Empl. Observat Observat In 6 cases no Repelling Medidicines to be applied in the beginning Cataplasma Here Digestives are most proper Four waies of digestion Catapl Observ Catapl Catapl Observat 〈…〉 Catapl Catapl Catapl Catapl The efficient cause of matter Signs of Suppuration 〈…〉 〈◊〉 Catapâ— Catapâ— A method to find whether a Tumour be ripe enough to open What a Phlegmon is Whence it ariseth Its causes Signs Of the cure of a Phlegmon Four methods according to four times by Guido His diet Observat Electuary Bolus Potio Troch Electuary Clysters Purging potion Revulsion Revulsion Vesicatâ—ries Defensatives Observ Repellers Catapl Unguent Observ Question Answer By several reasons Their use and benefit Catapl Unguent Another Catapl Unguent Catapl Cured by Digestives Catapl Catapl Authoris Catapl Catapl Catapl A History Catapl Catapl Natural Second not natural Quest Answ Third preternatural Its differencies The names of Erysipelas What it is Signs Its differencies from a Phlegmon Praesage Cure The Authors Julep herein Emulsionâ— Bleeding Potion Potio purgans Electuar Pill Clysters Another Another Unguent Unguent Unguent Unguent Catapl Catapl A History Catapl Unguent 〈◊〉 〈◊〉 Chirurgery Electuar Potio A History A History What flegm is It s name It s generation Definition Signs Cause Praesage Pill Pil. Pil A potion Potion Potion Topicks Question Answer Observat Digestive Catapl Catapl Catapl Unguent ex Merâ—â—â— Empl. A History 4 Species of Melancholy Burnt Melancholy made four waies How a Scirrhus is made It s definition Signs Causes Presage Cure Potio purgans Another potion Pills Pills Pills Digestives Emplâ— Empl. Empl. Emple A History A History Signs Presage Cure Pil. Pil. Pill Pill Catapl Unguent A History What iâ— Wind. What a windy Tumour is Causeâ— Differencies Signs Cureâ— Potion 〈◊〉 Pil. Clyster Clyster Troch A Hippocras Wine Pulvis Fomentation Foment Catapl Unguent Catapl Empl Silvâ—â— History What the Brest is The Anatomy of the Brest How milk is made It s name Causes It s subject Signs Presage Cure Apozeme Potion Apozeme Sudorifick decoction Unguent Unguent Empl Unguent History History Caution How an ulcerate Cancer is to be treated A second may Of a Cancer growing at the Eye-tooth Apozeme Potion Potion Gargarism History Signs Signs Causes Presage Cure Unguentâ— Unguenâ— Unguent The Cure of a pestilential Carbuncle Catapl Histoâ—â— Cause Unguent Another A History Signs Causes Presage Herpes exedens Signs Cure Cerate Unguent Unguent History Fomentation Catapl Empl What a Gangrene is What a Sphacâ—lus is The diâ—ference between a Gangrene and a Sphacelus 3 Causes of a Gangrene The universal Causes both of Gangrene and Sphacelus To the first To the second Signs of a Gangrene from a hot intemperiety Signs of its coming from cold 5 Signs of a Sphaceluâ— Cure 1 From the Antecedent Cause 6 Intentions in applying of proper Medicines A particular Cure of a Gangrene coming from Inflammation 1 Intention Unguent Catapl Second Intention 〈…〉 History Oyl Catapl Decoction Digestive Caâ—apl History Cordial History What Artheroma is Observa Care Observ History History It s Cause Cure Empl. History Whence its Name Cure Pil. Pil Catapl its differencies It s Definition Signs Causes Two Species of a Hydrocephalos Presage Cure Decoction Oyl History Unguent Unguent Empl. History History Unguent History Its Causes Digestive Unguent History Three sorts hereof Cure Unguent History Cause Cure â—â—story Cause Signe Cure Pil. Pil Potion A Medicine of the Authors Observ History History Celsus Method Paulus ' s Way History Defensative Collyrium What a Polypus is Cause Differencies Celsus ' s way Paulus 's way What a Glandule is What the Parotides are It s Cure Catapl Unguent Catapl History History History Descriptâ—on of Strumaes Signs Presage Three ways to eradicate them Cure Pil. Pil. Pouder Pouder Aqva Unguent Catapl Catapl Catapl A History Catapl Catapl Catapl Pil. Unguent Empl. Histoâ—y Three species of a true Squinsey Caâ—ses Signs Presagâ— Cure â—argarism Gargarism Catapl History What the Amygdals are 〈◊〉 how made Uses They being the chief Organs of Tasting Cure Gargarism Another Another Trochisc Cataplasm Pil. Electuary History Signs Decoction History Cure History Liniment Empl. Another History Unguent Cataplasm The Causes of a Gonorrhaea Injection A double Method in its Cure Fomentation Unguent Emplâ— History History How the Intestine is to be reposed Cataplasm Unguent Decoction Cerate Empl. Empl. Empl. Apozem Empl. Empl. Histoâ—y Cerate Empl. Anâ—ther Oyl Syrup Electuary Pil. A second Method by Adustion A third Method is Incision The fourth Method History Clyster A Restringent Bag. Purge Signs History Another Another History History Causes Signs Cure Topicks Empl. Fomentation Another Catapl History Foment Another Another Another Oyls Unguent Catapl Another Another Empl. History Signs History Intentions Hernia Humoralis Causes Cure Hist History Causes Signs Presage Cure Unguent Another What Phygethlon is History Their Origination Unguent Another Another Another Another Another History Its Causes A restriâ—gent 〈◊〉 History Apozemâ— Empl. It s Figure what it is Its differences from Pterygion Its Signs Its Causes and manner of breeding Revulsives Interceptives Repellers Catapl History â—â— Pterygian Unguent Catapl History Potio purgans Catapl Unguent Hist Potion Unguen Catapl
have already writ of Tumours from whence we shall derive this method in our beginning of Tumours first acquainting you with the name of a Tumour then its essence and causes then its difference and symptomes its signs and presages and after these its universal cures both as touching general and particular Tumours Of each of these in their Order CHAP. II. Of the name of a Tumour IT hath its name from the Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which signifies inflammation or extutuberance and hence by Celsus and Avicen a Tumour is said to signifie a preternatural extuberance and by Galen is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Tumor praeter naturam by the Asiaticks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 as it were a condensed or conglobated matter by the Arabians Apostema which by the Greeks signifieth an Abscess which is a substance converted into Pus or as Aqua pendens calls it an eminency of the body this I call a preternatural disease in which some parts of the body are indecently extended being hereby unfit for performance of their proper action