsie Convulsion fits and death follow thereupon A Section or opening ought to be instituted in some neer place that so the â—uscles moving the Head may escape unhurt Another difference there is in which the aforesaid Muscles are not Confused or bruised together III. There is one Species or kind thereof in men grown and of perfect Age of which those things that have been before spoken are to be taken and understood Another there is of Children and such as are young and tender in which 1. The Head being shaven or at least Polled with a pair of Sizers a Linnen cloth throughly wetted in the white of an Egg Vinegar and Rose water is to be imposed and laid on and then binding it about for the space of one whol natural day the outward linnen cloth is to be moystened as abovesaid 2. The day following the Cataplasme called Benedictum is to be applied and so to be continued on until the ninth day 3. After the eleventh day the Emplaster Diapalma Galeni which is likewise to be shifted and changed the third day 4. After the twentyeth day the Emplaster called Barbarum 5. If it proceed from Child bearing the Emplaster Diaphaenicinum made of Roses c. doth excellently discuss Chap 8. Of the Wounds of the Head Article I. Of the Wound of the Skin and the Pericranium THe Wounds of the Head are in a threefold difference For either they reach unto the Skin alone and the Pericranium the Cranium or Skul Remayning untouched or else they reach the Skul without touching the Membranes or else lastly they attain unto and reach even the very Membranes themselves The Wound of the Skin the Cranium mean while remayning unhurt is to wit when the Skin alone the fleshy pannicle the Muscles or even also the Pericranium is wounded As for what concerneth the SIGNS the wound is either apparent unto the very view and sight or at least it may easily be discovered with the Chirurgeons instrument termed the probe The CAUSE in regard that it is evident and manifest there is no need that we should speak any thing more thereof The CURE is various according to the variety of the differences of the distemper It is divided into a wound with a Contusion and without a Contusion In a Wound with a Contusion or bruising together 1. It is to be moystened and mollifyed in such a manner that the natural heat of the part debilitated and weakened by the contusion the external Air by medicaments may be together cherished 2. In the very beginning we must act and operate with Ripe Oyl of Roses mingled wel together with the Yolk of an Egg in bodies soft and fluid but in bodies hard to be wrought upon with the Rosin of the Larix or Larch tree 3. Turpentine is very excellent and sovereign for al wounds especially of the Nervous or sinewy parts 4. About the seventh day the Pus or filthy purulent matter doth more apparently shew it self 5. If it be from the biting of a wilde beast then the Lips of the wound ought to be scarified and the rotten nasty corruption must be drawn away by blood-suckers or leeches and then the ulcer is to be throughly washed with appropriate Medicaments In a wound without contusion 1. the internal cause viz. The hot and painful dyscrasy of the part is to be removed by anointing the same with unguent of Allabaster roses c. 2. If the gaping lips of the wound cannot be close Joyned together with binding only then the suture whether bloody or dry must be brought unto the touch but some kinde of digestive medicament is to be imposed upon the wound neither is this notwithstanding very easily done and that by reason of the pericranium which within adheres closly unto the Cranium or skul and by the sutures is knit and joyned together with the internal membranes 3. The skul being made bare and naked by shaving which is done that so a fit matter for the generating of flesh may be supplied neither yet is without much difficulty to be effected there are no unguents or oyntments to be laid on but medicaments both actually and vertually dry together with drying liniments and of a bone-like temperament are to be applied But see more of this in the practical Physitians Article II. Of the wound or fracture of the Cranium or skul The wound or fracture of the skull is a continual solution in the same caused by some external violence and force and yet such as reacheth not neither attaineth unto the membranes of the brain The SIGNS are taken as wel from the concourse of the symptoms that follow it as for instance a vomiting of Choller a flux of blood by the nostrils and ears a fal a noise of a broken bone c. as from the nature and condition of the blow where regard is to be had unto the striker or that which giveth the blow unto the condition of the head receiveing the blowor stroke and the disposition of the instrument as also it is discovered by the chyrurgions probe which ought to be neither too sharp nor over thick by ink and by shaving thereof c. The CAUSES are evident dissolving and loosening continuity in the Cranium or skul The CURE is not to be hoped for for Cure there is none if after the seventh day a caver come to appear because it is a certain signe and token of putrefaction and rottenness in the brain or if the wound become withered dry purulent and black The cure is very doubtful if instantly the patients strength and spirits fail him especially if the Party be old because then his heat is by much weaker and the blood serous or wheyish if the head be prone and subject unto distillations and the tumors called Erisipelas if the symptoms that soon began to appear and shew themselves on the fourth or seventh day stil continue and rather increase than otherwise The Cure is a work of great pains and difficulty if it be to be attempted in the summer time in regard of a fear we are to have of an inflamation iminent and very nigh at hand if it be in a moist Climate or country because the brain is very easily offended by cold and moist things if it happen at the ful of the moon by reason of the abundance of humors more at that time than other if the wound be very nigh unto the brain if it be in the fore part of the head and the middle of the brain because that the brain being a
double quantity and proportion to what they are wont to be in other ordinary cases c. Chap. 5. Of the Symptomes of more of the Internal senses Article I. Of the Waking Coma. THe Symptomes that infest and annoy many of the internal senses at once and together and are the Waking Coma as they cal it and the Lethargy The waking Coma is a propension to sleep and yet withal an utter disability thereunto arising from Narcotick or dul sleepy Vapors that induce and cause a drowsie and sleepy disposition and withal trouble and disquiet the mind The SIGNS are a Connivence or winking with the Eyes and yet withal a frequent opening also of the Eyes a mopish or doting kind of discourse in the Patient and likewise an inordinate motion of the hands and thighs The CAUSE is conjectured to be Narcotick Vapors unto the which there is adjoyned somthing that brings along with it a necessity of waking and so doth a Phrensie a Malignant Feaver c. It somtimes also proceedeth from an extream debility of the strength and powers of the body contracted either from some vehement Diseases grievous and intolerable pains and an excessive immoderate Evacuation and then in this case it is very dangerous if not deadly The CURE is very difficult in regard that the affect is easily changed into the Lethargy or Phrensie It is very doubtful if the parties speech be hindered if while they breath a murmuring noise be heard in the throat if the sick persons cannot swallow down what he drinketh without much ado and lastly if a thin Humor ' distil from out of the Nostrils It is Performed if there be any Cure at al to be expected by Revulsion and the Evacuation of the Matter from which it proceedeth and hath its first rise and original c. Article II. Of a Lethargy A Lethargy is an insatiable propension to sleep together with a gentle Feaver forgetfulness and a dul sloathfulness or Laziness arising from a Pituitous or flegmy kind of blood putrifying in the hinder nooks windings and Cels of the brain The parts affected are the Posterior or hinder ventricles and Cels of the brain in regard that in this distemper the Memory is that which is cheifly hurt The SIGNS are an insatiable desire after sleep as being never satisfied therewith by reason that the brain through its over moistness cannot possibly be expanded and because likewise that the Animal spirits are as it were bound and lock'd up by unwonted extraordinary obstructions Another sign is a mild and gentle Feaver in regard that the putrifying Humor is not extreamly sharp and fretting and that the heat is allayed and qualifyed by its Contrary but then this Feaver is Continual in regard that the heat being as it were to boyl it up is continued and in a manner perpetual and ever more from day to day rerturning about the beginning of the Night Another sign is Oblivion or forgetfulness because that the hinder part of the brain is hurt Another slowness of breathing in regard the Nerves of the Thorax breast or Chest are affected Another a Cough by reason of the Flegms Defluxion into the Larinx or entrance of the wide rough Artery we commonly cal it the winde-Pipe Another sign is a Turbed That is to say a thick pudled and troubled Vrin in regard that the Crude Humors are agitated and driven about by the hear and yet are not separated Another sign is great Pulses by reason of the Feaver that accompanyeth it but then such as are not very quick and frequent but slow by reason of the imbecillity of the Natural strength and powers of the Body It differeth from the Catalepsie by the winking and shutting close of the Eyes from Carus by the Feaver that is present herewith from the Apoplexy because it doth not suddenly and al at once invade the party neither doth it deprive of al kind of motion It differeth from the Hysterical Passion we term this affect the fits of the Mother in that the Lethargical persons are able to speak and make answer the others not so and withal they are affected with a moderate and gentle Feaver and lastly it differeth from Coma by that excessive and insatiable desire of sleep of the which they have never enough and out of which they are no sooner rouzed awakened but they immediatly fal back again thereinto The CAUSE is Flegm or snivel rotting and putrifying in the hinder parts we usually cal them the ventricles nooks and Cels of the Brain Where it is to be noted as Observable 1. That somtimes the said Flegm is diffused al about the brain and the Meninges and that then it induceth a swelling or Tumor that is not very great nor very hard but that somtimes likewise it is even stuffed and impacted into their very substance and becomming altogether one with them and causing them to rise and swel up like unto a spunge 2. That in old Age for the most part a pituitous of flegmy blood is carried into the aforesaid parts and this ill blood hath its original from Narcotick Crudities Now the reason why it Putrifieth proceedeth from the retention of those Vapors that ought to be dispersed and driven forth CURE there is none for it if it be such as is rightly and properly so called if the strength powers be day after day wasted and weakened if there be an increase of the cold sweat of the head and lastly if it end in a Sphacelus The Cure is very doubtful if it happen unto one that is young and in the hot Summer time if the Urins that are made are become cleer and thin if the Excrements that are thrust forth by the belly be many and also liquid in regard that this proceedeth from the resolution weakness and wasting of Nature if there happen withal a kind of trembling because that this imports either great plenty of matter or else the resolution of Nature and lastly if a phrensie chance to follow immediatly upon it There is some good Hope of a Cure if so be the seventh day be over past and gone without any sensible hurt and prejudice unto the party if the Animal actions be not greatly impaired if the sick persons find themselves the better after the expulsion of the matter unto the Nerves if the matter when it is putrified hath an Evacuation by the Ears or Nostrils and lastly if there happen an impostumation behind the Ears The Cure is to be effected 1. By Revulsion which is performed 1. by Venesection this likewise must be maturely timely and seasonably administred after the putting up of a Clyster unto which said Venesection if there be want of strength in the Patient to undergo the loss of much blood may be added as subservient thereunto Ligatures Leeches and Cupping-glasses affixed unto the back and shoulders 2. By Purgation instituted by the milder and gentler sort of Medicaments by reason of the Feaver to wit Cholagogues in the beginning
