by the mediation of other Signs 2. From the Causes which are either present or have preceded 3. From the Bodies Disposition which depends upon Hereditariness Age Sex Kind of Life Dyer and Evacuations omitted 4. From Actions Natural Vital Animal which are hurt abolished diminished depraved and that suddenly or slowly 5. From things voided forth viz. Urine Dung Swear Spittle c. 6. From the Qualities of the Body changed color smel c. which yet do signifie rather the Cause than the Disease II. The Times of the Disease whose knowledg is necessary were it but in respect of the state when if ever the signs of perfect Coction appear and good Crises do happen are known 1. By the Idea of the Disease be it long or short 2. From the time of Year Dyer Countrey Temperament Strength c. Hot things are the Causes of hot and acute Diseases Patients strength in a disease not deadly signifies a short disease it shews 't will last long 3. From the Mutations of the fits in which their Anticipation coming later duration and vehemence are to be observed of which also see Authors 4. From the Symptomes of Diseases which are light at the beginning strong and fiercest in the state 5. By Coction and Crudity which is either proper to one kind of diseases as spittle in the Pleurisie or common to many III. The Parts affected are known 1. From the Causis Things taken in done Retained Excluded and incident from without Some are more apt to one part than another also at some season the Lungs are chiefly insested other whiles the Stomach c. 2 From things Essentially inherent or by propriety of the Part and the diseases inherent in the parts 3. From the Actions hurt unless they be hurt by some external accident especially by pain of which we shal treat hereafter in a peculiar Chapter 4. From things voided forth in which substance quantity quality and Mixture are to be observed 5. From qualities changed IV. The Signs of the first and Essential Differences of Diseases shal be explained in the fift Book in respect of the accidental which we have above propounded Observe I. Touching Diseases by Sympathy 1 That they encrease or decrease with the Primary Disease and are deserted by the Primary 2. That they infest not continually by certain fits unless matter be continually supplied 3. By things helping or hurting applied to the other they are helpt or hurt II. Touching acute Diseases that they from the very beginning and the first three daies are extreamly burdensom to the sick and have grievous symptomes because they proceed from hot sharp thin and movable Humors which vehemently provoke Nature III. Concerning malignant diseases 1. That they arise from Causes both external and internal which are offensive by their whol substance 2. That in them the Patient is frequently unquiet though he cannot tel of any vehement or dangerous symptom that in the beginning the Patient is often held with a deep sleep is not eased by sweats or other Evacuations shivers grows hot bleeds at Nose without any appearing Cause but in other respects they seem troubled with a slow Feaver with signs as it were of Recovery and upon a light occasion faint away They talk continually and their Tongue is black and rough 3. That the same diseases after a light Remission the malignity having spred it self through the Humors are most suddenly and vehemently exasperated 4. That in them the paines which were do remit and abate without either Excretion or Riseing the pulse in respect of the feverish Heate haveing an unwonted parvity with Inequality and Frequency V. All those promiscuously regarding signs are afforded by the differences of Urines and Pulses I. The differences of Vrines are taken from their Consistence Quantity Quality things mixed with and contained therein 1. As for what concerns the Consistence Thin urine argues too much drinking a strong obstruction of the Kidnies and Uriters and want of natural heat proceeding only from distemper Defect of that salt which is wont to be resolved out of the meat Thick argues oppression of the heat by abundance of Humors indifferent shewes vigorous Heat an exquisite digestion of the stomach Liver and veins Cleare and transparent perfect concoction goodness of Humors whence afterwards it makes a sediment Troubled proceeding from the cold of the aire and admitting amendment by the fires Heat in continual Fevers argues a rudiment of Coction Troubled which is made so shewes diseases of the Kidneyes or bladder plenty of crude thick and clammy humors out of which many thick flatulencies being produced they are mixed with the Urine and hinder the matter from descending sudden obstruction of the Liver Spleen Reines c. Solution if it happen suddenly Confused which is in all parts alike and hath no Hypostasis shewes diseases in the veins and properly confusion corruption putrefaction of the Blood and Humors which are in the greater veines and therefore 't is only observed in fevers and those continual and malignant Fatty defilement of the alimentary Humor which flowes into the parts so that it cannot be converted into their substance whereupon dissolution followes II. As for the Quantity much signifies immodreate drink diuretick Medicaments cold distemper and cold pressing and squeezing forth moist diet Heat of the Kidneyes attracting water shut up in some place resolving of the Body into liquor either of its own accord or by force of Heat to which fatness is joyned Little shewes little or hard drink overgreat sweates plentyful stooles obstruction of the Kidnyes Ureters Bladders Neck and Bladder vehemency of feverish heat the drinks turning to the bodies nutriment which sometimes happens to such as are in away of recovery from some disease III. In respect of the smell fragrant Urine intimates the use of Terpentine Musk Benzoin c. For from internal causes such Urines can hardly proceed Stinking Vrine argues eateing of rotten cheese garlick an Ulcer of the Kidnies Privities neck of the bladder putrefaction of humors if it be fresh of the Substance if an old stench IIII. In respect of color white urine if thin and transparent argues plenty and thinness of drink strong obstruction of the Mesentery Liver or kidnies great imbecillity of digestion defect of color and somtimes the ascent thereof to the belly Head or some part in the Habit of the body if thick obscure or like milk it argues abundance of thick flegm Red and withal transparent argues Heat of the Liver or a fever if thick and yellowish it argues the mixture of yellow or vitelline choler a phlegmon of the Liver or an exquisite scirrhus Safron-color'd argues the use of Rhubarb Safron or Fenel obstruction of the Gall-bladder and then Linnen cloathes dipt therin receive a tincture Bloody shewes the weakness and slapness of the Liver an ulcer and contusion of the Kidnies and Loines Wine grape colored shewes adustion of blood and the change thereof into black choler Green argues
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
and binders such as are Plantane Roses Sanders Sugar of Lead Bole Armeniack Turpentine oft washt in Plantane Water II. Or cold which is known by the Whitness Leadcolor'dness and softness of the Flesh in the Ulcer it self It arises from cold Air or such like medicaments 'T is cured not so difficultly because the Ulcer and Distemper may be cured at one and the same time by Heaters such as are Oyl of St. Johns wort Nard Oyl Orice Oyl Oyl of Rue to which may be added Fomentations made with Wine III. Or dry which is known by the hardness and dryness of the lips of the Ulcer and the few excrements proceeding therefrom It arises from like causes 'T is cured with difficulty because we are forced to neglect the Ulcer and sometimes apply our selves wholly to remedy the distemper For to moisten withal luke-warm Water is good IV. Or moist which is known by the Excrescence of Flesh and the softness and flaccidity thereof By store of Excrements in the Ulcer It arises from like Causes 'T is cured by strong sarcoticks made of Cyperus Root Smiths dust Hoar-bound first washing the same to cleanse away the filth with a lotion wherein astringents have bin steeped III. Another is with Afflux of humors whether they come from the whol or from the part 'T is known from the swelling which is seen in the lips and bordering parts by pain if nervous parts be affected by plenty of Excrements greater than the Magnitude of the Ulcer seems to require It arises from Humors 'T is cured 1. By Revulsion among the remedies whereof the chief place is ascribed to fontanels if Ulcers are lasting 2. By Interception or defence to which intent the medicaments must be applied above the exulcerated part towards the root of the Vessels 3. By Repulsion whose medicaments thereto subservient must be laid upon the part affected 4. By more vehement Sarcoticks 5. By Epuloticks IV. Another is Sordid which sends forth a thick and snotty Excrement somtime with putrefaction and grievous smel which is somtimes followed by a Sphacelation or a Gangrene Now it is fordid or filthy 1. Either by reason of the Humors and then the lively color of the part is vanished The Cure is performed by Diet by Evacuation By detersion with very abstersive Medicaments among which Spirit of Wine a decoction of Vetches Oyl of Roses a pound and Mercury Precipitate one ounce boiled and mixed with other things are commended 2. Or by reason of Vnctious Medicaments and such as weakly dry then the Ulcer appears white and that whitness goes about the whol Ulcer like a bordering of cloath It must be cured with gentle abstersives 3. Or by reason of strong medicaments then the Ulcer becomes hollow and grows every day more red than other a smal quantity of thin and hot quittor flows forth 'T is cured with cooler and gentler Medicaments as the Oyntment of Diapompholygos V. Another sort is Lead-colored which comes either from the Air or by afflux of Humors 'T is cured by scarification that the blood may be drawn out by application of dry sponges By drying with strong Medicaments viz. the green water of Platerus and Hartman his water in his Chymiatrical Paradise in the Chapter De Ozaena VI. Another is callous which proceeds from the use of over drying Medicaments The Callus is removed by Emollients or with corrosive Medicaments but it must be warily removed in nervous parts or cut off VII Another is with a Tumor which is known by the sight It arises from Humors flowing in It is cured after the manner of Tumors VIII Another with proud Flesh It springs either from abundance of blood and then the Flesh is good conditioned It is taken away by fasting and application of dryers 2. Or by reason of the weakness of Flesh-breeding and drying Medicaments Then the Flesh is loose and spungy 'T is cured by Lignum aloes beaten and dried on a rafter with spirit of Wine rectified twice inflamed and prepared Bartholinus of Causticks IX Another is hollow when the quittor being overlong detained eats it self holes and Convey-burroughs as it were See the Cure in the fifth Book of the Observation of Valleriola X. Another has Worms in it which bred there It is known either by the Eye if the ulcer be wide or by a preception of biting pricking pain and a kind of motion The Cure requires 1. Their drawing-forth if they are at hand 2. Their being killed by medicaments which take away putrifaction and moisture XI Another is with varices or black-sweled veins which is knowen by the signs of varices It cannot be cured unless the varices be first cured and taken away XII Another with corruption of the Bone Which is thereby known in that the flesh above the ulcer is flaggy and soft The ulcer is frequently renewed the sanies flowes out in greater plenty than is agreeable to the largness of the ulcer The Bone is perceived to be uneven if you put in a Probe It arises 1 From external causes cold aire incision contusion Sharp medicaments 2. From internal causes viz. Affluxe of sharp humors to the Bones pravity of the Sanies manifest or occult c. The Cure is difficult especially if the flesh be lead-colored if the rotteness be near nervous parts or in the joints or about the Heads and tendons of the Muscles or about the great Vessels 'T is performed I. By laying open the Bone either by putting in gentian root or with a Caustick or by Incision II. By removal of the Bone either by exceeding drying medicaments among which Euphorbium is the best or by Manual operation if the Rottenness lie deep and sudden cure be required which is performed by shewing or rasping with a scraping-Instrument or an Augur By burning after which the inflamation must be pacified and Pain prohibited XIII Another is with a fistula which is nothing but a narrow and long Hole 'T is knowen by putting in of a probe and the flesh round about is white dry and hard It arises either from plenty of bad humors or the unskilfulness of the Physitian The cure is difficult if many parts be eaten and fretted if the Fistulas be deep winding neare the noble members If they reach to the heads of the Muscles the veins arteries Nerves Bones Joints Chest Belly c. Not to be taken in hand if the Fistulas be far from the noble parts and if superfluous humors be purged out by them Palliative whereby universals being premised the Fistula is dryed with the water of Baths of chalk c. True which is performed I. By premising Vniversals under which Vulnerary potions are comprehended Mercurial purgations are good in this Case II. By removeing the Callus I. By convenient medicaments putting into the Orifice of the Fistula pencils made of sponge the pith of Elder bryony root gentian c. when it is widned things are squirted in with a syrringe and they are liquid or dry Such are
and strangling which is somtimes grâ—â—ter and somtimes less It ariseth either from those Causes that Compress or press it down as the Relaxation or Loosening of the Vertebrae Inflamations Swellings the halter c. Or else from those Causes that Obstruct as things external fallen thereinto which are to be removed Or else internal to wit Humors thick and of a slimy and Glutinous Nature which are to be Cut attenuated and cleansed forth with the Syrup of Maiden hair Horehound and Liquerish or by reason of Purulent matter and smal stones Particularly that called Grando bred in the Lungs and a certain kind of flesh that is bred and brought forth after wounds and Ulcers III. Wounds either they touch only the Superficies thereof and then they may be cured or else they touch the Cavity thereof and then the Air passeth forth in such a manner that if a candle be put thereinto it is forthwith extinguished if the Cartilaginous substance be wounded especially after a transverse manner it can hardly ever be brought to unite again if the wound be betwixt the two little rings thereof they are now and then Healed IV. Touching Vlcers take this advertisement to wit that they arise from Humors that are sharp and Salt from Poysons and from Medicaments and that they afflict with pain spitting of Blood pure in the beginning but afterwards purulent insomuch that even scales and a kind of Crustiness may now and then be cast forth If they seize upon and possess the Internal Cavity they are then by reason of the Nature and Situation of the Parts very hard to be Cured and lastly that if the Cartilages be eaten through and that there happen thereupon any putrefying affect it is then altogether incurable Title IV. Of the Diseases of the Lungs Chap. 1. Of the Distemper of the Lungs THe Diseases of the Lungs are Intemperies Peripneumonia Angustia or streighness a Wound Phthisis or an Vlcer The Distemper of the Lungs is the declining thereof from its natural temper unto that which is preternatural as wel by reason of External as Internal Causes The SIGNS shal be expressed in the Differences The CAUSES are either External and these likewise various to wit cold or hot potions medicaments applied the Air that being little or nothing altered is carried and conveyed unto the Lungs in such as are destitute of the columella or else they are internal to wit the Humors that are drawn along thither either from the Head or else from some other parts but frequently from the Liver The CURE is to be ordered according to the several Causes where in regard of the humors take notice 1. That in respect of the situation of the part it is not to be removed without much difficulty yet notwithstanding that it ought to be evacuated 2. That if there be there a greater store than ordinary of flegm it is then more fitly to be removed with those Remedies that expectorate and mollifie such as are Eryngo Roots and marshmallow roots common mallows and Raysins than by those medicaments that cut 3. That many hot remedies are not here convenient lest that the thinner parts being wasted the thicker remain behinde The best remedy in this case is Linseed 4. That if there be present an acute feaver together with the matter we ought then to abstain from those medicaments we cal Eclegmata for these by their dryness and clamminess do much if not wholly supress expectoration from whence there followeth a more frequent respiration or thicker fetching of the breath and the matter also by the extraordinary heat becometh the more contumationus and obstinate The Distemper of the lungs is divided after a twofold manner I. One is without matter which indeed hath in it no danger at al of suffocation and is also more easily cured Another with matter which is to be Evacuatted and drawn back like as we shewn above II. One is hot which is known by this that the Cheeks by reason of the sumes ascending become red and that there is evermore a dryness of the tongue together with a thirst which can no way be qualified but by the breathing and drawing in of the cold Air infesting