Hippocrates doth christen all Tumours with the name of Oedema Galen appearing somewhat doubtful and incertain doth sometimes reckon this amongst diseases of the similar sometimes amongst the Organick parts Haliabbas is of his Opinion Guido defines an Aposteme a disaffection composed of three sorts of diseases aggregated into a bulk And Avicen thus expounds them ill complexion ill composition and a common solution of Continuity which is found in every Tumour Tagaultius after Guido defineth an Aposteme to be an Inflammation made in a member beyond its proper nature and form Falloppius holdeth a preternatural Tumour to be a Disease in magnitude and therefore simple and onely consistent in a great extention Fabritius de Aqua pendente offereth a preternatural Tumour for the most part to be a compound disease and taketh its denomination from that which hindereth action Read calls it sometimes a Disease sometimes holds it to be a light Affection for the most part incident to the Organick parts encreasing their quantity by superfluous humours Or if you please after all these you may take a preternatural Tumour to be a material Intemperiety dissolving the Union of the parts and sometimes hurting them in magnitude figure and sight CHAP. III. Of the Causes of Tumours A Tumour is said generally to have four causes attend it as a Material Efficient Formal and Final cause By Guido the first is called the conjunct cause The second when Nature frameth any part so weak as that it is not able and strong enough to keep the excrements of other parts out of its territory A third cause when any part of its substance is too rare or loose the fourth is a natural Humidity with exemplification of the part Another cause may be said to be the Site of the part for the upper parts are said to be less capable of receiving humours than the lower part Falloppins offereth six heads as so many Observations of Tumours The first when it begins to putrifie it spreds and extends it self speedily and suddenly groweth into a lump or masse Secondly there are Humours which â—ake Tumours and these are either 〈◊〉 or preternatural Thirdly when some parts change and remove themselves 〈◊〉 of their proper places into other 〈◊〉 strange places as you 〈◊〉 in Ruptâ—â—â—â— and Dissocations A fourth is such â—â—mours as are bred of waterish 〈◊〉 as Hernia Aquosa Ascitis and the like A fifth when vapours wind and the like either naturally or preternaturally do frame a Tumour And the sixth is that which maketh the body unnatural to it self as Sanies Excrements and the like But to bring this discourse of Falloppius to one head you may find six Humours generally in our bodies of which are generated these six Tumours as out of Blood Choller Flegm Melancholy Wind and Water Phlegmon Erysipelas Oedema Scirrhus Pneumatocele Hydrocele Besides these we have Insects and other Animals that very oft times are the occasions of Tumours as Falloppius once observed in a Maid who having a large Tumour about the Inguen the Chirurgion in his presence opening the same saw it filled with Worms Amongst the primary causes may well be reckoned Air for out of its Contagion ariseth many Tumours Secondly Contaction as a cold Stone may occasion a Tumour and for this Falloppius brings in another story of a Woman who sitting upon a cold stone was afflicted with a cold Tumour And a third may be solution of continuity and this proveth either occult or manifest thus after fractures we oft times find large Aposâ—emes to appear and what was the occasion of Luxation is very oft also the occasion of Tumours as too much contracting or binding of a part may occasion a Tumour as Gangrene biting of Beasts taking of offensive things inwardly these being sufficient matter for Humours to breed from If a Humour do suddenly excite a Tumour this is its evident cause and the cause hereof is either Congestion or Fluxion The one when bred carried in the part onely whilst the other maketh its further progress by Fluxion as Aqua pendens observeth And therefere as he adviseth we ought well to consider the part mit tant and the part recipient for the matter doth not move it self but is moved by some other as by the part mittant per 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and by the part recipient per 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The mittant part ought first to be strong and able to expel the supersluities as the attractive is made by the part recipient And this bringeth me to the inward causes and here sometimes the matter is hedged into one place so that it cannot make its exit Another may be its passage out of one place into another and this is properly called Fluxion a Fluendo from thus â—lowing and as intemperiety is the cause of pain or solution of Continuity so also is this intemperiety made either by outward or inward causes CHAP. IV. Of the Differencies of Tumours THE true Differencies of Tumours by Aqua pendens are generally taken from these two Fountains as from Humours and the depending parts and from these two do arise the cheif intentions in Tumours Falloppius doth offer seven things which belong to the Differencies of Tumours First a disease when it receiveth more or less Secondly the material cause hereof diversified and then are its Species and Differencies diverse Thirdly when the efficient cause when manifold doth draw many species to it The fourth is the Fountain of accidents which followeth the disease The fifth the time which is the cause of all the differencies of Tumours The sixth the subject of the Tumour And seventhly the motion of the disease for it is as its owner and moveth as he moveth Besides these are we to consider of the times of diseases for some are short some long some quick others slow and therefore are we well to
