the fluxion can be in them no longer contained it partly sweats through the Coats of the Vessels which have also their pores and is partly sent out of the smal Orifices of the Capillary Veins which open themselves into the substance of the part and shed into the empty spaces which are between the first bodies or Particles whence the parts gather Heat The CURE is performed 1. By Blood letting that more blood may not flow into the part If we should presently fal to work with repellers the matter would be carryed to another place 2. By Purgation because sharp Humors give occasion to the Flux 3. By Alteration that the blood may be cooled and thickned provided the Veins be not strait and the Patient not troubled with obstruction of the Bowels 4. By Revulsion that the Humor may be drawn to a contrary part which is then best performed by bloodletting when the matter is much in quantity and violently moved by other waies and means when it is little Yea and in such a case it may be done by Repellers and Discussers 5. By Repulsion with repelling Medicaments either watry only or withal restringent The Former are to be used in thine Humors seated in the surface of the Body not much in quantity Joyned with Heat and of that sort are House leek Venus-navil or Penny-wort Violets and such like The Latter have place in extremity of pain where the Vessels are large and the fluxion is caused through weakness of the parts affected Chirurgeons frequently use the Whites of Eggs beaten together with Rose-water 6. By Interception with Defensative Medicaments which are fitly applied to such parts as are not fleshy and through which the larger Vessels run Oyl is judged improper to be mingled with these kind of Medicaments 7. By Derivation of that blood which has flowed into the parts 8. By Discussion with discussive Medicaments amongst which the Gentler are the Roots of Marsh-Mallows and of white Lillys Chamamel flowers c. The Stronger Orice Roots Elder flowers Gum Ammoniack Bdellium Bears Grease The Strongest of al are Nitre Sulphur Lime c. The DIFFERENCES are taken from the subject and Cause From the Subject 1. There is one of the Fleshy parts which is finished in the fourteenth day Another of the Tendons and Ligaments which because their substance is more compact and hard is terminated with greater difficulty yet it does not exceed the fortieth day From the Cause Either it is from good Blood and is termed simply a Phlegmon or Inflamation or from bad Blood which has either quite changed its nature and that raises no kind of swelling or it has other Humors mingled therewith and then if Choller be mingled it causes that Inflamation which is termed Phlegmone Exysipelatodes is flegm Phlegmon Oedematodes if Melancholy Phlegmon Scirrhodes Article III. Of the Bubo or Inflamation so called The Bubo is an Inflamatian of the Kernels which are seated in the Arme-pits or in the Groines The SIGNES are a stif swelling that yeilds not to the touch with redness pain and a slight fever The CAUSE is Blood slipt into the Kernels together with a vitious Humor provoking Nature to expulsion The CURE is Doubtful when they ripen slowly because they may turn to dangerous fistulaes It is according to the Cure of Inflamations Digestion must be procured by stronger Medicaments because the part affected is colder Suppuration ought to be hastened least new ones should break forth The Balsam of Sulfur and the Plaister of Sulphur of Rulandus are commended The Differences are divers I. One is Symptomatical to which that which was lately said is appliable Another is Critical which follows another Disease and eases the sick by its breaking forth It must be left to Nature if the Crisis be perfect if it be imperfect the Humor must be drawn forth by Cupping-Glasses and drawing Medicaments II. One sort comes in the Groines which is sooner ripe because it springs from blood and more Heat flows to those parts Another is in the Arme pits which for the contrary Cause is long ere it come to Maturity III. Some Buboes are Neither Malignant nor Contagious which being in the extream parts of the Body are soon suppurated and not dangerous Others are Malignant Pestilential or Venerious of which see in their proper places Article IIII. Of the Phygetlon Phyma Furunculus or Felon Tumor so called Phygetlon or Panus is an hard swelling somtimes arising after Feavers or pains in the Kernels or Almonds of the Eares It Arises either Externally from an Ulcer Pain Bruise or Internally from Chollerick Blood or a Feaver and is long in ripening Oyl of Guaiacum Wood is good in this case Phyma is a round swelling of the Kernels smaller and flatter than the Phygetlon less read and less painful which soon comes to its height and turnes to suppuration It Arises from Flegmatick Blood and troubles Children cheifly It is Cured by ripning through application of tosted Wheat c. Furunculus or Dothien a Felon is a little swelling sharp pointed not exceeding the largness of a Pigeons Egg remarkeable for its redness and pain when it tends to Suppuration Its Signes are known by the definition It seldom comes single It Springs from thick blood and is thereby distinguished from an Inflamation and the said Blood is not much a dust and so it is differenced from a Carbuncle The Cure is easie especially if it rise high pointed and is not hard nor forked It is performed by Ripening It is either Mild and Gentle occupying only the Skin or Malignant rooted in the flesh Or it is Pestilentical and Epidemical which being black or green is joyned with a Malignant Feaver Article V. Of the Tumer Parotis Parotis is an Inflamation of the Kernels behind the Eares proceeding from Blood either pure or mixed with vitious Humors The Signs are Swelling Pain Redness which appears behind the Ears The Cause is blood either alone or mixed with other vitious Humors which slips into these parts being sent from the whol body or from rhe Brain In the Cure we must not repel but Discuss by gentle Medicaments least stronger should exasperate the Pain Also Suppuration may be procured when Nature tends that way The DIFFERENCES are divers I. One sort is Critical arising with Critical signs which is easie to cure unless it hapen in the end of a Disease after other Evacuations without the Abatement of the Symptomes If it vanish away without Suppuration it wil come again It must be left to Nature and being returned it must be judged of according to the Nature of its return Another is Symptomatical which if it spring from crude and undigested matter it is dangerous because the place is so nigh the brain In the Cure its antecedent Cause must be deminished and the Matter discussed softened and opened that the Quittor may do no hurt II. Some are without feavers others with feavers which are more dangerous III. Some are without Malignity others are Pestilential
to be dissolâ—â—d should putrefie For the Dissolving hereof excellent good is that broth that is made of the stalks of the Herbs following together with an Ablution or washing of the Paps with Water Wine and Vinegar mingled together a Fomentation of the Decoction of Marsh-Mallows Fenugreek and Melilote c. A Liniment laid thereupon of the Oyl of Roses Sweet Almonds the Juyce of Smallage and Parsly and Vinegar in which there hath been first dissolved the Curd or Runnet of a Hare The Water of Hemlock is thought to be good for both the foresaid Purposes And so much of the Diseases of the Chest or middle Region THE TENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning the Diseases of the lower Belly Title I. Of the Affects of the Gullet Chap. 1. Of the Diseases of the Gullet THe Diseases of the lower venter comprehend under them the affects of the Gullet stomach Guts Anus Mesentery Liver Spleen Kidneys Bladder Genital Parts in Men and Women the Navel and Belly The Diseases of the Gullet are Distemper Tumor Straitness Wounds and Vlcers Article I. Of the Distemper and Tumor of the Gullet 1. The Distemper of the Gullet is a recession of it from its Native to a preternatural Temper it s known by the swallowing being hurt 'T is divided into a hot one which happens from without from fumes pouders c. from within from Vapors in burning Feavers a hot and dry Distemper of the Womb and then there is perceived a Redness and Roughness on the Tongue with thirst which is cured by cooling means somwhat clensing 2. into a cold one which either proceeds from too cold drink or otherwise and is taken away by things that heat 3. Into a moist one which issues from the Defluxions of catarrhes Salivation c. and Causeth a Relaxation of the Gullet so that the lower part of it and the upper mouth of the Stomach lie open 4. Into a dry one which ariseth from dry things and Causeth Roughness and is Cured by suppings of Chicken Broth or fresh butter II. A Tumor of the Gullet is its excess in its Magnitude 'T is known by the pain in swallowing most of al in the hinder part and back by the stoppage in swallowing so that if a great bit be to be swallowed somtimes the drink runs through the Nose it proceeds from the same Causes from which we said Tumors in general did arise 'T is often hard to cure because it endangers Suffocation but after the same manner as other tumors viz. In the beginning by replling means in the Augment by external and internal resolvers in the state by discusives let vomits be avoided for fear of suffocation unless when t is come to suppuration that the Tumor ought to be broke 'T is divided I. Into a hot one with which is Joynd a Feaver great thirst pain in the Cure of which bleeding takes place and into a cold one in which the pain is less and in the Cure of which the repellers ought to be gentle the resolvers and discussives stronger II. Into that which possesses the upper part of the Gullet and then meat cannot go down and into that which infects the lower part and then the Meat after it hath descended a little way stops there Article II. Of the Straitness wounds and Vlcers of the Gullet I. The Straitness of the Gullet is when its Passage is Contracted 't is known by this that liquids are easier swallowed than solid things 'T is divided according to its Causes for one is from external Causes as from astringent medicines or some things swallowed and then the business is known from the standers by or the Patient himself it must be cast up by vomiting or Coughing or furthered by moistning and Emollient means applied outwardly and inwardly or be thrust down with a Spunge Dipt in Oyl of sweet Almonds or taken out with that excellent Instrument of Fabricius Hildanus Another Cause is from a Tumor Worms ascending out of the Stomach and Guts from Scorbutical and Hypochondriacal Vapors distending the Gullet and compressing the rough Artery from the Luxation of the Vertebrae of the Neck and back which may be seen in their proper place Another is from thick Flegm kurdled milke c. Sticking in it where Oxymel of squils and vomits takes place II. The Wounds of the Gullet in respect of their Causes are twofold for either they are Caused by a weapon and then the situation of the wound shows it if vomiting happen somwhat is cast forth through it and t is hardly Cured Or from some smal bones swallowed and then t is easily manifest Medicines that are grateful to the Stomach ought to be administred III. An Ulcer of the Gullet is known by the pain when some sharp sour or Salt thing is swallowed though in little quantity by its biting and by the casting up of matter 'T is hard to be Cured because the parts wil scarce grow together in a Membranous body It hath its Differences from the Causes for one is from external corroding things as Aqua Fortis mercury Sublimate and then we must work with Lenient Vomits and such as are clammy as the Mucilage of quince Seeds Fat broths Another is from a wound Tumors imposthums another from the casting up of sharp Humors c. Chap. 2. Of the Symptomes of the Gullet AMongst the Symptomes of the Gullet the Principal one is the hurt of swallowing which is twofold for one is by Reason of the resolution of the Gullet the faculty being hurt by Reason of the Resolution of the Nerves of the sixth or seventh Conjugation it s known by this that solid things are easier swallowed than liquids as being thrust down with less labor for these require a greater force to make them yeeld to the impulsive Body It ariseth either from a Defluxion and then there is felt a heaviness in the Head a distension of the Neck and the Rheum it self or from some other Disease t is dangerous and ought to be cured by Medicines good against Palsies the Second is by Reason of Convulsions which ariseth also from a wound and t is most dangeous in old people There is another from the affects of the part of which we have treated formerly Title II. Of the affects of the Stomach Chap. 1. Of the Diseases of the Stomach THe Affects of the Stomach are either diseases or Symptoms to those belong distempers Tumors wounds and Vlcers the other see hereafter Article I. Of the Distemper of the Stomach in general The Distemper of the Stomach is a preternatural constitution of its similar Parts in the first qualities The SIGNS of that are the hurt appetite and concoction a change in the Excrements a heaviness in the Stomach and waving of it and distillations from the Head which most commonly happen The CAUSE is whatsoever can Internally or Externally alter it The CURE is performed I. By the alteration of the distemper by contraries then the Medicines ought
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
Sweats and Baths do lessen the quantity of humors because they raise that which dissipates and dissolves the substance of our body III. Tasting does the same because nothing is rest ored in the Room of what is dissipated through restraint of food Because it equally evacuates the whol body it ought to be used in an universal cacochymia Because it operates too slowly it is unuseful for a sudden evacuation Also old persons can better beare it then children Cholerick and leane persons cannot endure it long IV. External Hemerohoides or a portion of the hemorrhoidal veines are used to diminish plenitude and for the diseases of the kidnyes womb back and hip They must be opened by frictions Leeches Fig-leaves rough cloaths juyce of Onions Centaury c. The internal are opened by clysters and sharp suppositories to cure hypochondriacal distempers of the Liver spleen and Mesentery V. The Courses are to be moved then when naturally they use to flow IV. Cupping-glasses are applied when blood is not very plentiful in the Body Their greatest use is in Revulsion They are conveniently fastened to the Armes of women with child If their use respect the whol body they must be applied to the inferior parts if they respect any part they must be applied to the same part VII Scarification if it supply the place of blood-letting it is practised cheifly upon the thighes yet sometimes upon the Arms and Back and so it revells from the Head If it be used upon its own account it is to avoid a malignant and sharp matter which is practised in the Gangren and in Callosities or Calous disorders VIII Leeches if they are applied to evacuate the whol body they must be applied to the great and prominent veins which are in the Armes and thighs In women with child they are applied only to the Arms. Article 1. Of the Removal of Causes which offend in the Quality Point 1. Of alteration The Removal of the Causes offending in Quality consists in Alteration Purgation Vomiting Urining and sweating Alteration is the contemperation of Causes offending in quality by convenient remedies And it is so many fold as there are causes or humors And therefore I. Choler because it offends in Heat and drouth needs cooling and moistning and if it be withal thick it needs it cision and attenuation if thin incrassation or thickening See the Medicaments before Now for their more convenient use we must observe 1. That Infusions are best in the water so that the decoction be made til a third part of the liquor only remaine 2. If a flux happen to rise we must forbear the use of sharp medicaments least they bite and vâ—x the Guâ—ts yet may we use syrup of red Corants Barberies II. Flegm because it is cold and moist requires hearing and drying and if it be withal thick and clammy it needs cutting and attenuation The Medicaments we formerly recited Touching their use observe these rules 1. Abstaine from such as are very hot at the beginning least the matter being melted should swel with greater motion and the thin parts being consumed the thick should remaine behind And therefore they ought to be put green into decoctions in their defefect cold things ought to be mingled with the dry ones 2. Stong openers ought to be avoided in a woman with child 3. Because where flegm is troublesome there the stomach languishes to those that are not accustomed we must give them their drinks actually hot 4. If you would have the remedies penetrate the most distant parts of the body and carry their virtues with them they must be given boiled or beaten in broath of Guajacum with a great Quantity of Liquor III. Melancholy in which we must abstaine from immoderate use of Vinegar especially if the matter be more fervent than ordinary For black humors do ferment and swel by the admixture of vinegar And therfore if we are to use it we must give Oxymel with a decoction of Citron peels or some such thing IV. If divers Humors are mixed together we must cheifly set our selves against those which are most active not quite neglecting the rest whether within or without the body Which shal be done when the veins are free from obstruction al the passages of the body open the humors not far from a temperature and the noble bowels free from obstruction In opening syrups Heurnius observes this order 1. First syrup of vinegar is given then syrup of the two roots without vinegar then the said syrup with vinegar after that syrup of the five opening roots then Syrups of Byzantinus so called without vinegar and lastly the said syrup with vinegar Point 2. Of Purgation Purgation is a convenient â—â—awing out of Humors offending in quality but yet prepared out of the Body by medicaments which purge by way of stoole I. Those Humors are either smal in quantity or plentyful and either they cause a fever which is vehement or weak or they cause no fever or they wander through the whole body with vehemency of symptomes or not II. By Coction in this subject we do neither understand that which is called pepsis and is a changing of the thing to be concocted into the nature of the Concocter nor is it that coction which is opposed to crudity which is the indigestion of aliment in the stomach liver and veins or humors having passed the mediocrity of Coction as in yellow and black choler nor the redundancy of cold humors but that kind of Coction which is called Pepasmos and is nothing but the reduction of humors disagreeing in substance and qualities corrupt and putrid unto a similitude and the separation of the corrupted from the uncorrupted which is performed by the Efficacy of the Natural Heat separating the profitable from the unprofitable Yet is it not necessary that al humors be concocted For there are humors which are not in a capacity of concoction being severed from the concoction of the blood as in Catarrhs the Colick Flegm Hydropical water and such as offend by some hidden Quality III. Preparation of Humors is twofold 1. To Coction which is performed by removal of all impediments by diminishing the Humors augmenting the natural Heat and repairing the forces of the body 2. To evacuation which is done when the Humors are made fit for expulsion such as are clammy being cut and the thick attenuated the waies being made free and open with clysters emollient broaths and the like IV. Touching Medicaments these things are to be observed 1. That they are either moderate which reach only the inferior parts or vehement which penetrate beyond the liver and into the habit of the body that they are either catholick or universal by which al humors are purged together or such as draw some particular humors and they Choler purges Flegm purges Melancholy purges Water purges 2. That they ought to be addicted and accommodated to the part to be purged And truly Agrick is appropriated to the Head Cassia to the
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