and fro of the whol body and the several members thereof arising from matter molesting and disquieting those parts that are capable of suffering There need no SIGNS for the Affect is apparent enough to the very view The CAUSE is a sharp matter whether it be a humor or a hot Vapor The CURE must be directed and so ordered that it look toward the said matter accordingly as it appeareth in the following differences thereof It is divided into Critical and Symptomatical The Critical consisteth in that suddain and unexpected perturbation of the Humor and from whence there is no danger to be feared That we cal Symptomatical is that which happeneth in general and it containeth under it I. That which we term Stomachical which is known by a kind of Nauseousness in the stomack somtimes without but most commonly with a vomiting and likewise a pain of the stomach It ariseth either from the Humors pulling and twinging the mouth of the stomack c. as it were soaked and drunk up into the Cotes or Tunicles thereof in which case purges that abate and lessen the acrimonious quality have their proper place or else from food unseasonably taken and here we are to help and succour the Patient by vomiting of him II. That that we term Inflamatory which proceedeth from the Inflamation of some one of the Bowels III. That which we cal Febrilis that appeareth in Malignant Feavers and is very dangerous if it be attended with the imbecility of the natural strength and powers of the body In the Cure we ought to have respect unto the several species or kinds of the Disease Article III. Of Rigor or an Extream Stifness The Rigor or unnatural vehement stifness is a vibration shaking and quavering of the Muscles of the whol body conjoyned with Refrigeration and a certain pain arising from somthing that doth molest by a suddain and unlookt for twinging and pulling of the sensible parts throughout the whol Circumference of the body and likewise by Irritating and stirring up the expulsive faculty The Part affected is the whol body or at least the Muscles of the same whether they suffer together more inwardly or not There is no need of Signs the Refrigeration that happeneth herein either it is of the Skin alone by reason of a pain excited and stirred up by the acrimony and sharpness of an humor or else it is also of the Muscles whether it proceed from the Diffusion of the Humor or otherwise from the Inflamation of Bowels The CAUSE is somthing that is grievous and burthensom whether it be collected and contained in the very Muscles themselves or else be transmitted thither from some other place But now then the said matter is sharp corroding and biting much of it in quantity and such as is swiftly moved and carryed up and down from place to place And this happeneth most especially in Feavers The CURE is accomplished by the removal and taking away of the causes The Disease if it cease not upon the use of an Evacuation is very evil and dangerous and so likewise if it be attended and accompanied with a Consumption and wasting of the whol body It is cheifly and especially divided in a threefold manner I. One kind or species hereof is from things External as for instance a cold Air or an External heat diffusing and dissipating the Excrements that before were at rest and were quiet without any molestation sprinkling of cold water upon the body the falling of a spark of fire upon the skin c. The Cure here hath nothing in it worthy of Observation Another there is that proceedeth from Causes Internal to wit a Cholerick humor a salt Flegm Melancholy black choler and acrimonious sharp Vapor The Cure hath respect unto the several sorts of the Disease Al the kinds of them are somtimes to be Mitigated with the Oyl of Rue of Bay-berries of Castor and of the several sorts of Pepper together with Treacle and Mithridate II. Another is vehement with a continual feaver and then if it chance to be in the beginning it betokeneth an inflamation of some bowel but if in the end it sheweth either that the feaverish matter is moved out of the Veins or that the Inflamation tendeth to a Suppuration Another is but little and not much considerable being such as only giveth notice of Feavers to follow of which see further in these Chapters wherein they are particularly treated of III. Another is Periodical which afflicteth the party but now and then and by fitts at certain seasons And this is the best and the most hopeful species of this Disease if it happen to appear on the Critical day if upon its appearance the body waxeth hot or else that any Evacuation of excrements follow thereupon Another is Symptomatical when as the matter is thrust forth into the external parts and the Circumference of the body without any Crisis at al and this is that of which we are now speaking Article IV. Of Tremor or Trembling This Trembling is a depravation of the Voluntary motion by reason of the which the Member elevated and lift up cannot be kept in its own proper situation arising from the debility and weakness of the faculty of motion There is no need of SIGNS It Differeth from a Convulsion because in this latter the part is contracted and so kept from a Palsie because that in this the part is seldom or never lifted up or at least very slowly from a Palpitation in regard that in this not the whol Member but the flesh and especially the Skin is moved and the member unmoved one while falleth down and again another while is distended and stretched forth and lastly it differeth from the Rigor or stifness aforesaid in regard that it is without any pain The CAUSE is a weakness of the moving faculty which happeneth either by a default in the Animal spirits or the Nerves CURE there is none if it befal those persons that are in yeers by reason of the extream imbecillity and weakness of the spirits and the brain if it happen in a vehement Phrensie or Melancholy for then it is caused either by means of the exsiccation or overgreat drying of the Nerves by a Feaver or else by reason of a corrupt and depraved quality if it be hereditary or that it proceed from some fault and disorder in point of diet especially in such that have the Organs of the Animal faculty extreamly weakened if the sick person Shrink and Start when he is toucht in acute Feavers because that the Nerves are either exsiccated and over dried or else are pulled and twinged by some depraved and vitiated matter upon which there followeth a Convulsion The Cure is more facile and easie if it proceed from Causes that are evident It is doubtful and difficult if it happen on the lest side in regard that then the innat heat of that part is the more easily impaired and made to decay if it turn into a Convulsion because
is but new beginning and then there fly to and again before the Eyes as it were Gnats or some certain other dark and dim appearances Another is Augmented and then the color of the Pupilla appeareth like unto that we cal sea-green or else it is like unto the Air when ful of little Clouds Another is Perfect in which the sick person discerneth nothing at al and then the Pupilla appeareth to be of a white color III. They differ in regard of their Cause 1. One is from a thin matter and such as is Fluxile as for most part it is wont to be in the beginning and then if there be present a Plethory we may prescribe Venesection and cause a Vein to be opened Another is thick clammy tenaceous and then we ought to abstain from bloodletting 2. Another resembleth the cleer pure air as also it resembleth silver Playfter or Parget and Margarites and this kind leaveth some Hopes of a Cure Another is black which is by no means to be Cured no not by the Needle Another is Green which is likewise altogether incurable IV. Another is that which is truly and properly so called and of this al that hath hitherto been said upon this subject ought to be understood which siezeth only upon one of the Eyes or else if both yet not together not a like and whose Symptoms are constant and continual Another is Bastard and Spurious which carryeth it self quite contrary unto the former and ariseth from a Vapour ascending from the imferiour parts and is wholly taken away when the Affect is removed Chap. 7. Of what is amiss in the Humors of the Eyes THe Humors that together with the Tunicle constitute the Eyes are in number three to wit the Watery the Chrystalline and the Glassie Humor I. The Faults or things amiss in the Watery are especially sour I. The Diminution thereof by reason of heat dryness overmuch Evacuation which in regard that it is conjoyned with the dryness of the whol body is there not to be Cured without much difficulty II. Effusion when it is poured out which happeneth in the Rupture of the Cornea and then a wound or Ulcer went before the Cornea Tunicle lieth underneath This Humor is somtimes bread again of its own arising from the admixture of thick Humors or Vapors and then the Humor appearth not to be altogether so cleer as it is wont and certain resemblances or babies as we term them fly up and down before the Eyes c. IV. Obscuration and another kind of Color by Reason of the Humors that are therewith mingled These things may be wel known at the first sight and by the very view II. Those things that are amiss in the Crystalline Humor are especially these I. Glaucoma when this Humor is turned into a Grey color It is known by this that about the Pupilla there appeareth a notable manifest whitness somwhat deeply seated and al things are seen as it were through smoke and little clouds It ariseth from exsiccation which happeneth either by Reason of Age or else from some other Cause II. Solidity and Obscurity which therefore needeth a greater illumination from whence proceedeah that we cal Nuclalopia or a Nocturnal blindness with the which such as are affected see indifferently wel in the day time but more obscurely and dimly after sunset and in the night time nothing at al. III. The Scituation changed which is wont to happen many waies 1. Vpwards or downwards from whence the incruciation as they cal it or Crossing of the Opticks is dissolved or else the Axes of the Pyramids thereof are fixed in a double plane and so al things appeare double 2. At the sides and then things appear more on the right side or on the left than indeed they are 3. Towards the middle and the Center from whence it is that those things that are night at hand are rightly seen but things more remote are not distinctly enough discerned 4. Beyond the middle and Center toward the Optick and then those things that they desire to discern they are constrained of necessity to lay them close to their Eyes Towards the Pupilla or Bal of the Eye and then they rightly discern those things that are remote and at a distance from the Eyes III. Those things that are amiss in the Vitreous or Glassie Humor are I. The Augmentation thereof by which not only the Pupilla is the more dilated but likewise the Crystalline Humor is obscured and hath as it were a mist and shadow cast before it and the Spirits also much dulled and blunted II. Diminution from whence the Tunicles are wrinkled up together the Pupilla contracted and falling down above the Crystallaine Humor and abbreviating the space betwixt it and the Tunicles in the which the external splendours meet together produceth the very like affect as in those that wink with one or both Eyes that they may the better behold the bright body of the Sun III. A Crassitude or thickness which ariseâ—h either from the mingling together therewith of an humor or else from the admixture of some other adventitious substance Chap. 8. Of those Diseases that infest and annoy the Globe of the Eye THose Diseases that infest and affect the Globe of the Eye are Atrophy Procidency or standing out and Strabismus or Squinteyedness unto the which may be added out of the Symptoms the Debility or weakness of the sight and stark blindness I. Atrophy is then when the parts of the Eyes consume and wast away It ariseth most especially from excessive Evacuation and over great exsiccation It is Cured by those Medicaments that humectate and moysten and cheifly the Breast-Milk of a Woman layed therein II. Procidency when the Eye either stands out of its Orb in an unusual and unbeseeming manner or otherwise falleth out so at least that it cannot be covered with the Eye-Lids It ariseth from Causes as wel External a blow blowing of Trumpets strangling Hard Labour in Child bearing c. as internal to wit the resolution of the Muscles and Nerves a Tumor thrusting forth the Eye c. In the Cure we must have regard 1. Unto the putting back of the Eye into its proper seare or if that may not be done then wholly to take it away 2. Unto the Deteining and keeping of the same in its place or seat by Fomentations made of Astringents to wit Roses Pomegranate flowers and Acacia Neither must we forget to let blood and the inflamation is likewise to be repelled and driven back If Resolution be the cause thereof then Apophlegmatisms are very available III. Strabismus is then when the Pupilla or bal of the Eye declineth from the middest so that it appeareth more in one part of the Eye than in the other It ariseth either from an ill frame and composure at the first from the very Womb and then it is not by any means to be Cured or else it chanceth from an ill custom as it is