the sick person and likewise that the breathing is more than usually frequent and swift In the Cure Cooling medicaments which through the rough artery are thither to be conveyed ought to be administred where note 1. That those medicaments that are mainly cooling and repelling are altogether enemies and offensive to the Breast by intercepting the passages of the blood and spirit and by their weakening and impayring the very nature of the Breast since that it is Cartilaginous and bony 2. That among the principal internal Remedies we are to account both the white and black Poppy Rheas Violets Endive Barly Water-Lilies and their syrups 3. That the diet ought to be conformable and that for a drink and potion the water of barly with the Syrup of Violets is excellent good III. Another is Cold which is known by this that Cooling Causes went before that the Breathing is but weak slow rare and the Pulse like thereunto and that the Breath that cometh forth is colder then ordinary In the Cure we are to Use medicaments that heat among which these are to be accounted of as very fit and proper to wit saffron which is as it were the very life and soul of the Lungs the Extract of calamus Aromaticus old treacle Coltsfoot Nicotiana or tobako scabious the root of the Flower-de-luce and the root of Aron or Cuckowpint prepared Elixir proprietatis that Mixture they term Simplex oxymel Scillitick c. IV. One is Moist which is known by this that the voice is hoarse the breathing thick and frequent with a kind of wheezing snorting and much spittle In the Curing hereof we ought carefully to avoid those medicaments that are overdrying and astringent The Chymical oyl of sulpher and the flowers of sulphur or brimstone the shops cal this latter flores sulphuris in a rere egge that may be supped up the wine wherein the eyes of crabs or cre-fishes have been mucerated sassafras China root c. are here of singular use and benefit V. Another is dry which is known by this that persons thus affected wast and consume away without any Ulcer at al that the breathing is very little and weak but thick and short that there is present a continual christiness and but smal store of spittle In the Cure hereof Raysons of the sun womens breastmilk and Asses milk the destilled water of Tortoises the broth of veal and the conserve of violets are especially good and profitable Externally a Bath of sweet water ought to be Prescâ—â—bed Chap. 2. Of Peripneumonia PEripneumonia is an inflamation of the Lungs from blood poured forth into the substance thereof with a straightness of the Breast a difficulty of breathing an acute Feaver and a cough The SIGNS are the narrowness of the Breast with a dul and heavy pain that
by this way those Excrements which could not be driven forth by sweat The cure must be hastened for it makes women Barren for the most Part unless perhap it be emptyed through the Vessels of the Neck of the womb it casts the same into an Atrophy consumption Melancholy Dropsie Falling down of the womb swounings and Convulsions Hence though at the beginning 't is scarce Cured yet afterwards 't is more difficult For the whol body accustomes it self to cast off the Excrements through that way and the womb being rendered weaker collects Excrements It varies according to the nature of the Causes The Differences are taken from the part that sends them and the colour of the blood I. One is from the whol which is known by this that there are signs of a Cacochymy in the whol body the flux is more plentiful In the Cure 1. Bleeding must be shunned both because the Humors ought not to be recalled into the Veins to pollute the blood and because the strength is dejected by the long continuance of this affect and the body wasted 2. Discussion is very wel performed by Decoctions of Guajacum China and lentisk wood c. 3. For drying the Root of dropwort is very much commended For binding the pouder of mans bones the ashes of Capons dung in rain water Zacutus his Plaister l. 9. c. 11. Prax. History which ought to be applyed to the Kidneys 4. Sleeping on the back must be avoided least by the heat of the Loyns the humors be carried towards the womb 5. Frictions of the upper parts are good for aversion Another is from some part besides the womb and then there are signs of the part affected in the cure we must have regard unto it II. One is from the womb which is known by this that there are signs of the womb affected the flux is not so plentiful It ariseth from the distemper of it of which in the Cure we must have a regard Suffumigations of Frankincense Labdanum Mastick Saunders are wel applyed but from what Cause soever it ariseth baths do most good Concerning a Gonorrhaea if any thing ought to be known let it be sought from those things which are said concerning a mans gonorrhaea Chap. 2. Of the Symptomes more familiar to those that live out of Wedlock Article I. Of the Virgins Disease THe Symptoms more familiar to those that live unmarried are the Virgins disease the suffocation of the womb the madness of the womb and the melancholy of women The Virgins disease otherwise the white the Virgins the Pale the Lovers Feaver is a change of the natural color in the Face into a greenish and pale proceeding from the abundance of crude Humors 'T is called the Virgins because it appertains most of al to Virgins and truly to the Fairer endued with a white colour thence the Tincture from crude Humors is the easier The Face it self wil afford us the Signs to which add other Symptomes as the pain of the Head somtimes madness the Humors and Vapors being carried thither and mixt with Melancholy a difficulty of breathing with a palpitation of the heart if they stir with a smal and frequent pulse of the Arteries in the Neck back and Temples by Reason of the lifting up of Vapors from the heating of the thick blood inordinate and erratick Feavers by reason of the Putrefaction of the Humors manifold affects of the Stomach amongst which loathing of meat by reason of the unhappy distribution of the Chyle A Pica from the abundance of evil humors in the coats of the stomach Vomiting from the great plenty of crude Humors both a distension of the Hypochondries from the reflux of the Menstruous blood to the greater Vessels and a rumbling from the tumultuation of wind A swelling as wel of the whol body with a laxness and softness from the plenty of the Humor as either of the Eye-lids especially in the morning after sleep when in the night the heat hath raised more Vapors and serour Humors than could be discussed or of the Legs and Feet especially about the Ankles from the abundance of serous Humors The CAUSE is the crudity and plenty of Humors arising either from the suppression of the Courses or from the Native straitness of the Vessels or from that acquired by eating of wheat Loom Chalk earth Nut-Meg drinking of Vineger c. Or from the obstruction of other bowels For the Menstruous blood the Passages not being open doth regurgitate to the greater Veins and Bowels obstructs the Vessels and over whelms the heat Hence ariseth evil concoction in the Bowels and the Humors are carried to the habit of the body The CURE is accomplisht 1. by bleeding especially in the Ankle if the malady be new and the blood is not turnd into another humor If it ariseth from the Evacuation of blood supprest 2. By Purging premising Preparatives 3. By opening obstructions in which we must have respect to al the bowels the suppression of the Courses must most of al be minded There are commended Steel prepared Scorzonera Root Bezoar stone Oyl of Crystals c. In the diet Vineger must be voided Article II. Of the Suffocation of the womb The Suffocation of the womb is a heap of Symptomes opposing somtimes the natural actions somtimes the Animal somtimes and more often the vital by periods joyned with a coldness of the whol Body proceeding from a malignant Vapor raised from the womb 'T is called also the Suffocation of women the strangling from the womb the Hysterical passion c. The SIGNS are either of that at hand a wearinness of the whol body with a weakness of the Legs a paleness of the Face with a sad look a nauseousness which is seldome succeeded with vomiting oftentimes a certain wearisomness and loathing of meat and that somtimes with a murmuring and rumbling of the belly somtimes without these Or of that present in which a Vapor raised up to the heart and stopping the vital spirits a smal fainting away is Caused the Pulse is changed a little the body grows cold the spirits recurring to the heart fear and desperation moves the patients the same thrust to the Head and Jaws somtimes the Jaws are bound up and the Patient seems to be suffocated The motion of the breast and Midriffe is hindered the Animal spirits being stopt and breathing is almost intercepted the sick living in the mean while by Transpiration somtimes a madness of the womb is added with prating and fury somtimes other kinds of madness arise Somtimes sleep and a drowsie Disease is induced in which the woman falling as astonisht lies without motion without sense with such smal breathing that she seems dead Or of the fit declining and then a certain Humor flows forth from the Privities the Guts murmur by and by the Eyes are lift up the Cheeks grow red sence and motion return Somtimes a coldness at the time slides from the Head by the Neck into the shoulder and Arme which
Culpepers Idea of Practical Physick THE Idea Of Practical Physick IN TWELVE BOOKS VIZ. 1 The Art to preserve Health 2 Of the Preternatural Disorders of Mans Body and their Signs 3 Of Medicaments 4 Of the Art of Healing 5 Of the general Cure of Diseases 6 Of External Diseases 7 Of Feavers 8 Of Head Diseases 9 Of Middle-belly Diseases 10 Of Lower-belly Diseases 11 Of Venemous Diseases 12 Of Childrens Diseases These Twelve Books are of excellent Use for all yong Students in Physick They contain the Marrow of all the Works of Daniel Sennertus and Fernelius and twenty five Physitians more mentioned in the Authors Epistle They are of so high esteem with many Learned Doctors of Physick that they have been read by them to their Scholers as the best extant in their kind Written in Latin by John Johnston Professor of Physick in the famous City of FRANCFORT And Englished By Nich. Culpeper Gent. Student in Physick and Astrology And W R. LONDON Printed by Peter Cole Printer and Book-seller at the Sign of the Printing-Press in Chornhil near the Royal Exchange 1657. The Printer to the Reader Courteous Reader FInding by Experience how hardly such Gentlemen as Study Physick in our Mother tongue are induced to read with patience and consideration the Speculative Rules of the said Art both as I conceive because of the seeming difficulty thereof compared to books of mere Practice and because of the undue hast that the foresaid Gentlemen are wont to make to practice upon the sick moved by Covetousness Vain-glory or I know not what other evil spirit not knowing or little considering how much the Reading of some such good Book is necessary to enable a Man to Practice By which unhappy error they prove rather Empyricks and Quacksalvers than rational Physitians which nevertheless they would willingly be thought to be to remedy so great a mischief I have diligently sought and at last by direction of my good Angel found such an Institution so coupled with practice and such a practice so walking hand in hand with an Institution such a practical Institution and Institutional practice and both in so cleare a Method so witty and concise a stile and furnished with such ample and delightful variety of al things any way concerning the contemplative or practical part of Physick that I have al the Reason in the World to hope the publication hereof wil prove an effectual Remedy to the foresaid very grievous malady acquainting the mere English Physitian with such skil in the Theory of his Art as he hath hitherto nauseated to receive from any thing yet published in our Language I need not spend time to praise our Author this learned ingenious polite Piece of his wil sufficiently do that which he being chose Professor of Physick in the far renowned City of Francfort See the Authors own Epistle following the Catalogue of Books by me Printed and not able to read his Lectures because of some troubles there did publish to supply that defect as the best manuduction to young students into that noble Art And it is become of so high esteeme beyond the Seas that the learned Professor of Physick at Leipsich Dr. John Micael did use to bring it up into his Pulpit as his Physical Bible if I may so say out of which he daily read his text and made Sermons of that Art to his admiring Disciples What remains Courteous Reader but that thou meet my Endeavours for thy good and the good of my Country with a chearful Countenance and a joyful Heart and to take heed thou be none of those Fooles Who have a price in their hand to get wisdom but have no Heart to it Prov. 17.16 But I have better hopes of thee Friendly Reader though many such there are in the World Farewel Thy Friend to Serve thee if thou please Peter Cole The Names of Books printed by Peter Cole Printer and Book-seller of London and are to be sold at his Shop at the sign of the Printing-press in Cornhil neer the Royal Exchange Twelve new Boosk in one Volum of Nich. Culpeper All called the Idea of Practical Physick 1 The art to preserve Health 2 The preternatural disorder of mans body and their Signs 3 Of Medicaments 4 Of the art of Healing 5 Of the general Cure of Diseases 6 Of External Diseases 7 Of Feavers 8 Of Head Diseases 9 Of milde Belly Diseases 10 Of Lower belly Diseases 11 Of Venemous Diseases 12 Of Childrens Diseases Twenty seven Books of Nich. Culpeper Gent. Student in Physick and Astrologie formerly published The first seventeen Books Are al called the Practice of Physick Wherein is plainly set forth The Nature Cause Differences and several sorts of Signs Together with the Cure of al Diseases in the Body of Man Being a Translation of the Works of that Learned and Renowned Doctor Lazarus Riverius now living Councellor and Physitian to the present King of France Above fifteen thousand of the said Books in Latin have been sold in a very few Yeers having been eight times printed though al the former Impressions wanted the Nature Causes Signs and Differences of the Diseases and had only the Medicines for the cure for them as plainly appears by the Authors Epistle 18. A Sure Guide to Physick and Chyrurgery That is to say The Arts of Healing by Medicine and Manual Operation Being an Anatomical Description of the whol body of Man and its parts with their Respective diseases demonstrated from the Fabrick and use of the said Parts In Six Books of Riolanus translated and adorned with an hundred eighty four Figures cut in Brass 19 Veslingus Anatomy of the Body of Man Wherein is exactly described the several Parts of the Body of Man illustrated with very many larger Brass Plates than ever was in English before 20 A Translation of the New dispensatory made by the Colledg of Physitians of London Whereunto is added The Key to Galens Method of Physick 21 The English Physitian enlarged being an Astrologo-Physical Discourse of the vulgar Herbs of this Nation wherein is shewed how to cure a mans self of most Diseases incident to Mans Body with such things as grow in England and for three pence charge Also in the same Book is shewed 1 The time of gathering al Herbs both Vulgarly and Astrologically 2 The way of drying and keeping them and their Juyces 3 The way of making and keeping al manner of useful Compounds made of those Herbs The way of mixing the Medicines according to the Cause and Mixture of the Disease and the part of the Body afflicted 22 A Directory for Midwives or a Guide for Women Newly enlarged by the Author in every sheet and illustrated with divers new Plates 23 Galens Art of Physick with a large Comment 24 A New Method both of studying practising and Physick 25 A Treatise of the Rickets being a Disease common to Children wherein is shewed 1 The Essence 2 The Causes 3 The Signs 4 The Remedies of the Disease