Vapors somtimes from the whole Body somtime from its parts as the Arm-pits Privities Feet From the whole Body either because of some propriety of temper or by reason of the blood and seed being corrupted in the Womb or through some accident during the time of a Womans Belly-bearing From the Parts by afflux of Excrementitious Humors in moist bodies which being thrust thither because they cannot freely exhale they conceive putrefaction and stench In the Cure regard is to be had of universal Remedies Let the Diet encline to dryness and resist Putrefaction Let also the foresaid parts be often washed with a Decoction of Scabious Mirrh Guaiacum and anoynted with an Oyntment of Orice-Roots Lignum-Aloes Ballom of Citrons and Nutmeg compounded together or let them be sprinkled with Pouders Title III. Of the Diseases incident to the Hair Chap. 1. Of falling off of the Hair THe third kind of external Diseases are those of the Hair under which are comprehended Shedding of the Hair Graynes of Hair Dandruff and the Plica Shedding of the Hairs is when they do for certain Causes fal from the Body It is divided into certain sorts viz. Defluvium Calvities Area and Tinea 1. Defluvium is such a falling of the Hairs that either all or most of the Hairs fal of here and there in several places It is known most easily It arises from divers Causes 1. From defect of nourishment as is seen in persons having the Consumption and such as are sick of a Malignant Feaver In the Consumption there is no Remedy In other sorts the Head must be frequently rubbed that the nourishment may be brought thither The Head must be washed with a Decoction of Capillary Herbs 2. From the Pravity of Humors which Eate and corrode the Roots of the Hairs In which case universal Remedies being premised things moderately Discussing are to be used Ladanum is to be mixed with Oyntments 3. From the Rarity of the Skin Then such things as thicken the Skin as Ladanum Oyl of Mastich and Myrtles a Decoction of the Roots of Burdock made in Lie II. Calvities Baldness is when the Hairs fal wholly of from the fore part of the Head T is known by the Eye-sight It Arises from defect of Aliment dryness of the Brain either through Age or some violent cause as too much use of carnal Embracements There is no Cure of baldness yet it may be preveted and deferred 1. By good Diet in which biting salt and astringent things strong Wine too much venery ought to be avoided 2. By supplying nutriment to the Hairs by such things as correct the dryness of the Brain 3. By drawing Aliment to the Roots of the Hair In which case Moderate frictions are good and drawers joyned with things moderately astringent Ladanum dissolved in Oyl of Mastich Washing the Head with a Decoction of Faenugreek c. III. Area is the falling off of the Hair from certain parts of the Head so as to leave bare bald patches here and there arising from a bad and corrupt Humor fretting the Roots of the Hairs It is known by the sight and by the differences of which anon It arises from the Humor named in the description especially from Flegm Salt adust and putrified through fault of the Brain and an hot Liver and corrupt meates as toad stooles c. The Cure is easie if the Disease be fresh If the place being rubbed quickly grows red If the Extremities of the bald patches which border upon the hairy parts begin to shoot forth Hair afresh Hard if the Skin be thick fattish and wholly void of Hair If the Disease be old None if the place being rub'd grows not red T is Performed 1. By Evacuation of the Vitious Humor by purges and Apophlegmaiismes 2. By driving back the said Humor while it is in Flux 3. By digesting the same when it is fastened into the Skin by Medicines hot and of thin parts not very dry least the Aliment be Discussed First the Weaker sort as Southern-wood reed-Roots burnt afterward the stronger Mustard Water-Cresses white-Lilly Roots which ought at first to be more Liquid and left so long on til some alteration be perceived in the Skin Beares-Grease helps by a secret Propriety of which with the Hairs of a Bear burnt Oyl of Mastich-tree and other things before recited an Oyntment may be made T is divided two manner of waies 1. Into Alopecia which keeps in its spreading any kind of Fignre and happens in the beard and hair of the Head in any Age And Ophiosis which begins on the hind part of the Head exceeds not the length of two fingers creeps towards the eares with two heads and in some as far as to the Fore-head til the two Heads meet before It cheifly haunts Infants Herein also the Skin is superficially Excoriated the Color thereof changed and if it be pricked Wheyish blood Issues forth 2. Into that which springs from the Whoremasters Pox that which comes from the Leprosie which is incurable and that which comes from other gentler Causes IIII. Tinea when the Hairs fal off one by one being Eaten and consumed by certain Worms T is known because the Hairs are shorter one than another and uneven Smal worms thick in their ends The color of the Hair becomes like that of Ashes It arises from Excrementitious Humors penetrating into the Hairs with their nourishment and therein by Heat changed into worms T is Cured Universal Remedies being premised by Abstersion with docoction of great Nettle smal Centory c. Chap. 2. Of the Porriga and Plica POrrigo Dandruff is when a man scratches or Comes his Head and there fals somwhat out like Bran. It arises from serous Cholerick and Flegmatick Humors which are carried to the Head with the nourishment of the Hairs the more thin parts being Discussed the thicker stick about the Hairs and go into dandruff They are attracted by an over-bot brain The Cure is by Evacuation of the peccant matter By Discussion and Abstersion with some astringents A Decoction of Vetches and Mallows is good in this Case II. Plica is a tangling and folding of the Hairs into Elfe-locks or thickly thrummed and matted bunches arising from plenty of matter profitable to nourish the Hairs but unprofitable for nutriment of the Body and causing divers Symptomes It is known by bunchings and complications of the Hair pains vexing the Joynts and bones convulsions plenty of Lice The Nailes of the great Toes are rough and scaly black like a Goat-Bucks-Horn The Cause cannot sufficiently be explained T is thought to be a Matter affording plenty of nourishment to the Hairs but such as is hurtful to the Body as familiar to the Hairs as in the running Gout Wheyish matter is to the joynts or Polygonon and bone-glew to the Bones whereupon if the Haires be shaven they shed blood It arises from a peculiar corruption of the place Aire and water T is carryed thither with the Blood somtimes Witchcraft may be joyned The
peculiarly affected produces This sort afflicts with sharper Heat Thirst and Watchings They are subject to it who abound with choler The pulse is vehement swift hard The Urine flame-colord and thin 'T is finished in the compass of seven or of fourteen Exasperations It is not deadly unless either some remarkable Error be committed or some malignity attend the same Another is Flegmatick or Melancholick when Flegmatick or Melancholick blood is mixed with Cholerick where together with coolers things gently warming and cutting are to be mixed 'T is termed Notha or a bastard Continual Tertian Point 2. Of a Continual quotidian or every day Feaver A continual quotidian is a Feaver raised by the Phlegmatick Humor putrifying in the Branches of Vena Cava which is exasperated every day It s SIGN is a daily Exasperation which happens towards the Evening because of the natural motion of flegm about that time with heat which is at first feeling mild but afterwards more vehement by reason of the slow and uneven kindling thereof caused by the variety of the parts of Flegm With a light coldness of the extream parts of the Body which nevertheless is not found in al these Feavers The CAUSE is the Humor of Flegm putrifying which is proper to old Men because of their coldness to Children through their greedy eating It Causes so pertinacious and stubborne a Feaver that it lasts somtimes three score daies its beginning reaching to the twentieth day it vehemently weakens the Stomach whence arises a Cachexy and Dropsie The CURE ought to be thus mannaged 1. The first passages must be evacuated with Clysters or Lenitive Medicaments in which case Honey of Roses is effectual or the Stomach must be purged with Vomit 2. Let a Vein be opened if Nature be oppressed with overgreat plenty of Humors and the Urins be thicker and redder than ordinary 3. Purge by stool when signes of coction appear premising attenuators that heat not much first with a gentle then with a stronger Medicament Agarick trochisked Hicra picra Pils of Fumitory are good in this case 4. Procure Sweatings after the matter is lessened with Salt of Wormwood and of Carduus Benedictus and a little Treacle 5. Let strengtheners be given viz. Trochisks of Rhubarb of Wormwood and of Agrimony c. 6. Let the Diet be sparing for three daies if there be Crudities in the Stomach and in the first waies At first give Hydromel or smal Metheglin to drink instead of wine or beer and let no fish be Eaten in the whole course of the Disease This Feaver is divided three manner of waies I. One sort is Simple and Exquisite which arises only from flegm and has fits eighteen hours long Another is bastard when flegm is joyned with other Humors II. Another is termed Epiala in which in the smallest particles of the body understand to the sense both heat and cold are felt at one and the same time It arises either from flegm mingled with Choler or from Glassie flegm which in that part that is putrified is hot in that which is not putrified is cold T is Cured in the same manner that other putrid Feavers are but we must observe 1. That Blood-letting is hurtful 2. That spirit of Nitre in Juniper water is excellent to cut flegm 3. That vomiting must not be neglected which may be procured by six ounces of Juniper water distilled per Descensum 4. Care must be had of the Stomach which nine drops of Oyl of Vitriol with three spoonfuls of the best Canary wil strengthen and cut the flegm or two ounces of Aquae Vitae stilled out of Juniper berries by way of Descent III. Another is called Syncopalis by reason of the swoning fits which is either Minuta so called springing from a thin Humor little in quantity but venemous and corrupt or Humorous proceeding from plenty of Flegmatick and crude humors with weakness of the stomachs Mouth frequent faintings away The best way to proceed in the Cure is 1. By Rubbings in such whose skin is more than ordinarily hard 2. By loosing the belly with Manna and Cream of Tartar 3. By Digestion and Evacuation of Humors giving such things as are necessary for the Syncope 4. By a thin Diet in which wine may likewise have place Point 3. Of a continual Quartan Feaver A continual Quartan Feaver is a Feaver arising from Melancholy blood putrifying in the branches of Vena Cava whose heat alwaies endures but is Exasperated and Augmented every fourth day Its SIGNS are obtuse Heat but sharp and pricking by reason of the Density and dryness of the putrified Humor which causes the Feaver The Pulse at first smal slow and buryed as it were under the skin afterwards great ful and swifter than in an Ague Somtimes the Patient Spawles much which argues either the overgreat moisture of the Stomach or the Spleens fault in not separating the Melancholy Humor It s CAUSE is Melancholy blood putrefying in the middle sort of Veins and springing from its proper causes The CURE is altogether hard both because it lasts to the fortieth day and further unless peradventure it be a Summer Quartan and likewise because seeing that Humor is hard to putrifie it argues there is a great cause 'T is Performed 1. By opening the inner Vein of the left Arme. 2. Cy Preparation of the Humor which must tend much to moistening 3. by Purgation with Melanagogues frequently repeated as also the use of sweaters and piss-drivers 4. by strengthening the Patient with borrage bugloss Citron juyce c. 5. by Diet which ought to be cutting moistening and cooling c. Article 2. Of a continual Symptomatick Feaver Symptomatick Feavers are such as follow upon other Diseases which being removed the said Feavers Cease Their Signs Causes and Cures are to be drawn from those Disease which they wait upon Their Differences are sundry I. One sort is That which follows the Inflamation of some inward partespecially and which is neare the heart or has a consent and sympathy therewith the Vapors which arise out of the blood shed into the part inflamed and putrifying there being communicated to the heart and heating the same It is as many-fold as the Inflamation is The Cure respects the Inflamation II. Another sort there is termed Lipyrias in which during the whole course of the Disease the inner parts are as it were burning up with Heat and the outer parts meane while cold It arises from a vehement inflamation or Erysipelas of some internal part especially the Stomach the blood and spirits having recourse to the part inflamed Either the Cure is not to be undertaken or if it be undertaken resistance must be made inwardly against the putrefaction and extream heat external after the parts have been rubbed heaters and openers of the pores must be applied In which case Oyl of Dill and Oyl of Orice Root with oyl of Vitriol and strong spirit of Juniper berries are good III. Another is slow which is hereby
Differences are taken from the Quanrity and color 1. Some are plentiful others few 2. Soâ—â—e smal others great 3. Some are red from putrefaction of temperate blood others Yellow or Green from choler others of a Pomegranâ—â—â— and Black-choler from Melancholy c. Article IV. Of the Hungarian Disease Morbus Hungaricus is a continual feaâ—er malignant and contagious Joâ—nâ—â—l with abundance of evil bumorâ— about the stomaâ—â— and first Passages and with an extream he adach It may be called the Compe or Soldiers-sickness because it had its original in the Soldiers Camps Its Signs are the same with those of malignant Feavers Also great pains in the Head as also hardness aboue the stomach and are renitency to the touch I under the Mucronata Cartilage cavings which cease when the matter turnes to the Ears and causes Deafness many times spotâ— appear as in the spotted Feaver c. The CAUSE is either their Putrefaction and corrouption of Humors in Veâ—â—â— Caâ—â— or Contagion The CURE is hopeful if the matter rend to the Ears If it be Evacuated by 〈◊〉 'T is Performed according to the Nature of the Causes which see in the Differences and has great respect both to the Feaver and the malignity 'T is divided with respect to the Causes One sort comes from Corruption of humors in the Vena Cava which are cumulated by Errors in Diet. For the Hungarian Air is thick a Nights thin and hot a daies The Soldiers neceive in the Vapors which exâ—â—â—e from the ground Their Diet is commonly had and tending of it self to putrefaction c. 'T is known by the Diet foregoing and pain of the stomach 'T is Cured 1. By drawing forth the Humors both by stoole where Agarick is commended and by vomit also by opening a Vein in the Arme or Ankle which must be done the first or second day if some daies are slipped and either the belly be loose or vomiting happen omit it 2. By Dispelling the maliguity by moderate Sudorâ—ficks frequently given where both Antimony Diaphoretick and Treacle are useful given in cooling Waters 3. By Diet suitable to malignant Feavers Those that drink Wine â—â—esure to die for it Another comes by Contagion or Infection in which case Purgeâ—s 〈◊〉 Vomiters must be â—miteed and only the maligniâ—y resisâ—â— Article V. Of the Sweating sickness the â—â—lignant Feaver with Cramping 〈◊〉 that with the Cough and Cataâ—â— The Sâ—â—or Anglicus or sweating-Feaver began in England in the daâ—es of Heneâ—y the seventh vexing the Patients with exâ—â—â—am Head-ach Vnquietness Panting of the heart pâ—â—peâ—ual and plentyful sweats The Câ—â—se is said to be the moist and Venemous Constitution of the Air enemy to the spirits Heart and more subâ—ile part of Humors one peculiar Influx of the stars concurring to the said Corruption T was Cured meerly with Sudorificks viz. Sorrel Water Scabious water Terra Sigillata c. The sweat was â—â—â—â—inâ—ed twenty four 〈◊〉 ours together The Patient was not permitted to sleep 〈◊〉 the sweat was overâ— nor to be uncovered but was in the mean while refreshed with the Juyce of Ciâ—rons Pomegâ—â—ats c. The Malignant Feaver with a Cramp which arose in Germany in the year 1596. Does vex the Patient with sundry Symptomes and the Cramp among the rest Many were suddenly taken some with falling sicknesâ— others with the Apoplexy in some ravings did endure for some daies by reason of the Contagion which in the space of two years after did Glew it self spread abroad c. 'T is Caused as was thought by pesâ—â—lent Ichors or blood-waters and malignant Vapors infesting the Nerves Which were judged to arise from bad diet occasiond by a general Death In the Câ—â—â— the had and Veâ—emouâ— matter was removed and the Nerves being debiliated were made strong again See touching this Disease a discourse of the Phyâ—â—tians of the Vâ—â—â—â—ty of Marpurge and Sennertus Book 4. Chap. â—6 De Febâ—ibâ—s A. Malignant Feaver with a Catarrh and Epidemiâ—â— Cough arose in the year 1980. And about the rising of the Dog star or beginning of the Dog daies it ranged almost al Europe over It took the Patients with a feaverish heat Head-ach and dry Cough pain of the brest and Septum Transversum roughness of the Jaws shortness of breath c. 'T is thought to arise from the moist constitution of the forgoing years and continual blowing of the South â—wind The Feavers Cause might be the Rheumatick matter diffused through the Veins unless hapily the Feaver being the pâ—â—macy Disease I Nature endeavoured to eject part of the Humor she was troubled with that way In the Cure respect was had to the Humor which Fomented the malignity which was expelled and the malignity it self which was encountted with Alexipharmaca and the Reliques of the Humor were altered To the Member affected which was assisted by appropriate Medicaments Title VI. Of Pestilential Feavers A Pestilential Feaver is a continual putrid Feaver which arises cheifly from the Air and Contagion kils most it seazes receives Putrefaction and beat from the destructive and Venemous Nature of the poysonous Seminary and afflicts the Patient with Bubo's and Carbuncles and greater Symptomes than are usual in malignant Feavers Its SIGNS are Symptomes Fewer and milder than are usual in the Plague of which we shal treat in the next Chapter fee more in the Differences The CAUSES are the same with those of the Plague and differ only in respect of the Contagion Vehemence and Magnitude The CURE is hard or easie according to the multitude Paucity Benignity or Vehemence of the Symptomes Regard is therein to be had both of the Pestilential Venom and of the Putrefaction and Feaver which are to be compared one to another T is Performed I. By Sudorificks not very hot especially if the malignity and Putrefaction are more urgent Distilled waters are most efficacious and Volatil salt of Harts-born II. By Blood-letting before the malignity be shed abroad into the whole Mass of Blood other things being considered which are contained in the general Precepts III. By Purgation of the first Passages especially by Clysters especially if bad Humors abounding be the Cause but Antidotes must be given afterwards IV. By Application of Vesicatories to the Thighs Armes the bending of the Arm as the place shal advise to which the matter we would reveal or derive does take its Cause or about which t is cheifly resident This Feaver admits a threefold Division I. One sort comes with the Pestilence another is without the Pestilence II. One sort in which Both Putrefaction and malignant are at the Height Then the Patients are extream weakened and by reason of the Putrefaction divers Symptomes as watching Headâ—ach Unquenchable thirst c. Shew themselves Another in which Putrefaction is high and the malignity remiss Then the Patients are not so much weakened the Heat in the outward parts is answerable to the Putrefaction til the state about which time if the Patient must die the outer parts begin to be luke warm
Cause Or else it proceedeth from the compression of the brain and the fracture of the skul of which see further in their own propper places Or else it is from the Coalescence or knitting together of the Arteries from their first rise and their entering into the scalp or Skul by that general and common passage through the brain touching which there is hardly any thing to be certainly determinded while the Patient liveth III. Another is from a Vapor ful of windiness generated and bred in the brain which by an inordinate motion being poured forth into the Veins and Arteries doth so trouble and disturb the Animal spirits by driving to and fro that they thus become to be circularly moved and turned round and then they exhibite and represent unto the common sense or Phantasie this fals and feigned species and appearance of things otherwise than indeed they really are It is known by that vehement pain and dul heaviness of the head a long continued tinging and hissing Noise in the Ears and a certain kind of hurt and detriment of the external senses This Evil or Malady is very frequent and such as surpriseth a man upon a very smal and light occasion and yet it lasteth and as we use to say sticketh long by him It ariseth from causes that generate and breed winds and windiness and more especially if the wonted Evacuation be suppressed It is Cured either in the Paroxysm of which we have before spoken or out of the Paroxyim 1. By the Evacuation of the Matter that fomenteth and supplieth these Vapors and that as wel a general as a particuliar one Some there are that are a fraid to prescribe and there are others again as fearful to take those Medicaments that Practioners term Erâ—â—â—â—es which are to be taken up into the Head by the Nostrils to open and purge the brain 2. by Revulsion or drawing back of the said matter as also by Derivation and Discussion of the same by Vesicatories Cauteries frictions and lotions of the Head 3. By Corroborating and strengthening the Brain both by external and internal Remedies Among the specifical and Appropriate Medicaments those that deserve the greatest commendation are the dung of the Peacock one dram thereof by weight macerated in Wine strained and so drunk up the extract of Scorzonera the Roots of Doronicum an excellent drug brought out of Mauritania eaten Bears Ear the fat of Does and land Snakes by annoynting the Temples therewithal the pouder of Silk-worms dryed and strowed upon the Crown of the Head Very effectual likewise for this purpose are the spirits of Rosemary the Chymical Oyl of Yellow Amber Hippocrates his Treacle the pouder of the Right mineral Cinnabar half an ounce thereof Margarites prepared and red Corals prepared of each two scruples Saffron one scruple and then add to the aforesaid ingredients the leaves of Gold in number ten and so let it be administred the dose is one scruple in the water of lillies of the Valley and lastly the electuary of Saxony It is divided into that which is from extream hot blood and then there is present a redness of the Face and a beating of the Arteries In the Cure especial regard is to be had unto the opening of a Vein and that cheifly and primarily of the Basilike if a Plethory accompany the distemper and then presently after of the Cephalick or head vein if the peccant matter abound most or only in the head It is not to be drawn forth al at once but by many Essaies at several times by intervals We ought not to be over rash in attemping the cutting or opening of an Artery and into that that is from a pituitous or Flegmy Humor Then the place where we have treated of the Flegmatick distemper is to be consulted An Evacuation after that a Clyster hath first of al been administred may very conveniently and successfully be expedited by the extract of the Pils called Cochiae from half a scruple to a scruple by a Lixivium and a Balsam See further hereof in Agricola in his first Book 38. Chap. IV. Another there is from an extream windy Vapor elevated from other parts It is known by this that there went before it no hurt or annoyance of the sâ—â—ses and that the distemper afflicteth the paâ—â— frequently and by fits and withal there are present the signs of the part affected It ariseth either from the stomach either pirrocholick or ful of bitter choler or Pituitous and Flegmatick or else by reason of its imbecillity corrupting al the food that comes within it and then the Cure must cheifly respect and be directed unto the stomach And here take place as most requisit and proper a grain or two of Frankincense taken after meals the confection of Fennel of Coriander Sugar of Prunella Saccharum Rosatum or Sugar of Roses the electuary of the Conserve of old red Roses Diacydonium simplex that is an electuary of the conserve of Quinces the spirit of vitriol and the Syrup of mints For what remayneth to be done in this Cure see more in the diseases of the stomach Or else it ariseth from the Liver Spleen Womb whol Body as it usually happeneth in Feavers and then in this case there ought to be an especial Care and regard had unto the Nature and condition of the parts affected and the Various Symptomes Chap. 4. Of the Symptomes of the Imagination and the Ratiocination when they are hurt THe symptoms hurting the imagination and the Ratiocination or rational faculty are the hurt of the Memory dotage a Phrensie Melancholy madness and Raging or raving which we term Hydrophobia Article I. Of the hurt of the Memory The hurting of the Memory is a diminution or utter abolition of the same arising from Causes that hurt the dryness of the Brain conjoyned with a moderate heat and very necessary as to the memory and so by means rendring the Animal spirits either torpid that is over dul and sluggish or else which is as bad inordinately moveable There is no need of SIGNS for the very actions of the sick party discover the Symptomes The CAUSES that hurt the temperament of the brain that is absolutely necessary for the preservation of the memory either they weaken and diminish the Native heat and that likewise either Externally as do al things of a Poysonous Nature al Narcoticks applied to the fore part and likewise the hinder part of the Neck or else Internally as doth a temperament cold and moist which either affecteth Children and ancient people by reason of their Age or else it afflicteth others by reason of meat and drink that is of a cold and moist Nature or by reason of a Gross and thick Air sicknesses and other Causes of which we have already sufficently spoken in the cold distemper Or otherwise they dissolve the said Natural heat such as are externally al Philtra or amorous potions watchings excessive thought fulness Medicaments that are hot of quality Internally hot Diseases