the most extreme parts of the body it may very well and properly be here applied and made use of and for which this composition is most excellent ℞ Axung porcin ℥ iiij Pinguedin human ℥ ij Ol. Chamomel Aueth an ʒij Styrac Calamit Benzoin Mastich an ʒss Theriac Methridat an ʒi Argent viv ℥ iss agitentur omnia bene in mortario quibus adde Ol. Spic Salv. granor Juniper an ℈ ss misce fiat linimentum With this you may anoint the part affected or you may apply this often in this case applied with good success by my self ℞ Empl. Diachyl cum gum Paracels an ℥ i. Oxycroc ʒij Vnguent Praescript ℥ ss misce extende super alutam parti admovetor Or this ℞ Empl. de Ran. cum ☿ ℥ ss Pic. Burgund ʒij Taccamahacc ʒiij Empl. Paracels ℥ ss misce pro usu It seldome or never is brought to suppuration by reason both of its coldness and that it for the most part is very far distant from the Fountain of Heat but should it tend that way Empl. Diachylon cum gummi or a Cataplasm made of white Lilly roots Marshmallow roots and the like as you have already prescribed and shown you may do both very well here and be very serviceable A young Maid about eight years of age being much troubled with a Phlegmonous and Oedematous Tumour in the outward part of Her lower Mandible which came to suppuration fearing its fecies would hinder its cicatrice before I could open the Abscess I first tried by Guido's Counsel to resolve it who saith that Apostemes being sometimes suppurated do end in resolution the which was confirmed by Parraeus his experiment who averreth that he cured a suppurated Aposteme by mixing Quicksiver with Diapalma and so applying it and thus I took to an Ounce of Diapalma a dram of Hydrargyrum and applied to the suppurated Aposteme and within four daies it was wholly resolved and for discussing the suppurated matter to the following Conditions are these necessary that the matter be small in Quantity thin and serous occupying the superfificies of the Cutis and not penetrating that it be in a strong and young body happening in the soft parts and a convenient time of the year By the vertue of which Medicine and observing of which method a young Gentlewoman was perfectly cured of an Oedematous Tumour which was but little suppurated upon the Region of Her Loins the largness of the palme of a hand CHAP. XXII Of a Scirrhus OF Melancholy cometh Scirrhus Cancer Vlceratus non Vlceratus Elephantiasis Psoras and others Our late writers do call this Scirrhus Durities because it is a hard Tumour destroying sense lodging in a Member in that Capacity as that it produceth little or no pain or it may be called a preternatural Tumour having no infesting symptome It is by some called Apostema Lapidosum by Avicen Sephiros It is the onely brat of Melancholy and this Melancholy hath a double construction For there is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or succus Melancholicus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 atra bilis Between which two there is a vast difference the succus or juice being as the fecies or dregs of the Blood and is drawn from the purest part of it by the spleen the other Black Choler being caused of immoderate heat and burneth the parts and like vinegar being poured on the ground it boyleth and raiseth it self from thence There are four species of Melancholy first when its species are burnt it frameth an illegitimate Scirrhus Secondly when Melancholy is made preternaturally by other Humours it doth take share of their qualities Thirdly when it is made thick by too much cooling or drying of Humours Fourthly when it is mixed with Flegm Blood or Choler then it maketh Scirrhus Oedematodes Scirrhus Phlegmonodes Scirrhus Erysipelatodes There are four waies also shown to the making of burnt Melancholy The first is made of yellow Choler burnt and so representing a yellow sinder and doth burn like it The second is made of thick and viscid Flegm The third is made of burnt Blood which is very bitter The fourth is made of Melancholy Juice being both acid and corroding There are two kinds of Humours which do make this Scirrhus the one being a Crudity as Flegm thick and yet not viscid the second is vitreous matter or a glassy substance of Flegm And hence may we take a Scirrhus either to be exquisite or not exquisite and therefore if Flegm be in a great quantity it shapeth out Scirrhus Oedematodes if Choler be predominant Scirrhus Cancerosus Or if you please a Scirrhus is bred out of a natural melancholy Humour which is cold dry and thick and from glutinous Flegm and hence it may be defined a Tumour hard and indolent a Tumour proceeding from a thick and glutinous Flegm or a natural melancholick Humour It may be known by these Signs it is a Tumour without pain hard to touch if not exquisite it is scarcely perceived Every Scirrhus hath not pain and this necessarily happeneth because it is deprived of sense Melancholick Scirrhous Tumours are generally of a leaden colour but a Scirrhus arising from a Flegmatick Humour carrieth in it the natural colour of the Cutis They take their principal Causes from the beginning of thick and tough Humours and collecting themselves in the parts and that occasioned by evil Diet generating a thick and viscid Humour as by reason of intemperieties of the Liver or Spleen all such causes may be said outwardly to generate thick juices as a cold or dry Air Watchings suppression of Menstrues and the like Expect to do no good on an exquisite Scirrhus for this alwaies is to be suspected If it happeneth about the Joints Knees or these remote parts be not too forward to undertake them If it be exquisite and not turning Cancerous yet it is hard to cure for first the Matter is dried up and then cold and compact and so tedious and that which is lapidous gives no way to Medicine As to the cure the external causes are first to be removed by choosing a thin Air hot and moist free from Fogs and Mists let the Patient shun thick leguminous and cold Diet let his Drink be Wine to help forward Digestion and warm the parts and let him get himself clear of all passions of the mind After this are we to take care to remove the inward causes by preparing the Humour with Syrup of Apples Bugloss Fumitory Hyssop Oxymel Balm and the like This being done we are to purge this melancholick Humour with Senna Polypody black Hellebore Confectio Hamech c. of these or the like may be framed excellent compound Medicines as this Apozeme ℞ rad Faenicul Scorzonar Bugloss an ℥ ss cort Tamarisc Cappar Polypod Q. an ℥ i. sem Anis Faenicul an ℥ iss Citr ʒij fol. Capill vener Scolopendr Meliss Lupul Thym. an M. i. fl 3 Cordial an pug ij Passular