Worms which discover themselves by the corroding pain restlessness and other such like conjectural Symptoms How these Worms ought to be drawn forth see further in the Practitioners They are killed by the Oyntment of Capons Grease and the Oyl of the Hazel Nut or Filberds mingled with two grains of Mercurius Dulcis and so put into the Orifice of the Ears with Silk they are killed with the Decoction of Hemp into the part affected IV. Water fallen into the Ear is again drawn forth by infusing Oyl thereinto Ticle V. Of the Symptoms of the Ears Chap. 1. Of Pain and Deafness THe Symptomes of the Ears are Pain Deafness Tingling and a Hardness of hearing together with a mistaking therein The Pain needeth no signs in Infants if the part be but touched it is then discovered by the moan and complaint that is made It ariseth from Causes distending the Membranes encompassing about the Cavity of the Ear and endued with an exquisite sense The Cure hereof is somwhat doubtful if it infest and annoy those that are young and tender if in those that are declining in yeers it be accompanyed with frequent Relapses and if it abide and keep its residence in the deeper part or bottom of the Ear. It is performed by Anodynes and if it be Vehement and intollerable by those Medicaments that stupefie Among these are the green Leaves of Tobacco moystened either with a specifical and proper Water or at least with Rue Water and so applied together with three grains of Opiate Laudanum Those things that are applied externally ought to be gentle lest that the pain be exasperated and Augmented The Differences are taken especially from the Causes I. One there is from Externals as to instance from somwhat fallen thereinto from a Wound c. which are al to be known by the Relation of the sick person Another there is from Causes internal to wit a Distemper either without or with matter and this either cold in which the Juyce of Onions with some kind of liquor is very helpful or else hot in which the Breast-Milk of a Woman together with the Juyces of cooling Herbs do much avail and profit a Wind for the which those things are useful and proper which in the following discourse touching the noise and sound in the Ears remain further to be spoken of from an Inflamation of which enough hath been above said or lastly from an Vlcer and corrupt matter of which likewise sufficiently in the same place Deafness is an Abolition of the Hearing differing from that we cal Barucoia or Hypocophofis in the which a man not without much difficulty heareth and perceiveth sounds although at a Just and meet distance only in regard of the greatness and intensiveness of the Cause It ariseth from the default of those things that concur to the constitution and perfection of the Hearing and I. Of the Brain in that it either produceth no Animal spirits or else doth not transmit them by Reason of some peculiar Disease II. Of the Auditory Nerve which hath no passage or conveyance for the said spirits either by Reason of some thing amiss in its very frame and formation and hence for the most part those that are deaf are likewise dumb and this kind of Deafness is altogether incurable or else by means of some obstruction thickness c. III. Of the Animal Spirit it self which either is not at al generated by reason of some extraordinary great distemper of the Brain or else is abolished by reason of the extream straightness and narrowness of the passages or otherwise it passeth not through by Reason of somthing amiss in the Nerve or else it is but very little and that likewise over thick and impure by Reason of the Ambient Air or from other Cause IV. Of the Inbred air which either faileth to wit by Reason of a wound or an Ulcer c. and passeth forth dissipated and Scattered by noises and sounds the contusion of the Head or a Vehement affect of the Brain not restored and made good again by Reason of a fayling and want of Nourishment or else it is impure either from some matter sent thither from the brain or from elswhere V. Of the Auditory Passage which either is formed amiss Or else stopped and that either but in part and then there is only a diminution of the Hearing or else wholly and altogether and hence it is that the external sound is not at al perceived but then there is another new one produced by the Air left remayning there or else from things External falling or sent thereinto or otherwise from internal Humors filthiness and impurities Ulcers c. Or else it is condensed and thickned by an Inflamation some smal Tumor or rising c. Or else lastly compressed and thrust together by Reason of some fracture of the Bones VI. Of the Tympanum or drum which may be broken loosened rendered thicker or drier extended and otherwise infested by an inflamation arising about or neer unto it VII Of the three little Bones which either are not rightly formed or else are moved out of their place And yet notwithstanding most frequently from a Pituitous and Flegmatick or Cholerick humor which happeneth in acute and violent Feavers and somtimes it discovereth that the matter is carryed forth unto the exterior parts In the Cure hereof we must see and look wel to it that the Medicaments be applied Warm that there be no new remedies laid to until after that al the filth and Impurities be throughly cleansed and wiped away that there be never more than three drops conveyed in at once that we be not over forward in tampering with those things that are Viscous and Clammy and the sick person lie upon that Ear that is sound and wel and lastly that there be care taken of the Head There are here commended the destilled Water of Carduus Benedictus the Leaves thereof being twice infused in the Glass Vessel the Juyce of an Onyon wel soaked in the spirit of Wine and then roasted under the Embers the Juyce that is pressed forth of Ants Eggs or the destilled Water of the same the Gal of an Hare with a like proportion of Virgin Honey and such like of all which you may see further in Petraeus and Hartmannus Chap 2. Of the Noise or Ringing of the Ears and thickness of Hearing THis Tinnitus or Ringing noise is Defined to be a Preternatural sound in the Ears made and perceived in the instrument of hearing or else in the Cavity of the Head bone arising from Vapors first shut up therein and then moved In this Affect there is no need at all of Signs The CAUSE is conjectured to be that which they term Pneuma Physodes as it preternaturally moveth up and down the inbred Air. Now this indeed ariseth 1. Either of it self or otherwise by the Consent and agreement of other parts to wit the Spleen the Liver the Womb the Stomach c. And then there are
present certain signs of those parts affected 2. Or else from External Causes exciting and raising up Vapors to wit the extream cold or over great heat of the Air overmuch feeding and fulness either of food or Wine from whence Crudities are heaped up together in the Head from the north wind blowing immediately after the South wind which is very easily removed from frequent smiting upon the Head and Temples which is very difficultly Cured in regard that the Humors by Reason of the pain flowing together unto the Organs of hearing it is wont to turn into a deafness Or else from Internal Causes that send forth the very same and this 1. By Breaths and blasts that are over heating and filling forth that little Artery that runneth under the Ear and then the Disease is wont to be of long continuance and here we are to deal with those Remedies whether Decoctions or Juyces that both cool and moisten Opium may likewise in this case be administred but then it must be with very great caution 2. From a Humor Flegmatick and cold and then the Malady began by little and little from less to greater and returneth likewise at some certain seasons and by intervals the noise or sound is cleerer and more distinct than ordinary and lastly there were some Causes of the same that went before In the Curing hereof general Remedies being evermore premized and taking the first place we are to act operate by such things as attenuate and discuss which ought to be applied in the morning and before Supper as namely the Vapor of Vinegar together with an Oxe Gall the Secret Remedy that is Compounded of those little Worms that he betwixt the wood and the bark of the Oak Tree and the Oyl of Rue and that Oyl likewise known by the name of Olium Castinum see further hereof in Petraeus the prepared Gal of the fish Lucius or the Pike as we commonly cal it and the Fume or smoak of the Herb Mercury 3. From a Cholerick Humor and then it chanceth in Feavers it also seizeth the Patient either Symptomatically or Critically and somtimes it is dissolved and vanisheth of its own accord and somtimes again not until after a Cholerick flux of the Belly 4. From filth and Impurities which ought to be washed forth with the destilled Urin of an Ass or a little Child in the which there hath been first wel soaked a fit quantity of the Wood Guaiacum a due proportion of Castoreum and a little bundle of wild mints 5. From an Apostume which discovereth it self by its own signs Thickness as we term it or hardness of Hearing otherwise called Paracousis is then When the hearing preceiveth its object â—ry confusedly And this is Caused either by an Ulcer not rightly cleansed and consolidated when as the Windy Vapor being driven through the Arteries by its impetuous violence offendeth the hearing or else in Feavers Vapors being lifted up into the Head and then poured forth into the Ears Or else without any Feaver when there is a hot Evaporation continually and without any intermission exhaled and drawn up into the Head from the impure Entrails Title VI. Of the Diseases and Symptoms of the Nostrils Chap. I. Of the Ulcers of the Nostrils as also of Ozaena and Polypus THe Affects of the Nostrils are Vlcers Ozaena Polypus the Hemorrhage hurt of the Smelling Stuffing thereof by a Rheum falling down from the Head thereinto and Sternutation or Sneezing The Vlcers of the Nostrils happen somtimes from a blow a Contusion a fal a wound and other Causes that are evident and somtimes from the Acrimony of those things that pass by them as Salt Flegm c. They are known divided and Cured like as are other Ulcers accordingly as we have shewn in the first Book The principle Difference is that whereby they are divided into Ulcers Recent and newly begun and those that are Old as having been of a long continuance Recent Ulcers are known from hence that they very frequently issue forth a smal quantity of blood and that more especially when they are hard touched upon and thereby Irritated and that the Nostrils are by this oftentimes moystened and that if they be suffered and let alone they are then over grown and covered over with a dry scurf and crustiness and that most usually of a black color which somtimes falleth off upon the strong and Violent cleansing of the Nostrils by blowing of them II. That that is Old and invetterate and now become a putrid ulcer is called Ozena It is known from hence that from it there falleth off a more and filthy crustiness and likewise that there issueth therefrom a kind of snotty filth of a very il and offensive savour insomuch that then the sick person is himselfe offended with the stench thereof and is likewise very noysom and offensive unto al those that are neer about him by the contagion of a foul and stinking breath and that if the mallady be of long standing the wings as we cal them of the nostrils or that that standeth betwixt them or the other tender and soft bones of that place are eaten through and putrefied and the pallate also being eaten through is oftentimes perforated and this especially chanceth if it hath the resemblance of a Canker or be contracted and caused by the venereal and foul disease It hath its original either from externals to wit suffumigations from Mercury and Cinaber inconsideratly administred or else from internals to wit sharp and corroding humors and which happeneth in the french pox such as are extreamly mallignant It is Cured I. By the administring of Vniversal or general Remedies that so new affluxes may be turned away from the head II. By the Evacuation of the Head by Gargarismes Masticatories c. and the strengthening thereof by external and internal Cephalicks III. By the 1. Detersion or wiping and clensing of the ulcer either by the Juices of Milfoil Horehound Betony with honey of Roses or by Alum water or by the green water of Hartman before which the mollyfying and suppling of the Crust by the vapours of emollient herbs ought to be premized and first made trial of 2. by the Excication and drying of the said ulcer by the vapour of the refuse and dross of fire-hot iron be sprinkled with red wine by the suffumigation of orpiment commonly called in the shops Auripigmentum Cinnabar Benzoin styrax Callamite and Cloves al together throughly mingled one with the other the nostrils being first stop't at their roots lest that otherwise the brain should chance to be smiten and hurt 3. By Consolidation with the Trochisques of Rondeletius c. III. Polipus is a fleshy excrescence in the Nostrils hanging thereat by certain thin and smal Roots or strings and now one while hanging before out of the nostrils and then as soon again descending unto the Palate It is known by this that this said flesh is loose thin soft and of a various color that