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
compounded and made of Crocus Martis beaten into a most smal pouder and Crâ—cus Veneris of each two ounces these wel mingled together with the oyl commonly known by the name of Oleum Vici Pomarum Symplicium the water of the sperm of Frogs with a little Champhyre and sugar of Saturn put round about the neck Argilla furnaceâ— that is to say Clay baked in an Oven and wel mingled together with strong vinegar like unto a pultise and applied after the same manner Asses dung or swines dung dissolved in Rose vinegar and then put up into the nostrils the shavings or Fragments of Fungus Betulinus the mushrom or toad stool of the Beech tree the Root of white Succory dig'd up about St. James tide at noon day when the sun is at ful south and chawed betwixt the teeth As for the Magnetical Curing hereof by Vitriol see further in Beccerus in his Medicus Mycrocosmus in the Chap. of the blood c. The Hemorrhage is divided in a threefold manner from the Causes from the blood and from the places from whence the said proceedeth I. One is from that we cal Anastomosis or an opening of the orifices of the veins which either is caused by the abundance of blood and then the face is red the veins strut and are distended and a ful feeding went before and here venesection hath its place the head is by no means to be washed or so much as wet with cold water lest that the blood being there deteined something that is worse follow upon it neither is there any linen cloth to be wet in cold water and at the first begining of it to be cast about the neck lest that the ways and pasges between the brain and the heart should by this means be shut up or else it is caused by the acrimony of the blood and the thinness thereof and then there ready at hand signs of a Cacochymy and in this case we are to do the work with those things that incrassate and thicken as Bole armonick Dragons blood in the shops termed Sanguis draconis and such like Orelse it is caused by the irritation of the facculty and then the very same things as before are present and ready at hand or else by the weakness of the said faculty and then there is blood issuing forth by intervals but it is not much and some disease weakening the liver went before and therfore the Cure ought likwise to be prosecuted with special regard had unto the same Another is from a diairesis as we term it or a division of the veins by some sharp corroding humor and like by other means and then the blood issueth forth in a far greater abundance or there went before some violent Cause or else lastly there are present certain signs of a Cholerick Cacochymy Another is from that we cal diapedesis or as we may to term it a passing through by leaping and then the blood that issueth forth is but very little c. See more hereof in the first Book II. One is of the Arterial blood which is hot somwhat red subtile leaping forth with a froth and with violence Another is of the vein blood and this is Thicker and Blacker III. One is of blood issuing and passing forth out of the veins of the Brain and then there went before a pain of the head and the flux is not easily stanched Another is of the same blood leaping or starting out of the nostril veins and then the contrary of what was said touching the former happeneth and appeareth Chap. 3. Of the Hindering and Hurting of the Smel Gravedo or Stuffing and Sternutition Or Sneezing THe principal burt of the sence of smelling is the abolition or the diminution thereof which differ only in degrees and in the greatness of their Causes And this is caused 1. Either from a distemper of the brain which either possesseth the fore part thereof and then the Tast likewise by reason of the branches of the third pair of nerves of the brain Forming the tongue is abolished the voice is loud and shril and no way to be found fault with the Cure here is to have an especial regard unto the distemper or else it possesseth and resideth in the process of those nerves that constitute and frame the organ of the smelling and then there is no hurt at al to be perceived in the brain or in the other senses Or else it is caused by the narrowness and streightness and that too either of the Brain and then there is present and sensibly to be felt a heaviness in the head and here we may operate by errhines and yet not toomany of them neither and here likewise sternutatories are exceeding useful and profitable or otherwise of the Processes of the brain or of the nose within and the Ethmoid Bone and then the voice and respiration are vitiated and the wonted excrements restrained and kept in The smelling is somtimes totally abolished if the Phlegm by heat be baked and hardened at the holes and enterances of the aforesaid bone which chanceth unto such as being troubled with the pose or distillation called coriza heedlesly and without any consideration go into baths In these cases that that cheifly deserveth commendation is the Root of Gentian fitly put up into the â—osâ—ils Castoreum wel soaked in vinegar and afterwards sweetned the Oyl of Nightshade the Errhin of Zacutus in his seventh Book 15. Chap. P. 517. c. touching which we have before spoken in the Chapter of Cactarrhs II. Gravedo or Coryza is a defluxion of the Excrements of the Brain being crude and thin like water unto the nostrils which is accompanied and attended with a frequent sternutation or sneezing This Malady is wel enough known and by it self discovered It ariseth from the distemper of the brain either hot or cold concerning which enough above III. Sternutation is a violent and involuntary expulsion by the nostrills of the flatulent windy spirits and sharp vapours offending the Brain It is done with a Loude voice as wel because the Windy spirit breaketh forth altogether at once as by reason that it forceth its passage through the streight narrow holes of the nostrils It ariseth either from external causes and then the nostrils are to be supled and gently stroked with the oyl of roses or milk or else from internal humors and vapours brought thither touching which see further in their proper Chapters but is wont for the most part and too commonly to be neglected by the Physitians unless in Plethorical bodies it happen to be accompanied with a distillation in the very first beginning of the disease The little veins in the greater angle of the eyes and that is nighest unto the nostrils being forcibly pressed together do forthwith stay and stop the frequency thereof Title VII Of the diseases of the Tongue and the Symptoms thereof THe Affects of the Tongue are a Tumor or swelling Ranula a blackness a Palsy a stammering an Aphony
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
from a humor which is known by this that its invasion is not altogether so sudden and unexpected and that it continueth longer And this is I. Either waterish having its residence in the Pericardium which is not known but with much difficulty albeit the malady be continual and that the sick persons complain of the suffocation of the Heart It is taken away by discussives as wel such as are internal as Treacle Confection of alchermes the Species of diambra as those that are External namely hot Bread besprinkled with a cordial water and applied to the region of the heart Neither vesicatories nor venesection are here to be made use of Or else it is sent from some other parts and by its weight either burtheneth too much the veins Arteries and the ventricles of the heart so that it is thereby deprived of the freedum of its motion as it hapeneth in wounds great fear and terror c. or else by its quallity it infesteth the same which is especially wont to be done by Choler a dust and terrefied by excessive heat and then there wil be need of evacuations and revulsions For the Cauteryes if we make use of any there are no cantharides to be therewithal mingled or put thereinto Treacle outwardly applied if the matter be cold is here commended 2. Or else it is not malignant and of this what hath already been spoken ought to be understood or else it is Malignant and poysonous and then there is great variety in the Pulse which chanceth especially in regard of the greatness and smalness thereof c. III. One is from a Tumor which if it be hot the inflamation in the Body wil be so much the greater and the breathing wil be difficult if the swelling be hard and in the Pericardium the motion is then continnual and the sick person wasteth and weareth away by degrees and without any manifest Cause The Cure is to be proceeded in according to that of a Tumor IV. From Worms which are discovered by the Convulsion for the whole and entire cure hereof see in Hartman The Bezoar stone is here of excellent use V. From the defect of Spirits which is known by the foregoing of dissipating Causes It is Cured by those things that Cheer and Comfort as odoriferous wine c. VI. From a hot Distemper touching which the second Book is to be Consulted Chap. 2. Of Fainting or Swouning FAinting or Swooning is a sudden and Precipitate fayling of al the Spirits and especially of the vital powers and strength with a pulse much weakened and almost totally abolished as likewise with a cold sweat arising from an extraordinary great weakness of the Heart through the fault and defect of the vital spirits of which those that remain retire also from the External parts of the Body unto the Centre to wit the Heart According to the diversity of the degrees of this sad affect so are the names thereof various and different Ecclusis is a smal and light fainting Lepothimia and Leipopsychia is that which is somwhat more greivious and Syncope is the most sad and greivious of them al which last if it proceed so far that the pulse or beating is abolished in the whole Body it is then termed Asphyxia the reason whereof shal be declared in its definition The Signs and that first of the affect not yet present but very neer approaching are especially in persons unaccustomed thereto an Anxiety that neither was nor indeed could be foreseen a vertigo or swimming in the head a representation as it were of strange and various Colors an often reiterated change and alteration of the Pulse The Signs of the Affect present are a suden fal and failing of al the Powers of the Body a Pulse most weak and obscure and so it is distinguished from the Apoplexy the strangling of the womb the Chilness and Coldness of the whole Body but more especially of the extream parts a cold sweat and therefore termed syncoptick breaking forth and chiefly in the temples neck and Thorax which if it be with an abolition of the Pulse it is then to be accounted a sign Pathognomick The CAUSE is a sudden fayling of the vital spirits whithout which neither the heart nor indeed any other part of the body can perform its actions but as touching this we shal speak more fully in the differences There is some hope of a Cure if it be only from the single or simple distemper of the heart if it proceed from evident and apparent Causes and if it be by Consent There is no hope if the patient fal often into these fainting fits and that without any manifest cause if it befal a weak body if the sick person be not raised out of these fits after the sprinkeling of Rose water upon his face and the drinking of wine nor yet even after sneezing wort hath been administred if the heart primaryly lie and labor under this affect and lastly if it affect those that are Feverish and by reafon of the great store of humors with an inflamation of the stomach and the Liver The Cure hath respect 1. Unto the paroxysme in the which the Spirits are to be refreshed and cheered with the vinegar of the flowers of tunica a kind of Gilly-flowers the vinegar of Rue and of the Elder Tree the balsam of white Ambor and likewise by putting to the nostrils wine Rosewater Cinnamon water and carbuncle water c. When the disease is hot then cooling Medicaments but if the Affect be Cold then those Remedies that heat and warm are to be administred and unto women those things that afford the most strong and stinking savour Unto the Region of the Heart Epithems and inunctions of treacle Mithridate and the oyl of Citron are to be applied Wine that is old and odoriferous is here most efficacious II. It respecteth the intermission touching which more shal be sayd now we are come in the next place to speak of the differences The Differences are taken from those Causes that produce a defect of the Spirits I. One is that Spirits are not generated either by reason of a defect of Matter to wit the blood overmuch evacuated and the Air corrupted or else by reason of some defalt in the faculty as wel in regard of the more noted and considerable diseases of the Heart whether they be from its distemper or whether they be instrumental as in regard of the Arfects of the Brain and the Liver yea likewise of the stomach and the womb and of al these there ought to be a special and due regard had in the cure II. Another is from the Dissipation of those spirits that are generated and bred which is caused 1. by those insensible evacuations that are either habitual or else happen from the over great rarity and thinness of the skin and in this case we must have recourse unto perfumes and sweet smelling medicaments and to those kind of meats that afford a good and wholsom
The Causes of which shal be treated in the Differences The Differences are taken from the Causes I. One is from the defect of the dewish substance of the Stomach which is known from the preceding Causes absence of loathing c. it ariseth from those things which can wast moisture as are Labors watchings fastings immoderate Evacuations c. The Cure is to be perfected with meat rather than with drink water which causeth vomiting and a loosness in them is to be shunned the beginning must be taken from moistning which a gentle cooling ought to follow Another from the dissipation of the moisture in the Stomach through heat which is known by the loathing of meat roughness of the Jawes bitter Salt nitrous tast It ariseth 1. Either of it self or from external things the hot Aire sharp Salt meats hot Potions Vehement Motion of the Tongue poysons al which ought to be removed Or from internal Causes as chiefly from an inequal distemper of the Stomach where we must empty and moisten with an Emulsica of the four greater cold Seeds 2. Or from other Diseases viz. A Feaver heat of the Lungs a dropsie c. The Cure of which must be fetcht from their proper places II. There is another without a Feaver which Choler or Salt Flegm do Cause Another with a Feaver in the beginning of whose fit no drink is to be administred lest a greater heat be kindled but the thirst must be deluded by things held in the Mouth in the Vigor we must use moistening and cooling Gargarisms in the declination unless the Patient wil abstain drink may be allowed that sweats may flow more plentifully Article VI. Of the hurt of Concoction or Chylification The hurt of Concoction is a fault of the concocting faculty in its action about the nourishment by which it comes to pass that it either doth not concoct at al or slowly or depravedly It contains therefore three things under it Bradupepsy Apepsy and Dyspepsy I. Bradupepsy is a slow and weak concoction when the meat is left either half crude or is not disgected but in a long time by reason of the frustration of the faculty and weakness of heat chiefly proceeding from a cold distemper The SIGNS are a distention of the stomach by winde after a ful Concoction of the meat the sent of the meats rising to the Palate many hours after sour belchings Flegmatick vomitings stooles moist and crude the Concoction of meats easie to be concocted scarce done in a long time The Adaequate cause is the frustration of the Concocting faculty which either is hindred by some Organical Disease as a Tumor inflations c. Or is weakned by a cold distemper induced by those things which either do cool or suffocate or dissipate or withdraw the nourishment or t is hindred by an external error which either Excrements heaped up in the stomach or sent from some other part do Cause or nourishments not regularly taken in just quantity quality time and order or sleep The CURE unless the griefe proceed from an external error is principally to be directed against a cold distemper for this inwardly are good the tincture of amber magistral of corals Elixir proprietatis Diacorum nobile the fruit of Eglantine condite extract of calamus aromaticus of Juniper berries of Zedoaryâ— spirits of vitriol if crosse humors are presumed to be in the stomach but 't is then worst of al when the heat of the stomach is Languishing for this the blewish or green spirit of wormwood Mynsichtus his elixir of vitriol syrup of Juniper berries conserve of roses vitriolate the phylosophical salt compounded of salt of niter prepared and molten gemmae each two drams of wormwood blessed thistle tamarisk each one dram of galangal cubebs mace each two scruples Birckmannus his pouder of the root of cuckowpint prepared in Quercetans Pharmacopea The distilled oyl of orange pils of wormwood Bartoletus his potable oyl of nutmegs cinamon mastick c. outwardly do best agree Cratoes stomach oyl tacamahac balsome of Peru Hartmans stomach scutum Stokerus cerote of ladanum c. II. Apepsy is the concoction of nourishment in the stomach quite abolisht proceeding from the privation of its alterative faculty by which it comes to pass that it descends crude into the guts The SIGNS of it are the precedent causes belchings after the space of 6. or 7. hours savoring of the nature and quallities of the meats the casting up of them inconcocted or voiding them so by stoole c. The CAUSES are stronger than those which were alledged in a Bradypepsy The CURE also ought to be fetcht from thence the arcanum of tartar is commended if ten grains of it be taken every day in broath III. A dispepsie or diaphthora is a corruption of the meat and a change of it into a strange qualitie by reason of the frustration of the concocting faculty of the stomach The SIGNS of this are nidorous belchings adust acid far stinkings which are often attended with rumblings of the belly murmurs pains bitings vomitings very stinking stooles impatiency of hunger anxiety c. The CAUSE is the distemper of the stomach and that oftentimes hot which burns up corrupts and putrefies the meat but every thing corrupted according to its nature puts on a strange quallity hence it is that things smel so diversly Chiefly the nidorous coruption is the off-spring of heat which ariseth from hot diseases nourishments of the same quality and easily corrupted as milke fishes mushrums fading fruites the sowr corruption proceeds from cold The CURE is to be turned to the distemper the hot one chiefly of which we spake before here the Spirit of sorrel and Quercetans syrupe of corals chalenge the first place Article VII Of the Hickopps The Hickop is a convulsive motion of the stomach consisting of the distension and dilatation of the fibres of its upper part by which the expulsive faculty being irritated doth endeavour to cast forth things hurtful that are fixt in the coats of the stomach especially of the mouth of it and gullet with a noise and vehement contorsion There is no need to reckon up the signs 't is heard by the standers by The CAUSE is matter residing sometimes in the whole stomach but pulling the stomach either by an inimicous quallity or by compressing it There is no Cure if a Dilerium happen with it because it is an argument that either acrid vapors are raised up to the head from the stomach inflamed or that the brain being inflamed the evil is comunicated with the nerves of the orifice of the stomach if it arise in a deepe sleepe in swouning fits or convulsions The cure is doubtful if fainting be feared with it if it befal old people purged above measure if it arise from an inflamation of the liver if it invade after vomiting because it is a signe the stomach or braine suffers no smal inflamation if it happen in sincere vomiting because there is signified some great burning