Carbuncle are these A Pestilential constitution of the Air as in the time of the Plague A slender and as it were an unperceivable Fever and the Patient doth oft-times walk while he falleth down dead Thirdly loss of the natural colour of the Face Fourthly the Tongue doth grow black or yellow Then the Urine thin and troublesome Besides these Liquid and Cholerick dejections Seventhly a prostration of the Appetite and vomiting Eightly much hot or cold Sweats Ninthly a grevious perplexity of Mind Tenthly difficulty of breathing and a raw Urine Eleventhly pain of the Head and Vertigo 11 sometimes deep sleeps sometimes great watchings 12 Syncopes especially when Death doth come to seize 13. the Crust which formerly was cinerish doth now grow blacker and lastly that which was formerly blew is now quite coloured with black The immediate cause hereof is the Fluxion of a most vehement Blood to the part affected which is thus excited by a redundancy of the whole Gal. Com. 12. lib. 3. Epidem doth call the pestiferous the worst The other are also dangerous because they do arise from vitious Humours and do produce a strong Fever The part inflamed doth never suppurate but by the exust Heat and by how much the more the larger and greater in number they are by so much the more tedious and by how much the nearer they get to the Heart or any other principal part by so much the more dangerous If it seizeth on the Membranes of the Brain it causeth Delirium if the Brain it self it proves mortal In the Cure hereof the Fervour of the whole mass of Blood is to be minded and a good order of Diet to be observed and this redundancy of Humours wholy evacuated and this to be done by Phlebotomy And here you may safely breath a Vein until your Patient be ready to faint according to Galen's authority Aphorism 23. Sect. 1. For in a Carbuncle is a very large Inflammation Cap. 1. lib. 2. ad Glauc Here ariseth a great dispute about the most proper place to bleed in for Gulielmus Placentinus will have us bleed on the opposite side for Revulsion and Guido doth join with him Falloppius offereth as there is a double Humour in a Carbuncle â—lowing and already flown so also should there be proposed a double evacuating Method The fluent Humour to be discharged by Revulsion whilst the Flux is to becarried of by Derivation But because as it for the most part happeneth that when the mass of Blood doth flow apart of this melancholick Humour doth flow therewith for this reason also are we to use Pharmacy as by ordering Manna Cassia Diacatholicon Confectio Hamech Electuar è succ Rosar and the like Decoctions made of Scabious Sorrel Cichory will do well here used or appropriated as I have already shown and directed in melancholy Tumours As touching Topicks we are to mind these three things in the part affected as the Crust the Inflammation tending to blackness and the Symptoms about the Crust Paulus will have us here to make deep Scarrification that this melancholy matter may the better be got out and either to apply Sponges or Pledgets dipped in spirit of Wine and Aegyptiacum Niter or Salt to the part these and the actual Cautery are to be used in the great and virulent Carbuncle But if it be not of so great a moment I take two Eggs and boyl them on sinders until the white be hard then I take out the Luteum of the Egg and mix Salt with it and so apply them hot and thus are you to serve it for four daies if it requireth stronger use Aegyptiacum if it yeilds not to these use the actual Cautery and for ablating the Eschar take a little Butter Axungia or Dialthaea or the like let it be deterged with Mel Rosarum Turpeâ—tine or the like Or with this â„ž succ Ap. â„¥ i. Mel. Rosar â„¥ i. farin Fabar. Ê’ij misce fiat Vâ—guentum Or apply to the part this Cataplasm made of Bean meal of Lupines French barly Scordium Ruâ— Wormwood boiled in Oximel resisting putrefaction Upon the Carbuncle apply this â„ž Calc viv â„¥ i. Sapon moll q. s fiat Vnguentum and let it ly upon the Ulcer for two or three hours You need not fear pain for dead flesh is ever void of that and for the removing of the Caustick you may apply this â„ž Butyr non salit â„¥ iss vitell ovor no. ij Vnguent Rosat Basilic Aurei an â„¥ i. Theriac Andromach Ê’ij fiat Vnguent to be applied upon the Eschar and then mundify it with Vnguentnm ex Apio then fill up and cicatrice As touching a pestilential Carbuncle Antidotes are to be given with Scordium Rue and the like in them We are here also to support the Heart against the invasion of this malign Enemy with Cordials as â„ž Aqu. Theriacal â„¥ ss Tinctur Croc. Ê’ij Vin. Hispanic â„¥ ij Spirit Lavendul Aqu. Mirabil an Ê’i Aqu. Angelic Rut. Borag Meliss Calendul Cardu benedict an â„¥ iss Conf. Alkerm Ê’ss cum syr Meliss Caryophillor q. s fiat Cordiale cujus sumat patiens cochlearia 2 vel 3 in languoribus And for defending its adjacent parts apply this Defensative of Chalmaetius â„ž Bol. armen â„¥ ij Terr sigillat â„¥ i. Corn. Cerv. ust Rosar rubr Ebor. an Ê’i Camphor Ê’ij Cer. â„¥ iss ol Rosar lbss Acet â„¥ ij Aqu. Rosar â„¥ i. Albumin ovor no. misce fiat Cataplasma Phlebotomy here is very proper and useful Let the Medicines you apply to the part affected be very potent and attractive having in them an Alexipharmick Quality to which you may add Mithridatum Venice Treacle and the like Cupping-glasses applied here with deep Scarrifications are very beneficial and if you be necessitated unslaked Lime put upon the part will effect the same Riverius observat 9. writeth of one of four years of age who was afflicted with a Carbuncle in the middle of his Forehead with a red Tumour accompanied being black in the middle and the whole Face tumefied to which was applied a Caustick to the black part and for removing the Eschar an Unguent made of Basilicon to which was added some Treacle oyl of Scorpions and the Yolk of an Egg and to the whole Tumour was applied a Cataplasm of Arnoglossus purging and bleeding being afterwards prescribed a Vesicatory to his Neck and a Cordial ordered for supporting of his Spirits with Confectio de Hyacinth c. the Fever abated the Inflammation grew more remiss and every thing did seem mitigated In this case the Vesicatory did perform the greatest part of the Cure by deriving a great part of this virulent Humour And to every Carbuncle I think it very proper to apply it to all the neighbouring parts and not to use Vnguentum ex bolo so generally used in these Tumours because Repellers applied to the Face in its Inflammations are more generally subject to the doing more harm than good And thus