Causes I. One is from Resolution which may be known by this that the part affected is loose and the softer part thereof drawn to that part that is sound and that the sense in the part affected is very obtuse and dull that the eye lids in part fal down that the face is extended without any wrinkles at al and that it continually inclineth toward the inferior parts It ariseth from the very same causes from which it portendeth a palsy or an apoplexy It is Cured in the manner as a palsey I. By Vniversals where note wel 1. That before the fourth or the seventh day unless there be a fear of the before mentioned diseases we must have no recourse unto the stronger sort of medicaments 2. that a vein is to be opened first in the Arm and after that under the tongue 3. That Cupping-glasses with scarification ought rather to be applied unto the shoulder blades than unto the first vertebrae lest that if they be too often imposed on the neck they may haply cause a trembling II. By Particulars and then Errhines and Apophlegmatismes are of good use Gargarismes are not to be administred before errhines lest that the matter be thereby drawn unto the face Outwardly let therebe inunctions of Castoreum Let the mouth by Ligatures be reduced again unto its natural state Let the sick person be put into an obscure and dark place lest that by much light the humors being scattered run together unto the nerves Let a looking glass be set oppositely before him Another from Convulsion which is known by this that the part affected is hard and for the most part ful of pain that the sound part is somtimes drawn unto that extended that the skin in one partthereof is rugged and wrinkled and in another extended and lastly that there is here present but very little Salivation or spiting It ariseth from the same Causes with the Convulsion And it is likewise as hardly cured or else not at al if it seize upon both sides of the mouth we cal it then a chymical spasme and be violent strong for somtimes within four daies and somtimes again at the furthest within twelve the matter being transferred unto the head kileth the party thus affected or if it happen in burning feavers a pernitious Phrensy c. II. Another is when the Muscles are affected then the vitious and deformed figure seazeth only that part of the face which the affected muscle covereth Another when the nerves and then their spring-head and beginning being affected the Brain is likewise affected in the one half thereof and half the face also together with the whole body suffereth but if they be affected in their progress â—hen the distorsion or writhing seizeth upon the one half of the face throughout al the parts thereof when the third pair of nerves are affected in regard that the same part thereof standeth forth by the same holes with the moving nerves of the eyes the eye cheifly suffereth if the fifth pair be affected then there is likewise some slight hurt of the hollow or inner parts of the Cheeks but if the first vertebrae of the neck then the hurt that befalleth the Cheeks is so much the greater but then the eye unless withal the Temple muscle into which the fifth Conjugation sendeth forth a smal branch be affected is the more freed from suffering Chap. 3. Of the Ptyalisme APtyalism is a frequent and involuntary spitting and spawling without any Cough or retching proceeding from a superfluity and over great store of spittle Our discourse is of that ptyalisme that is Symptomatical and not of the Critical which freeth the sick person from the disease he lyeth under Of SIGNS there is no need at al. It is termed involuntary the better to distinguish it from that that is by use and Custom whether it be in concluding of a sentence in a discourse or whether otherwise it maketh no matter It is said to be without any cough or retching in regard that what for the most part upon excretion or reaching is cast up out of the Thorax or breast is most properly called spittle and that sallivation or spawling that is cast forth and commeth away without the sâ—id stretching or retching The CAUSE is an excess and over great store of Spittle For if it be considered as it is Naturally in its Mediocrity so it is requisite by its mixture to prepare the meaâ— while its masticated and chewed in the Mouth for the first Concoction to further and help the speech and to be the Vehicle of the several Tastes The CURE in general is to be directed towards and ordered unto the Corroboration of the Tonsils in regard that it is bred in the assistent Glandules on both sides the Tongue which they cal Tonsils by the concurrent heat of the Tongue and the other parts in the Mouth This is done with the Decoction of the Leaves of Myrtle Plantane and Alume c. Which are only to be kept and conteined in the Mouth and not to be Gargarized therewith lest that thereby more Flegm be attracted and drawn unto the Superfluous Spittle It is divided according to the Causes thereof One is from Causes External increasing the Spittle to wit that dangerous and pernitious anoynting with Quick-Silver ful feeding upon moist meats and excessive drinking And this ariseth and sheweth it self after meals Another from internal Causes to wit a waterish and Flegmatick Humor which 1. Somtimes falling down from the brain unto the Jaws mingleth it self together therewithal and then the same thing likewise is done and hapneth in the Relaxation or loosening of the Columella the inflamation and Ulcers of the Mouth The Cure is to be directed and ordered according to that of a Catarrh 2. And somtimes that that is heaped up in the Whol Body is transmitted thither and this most commonly happeneth in Infants 3. Somtimes it as it were sweareth out of the overmoist and empty Stomach and this especially after Chronical Diseases and then a regard is to be had unto the purging of the Stomach by Aloetick Medicaments Frankincense and Mastick taken in wine Meats wel sawced with Mustard and Diagalanga 4. Somtimes it proceedeth out of the Intestines as in Worms from the Spleen as in those that are afflicted with the Scurvy out of the Breast and Lungs c. Title X. Of the Affects of the Mouth Chap. 1. Of the Aphthae or Exulcerations of the Mouth AFfects of the Mouth properly so called are the exulcerations termed Aphthae and Faetor or the stinking of the Mouth and the Breath The Aphthae are certain Hot and Fiery Exulcerations in the highest part or Superficies of the Mouth that have in them somthing of heat There is in this case no need of SIGNS they are sufficiently known by the sight alone The CAUSES as wel External as internal shal be expressed and explained in the Differences The CURE is performed by Repulsion in the beginning with astriction and in
the progress with discussion but by Discussion alone and Maturation if they incline and tend toward a suppuration and here Milk boyled or the Decoction of Raisons of the Sun is to be made use of and it is known to be of singular benefit They are divided after a various and Different manner I. Some of them are from an External Cause to wit an anoynting with Quick Silver Meats of a sharp quality corrupted in the Stomach the eating of Mushroms or Toadstools and the Retention of the Menstrua or monthly Courses c. Others from Internal Causes to wit 1. Ill Humors either generated and bred there or else transmitted thither from some other place and then they resemble in color those Humors they proceed from Those that take their original from Flegm are perceived to be less hot than the rest Those from Choler for the most part are inflamed Those in little Children if they be black and have a kind of crustiness over them are pernitious destructive and deadly These require Universal Remedies 2. Vapours that are sent forth either from the whol body or else from part thereof only and that more especially an over hot liver They easily by their Acrimony offend and hurt the uppermost parts of the Mouth by Reason of their softness and tenderness and in feavers they very frequently produce such a like Disease II. Some are Recent and new which are the more easily Cured and healed others old and Inveterate and these not without much difficulty and this as wel by Reason of the quick sense and apprehensiveness of the part which is further Irritated by sharp and piercing Medicaments as that the Medicaments are diluted and vitiated by the Spittle and lastly as by Reason of the speedy hastening of the Malady being in a place hot and moist unto a Rotteness and Putrefaction III. Some of them are Sordid and foul which may be washed with Sugared Water wel mingled with the Oyl of Vitriol Others leaving behind them their Sordid and filthy Vlcers and then the Green water of Platerus is fitly and properly to be administred and this is to be followed by the washing of the Mouth with Plantane Water IV. Some of them do only infest and annoy the uppermost Skin and from thence by degrees creep along into the gums pallat the sides and Root of the Tongue Others Penetrate and pierce more deeply and eat quite through the Palate and the flesh of the Tongue especially in infants in regard they have the softer and more tender bodies There is here to be commended the Decoction of Savory and Betony in Wine if the Mouth be throughly washed therewith as also the Water of Nuts destilled with Vinegar and a Spunge therein dipt and so applied V. Some are in Children which most usually proceed from the Breast-Milk when it is hot sharp and Salt and these are to be Cured with the Syrup of Mulberries together with Honey of Roses or Oxymel or honyed Vinegar Others in such as are Older and grown up to their perfect state and these require and cal for Universals Chap. 2. Of the Stinking of the Mouth THe Faetor or Stinking of the Mouth is the offensive Vnsavoriness of the Breathing proceeding and arising from a stinking Vapor passing out of the Mouth There is no need of Signs The Cheife and neerest Cause is a Vapor which proceedeth I. From Meats either stinking and unsavory in their own Nature as Garlike Onyons c. And the stink soon and of its own accord vanisheth or else such as are corrupted in the Stomack or the void places betwixt the Teeth II. From the Excrements of the intestines when the inferior Orifice of the Stomach by which it openeth it self into the Intestines is not closely shut which befalleth common drunkards and then in this case Cloves Nut-Meg Zedoary the Roots of the French flower-de-luce Rinds of Citron c. Are to be held and kept in the Mouth III. From stinking Humors either in the Stomach and then they are best of al Evacuated by Aloetick Remedies or else in the strainer bone if at any time corrupted or else in an Ulcer and wound of the Lungs the Gums or the intestines IV. From Worms having their residence in the Intestines c. Title XI Of the Diseases and Symptoms of the Teeth Chap. 1. Of the Diseases of the Teeth Article I. Of the Corrosion of the Teeth THe Diseases of the Teeth are Corrosion and Mobility The Corrosion of the Teeth is a diminution of their magnitude from Causes that Eat through them so that they are broken fal forth by piece-meal the said diminution or corrosion now and then producing Fistulaes The SIGNS are easily discovered both by the touch and by the sight thereof and for the most part those that have such Teeth when they are fasting send forth a stinking and Unsavoury breath or Vapor The CAUSES of Corrosion are either External Womens Fucusses or Face paintings made of Hydrarge c. Al sweet meats more especially Sugar as Experience testifieth food taken in too hot or else meats that are overcold taken in immediatly or in a very short while after the hot Food Or else they are Internal to wit 1. Sharp Humors which for the most part run down from out of the Head and then in the Cure we ought so to proceed that in the first place the Flux be stopt 2. That the putrid humidity be quite taken away by the Decoction of the Roots of Capars Bay Berries Gallia Moschata together with mastick put into the hollow Tooth 3. Corruption must be carefully prevented by cleansing of the Teeth with a Pen-knife from meats that stick betwixt them and likewise by washing of the Mouth with Wine And here are commended the Odontalgick Remedy of Crollius one grain thereof wrapt up in Cotton and so put upon the Tooth the little round Bals of Trallianus formed and made of Thebane Opium one scruple Mirrb Styrax Calamite of each a dram white Pepper Saffron Galbanum of each one scruple and so made up with Honey of Squils and then thrust into the Tooth II. Worms which are to be drawn forth by those little Pellets that are formed of the Henbane seed the Onion and Garlick with a sufficient quantity of Goats sewet and so imposed upon the Hollowness of the Teeth Touching the Fistula's of the Teeth these two things are to be noted I. That they destil almost insensibly and by little and little a Corrupt Humor and a kind of Rotten Filth which Somtimes floweth into the Mouth with a stinking Savor Somtimes it is leisurely derived and drawn forth unto the external parts along by the Roots of the Teeth and the passage holes of the Jaw-bone through which the Vessels glide down and slip into the said Jaws and so this Humor exciteh certain little risings and swellings in the Cheek or in the Chin and Somtimes the Ulcer remaineth ever more open II. That it is hardly ever to be Cured unless that the