the Law 3 And sutable to what Truths the Gospel holds forth To which is added The Misery of those Men that have their Portion in this Life only on Psal 17.14 5 A Treatise of Earthly-mindedness Wherein is shewed 1 What Earthly-mindedness is 2. The great Evil thereof on Phil. 3. part of the 19. verse Also to the same Book is joyned A Treatise of Heavenly-mindedness and walking with God on Gen. 5.24 and on Phil. 3.20 6 An Exposition on the fourth fifth sixth and seventh Chapters of the Prophesie of Hosea 7 An Exposition on the eighth ninth and tenth Chapters of Hosea 8 An Exposition on the eleventh twelfth and thirteenth Chapters of Hosea being now compleat 9 The Evil of Evils or the exceeding sinfulness of sin on Job 16.21 10 Precious Faith on 2 Pet. 1.1 11 Of Hope on 1 John 3.3 12 Of Walking by Faith on 2 Cor. 5.7 Mr. Burroughs his fifty nine Sermons on Matth. 11.28 29 30. Are Printing A Godly and Fruitful Exposition on the first Epistle of Peter By Mr. John Rogers Minister of the word of God at Dedham in Essex Mr Rogers on Naaman the Syrian his Disease and Cure Discovering the Leprosie of Sin and Self-love with the Cure viz. Self-denial and Faith Mr. Rogers his Treatise of Marriage The Wonders of the Loadstone By Samuel Ward of Ipswich An Exposition on the Gospel of the Evangelist St. Matthew By Mr. VVard The Discipline of the Church in New-England By the Churches and Synod there The London Dispensatory in Folio of a large Character in Latine The London Dispensatory in twelves a smal Pocket Book in Latine Pious Mans Practice in Parliamentime Barriffs Military Discipline The Immortality of Mans Soul The Anatomist Anatomized The Bishop of Canterbury's Speech on the Scaffold The King's Speech on the Scaffold A Looking-Glass for the Anabaptists Woodwards Sacred Ballance Dr. Owen against Mr. Barter King Charls his Case or an Appeal to al Rational men concerning his tryal Mr. Brightman on the Revelation Clows Chyrurgery Marks of Salvation Christians Engagement for the Gospel by John Goodwin Great Church Ordinance of Baptism Mr. Loves Case containing his Petitions Narrative and Speech A Congregational Church is a Catholick Visible Church By Samuel Stone in New-England A Treatise of Politick Powers wherein seven Questions are answered 1 Whereof Power is made and for what ordained 2 Whether Kings and Governors have an Absolute Power over the People 3 Whither Kings and Governors be subject to the Laws of God or the Laws of their Country 4 How far the People are to obey their Governors 5 Whether al the People have be their Governors 6 Whether it be Lawful to depose an evil Governor 7 What Confidence is to be given to Princes The Compassionate Samaritan Dr. Sibbs on the Philippians Vox Pacifica or a Perswasive to Peace Dr. Prestons Saints submission and Satans Overthrow A Relation of the Barbadoes A Relation of the Repentance and Conversion of the Indians in New-England by Mr. Eliot and Mr. Mayhew Six Sermons preached by Dr. Hill Viz. 1 The Beauty and Sweetness of an Olive Branch of Peace and Brotherly Accommodation budding 2 Truth and Love happily married in the Church of Christ 3 The Spring of strengthening Grace in the Rock of Ages Christ Iesus 4 The strength of the Saints to make Iesus Christ their strength 5 The Best and Worst of Paul 6 Gods Eternal preparation for his Dying Saints A Commemoration of King Charls his Inauguration In a Sermon By William Laud then Bishop of Canterbury Abrahams Offer Gods Offering Being a Sermon by Mr. Herle before the Lord Major of London Mr. Spurstows Sermon being a Pattern of Repentance Englands Deliverance from the Northern Presbitery compared with its Deliverance from the Roman Papicy In a Sermon on the 5 of Nov. 1651. before the Parliament By Peter Sterry The Way of God with his People in these Nations Opened in a Thanksgiving Sermon preached on the 5 of Novemb. 1656. before the Right Honorable the High Court of Parliament By Peter Sterry Mr. Sympsons Sermon at Westminster Mr. Feaks Sermon before the Lord Major The Best and Worst Magistrate By Obadiah Sedgwick A Sermon A Sacred Panegyrick By Stephen Martial A Sermon The Craft and Cruelty of the Churches Adversaries By Matthew Newcomin A Sermon The Magistrates Support and Burden By Mr. John Cordel A Sermon Mr. Owens stedfastness of the Promises A Sermon Mr. Phillips Treatise of Hell of Christs Genealogy The Cause of our Divisions discovered and the Cure propounded THE Authors Preface to the Reader THree things there are Studious Reader which I am to inform thee of in this Preface viz. of the Cause of my writing this Book of the Structure or manner of its Fabrick and of its use I took this pains long since only for my own private occasions and now my being called to be publick Professor of Physick in the University of Francfort is the Cause that it appears upon the publick Stage of the world For seeing the Injuriousness of the times would not suffer unto me to make it appear how much I valewed my Call to that Profession and what ardent desire I had to advance the Studies of young Learners by publick teaching I have done both in this Book Hereunto were added the earnest desires of certaine friends who assured me great good would redound to young students of Physick by the publication thereof and that though Trincavellus Fernelius Pernumia Petraeus Bruel Zacutus had done excellently wel yet that some of them being over brief did not meddle with the method of Cureing others made little or no mention of the Prognostick signs others were taken up with disquisitions and some of them did not meddle with many diseases Moreover they warned me not to suffer my self to be terrified with any feare of detractions or calumnies That such as were void of all vertue themselves did render themselves infamously famous among such as themselves by detracting from others That envious persons voâ—â— of like good themselves did prostitute their own fame by gnawing upon the glory of others c. Touching the Structure understand in short it was my desire to bring into a smal compass the Brief delination of al diseases in a manner with their signs causes differences and Cure that the diligence of the forenamed Authors might be joined hereunto Among Diseases I thought fit to put external ones in the first place both because t is fit to begin with such things as are best known to sence and because t is thought the first practice of Physick that ever was was conversant about them Chiron is reckoned to have been the first Physitian that ever was and had his name from the most excellent skil in Chyrurgery I have marshalled the Signâ— before the Causes that I might assist the natural method of humane Conception in the finding out of things when this or that symptom is related I enquire into other signs The disease being known I proceed
and more windy 8. Rostock beer which quenches thirst expells the Urine nourishes little and is good in the summer time 9. Servestan beer which hangs long in the hypochondria and sometimes causes sharpness of Urine 10. Newburg beer in Thuringia which is wel boyled and nourishes if it be taken too plentifully it causes dimness of sight some have grown blind by too much use thereof 11. Erfurt beer which conduces very much to health 12. Torgave beer which breeds good blood and by its aromatical tast strengthens the principle members 13. Wittenberg beer which is like the Rheue beer being ill-boyled 14. Rauschenburge beer which is commended against the stone 15. Paderborn beer which breeds thick blood 16. Beer of Brabant Gelder and Zutphen which breeds the scurvy 17. Flanders-beer which is very commendable especially their double beer 18. English beer which makes the drinkers fat 19. The Rhemsh beer which is for the most part base and hurtful 20. Colen beer which is better than that of Brabant I pass over the differences taken from the vessels which also change the faculties They are kept sometimes in pitched sometimes in unpitched vessells Mead and Metheglin do for the most part Heat more than wine especially if spices be added thereunto But it easily turns to choler because of the Honey Chap. 2. Of non-natural things done by a Man NOn-natural things which are done are passions of the Mind Motion and rest of the Body sleepe and waking which are of great moment towards the preservation or violation of Health Touching affections of the Mind and their Action upon the Body these things are cheifly to be observed 1. That Moderate affections preserve health and make no change in the Body 2. Such as pass their bounds oft times disorder the body and sometimes bring sudden Death 3. If you consider the good Affections or passions 1. Love if it exceed because it vehemently inflames the spirits in the Heart endeavouring to draw the thing beloved to it self and therfore sending the spirits forth to meet it does often times cause palpitation of the Heart sometimes madness fainting c. 2. Cheerfulness if it be moderate recreates the Heart and vital spirits if it be sudden and in too great a quantity it so dissipates the spirits which the Heart therein sends into the outward members because of its over great dilatation that it oftentimes brings death 3. In Evil Affections or Passions 1. Sadness by little and little dissolves the spirits cooles and dries the body spoiles digestion causes watching and breeds melancholy diseases 2. Fear dissolves the strength of the Body by reason of the sudden recourse of the Heat Blood and spirits into the outward parts causes a smal pulse with refrigeration of the external parts and is sometimes the cause of sudden gray haires even in young Men. 3. Anger in which the Spirits and Blood do as it were boile in the Heart and are violently moved from the inner to the outward parts it agitates the spirits and Humors Heats the whol body and breeds Fevers Tremblings of the joints and Palpitations of the Heart do often invade angery persons Also women are thereby brought into danger of Abortion Anger hardly ever kild any body because the Spirits are therein freely and forcibly moved if any died upon occasion of anger of necessity there was some other natural disorder in the body II. That Motion is necessary for Health is hence apparent in that by encreasing natural Heat it furthers Nutrition by moving and agitateing the Spirits it discusses vapors and excrements it makes the body after a sort hardy by adding solidity to the parts by their mutual Attrition Now according to its Differences it works diversly upon the Body of Man The best is that which exercises al parts of the body alike The next to that is whereby al parts are moved but not equally the lightest of al is that which exercises one only part I. Two much Motion exhausts the spirits and solid parts cooles the whole body dissolves the strength of the Muscles Nerves and Ligaments and hurts the Eye-sight II. Swift motion renders the body thin and compacted III. Slow motion rarifies and encreases the Flesh IV. Vehement motion makes the body hard lively but leane withal V. Continued and equable Motion because the members are weakened thereby as being much it wearies the more VI. Vnequal motion because it is parted with spaces of rest wearies less VII Distinguished and ordinate motion brings less wearyness since Interruption brings rest and the rest is cause of less wearyness VIII In hot places it burns more in moist places it moistens because the bodies being rarified by exercise are most readily disposed to receive al the qualitie of the Air and Places IX Among motions caused by a mans self I. Leaping without Intermission stirs up natural heat but hurts the Head by concussion and the Breast by compression while the back is bowed Leaping on high is good for the Hips but bad for the breast Downwards to leap clenses the Head from superfluities and strengthens the things With Springing it is good for old Diseases of the Head and brings matter which tends upwards downe into the lower parts 2. Running if it be Vehement is good for Fat and moist bodies but it is bad for such as are troubled with any kind of Head-ach If Running be moderate it excellently warms the Body excites appetite and though at first it move defluxions yet it afterwards in tract of time stops them A long course fore right by little and little performed diffuses the flesh but renders the bodies thicker Backward if it be gentle it is good for the Head Eyes stomach Loins A Circular motion distends the flesh and belly and very much offends the Head uphil t is bad for the Breast and thighs Downhil it very much affects the head it shakes the bowels troubles weake hips upon plain ground it does al that has been said The body being covered by moving sweat it moystens and heats the flesh but it makes the bodys il colored because the pure air does not come at them to clense the same The body being naked it draws out great plenty of sweat it brings away the humors in invisible exhalations and does more burne the body 3. To excercise ungirt by hurling a weight by reason of the vehement straining to throw the same the vehemency of the motion and bending of the muscles does make limbes to grow firme and purges them from excrements but this excercise must not be used by such as have weake Breasts and Kidneys 4. Darting is useful to get a good habit of Body and therefore Aesculapius and Apollo were thought to be the first Masters of darting 5. Moderate walking abroad continued without resting makes the body pure it helps defluxions and suppression of the courses Swift walking does heat much and abates the greatness of the flesh Slow walking is convenient for ancient and weake people because it
softens bodies exhaust with immoderate Labours and purges them by opening the Pores Too much walking takes away the trembling of the body dispels winde and very much disorders weak heads Much walking does help such as are troubled with Infirmities of the Head and Chest and whose lower parts are not nourished Little walking is fit for such as must walke after meat and who feel an heaviness in their bodies Long walking righ out is good for the head but it does too much drinke up the humidities Long and Quick is good for the Hickup A short walke compounded of motion and rest by reason of the frequent turning and returning is laboursome and weakens the head by frequent turnings With labour of the thighs and going upon the heels it is good for a moist Chest and a convulsioned wombe To goe on tiptoe is good for such as are blear eyed and costive in their belly To goe uphil does more weary the body because it is as it were loaded in that motion it moves sweat and hinders the breath and it is exceeding bad for weak Knees To walk down-hil draws from the Head to the inferior parts but it weakens the Thighs To walk through even Plains affects the body by the Universality of the Motion such motion is sooner finished by reason of its affinity with Nature To walk upon uneven grounds is good for such as are soon weary with walking walking over rough grounds fils the Head Walking over deep Sands makes most of al to stablish and strengthen al the parts of the body To walk in a close place subjects a man to intemperate vitious and thick aire which fils the whol Body To walk in the open Aire if by the Sea-side it dries and attenuates thick Humors if by Lakes and Riâ—ers it moistens but is bad for Epileptick persons if in the maine Land it is not so good as by the Sea if in the dew it moistens not without dammage if in places not subject to the wind Causes Humors to exhale and digests Excrements and is commended in Collicks proceeding from a cold Cause if in the North wind it Causes coughing but it quickens the senses if in the South wind it fils the Head and loosens the Belly if in the West wind t is the wholsomest of al other if in the South-East wind it smites the Body if in the Sun it hurts a mans Head it melts what is hot and makes that which is dry yet dryer Touching walking in the shadow observe I. That we must avoid trees ful of dew because the surface of the trees being melted by the dew an harmful liquor drops upon the bodies of such as walk under them which bites and Chops the outward parts 2. That walking is most wholsome which is performed under the Myrtle lawrel or bay and among sweet-smelling Herbs When the Skie is clear it lightens a man exhales Vapors through the pores makes a man breath wel When the Skie is Cloudy it causes heavyness fils the Head In the Morning loosens the Belly expels sluggishness caused by sleep procures appetite and is good for moist constitutions for it dries up the Humors out of the passages An Evening walke prepares a Man to sleep disperses inflations and hurts a weak head After Meat a little walk is good for those that are accustomed thereto and whose meat does hardly descend 6. Standing upright universally considered is bad for such as have a weak Back or are troubled with Inflamation and Ulcers of the Kidneys Considered particularly before meat it is good to void the Excrements of the Belly for persons asthmatical and to provoke Urin and strengthens the Legs but t is not fit for such as are subject to swimmings in their Head because in that posture the Vapors mount into the Head After meat if it be Moderate it assists the descent of Meat into the bottom of the Stomach if it last long it sends plenty of Vapors into the upper Region of the Body it throws down a multitude of Humors into the nether parts weakens the Chest and vitiates the Bladder and the whole Action of making Water To stand in the shade has the same effect as walking therein the difference is only in more or less To stand in the Sun does burn a man more in the Summer time then to walk therein and in a body impure it very much hurts the Head c. X. Of motions caused by another there is 1 Riding on horseback which if it be quiet and slow breeds great wearyness and makes men unfruitful as to generation if the pace be Swift and not very frequent it makes those that ride enclined to bodily lust by continual motion and rubbing of the genital parts and shakes the body in a weary some manner and is very bad for the Chest if it be upon a Trotting horse it offends the head the Neck the back and Buttocks but it brings gravel from the Kidneys to Ride ful Speed or on Galiup is too heating duls the senses and offends the Eyes 2. Gestation or being carried in general in persons sound and sickly encreases Natural heat and discusses the multitude of the matter but in persons that cannot sleep it brings rest by digesting those excrements which slip â—rom the Head into the Stomach c. Particularly Riding in a Coatch if it be not violent is good in diseases of the Head and fluxions of the Bowels but it is hurtful to Epileptick persons because the motion of the wheeles makes then giddy if a man ride with his Face to the hind Wheels t is good for a weake sight and helpes much the Obfuscation thereof If it be very fast Celius commends it to make a man lean that is over Fat. In an Horse-litter t is convenient for healthy people that are to follow their business after dinner and it was anciently the manner to carry sick people on that fashion in an horse-litter Lethargick and Nephritick persons lay along c. For so the Morbifick matter was made fit for Expulsion those that were troubled with some light and long lasting Diseases and were in the perfect declination of Feavers did sit To be carried in a Chair or Sedan is good for cold Natures and which evidently decline But of al these Exercises consult the learned treatise of Mercurialis de Arte Gymnastica which I shal peradventure over-look and cause to be again published with some notes of mine IV. I shal not need to speak of Rest al that can be said may be collected by any one from what we have spoke of Motion III. Sleep is also necessary for preservation of Health and likewise to refresh the wearied Members of our bodies and to restore the spirits which are the Soules Instrument in the performance of her Actions If it be moderate not only the wearyed forces of the body are thereby refreshed and the spirits washed with dayly labors repaired but also the heat is drawn inwards by which means the Aliments and crude