shall I conclude this Chapter of pestilential and not pestilential Carbuncles CHAP. XXVII Of Epinyctis PAVLVS and Celsus do write this to be a very bad Pustle having in it an ashy or black Colour about which doth grow a vehement Inflammation with nocturnal pains joined to it The parts affected herewith are the outward parts of the body which may easily be perceived by the Humour imprinting its Colour wherever it taketh It is made of burnt Blood The Pustles arise of their own accord with a reddish Colour somewhat tending to a lividness sometimes to a blackness They are most commonly seen in young Children and aged Persons they bring no great danger without they be ill treated There is three Intentions required in this Cure a good order of Diet being cold and moist a discharge of the peccant Matter and here both Bleeding and Pharmacy are conveniently to be prescribed according to the age and strength of the Patient and then in applying convenient Medicines to the affected part As â„ž Vnguent Basilic â„¥ ij Vitell. 〈…〉 2 Axurg Huma Caprin an â„¥ ss ol Rosar Ê’iij Croc. ℈ ss misce fiat Vnguent Or this Unguent â„ž Vnguent Rosat â„¥ ij Vitell ovor no. i. Cer. all parum Acel paul fiat Vnguentum This use if Inflammation if you be to mundify use Vnguentum Aegyptiacum or ex Apio fill up with Aureum or Basilicon and skin it with Diapalma or Desiccativum Rubrum A Wine-Merchant being troubled with black and sublivid Pustles about which was a vehement Inâ—lammation and nocturnal pains when as he could receive no ease or benefit by other things prescribed him by the advice of a Woman he was ordered to anoint them with oyl of Juniper by the help of which he rested very well and had more ease by this than he could ever obtain by all his former Medicines both inwardly taken and outwardly prescribed and at length was hereby perfectly cured CHAP. XXVIII Of Herpes Miliaris and Herpes exedens THIS by Avicen is called Formica It ariseth from a cholerick Humour and when as this cholerick Humour is made preternaturally thin and hot it frameth Herpes exedens or that Disease by Celsus called Ignis sacâ—r by Avicen Formica corrosiva because by its corrosion it doth spread it self This preternatural Choler mixing it self with Flegm it formeth that Herpes which hath many small Pustles in the skin like to Millet or Hyrse-seed and thence is called Herpes miliaris And since as we may apparently find that there are two sorts the one from Choler mixed with Flegm the other arising from a dust Choler our present discourse shall onely reach to the first the latter more properly ought to be reckoned amongst Ulcers The Signs of the first are many small Pustles like Millet-seed in the upper part of the Cutis and arising from the mixture of Flegm then they encrease in their number the former growing old and when they are opened or rent the Matter which cometh forth from them is between Sanies and Pus partly reddish being somewhat of a mixt Colour between red and white All the Causes may be related to those of an Erysipelas save onely that this Tumour is made from a redundancy of preternatural Choler an Erysipelas coming from natural Celsus doth propose that as Ignis sacer hath little danger so amongst such creeping Diseases its very hard to cure for sometimes there is an Intemperiety of the Liver which may be another Cause of this difficulty This cure may be performed by having a respect to the whole habit of body and since it doth not much irresemble an Erysipelas I do commend you thither to â—etch convenient Medicines both inward and outward which may do you great service in this Cure The second sort Herpes exedens is so called from Erodendo for it doth not onely erode the Cutis but doth also depopulate the subject Flesh Celsus Cap. 28. de sacro igne lib. 5. doth describe its nature when he saies it is made with an Exulceration of the Cutis not very deep large sublivid inequally planting its self in the extream parts As often therefore as we see an Ulcer to grow and increase and to make small Ulcers and many small Cavities penetrating no further then the Cutis this we may properly call Formica Corrosiva It is to be cured with Cholagogicks as the former and whereas it is a Disease arising from a preternatural hot and sharp Choler proceeding with Putredness Phlebotomy is no waies proper here for it very oft times doth arise from Cacochymy purging with Senna Damask Roses and the like in Whay or good Cassia Manna or â—eâ—itive Electuary or a Decoction of Sarsaperilla China and Guaiacum And as touching the part affected these are very proper here to be used â„ž succ Tabasc â„¥ iij. Cer. Citrin â„¥ ij Resin Pin. â„¥ iss Terebinth venet â„¥ i. ol Mirtin q. s fiat Ceratum molle â„ž Camphor â„¥ ss Album ovor no. iiij succ Plantag Solan an â„¥ i. Plumb ust Ceruss alb Lithargyr aur an Ê’ij pulv Troch alb Rhas sine Op. Ê’i ol Rosar â„¥ iiij Pomat â„¥ ij fiat Vnguentum With this let the Patient be anointed three or four times in a day Or this â„ž succ Plantagin Lapath acut Solan an â„¥ i. succ Polygan â„¥ ij Lithargyr aur â„¥ i. Tuth praeparat Antimon an â„¥ ss Alo. citrin Ê’iij Cer. alb ol Myrtill ol Rosar an parum misce fiat Vnguentum both for deterging and drying up of the Ulcer I shall conclude this Chapter with this History of a young Gentleman who was burnt from his foot to his knee but very slenderly that it did scarce hurt the Cutis coming to an Emprick who from the first used Empl. ex Argilla Bol. armeny with the whites of Eggs mixed with the Juices of Nightshade and Housleek dipping clothes therein and applying them to the part affected the pain which was but small grew into a great degree by the use of these he became vexed with a Fever disquiet and afflux of Humours to the affected part and Inâ—lammation of the whole Thigh even to the Hip and at length a Herpes exedens correpted the whole Thigh so vehemently that some Chirurgions thought to have made Amputation but at length was thus cured having first prescribed him this Potion â„ž rad Scrophular Cort. interior rad Frangul rad Polypod an â„¥ ss Herb. Fumar. Cuseuth Scabios an M. ss fol. senn Ê’iij misce fiat Decoctum in aquâ ad â„¥ iiij in quibus solue Conf. Hamech Ê’ii syr Rosar solutivar â„¥ i. misce fiat potio the day following he was bled in the Basilica of the same side the Herpes was and the Humour prepared with a purging Apozeme against Melancholy already prescribed in a Scirrhous Tumour The body being thus prepared we arrived at Topicks and here because the Cutis was already made hard by the use of cold