Tooth be wholly pulled out by the Roots in regard that their little risings albeit they may be broken they wil yet grow up again a new so that the Ulcers cannot by any means be shut But now that the tooth may the better be drawn forth it may be wel rubbed with the Fat of Green Frogs living in trees or else those same little pellets formed of the Juyce of Tithimal or Milk-Thistle and Ammoniacum may fitly be put into the cavity or hollow thereof or else it may be anoynted with the dissolved unguent of Gum Ammoniack and the seed of henbain But here observe 1. That the neere neighbouring teeth ought to be wel guarded and fenced lest that otherwise they be touched by the aforesaid medicament 2. That the mouth is to be kept open that so the Spittle may the better flow forth 3. That nothing is to be swallowed down Article II. Of the Loosness or Movableness of the Teeth The Mobillity of the Teeth is the weak and infirm standing of them proceeding from the proper Causes thereof upon which said vacillation or infirmness the falling forth of them doth oftentimes ensue The Teeth are the Subject but especially those that we cal Insicorii or the Cutters which are fastned with one root only The tooth it self if touched wil furnish us with a SIGNE The CAUSES are either External or internal External to wit a blow or a fal and then we are to deal by astringent medicaments but cheifly with the remedy that is compounded of Acorus one dram burnt Alum Gals the Juice of Aaccia of each half a dram red rose leaves half a handful decocted with a pint of red wine until it be fallen a thumbs breadth in the boyling and then strained with which the teeth ought dayly to be washed The internal are I. an il depraved Juyce corroding and eating through the gums or the roots of the teeth and then sharp distillations had their precedence and the teeth their pain in this case the pouder that is made of red coral prepared and mastick is very available if this happen in the venerial disease for the Cure we must have reccurse unto the said disease II. Overmuch humidity loosening the roots of the teeth and then the mouth aboundeth with spittle and the gums are soft In the Cure we are to make use of astringents of the decoction of Sea-fern Capars Mirtle leaves with the oyl of Sulfur Pomgrannet rindes Pomgranet flowers and vitriol in regard that they make the teeth black are carefully to be avoided if it chance from the scurvy we must then have respect unto it in the cure of the distemper in hand III. A deffect of aliment which happeneth in old people and in such as are in the way of recovery out of a disease from whence it is that the holes of the teeth are the more widened and enlarged It is not possibly to be cured but yet notwithstanding ye are to make use of those things that are moderately astringent I have already said that somtimes there followeth a falling forth of them touching the which observe I. That in infants in case the roots remain in which the only hope of their shooting forth again consisteth they then of their own accord spring up and grow again II. That the Molar appendix as they term it seldom or never falleth forth in regard that it is so closely conjoyned with the teeth that the boney part of them may be seen III. That the Gemini or twin teeth if they fal out they scarcely ever return and grow forth again IV. that the vacant places of them may be filled up with artificial teeth made of ivory and put fast unto their places alwaies provided that due care be taken lest that from the Compression there should chance to follow an inflamation of the Gums or of the Nerves Chap. 2. Of the Symptoms of the teeth Article I. Of the Odontalgia or pain of the Teeth The Symptoms of the Teeth are Odontalgia Stupor Stridor and Nigredo Odontalgia is a sad and greivious sence of pain in the teeth proceeding from the Solution of Continuity in them by reason of humors I cal it an afflicting and greivous sence of pain for both the teeth and likewise the soft and tender nerves of the Brain proceeding from the fifth and sixth Conjugation are partakers hereof and the little membranes that encompass about the internal Cavity have likwise a little nerve implanted at the very root of the tooth The Teeth and especially the Grinders are the Subject Yet notwithstanding that pain is different and to be distinguished from the pain in Children while they are breeding teeth which is greatest and att he height when the dogteeth as they are commonly called break forth the which said pain ariseth also from the hardness and thickness of the Gums and soon vanisheth away if the aking tooth be anoynted with the far of a hen or the milk of a Bitch There is no need of SIGNS and yet notwithstanding it is dilligently to be discerned and differenced from the pain of the Gums that are sometimes inflamed swel and putrefie and which is not at al removed or so much as mitigated although the toâ—ch be drawn and taken forth The CAUSE is a humor dissolving continuity touching which more in the Differences There is Good hope of a Cure if there be a kind of pus or purulent matter gathered together in the Ear and if the swelling arising in the Gums or in the Cheeks not first appearing the matter be transmitted and thrust forth from the inward unto the exterior and outward parts But there is but very smal hopes if there happen withal a burning feaver and an unusual grating of the teeth in regard that this last especially when it invadeth the patient by reason of the convulsion of the temple musles seeing that it denotâ—th the touching and hurting of the brain it therefore first of al threateneth a deâ—iry or dotage and soon after in regard that it betokeneth the confirmation of the mallady it menacheth and portendeth even deach it self It is performed I. By the mitigation of the pain if it be externaly urgent and intollerable by narcotick medicaments That that is here profitable expedient is two grains of opium with an equal part of Saffron wrapt up in silk and put into or betwixt the pained teeth the washing of the mouth with vinegar and Opium Pils formed of Opium and the Treacle of Andromacus touching which see beckerus in his medicus microcosmus The pain being once asswaged let the mouth be forth with wel washed with the decoction of sage and Rosmary II. By the evaccuation of the peccant humor by bloodletting and here when it is for Revulsion the blood must be drawn our of the greater vein but when for derivation from the lipps of the ears or else from under the tongue neither are we to forget or neglect the use of vesicatories behind the ears III. By the repulsion and
Breath proceeding from the pertinacious either obstruction or Compression of the Lappets of the Lungs The SIGNS of the beginning hereof are the heaviness of the Breast difficult breathing in running or going up a steep place hoarsness a Cough and a windiness in the Praecordia c. The Signs of one present are already expressed in the Definition There is present now and then a Feaver as also a certain ratling noise or Wheezing in regard that somtimes the matter sticketh fast in the foldings of the Rough Artery which when it is expelled by the breath there is the aforesaid sound and noyse excited and somtimes without them in the smooth Arteries The drawing in of the Breath is here more difficult than the exspiration or Putting it forth For whenas in taking in the breath neither the Lungs by Reason of the store of matter nor the Thorax by Reason of the imbecillity of its motion can easily be moved Nature interposing endeavoreth as it were by rest and quietness to cherish and repair the weakned and dejected powers but in Exspiration or breathing forth the Organs and instruments of that work fal down and so give way of their own accord The CAUSE is the Obstruction and compression as wel of the Rough Arteries as of the Smooth of which we have spoken above and from what causes it proceedeth we shal declare in that which followeth The CURE hath respect unto the Causes and it is somthing Difficult if the sick persons be aged There is but smal Hopes if the sick person be thereby rendered Gibbous and caused to go stooping with the back bunching out because that in these the Lungs growing and the Spina not growing nor increasing in the streightness of the Breast the heat is stifled and smothered if it be with an acute Feaver in regard that the Cause of the Asthma being dryed up by the Feaverish heat is thereby rendered and made the more unfit and unable to eject and cast forth that which offendeth upon the ceasing of the Cough the difficulty of breathing stil remaineth if the strength be much weakened because then they soon fal into the Syncope or swooning fits The Diffecences are taken partly from Causes obstructing and compressing and partly from the accessions and other the like Causes I. One is from a Viscid or Clammy Humor stuffing up the Lappets which may be known by this that the breathing forth is Difficult and with a sound as it were and a noise together with a Wheezing Cough It is Cured 1. By opening the Basilick Vein if nothing hinder 2. By cutting and dividing the matter by those Medicaments that moderately cut and divide and that have in them humidity to moysten but these ought to be often changed lest that other wise Nature should be too much accustomed thereunto For the purpose aforesaid there is commended the Oyl of Angelica the Syrup of Nicotiana or Tobacco and that Syrup of Theodatus in his Pantheon Hygiasticon the Decoction of Joel of Zedoary Gum Ammoniack the Flower of Brimstone and Saffron the Oyl of Sugar of Grulinguis and Petraeus in his Nosology the Secret of Frytagius in his Aurora Medicorum Oxymel Scillitick with the Syrup of Violets c. 3. By Evacuation with the Asthmatick powder of Rulandus 4. By Exsiccation with Guajacum Sassafras c. The Humor is divided into that that is Collected in the Lungs and the sick person by degrees beginneth to breath with difficulty and much ado and this difficulty is continual and into that which floweth unto it from elsewhere and then it is not wholly continual the Exacerbations thereof are manifest And here all those things that have in them a purging quality are to be shunned and avoided because they are not without danger II. One is from a serous and Wheyish Humor waxing hot in the greater branches of the Vena Cava and rushing altogether and violently through the right ventricle of the Heart into the Lungs and pressing down the Arterie and this is most frequent It proceedeth cheifly from the Liver and hence it is that the Feet of the Asthmatical person do swel by reason of the weakness of the said Liver the humors in the first place rushing unto the Lungs by their falling to the Kidneys excite and Cause a difficulty stoppage of the Urine Ructures or sour belchings and windiness in the Praecordia are accounted to be in the number and among the signs thereof III. Another is from a little Crude or raw Swelling that we term Grando and smal stones and Gravel touching which we have treated above in the streightness of the Lungs IV. One is more light gentle and moderate with a snorting Noise and a violent Cough the Diaphragm and the Intercostal Muscles yea likewise the Muscles of the Abdomen affording the assistance herein Another there is more grievous we cal it Orthopnaea in the which the breathing is very little thick and exceeding swift which is not performed but with the breast and Neck straitly erected the Superior Muscles of the Breast and the shoulders likewise contributing their help and assistance V. One is Not Periodical and that observeth not its Paroxysms Another is Periodical when the Humor either of its own proper Nature extendeth it self and seeketh for more space and room or otherwise is driven and chased up and down by External Causes if it be there collected or else at the certain and wonted time it floweth hither from some other place Those excerbations are wont to be cheifly in the Winter or in Autumn because the matter is Flegmatick and in the Night-time because it is then moved according to the Motion of the Moon and this usually every fourth day This may be greatly Remedied other things not omitted or neglected either with a Scruple of Saffron in Malmsie and given hot or with Brumerus his smal Potion made of a dram of Ammoniacum Hyssop water four ounces and two ounces of Rhenish Wine Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 3. Of the Cough THe Cough is a vehement thick and loud Efflation or Blowing forth of great store of breath together and at once that was first attracted and drawn in by the Lungs Caused by the swift Contraction of the Lungs and the Thorax that so what ever is burthensom and Grievous unto the Organs of breathing may be expelled and shaken forth In a Symptom so evident there need no SIGNS at al. The CAUSE is whatever may affect the Lungs the Rough Artery and that Membrane wherewith is is encompassed and as it were swathed about within whether this be somthing External or else a Humor or a Vapor c. The CURE either respecteth the Cause from whence it ariseth or the Cough it self if it be vehement which is either mitigated by Lenifiers or Anodynes or else is wholly taken away by those
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