one scruple and an half the Juice of Flowerdeluce clarified which may be given to three drams with syrup of endive six drams Parsly water half an ounce and the pouder of diarrhodon Abbatis one scruple With peach flowers dryed and boyled in wine The stronger as gambugia which is given from six grains to fifteen see Reudenius concerning it Rulandus his extract of esula trochiskes of Alhandal or the same authors Spiritus vite aureus The extract of elaterium most commended by Massaria from one grain to three grains The magistral or Crystal Lunae of Tentzelius given chiefly at the Wain of the Moon from four grains to five Mercurius vitae fixt by longe digestion Crocus Metallorum Absinthiacus of Mynsichtus the same authors Tartarus Emeticus c. All which must be given on even dayes not too often nor the bowels too much corrupted after the use of them we must see whether they bear it wel and the bowels must alwaies be strengthened Concerning a Paracenthesis or tapping see Authors 2. By diureticks which ought to follow purgers of water amongst which beare the palme the pouder of earth worms given one dram weightwth the decoction of asparagus or fennel The salt of ash salinated as Billichius delivers Wine twice or thrice strained through the ashes of bean straw burnt six handfuls the tops of broome Juniper each two handfulls and a halfe woodbine one handful and a half and given six ounces weight 3. By swaeters and dryers as are the Root of swallow wort steept and boyled in Wine Antimony Diaphoretick the decoction of Sassafras wood Treacle in wine the quantity of a smal Walnut with a few drops of Oyl of Sulphur Lapis Serpentis concerning which see Joel Outwardly Mynsichtus his Plaister de Cineribus 2. By strengthning of the parts that the Water be not collected again here are good the Trochiskes of Wormwood Paracelsus his Diacubebae c. 3. by diet which see in Anthors The Differences are taken from the parts by whose default the serum is collected One is by default of the Kidneys that do not attract the serum either because they are Exulcerated and then some matter appears in the urin the piss is much less than in other Causes or because the Vreters are broken and then it ariseth suddainly That comes to pass for the most part in expelling the stone Another is by default of the Spleen which when as it is as it were spungy it ought to draw the water from the stomach by the vas breve that office being delegated to it by Nature which may be carried from hence by the splenick Artery into the Coeliacal by and by from the trunk of the Aorta by the emulgent Arteries to the veins It doth that either too greedily by reason of an inflamation risen in the Veins which is known by a pertinatious flux of the belly which doth neither take away the swelling of the belly nor the pain by reason of a Hectical distemper and either from the weakness of the veins not attracting the nourishment or from the corruption of the same and continual voiding of Cholerick Excrements it afflicts with a heat in the jejunum gut and mesentery Or it neglects it altogether either by reason of the obstruction of the passages tending to it caused by thick humors Or by reason of the dissipation of heat from a schirrous too much emptying the use of hot things the distemper of the neighbouring parts acute Diseases Or by reason of the suffocation of heat by the too much use of cold things from the suppression of the Courses from superfluous Evacuations c. Another is by default of the Liver either for the same causes not attracting the serum or retaining it or by reason of the same inflamation too much attracting and then there is a desire of coughing the Excrements are few and dry by reason the serous Humor is sent into the belly and the rest is burnt up by the heat of the Liver Article V. Of a Tympany and Anasarca A Tympany is a distension of the belly from much wind raised up either by a weak or burning heat contained within its Capacity It is called also a dry dropsie although for the most part 't is joyned with Water The SIGNS are these the Skin appears retcht like the skin of a drum and struck upon gives the sound of a Drum the Navel hangs forth much The puffing up of the belly is greater but the heaviness less Compressing of it doth not leave behinde it so conspicuous a mark but the hollow print is presently filled up belching and Farts often break out noise and rumblings Obmurmurate It must be distinguished from the distension of the breast after wounds which doth possess the breast back Loins Cod Arms Neck nay somtimes the whol habit It proceeds from hence that the Air which ought to pass streit through the mouth to the Lungs and from the Lungs again to be breathed forth through the mouth a way being open between two Muscles or the Muscles and the skin 't is blown from the wound as from a pair of bellows into the space between the skin muscles and hence furthermore it penetrates into the neighbouring parts The CAUSE is wind which if you consider its rise springeth either from a weak heat or from too much and torrefying which resolves into Vapors that which is subtile being violently stirred as is seen in black choler lying under the stomach If the place 't is neither in the stomach because it would be cast forth by belching nor in the Guts because it would be voided by stool but for the most part 't is generated between the coates of the mesentery and Guts For in the dry Dropsie the torments afflict about the Navel greifes and pains of the Loyns but the mesentery forward is united to the smal Guts backward to the vertebres of the Loins from which it springs from whence is this distention yet it is found also in the Cavity of the Guts and it insinuates it self thither through the Orifices of the Mesaraick Veins The CURE requires I. The bringing forth of the matter producing the Wind where takes place Fardinandus his Antipneumatical wine concerning which in the History 38. The Coagulated Spirit of Salt with Wormwood water and spirit of Elder 2. The Discussion of the wind outwardly by a great Cupping-Glass applied to the Belly by frictions with Garlick bruised and boyled in generous wine by a fomentation of a Boyes Vrin and Lapis Prunellae concerning which see Hartman Inwardly by the Decoction of Ebony wood the spirit of Guajcum the Arcanum of Cummin and Carrawais the liquor of the flowers of Mullein c. 3. The correcting of the hot distemper of the Bowels if there be any the strengthning if it be weak II. An Anasarca or Hyposarkidion and Leucophlegmaty is an equal increase of the bulk of the Body preternaturally throughout â—â—e whol body arising from default of the nourishment The SIGNS
them and make Water by drops with exceeding pain and that while the Stone is gathering together is thin and clear of somwhat whitish color but being concrete 't is wont to settle like unto Oyl with a gravelly sediment white like to scabs if the Stone be brittle The CAUSE and CURE must be fetcht from the Chapter of the stone of the Kidneys If it cannot be broken and expeled it must be cut out concerning which see Chirurgions For breaking of it serves the Composition of Salt of white Tartar one ounce and Parsty Water one pound mixt together and streined through streining paper dyed of a yellow color with Orange Pils also the Pouder of Palmer Worms concerning which consult with the peculiar treatise of Laurembergius And also the blood of a Goate nourisht with Plants that break the stone distilled taking at meat those stuffings which ought to be made of its Kidneys and other Bowels and Guts For mitigation of the Pain a Bath is good which must be followed with an unction of the Cod Pubis and perinaeum with the Compound Oyl made of Oyl of Scorpions bitter Almonds the Fat of a Cony and Hen of each one ounce and an half and the Juyce of Pellitory of the Wal two drams There meet us some Differences of the stone I. One is smal and light in which a vagous and wandering tickling afflicts about the pubes and perinaeum the which is easier broken Another a little bigger in which there is felt the weight of some heavy thing lying upon it so that going through uneven places is difficult and painful and dancing much more diffiult they piss often and the Urin can hardly be kept in which is white thick turbid with a purulent Sediment or like to the snivel of the Nose when they should piss the stone driven in the way the flux of Urin is intercepted there is a most sharp pain towards the latter end of pissing when the stone stirred up by the Course of the Urin as if it were comming forth doth more violently compress the Sphincter muscle at other times it affects the whol passage of the Privity somtimes the Nut. Striving to piss is accompanied with a desire to go to stool because the greatness of the stone from the perinaeum stimulates the right Gut as wel as the Neck of the Bladder This can hardly be Cured any other way than by cutting II. One is concrete which sends no gravel from it in the Urin. Another not concrete in which the Urin doth cast off some gravel and that either white or red which must be distinguished from that of the Kidneys by other signs of the stone of the Bladder III. One is which grows in the bladder it self to which that said before accords Another which descends from the Kidneys through the Vreters into it and then signs of the stone of the Kidneys went before there was a pain reacht from the Kidneys to the bladder according to the length of the Ureters the Nephritical pain is either ceased or troubles little This some do beleeve may be broke by the Indian Plant called by Manardus Payco and by other things IV. One is which doth not cleave to the Bladder and therefore may be taken forth more safely by cutting Another which cleaves to the top of the bladder and hangs down as it were from it and then al the symptomes reckoned formerly are more obscure there have been those seen who have carried it without any paine nay it can by no meanes almost be removed without injury to the patient Of which see Tulpius observat l. 2. c. 5. Article 2. Of an inflamation scab ulcer and fistula of the bladder An inflamation of the bladder doth not so much possess the substance of the bladder which is thin and bloudless as the sphincter muscle of the neck of it The signes of it are a bitter paine in the perinaeum with redness and heat a suppression of the urine with a great endeavoring to piss costiveness of the body because the right gut is streitned by the greatness of the inflamation a distension of the pubes and pecten to the navel by reason of the abundance of water The cause is the same as of other inflamations The cure is difficult because the affect is deadly for the most part about the seventh day especially a Feaver comming and the stoppage of urine and stools yet if it be gentler and the inflamation being changed into matter the impostumation break inwardly and is emptied by the urine there is better hopes and also an erysipelas arising about the superficies of the skin and plenty of water being made sometimes t is suddainly dissolved 'T is ordered after the manner of other inflamations Repellers must not be applyed long because the bladder is membranous and is easily bound up the urine supprest and the nerves hurt II. A Scab of the bladder is known by an itching in the pecten by the strong smel of the urine by a branny sediment residing at the bottom It ariseth from sharp and salt humors corroding the internal superficies of it 'T is cured in old folks hardly the humors are partly to be emptyed partly qualifyed by the four cold seeds violet flowers strawberries either taken inwardly or outwardly injected through the urethra III. There is no need to say what an ulcer of the bladder is it appears from the former The signs of it are scales and matter which flow forth only with the urine and sink in it and so 't is distinguisht from an exulceration of the urinary passage in which the matter and filth either goes before the urine or appeares presently at first comming forth or also flows forth without urine There is a continiual torment about the bladder pubes and perenaeum the urine also is thick and somtimes mixt with matter somtimes with blood c. The causes are divers of which in the differences The cure is of little hopes both because the bladder is membranous and because the urine which is biting by its continual running down hinders its consolidation 'T is ordered after the manner of other ulcers The differences are taken cheifly from the causes I. One is from cantharides and then if it be lately we must give milk plentifully by and by consolidate If it be inveterate it must be cured as other ulcers Another is from sharp urine which the use of pure wine and hot meats hath caused and then we must act with cooling diureticks Another from sharp or salt humors as it were knawing its internal superficies and then 1. We must empty with cassia and turpentine 2. We must temper them with water lillies lettice endive c. Another from the stone of which formerly II. One is in the bottom in which the pain is felt about the pubes Another by the urinary passage in which at the time of pissing the pain is felt more and especially when they begin and when they make an end to piss IV. The
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
Parts in Men. Chap. 1. Of their Diseases Article I. Of the Diseases of the Stones THe Diseases of the genital Parts in men have under them the Diseases of the stones Cods and Yard The principal Diseases of the Stones are which follow I. A Distemper and that either hot which is known by a proneness to Venery by too much and hot Seed by heat of the stones by swelling of the Veins about them with blood 'T is Cured by a contrary Diet and cooling Medicines of Littice Water Lillies Purslane but especially by those compounded of Sugar of Saturn and sallow Leaves Or Cold which is known by little and Watry seed by casting it forth with little or no Pleasure little desire to Venery cooling Causes went before or immoderate and unseasonable Venery 'T is Cured by a contrary Diet and taking of medicines inwardly Betony Calamint Marjoram Sage Nettles Nutmegs Diamoschum Outwardly Oyl of Costus Spike of Aunts Or moist which is known by this that the Seed is cast forth too soon Or dry which yeilds little and thick They are Cured by their contraries II. A Tumor which either is an Inflamation in whose Cure for of the rest I have nothing to say observe I. That whiles Medicines are applied to them the ligature ought alwaies to tend towards the upper parts that they may not hang down too much and the defluxion may be less 2. To intercept the flux a defensive must be laid on the side of the Pubes where the Veins and Arteries from the belly tend to the stones and Cod. 3. Other things being a like the Decoction of Agrimony with Wine and Vinegar is commended The Root of wild Cowcumber likewise boyled The Herb Paris green bruised and applied c. A Schirrus or another cold and hard Tumor which oftentimes ariseth from an Inflamation ill Cured 'T is taken away with a Cataplasme of Littice Roots boyled in sweet wine with the flowr of Flax Barley Faenugreek Onyons c. Which must be followed with a Liniment of the Balsom of Sulphur and the Plaister Diasulfuris Or an inflation for the Cure of which serve the Leaves of Henbane and a drauft of Juniper water one ounce weight every day with the Rowls of Diacyminum III. Vlcers which because they are in a moist place are dangerous and somtimes turn to a Cancer or Gangreen They ought to be washt with the decoction of Roses Leaves of Speedwel and Plantan they may be mundefied with the Oyntment of the Apostles IV. A Conâ—usion which is joyned with a great pain it corrupts their Oval Figure and oftentimes takes away the power of generation We must timely oppose the pain least a Defluxion be Caused Article II. Of the Diseases of the Cod. The Diseases of the Cod are Inflamation Excoriation Wounds Vlcers and Rupture Of them there is no need to say any thing An Excoriation is often Caused by the Urin the upper Skin being corroded and 't is Cured by sprinkling of Pompholyx or dryed Myrtle finely poudered searced and mixt with Frankincense or Myrrh A Rupture of the Cod is a Tumor of the same arising either from the cause falling down into it or from wind or water collected there or a masse of Flesh generated there The Species of it are four if you consider the Differences I. One is windy or a Pneumatocele which is known from hence that the Cod somtimes also the stones is very much distended without a weight heaviness the wind is felt if the Cod be prest with the hands and is removed from place to place w th a noise It ariseth from winds which are either collected there or transmitted from the neighbouring Guts and Belly and 't is most familiar with Children 'T is Cured premising universals by things discussing outwardly and inwardly applied A Cataplasm of Bay-berries the flower of Beans and Fenugreek with Bran the pouder of Cummin seed ammoniacum turpentine oxymel and oyl of bays mixt together is good II. Another is watry or a hydrocele which is known because there is perceived a waving the cod appeares as it were shining the tumor alwaies continues at the same bigness neither doth it go up into the belly by pressing it It ariseth from water which for the most part flows thither from the belly for those causes which are mentioned in the dropsy It is cured 1. By prohibition that the watery humor be not generated or flow thither of which see the differences 2. By emptying the water fallen thither either insensibly to which end the former cataplasme wil serve or sensibly by opening of the cod of which see Authors 'T is divided diversly 1. One is from water only distending the cod another also from wind joined with it in whose cure we must have regard to both another from flesh growing together about the stone whose cure must be warily handled that it turne not to a cancer 2. One is with a dropsy and then the cure must be directed against the dropsy Another without a Dropsy in which although there is not such great plenty of water that it can raise up the belly into a tumor that there is somwhat of it collected in the cavity of the belly by reason of the weakness of the parts especially an external cause being added as striking c. The tumor either possesses the whol cod or only one side and then the humor sticks in the erythroidal membrane that conteines the stone The right stone never alwaies the left swels Or the fault is in the left kidny through which when the serum cannot descend it fals through the seminal veine proceeding from the emulgent of the left kidny into the erythroidal coate from the cure of which we must either abstaine or the cod must be opened only in the lower part Or it is not and then the cod must be cut in the upper part neer the groin that both the humor may be emptyed and the afflux of more through the skar of the erythroidal coate be hindred See Frabricius his observations 3. One is when the water is conteined between the erythroidal coat and the darton in which the tumor is rounder like an egge the stone is hidden from the sight and touch the cod it self is more white and is distended little or nothing another is when 't is out of that betwixt it and the adjacent skins in which the stone is to be felt the cod is more distended Another when 't is in its proper skin or coate growing over it in which the tumor is every where globical resembles the draft of another stone III. Another is a fleshy rupture or a Sarcocele in which somthing fleshy is bred It is known by a hard tumor increased by little and little afflicting without a tumor of the groine by which it is distinguished from a rupture of the guts 't is for the most part in the right stone because nature doth most comodiously cast off the blood to the stones by the seminal veine issuing
right Gut is offended Article VI. Of a Dropsie of the Womb. A Dropsie of the Womb is an impotency of the same from water collected in it either by its own fault or the fault of other Parts The SIGNS are a loose swelling of the lower part of the belly extended according to the figure of the Womb a scarceness and evilness of the Courses because they are like to the washings of flesh their failing before the time the thinness and moisture of the mouth of the Womb softness of the Breasts and want of milk a rigour and oftentimes a Faver 'T is distinguisht from an Inflamation by want of a Feaver and by its softness by other Symptomes of which formerly From an inflation by defect of distension and noise From a Mola because in this a greater weight is felt in the bottom of the belly the breasts at the time of the birth approaching do swel From a Conception because in a Dropsie the Tumor of the Womb is extended according to the largeness of the womb and belly inconception 't is pointed In women with Child the Courses do not flow here a certain bloody Humor evil flows forth observing no order and is quickly stopt From a Dropsie of the Belly by the Patients color in the Face unless the Liver be affected by want of thirst by the ascent of the Tumor from the lower part to the upper The CAUSE is the water there either by the fault of the Spleen or Liver of which consult with their proper Chapters or by the weakness of the Womb it self by reason of which it doth neither concoct wel nor wel expel its Excrements the which is either from often abortions and hard labour Or from too great a Flux of the Courses dissipating its heat Or from the suppression of them choaking up the same heat The CURE requires the bringing forth of the water and strengthing of the Womb having respect to the Causes Hartman commends Antimonial Pills The Difference is taken from the Part. One is when the water is collected in its Cavity in which the Orifice of the womb if it be touched is found shut up the Tumor is great and a certain waving is perceived if it follow conception that yellowish and stinking water within two months for the most part kils the Young one which is then cast forth with it Another is when the water resides in its substance and little bladders growing to it in which its Orifice being handled it appears contracted Greater pains arise the Cure becomes more difficult Article VII Of the falling down of the womb The falling down of the womb is a hanging forth of the same out of the belly proceeding from a solution of the unity of its ligaments The general Signs are a pain of the Loyns of the lower part of the belly of the Privities of the Os Sacrum to which the Womb is fastened and this at the beginning In process of time the pain is mitigated it being accustomary and there is a troublesome sence only of a weight and a hindrance in walking The special Signs vary according to the nature of a greater or lesser falling down In that the Womb descends to the middle of the Hips and Knees presents a Tumor like a Goose Egg in whose lower part there appears a hollowness in this a Tumor is perceived as it were of a skin retcht and as it were a weight of a great Egg about the Privities The CAUSE is whatsoever can dissolve the unity of the ligaments see in that which follows The CURE is difficult if it be great if it afflict those of ful Age if a Feaver convulsion or other Symptomes happen Nay if it be 't is deadly in those that lie in and somtimes by the alteration of the ambient Air or violent repelling of it 't is corrupted and taken with a gangreen It consists 1. In replacing of the Womb it self where note first of al the Inflamation must be stopt if there be any If a Tumor imprest by the cold Air on the Womb do urge the part must first be fomented with a Decoction of Mallows Marsh-mallows chamemel flowers Bay berries c. If there be wind or Excrements in the Guts we must premise a Clyster Before it is replaced it must be fomented sprinkled anoynted with things Agglutinative and astringent A suffumigation of the Skin of a Salt Eele dryed in the Smoak and poudered is commended Seek for an astringent bath out of Guilielmus Rondeletius his Cures The manner of putting it up see in Authors 2. In retaining of it and then the Woman must be placed in her bed bending downward with her Thighes extended so that one lie upon the other the belly must be kept neither slow to stool least in casting forth the ordure the Womb be forced down nor loose least the Membranes binding the Womb be relaxt Agglutinative and astringent Medicines must be applyed To this end serve Pessaries Fomentations injections by a Syringe and other things But have a care you stop not the Courses with them The Differences are taken from the Causes I. One is by reason of the Laxness of the ligaments of which it hath four which is known by this that 't is generated by degrees and afflicts with less pain It ariseth either from hard labor burthensome carrying of the young or from the afflux of a Flegmatick matter 'T is Cured by emptying of the Humors by the use of things astringent strengthning as are the Decoction of Oake moss Harts horn Bay Leaves an astringent Plaister A Loadstone prepared and applyed Another is from the breaking of the Ligaments which is known by this that the evil ariseth of a suddain afflicts with greater pain somtimes is followed with a flux of blood It ariseth either from the Heavy carriage of the young one or from hard labor or from abortion or from a violent drawing forth of the Secundine Another from the Corrosion of the ligaments and then there are signs of an Ulcer some matter flows out Article VIII Of the ascent of the womb its wounds and Vlcers That the womb may ascend out of its place towards the upper Parts as high as the stomach is the Opinion of some but false For. 1. 'T is so tied with four ligaments that it cannot be moved upwards at al. 2. Although it have a natural motion by fibres yet because 't is tied to the right Gut and Privites if it had an Animal motion those parts also must necessarily be distended 3. Although it swel with wind as was said formerly yet it follows not from thence that 't is moved upwards But that Women somtimes do feel a body and a Globe as it were running about the Region of the Navel we must say 't is rather the Testicles and that blind Vessel than the Womb it self The Cause of this shal be explained in the suffocation of the Womb. II. Concerning wounds of the womb note 1. That the Womb is hardly wounded
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption 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 XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
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