is not therefore contained in one Bag as the former but is lodged between two Coats And when it is in the Head it doth contain in it a Matter resembling Sewet a large Basis and doth not yield to the touch when it is in other parts it is seen to contain in it Matter much like Fatt more like this than Sewet neither is its colour there so white It is generated as is Sewet by reason of the Intemperiety of the place or by reason of ill Blood They are scarce ever cured but by manual operation If the Vesicle be broken and you do not draw all out it will leave either a Fistula or a foul Ulcer As touching its Cure in respect of its hardness broad Basis multitude of Sewets it is only to be handled as other Abscesses this Sevum is to be wholly separated from the Pericranium lest the Abscess do make a fresh return Here may you make a cross Incision if it be large and take care of touching the Vesicle lest you make a faetid smell and ulceration This being performed press out your Cistus cut off the branch that fed it and have a care that the least particle remaineth not this being done cleanse it and use your greatest care to produce a Cicatrize There was a Gentleman who was troubled with a Steatoma in his Inguen weighing near forty pounds his whole Body redounding with pituitous Blood a good and thin Dyet being prescribed ordering him to abstain from all viscid and thick food as Milk Cheese and the like and prescribing him a Honey-drink in which Ginger and Time were boyled and outwardly applying such Medicines as may discuss this Flegmatick matter as Fomentations and the like being every Night and Morning repeated and preparing the Humour with Oxymel of Squills and then by intervals ordering him to take some of these Pills of Aloes Rosatae ℈ 5. Troch de Agaric ℈ ij Turbith gummos Ê’ss Squinanth rad Asar an gr 5. ZZ ℈ ss Cinamom ℈ i. Rhabarb Ê’ss Troch Alhandul gr 15. cum Oxymelit Scillitic q. s fiat massa pillul â—rum dosis a ℈ ij ad Ê’i And this Oyl being outwardly applied as â„ž Ol. Philosophor Latern lss Thur. Mastich gum Arabic Terebinth venet an Ê’iij pistentur per alembicum distilla fine distillationis addatur Sal. ex ciner Cerr iterum distilla quod pro usu reserves By these this great Tumour was dissipated and digested this you may read of in Langius Epistol 4. lib. 3. CHAP. XXXII Of Meliceris THIS Abscess hath a Matter contained in its Cistus much resembling Honey and is thus by Aetius described It is an Abscess enclosed in a Nerveous Coat containing a Matter like Honey wanting pain having a round Figure easily yielding to the touch and the finger being taken off it doth as speedily turn into its former condition The cause hereof is a mixt preternatural Humour And although every Abscess contained in a Bag hath Matter going along with it yet are these divided into four Modes or Forms hence in a Meliceris because it is soft and thin its Flegm is mixed with a greater quantity of Choler than in an Artheroma or Flegm out of which is made this Meliceris This is to be cured three ways by Digestives Causticks or Amputation As touching the Septicks or Causticks we have already treated in Steatoma we shall here more properly treat of Digestives the which because they do discharge this Matter perporos cutis they ought to be powerful and strong and to exceed in their vigour more than in those Abscesses which are enclosed in Bags Whence in small and moist Melicerides a Decoction Pulegii Calamenthae Hyssopi Melissae made and applied hot with a Sponge is here accounted very proper but if stronger be required you are to make a stronger Lixivium in which boil the aforesaid Herbs and apply it to the part affected or for the same you may use this of Aetius which he hath in his 15th Book â„ž Sal. armoniac Spum argent li. Cer. Terebinth Galban Opoponac an â„¥ i. Rubric Synopic â„¥ .vi. Acet heminam misce Or this â„ž Diachyl Ê’ 12. pul Irid. Ê’ij misce or Diachyl cum gummi to which may be added a little powder of Ireos Emplastrum Alexandrinum here also is much commended thus made â„ž Sal. Armoniac Litharg Cerus an Ê’i Galban Opoponac an ℈ iiij Sem. Sinap â„¥ ss Ol. veter â„¥ iiij Cer. Terebinth an Ê’i misce fiat Emplastrum If this Method succeedeth not we are to come to the use of Suppuratives And of these some may serve for the prohibiting the egress of Vapours and not only obstructing but also keeping in the inward native Heat others do not only obstruct but do also heat and by the calefying quality do rarefie and thin the parts of the same qualities should our most proper Medicines be framed as this of Rhasis â„ž Farin Sem. Lin. Ê’ij Faenugraec â„¥ ss pulv Sem. Caul Ê’i Mucilag rad Alth. q. s fiat Empl. In the last place I take crude Figs and beat them in a Mortar and to these I add a Snail and beat with them and order this Medicine to be laid on and so kept on until it falleth off of its own accord After you have made it fit to open discharge the Matter as I have directed you in the other two Chapters then apply Digestives convenient Detersives Sarcoticks and Epouloticks Amongst all these three Tumours I must acquaint you that it is not very frequent for the putrid Matter to exalt it self in these Tumours of the hairy Scalp and therefore Causticks are the most proper Instruments to occasion this but here not to be used Langius lib. primo Epistol 38. Writeth of a Woman who having an Ulcer in her Matrix had also a Meliceris accompanying it and when it gave the greatest hope to the Chirurgion of its consolidation a new Ichor began afresh and forced it self out she being thought to be bewitched by good Prayers and divine Ejaculations the Woman had her Ulcer spontaneously consolidated and cured CHAP. XXXIII Of Psydracium THIS is a yellowish sharp Pustle out of which if it be pressed cometh a Moistness according to Celsus Galen seemeth to place it sometimes amongst the Tumours of the Eye-lids sometimes he will have it a Tumour of the Head It is called Psydracium either because it is seen to appear sharp in the Head or else because it doth contain in it a great quantity of a waterish humidity These do arise from mixt Humours and by how much the whiter they are this shows they have more Flegm in them the harder come from Choler and the sharp and small from Water The Cure is to be performed by moderate Coolers and Discussives Coolers as for allaying and tempering the heat of Choler and Discussing in respect of Flegm here also are to be observed a good order of Dyet a good respect to the habit of Body to keep it