Humors are happily digested in the whol body the whol body and especially the Bowels are sweetly moistened and the body is made generally stronger cards are removed anger appeased and the mind made more peaceful immoderate Evacuations saving sweat are suppressed and especially sleep is good for Old people Contrarily Immoderate Sleep obscures the spirits and makes them sluggish and stupefies the mind and Memory and blunts the Edge of Natural heat by augmenting crude humors and stopping the Issue of such as are superfluous Also sleep which is taken after the body is any waies Emptied does dry and extenuate the same IV. Also Watchings are either moderate or Immoderate The former excite the spirits and render them more lively distribute the spirits and heat into al parts of the Body help the distribution of Aliment and further the Expulsion of Excrements But Immoderate watchings consume and dissipate the spirits especially the Animal and dry the whol body especially the brain encrease Choler sharpen and enflame the same and in conclusion the heat being dissipated they cause cold Diseases Chap 3. Of Non-Natural things Externally used NOn-Natural things Externally used are Bathes Oyntments Frictions and Garments I. Touching Bathes observe I. That they alter as much as the Aire it self but diversly according to the difference of Temperatures and there is in them more Artifice than in the Air. II. That they frequently and very much hurt Cheifly persons not used to them Plethorick persons such as are Cacochymical have Catarrhs are subject to Inflamations and Erycipelas III. That they are made either of Liquors as fresh water Medicinal Fountains Decoctions of Herbs Oyl milk Wine c. Or of Vapors or of some solid substance which is hot as sand Salt Pressings of Grapes IV. The Vapors of fresh water Heats first moistens relaxes afterwards Melt congealed liquors and procures sweat finally by long use it dries V. Fresh Water hot of it self Moistens but at the first it heates afterwards the hot Vapors breathing forth it cools attenuates and dries Luke-warm or such as is moderately warm Cools such as are over hot heates those that are overcold and withal Relaxes and used an indifferent time it fattens and digests the Excrements beneath the Skin and by long tarriance therein it resolves and discusses them wherefore to hot leane Natures and to such whose heat is biting it is good being tarried in an indifferent while also for Melancholick persons Hectical persons such as have dry Feavers and are thirsty also it chases away wearyness Mitigates pains is good for Diseases of the Skin Cold Water cooles but withal stops the passages makes the Skin hard and compact strengthens the whole Body recalls heat into the lower parts of the Body by which means it helps Concoction and is a good Remedy against hurts springing from external Causes if we use it moderately and rightly It is bad for such as grow use not good diet nor exercise or are inclined to crudâ—ties and stoppages and breed sharp vapors VIII Artificial Baths are to be judged of by their Ingredients IX Waters of Medicinal Wels do alter the parts according to their Quality so that the Sulphureous do dry heat and resolve the Nitrous do dry and clense c. See of them Fallopius Mercurialis and Baccius II. As for what concerns Anointings they were anciently used before and after bathing as is every where apparent in Galen But because they are now grown out of use I shal therefore say nothing of them See Galen in the second Book of the Faculties of simple Medicaments Chap. 2. and 4. Also in the seventh Book of his Method of Curing Chap. 6. and Mercurialis in the first Book and 8. Chapter of his Gymnasticks III. The effects of Friction or Rubbing are various according to the Differences thereof 1. Hard friction hardens the Body contracts the flesh and makes it compact 2. Soft Softens Loosens and dissolves the same 3. A middle Sort has an effect between both 4. Much Rubbing lessens the Flesh dissolves the same and Causes leanness 5. Little leavs it in the same Quantity it was in 6. Indifferent encreases the flesh 7. Morning friction is best used after the voidance of the common superfluities of the Body being useful for such as are dried and find a wearysomness upon them Evening Friction is good for wearyed dried persons and such as nourish not IV. Hippocrates treats of Garments where he speaks of the ambient Aire in the sixth Book of his Epidemicks I conceive best to place the consideration thereof among things externally applied to the body Al Garments in general do in some measure heat the body both by keeping off the cold Air and keeping in the steams of the body and introducing a true and genuine Heat The effect of Cloaths varies according to their Differences 1. Silk-Taffaties and Grogarans do heat and because they are soft and tender they soften 2. Plush and Velvet by how much they are deeper and richer so much the more they heat 3. A woolly garment heates and dries much 4. A Garment of Skin if ful of hairs is warmest of al other 5. A Scarlet garment cals forth the spirits and Humors with which it has Analogy from the Centre to the Circumference and therefore is accounted hot 6. A Perfumed Garment hurts an hot brain and breeds the Head-ach 7. A Linnen Garment whitened with Lime does bite the Skin and Causes an Itch. 8. An Hempen Garment is more dry than one of Linnen Chap. 4. Of Non-Natural things which are voided and retained NOn-Natural things which are voided and retained are both those which in the nourishment of the Body Nature retaines to restore the decaied substance thereof as also those parts which she separates and voids forth as unprofitable Touching them observe in general I. That Excrements do vary according to the Concoctions Some are simply such as Urin internal Vapors fumes Dandrifs Sweate Moisture Ichor Tears Flegm in the Eyes Menstrual blood Hemorrhoid-blood spittle Snivel Pose Droppings of the Nose Eare-Wax Dung some are for the sake of Children as Miske Seed Mothers-blood II. That they are necessary in point of health which continues in good case if they be conveniently voided but is prejudiced if they be either retained or unseasonably voided forth Particularly three of them are most confiderable Viz. Excrements of the Belly Vrin and Venereal I. The Excrements of the belly if they are often voided and carry with them the Vitious Humors and so lighten the Body they confirme health if too frequently and too long the body is defrauded of necessary Aliment and begins to pine away the forces of the body are weakened and many times the guts are as it were shaved If not in due time they hinder digestion by putrid vapors hurt a weak head and breed molestation to other parts of the Body II. The Vrine if too long kept in does not only burthen the bladder and neighboring parts but oftentimes does so stretch the same
fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease iâ— crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease
or they act after the manner of antecedent causes which continue hidden dispositions in the body which a disease may follow upon which nevertheless are not conjoined therewith only are defined by power of acting and are only found in diseases joined with matter finally because the internal as related to the disease may be both antecedent and conjunct causes they have not recourse with them II. Next which adhere to the diseases themselves in the body of man so that suppose the causes you must supose the diseases take away the causes you remove the diseases Hence they are termed continent and conjunct causes III. Per se of or by themselves by whose power the disease doth exist and by accident which cause the same by the Interposition of some other thing IIII. Privative which act by absence and Positive which work by their presence V. Comon and Proper VI. Finally external and internal of which we shal treat hereafter IIII. The differences of diseases are either Essential and primary of which and their cure we shal treat in the fift book or Acidental which are taken from the Number Magnitude Duration Manner Event Order Subject Causes Seasons of the yeare and Place For I. In respect of Number a disease is either 1. One which possesses but one part or many parts but without any Interruption which is either simple which is joyned with no other disease and hath the simple nature of one only sort or compounded which consists of many diseases concurring in the same part whether they be of the same kind or not and in Case it be joined with the Cause or some grievous symptom t is termed Comitatus as that Solitary which has neither the cause nor any grievous symptom joined with it 2. Many one of which is not in the same part which is possest by another and these either hurt a common action and are called Complicati or Impliciti or one contributes somewhat to the generation of another and they are termed Connexi 3. By Sympathy which falls out when either a part receives some humor or vapor from another place or when it is forced to receive a matter of which it ought to be free or when the spirit a necessary Instrument to the souls actions is hindred of its influxe or when matter necessary to the action is denied this happens either by reason of the sympathy of the parts which is either of the kind or of continuity by the nerves and membranes of which Senertus treats elegantly in the 39. page of his Paralipomena or of one work or of neighbourhood or by reason of their strength and weakness hence comes either a Diadosis of the Humor passing from a noble to an ignoble part or a Metastasis from an ignoble to a noble 4. Disjoned which being fixed in disjoined parts do neither hurt the same action nor confer any thing to the mutual generation one of another II. In respect of Magnitude Diseases are 1. Smal which hurt the Action less than those sort of diseases are commonly wont to do or stick in the more Ignoble parts 2. Great which either hurt a Constitution and part very necessary to life or Goe very far from the natural state or have some bad quality annexed or they deject some faculty by hurt of which the life is endangered or they take up a large place III. In respect of Duration diseases are 1. Long which move slowly 2. Short which moves quick 3. Continentes which are alwaies moved with one and the same motion til they are quite ended 4. Continui which continually afflict but are heightned and abated at certaine intervals of time 5. Intermittentes which have periods and Fits and therein their several Modes and figures 6. Acute which are terminated on the fourteenth day peracuti on the seventh day Perperacuti on the fourth day Acuti ex decidentia which are terminated on the forryeth day 7. Critical which are finished by some great mutation by evacuation or translation 8. Not critical which are ended by diminishing peece meale IIII. In respect of the Manners or Conditions they are 1. Benigni gentle wel affacted having no greivous symptom besides nature 2. Maligni malignant which have somewhat of an occult pravity 3. Pestilential which come by Intection V. In respect of the event they are 1. Healthy which end to health 2. Doubtful of which many are saved and many die 3. Deadly which kil alwaies or for the most part either because they destroy that action by which life consists or proceed from matter which wil not admit Coction or because their Focus is so far of that medicaments cannot reach so far without loosening their strength VI. In respect of their order they are 1. Ordinate which keep their Mode or Figure 2. Erratick which neglect the same 3. Relapsative which when they are thought to be quite finished returne againe VII In respect of their subject they are 1. Vniversal which afflict the whole Body 2 Particular which molest one or more parts 3. Cognati which are suitable to the temperament constitution of Body Age Season of yeare c. 4. Minus cogniti less of kin which are contrary thereunto they are of Men Women Infants Boyes Young Men Old men VIII In respect of the Causes they are 1. Exquisite or legitimate which spring from one simple Cause 2. Spurious or bastard which proceed from mixt humors 3. Haereditory which spring from fault of the seed or mothers blood 4 Conjenit which happen from the first original through fault of right shaping though the Parents had not the same disease 5 Adventitious which come by some accident 6 Fientes which though produced cannot exist without the matter continue 7 Facti which abide the causes being removed IX In respect of the time of the yeare they are Spring sickness Summer sickness Autumn sickness and Winter sickness X. In respect of place they are 1. Sporadick which being of different sorts do assault sundry persons at the same time and in the same place 2. Common or Pandemial which either are never but in one Country only or which somtimes in one somtimes in many places afflicts many together 3. Epidemii Epidemick or vulgar which at some certain time now in some one Country other whiles in many do infest many folks at the same time and they are for the most part pestilential Chap. 2. Of the Diagnostick Signs of a Disease THe Diagnostick Signs of a Disease do respect 1. The Disease in it self 2. Its times 3. The Parts affected 4. The Differences of the Disease 5. And lastly all these together And they are either common to many and divers persons or proper to one Disease which are either inseparable or proper and inseparable together or Pathognomonick and Essential to the Disease and recurrent therewith or Assident and supervenient I. A Disease in it self is known 1. From things Essentially inherent in External Diseases most easily without help of any other signs in internals
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
be cured from the simples Chap. 2. Of the diseases of Distemper with Matter A Material distemper is the irregularity of the natural temper of Mans Body by the presence of some morbifick matter The Signs wil be known from the following differences The Cause is a preternatural Humor and that is 1. Either collected by little and little either through weakness of the part or fault of the Nutriment 2. Or affluent either by attraction or by reason of transmission either from the whol body or from some certaine parts The Cure is perfected 1. By alteration with Contraries if we consider the disease 2. By evacuation if need be and that by blood-letting if a Plethory be offensive by Purgation if Cacochymia or badness of humors off end by sweat if the matter tend to the skin by vomit if to the upper parts by diureticks if to the Urinary passages III. By opposite diet 'T is divided into so many distempers as the material I. One sort springs from blood or a plethorick Constitution of Body when such humors as are fit to nourish the Body abound c. 'T is knowen by weatiness c. It arises from good Nutriment c. 