Aloes Zedoary the Juyce of Rhadish and cresses Cold hearts horne burnt Purslane Water juyce of Endive Grass Water with a little Vinegar and Sugar Of Internal Compositions the Pouder of Dr. Mencelius my wives Granfather excels 't is compounded of the Flowers of Centory the less tansie St. Johns wort each two drams of the flowers of Wormwood Savine Peaches of each one dram and an half of the Roots of white dittander gentian asarabacca of each one dram of red Corals prepared burnt harts born prepared of each two scruples Seeds of Artichoke Purslane citron cummin Seseli Coleworts Coriander prepared Sorrel of each half a dram Choice Rhubarbe one dram Myrrh Saffron of each half a dram Scammony prepared Trochiskes of Alhandal of each two scruples Salt of Wormwood half a scruple Coralline half an ounce Of which you may give from one scruple to one dram in Cows Milk upon an empty Stomach two hours before meat Outwardly is commended the cerote compounded of Myrrb Saffron Liver colord Aloes of each as much as is sufficient with Rose Vineger and an Oxe Gal and applied both to the Mouth of the Stomach and to the back see more amongst Authors II. By things that drive them forth which are melted butter great quantity of Oyl a Bath of sweet Milk fuming hot if the Worms be yet alive Diaturbith with Rhubarb Ruffus Pils and de Tribus Solutivis if they be dead The Difference is taken from their figure I. Some are smooth or round in which the knawing of the Belly is more vehement a dry cough more frequent the hickops nauseousness loathing of meat faintings of the heart troubled dreams with trembling rising up crying out motion of the Jaws c. Clysters are not convenient for these unless they be dead II. Others are broad in which the Excrements are not unlike to gourd Seeds there is an insatiable desire of meat and a quick casting forth of the Body of that which is taken a greater leanness and wasting of the Body a pain somtimes in the right side somtimes in the left Fearn or its water is good against them Walnuts Treacle with Vinegar or the Juyce of Lemons Concerning the broad worm see Tulpius in his observations III. Others are called Ascarides in which there is a continual pain a most troublesome itching about the Fundament as if it were ful of Aunts with a heaviness in the back continual Motions to stool moth-like worms are every where mixt with the Excrements of the Belly which smel very strong c. Article IV. Of the Rupture of the Guts A Rupture of the Guts is a falling down of the Guts out of their place 'T is called by the Greeks Kele by the Latines otherwise Ramix and Ruptura The SIGNS are a Tumor which somtimes encreaseth somtimes decreaseth according as a greater part of it it fals down or is filled with wind or Excrement there is no pain unless by chance the Excrements be fallen thither The Patient being prest down or laid on his back the guts slide back into the belly and that with a murmur c. The CAUSES are those things which can Relax or break the process derived from the Peritonaeurn as shal be said in the Differences The CURE is not to be neglected both because that thin and Nervous Membrane cannot easily be united and because somtimes the Patient his Guts being inflamed is brought into danger of his life and the Guts inflamed do mortefie It respects 1. The Replacing of the Guts which if they be swelled with wind as the rumbling in the Guts and breaking of wind do declare it must be done by discussives if they swel with Excrements hardned then both with Emollient Clysters and Cataplasmes and Fomentations If with Flegmatick matter it must by little and little be emptyed by Clysters and suppositories and be attenuated by internal incisive means if there availe nothing we must flie to Chirurgery concerning which consult with Authors 2. The retaining of them in their place here are proper Horse Tongue which is most excellent the pouder of Mouse-Eare given with meats Through wax Rupture wort The Ashes of a sucking hare given to drink in red Wine The Seed of Flix weed the plant fern pouderd and given each half a dram The Differences are taken from the Causes and places into which they fal 1. One is from a Rupture of the Peritonaeum which is known by this that a Tumor is suddainly raised and also is quickly increased the Gut fals down to the very bottome It ariseth from violent Causes fals straining to cast forth the Child or the Excrements of the Belly holding of the breath straining of the voice wounds of the Peritonaeum c. In the Cure a Ligature being applied shal be given inwardly one spoonful of the essence of the greater comfrey with two drops of the balsome of Sal Gemmae Outwardly must be applyed Villanovanus his Plaister of a Rams Skin Mynsichtus Armam p. 364. And the same Authors Vnguent against a Rupture p. 352. The fat of a Hedg-Hog concerning which see Hartman If these do no good seek for help from Chirurgery of which see Platerus Another is from the Relaxation of the Peritonaeum which is known by this that the Tumor grows by little and little and the Gut doth not descend to the very bottome It ariseth both from the moisture of the Peritonaeum whence Children often fal into a rupture and from those things which break it if by degrees and often they assaile the Peritonaeum though not so violently II. There is another called Oskeocele when the Guts descend into the very God 't is known by seeing Another Bubonocele when they fal down no lower than the groin This somtimes doth very much distend the Skin and is stretched out under it and Causeth a great Tumor Both of them is either Enterocele when the Ileon Gut cheifly fal down or Epiplocele when some part of the Cal. See Geigerus in his Kelegraphy Hither belongs Exomphalos or Omphalocele when the Navel either Relaxt or broke struts forth somtimes the bigness of a nut somtimes of an Apple nay somtimes there is a Tumor raised like a Bag. If it be lately first of al foment it with a Decoction of tree Mosse self Heal made in astringent Wine afterwards lay a Cataplasme of Plantane and Lentils If it be Old after the like Fomentations t is Cured with the Oyntment of Mushrums of Nuts outwardly applied with convenient ligature inwardly with the essence of the greater comfrey with the Arcanum of Sal Gemmae Article V. Of the falling down of the Fundament and of the wounds and Vicers of the Guts 1. The falling down of the Fundament is a hanging forth of the outer part of the right Gut There is no need of SIGNS The CAUSES shall be spoke of in the Differences The CURE requireth I. A putting up of the Fundament fallen down which is performed gently with the Hand premising a Fomentation of emollient and
calcined and boyled the same way and applied That they grow not again they must be anointed with Vineger and the Ashes of the Twigs of a Vine III. Rhagades or Clests are oblong Ulcers of the Anus without a tumor and those superficial or deep Callous or without a Callus moist and pouring forth filth or dry and Cancrous they arise 1. From the too much hardness of the Excrements which in their passage do break the Skin 2. From a dry distemper having joyned with it sharp Humors and somtimes malignant where moistners take place 3. from flowing of sharp corroding humors that have a certain clamminess by reason of which they stick to the part and then an itching and most sharp pain with burning troubles them The Purgers ought to be gentle and moistning Care is to be taken of the Virulency which discovers it self by the filthy smel and evil matter A Clyster of the Mucilage of Tragacanth the Seeds of Fleawort of each one ounce and an half Fresh Butter three ounces Red Sugar one ounce Oyl of Violets five ounces is commended IV. Fistulaes do follow inflamations Tumors and Ulcers of the Anus ill Cured They are known by their narrow Orifice but a bosome lurking within There is voided thence matter somtimes watry somtimes virulent They are divided into those which do not penetrate either into the right Gut or into the bladder which is discoverd by putting in a Probe which if they bring no great discommodity are only to be Mundefied with the Decoction of Agrimony and a little Alum and the Orifice if it be too narrow must be dilated with Elder Pith that the matter be not retained but if they ought to be Cured universals premised they must be washed dilated and cut And those which do Penetrat either to the Right Gut and then the Excrements of the Belly are voided through them and liquor injected comes out through the Gut or to the Bladder and then the Water is made through them Or to them both and then a Fart is let from the Privities as wel as from the Arse All these are seldome Cured Amongst things consolidating Joel commends the pouder of Mercury Precipitate strowed on laying over it a common Plaister Ursenick prepared or reduced to an Oyl layd on and the same Plaister over it If the Fistula be in the Sphincter muscle the Excrements of the Belly issue forth of their own accord See Hippocrates concerning them V. Hither belongs also an Intertrigo which is an Excoriation of the Parts neer to the Anus arising from vehement motion 'T is Cured with Deers and Goats Suet. Chap. 2. Of the Symptomes of the right Gut THe Symptomes of the right Gut are Itching of the Anus Tenesmus the flux of the Hemorrhoids and the stopping of them Article I. Of Itching and the Tenesmus The I-ching of the Anus is a Certaine painful tickling of the same Tâ—eâ—e is no need of Signs The Differences are taken from the Causes I. One is from sharp Salt and Viscous Humors sticking to the â—phinter which must be emptyed but the Arse must be washed with the Decoction of the Leaves of Mallows Violets Roses with Pâ—anâ—ane water and a little Alum 2. Another is from the Excrements left there which are wel washt off with the Decoction of Mullein 3. Another from Worms of which in theâ—r Chapter 4. Another from an ulcer to the which the Cure must be directed II. A Tenesmus is a continual desire of going to stool with pain in which either noâ—â—â—ng or a few Mucous things are voiâ—â—d I here is no need to add any Signs somtimes the right Gut fals forth and a dropping or difficulty of Urin happens by reason of the â—â—weeâ—ness and consent of their Parts The CAUSE is whatsoever is fixt to the exâ—â—eam part of the right Gut and can stimulaâ—e its Expulsive Faculty but what that is shal be explained in the Differences The CURE must not be neglected because from neglect of it oftentimes a sordid Ulcer remains which somtimes passeth into a Fistuâ—a It respects the Causes and the pain which must be mitigated The Differences are taken from the Causes I. From the too great cooling of the right Gut which is taken away with the Decoction of â—he Flowers of mullein chamomel Melâ—loâ— Dill with the Seeds of Flax Fenugreâ—k Bran. II. From the Stone or worms concerning which see in their places III. From the cause producing a Dysentery and then the manner of Cure is the same almost with that of a Dysentery Let the quantity of the Clyster be but little the Ulcee be washed and healed The Mucilage of th-Seeds of quinces and Fleawort extracted liquid with Water or Plantane Nightshade is good adding Bole armenick or washt aloes and cast in by Clyster IV. From Cholerick humors or Flegmatick and Salt sticking to the same where a Clyster of the broth of weathers Flesh with a few drops of Oyl of Wax being given takes place c. Article II. Of the Flux and stoppage of the Hemorrhoids The Flux of the Hemorrhoids is too great a casting forth of blood by the Hemorrboidal Veins This Disease hath no need of SIGNS First of al there flowes black blood feculent and thick and it comes forth as it were by drops whiles they wipe their brich afterwards good and ruddy at last yellowish and pale From thence the thighs grow weak the Hips feel a heavy pain the color of the Face is depraved Somtimes it observes its Periods somtimes it neglects them The CAUSE is whatsoever doth either Irritate the Expulsive faculty of the Veins and arteries of the Liver or Spleen or hurts their retentive The CURE shews it must be supprest which is performed by Revulsion by opening a Vein and by the external and internal use of astringents Outwardly are good by a propriety a girdle of the Leaves of Black Hellebor bruised fresh and girt about the naked body upon the use of which if pimples be raised the pain must be taken away by its remedies Spunges which grow under the seats of hot Houses in baths if they be burnt to pouder in a new pot and strewed on Colcothar or that thick Feces which is left at the distilling of Oyl of Vitriol if they be toucht with it one only being left Inwardly is commended Essentia Martis of which see Hartman A Confection of the refuse of Iron The Old Conserve of Roses with Bole armenick c. The Differences are taken from the Partâ— and Causes I. One is of the internal which ariseth from a branch of the Spleen extended through the Mesentery about the Colon and right Gut in the Muscles of the Anus and inward part of the Gut having an Artery joyned with it that alone is there terminated It is known by a weight about the Fundament difficulty of going to stool by Clysters Suppositories or an instrument And also if a Cupping-Glass be applied as Zacutus hath done Another is of the External which proceed from
with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