pressed from ful ripe olives it affords nourishment sutable to our Natures and is fit to correct the bad quallities of other meats and of herbs Also it molifies and loosens the Belly it takes away al Asperity it helps such as are bruised and mitigates pain 3. Juice of unripe grapes Citterns Lemmons and of Crabs which the French and Itallians much use doe coole bind and helpe the extravagant longings of women Hereunto belongs Vinegar which is extream cold and pierceing The eagerness thereof is blunted with a peice of toasted bread wine raisons elder flowers roses sugar and such like things T is hurtful for mellancholly persons and women that are subject to mother fits IV. Honey is of an hot nature saving that which is white and seems convenint for healthy people It easily turns to choller and therefore it is neither fit for hot natures nor hot parts otherwise it has a power to clense and resist putrefaction Mead is made hereof IV. In the Fourth place we reckoned BREAD of which in respect of the Matter and waies of making there are sundry differences I. In Respect of Matter I. Such as is necessary 1. It is made of fine flower and which is most nourishing to the Body 2. That which is made of bolted meal and finest flower being taken away and is next in goodness to the former 3. Houshould bread which is made of the finer sort of bran and nourishers less than the former but descends better through the belly because of the branniness 4. Of Courser bran which nourishes least of al but goes soonest through the belly 5. Bread of altogether which nourishes very wel and soone passes through the belly 6. Barley bread which if it be made of the most excellent barly is the less inferior to wheaten bread if of loose and light barly it is like the wheaten bran bread 7. Rye bread which if it be black and heavy it burthens the eater is of sad and thick juice and breeds stones in the kidneys II. In respect of the matter prepared and quallified it is 1. Leavened bread which is lighter and sooner destributed than the unleavened 2. Vnleavened bread which is of a contrary Nature 3. Soure leavened which is also hard to digest and lies heavy upon the stomach 4. Salted bread which is lighter than the unsalted 5. Vnsalted bread which is apt to breed obstructions I shal not speak of Saffron-bread Eye-bread Butterd-bread Cheese-bread Sugard-bread Hereto belong the parts of bread 1. The Crum of which that which has been here said of bread is to be understood 2. The upper crust which drinks up moisture in the body and sharpens the Heat thereof but if it be scorched and burnt it breeds adust humors and black choler 3. The Lower Crust which is of like nature with the former II. In Respect of the preparation bread is 1. Savory in which the leaven and salt are wel mingled 2. Vnsavory or tastless which is contrary wise ordered 3. Wel Kneaded which is neither too littl not too much but moderately wrought 4. Ill kneaded which obstructs pufs up burthens the stomach 5. Baked in an Oven which Because its throughly bak't is the best of al others 6. That which is baked on tiles or in a portable oven which because it is not so wel baked in the bottom is worse than the former 7. That which is back't on a gridiron or on the hearth is bad because the outer parts are scorched and the inner parts are dough-bak'd 8. Bak't under the ashes or embers from which it receives a bad quallity 9. Biscoct or Bisket which is drying and if made of fine flower it affords very little excrement 10. New Bread which if hot causes thirst and breeds winds and suffocations if cold t is wholsom to feel on if it be two or three days old t is hard of digestion because of its dryness 11. Old bread which is hard and moldy breeds a melancholly humor and binds the belly 12. A Great Loafe because the fire has not sufficiently digested the moisture thereof lies heavy upon the stomach and raises wind 13. A Little Loafe because it is more than ordinarily crusty round about produces adust blood as the material cause and makes the Body dry 14. A Loafe of a middling size which is most commended 15. Light and spungy which nourishes lightly and makes no obstructions in the bowels 16. solid and heavy which is worse than the former 17. The best bread therefore is that which is made of fine white wheat meal the wheat being ripe not very new grown in a fat soil not infected with moaths dust cockel darnel or frost not wet with rain or musty with keeping being wel kneaded leavened and salted V. In the first place we are to consider of the TIME OF EATING which varies according to the several Customs of natures The Hebrewes seem to have eaten twice a day Among the Greekes even so long as since Homers daies their times of eating were distinguished into dinner and supper The latter Grecians did eat oftener The Romans had their Breakfast dinner after noones bever their Supper and Rere-supper Our Age followes the Custom of the Romans yet thousands there are that content themselves with a dinner and supper only And so much may suffice to have spoken of meats They that would know more besides Galen of the faculties of meats let them consult Morellus upon Schola Salerni Bruyerinus of Meates Julius Alexandrinus of wholesome diet and Vlisses Aldrovandus de Animalibus Article 3. Of Drink Drink is a thing non-natural restoring the moist substance of Mans Body and quenching his thirst Touching which two things are observable The Necessity thereof to preserve Health and its kinds I. That Drink is necessary for Health is hereby manifest in that it restores the moist substance of our Bodies which daily wasts away it quenches natural thirst it carries the fat and thick moisture through the narrow passages it causes the mixture digestion and liquefaction of meats in the stomach and prohibits the inflamation of that same fat juice which is ordained to nourish the Body II. The kinds of drink are 1. Water 2. Wine 3. Beer and Ale 4. Mead. 5. Liquors made of Apples Peares and such like fruits I. Touching water two things are considerable viz ' its differences and Correction I. In respect of the Differences water is either 1. Raine water which it stormy and cloudy is condemned if it come down with thunder it is exceeding light and thin because the Sun drinks up and draws out the most subtil parts yet is it impure and subject to putrefaction because divers vapors drawen up by the heat are mixed with the Raine 2. Snow and Ice-water which because the most subtile and light parts are dissipated is thick and hurts the stomach and breeds greivous diseases of the joints nerves and bowells 3. Water gathered in Cisterns which has much setlings is slow in passage oftentimes has a strong
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
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
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
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
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
the stomach 9. In the summer purges are to be given with coole things For the summer Heat calls the juices abroad which the Medicine presently draws away 10. Winters cold because it wil hardly let the humors go the habit of the body being compacted declares that preparatives are to be premised and cutters mingled therewith 11. The Aire of the patients chamber if it be too hot it stops the operation of purging physick by drawing the Humors into the circumference of the Body 12. A Lenitive or gentle medicine must be taken a little before or after meat least nature abuse the same by turning it into Nutriment 12. After a purge is taken the Patient must rest that nature may embrace the medicament and then a little motion wil do wel to melt the humors and that the expulsive faculty may be provoked Some Physitians bid their patients sleep a little after a strong medicament but not so after a weak one 13. When you give a strong medicament let the patient eat three houres after the Physick begin to work when you give the strongest purges of al let the patient pass over the time of its operation without dinenig for such medicaments need no spur 14. If the patient cannot hold out but dureing the purgation be so hungry as to seem weakned thereby let him drink presently after the taking his medicament a draught of broath or bread moistened in wine But thirst declares that the purgation is finished by reason of some Consumption of the roral moisture provided it be not provoked with a light Catarrh or the stomach be not naturally inflamed and there be no suspician of any inflamation from the Medicament 15. When the evacuation is ended the Broath of a pullet may be given with sugar to wash the Gutts Point III. Of provocation of Vrine Vomiting and Sweating Diuresis or Vrination is the drawing of Humors out of the Body by diuretick or urine forceing medicaments duly administred You shal duly administer them 1. If you give them in such diseases as are evacuated by little and little 2. If you give diuritick medicines properly so called in thick humors those improperly so called in thick and adust ones which by that meanes are made more fluid taking heed of dry diseases such as the Consumption Madness c. 3. If you give them not in bodies ful of humors til the humors have been first abated by purgation least by their thickness and plenty while they rush headlong into the narrow passages they come to obstruct them 4. If you give not sweet medicines to women least they be drawen to the womb 5. If the passages be neither inflamed nor exulcerated II. Vomition is the ejection of Humors upwards by vomitory Medicaments conveniently given and applied Those Humors are all cholerick flegmatick and melanchollick humors but those especially which either reside in the Capacity of the Belly or are contained in the spleen hollow side of the Liver or the Pancreas Sweet bread such as are thin and chollerick and of their own accord tend upwards which is perceived by bitter belchings paine biting and heaviness of the Midrif Also some vomitings empty the whol body Vomitory Medicaments procure vomiting either because they have an inclination upwards or because they do as it were float upon the stomach and oppress the same or because they loosen the upper orifice of the Stomach The Conveniency of preparation and application Requires 1. That they be given to persons leane by constitution and habit but not by sickness provided they vomit easily namely that they have a large breast firme Head and use not to spit blood nor are in a Consumption nor are subject to suffusions in their Eyes or to frowning or fainting fits 2. That you be not hasty to give them to old people 3. That you give them in the Summer because then the Humors are carried upwards 4. That the Vomit be so much the lighter by how much the Disease is more vehement and so much the stronger by how much the part to be cleansed is far scituate in the body 5. That no oyl be used in Feavers because of the Relaxation of the stomach whose strength ought to be preserved in Feavers 6. That you give them before meat in thin and cholerick persons after meat in flegmatick people because flegm sticks fast in the body Observe more particularly concerning Helebore That the body be free from al feaverishness That the Patient be accustomed as it were to vomit for three yea for twenty daies before that he may not vomit to purpose til the morbifick matter be digested That the Hiccupping which is wont to arise in the middle of the vomitings with Hellebore be stopped by giving the patient Mul-sack with Rue boiled in it That it be given in a convenient Quantity For a lesser dose than is fit agitates the juyces and disturbs nature to no purpose III. Sweating is an Expulsion of Humors by the pores of the Skin al the body over caused by sudorifick Medicaments conveniently administred Touching the Medicaments observe That they have a greater tenuity or subtilty of parts than Diureticks have That they cause sweat by turning the Humors into vapors and thrusting them into the outer parts of the Body That cold sudorificks work by an occult Quality Their convenient exhibition is regulated by these precepts 1. That cholerick persons sweat not without trouble and inconveniency because of the overgreat dissipation of their natural Heat 2. Humors cannot be conveniently forced out of the Cavities of the stomach Guts Wombe and the like into the habit of the body 3. The forces of the body being weak are more impaired by sweating 4. In old and cold diseases as distillations Palsies Sciatica Pains of the Joynts Sudorificks are exceeding good 5. They are to be given after universal purging in the declination of a disease 6. They are most of use in pestilential Diseases nor is there then so much need to observe either the time of the disease or the strength of the Patient 7. The Humor to be evacuated must either be thin of it self or it must be made so 8. Plenty of morbifick matter must not be assailed by sweaters least being carried unto the Skin it shut up the smal pores thereof and either breed or encrease putrefaction Article 3. Of the Removal of Causes offending in Motion Point 1. Of Revulsion and Repulsion The taking away of causes offending in Motion contains under it Revulsion Repulsion Derivation and Interception I. Revulsion is the convenient aversion or turning away of matter flowing into some part into a part quite contrary 1. This Aversion is caused either by Reason of Vacuum by blood-letting cupping-glasses and Horse-leaches or by reason of Heat and pain by dolorifick ligatures strong frictions of the opposite parts Clisters Suppositories hot washing and vesicatories When I say that Aversion ought to be made to the contrary part Observe I. That it must be made to remote parts to
Congelation The former is altered by things moderatly hot and moist least the force of heat should dissipate the Humor the latter by opening the pores with an aiery moisture the last by things hot and moderately dry Medicaments exquisitly Emollient applied to the principal members or parts near them do bring the life in danger II. Discussion is a convenient dissipation of an humor sticking in some part and softned by insensible transpiration caused by diaphoretick Medicaments 'T is called Digestion and Resolution I added and softned For humors hardened cannot be discussed unless they be first softned To convenient Dissipation is requisite 1. That it be undertaken before the Body be evacuated 2. That it be not used in such as have hot Veins and Livers 3. That Dissipaters be used in the State and Declination and that in the Augment they be mixed with Repellers 4. That they be not biting nor vehemently hot lest the thinner parts evaporating the thick become dryed and hard as a stone Point 2. Of Suppuration and Attraction I. Suppuration is the convenient mutation of an Humor that cannot be discussed into Quittor by ripening medicaments The Conveniency hereof requires 1. That it be chiefly practised when Blood offends for Blood is best changed into Quittor choler and melancholy hardly by reason of that degeneration whereby they raise Cancers and malignant ulcers 2. That it be not rashly practised upon the internal Parts 3. That among external parts it be not practised about the Joynts 4. That it be not overmuch or overstrong otherwise it wil dispose the part to a gangrenous Putrefaction II. Attraction or drawing is the convenient Motion of matter infixed into a part by drawing medicaments These Medicaments are either more gentle which are termed Rubifyrs or more strong which are Bladder-raisers Crust-procurers and Causticks The Rules of Conveniency respect Causticks and Vesicatories or Bladder-raisers In respect of the former 1 We must not come to Causticks before we have tried Rubifiers and Vesicatories for Causticks take somthing from Nature 2. That they be then used when there is danger least the part should perish and especially when there is fear least abundance of matter should putrefie the Bone 3. That when there is need of little burning we are to use an Instrument of Brass and an Iron one when we are to burn much 4. That Consideration be had of the Age Strength of the Patient and the swellings whereunto they are applied for many instead of the Kings-Evil swellings have burnt the jugular Veins In respect of Vesicatories it is requisite 1. That they be not applied to accute diseases nor to external Parts exulcerated nor to the region of the Lungs when they are exulcerated because by them the ulcers are exasperated or to gristley parts and such as are bare of flesh because by burning they grow black 2. That after the flesh is swelled the Cicatrized Part is become black and blew the Patient is pained we desist least the part be stupified 3. That before they be laid on the place be tubbed til it look red Article 5. Of Expulsion of Wind cal'd Carmination Carmination is a convenient dissipation of the Winds arising in mans body by carminative or Wind-expelling medicaments That this dissipation may be conveniently affected medicaments discussing winds ought not to be administred before the matter be diminished otherwaies more flatulencies wil be raised by rarefaction of the matter THE FIFTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching the Removal of Diseases Title I. Of the Diseases of Similar parts and their Cure Chap. 1. Of the Method of knowing and curing distempers without matter SO much may suffice to have spoken of the methodical removal of Causes which ought to be handled a part from the particular cosideration of the causes themselves the general method for the removal of Causes follows which must of necessity be jointly handled with the prime differences of the diseases themselves seeing it comprehends not only the diseases but the Causes also signs and differences of the diseases The primary and essential differences of diseases are those whereby they are divided into Similar organical common Similar diseases are either of distemper or of hidden Qualities A distemper is either without matter or with matter A distemper without Matter is a declinanation of the temperament of a mans body from its natural constitution induced by certain causes proper for such an Effect By temperament you must not understand that which is called temperamentum ad pondus wherein there is equal proportion of the qualities but that which is termed temperamentum ad justitiam wherein the qualities are not in equal though in a wel ordered proportion which is convenient for some kind of actions 2. Understand temperament both simple and compound 3. The temperament of Mans body not only as it is mixt but also and principally as it is liveing whether it be inbred or influent The Sings are taken from the differences The Causes are principally external of which in the same place The Cure is performed by Alteration if you precisely consider the distemper it self but this disease does not long last without matter T is divided into four sorts I. One is hot in which heat abounds T is knowen from such things as may exhalt and encrease sweat and from such as are the Effects of Heat so encreased It arises cheifly from five things viz. Motion of the Mind and Body Putrefaction The nearness of some hot thing the mixture of somthing that is hot and stoppage of the Body 'T is cured with cooling medicaments whether simple or compound taken in or outwardly applyed Where we observe 1. That alterations consisting of heat and cold are most easily cured 2. That an hot disease in a Body which is naturally cold must be vanquished by remedies that are strong 3. That cold medicaments have four degreers II. Another is cold in which cold exceeds 'T is known from causes which induce cold and symptoms which follow the same It arises from such things as either are of their own nature cooling or suffocate the innate Heat or overwhelm or dissipate the same or withdraw its nutriment The Cure is undertaken by heating its medicaments first such as are more gentle afterwards the stronger sort See the Medicaments in the Institutions of Physick III. Another is moist when moisture overcomes It is knowen by the antecedents and consequents It arises from the neighbourhood of moist things and which hinder the transpiration of most evaporations 'T is cured by drying Medicaments IV. Another is drie in which dryness prevailes 'T is known by former kinds of signs It springs from contrary Causes viz. Alteration of dryers and overmuch resolution and and paucity of aliment 'T is cured by moistners V. Another is compound that is to say Hot and dry or Hot and moist Cold and dry or cold and Moist Of which we need not to say much For it may easily be gathered what it is and how to