'T is cured I. By Blood-letting II. By alteration with coolers and moistners especially such as are appropriate to the Liver 'T is divided two manner of waies 1. One sort is from an exquisite plethora to which al the precedent notes agree 2. Another is from a bastard plethora wherein the cure requires purging likewise 3. Another springs from a plethora ad vasa Another from a plethora ad vires of which we spake before II. Another kind springs from excrementitious choler which is hot and dry 'T is hardly cured if it proceed from the yellow choler Never almost if it proceed from leek colored eg-yolk-colored or verdigreise-colored choler c. The Cure is performed 1. By alteration with cooling and moistning medicaments and if it be very thin with thickness if thick by cutters Among the former the cheif are Stalks of Italian Lettices flowers of water lillie Porslain Plantain Tamarinds Jujubees red poppy among the latter the cheif are roots of Cichory Dandilion Sorrel such things as are made of these Spirit of vitriol Salt 2. By evacuation either by bloodletting when cholor is mingled with the blood or by purgation by stool with cholagogues The cheif cholagogues or choler purgers are Rhubarb which is neither to be given alone because it is subject to fume nor to such as are troubled with the strangury tamarinds aloes rosata which is taken only in pils Syrup of the flowers of Acacea of Roses solutive which must not be given to women with child Pils of Ruffi c. By a cooling and moistening diet III. Another is from preternatural flegm which is cold and moist 'T is cured I. By alteration with medicaments hot and dry attenuateing and cutting Where note that we must at first abstain from very hot things lest the matter being dissolved should swel with greater motion and that the thinner parts being consumed the thicker should remain We must avoid strong openers in a woman wth child The strongest of al are Lignum guaiacum China root Sassafras Salsaparilla and Oxymel Scylliticum Hot stomach medicaments are to be interposed because the stomach languishes through overmuch heat II. By evacuation with Phelgm purgers the chief among those indifferently strong are Mechoacanna of which Lozenges are made it works most effectually given in pouder Carthamus seeds and Agarick trochisked Among the stronger are jalap roote given with Cream of Tartar Syrup of Coloquintida and the Pils of Sagapenum of Horstius The Golden spirit of Rulandus III. By blood-letting provided the Heat be not dissipated being expressed with flegm and that there be a plethora IV. By an heating and drying diet let the Aire be hot and dry the meats seasoned with spices let strong wine be used the body being first purged Frequent use of Cappars with wine and raisins IV. Another sort comes from preternatural Melancholly whether thick or dilute or degenerating into black choler 'T is cured I By alteration with heaters and dryers provided it be not black choler The roots of Eryngos Lycorize the Herbes of Ceterach Baume Dodder Flowers of borrage tamarisk Cappars the cordial flowers Syrup of sweet smelling Apples c. Avoid Vinegar and if it must be used give oxymel and a decoction of Citron peels II. By evacuation with Melanagogues or melancholly purgers The cheif are Polipody sena Extract of black hellebore The diet must be heating moistning The Aire must be tempered with a decoction of Mallows and violets let the patients meates be boyled rather than rost Egs soft-boiled flesh of henns calves partriches corants a temperate bath of fresh water c. V. Another Sort comes from Serum or the wheyish humor which is a thin and Salt liquor by its aboundance and quality altering the body of man 'T is cured by evacuation with hydragogues sudorificks Diuriticks c. The cheif Hydragogues are among the indifferently strong the tope of elder when they first shoot forth dried with a gentle heat an emulsion of the stones of elder-berries Orice root Among the strongare Gambogia Jalap Extract of Elatery conserve of Esulâ— pils of Sagapenum The cheif sudorificks are Spirit of dwarfe elder and of elder Salt of Cenâ—ory of worm wood of Ash of Scabious Harts born prepared Antimony diaphoretick bezoardicum jovial Among diucitick are the diuretical liquor and syrup of Rivius in Renodeus his dispensatory Salt of Vrine Amber beanes Spirit of Salt liquor of tarrar Vitriolated half a scruple compounded with half an ounce of Cinnamon water and two ounces of julep of roses VI. Another is compound springing from some of these humors mingled together In the Cure we must so work that we resist cheifly those humors which most of al exercise their efficacy upon the body not neglecting the rest either within or without This wil be done when the veins are free from the obstruction al the passages of the body open the humors not being much distempered and the noble bowels of the Body not diseased Here panchymagoga or al-humor-purgers are to be used and the Imperial pils of Fernelius which may be seen in the London Dispensatory Chap. 3. Of Diseases springing from Hidden qualities DIseases from hidden Qualities are diseases springing from Causes which work by a malignant and venemous force which cannot be judged to spring from the manifest qualities of natural bodies The Signs are when a disease has rare symptoms great ones and such as are not to be seen in other sicknesses no not of the same kind When there has preceeded some suspition either of some great degree of putrifaction arisen in the body or of infected aâ—re or of contagion or of poison either taken in or communicated from without The Cause is various as shal be explained in the differences The Event of the cure is judged of from the
3. Or from the Quality of Humors provoking the faculty and then their signs are present Evacuations being premised we must use astringents II. Diairesis is when the Vessels are divided 'T is known by plentiful efflux of matter with pain It arises from causes which corrode distend or break The Cure requires conjunction or soddering by astringent Medicaments The diffences are taken from the Causes 1. It is either from external Causes viz. vehement motion heavy weight exclamation leaping contusion wounds sharp thick medicaments 2. Or from sharp biting humors and then the signs of a cholerick or salt humor are present The Cure consists in alteraion by cooling medicaments and such as blunt the sharpness of Humors by evacuation with choler and water-purgers c. and by a cooling and mitigating diet 3. Or from plenty of Humors in which case the Cure is the same with that in the Anastomosis 4. Or from Winds and then the signs of wind are present viz. stretching without weight wandring pain the Causes engendring winâ—s were precedent the disease arose on a sudden the Urine is ful of bubles c. The Causes are plenty of moist diet weak heat which cannot digest the matter The Cure requires that the Cause be evacuated that winds be expelled by convenient Medicaments White Amber is commended in this Case old Treacle also and Mithridate Electuary of Bayberries Conserve of Sage Spirit of Turpentine Oyl of Fenel Seed Anisseed Pouder of Citron Peels c. III. Diapedesis when the Vessels are rarified 't is known by an over plentiful sweating forth of Humors It arises from rarifying and moistening Causes The Cure respects the Causes Point 2. Of Diseases of the Cavities in Defect Diseases of the Cavities in Defect are when the Cavities are rendred more straight than is fit The SIGNS you shal meet with in the particulars The CAUSES of this straitness are Obstruction Constipation Growing together Compression Falling-in of which in the Differences The CURE requires the Removal of this Straitness which varies according to the variety of Differences As for the differences under them five things are contained I. Obstruction which is nothing else but the shutting up of the passages by Humors or other things It arises from Humors and things wholly against nature c. 'T is cured by convenient application of deobstructive medicaments 'T is divided according to the Causes 1. One sort springs from multitude of Humors and then Diet is the Cause Evacuation helps this sort which must be large it the Humors be many having respect to the places From the Chest by Coughing from the Stomach by vomiting from the Belly by Stool 2. Another from thick and clammy humors and then we must use abstertion cutting and attenuating somtimes abstertion alone wil suffice if the Cavity be open The medicaments ought to be strong when the viscidity of humors is great and the place remote more mild when the Case is contrary and alwaies appropriate unto the parts 3. Another is from Stone Worms Quittor Dung of which we shal speak in its place and then we must use al Evacuations either at once or at divers times And respect is to be had to the place in which the humors are lodged 4. Another sort is from clotters of Blood then we must use medicaments which dissolve blood such as are the Magistery of Crabs-Eyes Pouder of Rhubard Tormentil Sperma ceti not rancid c. You have cutting and deobstructive Medicaments above in the third Book The principal shal be specified in the Cure of particular obstructions II. Constipation when the passage is shut up by flesh or a tumor bred in the cavity It arises from a Caruncle Membrane inflamation Tunicle Push which must be concocted The Cure requires consumption and evacuation of the matter III. Coalescence is when the wals or sides of the passage grow together after an ulcer or wound It arises from flesh growing to the Cavity from a scar c. The Cure requires breaking IV. Compression when the passages are stopped by causes incident from without which force together the sides thereof It arises either from external causes as cold and dryers where loosening and moistning things are good or fresh Tumors or Bones removed out of their places The Cure requires their Removal and has an Eye to the diversity of Causes V. Falling in or falling down when the passages are straitned by the loosness and falling together of the sides It arises from over great moisture 'T is cured by dryers Article 3. Touching Diseases of the Surface Diseases of the Surface are when the parts decline from their natural Constitution in the second Qualities The chiefest of them are Roughness and Smoothness I. Roughness is a want of that Smoothness which ought to be in a part It is caused either by addition of a Surface in the solid parts as in fractures certain scales are seen and there is need of fetching somwhat off by abstersive Medicaments or by taking away and then sharp things both external as vapors Winds Fumes Meats venemous Medicaments and also internal as over dryness of the parts when their moisture is consumed bitter choler salt flegm c. In the Cure we must fil up that which was hollowed the acrimony of humors must be be tempered and the parts not yet affected must be defended We must goe to work with moist and clammy medicaments II. Smoothness is a defect of that roughness which ought to be in a part 'T is cured with abstersive medicaments which have withal some astriction that the tone of the fibres may be repaired and the spaces in the surface of the part being dilated by humors may be again contracted Chap. 2. Of Diseases of Number A Disease of Number is when there is a fault in the number of parts 'T is divided into a Disease of number in defect and in excess A Disease of number in defect is when a part which ought naturally to be present is absent That part is either Sanguine or Spermatick which is not regenerate or repaired in Specie or simple or compound nor must it be the particle of a part but a whol part The Cause is whatsoever either by way of efficiency or privation of matter may cause the want of any part The Cure points us to Restitution which is made only by nature the Physitian mean while preserving the strength of Nature by defending the natural Heat by supplying fit matter thereto viz. blood and by removing impediments that is to say Flesh and such like things As for what concerns the Differences Either the fault is original or through defect of matter necessary to generation or through the weakness of the natural faculty which ought to attract retain and elaborate the matter and so it cannot be restored Or after birth by cutting gnawing putrefaction refrigeration and the Cure is to be directed to its causes II. A Disease of Number in Excess is when there is a thing which naturally ought not
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
Choler and putrified matter is inflamed about those parts or when matter swelling and fermenting in the Veins rushes violently and settles it self thereabouts 8. Head-ach want of Sleep Apileptick Convulsions c. Of which in their places Title II. Of Vnputrid Feavers Chap. 1 Of the Feaver Ephemera UNputrid Feavers are either the Ephemera or the Synocha simplex The Feaver Ephemera is a feaver which arises from the Inflamation of the Vital spirits in the heart and continues the space of one day 'T is termed Ephemera because it transcends not the natural day as the Beast Ephemeron and Colchicum Ephemeron a plant so called The SIGNS are A sudden heat arises in the Body no loathing of meat or wearyness without cause deep sleep or frequent Yawning having preceeded with none or very slight shivering unless the Body be ful of bad juyce diffusing much and biting expiration which by reason of the colds stopping the skin or the closing up of the secret passages being suppressed smites the Nerves The Vrin in color substance and sediment is little or nothing differing from the natural unless the Cause which brought in the Feaver have raised some extraordinary mutation in the blood The pulse is more quick and frequent than ordinary but yet even ordinate great and strong Inspiration is greater and quicker than expiration The CAUSES are procatarctick of which in the differences The CURE is easie unless it change into a Synocha imputrid in a youthful and ful body or into a putrid the fourth or fift day in a body Cacochymical or into an hectick in an Hot Dry thin body 'T is Absolved 1. By Alteration through cooling and moistening things given inwardly and applied outwardly to the Region of the Heart the pulse and forehead 2. By Evacuation or opening a Vein if there be a plethora or by gentle Purgation if it arise from a redundancy of evil Humors and some light obstruction 3. By strengthening the Stomach Regard being had to the Humor and Symptomes The Differences of the Feaver Ephemera are taken from the causes I. One sort comes from Cold Air striatning the skin Then the beginning is without shivering The Urine and pulse are little changed the Heat is more moderate in the state T is Cured by removing the Cause II. Another springs from Buboes which is known by the presence of Buboes by a swift and great pulse by much heat by a ruddy Face 'T is Cured by blood-letting by which if blood be sufficiently taken away the Bubo appearing a little vanishes away by the use of repellers or relaxers if not it must by fomentations be brought to suppuration Vide B. 2. de Bubone III. Another from straitness of the skin which is known by the hardness and compactness of the Patients skin other things being as in other persons healthy It arises from plenty of blood cold binding or dryness 'T is Cured 1. By Blood-letting if the blood offend in quantity 2. By Purgation cutters being premised where there is plenty of thick Humors and swear is wont to follow 3. By relaxation with hot and moist things temperate baths moderate frictions frequent washing if it proceed from cold IIII. From Crudity and that nidorous which is known by the presence of such signs as attend a Diseased Stomach 'T is Cured 1. By Vomit if stomach sicknes and Aptitude to Vomit be present 2. By Purgation if there be danger in Vomiting 3. By Corroboration with Medicaments whose quality is opposite to the peccant Humor V. Another springs from Heat of weather Anger Sad Pensiveness Watchings Wearyness c. Of al which consult with Practitioners Chap. 2. Of the Feaver Sinocha Simplex THe feaver Synocha simple or the Ephemera of many daies is a Feaver without putrefaction arising of the Boyling and working of the spirits and blood without remission lasting three four or more daies 'T is termed also Inflativa or Puff-up because when the blood works and boyles the Vessels are distended and a wearyness of the body is perceived Its SIGNS are wearyness which comes of it self without any exercise of the Body Heaviness about the temples and forehead A certain Itch of the Nostrils a gentle Heat Moistness of the skin with distention of the Members A pulse great ful frequent quick Difficulty in fetching breath Urine thicker and more red than ordinary The CAUSE is the working and boyling of thin blood which arise from the hinderance of Transpiration in a plethorick body which sends forth many hot Vapours The CURE is not very hard because it seizes for the most part strong bodies or temperate ones or such as are hot or moist of middle Age of a fleshy square Alderman-like constitution unless it degenerate into another sort 'T is allayed and terminated somtimes by sweat or by plentyful Nose-bleeding within the fourth or at most the seventh day unless through some very great Error of the Patient the Physitian or the Assistants of the sick it turn to a putrid feaver or a greivous Disease which is wont to spring from fullness 'T is performed 1. By Blood-letting by which the Patient is cooled and the encrease of Vapors is diminished but it must be speedy little in quantity and divers times celebrated 2. By Evacuation of the first Region least more fumes be added to the store Tamarinds Rhubarb Syrupe of Roses solutive Cream of Tartar are good 3. By Alteration which ought to be performed by cooling potions the spirit of salt and vitriol being mixed therewith Clysters Oxyrrhodines Epithemes Bathes for such as are accustomed to them but not before the Rigor of the Feaver be over 4. By Corroberation with Manus Christi perled Diamargaritum Frigidum Conserve of Roses Vitriolated of Wood-sorrel c. 5. By a cooling and Moistening Diet. Title III. Of Putrid Feavers in General A Putrid Feaver is Generally or Specially considered A Putrid Feaver in general is a Feaver which arises from hot Vapors raised out of the Putrefaction of humors which affect the heart with a praeternatural heat SIGNS thereof are Invation with shivering and shaking no antecedent Cause having preceded No nor no procatarctick unless the body be so disposed that a smal matter affects it Accessions and Paroxysmes or fits which yet agrees not with al. The heat at the beginning is not biting by reason of suffocation biting in the augment by reason of a Fuliginous excrement The Vrine is crude or obscurely digested The Pulse is at first smal the contraction swifter then the dilatation by reason of plenty of sooty excrement It abates upon sweat or some other Evacuation The Causes immediate are putred vapors sharp biting plentiful so as they cannot be discussed The Mediate is the putrefaction of humors whose cause 1. In the first assault of the Fever is either their bad nature contracted from meats of bad juyce which soon putrifie from il preperation and use of diet and the faults of the Parts which serve concoction or an External agent where hindrance of
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