open and by purging it from its Flegm and waterish Humours as this ℞ Extr. Rud. ℈ i. Pil. Coch. ʒss Resin Jallap gr vi misce or this ℞ Pil. sine quib aur Indic an ʒss Resin Scammon ℈ ss misce for two doses The part affected is to be treated with Coolers and Discussives as are Mallowes with Barley Meal and Cicers being made into a Decoction or some of my discussing Cataplasm already prescribed or this ℞ Farin Fabar. ℥ i. Hord. ℥ ij coquantur poscâ ad formam Cataplasmatis in fine ebullitionis adde pulv Rosar rubr ℥ ss post unam ebullitionem ab igne remove tunc misce album vitel Ovor. no. Ol. Rosar parum misce fiat Cataplasma If the Psydracium be ulcerated and a moist Humour cometh from thence apply this ℞ Litharg aur ʒi Ceruss ℥ ss Alumin ʒij fol. Rut. cum Aceto Oleo simul mixt fiat Vnguentum with which anoint the Skin and having well embrocated it with this you may conclude your Cure with this Liniment ℞ Lithargyr aur Ceruss pulv an ʒij Sulphur ʒi Ol. Rosar q. s fiat Linimentum And lastly aqua Scahiosa is by many held to be most excellent here Alome being added to it CHAP. XXXIV Of Hydrocephalos THIS is a proper Tumour of the Head arising for the most part from Water and hence doth it take its name This is a Distemper which doth very oft come into the World with young Infants being either bred with them in the Womb or else so as they are bringing into it It may also be occasioned by a careless or ignorant or unhappy Midwife It may well be called a Cephalick Dropsie for it doth contain in it a proper Waterish substance known by its indolency softness its easie yielding to touch but chiefly from its inundation of Water running out of one place into another in its compression These Tumours do often times vary for in some they are small whilst in others they do appear very large It is a peculiar Disease in the Head of young Children the which ariseth from too much Humidity of the Head for which very Cause they which are much troubled herewith do seldom live long as both Galen Aetius and Paulus do observe This Tumour by Galen in Libr. definitionis is thus designed as being a collection of waterish Humours or feculent Blood in some parts of the Body which doth force it self up to the Head And here is a double meaning to be explained the one whereas he calleth it not only a collection of a Serous Humour but also of a feculent Blood as when the Head Cranium suffers an outward Contusion or Collision and the Veins by this Collision do sprinkle their Blood between the Cutis and Pericrane This Blood here thus putrifying doth make a most soft Tumour and if a serous aquosity were collected the which by dayly experience may well be offered to happen from a Contusion thus happening it may frame a Hydrocephalos Aetius lib. 6. cap. 1. will have that a Hydrocephalos may be generated from a Feculent or bloody Matter the which being changed into a thin substance A second of Galens is that a Hydrocephalos is a collection of an aquous Humour in some part of those Bodies which have a forcing quality towards the Head out of which it may be conjectured that Galen doth offer that Hydrocephalos to be a Disease of some part of the Head not a Dropsie of the whole Head and this is confirmed by Aetius and Paulus who treating of Hydrocephalos do allow four species hereof First when this Humour getteth between the Brain and Membranes Secondly when it lyes between the Membranes and the Skull A third between the Bone and the Pericrane And Lastly when between the Pericrane and the hairy Scalp I have already shown you part of its Signs that it is a Tumour soft in touch whitish in colour indolent turgid much like a Pillow to other parts easily yielding to touch and as speedily filling up its former made vacancy the Finger being removed If it ariseth from a Contusion it doth appear first red and doth carry pain with it as Aetius doth write but being afterwards changed into a thin substance it doth spread it self without pain In those where it happeneth between the Pericrane and Bone they answer plainly the rest for here it is hard in Tumour and very painful by reason of the distention of the Pericrane If it happeneth as sometimes it doth between the Membrane of the Brain and the Skull it will be a Tumour but not yield to compression nor soft to touch Here it maketh the Infant soon to give way to it and to yield up its Ghost Its Causes may be said to be sometimes outward sometimes inward One of the outward may be said to be that which is mentioned by Paulus in Children newly born who had their Heads but ill bound up by their Midwives Another is contusion or collision or ruption of one or many Vessels Another cause is a cold Air or too much Water or thinness of its passages or Vessels out of which this Serum or matter do recide as Aetius hath it or also too cold or waterish Milk which it may suck from the Nurse these may be said to be the inward Causes hereof as when the Brain is too much cooled or the matter being here first collected and hence sent to the Brain Every Hydrocephalos is very slow in its motion as Aetius doth prove Lib. 6. Cap. 1. For it hath a cold Brain inwardly from its beginning arising from its inward Cause and also an outward by and from its outward Cause by reason of its delay and contaction To draw all these to one head there is to be allowed two Species of a Hydrocephalos One in which this waterish Humour is contained and made by an inward Cause that is out of an abundant collection of this serous matter in the Body The second doth not contain the sincere Serum but as it were a mixt feculent Blood the which doth eat it self out of the lacerated Veins arising from Contusion or some other outward Causes As to its Presage Paulus Aetius and Galen do offer that if this Humour be collected between the Brain and its Membranes it is mortal in other parts it may admit Cure by curing its Causes and removing its Effects But here as well as in other parts of the Body the Rules of Celsus and Galen are to be observed every Disease is so much the more dangerous by how much it gets into a greater bulk and bigness As touching its Cure we shall begin with that which is extant between the Hairy Scalp and Pericrane And herewe are to observe that every Hydrocephalos is to be cured by discharging of this waterish substance which is to be performed by purging the whole and cleansing the affected part And with this we are to begin with general Cephalick Purgings in