greatness of the cause nobility of the part affected vehemency of symptomes and the Deaths of many persons It is undertaken I. By ridding away the poison which is done divers waies according to the differences of poisons II By administration of Antidotes both common and appropriate to every part of the Body where nevertheless we must not forget the manifest qualities This is an approved antidote viz. An Electuary of Masterwort Roots of sweet Angelica of Gentian of white thistle of each two handfulls terra sigillata six ounces Myrrh an ounce Venice Treacle four ounces Rosemary Rue of each one handful Birthwort three pound Bayberries one handful virgin hony clarified a triple quantity to al the rest Make al into an Electuary according to Art The differences are taken from the Causes I. Some spring from internal Humors II. Others from infected Aire The Cure consists in prevention of such aire and avoiding the same In purification of the infected aire respect being had to the Cause of the Infection By giveing of Alexipharmaca or Antidotes by which the Heart may be defended and the malignity driven away by sweat III. Some proceed from water For there are certaine metalline fountaines envenomed either naturally or by some occasion yea and drinking of water has brought many into the dropsie and the scurvy is caused by corrupt water Such fountains are to be avoided and faulty waters must be corrected by boiling straining putting in barley flower or Garlick c. IV. Others come from Contagion V. Others from Poisons whose Cure is doubtful if present poison be taken in and that in great quantity Impossible if the poison cannot be expelled neither by vomit stool nor sweat Respects 1. Expulsion by Alexipharmaca or Antidotes which differ according to the varieties of poisons 2. Evacuation especially by vomit that those medicaments may better penetrate unto the Heart 3. Prohibition of Sleep least the poison should thereby peirce the sooner into the Heart and inner parts The Differences are many I. Some are poisons taken into the body which are cured by a gentle vomit made of fat things By purgation if it stick in the upper Gutts By Vrine if it tend to the urinary passages and in all medicaments be sure to mingle Antidotes By Diet in which case Milke is exceedingly commended II. Others are externally applied to the body whose Cure consists in extraction or pulling out the said poison both by drawing medicaments and by such things as do it by a certain likeness which must be continued til the evil color pain and symptoms shal cease Interception which is excellently performed by binding somwhat very hard upon some part above the place affected Use of Alexipharmaca if the Poison have peirced into the Body as was said before Title II. Of organical Diseases Chap. 1. Of Diseases of Conformation AN organical Disease is the diviation or swerveing of the parts of Mans Body from their natural structure Now because to the said Natural structure Conformation Number Situation and Connexion are requisite therefore there wil be so many differences and to this title four heads are subjoined and also because in Conformation or Shaping three things are required viz. Figure Cavity and Surface there wil be consequently so many diseases Article 1. Of diseases of Figure A disease in Figure is the swerving of the parts of Mans Body from their natural figure depending upon certain peculiar causes The Signs are evident so that it is needless to speak of them The Causes are whatsoever may violate the figure of our bodies either by compounding or loosening distorting or exhausting The Cure is not difficult in such as by reason of the Humidity of their bones are yet in a growing condition It is hardly to be attempted in persons growen up in whom the bones whose figure the external parts do represent have attained greater hardness and dryness It is performed 1. By handling and working the part the contrary way 2. By binding with swathes and splints It may be repeated if the former succeeded not if the hurt be very great and the sick man lusty and that by breaking of the Callus emollients being premised It ought not to be repeated if the patient be old the hurt Less and the Callus hard The differences are from the times of swerving of the parts I. Either it happens before the Nativity in the womb and then the fault is in the shaping faculty and it is hardly cured II. Or in the birth and then either the Infant was too great or the Orifice of the Womb too strait III. Or after the Birth where the chief fault is overmuch repletion which must be cured with Evacuation Defect of Nutriment which requires meats easie of digestion of good juyce and of little Excrement See the chapter of Arrophia Violent motion either caused by the patient himself or by the Artist in which case fractures of Bones do chiefly happen The setling of one part upon another either by reason of the Resolution or Convulsion of the Nerves in which case we must have respect to the disease it self of the Nerves Article 2. Of Disease of the Cavities Point I. Of Diseases of the Cavities consisting in Excess Diseases of the Cavities are those wherein the natural passages of the parts are hurt By Cavities or hollow receptacls we understand both those large Capacities of the Stomach Brain Heart and Womb as also the passages of the Veins Arteries Ureters c. and the O rifice or Head of the Vessels and al Cavities whatsoever And because the Cavities are hurt either by way of excess or in defect the diseases of the Cavities are divided into such as consist in Excess and such as consist in defect Diseases of the Cavities in Excess are when they are greater than naturally they ought to be The SIGNS shal be set down when we come to speak particularly of them The CAUSE is what ever is of tendency to open or distend or fret and divide the Cavities The CURE is performed by Stopping They are divided into Anastomosis Diapedesis and Diairesis I. Anastomosis is when the mouths of the Vessels are too much opened and widened It is known by a plentiful shedding forth of such humor or matter which ought to be contained in the said Cavities It arises from such things either external or internal which are apt to loosen or distend The Cure tends to shut up by astringent medâ—caments of which in their place and has an Eye withal to their Causes The chief astringents are Leavs of Shepherds-pouch seeds of Purslane flowers of Balaustians smal Dasies bole Armeniack juyce of Slowes new Treacle pouder of Mans Bones Crocus Martis c. As for the differences 1. Either it springs from an External Cause as opening medicaments and then the causes preceding must be removed Or 2. from plenty of Humors especially blood burthening the faculty and then theÌ„ signs of those Humours are present We must go to work with blood-letting and purging
to be present The Cure requires the removal of the said thing which according to the variety of the things to be removed must be various lest other parts be hurt or that they may be hurt as little as may be it is not to be applied to such things as do not trouble a man If you consider the differences The thing superfluous is either wholly against nature as Stones Wormes c. and then the Cure is to be applied to them or some entire substance which arises either through over great plenty of master and the weakness of the formative faculty in the first shaping of the Child or by reason of of some vitious quality afterwards In these Cases the removal is procured by Fire and hereunto belong actual Cauteries Iron whereunto belong al kind of sharp instruments Medicaments Causticks Vesicatories c. of which we shal speak in their own place when we handle particular Diseases A Vesicatory Plaister made up of one ounce of Cantharides or Spanish flies half an ounce of Terpentine Olibanum Myrtle Mastich Camphire of each one dram Oyl of Roses of Wax of each a sufficient Quantity is very much commended Chap. 3. Of Diseases of Magnitude Article 1. Of Tumors A Disease of Magnitude is the swerving of the parts of Mans Body from their natural magnitude It is divided into a Disease of Magnitude encreased and of magnitude diminished Magnitude encreased is a Tumor which is a swerving of the Parts of Mans Body from their natural State by encrease of bulke The SIGNS are needless to recount for if it happen in the external parts it is perceived by the sight if it be within it either discovers it self by some external Sign or by some other internal ones of which when we come to the sorts To encrease of Bulk there is somtimes added distemper if the matter exceed in Qualities and communicate them to the parts Solution of Vnity if the Continuity be loosened by fretting or stretching Faults in the shaping either if the figure be corrupted the Cavities compressed or obstructed The Causes are Humors Winds solid Substance of which we shal treat in their Differences The CURE requires Imminution or lessening that which is overgrown which if the parts be not sound it is perfomed by the same medicaments which are good in Number abounding if sound it is performed by lessening the Parients diet digestion discussion c. The Defferences are sundry I. One is from the Humors which is known by the signs of the Humors it arises from Blood Choler Flegm Melancholick Seriosities whether they be in the part by congestion or affluxion and whether they are included in a peculiar membrane or not 'T is Cured and that with Difficultie if it be suddenly diminished and be not evacuated by convenient passages if a Fever be raised or the fever that was before augmented The Cure varies according to the variety of the Differences 'T is variously divided For 1. Either it is from Humors stirred up in the part partly through fault of the part inasmuch as the concoct ve or expulsive faculty do not perform their Office partly of the Aliment seeing it is vitious and such as it cannot be overcome by the part and such as affords great store of Excrements And then the tumor is longer in breeding does not take up so great room no cause or sign of any fluxion went before In the Cure we must have an Eye to Alteration and Evacuation and the latter must be sensible if the matter be plentiful and the part thick Insensible if the matter be little in quantity and soft Now concerning the Congestion of Humors observe 1. That the matter which is Collected in the common cavities being so encreased that it can be no longer there retained is poured back to the Cavities and particular pores of the Place 2. That not only thick and clammy Humors but also the ichors or thin Liquors which separate themselves from the thick humors are brought unto and stick in the the part affected especially when they grow cold out of their own proper place 3. Also it may proceed from a spirituous matter whence it is that a part being weakned by a blow does somtimes remain continually puffed up and swollen 4. Also that putrid humors are collected and hence it is that there wil be smal risings in ulcers 2. Or it is from humors that come into the part from some other place either by Attraction caused by Heat or pain or by Transmission either from the whol Body or some parts Then the signes are contrary to congestion There was no pain in the part if it came by Transmission there was if it happened by afflux In the Cure we must respect both the continuing Affluxe and the tumor which is in breeding where evacuation has place either by blood-letting or purgation Revulsion to the contrary Derivation to the near parts Repulsion Interception c. and also the Affluxe already performed where the same remedies are useful unless the matter be forced and fixed into the part which must then be softened and ripened 3. Or from humors shut up in particular membranes or Bags where the humor is turned in a manner into another substance 4. Or from malignant humors where the signes of Malignity are present II. Another proceeds from Winds which is hereby known that there is no heaviness felt though there be sometimes paine and the part is sometimes greater sometimes lesser It arises from causes ingendering wind and winds are multiplied and collected either under the skin and about the membranes of the muscles in the pores themselves of the similary parts or in the membranes of the bowels or in their cavities It is cured and that with difficulty if it be contained in the Muscles because the flatulent spirit is disposed in al their parts restrained and shut in by the ambient membranes It is nevertheless cured by evacuation of the matter discussion thereof and Roboration of the part III. Another proceeds from solid parts whether they be bones fallen from their own into another place or soft parts removed out of their place or arteries or veins of which we shal treat in their proper places IV. There is another which is taken away by invisible discussion and then the matter is neither much nor thick nor deeply situate nor shut up under a thick and compacted skin The Body is not impure Nature is strong the member growes lighter the troublesome pulsation ceases V. Another is term inated by Suppuration and then the matter is more plentiful and thick lying in a deep place under a thick skin while quittor is making a paine and palpitation in the part together with a fever afflict the patient whenthe quittor is produced the heat is diminished the paine eased the tumor becomes pointed and begins to be soft and white the quitt or may be felt under a mans finger flowing this way and that unless the part be thick or it lie deep
to force especially the laxity or solution of unity of the parts wherein the joynts are contained the Contraction of the Ligaments c. The Curemore easie in children and soft persons 'T is hard if theâ—e be great pain inflamation a wound or dancer of Convulsion If the Luxation be old and hardned with a callus If it happen in childhood and be not cured If it tend to a Consumption through cessation of Motion and Compression of the Vessels If the joynts hurt serve but few different motions If they are departed far from their Cavity If the Brows or edges of the Bones are broken 'T is performed by Reposition oâ— Restoring the joynt to its place which requires 1. Sufficient extension whereby the bone is forced into its place 2. Reposition with ones hand or by common Instrumentes or some devised on purpose 3. By application of astringent Medicaments that inflamation may be prevented 4. By diligent binding with swaths and bolsters 5. By putting it into a gentle posture and so that it may preserve its natural figure The Differences are sundry For I. One sort springs from external Causes a blow a fal violent extention before child-birth and at the time of the birth which ought to be prevented Another from Internal when an humor slipt into the Cavity of the Joynt drives it from its seat II. One is Perfect when the whol Joynt is fallen out of its place which is termed Exarthrema Another is Imperfect when the joynt is slipt only to the brim of the Socket which is termed Pararthrema III. Another is with Inflamation and Pain in which case the pain must first be mitigated the Inflamation asswaged lest by distention of the Nervs a Convulsion arise and afterwards it must be replaced IV. Another is accompanied with a Wound which is the most dangerous especially if the wound be nigh the Joynt and an accute feaver arise Here the Joynt is forthwith to be restored to its place if possible If it cannot be restored we must attend the Cure of the Inflamation to the seventh or ninth day V. Another is with a fracture where the Joynt is first to be restored to its place and the Fracture is to be cured afterwards if it cannot be reposed it is then to be restored when the Callus is bred Title 4. Of Diseases of Vnity dissolved A disease of Vnity dissolved is the loss of that Continuity and Vnity which ought to be in the parts of Mans Body The Causes therof are 1. Such as are Corrosive as al sharp things Causticks and Putrifiers 2. Such things as divide unity either by pricking and stabbing or cutting 3. Things which break as stones Timber c. 4. Things which bray and tear either by replenishing or overstretching 5. Such as burn as things heated in the fire red-hot Irons c. The CURE requires Vnition The Physitians part is to see that nothing betide the part affected which may hinder the same That the Lips may be rightly applyed one to another That the temperament of the part it self may be preserved and that the symptomes which may happen be prevented And forasmuch as among diseases of Unity dissolved the chief are Vlcers Wounds Fractures I must speak somthing of them in general Chap. 1. Of Vlcers AN Vlcer is a solution of Continuity arising in a soft part diminution of Magnitude caused by some fretting and eating matter The Subject is a soft or fleshy part comprehending not only the flesh of the Muscles but that also of which the Guts Bladder c. do consist SIGNS are needless in such as are external the Internal may easily be gathered from the particulars The Times of Ulcers if you consider them at first a watry Sanies thin crude and plentiful flows forth the Symptomes viz. pain itching c. do afflict At the Augment the Symptomes are encreased the Sanies begins to be digested and is lessened in quantity al things are greatest in the State in the declination they are less The CAUSE is either external viz. Caustick medicaments the Contagion of the Whores-pox c. or internal or humors which are either bred in the part affected or flow thither from elswhere which may happen in the spring time or by reason of exercise in cacochy mical Bodies The CURE is difficult if it reach to some noble parts of exquisite sense ful of moisture naturally If it follow other diseases because then nature drives the vitious humors to that part If the Ulcer be great because the external air can work strongly upon it If it be round because the extremities are more hardly reunited If it be old because the bone must needs corrupt If it tend to look green and black for so the Heat of the part affected is extinguished If it run with much sanies thin pale lead-color'd black and stinking If the spleen being in fault it affect the Thighs because thick and Melancholy Humors flowing to the Ulcer hinder its closing 'T is performed I. By Evacuation if the Body be cacochymical II. By Blood-letting if it be plethorick III. By Suppuration when blood shed out of the veins sticks in the pores of the part where note that abstersives are excellently mingled with suppurators lest the Ulcer should become too moist and that nature which then seperates the Excrements may be assisted Among them are Turpentine Oyl of Mastick c. IV. By Abstersion of which I spake but now which is performed by detergent Medicaments V. By generation of flesh with Sarcotick Medicaments And here observe 1. That they ought to be neither strong nor weak lest by the former the ulcer become dry the flesh be consumed bloody liquors be voided and by the latter the flesh grow flaggy and too great abundance of sanies be collected 2. That moist medicaments be applied to the softer Bodies yet so as that Plaisters Oyntments Liniments be so soft that they be not melted with Heat of the part and breed flesh too loose and unlike that wich is beneath Pouders must be put upon hard and dry bodies VI. By Introduction of a scar by epulotick medicaments Where observe That they ought to have a drying faculty both actually and potentially They are then to be applyed when the Ulcer is nor quite ful of flesh lest if it be put to it when 't is ful seeing the flesh does stil grow the Scar becomes more extuberant The Differences of Ulcers are sundry I. One is great little long short streight crooked Aequal in which the flesh is equally consumed in al the particles of the part affected Vnequal which is contrarily disposed Superficial Profound External Internal II. Another is with a Distemper I. Either hot which is known by Redness of the Flesh in the Ulcer it self 2. By feeling of Heat Pain by reason of the acrimony and biting nature of the excrements It arises from hot Air too great a Quantity of Swaths and Cloaths over hot medicaments 'T is cured by coolers which are withal Pain-asswagers
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
where note 1. It must be extended without any pain or as little as may be by one man if the lesser hones by two if the greater be hurt 2. They must be rightly placed in their proper places so as the ends may fitly joyn one to another so that the Eminencies of the Bones may not be forcibly thrust into their Cavities lest they should be broken That if they break out of the Skin they be handled after a peculier manner 3. We must see whether they be rightly placed and framed together which is known by Cessation of pain and that there is no cavity that the broken part feels just as the whol save that it is thicker possibly by reason of afflux of humors 4. They must be duly bound up which is then done when a medicine made of the white of an Egg beaten with astringent pouders is first laid on to prevent Inflamation When the binding is neither too loose nor too strait It is then too loose when the Patient finds that he is lightly pressed and the same night feels himself more strongly bound and the day after a swelling arises in the extremity of the Member if it be too strait the contrary signs follow If it be not loosed before the third day 5. The member must be rightly placed that is to say softly lest it be pained equally that it may not be distorted it must be somwhat raised lest the Humors flow to it III. The Body of the Patient where if need be blood-letting and purging must be used IV. The Callus and then meats of good juyce must be given Medicaments which breed the Callus must be drunk down and applied especially in grown persons one dram of Osteocolla with Comfrey Water See Aquapendent and Hildanus in their observations V. The Symptomes 1. Inflamation whereto respect is to be had presently at the Beginning nor is the part to be bound or at least not so hard 2. A Gangrene which see in its proper Chapter 3. Itch and Excoriation which proceeds from sanies where the Sanies is to be washed off and afterwards unguentum album Camphoratum Rosaceum c. must be used 4. Pain which either springs from the overstraitness of the Swath-bands and then a swelling appears in the extremity of the part and the sick Patient complains that he is extreamly pressed The swath-bands are to be loosed and the binding to be made more easie Or from a pricking bone and then a pain arises from a light handling of the part The Bone is either to be restored to its place or taken out or cut off Or from a Confluence of Humors and then 't is cured like a beginning Inflamation Or from an evil scituation of the Member and then the Patient easily discovers the same the scituation of the Member must be changed 5. The Gracility or leanness of the member and then either an over-thin diet or long binding of the swathes is the cause Nourishment must be drawn to the part The Differences of Fractures are sundry I. One is athwart so as the Extremities do not at al stick together 'T is known by this in that you may feel the ends of the broken bone asunder one from another and in the place of the Fracture a nonnatural Cavity is observed c. 'T is more easily healed especially if it be simple and equal and the broken bones be not removed out of their places II. Another is when a bone is broken into divers parts This is hardly Cured especially if sharp eminences or points do prick the parts adjoyning If they cannot be reduced to their former state and the member is become shorter and unfit for service III. Another is according to the length of the Bone which is called a Clift This is known by the preternatural thickness of the member 'T is easily cured because there is no need of any laborious replacing of Bones but it suffices that the gaping Chinkt or Rift of the bone be closed up IV. Another is Flesh which is easily consolidated V. Another is old which is hardly because Inflamation being added extension is dangerous The extremity of the Bones grow hard Galen saies if the Cure be protracted beyond the seventh day there is danger that the bone wil be blasted VI. Another is alone of which al that has bin hitherto said must be understood VII Another is with conclusion of the flesh and has a wound joyned therewith This is dangerous if the wound be great and in the greater Muscles inflamations easily arise therupon the splints and other things for the better repose thereof cannot so wel be fitted but an hole must be kept open for the Wounds VIII Another which happens in the middle of the Bone and then the division is lighter IX Another which is near the Head above or beneath and then because in the former there are more nerves in the latter more tendons greater pain happens X. Another is near the Joynt and then by ligaments nerves tendons the part broken cannot be conveniently bound up in a bloodless part the Heat is weak the motion of the member is hindered by reason of a Callus or hard substance which binds up the tendons or muscles XI Another is when Two Bones joyn'd together are broken as in the Arm the Radius or Ulna and then the Cure is hard XII Another when One and then the Muscles can be less contracted because they are kept stretched by the whol Bone Title II. Touching Symptoms and their Removal A Symptome is a preternatural Disorder in such things as beside the Constitution of the parts are necessary to action following some other preternatural thing 'T is many waies divided but two waies especially For I. One is of Action hurt whether it be abolished diminished depraved or augmented It comes to pass either through fault of the Faculty when the immediate instrument is ill affected to which the Absence of the Spirits and Influent Heat is referred or by reason of some external Error when those things deceive with which the actions are performed or at least without which they cannot be Another is of Things voided and things retained Another of Qualities changed which depend upon the Hurts of Actions and the Humors depending thereupon II. Others are Symptomes of the natural Faculty viz. the Nutritive Augmentative Generative Retentive Attractive Concoctive Expulsive Others are of the vital Faculty others of the animal Faculty to which belong Symptomes of the external Senses of the internal Sences of the motive Faculty c. The CURE of Symptomes is their Mitigation or asswagement and that must be sudden when they are urgent that is to say do threaten so great danger that we cannot stay to take away the Disease or its Causes upon which they depend but if we should wait danger of death or some great Inconvenience would threaten us Of these we shal Treat in the particulars But because amongst al symptomes the most frequent is pain we shal