the patient be troubled with Heart burning stomach fickness and desire to vomit but so as the humors be not thereby drawn out of the veins to the first passages Salt of vitriol Asarum Broome water of pismiers or Aunts are commended if warily administred 3. By Blood-letting if the Humor have penetrated out of the first region of the body into Vena cava which is known by the redness of the Urines and it ought to be performed upon the day of the Agues Intermission 4. By preperation with cooling medicaments moistening and such as cleanse the first passages Taraxacum or dandelion sorrel Barly Cichory Spirit of vitreol Cream of tarter Tartarum vitriolatum syrup of juyce of Citrons are good also these specificks Centory Devils-bit c. 5. By purgation down wards and that for the most part on the wel day yet on the fit day if the matter of it selfe encline to go away by stoole Rubarb is good and syrup of Cichory with Rubarbe 6. By sweat procured by sudorificks salt of wormwood of Centori of Cardus Harts-horn prepared Magestiry of Mother of Pearle which are to be given either before the fit or in the end thereof 7. By strengthening the Liver and stomach Salt of wormwood dissolved in spirit of Niter and againe coagulated into Christals is good being taken to the quantity of a scruple 8. By application of topicks such are the Cataplasme of Mynsichtus P. 368. The pouder of a dryed manchet beaten with greene sage the white of an egge and a little vinegar being added and so bound to the wrist The Herb Potentilla wild tansie or wild Aegrimony beaten with salt and vinegar and so applied to the pulses and the soles of the feet in the fit A Cataplasme or pultise of Bryony Rootes Black Hellebor bay salt white pepper saffron and figs. 'T is divided into Exquisit Bastard an Pernicious I. The Exquisit Intermitting Tertian is hereby known 1. In that the shaking coldness at the first comming is vehement and pricking arising from an humor and Vapour very thin and smal in quantity shipping out of the veins 'T is smal if the matter be plentiful and not easily moved more vehement by how much the matter is thinner and sharper the expulsive faculty stronger and the sence of the parts more exquisite 2. In that the Heat is much sharp and biting and spreads it selfe al over the body in the Hight of the Hot fit And if you hold your hand long upon the patient it grows gentler by reason of the easy discussion at what time the body is al over bedewed with a gentle moisture 3. In that the pulse at the Beginning of the fit is smal and slow the matter being not yet conquered by the oppressed heat yet is it not drawn back in the Progress of the fit 't is vehement swift frequent a little hard straitned by reason of the store of matter newly inflamed like green wood more swift in the Intermission of the dilatation by reason of the heat of the smal quantity of humor remaining in the Chimney of putrefaction communicated to the rest of the humors and carried to the heart 4. In that the fits last not above twelve howers 5. In that the Urine is reddish and yellowish of a midling Consistence shewing a white cloud or a swim in the first fit and then the Ague lasts not beyond the fourth fit It arises from choler sometimes resembling that which in the Gal-blader regurgitating into the first passages somtimes verdigreise colored or green bred in the stomach and veins The cure is now of the hardest for 't is terminated for the most part within the compass of seven fits It is ended either by sweat if the humor be cast bak into the veins which are in the surface of the Body or by vomit and stoole if to the stomak and entrals or by name of these if a great part consist in the misaraick veins and then the patient feels a pressure pains and Inflamations about the midrif Blood-lettiug must be administred before the third fit least it fal in with the state of the dissease The Bastard tertian is hereby knowne in that the Heat is milder nor is it diffused through the whole Body In that it is terminated neither by vomit nor sweat by by egresse of vapours in the Declination In that the Pulse is at first hard the hardness encreasing til the seventh day growing afterwards more soft as the Urines become better digested In that the fit lastes many times eighteen houers and the Ague reaches to the fourteenth and somtimes to the twentyth day It ariseth from cholor mixed with melancholy or flegme nor is it generated only in summer but in the Spring Autumne and Winter In the Cure a vein must be opened after the third fit when a good quantity of the morbifick matter is mingled with the blood in Vena Cava In the Praparation we must have an eye to the Diversity of Humors III. The Pernicious Tertian which happens from seven causes 1. If an Error be committed by the Patient or Physition 2. If that Humor which ought to be sent out of the vessels by reason of their closure do come to settle in some principal member 3. If it be too Thin and putrid For thence come frequent swownings and over great sweats without any ease to the patient 4. If it have some peculiar pravity either through adustion or badness of diet For the humors being inflamed roughnes of the tongue and unquenchable thirst are thereby caused Holowness of the eyes by reason of the wastings of spirits Fiery Urin with cholerick stools Anulcerous pain of the whole Body Paucity of sweat by reason of the thickness of the matter 5. If a thick humor melted by heat settle in some part Hence follows by reason of the difficulty and faculty of 't is inflamation an inequality of being heated The melting and plenty of a thick humor and which semed to be little in the greater vessells but by rarefaction caused by Heat it becomes in the smal vessels more in quantity Hence it is that the hot fit is interupted by a cold and the cold fit by an hot The Urin becomes watery of much and thick sediment The pulse is sometimes intercepted In the declination sweat issues from the navil to the head Neither Augment nor state nor declinotion are equal 6. If it a contagious or pestillent malignity 7. If â—he Heat either draw the womb in conceit and move the humors contained therein or cause a dangerous Catarh Tissick or Gout Article II. Of a Quotidian Intermittent A Quotidian Intermittent is a feaver arising from flegme putrifying in the misaraick veins and aflicting the patient with every day a fresh fit ' Its SIGNS are The foregoing of such causes as breed flegm ' Its dayly Assaults which are for the most part in the night time whence it is more dangerous by reason of the unseasonabelness of giving Physick at that time and they come
with a shaking and Cold fit Which Heat slow vapours nor very burning when it has dispersed it selfe through the Body The Vrinâ— at first white thin and crude when the matter is digested thick troubled and often red The Pulse is exceeding smal seldom and slow The fit lasts eighteen hours and somtimes twynty four Vomiting and Sweating if they happen at first they proceed from strength of nature and thinness of the humor The CAUSE is Flegm putrifting in the Masaraich veins which is colected by means of the heat of the bowels diminished cold and moist kind of diet superfluous feeding upon such matter It putrifies through the causes afforsaid The CURE is firequently hazardous both because it lasts forty daies yea three months and longer and also because hurting the stomach and liver very much it throwes the patient into a Cachexy 'T is performed 1. By preparation of the petcant matter by convenient medicens moderaly hot which a clyster and gentle vomit may proceid 2. By evacuation of the the said matter being concocted by vomit where extract of Esula and water of radishes and green walnuts distilled with vinegar are good By purgation of flegm and sweat 3. By strengthening the stomach and Liver 4. By Diet. It is differenced according to the causes I. One sort comes from thick flegme Then the urin is white and thin but by little and little it begins afterwards to grow reeddish and the settleing becomes thicker and the patients mouth is continually ful of watterishness It requiers strong medicines to digest it and those frequently repeated to which preparations of tartar ought alwaies to be added Vomiting is profitably procured with mercurial pils 'T is good to purge with an infusion of the species diacarthami senna and ginger in Centory water some drops of spirit of vitriol being added Once in a week one dram of Venice Treakle may be given II. Another is from thin acid flegm and then there is paine in the forhead and left Hypocondrium costivness and acid belchings It must be scilfully cured least it turne to a quartan The liver veine of the left side may be oppened Before the fit some specifick medicament must be given III. Another is from salt thin flegm Then faltness and driness are felt upon the tongue The Urin is red and thick with sense of hear and sharpness in the making The Liver vein on the right side arme may be opened Article III. Of an intermitting Feaver or Quartan Ague An Intermitting Quartan is a feaver arising from melancholy blood in the misaraick veins which takes the patient every fourth day ' Its SIGNES are Reachings and yaunings with a shaking fit after which at first is smal but afterwards like those that in the extremity of winter are pained with the cold for it does not so much prick as beat and bruise as it were The Heat is kindled by degrees because of the thickness of the matter The Paronysmes returne every fourth day The Pulse is rare and slow but in the vigor of the Fit swift and frâ—â—â—ent The Vrines are at first thin and watery afterwards more colored and thick The Sweats are at first very smal afterwards exceeding plentiful The CAUSE is a Melancholly humor collected and putrefting in the Mesaraick veins about the spleen and neighboring Bowels arising from Causes like it selfe among which Vinegar is one The CURE is wholly difficult For 't is a long lasting ague and somtimes reaches out for certain years especially if it begim in the Fal of the leafe But 't is more difficult when it springs from black cholor if it happen to old people whose weake heat cannot overcom the Matter If it be a double ague If it be joyned with some greivious Affection of some of the bowels Easyer if it be a legitimate Quartan and unattended by any disease of any of the Bowels otherwise such as are taken with a quartan Ague are little troubled with Convulsions or if they are the matter turning towards the Hypocondria and remaining no longer mixed with the blood in the veins they are freed of cheir Quartan Ague 'T is performed in general first by gentle then stronger medicines In perticular I. By opening the Basilica or Mediana Veins at the very first the first passages being cleared if plentitude of blood requier so much not so soone if there be no plenitude Blood plentifuly if the blood come thick and black stop it quickly if it rune thin II. By preparation and Coction of the pecant matter reapeated with moisteners and splenicks such as fumitory Maidenhair Ceterach Roots of Eringos Decoction of Turneps syrup of fragrant apples c. III. By evacuation thereof either by vomiting after which a dram of venice Treacle may be given before the following fit mixed in a cup of wine or by stool to which end are good in the first place the Pilulae Tartareae of Quercetanus or Senertus afterwards extract of black Hellebore at last the pilâ— of Saga penum of Camilus de Camilis in Quercetans Pharmachopoeia or by the Haemorrohides leeches being applied Or by Sweats which may be wel procured by Treackle Antimony diaphoretick or six or ten grains of sal Armoniac purified in Cichory water before the fit The patient being strong and Coction appearing a purge is happelly given a little before the fit IV. By strengthening the bowels especially the spleen by their appropriate remedies such as wil not augment the feaver both external internal V. By Mitigation of symptoms of the shaking cold by treacle or Aqua vitae given four hours before the fit Of the Backpaide by application of Hartman his faccolus in his Chapter of the quartan Ague VI. By Diet where observe that we must order absence from al kind of food on the fit day wine that is ripe and thin may be alowed Apropriate medicaments in this feaver are Amoniacum seven times sublimated Pouder of Vipers given the Quantity of one scruple or half a dram before the fit in some convenient Liquor An Hares Heart prepared like Fox-Lungs Oyl of Myrrh from four to eight drops before the fit The Quartan Feaver or Ague is distinguished two manner of waies I. One sort springs from natural Malancholly in which we must go to work with moisteners and moderate heaters Another arises from adust Humors which is known from decay of Appetite vehement thirst Head-ach and redness of Urine It arises from such things as burn the Humors In the Cure we use things moderately cooling to which in the progress of the Disease Cutters and attenuaters ought to succeed A Bath of sweet fair water is commended or rather to wash the Feet therein II. One comes of it self without another Disease foregoing And then a Diet somwhat thin is good at first afterwards somwhat grosser and then agin towards the state somwhat thin Another follows other Diseases Then a thicker kind of Diet must first be used Afterwards the state it must be somwhat diminished In the fit nothing
also voided by Urine not much at once as in persons of good constitution nor with pain of the Kidneis as in solution of the fatness of the Kidneys but slowly and a little at a time Sediment like bran is seen in the Urine without any Disease in the bladder swelling of the Thighs and a looseness which threatens Death Another is when the Fibrous and Membranous substance is violated by the Feaverish heat Hence follows the Marasmos which happens somtimes to Young and Old Preternaturally somtimes through defect of Aliment and extinction of the natural heat either in regard of Age or of some Scirrhous Tumor See thereof Joel in the foresaid Tome II. One sort is simple to which what has been before said in general may be applied Another is Complicated and that either with a Putrid intermittent and then the greatest part of the Heat remains in fiery and the least is come into Act. The fit being finished the places of the Arteries grow hot the other parts are temperate The Pulse looses not its frequency and swiftness and the Patients meat does not eucrease strength Or with a Continual Putrid and then t is hardly known The dry heat remains after the end of the declination or of the whole Feaver The Body is more extenuated The Urine is fatty and Oyly Title V. Of Malignant Feavers Chap. 1. Of Malignant Feavers in General HItherto we have treated of Benigne or wel affected Feavers the Malignants come next which are Generally or specially to be considered Malignant Feavers generally considered are Feavers arising from some hidden cause partaking of a Venemous kind of Quality causing more grevious Symptomes than ordinary and yet not killing many or suddenly Their SIGNS are great weakness from the begining without any manifest Cause more than the Feaver and Feaverish heat could probably produce Pulse frequent Smal Weak or if the Pulse being natural seem to deceive t is known by the presence of other Symptomes The Vrins are some times in the first daies like those of heathly persons somtimes thick colored troubled having a thick red and troubled sediment The Heat milder than sutes with the Nature of the Disease and Symptomes A Mass of Symptomes animal Vital and natural Swellings or spots break forth c. The CAUSE are either the Disposition and Plenty of Humors or Contagion The CURE is Hard if greater and more constant Symptomes appear Dropping of blood at the beginning signifies the working of the Humors their bad Quality and the Patients weakness T is performed bp Bezoardicks and other things of which in the Differences The Differences of Malignant Feavers are taken from the Causes I. Some are from the Bad Dispositions of Humors and their Plenty whether in the stomach about the Midrif or in the first waies They are known by Stomach-sickness Pain Heat Bitterness of the Mouth anxiety and other tokens They arise either from corrupt meats or from some other cause Are Cured 1. By Blood-letting which ought to be Practised after the Evacuation of the first waies by Lenitive Medicaments least a greater Ebullition and working of the Humors becaused and that before the fourth day 2. By giving of Sudorificks which neither augment the Feaver nor are very strong that either the Body may be disposed to sweat or at least the Malignity may be expelled 3. By alteration and preparation with such things as stop the Commotion of the blood and refist the malignity thereof The Juyce of Citrons Pomegranates and the Root of Scorzonera are commended c. Yea and also the spirit of Vitriol with other Syrups unless the Patients be aged and lean and unless their Lungs be otherwise diseased than through flegm stopping the Vessels IIII. By Purgation which ought to be effected by gentle Medicaments and scarce before the fourteenth day V. By giving cooling diureticks if the matter of the Disease go that way VI. By application of Topicks to the Pulses and the heart al the time of the Disease VII By mitigation or taking away such Symptomes as shal happen VIII By Diet in which we must abstain from wine unless faintings happen A Decoction of Harts-horn with such a Quantity of spirit of Vitriol as may cause a grateful acidity to which a little Julep of Roses or Viollets may be added must be given They are divided two waies I. Somtime there is no Poyson but the Disease is urgent by reason of the Causes Vehemence or some evil quality conjoyned Somtimes there is an hidden Venemous Quality 2. Somtimes the Putrefaction and Malignity are equal Somtimes the Putrefaction is greater than the Malignity Where the first waies must be Evacuated not only by Clysters but also by Syrupe of Roses solutive Cassia Tamarinds c. Somtimes the Malignity is greater than the Putrefaction Some arise from Contagion in which the Cure ought to be undertaken by Sudorificks and Antidotes and Nature must be assisted if she expel any thing Chap. 1. Of the several sorts of Malignant Feavers Article I. Of the smal Pocks MAlignant Feavers specially considered contain under them Feavers with smal Pocks Meazels and such like Eruptions the spotted Feavers Sweating-sickness of England The Hungarian Disease the Feaver with the Cramp and the Feaver with a Catarrb and Cough The Smal poxe are pustles arising by means of the expulsive faculty on the surface of the skin and parts that hold proportion with the skin with a continual feaver by reason of a peculiar boiling of the Blood The SIGNES of the smal poxe when present are needless for they appear to our Eyesight That they wil shortly come forth is signified by paine of the head with heaviness of the eyes also of the neck and back itching of the nostrils Diminution of Respiration dryness of the cough trembling of the Feet the when patient turns frequent sneesing panting of the heart The Vrin is somtimes like that of Healthy bodies the vitious matter being driven into the outward parts of the body somtimes it is troubled by reason of the great working of the Humors Tears bursting out of the eyes without any cause of sorrow A feaver raise by the working and boiling of the humors Spod breaking forth of the Body c. The CAUSE is either external viz. Impurity of the Mothers Blood which the infant in the womb atracts in the last months because there is none purer This blood being drawn into the whole fleshy substance is for some yeares insensibly hidden at length no longer able to beare it it begins to ferment like new wine or beere that works by which frementation or working the pure is seperated from the impure the impurity is drawn forth by a certain kind of Crisis and the Heat is â—mmunicated to the heart and a feaver raised Or external or contagious when out of Bodies so diseased a sickly vapour is comunicated to another or the Air which by reason of the Influence of the stars or other causes does either rupt the humors or set them in agitation