the same concerning which things see the chapter of the hemrods of the anus Article IV. Of the ulcers of the neck of the wombe There is no need to define what the ulcers of the neck of the womb are Their Signs are a pain and perpetual biting in the same place which by little is increased especially if any thing abstersive be cast in a flowing forth of sanious humors and matter by intervals somtimes with blood if the ulcer be great or the courses flow A pissing often and hot if the otifice of the bladder be drawn into consent a paine in the forepart of the head extending it selfe to the roots of the eyes if the head A smal seaver which in process of time growes slowe with often horrors c. The CAUSES are al external and internal things which by their acrimony can dissolve the continuity in that part of which in the differences The CURE is difficult because it is in a place of exquisite sence moist and which hath a consent with many parts 'T is Ordered the same manner was spoke in general in the first book To inhibit the paine Steeled milk cast in doth good For drying baths The Differences are various I. Some are from external causes as medicines hard labor violent copulation And others from internal as are the secundine corrupted the flux of blood retained the flux of the womb a virulent gonorrhaea the french pox Inflamation Humors flowing thither either from the whole or a part or generated there al which must be attended in the cure II. Some are superficial from which little matter flows and medicins may be layed upon them Others profound which are in a contrary way and the medicines ought to be injected III. Some are Milde with little matter thick not stinking in which both the gentler abstersives as honey of roses with barly water whey with sugar or the decoction of lentils and the more benigne astringents take place Others sordid with plenty of matter and flowing forth with paine in which we must act with stronger things The mundifyer of smallage in Castro l. 2. c. 29. is here commended Others are eating with a colored matter green livid stinking flowing forth with paine in which aloes and wormwood amongst mundifers are the cheife IV. Some are called Phagades which are smal and longe ulcers eating the skin of the necke of the womb They are known both by the paine and blood caused in copulation and by sight if the neck be looked into and they are like unto them which in winter time are wont to rise in our hands They arise many waies 1. Externally from a painful labour violent copulation and then we must use an astringent glyster 2. Internally from an inflamation condylomata an afflux of sharpe humors which must first be taken away by purgers before we come to topick medicines There is commended for them the fatt which distils from wooden spoones used to boyl in kitchins if they be a little moved to the fire and burnt and also the oyntment pomada Others which leave behinde them a Fystula which is voide of paine unless it come to a nervous part sometimes it passes to the bladder and right gut and the excrements are cast forth through it If it be ancient it ought to be left to a palliative cure in which at fit seasons the body is purged but the callus which is alwaies joyn'd with it if that be curable after drying of the part being molefied by vulnerary potions must be wasted either by cutting or burning Of a cancer and gangrene I meet with nothing singular That is generated by menstruous blood adust and when scirrous tumors continue long This in this place ariseth from an inflamation cancer and ulcers there il cured For while these parts are moist and abound with excrements they are easily corupted and perish Chap. 2. Of the diseases of the womb Article 1. Of the distemper of the womb The diseases of the womb are distemper straitness of the vessels inflation inflamatition a scirrhus dropsy falling down of the womb wounds and ulcers The distemper of the womb is a swarving of the same from its natural temper to a preternatural distemper arising from external and internal causes 'T is divided twofold I. One is hot which is known by a proness to venery by the scarceness yellowness blackness adustion acrimony of the courses and by their difficult and inordinate flux whence in process of yeares they become hypochondriacal by the early growing of hair in the privities redness of the face and dryness of lips often pains of the head and abundance of cholerick humors in the body It ariseth either from the birth from whence are viragos and barrenness or after the birth from external causes amongst which are the use of hot thing too much venery medicines which do move the heat and blood to the womb 'T is cured 1. By the contrary diet 2. By cooling medicines both internal and external which are applyed to the loins and back but they must be moderate least the heat necessary for conception be weakned the cold substance of the womb because it is membranous be violated the vessels which ought to be open for flux of the courses be condensed and the nerves which are in the loins and back be hurt 3. By emptiers viz. Rhubarb syrup of roses solutive manna c. The flowers of Vitriol of Venus Mars from three grains to six grains given in some syrup is an appropriate purger for the womb Another is cold more frequent than the hot which is known from a less desire to venery and the little pleasure in it by the stopping mucosity flegmatickness of the courses and their inordinate flux by reason of the plenty of the like humors collected in the womb from whence is obstruction by the plenty of wind in the womb by the crudity and watrishness of the seed from whence it flows without any pleasure by the pale color of the face and other things opposite to the former It ariseth also from causes contrary to them 'T is cured 1. By a contrary dyet 2. By hot medicines applyed to the womb amongst which do excel inwardly the Roots of Birthwort avens angelica eringoes the Leaves of Mercury balme dittander of Candy pennyroyal Sage Rosemary mugwort The Flowers of wal Flower Marigold Sage Rosemary burrage Spices Nutmeggs Cubebs Saffron Cinnamon Of Compounds Oyl of Mace Amber Myrrh Cinnamon Fecula bryone Aqua vitae Mulierum The extract of Zedoary Outwardly the same things reduced into their formes Another is moist which for the most part is joined with a cold It is known by the plenty thinness and watrishness of the courses the moisture of the privities by reason of the humidity of the excrements and the passion of the Flux of the womb even when the seed is voided no delight in venery and an aptness to miscarry when the young one grows bigg It ariseth from the same causes as yet which
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
or by other diseases by which also the retentive faculty of the same is wont to be weakned In particular 't is caused cheifly 1. From too much cold and then the pain which ariseth about the Region of the Kidneys descends to the lower part of the Belly and afflicts like to Nephritical pains See a Fomentation in Ludovicus Burgesia p. 1. c. 6. 2. From a sudden fright and then outwardly may be applyed the Fomentation even now mentioned inwardly a little Oxycrate 3. From a Swouning where the Confection of Alkermes and de Hyacintho take place 4. From Anger 5. From a Flux and then drying Meats must be administred the Patient must be kept in Bed we must act with Cordials and Strengtheners III. The Birth coming forth not Naturally where 't is a common admonition that the navel of the infant what way soever it comes forth be thrust back into the womb again If it be difficult and cannot be promoted otherwise 't is happily furthered by giving three grains of Mercurius vite in wine as Billichius witnesseth in his observations IIII. The stay of waters al other things being ready for the birth and then the membranes must not be broken least violence be offered either to the navel or some member a fomentation ought to be ordered with warm water which must be followed with a limiment of fresh butter V. An immature falling down of the waters and then fresh butter is good amongst moistners we must have a care of the outward air VI. Collick pains which are taken away by giving oyl of sweet almonds with cinnamon water or a carminative glyster following VII A weakness of strength by the birth and then may be administred water of Tophies Harts-Horn Confection of Alkermes Cinnamon water VIII The slow comming forth of the secundines either because they are too thick and tenacious and stick close to the sides or because they swel by the long labor of bringing forth or because the Navel is either broke or cut off before the Secundine is come forth There are commended the Secundines Specifick the Eyes of a hair taken in March of which in Hartmans Chymiatry c. See Burgesia l. 1. c. 14. IX The Pains after birth by reason of the too great strainess of the vessels which are prevented by giving of the Queens pouder after the first birth which is compounded of the grearer comfrey one dram Peach Kernels Nutmeg of each two scruples Amber Greese half a scruple and one dram weight is given in broth if there be a Feaver in wine if not X. Too great a flux of blood after the delivery either by reason of its plenty or because she hath used hot things or because of its thinness In the cure take place ligatures a cloth dipt in Oxycrate applyed to the Loyns and al the back bone because there the Vena Cava Runs down Terra Cimolia dissolved in Vinegar applyed to the same XI An insufficient Purgation by reason of the thickness of the blood detained nine Months induced by heart which is known from hence that it was more in the menstruous Flux In the Cure takes place the opening of the Saphena but not before the womb is restored to its place The use of Syrup of Maiden-Hair with Hyssop water Wormwood water Suffumigations Fomentations c. But if her Purgation were not more in the Flux of her Courses nor she did not abound with blood we must act by dyer and meats of good juyce XII A Feaver which is 1. From the generation of milk which is free from danger it must be committed to nature observing a goverment in dyet and sweats must be promoted in which that is wont to end 2. From the suppression of the after purgation in the cure of which note 1. That a vein is most commodiously opened in the ankle if that cannot be done cupping glasses with scarification are wel applyed to the thighs and leggs 2. The time of the flux being over past and a feaver urging a vein in the arm may be opened 3. From the store of vitious humors in which we must diligently consider whether the sick ought to be purged or not the time of the flux being over only gentle ones must be administred Things that alter which stop the flux as cold things sour things must be aavoided Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XIII Of the Affect of the Belly A single Chapter Of the Rupture of the Navel and Inflamation of the Muscles of the Belly AMongst the affects of the belly is A Rupture of the Navel and Inflamation of the Muscles of the belly Omphalocele which is a swelling of the Navel from the Guts Caul water wind or a fleshy substance fallen into it or arising there The Signs Cause Cure do vary according to the Nature of the Differences The Differences are taken from the Causes One is Intestine or Enteromphalos when the Guts slide into the Navel which is known by this that the Tumor is not very hard nor soft holding the breath it increases and the Patient lying on his back it sinks the Guts going back into their place with a noise and rumbling It ariseth from blows fals jumping lifting of a heavy weight hard labor riding crying out Mourning Laughing c. In the Cure it requires 1. The putting of the Guts into their place 2. The astriction of the peritonaeum relaxt the consolidation of it if it be broke amongst Medicines are Comfrey Sanicle through-wax Rupture wort Boyled in red wine and given Incision must be admitted at last when no other things do good By Ligature somtimes we provide against this affect Another is of the Caul or Epiplomphalos when the Caul slides into the Navel which is known by this that the Tumor in one paâ—â— is softer broad at the Basis and narrow towards the top that there is no pain present and the same being prest with the Fingers it sinks the Caul returning into its place It ariseth from the same Causes The Cure is the same but in a soft and young body 't is easier Another is watery or Hydrophalos when the Navel is lift up into a Tumor by water which is known by this that the Tumor is lax and if it be prest 't is neither increased nor decreased that 't is joyned with a waving and holding a Candle to it it appears clear and perspicuous It ariseth from water collected between the Peritonaeum and the Skin of the belly proceeding from the Causes mentioned in the Dropsie In the Cure take place things drying and discussive if these succeed not incision made like a half Moon Another is windy when wind distends the Navel which is known by this that the Tumor is soft yeilds to the Finger gives a sound like a drum and let the Patient lie which way he wil it is not changed