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
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
Cure is hopeful if there be no pains For so Excrementitious matter is thrust forth into the hairs and the Vertue becomes stronger There is no perfect Cure seeing the Causes are not sufficiently known T is made worse by Purgations and Blood letting Some wash the Head with a Decoction of Bears-breech A certain Countrey man used Baths to Cure this infirmity in which the Patients grew at first hairy and then their hairs being out off they were Cured See Hercules Saxonia Title IIII. Of Vlcers in Particular Chap. I. Of the Gangraena THe fourth kind of external Diseases are Vlcers under which are comprehended Gangaena Sphacelus and Ambustio A Gangrene is a corruption of the soft parts especially tending to mortification proceding from the Corruption Suffocation Dissipation or extinction of the natural Heat in the Part. The SIGNES are the change of the Color in the part to black and blue Imminution or Lessening of the Pulse and Sense Abolition of the Heat Motion remains if the Head of the Muscle be intire nor is there alwaies a tumor but there is alwaies an Ulcer of necessity The Cause is the Corruption Suffocation Dissipation and Extinction of natural Heat in the part The CURE is evermore Difficult especially if it be with afflux of Humors If it be in the moister parts of the Body If it be Joyned with the dropsie It is accomplished 1. By convenient Diet. 2. By due Evacuation with Blood-letting and Purging 3. By Strenkthening the Heart against putrid vapors 4. By Defending the sound part against the speading Corruption by Defensatives and Antidotes The Differences are taken from the Causes which ar either External or Internal I. One kind proceeds from Too much cold oppresing the natural Heat of the part It is known in that sudenly a sharp and prickling pain aflicts the patient The redness of the part is soon changed into a Leaden-color a coldness and nummedness is perceived as it were in a Quartan Ague T is cured 1. By plunging the coold part into cold water or rubbing the same therewith 2. By drinking down hot potions to procure gentle sweates to excite the natural heat 3. After the heat is returned by rubbing the part with warme liquors to which intent a Decoction of Turneps is good 4. If the part be already gangraenated the parts must be scarified and fomented with hot cardiack medicaments II. Another sort springs from bindings which intercept the Blood and spirits In the Cure the ligatures must be losed Medicaments discussive and resisting putrefaction must be applied If the gangrene have made progess we must act acording to the symptomes III. Another springs from defest of Nutriments or Atrophia so called T is known in that excepting leanness neither tumor heat nor paine are perceived when pustles arise paine and fever follows In the Cure prescribe a diet hot and moist smear the Body with moistening oils Draw nourishment to the part by Cupping-glasses without scarrification and anoynting with oyl of Earth-worms c. If the Gangra in proceed scarifie the part and do as shal be here after specified IIII. Another sort springs from External Heat which happens after great burnings If so in the Cure prescribe a cool diet Temper and purge hot humors scarrifie the part and soone after wash it c. Proceed not to an actual Cautery unless necessity compel V. Another springs from the biting of venemous Beasts T is known by relation of the patient In the Cure 1 The venome is to be drawn out by an actual Cautery or scarrification Medicaments resisting putrefaction and such as draw are to be applied 3. Vlcers arising from scarrification or burning must be Cleansed in which case we must not forget to use spirit of wine VI. Another sort springs from the flowing of malignaut Humors into the external parts T is known hereby that in parts especially those which are in the Extremety of the body a blader appears under which there is a black spot there is a continual fever fainting away c. T is Cured 1. By a drying Diet into which coolling cordial Medicaments are to be put 2. By Blood-leting and evacuation if need be 3. By sudorificks which must be lustily plied in this Case Dittamus of creet Vincetoricum and Treacle are good in this Case 4. By Scarifications Cupping-glaces and application of Leeches to the part affected if blood be not otherwise sufficiently drawn forth 5. By washing the same after Incision with salt water or some other fomentation according to the greatness of the Corruption 6. By applying Vnguentum Egyptiacum or som resolving drying and putrefaction hindering Cataplasmes after washing 7. If no ammendment appear Causticks actual or potential such as Butter of Antimony or Mercury Dissolved in Aquafortis and precipitated with oyl of tartar are to be applied 8. By timely Romoving the Crust least new putrefaction arise thereunder Chap. 2. Of the Sphacelus SPhacelus is a perfect Mortification of a Part which seases not only the softer parts of the Body but the hones themselves The SIGNFS are there is no sence in the part whether it be cut or burnt Coldness sharpness and blackness of the Flesh At last it smels like a dead Carcass and the skin is by the fingers separated from the flesh beneath it The CURE consists in cutting off the manner of which see in Practitioners And then 1. Some part of the sound part being very wel bound must be cut off rather than the cutting should be practised upon the in infected part 2 Section must be made in the fingers and Toes 3. In the Feet if the Disease reach above the ankle the thigh must be cut off below the Knee 4. In the Arme very little of the sound part must be cut of c. See Fabricius Hildanus in his Treatise of the Gangraena and Sphacelus Chap. 3. Of Burnings COmbustio Burning is a solution of Continuity in the Scarf-skin and commonly in the skin it self somtimes in the Muscles Veins Arteries or Nerves by the force of fire Touching the Signs t is needless to speak seeing burning is manifest of it self The Cause is either Fire Scalding water Oyl or melted metal or Fat c. The Cure varies according to the differences In the first place the fire must be fetcht out In the next place least pain attract the Humors and blood we must use repellers and defensatives Then we must by Diet purging blood-letting Cupping-Glasses and other means diminish the same A Mucilage of Quince-seeds Extracted with Rose-water and mixed with Line-seed Oyl must be use at the beginning which wil satisfie al Indications The Differences of burnings are Vatious I. One sort is very slight which is known hereby that the burning thing which caused it was light the skin is red the pain most bitter and pricking the place is puffed up pustles arise ful of clear and white water At last the Scarf-skin comes off T is Cured 1. By taking out the fire that no Pustles may
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
must be taken III. One sort is gentle of which in the premises Another is dangerous which is known hereby that on the fourth day the fit retures with extream weakness the Urine being exceeding red and troubled It arises from burning Diseases black choler being bred by the adustion and turning to ashes of the Melancholy Humor or yellow choler T is cured with extream difficulty Article VI. Of compounded Feavers Particularly the Semitertian Feavers compound are when one Feaver is joyned with another This Conjunction is various For somtime a nonputrid is joyned with a Putrid somtimes a putrid with a Putrid and that either with a continual or an intermittent with an intermittent or contrary wise The SIGNS are the same with the Signs of simple Feavers especially the return of cold shivering and shaking after some respite After many shaking fits one hot fit or after a cold fit no sweat The ' Contaction of the pulse is most frequent by which we gather a new motion of the matter and a new fit to follow The Cure is Hard because they vex more than simple ones and there is hardly time to use help It is apparent from the cure of the simple Feavers They are variously divided I. Some are confused when two Feavers begin and end at one time so as hardly to be distinguished because divers Humors mingled together putrifie in the same place Others Implicit when the nature of each may be distinctly known II. Some are Subintrantes interfering when the fit of the second begins ere the fit of the first be over Others are Coalterna keeping due times so that one fit being done after a smal space another begins Other Communicantes when the fit of one begins presently after the fit of the other III. Some are Intermittent under which are comprehended 1. A Tertian both double which comes either once a day or twice arising from choler putrefying in two places of the Mesaraick Veins and Triple which comes thrice in two daies once in one day twice the other and springs from choler putrefying in three several places 2. A double Quotidian which comes twice in twenty four houres 3. A Quartan both double which leaves one day free and comes the two next daies following and Triple in which the Patients are sick every day Both these are wont commonly to proceed from an unseasonable use of hot Medicaments especially Sudorificks IV. Some are continual such as is the Semitertian For it is a Feaver compounded of a continual Quotidian and an intermitting Tertian vexing continually but the third day with a shaking fit It is known by the signs of both Feavers It arises also from the same Causes but most frequently from the Inflamation of some of the Bowels 'T is Cured with difficulty For it is not simple but compound It frequently overthrows the stomach It hurts the Nervous parts which is wont to be the ground of its long lasting and vehemently stirs up what lies in the depth of the Body Respect had the Feavers and their Causes Agarick among Purges bears away the Bel in this Case 'T is divided two manner of waies For 1. One is Legitimate when the Quantity of Choler and Flegm are equal Another bastard when choler exceeds Flegm or Flegm Choler 2. One is Malignant Contagious and Epidemical which is known by signs of Malignity Another is of its own Nature intermittent but with the Inflamation of some Viscus or Bowel which is caused when part of the feaverish matter is thrust with the blood into the Entrals stomach Liver and bordering places Thin a Symptomatick continual Feaver is raised There are signs of Inflamation The shaking fit happens somtimes ordinately according to the Nature of the Intermitting Ague somtimes inordinately when the Inflamation happens to a new part or when Quitter is made The Cure depends upon the Cure of the Intermitting Feaver and of the Inflamation of the Bowel See Spigelius of the subject Title IV. Of the Hectick Feaver AN Hectick is a Feaver arising from heat in such sort Occupying the parts of the Body that though it be fomented by no cause yet it continues Its SIGNS are these Heat which causes no pain because the solid parts are already altered 'T is weak at first because of paucity of Vapors biting afterward because of the solidity of the Parts In the Arteries greater because of their correspondence with the heart An hour or two after meals T is augmented because of the Humectation of the dry and solid parts freely without compression without Horror and Rigor with a great and swift pulse the Meat being distributed it ceases It also dries up al the radical moisture consumes the secondary Humors and melts al the fat in the Body It s CAUSE is either other Feavers either burning or long-lasting or Diseases of the internal Bowels as cheifly of the heaâ—â— and parts in the Chest the Kidneies stomach and Midrif Or External Evident Causes very vehement which consume much of the substance in the solid Members raise up very great and long heat yet introduce it not into the solid parts before they Have introduced it into the spirits in the first place The CURE is perfected 1. By Humectation and Refrigeration Internal by flowers of Violets Borrage Bugloss four coold seeds Milk of Perles of Corals and other gentle things least the weak heat of the Patient be overwhelmed External as Baths of fresh water of Milk of Oyl Olive Nointings of the Back-bone as with Oyl of sweet Almonds and of Violets 2. With convenient Diet Here Womans brest Milk Asses Milk are of use unless there be a Putrid Feaver Meats of Almonds Pine-kernels Pistachios c. Broaths of Snailes waters of Capons Eels River-Crabs of which see Joel in his fift Tome Aqua Mirabilis Ferdinandi which is made of the blood of a young Hog newly beheaded two pints one pound of Venice Terpentine half a pound of scraped Lycoris Corants five handfuls fifty Figs Orice Roots three ounces Pine-Apple Kernels claensed three handfuls Tobacco Leaves two handfuls Crums of bread half a pound distilled in a Glass Limbeck The dose is two ounces with Sugar See him in his Observations History the 21. An Hectick is divided two manner of waies I. One sort is without a Consumption when the dewy moisture of the parts is not yet consumed When it begins t is hardly known unless a man may gather it from the bodies leanness its Chollerick Complexion and straitness of the Brest In the Progress and Ephemera being present the Heat lasts beyond a day with encrease about the third day the heat is encreased after meat Another is with a Consumption and is two-fold the one cald Marasmodes when the dewy moisture is consumed and the fleshy substance begins to be preid upon Then the body grows leane the Temples fal the palms of the Hands and soles of the Feet are hot and those other accidents follow before mentioned The stooles have a greasie substance among them It is
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
The Physitians care has two scopes I. Preservation which in persons of years is contrived by blood-letting purgation and taking heed of the Infection and in infants only by the last means of the three II. Curation which is Hopeful if they soon break forth and appear high above the skin great seperate white or red If the Heat abate after they are broken forth if large bleeding at the nose have proceded if no greivious symptoms attend them Doubtful if either they come flowly out or go in againe if they are of violet color green lead-color hard and touching one another If the feaver abate not after their breaking forth If the patient breaths not freely faint away and other symtoms be present 'T is performed I. By mittigation of the Ebullition or fermentation of the Blood least over Ebullition produce more greivious symptoms which is effected by blood-letting and light purgation in persons grown up by Clysters of the decoction of barly with fresh butter comon sugar in Infants or by giving them syrup of Citrons and syrup of violets mixed together or a bit of pomecitron II. By assisting nature in the expulsion where impediments are taken away by the foresaid remedies and the malignity is likewise resisted Expulsion is furthered by Pulvis Joelis in his 4 Tom Book 9. sect 5. of the seeds of Nasturtinm or water cresses and brooklime of each one dram pouder of Unicorns horn one scruple or of harts-horn half a dram Red coral pearls prepeared of each a scrupel Make al into a pouder The dose one dram or an half dram The decoction of figs of Mynsichtus in the 25. section of his Armamentarium Terra Sigillata of Silesia Seed of white turneps A decoction of lentils unhusked with fennel-seed and gum dragant c. III. By defence of the parts To which end the eyes must be rubbed with pure gold or nointed with plantane and eye bright water and a little camphire and saffron If they cannot be opened they must be fomented either with hot milk or a decoction of Barly To the Nostrils a nodule of sanders and camphire dipt in rose water must be applied If thut they must be nointed with oyle of sweet almonds The throat must either be smeared with diamorum or washed with a decoction of plantane and barly with Honey of roses The ripening of the poxs must be furthered with anointing the same with oyl of sweet almonds When they are ripe they must be opened with golden or silver pins that they may leave no warts behind them They must be washed with a water distiled of al manner of flowers and mans fat or with oyntment of Forestus IV. By removing the symptoms which appear with or folow the same now they are Epilepsy and convulsion when the membranes and nerves are beset with poxs and the palsy when they are thereby obstructed Hard swellings which must be dissipated by emollients without suppuration External Vlcers Dysentery where emollients are to be avoided and such things as dry and stop without acrimony are to be used Hearing impared where evacuation being premised either vesicatories or vapours received into the ears are useful Inflamation of the Eyes c. Of which see in their proper places Article II. Of the measels and such like Breakin gs forth The Morbilli or Measels are smal red pushes breaking forth upon the skin with a continual feaver caused by the expulsive faculty and a peculiar working or boiling of the Blood The Signs Causes Differences and Cure vary not much from those of the smal pocks of which we newly discoursed Like Breakin gs forth to the measels are I. Crystalli Cristals pushes about the bigness of Lupines breaking out upon the Body and shining like Christal out of which a watrish humor flows The Germans cal them Schafs-blattern II. Tubercula little risings not thick together with little moisture in them without any feaver and soone cured III. Rubeolae smal red Pimples which come somtimes a lone with heat and Cough sometimes they are sprinkeled among the smal poxe or measels and sometimes they happen to persons in Health IV. Rossalia red fiery spots which breake out at the begining of the disease al over the Body as it were certain smal Erysipela's though the tumor is hardly discernable sometimes they breake not forth til the fourth or fift day in the progrses of the disease they occupy the whole body so that it looks as it were alâ—on a red fire Which color is againe changed into spots as at the begining which vanish at last upon the seventh or eight day The Epidermis or scarf-skin faling off like scales The Cure of these requires nothing singular Article III. Of the spotted Feaver Febris pefechialis or the spotted feaver is a malignant Feaver in which certain spots like flea bitings of sundry colors but cheifly red appear upon the skin These spots are called puncticulae petechiae peticulae Whence the feavers are termed also puncticulares periculares and lenticulares The SIGNES are the same as in malignant feavers The sports are without any itching extuberance and exulceration They appeare in the back Armes Thighes Brest viz. places through which the most notable Arteries and veins doe passe Seldom in the face because the cold air repels the matter from thence There appears no prick in the middle of them and so they are distinguished from flea-bitings The CAUSE is the thinner part of the putrid humor which makes that they soone vanish 'T is driven forth by the expulsive faculty Seldom critically seeing they commonly shew themselves at the beginning without any remarkable evacuation alwaies for the most part Symptomatically and by how much they are more plentiful they do the more signifie the abundance of corrupt matter in the Body The CURE is Hazardous if the spots are many because they shew that there is much matter If they be few and accompained with sings of Natures weakness If they disappear because 't is a sign they strike in again If they come forth slowly because it argues grossness of matter or compactness of the Skin 'T is Performed 1. By withdrawing the matter effected by blood-letting which must be practised before the fourth day Lenitives being premised to loosen the Belly to which a little Camphire may be added if blood be drawn later the Patient wil be over weakened 2. By Expelling the same with Sudorificks resist malignity premisiug if you please such noyntings as may open the pores In this case Bezar stone is good and emulsions of Navew and Citron seeds with Carduus Water and Syrup of Citrons The Bones Blood horns and Skin of the Rhinocerote c. 3. By Roborating the Faculties with Emulsions of Corals and Pearles Confectio Alkermes c. 4. Somtimes also by Revelling the Humor to the external Parts by Vesicatories if the external parts are cold there be Head-ach ravings Convulsions c. If the Patient be loose bellyed we must not stop the loosness unless it be too excessive The