or Speechlesness and a hurting of the Taste I. The Tumor ariseth either from External Causes as the anoynting thereof with hydâ—arge or quicksilver the eating of poisons Mushroms c. and then those things that purge are to be eschewed and not medled withal the Tongue is to be washed and cleansed with the decoction of Scabious and plantane together with a little treakel and honey of Roses Or else from internal causes to wit an afflux of a matter hotter than ordinary to wit blood or Chollor and then for the most part an inflamation is excitted or else of a matter that is colder than usually and then the tongue waxeth white and very much flegm floweth fourth or else of a poysonus mater as in the French disease and this carryeth its signs along with it or else the master is corrupt and canckerous and then the malady is almost incurable and a putridness or a flux of blood in tongus that are quite eaten through happening at the Root of the tongue at length the persons thus affected dye thereof For al and each one of such like patients aninunction with the oyl of vitriol and honey of Roses is very conducible as likewise the opening of the veins under the tongue II. Ranula is a swelling in shape resembling a frog which now and then ariseth and groweth out under the tongue out of that soft flesh on which the tongue lyeth and unto which it is tyed and fastened as with a chain It is known by the bare looking upon it It ariseth from a viscous and Pituitous blood flowing thither and exciting a soft and loose swelling that being opened yeildeth forth a kinde of snotty filth like unto the white of an egg It is cured either by topical remedies among which the oyl of vittriol with the hony of Roses is very prevalent and avaylable or else by Chyrurgial Operation which ought to be seconded with liniments of torrefied Tragacanth together with the Hermodactyl root and the white of an egg or with gargarismes or with both together III. A Blackishness with a scabbedness and clefts sometimes ariseth from hot and fiery vapours and Exhalations and this especially in burning feavers It ought to be washed with the Milk of a Goat or that of a Bitch and also to be cherished with the Mucilage of the seeds of Psylium or fleabane and quinceseeds and after al to be washed with refrigerating waters together with the salt or stone prunella IV. A Palsie hapeneth unto the tongue and that either unto the whole tongue and then those nerves that are derived from the seventh Conjugation of the Brain neer unto the place where the spinal marrow hath its begining are wholly impeded and stopped and there is also very great fear of an Apoplexy impeading and now nighe at hand or else only unto a part thereof whether the right or the left either by the default of the Nerves or the Spirits In the Curing hereof Universals alwaies premised we commend to you the Salt of Margarites ten grains thereof in Malmesey the Oyl of Rosemary with the little rols of Diambra or Diacastoreum the Water or Spirit of Black Cherries the rubbing of the Tongue with Tobacco Leaves Rocket Seed and Treacle See likewise the Electuary of Solenander in his Consultations V. Stammering and Stuttering infest the Party either from Drunkenness or from an ill Composure and frame of the Tongue or from the shortness and excessive thickness thereof or else from its Immoderate dryness or overgreat Humidity and moisture It is not to be taken away and Cured but with much difficulty VI. The Aphony or Speechlessness ariseth either from a default and error in the natural Formation thereof or else from the Palsie when it is Consummated It is to be Cured like as the Palsie And for this purpose there is commended the water of lillies of the Valley and of Lavender with the Blood of a Turtle the Oyl of Anni-seeds and the Spirit of Vitriol VII The Hurting of the Taste is then said to be I. When it is either Diminished or wholly Abolished and this either by the over-cooling of those softer Nerves derived from the third Conjugation of the Brain or else by the affecting and hurting that part of the Brain from whence they proceed and pass forth there is here to be prescribed the opening of the Vein under the Tongue as likewise al those things or which we made mention in the Aphony and Palsey II. When it is depraved so that another kind of Savor is perceived which then happeneth when either the body of the Tongue or the Membrane that encompasseth it about is Replenished with a noysom and foul Humor that either alone of it self of else dilated together with the Liquor of those things that are Eaten and Drunk penetrateth into the Body of the Tongue and the soft Nerves thereof and then the Savor is perceived to be in tast either Salt or bitter or acid and sour according to the nature and quality of the Exhalation and Humor And here we approve of the Rubbing of the Tongue with the Root of Zedoary or Gentian the Raddish pickled in Salt Chewed before Supper and the Mouth afterward washed with Wine c. Title VIII Of the Diseases and Symptomes of the Lips THe Affects of the Lips are Clefts Vlcers Trembling and Preversion I. Fissures or Clefts are a solution of the Continuity of the Lips by overmuch dryness and extension They are known by the view They have their Original from overmuch dryness and extension as was said before in the definition It is Cured by Correcting the dryness with those things that Humectate and moysten and by uniting of the dissolved Union For this purpose we prescribe that Fat which distilleth out of those wooden Spoons used in Kitchings to boyl withal if they be put neer unto the Fire They are variously divided I. Some are from the very Birth and these are hardly Cured Others are Adventitious which are more easily Cured unless they chance to degenerate into a Cankerous matter II. Some are from Causes External Cold heat the North wind c and then the relation of the Patient wil suffice In the Curing of them like as they al must be removed so ought there to be a regard had unto each particular of them For those of them that have their originanl from Cold the White Pomatum is excellent good Others from Causes Internal to wit I. Hot Humors which are many times devolved from out of the Head and these bring along with them a kind of itching and profundity In the Cure the matter being Evacuated fine soft Linnen clouts wel soaked in the Juyce of Sengreen are to be imposed and laid on them and if the Chaps or Clefts be somwhat deep they are then to be anoynted with Goose Grease and Capons Grease II. From Vapors which are Hot Dry Salt and Sharp They ascend up from the inferior parts by the Oesophagus or the great rough Artery called Aspera
is little or nothing frothy rejected and cast forth sometimes by retching and with a cough that there is a heavy pain in the Head that the veins in the forehead are elated and strut out it is known also by the frequent retching and stretching and the sense of heat and the tasâ— as it were of blood Gargarismes are here of singular use Another from the Jaws which is known by retching the solution of Continuity which is very evident and conspicuous when the tongue is pressed down which said solution discovereth even the Gums and the parts of the mouth with a simple exspuition the Party spitting forth nothing but what is simple and unmixed It is taken away by a Gargarism of the rinds of the roots of the wildsloe trees sumach c. Another from the Throat in which there is cast forth blood with a freqent smal and easy Cough together with a pain of the Larinx Another from the Rough Artery in which there issueth forth a smal quantity of blood that is red and hot sometimes with smal strings cast forth together with a gentle cough and some kind of pain in the part affected Another from the Thorax or Breast in which the blood is little or nothing frothy but blackish and clotty sometimes stinking and mingled with purulent matter and it is ejected with a Coughing and pain It is cured 1. By opening the Hepatick vein of the right side and the blood ought to be drawn forth by degrees and often repetitions 2. By Evacuation with Cholagogues or such Medicaments as in purging extract and draw forth Choler 3. By incrassation where Trochisques of Crabs Claws de spodio and de terra sigilata or the sealed earth of Lemnos c. are much approved of Another from the Lungs in which the blood is continually frothy colored hot compact accompanied with a Cough and void of pain and somtimes there is together with it rejected a smal quantity and portion of the said blood corrupted and putrefyed Another from the inferior parts in which a little blood is cast up by vomit together with a pain and a bloody ejection c. 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 VII Of the Affects of the Heart Chap. I. Of the Palpitation of the Heart THe principal affects of the Heart are a Distemper a Palpitation and a Fainting or Swooning Touching the Distemper especially that which is hot we have spoken already in the second Book Concerning that which is moist Cold and dry there is nothing singular that offereth it self to consideration but what we may as wel make mention of in the other Species and kinds thereof and therefore we intend to treat only of those two sorts The Palpitation of the Heart is an inordinate and by its dilatation and contraction or setling it self composed motion of the same whilest it either expelleth that which is burthensome unto it or else attracteth that that is requisite and profitable unto it or else restoreth that that is Deficient and wanting It differeth from Trumor or the Trembling of the Heart in that this latter shifteth its place but the former seateth and fixeth it self in one place alone whether it be greater or less this of the Moving faculty that of the instruments and it may happen unto those parts that are otherwise immovable The SIGNS are evident and manifest enough unto the very senses to wit the sight the touch and the Hearing The Jugular Arteries are especially those that leap and Beat and their pulse is unequal and inordinate The CAUSE is either any thing irritating the moving faculty or else a necessily of refrigeration and cooling by Reason of the hot distemper or a Defect and want of the spirits touching al which specially and particularly in the Diffeâ—â—â—ces The CURE â—s exceeding difficult for the Diseaseâ— extreamly perillous it being very acute in each particular Paroxysm but of long continuance in regard of its intermiting and frequent returns If it proceed from the Coldness of the Heart if it continue long and from yeer to yeer and make many Recidivations it then for the most part is terminated and by a Syncope concludeth in Death It Respecteth I. The Paroxysm in this Case the Fomentation of Balm and Borrage the Water of the hearts of Animals known in the shops by the Name of Aqua Excordibus Animalium of Heurnius and the Juyce of Mother wort or as we cal it succus Cardiacae c. Have their due and proper place II. It respecteth the Causes touching which we wil treat further in the Differences The Differences are taken from the Causes I. One is from a Vapor or a Windiness exciting and irritating the Expulsive Faculty of the Heart which is known by this that its approach and surprisal is sudden and unexpected that it is excited by every light and gentle motion of the Body and there often a Trembling Seizeth upon the Knees and a darkness and dimness upon the Eyes c. This 1. Is either Collected there in that same place being Resolved of a matter Old and thick and fixed in that same place oftentimes with a Cold distemper but more seldom with a hot which if it be unequal it then raiseth up many Vapors and it is to be removed and quite taken away by opening the Vein either of the left or the right Arm according as the Pulse and beating is in this or that more restless and unquiet and especially if there be present a Plethory or over fulness of pure and good blood by the application of Cupping-Glasses to the Thighs by the removal of the Cause that is constantly and continually giving in supplies of matter and moving it up and down and from place to place and likewise by the discussion of the said matter And here there availeth much the Oyl of Citrons with some Conserve the right and true Phaponticum two scruples thereof given in Wine the Confection of Alchermes the Treacle Water with Camphire of Crollius Or 2. it is sent from the Inferior Parts the Stomach the Womb the Hypocondria c. And then regard must be had unto those parts 3. Or else it is Malignant and Poysonous and then there is present an extraordinary vehemency of the Motion which passeth into an inequality of al sorts as also into a fainting of the Heart and a Syncope or Swooning fits In this case there is commended the Cordial of Crollius made of Gold the Emulsion of Margarites with the water of Borrage and Cynnamon the Experiment of Thanckius of red Cora prepared and Margarites dissolved in the water of lavender by the inspersion of the oyl of sulphur or vitriol the water of Cinnamon with the spirit of Juniper c. Epithems of Alexipharmicks 4. Or else it is not poysonous unto which those things above mentioned may fitly be applied II. One is