called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Ranula it lodging under the Tongue It is occasioned by a moist pituitous gross and thick Substance falling from the Brain into the Tongue much resembling in it the Substance of the White of an Egg being somewhat of a more yellowish Colour And here observe if the party be plethorick breath a Vein under the Tongue and use proper and peculiar Gargarisms for this purpose and anoint it with some restringent Unguents or rather open it with some red-hot Iron Instrument being sharp the manner of which is thus Get a bended hollow Iron-plate which hath a hole in the midst making the Patient to hold open his mouth you must so fit it that the hole is to be just upon the part which you intend to open with the Instrument open the part so as you may hurt none of the circumjacent parts when you are ready to burn it thrust your Thumb under the Patients Chin that you thereby may somewhat elevate the Tumour and hereby you may open with more certainty Being thus opened throw forth the contained Matter after which wash the Patients Mouth with Barley-water and Sugar of Roses and thus may the Ulcâ—r be safely cured Gulielmus Placentinus doth order only Aqua Aluminosa to be held under the Tongue in which hath been boiled a little Myrrh Gesner in Histor animal lib. 2. pag. 51. writes That a Physitian related to him that he saw a Tumour under the Tongue the breadth of two Fingers which hindered the speech and that this Tumour was cured by drawing a Needle through it and afterwards opening it with a sharp Instrument the which being done came out matter from thence much like that of an Artheroma resembling coagulated Milk to the quantity of as much as would fill two hands the which being discharged he ordered the Patient to gargarize his Mouth with Aqua mulsa and sent into the Ulcer of the same by a Syringe and the Body being well purged and by the use of Restringents the Patient perfectly recovered CHAP. XLV Of Strumae and Scrophulae THIS Tumour doth arise with much â—ase from too much fibrosity thickness and viscidity of the nutritive Succus and for this cause only is it that this Juice is so difficultly despersed into all the parts of the Body and therefore must confidently redound in some place and with ease lay its first grounds and Foundations of a Tumour There is held a great difference between Strumae and Scrophulae and by Dr. Wharton in his Book De glandulis the one of these is called by him Wenns the other the Kings evil Scrophula signifying the first and Struma the latter Scrophulae are soft Wenns hard the first pale carrying in them the colour of the Skin the second having a redness turning to lividness Scrophulae soft and not much penetrating Strumae immovable and deeply fixed the Kings-evil swellings generally encrease into a great bulk and magnitude and besides their glandulous Fleshes they do carry in them several sorts of Juices in their little Bags the which do help much forward their growth and bulk It is credible that these concreted Juices are as some rejected Excrements thrown from the glandulous Flesh in its nutrition for these Glandules have no excretory Vessels and therefore necessarily they should carry their Excrements in their Bags And this is one reason of their growth Secondly the Blood effused from hence through the Arteries is more plentiful than that which is reduced through the Veins and hence therefore may there arise another reason of its growth Thirdly The Nerve which keepeth here is but small and that makes them so dull and hence is it that were the parts pricked with Needles the Patient would not much complain of pain Now as touching Strumaes these are not always seen to run into a bulk or magnitude but sometimes they encrease sometimes they lessen and at length do vanish These Tumours do receive their proportion from the reductory Vessel and are discriminated from its first genus here is nothing found besides Nerves Vâ—ins and and Arteries And by how much the Veins are better capacitated and enabled to convey and carry off that which is sent them from the Arteries by so much also are these Strumatous Tumours less capable of running into bulk than such as are Scrophulated And how these Tumours are translated from one place into another I attribute chiefly to the Nerves in their Operations these being most proper Messengers to carry to and fro Now if there be any matter carried to the Emunctuory Vessels or Glandules and be there excerned the Struma doth soon lessen and sometimes doth wholly vanish and is very often seen by applying of Hydrargyrical Mêdicines or Salivation to consume and waste away these having in them a very powerful influence of making the Nerves spit forth their Humidities into the Emunctuory Glandules And hence by Paulus and Celsus these are said chiefly to arise in three places more especially as in the Inguens Axillaries or about the Neck or Throat but most chiefly about the Neck and Throat because here they be nearer the Head their Fountain from whence they draw their flegmatick Matter to their conglomorated Glandules Some of these Strumaes do succeed other Distempers whilst others do breed of themselves Sometimes an outward Cause may occasion them as by applying too hot resolving or too drying Medicines As to their Presage we ought here to consider their different places where they make their abode for these are also either small or great loose or fixt few or many painful or without pain arising from Flegm or Melancholly Some being in the inward part of the Neck whilst others do border on the outward Some terrifying young Children whilst others do lay their impresses on people more aged And by how much they are more movable by so much are they with less difficulty cured yet take them at the best the Chirurgeon will find work enough to get well off clear them with repute Such as adhere to the Bones are incurable there are three ways of eradicating them Either when the Radical Moisture which is carried and reserved in their several Cystuses or Bags is sucked up by the Nerves or the affluxed Blood reduced by the Veins or a free transpiration brought to the part affected The first and main cause of this translation is the Nerve which doth bring and breed the first rudiment of a Struma out of its matter and to help forwards this work both Veins and Arteries are as its Assistants The curing also of these Diseases are very difficult in that most generally such as are troubled with these swellings outwardly they also have them inwardly As to the Cure the thick Lympha is to be incised tempered and evacuated the Glandules softned the Humour if possibly either to be discussed or suppurated and at length if no otherwise to be overcome is to be treated with Escharioticks And