chased with garlick throughly bruised and then mixt together with wine vinegar or the Urin of an Infant III. there is Another Cephaâ—algy that is such in its own essence we term it primary which now and then ariseth likewise from worms with a certain kind of gnawing and aâ— itching of the nostrills and this comprehendeth under it al the fore-mentioned differences Another there is by the consent of the Heart as in feavers of the hypochondria the stomach the wombe c. and this for the most part is hemacrania and afflâ—cting only the one half of the head see the first Title of the second Chap. of this Book IIII. Another Cephalalgy there is peculiarly and specifically so called which indeed is nothing else than a pain that as it is new so it is also very light and gentle and such as is most easily removed without any great imbicillity and weakness having its original most usually from causes external likewise it is accompanyed with a Feaver V. Another is that we terme Cephalaea or a long continued contumacious pain Infesting and annâ—yingwith the greatest paroxysmes and yet notwithstanding such as are stirred up even by the smallest and most inconsiderable causes the whole brain and head or at least to be sure the greatest part thereof but most especially the Membrains Another called Hemicranio which is a painful distemper of one half part of the head only which ariseth from those parts that are situated beneath it In that that proceedeth from the stomach there is usually perscribed as most profitable for evacuation the Pils of Fernelius formed of the best Aloes half an ounce the powder of the Electuary of precious stones or de Gemmis of the three saunders called in the shopps Diatrion santalon and red Roses of each of these six Grains and so made up to the number of thirty with the Syrup of Wormwood and violets and then two or three of them are to bâ—â—vallowed down the tenth hour before supper Unto the Head there may be applied and laid on an Epithem of the green Root of the Wild Cucumber boyled together with Vervein and Wormwood of Pontus in Oyl and water Chap. 2. Touching the Sympâ—tomes of the Common sense Article I. Of over great and extraordinary watchings THose Symptomes that infest and invade the common sense are watchings and a drowsie and sleepy distemper called Cona Watchings preternatural are the exercise 〈…〉 sense and the external likewise beyond a due and fit measure arising from the continual uninterrupted influx of the spirits into the Organs There is no need at al of SIGNS For the relation of the sick wil suffice The CAUSE is expressed in the definition But the Spirits flow in because they can by no means be brought to rest and sleep and that either in regard of externals to wit objects overmuch light cares Cogitations or thoughtfulness or else by reason of somwhat internal to wit a hot distemper of the brain a pain c. the cure is difficult if the said watchings happen unto those that are young and not at al accustomed thereunto if they bring on the party a doting or a Convulsion or a cough if they last long if they have their Original from internal causes The Cure consists I. In Removing of the Causes that occasion and produce those watchings II. In Procuring sleep either by cooling Cephalicks outwardly applyed or inwardly given or else by Narcoticks The Fat of the Fish Lucins that is the Pike annoynted upon the Temples the Hypnotick Wine of Mynsichtnus the Soporiferous Compound of Saxony the Liquor of the smal spungy sprigs of Eglanrine pressed out of them after they are come to a maturity Opium corrected with Saffron the magistery of Corals and the spirit of Vitriol a pultise of Poppy seeds with the Oyl of Hen-bane and the breast milk of a woman applied to the pulses and the Pediluvium or Lotion to wash the Feet of Hartmannus c. al these are excellent for the purpose aforesaid The Difference is taken from the Causes Some of them are from External Causes to wit 1. The passions and affections of the minde Fear Grief Cares Custome and then these things are to be removed 〈◊〉 because they are wont to occasion the distemper of the head we ought to withstand and prevent the increase and growth of the Humors 2. They proceed from the objects of the external senses which are to be rejected The annoynting of the Nostrils with Oyl of Nenuphar or the water Lily and the eating of Lettice is here in this case much commended Others there are from Internal causes to wit 1. From a hot and dry distemper either without a Feaver which disturbs and drives to and fro the spirits and dissipates the vapors The cure of this may be sought out in its own proper place 2. From hot Vapors that are sharp salt which distâ—rb and trouble the spirits by their pricking and twinging the Membranes of the brain These either they are elevated by some Apostem of the Head and that either from the whol Head or from some certain parts thereof and this likewise either without a Feaver or with a Feaver The Signs and the Cure ought to be sought for out of their own Chapters Those Medicaments that qualifie sweetly allay and temper the Vapors are to be exhibited after supper 3. From the defect of Vapors that might cause rest and quiet unto the spirits in regard either that they are not al generated as it happeneth after an overlong abstinence from food and by reason of crudities in the stomach and then in this case in the Cure a special regard is to be had unto the Diet or else it is because that these Vapors so soon as they are generated they are forthwith dissipated and scattered like as it chanceth in an hot distemper and then a regard also is to be had unto the same 4. From Pain in which when once the common sense is together affected it being vehemently and violently moved al the other senses moved and disturbed together with it And hitherto apperteyneth a Cough the flux and extraordinary loosness of the Belly c. which deprive a Man of his sleep Article II. Of the sleepy and drowsie Coma or Cataphora The somnolent or sleepy Coma is a deep and profound kind of drowsiness arising from hence to wit that the Sensus Communis or Common sense is become so dul sluggish and stupid that it permits not the Animal spirits to be diffused unto the external senses neither doth it know or is able to Judg of those objects that it receiveth from them The SIGNS are taken from this to wit that the sick party sleepeth for the most part with his lower Jaw-bone hanging down and with his Mouth gaping and wide open when he is rouzed and stird up he openeth his Eyes and answereth but immediatly again falleth asleep And so it is distinguished from the sad distemper Carus from the the Apoplexy and the suffocation
of the Womb. The CAUSE is whatsoever impedes or hinders and prohibites the influx of the Animal spirits unto the Organs of the senses and withal Renders those spirits more unapt unto the Animal actions and operations The CURE is Doubtful if it follow upon the extream imbecillity of the Patients strength occasioned either from some most acute Disease or else from some deplorable and grievous affect of the brain if it chance in continual Feavers if it hath its original from some malignant cause There is almost no Cure to be expected if it take its rise from hot and dry Diseases for then by this means of necessity there must needs be an extraordinary cooling in the brain if the malady grow to be so sad and grievous that both the sense motion and the very breathing it self is taken away In what things the Cure cheifly consisteth and by what means it is to be wrought see further in the various differences thereof It is divided according to the variety and difference of the Causes I. There is one Species thereof that ariseth from the Humidity or the frigidity of the Brain And then the matter in the Head ought to be Evacuated and discussed in the former of them by the irrigation or the frequent washing of the Head with the sharpest sort of Vinegar throughly mixed together with Roses and Camomil Flowers but in the latter of them by anoynting the Head with Dil Oyl a little warmed And in both of them we must remember to put in practise the frequent use of Apophlegmatismes Errhines and sternutatories Another kind thereof there is from Narcotick Vapors inducing and bringing in a certain dulness and unaptness for any thing upon the Animal spirits which said Vapors either are from over much drink and then the drink yet remayning in the stomach Vomiting is to be excited and provoked Or for the greatest part they are conjoyned with Feavers Then 1. The Vapors are to be drawn back either by opening a Vein in the Thighs or by Clysters frictions Cupping-Glasses c. 2. The same Vapors are likewise to be repelled and driven back by Oxyrrhodines to wit Medicaments consisting of Vinegar and Roses actually hot and applyed to the Coronal suture unto which former remedy let the Vinegar that is added be in a plentiful measure or else which is yet better they are to be discussed with Rue Castoreum Vinegar c. 3. Great caution must be had lest that those Remedies that are exhibited and administred to expel sleep and drowsiness should any way augment the Feaver Or otherwise these Vapors afflict without those feavers And then they are elevated and drawn up from the stomach Womb or some other inferior part These are to be taken away by the very same remedies as the former were Those things that infringe weaken the strength of Narcoticks are Rew with Vinegar the balsam of Rice Castoreum Nightshade snuffing up the fume of Brimstone c. As for the Diet what it should be see and consult the Practitioners Chap. 3 Of the Symptomes of the Imagination A Single Article of the Vertigo or turning round of the Head THat Symptome of the Imagination which likewise very often hurts even the common sense also is called Vertigo which is nothing else than a false imagination of ones turning round dizzy reeling about arising from an inordinat and circular motion of the Animal spirit in the Forepart of the brain The SUBJECT hereof is the brain according to its anterior or forepart as it is an organical part as it containeth the Animal spirits and as it is endued with certain passages in which the said spirits are moved Of SIGNS there is no need at al. Unâ—o some of them al things seem to be turned about as in a Ring or Circle others of them have their very sight obscured and again in some of them there is sensibly perceived a sisling Noise and as it were a kind of singing in the Ears c. The CAUSE is whatever either suppeditateth and generaâ—e h Vapors of themselves and in their own Nature such as are garden Radishes Garlick Mustard Wine c. Or else 〈◊〉 as is wont to stir disturb and agitate the Humors and hitherto appertaineth purgation as being cheifly requisite in this case The CURE is very doubtful and scarcely to be hoped if this distemper happen to Old people because they have but a weak brain if it continue long because it is then the forerunner and indeed the foreteller likewise of the Epilepsie or the Apoplexy if in it the Head or the whol body seem to wheel and turn round The Cure is Performed I. By Discussion and then let the holes of the Nostrils be annoynted with the Oyl of Marjoram and the Oyl of Nutmeg or else together with the aforesaid let Rose water and Vinegar be put and applied thereunto let the Temples and the hand-wrists be anoynted with rose vinegar and Rose water mingled with a drop or two of the Oyl of Cinnamon or else let them be throughly wet and besmeared with the Juyce of the black beet let the pallate be annoynted with Treacle II. By opening a Vein if it be over powerful and violent III. by Revulsion if it proceed from the inferior parts IV. by a Diet in the which meats that are known to generate many Vapors beer brewed with much Hopps and such like hurtful things are carefully to be avoyded For a preservative Caraway seed macerated in Wine dryed and dayly taken about the time of going to bed is held to be very excellent The Differences are taken from the Causes I. One is from Causes that are Evident exagitating and exasperating the spirits and such are a turning round of the whol body a long while together looking much and steadily upon things while they are moved circularly and a prospect or looking downward to the earth from a place of an extraordinary height For so by this means the spirits by the beholding and looking upon any thing unto which it is not accustomed or that is dreadful and terrible are diffused and drawn back It is known by the relation of the sick party It is cured by rest and sleep If it yet be not altogether ceased then we are to conclude the Cure by frictions If it be from Hunger and fasting a piece of bread dipt in the Juyce of Pomegranates or in sharp sowr wine is first of al to be administred II. Another is from the narrowness or Streightness of the Passage of the Brain through which indeed the Animal spirits are moved but when they are thus impeded and hindered they then retreat back again It ariseth either from a partial obstruction which if it be caused by gross and thick Vapors it is soon dissolved if it hath its rise from serous and Phlegmatick Humors it is then of a long continuance and there is withal present a sense of fluctuation In the Cure there ought to be a respect had unto the Nature of the