in his Pharmacop restitut Oyl of chamomel saphirine a bolus made of three drams and a halfe of electuary diaphenicon and two scruples of philonium romanum is most commended by some Four grains of laudanum opiate with the decoction of chamomel After the use of all which things that strengthen the stomach must be applyed 2. The cause it self of which in the differences The differences are taken from the parts and Causes I. There is one pain of the coats which is simple and to which the former things ought to be applied another of the mouth of the stomach which discovers it self by faintings and swounings somtimes by immoderate sweats and anxiety and then it arises both from an attrition of the Stomach which happens after taking of meat with coldness a stoppage of the pulse and breathing either from the meat boyling in the Stomach before it be sent forth or turned into flegm and t is cured with oyl of spiknard applyed hot to the Stomach and one dram of pepper exhibited And from the astriction of the Stomach which happens by reason of the astriction of both orifices and the meat descending it ceaseth they ought to be distinguisht The cure is past hope if it befal them who have an orifice of exquisite sence if their extreme parts be cold and if it proceed from poysenous things II. Another is from external causes as kernels pins sharp corrupt or much meat and then a vomit does good and if poyson have been taken things alexipharmacal must presently be applied Another is from internal causes 1. From humors viz. Cholerick Flegmatick either falling thither from some other part as is wont to be in feavers or generated there which if by mixing with the meat they become less acrid upon taking of nourishment the paine is asswaged if cleaving to the coates they are stirred by taking of meat or sticking to the bottom they be raised up the paine is increased after meat The cure ought to be sought from the chapters of distempers Observe that hiera in a tough humor ought to be mixt with stronger medicines that it may overcome the matter Zacutus his syrup and pouder Lib. ult c. 2. n. 11. hist is very good 2. From vapors either contained there of which Tit. 2. c. 1. a. 4. Or sent from some other part from the womb worms c. 3. From worms ascending to the orifice of which in its place III. Another is from diseases molesting the Stomach viz. distemper tumors wounds ulcers c. of which we treated before II. The heat of the stomach is an ebullition of humors in the stomach caused by the power of preternatural heat so that the heat is perceived even to the throat There is no need of signs in this symptom The CAUSES are acrid vapors raised either from meat acrid in its own nature in cholerick bodies during the concoction of the meat and the Stomach troubled with strong motion raised up from a cholerick humor which whiles they are compelled to break forth by the gullet sticking there they burn that and the mouth of the Stomach The CURE is more difficult in those whose substance of the stomach is as it were besmeared with choler because the Region of it is dyed by the bladder of gal with a saffron color and the same ftain doth penetrate even to the internal membrane It doth respect 1. The heat it self to allay the which many remedies are given the cheif are these a Bolus compounded of two drams of sugar of Roses two ounces of crabs eyes prepared and bole armenick half an ounce swallowed in parcells A pouder compounded of Christal calcined one dram and an half Pearles prepared one scruple Coral prepared Chalk each one dram Sugar Candy two drams the dose is one dram given in drink Spirit of vitriol coagulated one scruple given in drink which ought to follow a liniment of the best pomado half an ounce Camphire one dram oyl of bricks two drams badgers greaâ—e half an ounce Salt of vitriol one dram 2. The cause of the heat which is to be tempered and emptyed Article 2. Of the want of Appetite An anorexy is the prostration of appetite in relation to al meats arising from the defect of the sence of sucking in the upper orifice of the Stomach This symptom needs no Signs The patient complaineth and 't is observable by the standers by The CAUSE is the defect of the sence of sucking in the lower orifice of the Stomach which from whence it proceeds shal be said in its differences The CURE is doubtful if it happen in the declination of a disease or from the long continuance of it or from weakness or moderate evacuation because it indicates the extinction of natural heat and threatens a relapse If it befal children who are naturally great eaters and want much nourishment because it signifies a great preternatural excess If it afflict in a disease of long continuance with sincere stooles because it shews an extinction of the appetitive faculty in the orifice of the stomach either by reason of extraordinary cold or of some matter extreamly putrefied If it arise from the brain by the hurt of the nerves of the sixth conjugation Of little hope if in some disease there presently follow it a great appetite to meat no crisis preceding nor an abatement of the disease because it signifies a hurt of the brain and an extinction of the sensitive faculty It relates to the causes of which we shal treat in the differences The differences of the prostraction of appetite are various I. One is Greater which is properly called Anorexy in which nothing at al is desired with which agrees the former definition Another is less called a dysorexy in which meat is desired but less or later than nature requires it it and arises from the sence of sucking weakned or overthrown II. There is another without nauseousness and hating of meats which may be called shappetency of the Causes of which shal be treated in the following difference Another with hating and t is called a loathing of meats It ariseth from Cholerick and corrupt Juyces yet void of acidity and saltness which because they are unfit to nourish the body they are not suckt in by the veins yet do possess the Orifice of the Stomach 'T is Cured with those things which do correct a hot distemper and empty the Humor See the Cataplasme in Zacutus l. vlt. c. 1. n. 5. III. There is another from the want of Sucking which is Caused 1. By the abundance of nourishment in the whol body in which the strength is not cast down the which is taken away by fasting exercise frictions c. 2. By an impotency in the Stomach to corrugate or wrinkle iâ— self up either by reason of a distemper either hot relaxing the stomach and diffusing the matter or cold destroying the Native heat the first Cause of appetite or by reason of a redundancy of vitious humors especially crude Excrement insipid
Clammy and Flegmatick whether generated out of the meats or flowing thither from some other part The Cure ought to be fetcht from the Chapter of distemper 3. by a defect and weakness of attraction Either by reason of a cold and moist distemper or by reason of the interception of the passages by the obstruction of the mesaraick and hollow part of the Liver in the Cure of which those parts must be respected 4 By hindrance of Evaporation either when the substance of the body is not emptyed either by reason of the constipation of the pores and thickness of the Skin which a Bath of sweet water wil take away or the weakness of Native heat whether acquired by a cold distemper or idlenss or by reason of the tenacity sixt and firme concretion of the substantifical moisture which doth not easily yeild to the gentle and pleasing heat that feeds upon it There is another from the not perceiving of the sucking which 1. by Diseases of the brain in which either the Nerves of the sixth pair are affected or the Animal spirits are not generated or their influx is hindred or which happens in acute Feavers they do languish or the faculty as in the Phrenitical c. is converted another way The Cure ought to respect those Diseases 2. by Diseases of the Stomach it self whether they be of distemper or of Composition or of solution of unity of which we treated before The appetite is raised by taking away the causes partly by cooling things if a hot Cause did precede partly by heating things if a cold Wormwood Wine is very much commended Article III. Of too great Appetite Too great Appetite is distinguished into two Species viz. A Dog-like Appetite and Bulimus I. A Dog-like Appetite is a continual insatiable desire of Eating arising from a Vehement sense of sucking in the mouth of the stomach afflicting somtimes with vomiting somtimes with a loosness There is no need of SIGNS whereas they are exprest in the definition The CAUSE is a Vehement sense of sucking and pricking in the Orifice of the stomach but whence it comes is explained in the Differences The CURE which is timely to be administred least the sick fal either into a custome of vomiting or into the Caeliacal passion or into a dropsie doth respect 1. The hunger it self which is allayed either with the Use of Fat things or with the Yolks of Egs hardened in Water or what is best with Wine 2. The Causes of which we wil treat in the Differences The Differences are taken from the Causes urging the Suckings I. One is from the too great want of nourishment in the Body or by Reason of worms feeding on the Child which shew themselves by biting and they are cast forth by the use of Hiera Picra or by reason of too great Evacuations both sensible and insensible by the habit of the Body by Reason of too great a heat of the moisture to which conduceth much the tenuity of the Humors and thinness of bodies Laxness of pores c. And then sweats do molest The Cure is to be turned to the Particular Diseases Or by reason of the long use of Detersive Nourishment as Pigs Lobsters c. II. There is another from cold acid and more austere Humors wrinkling the Orifice of the Stomach compressing and pulling it as are acid Flegm and Melancholly poured into the Stomach and then the signs of a cold distemper are present amongst purger Hiera Picra is good as also Zacutus his Wine Lib. Ult. Hist Prax. ca. 2. n. 9. II. Bulimus is a great Appetite Periodical which aftentimes ends in a Nauseousness with Faintings away and loss of strength The Signs are explained in the Definition The Cause is doubted of by Physitians yet most do hold that t is a cold distemper of the Stomach whereupon t is wont often to happen to those that make long Journeys through deep snow There is no Cure if it happen in Chronical Diseases somtimes after Feavers and other Diseases it threatens a relapse It respects 1. The time of the fit when the swouning happens in which we must use frictions and revivers as the smel of Wine Vinegar c. 2. The time out of the fit in which after the sick hath recollected himself meats of good juyces must be ministred bread dipt in Wine c. And by external means the heat must be restored to the Stomach Article IV. Of a Depraved Appetite or Pica Pica which is also Citta and Malacia is so called from the bird Pie which is sick of this disease it is an absurd appetite to a strange substance liquid or solid beside the ature or essence of nourishment from a sad sense of sucking and corrupt judgment not discerning things fit or unfit for eating from a Vitious Excrement imbibed in the coats by a peculiar propriety of substance molesting the mouth of the Stomach The SIGNS are manifest because they desire meats of Vitious qualities there preceded excess indigestion use of meats and drinks of evil qualities a suppression of the Courses c. The CAUSE is a sad sense of sucking Molesting which is Caused by the matter impacted in the Coats of the Stomach either acting by its whol substance or by a manifest quality arising from an evil Course of Diet or sent from some other part as from the womb whereupon t is familiar to Childing Women about the second and third Month but there is wont at the beginning while the Causes do alter to be raised a desire of contrary things but when by long custome there is a familiarity contracted things like are desired The CURE must be haistened left a Cacochymy or Dropsie be caused The peccant matter is most commodiously cast forth by vomit which in Childing Women must be Caused by those which are more gentle The Stomach may be strengthened with water of Cinnamon of Orange Pils magistral of Corals c. Article V. Of too great Thirst Too great thirst or Poludipsia is a greater and oftner desire of accustomary drink by reason of a sad sence of sucking in the Mouth of the stomach arising from the defect of moist nourishment and the alteration of its proper Humidity The SIGNS of the Symptom are manifest of themselves The CAUSE is a sad sense of sucking which the want of moisture and the plenty of heat have raised but whence that proceeds shal be explained in the Differences The CURE doth respect 1. The too urgent Symptom which is mitigated by Crystal or Coral held in the Mouth cold water corrected with a little Vinegar the iuyce of live Crabs with water of violets and Housleek sprinkled with a little Niter a Lohoc compounded of the Mucilage of the Seeds of fleawort and quinces of each half an ounce Sugar Candy of violets pouderd Starch Tragacanth of each one dram Syrup of violets as much as is sufficient With spring Water boyled with Sugar Candy adding a Pome Citron cut in two c. II.
of the parts about the stomach if it proceed from the Ileon because t is an argument that some nervous part which hath consent with the brain is affected if it be joyned with losse of speech It respects 1. The symptom it self which is restrained by things stupefying as of philonium romanum one scruple saffron cinamon each two grains Laudanum Opiate one grain with oyl of sage as much as is sufficient 2. The causes concerning which consult with the differences The differences are taken from the causes and other things 1. One is from external causes as refrigeration either by reason of the ayre or cold drinke where holding of the breath and anointiag of the back and stomach with hot oyls doth help From sharp nourishments or medicines where Ptissan drink or oyl of sweet almonds is a remedy from too much emptying which is followed with a driness and corrugation of the stomach where an imulsion of the four seeds with temperate anolepticks takes place From corrupt meats which aloes wil purge forth from poyson taken which treacle resists Another is from internal causes as are 1. hot and acrid humors which require a vomit or gentle purge by the use of terra sigillata or bole armonick they grow more mild 2. Cold humors which must be prepared and emptied the extract of castor is of force oxymel of squils Elixir propriates and sneezing takes its place 3. Winde which is discussed by a nodulus compounded of dil and poppy seeds by oyl of Cumming seed or by the imposition of oake ashes sprinkled with mallego wine aplaister of bay berries 4. Matter which is wont to be in an inflamation of the liver 5. internal diseases as an inflamation of the liver wombe stomach brain or some other part also a feaver in which observe in the begining of the feaver it ought to be taken away by gentle evacuation in the state we ought not to feare because t is a signe there wil be a crisis by vomiting in the augment it signifies either that the humor flowes to the cavity of the stomach and then the hickops is sildomer and by taking of meat or a gentle medicine 't is layd or into the substance of the stomach and then the hickops is so frequent that by reason of it the patient seems to be choaked it must be stopt by stupefactives if by reason of the vehemency of the feaver we may not purge Article 8. Of belching and rumbling I. Belching is a violent breaking forth with noise of wind residing in the Stomach through the upper parts There is no need of signs to discover it for it is manifest The CURE must not be neglected for if they be frequent and much they signify the vehemency of the cause and trouble digestion if they be before meat they dispose to the colick if after to the dropsy Yet belching is good if it be supervenient to an asthma if it happen in a long loosness when as it was not before because it is an argument that there is againe some concoction It respects principally the cause of which elsewhere The CAUSE is wind generated in the stomach or sent thither from other parts especially from the hypochondria As concerning the differences 't is divided threefold I. One is moderate which because it voids by the mouth windy excrements is not to be stopped another frequent which is to be taken away II. Another is acid which is either from meats of hard concoction or from a cold distemper of the stomach and then honey sugar and other things turne sowr If it continue long it threatens a dropsy or lientery The sick are not easily subject to a pluresy The cure is to be turned to the distemper III. Another is Nidorous which is either from the meats sending such a vapor from them as are radishes onions fryed meat fryed eggs or from the too much heat of the stomach So corrupting the meats whether it be so either essentially or by consent IV. There is another insipid which proceeds either from flatulent meats or from the plenty of it and if a long time after the takeing of the meat it savour of the same it signifies a great weakness of chylification II. Rumbling is a sound of the belly caused by humors or wind running up and down the Stomach or gutts It hath the same causes the differences are alotted both according to the diversity of the sound whose cause is plenty of excrement and the largness of the passages and the nature of the part in which it is conteined For it is dry and thin which makes an acute sound moist and thick which makes a grave or base It is either in the thick guts from whence the graver sounds break forth or in the smal gutts from whence the clearer and acuter and if there be moisture with it there ariseth a smal murmuring which is the fore-runner of a moist stoole at hand It is either in the cavity or within the coats nay there hath been knowen a wind that ascended to the throat making shew as if it would suffocate and after an hours space hath returned to the stomach Article IX Of nauseousness and Vomiting I. Nau eou ness is a vaine desire to vomit with a sad molestation heat and anxiety by which the stomach contracting the lower parts and dilating the upper doth endeavour to cast forth those things which are offensive to it but by reason of weakness or the scarceness or contumacy of the matter it voids nothing by the mouth but a thin watry humor There is no need of Signs the causes are declared in the definition and differ only gradually from those which cause vomiting therefore we shal treat of them when we do of vomiting II. Vomiting is a sensible and palpable casting up with violence through the upper parts the matter conteined in the capacity of the stomach There is no need of signs when as the symptome is manifest But the business is not of that which is Critical which happens as the work of nature for the benefit of the sick and either lessens or takes away the matter but of that which is symptomatical which is foretold by a paine in the head caused by consent darkeness appearing before the eyes rigour coldness of the lower parts of the hypochondria moveing of the lower lippe the flowing forth of much drivel c. The cause is whatsoever can offend the upper orifice of a weak stomach and irritate it to expulsion either by its plenty or biting quality or by the nature and disposition of its substance The Cure is difficult if al colours be vomited because they signify dangerous affections in the body if that vomited be of a leek color or black because it indicates an excessive heat in the veins and great corruption of the humors unless it proceed either from the crudities of some meats or be critical 'T is past hopes if the matter be livid and smel strong because it denotes putrefaction with an
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
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
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes
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
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off