Strike in it must be called forth either by fixing a Cupping Glass or with a 0734 0 pultis of Radish Root and Scrophulary the great with a little of Salt Vinegar When it comes far out it must be drawn to the more ignoble parts from the Neck to the hollow of the hand from the Groins to the soles of the Feet To this purpose there is an useful Cataplasme made of two ounces of the greater Scrophulary Root Radishes one ounce beaten and with one ounce and half of the strongest Leaven and boyled in Wine Vinegar and so made into a pultis and applied to the Palm or hollow of the Hand or the Sole of the Foot or that side on which the bubo is It must be renewed three or four times in a night Being Fixed 1. it must be often drawn with a Cupping-Glass and store of flame without Scarrificatian 2. The Cupping-Glass being removed let it be covered with a ripening Cataplasme and drawing made of the Roots of Scrophularia Salt Black Sope and strong Leaven boyled in Vinegar 3. After six hours let a Cupping-Glass be again set on and let the Skin be cut with a Lancet or smal Knife 4. Let a Cataplasme ripening and drawing made either of a great Onion hollowed filled with Treacle and roasted in the Embers til it be soft or of the middle rind of Elder boyled in Cream and mixed with Leaven be laid on at Night and often renewed 5. Let the Tumor the following day be either cut or brok and the Blood water squeezed forth and let a mundifying or clensing plaster of Turpentine wash't in Scordium water and honey of Roses mixed therewith be applied Touching the Carbuncle and Feaver which is also entertained by certain symptomes see in their proper places See concerning the Plague Peter Salius Diversus Joel Tom. 5. Sect. 3. Septaliws in a peculiar Treatise and Valerius Martini And so much cancerning Feavers THE EIGHTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the Head Title I. Of the Diseases of the Brain Chap. 1. Of the Distemper of the Brain without Matter HItherto we have treated of Diseases in the general the Particular now follow and these are either such as are not Venemous or such as are Venemous Unto those belong the Diseases of the Head the middle and the lowermost belly commonly called the three Regions The Diseases of the Head are either those of the Brain or of the Eyes or Ears or of the Nostrils or of the Tongue or of the Lips or of the Face or of the Mouth or of the Teeth or of the Gums or of the Cheeks or of the Wesand or Windpipe or lastly of the Jaws and Tonsils Unto the Diseases of the Brain are referred as thereunto belonging a distemper which the Latins cal Intemperies the straightness or stoppage of its passages Commotion Inflamation Hydrocephalius being a cold Disease thereof proceeding from water and Flegm Contusion wounds and Fractures The distemper or Intemperies either is without matter or else with matter The Distemper of the Brain without matter is the declining thereof from its due and right temper through some external causes For the Signs and Causes see of them in the differences The CURE is performed by Alteration and Purgation lest that the Body if it be either Plethorical or Cacochymical should attract more Vapors It is divided into four species or kinds I. the first of them is hot when the Brain declines unto an immoderate or overgreat heat It is dscerned and known by the beating of the Temples the agitation within the Cranium or Skul by the sleep which is either none at al or else very short and by the instability and mutabillity of the Imagination It ariseth from external hot causes to wit Aire meat drink exorbitant affections c. It is to be cured 1. By alteration and that by cooling mediacments as wel internal as external and these not over strong especiallly in children and women having in them a mean and indifferent astrictive quallity left that the humors should be either attracted or dissipated not too frequently applied and made use of lest that they should introduce and cause a kind of sencelessness or stupidity and then lastly they are to be mingled with dissolvers when the distemper is in 't is declination The cheif and principal of them are the leaves of Lettice and Purslan the flowers of Roses Waterlily white and Red Popy and Saunders wood together with those medicaments that are pre-prepared and made out of those such as are fomentations which are to be corrected with such things as penetrate by reason of the thinness of their substance as doth Vinegar c. These remedies are to be applied to the forehead Temples and Sutures So soon as they begin to wax hot they are to be changed neither are they to be tyed on or covered with thick clouts or linnen often doubled For Embrochations and washings of the Feet are most in request the Leaves of Sengreen vine Leaves and the Leaves of the Willow Tree The flowers aforesaide as also of the Elder Tree and the root Rhodia a cataplasm made of willow Leaves and Vine buds 2. By Evacuation for the cause before alledged 3. by a diet inclineing to coolness more than ordinary II. The second is Cold when the Braine declineth unto an excessive or over great coldness And this is known by the swelling of the eyes the palness of the face the heaviness of the head propension to sleep slothfulness and slugiggishness It proceedeth from things external that either are cold in themselves or at leastwise induce and cause cold It is cured 1. By Evacuation if the body be Cacochymical 2. by Alteration which is effected by the use of things External and internal that are hot and these must be taken after meat and never before The cheif of them are the Roots of Piony taken out of the earth at the waning of the Moon the root of round Aristolochia Castorium The flowers of staechas or cotten weed primrose pealings of the bark of the linden or tyle tree of flowers of lillyes of the vally of Rosemary Bettony Marjoram Black chery water the water of swallows Treackle water The Quintesence of Rue of Rosemary of Succinum or yellow amber Of condites the Indian met nutmeg treacle Mithredate the restorative Confection called Anacardina and Alpermes Distilled Oyls as of the Wood Guajacum and of sassafras taken either in waters or else in smal morsels The leaves of Rue Wild bettony and the right Verveyn Balsams of Lavender Rosemary yellow amber Cloves nutmeg c. 3. by a diet somewhat inclining to warmth where likewise suffumigations have their use and place III. The third is Moist when the brain inclineth unto an overgreat humidity or moistness It is known by the humidity that appeareth in the nostrils and the eyes by the Catarrhs that follow upon it and the propension unto sleep It ariseth from some external causes
Functions be hurt and empaired if there be a trembling of the Tongue if a kind of cold stiffness infest and invade the Patient after he hath voided downwards white Excrements if there appear to fal from the Nostrils a black drop and that such is sincere or bright in regard that it proceeds from a very vehement adustion and lastly if they scrape together Straws c. It is Performed if at al I. by Revulsion or drawing back of that Humor that floweth in either by opening of the Cephalick Vein or else 1. Of al the Median or middle Vein if there be present great store of the Humor but yet not unto fainting or swooning away or otherwise by Cupping-Glasses with a profound and deep Scarification in the parts both above and beneath or else by some other kinds of Revulsions 2. By Repulsion or driving back by the frequent use of Repellers unless the matter tend towards and as far as the skin of the Head or else by the applying unto the head being close shaven Remedies a little warm tempered and qualified with Vinegar that is not over strong if there be not present either an internal or an External heat or if there be any such heat then by Medicaments that are cold 3. by Interception by the rolling of swath bands about the Neck 4. by a gentle Purgation II. by Evacuation of the Humor that is already flown in and this must be performed by opening the Veins of the Head those of the Nostrils those under the Tongue and the Aplication of Vesicatories and a Cupping-Glass unto the fore part of the Head By Discussion through the use of Medicaments made up of discussives the Alabastrine unguent III. by a Diet in the which emptiness and over long fasting must be avoyded as pernitions and extream hurtful c. It is divided after a Threefold manner I. The first species in the division is that which Precedes a Feaver in which we are allowed to purge while the feaver is absent more especially if there be present an extraordinary cacochimy cupping-glasses are to be imposed applyed unto the very top of the crown with scarification following therupon Another kind thereof followeth the Feaver in which likewise we may purge with those Medicaments that are gentle and moderate especially if the turgency or heightening of the Matter require it II. Another sort thereof ariseth rather from blood than Cholor in which a greater quantity and portion of the blood is to draw forth by opening of a Vein but then there is likewise another which proceedeth from Choler rather than from blood in which we ought rather to purge than use any other means III. Another is an Inflamation of the Membranes of the Brian unto which the signs before alleadged do very fitly agree Another there is of the substance of the Brain it self in which there is at the first a pain seizing the Head which by the hinder part thereof penetrates even unto the very nook of the Neck In this distemper the sick persons do not dote but yet notwithstanding they lose both their external and internal senses they likewise speak very little or not at al c. Chap. 6. Of the Tumor Hydrocephalus in the Head HYdrocephalus is a swelling of the Head arising from the collection of some serous or wheyish Humor in some one part or other of the Members that constitute the Head There is in this distemper no need at al of SIGNS for the disease may be sufficiently known by the very sight of the party It is rather the disease of Infants than of persons of years and strength The CAUSE is a Humor that is waterish wheyie and somtime dreggy yea moreover also bloody The CURE is exceeding doubtful as wel because the distemper is in a Noble part as likewise because the subject part is very tender as also in regard that an Apoplexy or a Lethargy do easily soon seize upon the party But the cure if there be any is to be Performed I. By drawing forth the Water with Hydragogues sweats Urine Medicaments that insensibly discuss and dry and by opening the part affected II. By Reducing of the Brain unto its pristine temperament by hot Cephalick Remedies The Difference is taken from the Scituatiof the Humor For one kind hereof is from a water sticking between the Skin and the Pericranium and then the Tumor is soft transparent by candle light or the light of the Sun as also it being void of pain yieldeth unto the touch and immediatly ariseth up again being pressed together it exhibites a motion of a fluctuating water It yeeldeth more easily unto the Medicaments that are prescribed and may be wholly taken away be the alone opening and cutting thereof There is another Species or kind thereof proceeding from a water as aforesaid consisting and residing between the Pericranium and the Cranium or Skul Then a pain affecteth the party and in this case a two-fold Section or cutting part affected is to be administred Another kind hereof there is from a water as above said gathered together betwixt the Cranium or Skul and the Membranes Then the swelling is not so soft as usually but the pain is far greater and the forehead is born out forward more than usually and likewise also the Disease is almost 〈◊〉 not altogether incurable Chap. 7. Of the Contusion or Bruising of the Head A Contusion of the Head is a smiting or knocking together of the same the external part thereof mean while for the most part appearing sound and entire by somthing that is weighty hard obtuse and blunt The SIGNS are manifested by those things that went before the blood is poured forth out of the Veins and there is an excited soft Tumor or swelling black and blewish and yet without any great or much pain The CAUSE is expressed in the definition The Skin being for the greatest part whol and unhurt there are notwithstanding smal Veins opened under the same The CURE is in such manner to be instituted that I. The great afflux or flowing to of the Humors may be prohibited and that by blood-letting if the Contusion be greater than ordinary as also by laying to and applying repellers and astringents which are often to be removed and changed lest that they become overhot The hair of the Head being close shaved off the place is then to be anointed with the Oyl of Roses about the time of the pains mitigation II. Let the Blood that is poured forth under the skin be Evacuated by the insensible Application of a betony plaister the Cerot or searcloth of Vigo that of simple or red Lead or de minio de Matris ilva de quatia dei c. III. The Suppuration if it may not be impeded is to be helped on furthered by Triapharmacon which is compounded of one part of sweet Oyl two parts of common water wheaten Meal as much as wil suffice unto al which the Yolk of an Egg is to be added
There is here Good hope of a cure if there appear on the fourth day good and promising Signs if pus to wit snot or filth or water flow forth by the nostrils ears or eyes But is somewhat doubtful if there be present with it an acute feaver and that the ut in be white because then the choler is carried upwards and an inflamation is greatly to be feared if the Patient vomit up that which is Eruginous or in color like unto brass and that the Party be over long kept awake and deprived of his rest especially if a deafness accompany it in regard that by reason of the choler that is gotten together they suddenly fal into a violent and vehement madness if they be surprised with a Congelation or taking as we cal it together with a stoppage of the belly a fierce and wild countinance and that the face be extraordinarily red and fiery because then they are suddenly surprised with a crick in the neck that affect which we usually terme opisthotonos if likewise there happen together with it a sound or ringing in the ears without a Feaver if there accompony it a vertigo or giddiness in the head a hoarsness of the voice and a benummedness in the hands for then they sudenly become either appoplectical or Epileptical and Apoplexy and Epilepsie or falling sickness most commonly following thereupon But there is no hope at al or if any very little if where â—â—it was very vehement it suddenly vannish away and conceal it selfe there following no alleviation by the crisis if the extream parts become exceeding cold because that the native heat being drawn back a Phlegmon may easily be excited if it happen to be with an acute feaver and that on the fourth day there appear some pernitious sign or other if a sound person so soon as he is surprised and taken herewith become instantly speechless and snort and yet is not afflicted with any strong feaver wherby probably he might be freed from the aforesaid distemper The Cure if there by any is performed I. By mettigation of the pain either by anodines of river craw-fish beaten wel together with rose vinegar vervain water and the root thereof wel bruised and imposed on the part affected the Allabastrine unguent before mentioned al which ought to be applied unto the suâ—ures and temples or else by narcotick remedies which may only be applied unto the forehead and layd thereon II. It is to be accomplished by removai of the Causes and strengthening the part touching which see further in the differences The Differnces of the Cephalalgy are many and those very various I. One difference hereof is symptomatical of which we here treat Another is Critical which beginneth not to afflict the patient from the first rise of the dâ—stemper but much about the time of the Crisis and then the breathing suddenly becometh short and very difficult the Hypecondria being drawn back the veins are swoln and the arteries beat in the Temples the cheeks wax red and tears flow forth of their accord the patient not being able to withstand it the sick party streacheth his nostrils with his hands and then most commonly there floweth a streaming forth of the blood II. Another is External which seizeth the pericranium is perceived in the very superficies reacheth unto the roots of the eye-lids is exasperated by the compression of the hairs and hands Another internal which becomes easy and moderate upon the very touch especially if it be without any distention and it extendeth it self even unto the roots of the eyes III. Another is from Causes External to wit 1. Ebriety with beer in which the herb Chamaepence is boiled easily and soon causeth And then the matter fluctuating in the stomach is to be cast forth thence by vomit The leaves either of the Colewort or Cabbage throughly moistened in warme water or else the leaves of Rue wel brused together with rose vinegar are to be applied The head is to be al over wet and besprinkled with the spirit of wine and the feet are chafed and rubbed with salt and vinegar 2. By a Contusion stroke wound in which case the cure is to be sought for above in and from their proper places 3. By the heat of the sun the heat of a Bath and of the soucherly winds And then the head is to be delt withal by cooling fomentations c. 4. By the use of other things offensive such as are dates walours chestnuts Filbirds toad-stools hempseed the seeds of Coriander not prepared Frankinsence styrax and Mirh if moderatly taken c. Another is from Internal causes to wit 1. From a distemper without matter which if it be hot the pain is vehement and the head becommeth hot if it â—e cold the pain lasteth so much the longer and the head is cold In this case the little rols or cakes of diamâ—scum dulce and a little bag of heating Cephalicks are very convenient If it be dry the pain is moderate dul and notacute and there went before causes that were extreamly efficating and drying 2. From a distemper with matter which is either from blood and then the paine is more gentle and moderate which cheifly seizeth the fore part of the head and increaseth before the time of repast The Cure is to be sought in its due and proper places Or else it hath its original from yellow choler and then the pain is extreamly pricking and corroding and for the most part fasteneth upon and seizeth the right side of the fore part of the head In the cure those things that are most fit and likely to effect it are Epithenâ—s of Opiat Laudanum with rose water vesicatories applied unto the neck the smelling of rose water with Camphire washing of the head with a decoction of agarick together with the flowers oscamomil scarification of the lips of the ears c. or else it procedeth from flegm and then a pain afflicteth the patient on the right side or the hinder part of the head rather then else where Medicaments good and sucessful against this malady are oxymel with squils the water of the flowers of the elder tree of penyroyal of rosmaâ—y with cristal of nitre the shels of peaches beaten together with verveyn water the oyl of nutmeg pressed or drawn forth the Balsam against the Apoplexy that of yellow amber and the sacculus or little bag of Hartmannus Or else it ariseth from blak choller or melancholly and then the watchings are very extream greivous together with a pain of the left side of the hinder part of the head Let the cuâ—e be sought for in iâ—s proper place 3. from a wind and then the pain wandereth as it were and flyeth up and downe hiâ—her and thither it puffeth out and extendeth the part where it is often returning and running back again at some certain constant hours of the day It is discussed scattered if so be that the temples and the coronal suture be frequently anoynted and
chased with garlick throughly bruised and then mixt together with wine vinegar or the Urin of an Infant III. there is Another Cephaâ—algy that is such in its own essence we term it primary which now and then ariseth likewise from worms with a certain kind of gnawing and aâ— itching of the nostrills and this comprehendeth under it al the fore-mentioned differences Another there is by the consent of the Heart as in feavers of the hypochondria the stomach the wombe c. and this for the most part is hemacrania and afflâ—cting only the one half of the head see the first Title of the second Chap. of this Book IIII. Another Cephalalgy there is peculiarly and specifically so called which indeed is nothing else than a pain that as it is new so it is also very light and gentle and such as is most easily removed without any great imbicillity and weakness having its original most usually from causes external likewise it is accompanyed with a Feaver V. Another is that we terme Cephalaea or a long continued contumacious pain Infesting and annâ—yingwith the greatest paroxysmes and yet notwithstanding such as are stirred up even by the smallest and most inconsiderable causes the whole brain and head or at least to be sure the greatest part thereof but most especially the Membrains Another called Hemicranio which is a painful distemper of one half part of the head only which ariseth from those parts that are situated beneath it In that that proceedeth from the stomach there is usually perscribed as most profitable for evacuation the Pils of Fernelius formed of the best Aloes half an ounce the powder of the Electuary of precious stones or de Gemmis of the three saunders called in the shopps Diatrion santalon and red Roses of each of these six Grains and so made up to the number of thirty with the Syrup of Wormwood and violets and then two or three of them are to bâ—â—vallowed down the tenth hour before supper Unto the Head there may be applied and laid on an Epithem of the green Root of the Wild Cucumber boyled together with Vervein and Wormwood of Pontus in Oyl and water Chap. 2. Touching the Sympâ—tomes of the Common sense Article I. Of over great and extraordinary watchings THose Symptomes that infest and invade the common sense are watchings and a drowsie and sleepy distemper called Cona Watchings preternatural are the exercise 〈…〉 sense and the external likewise beyond a due and fit measure arising from the continual uninterrupted influx of the spirits into the Organs There is no need at al of SIGNS For the relation of the sick wil suffice The CAUSE is expressed in the definition But the Spirits flow in because they can by no means be brought to rest and sleep and that either in regard of externals to wit objects overmuch light cares Cogitations or thoughtfulness or else by reason of somwhat internal to wit a hot distemper of the brain a pain c. the cure is difficult if the said watchings happen unto those that are young and not at al accustomed thereunto if they bring on the party a doting or a Convulsion or a cough if they last long if they have their Original from internal causes The Cure consists I. In Removing of the Causes that occasion and produce those watchings II. In Procuring sleep either by cooling Cephalicks outwardly applyed or inwardly given or else by Narcoticks The Fat of the Fish Lucins that is the Pike annoynted upon the Temples the Hypnotick Wine of Mynsichtnus the Soporiferous Compound of Saxony the Liquor of the smal spungy sprigs of Eglanrine pressed out of them after they are come to a maturity Opium corrected with Saffron the magistery of Corals and the spirit of Vitriol a pultise of Poppy seeds with the Oyl of Hen-bane and the breast milk of a woman applied to the pulses and the Pediluvium or Lotion to wash the Feet of Hartmannus c. al these are excellent for the purpose aforesaid The Difference is taken from the Causes Some of them are from External Causes to wit 1. The passions and affections of the minde Fear Grief Cares Custome and then these things are to be removed 〈◊〉 because they are wont to occasion the distemper of the head we ought to withstand and prevent the increase and growth of the Humors 2. They proceed from the objects of the external senses which are to be rejected The annoynting of the Nostrils with Oyl of Nenuphar or the water Lily and the eating of Lettice is here in this case much commended Others there are from Internal causes to wit 1. From a hot and dry distemper either without a Feaver which disturbs and drives to and fro the spirits and dissipates the vapors The cure of this may be sought out in its own proper place 2. From hot Vapors that are sharp salt which distâ—rb and trouble the spirits by their pricking and twinging the Membranes of the brain These either they are elevated by some Apostem of the Head and that either from the whol Head or from some certain parts thereof and this likewise either without a Feaver or with a Feaver The Signs and the Cure ought to be sought for out of their own Chapters Those Medicaments that qualifie sweetly allay and temper the Vapors are to be exhibited after supper 3. From the defect of Vapors that might cause rest and quiet unto the spirits in regard either that they are not al generated as it happeneth after an overlong abstinence from food and by reason of crudities in the stomach and then in this case in the Cure a special regard is to be had unto the Diet or else it is because that these Vapors so soon as they are generated they are forthwith dissipated and scattered like as it chanceth in an hot distemper and then a regard also is to be had unto the same 4. From Pain in which when once the common sense is together affected it being vehemently and violently moved al the other senses moved and disturbed together with it And hitherto apperteyneth a Cough the flux and extraordinary loosness of the Belly c. which deprive a Man of his sleep Article II. Of the sleepy and drowsie Coma or Cataphora The somnolent or sleepy Coma is a deep and profound kind of drowsiness arising from hence to wit that the Sensus Communis or Common sense is become so dul sluggish and stupid that it permits not the Animal spirits to be diffused unto the external senses neither doth it know or is able to Judg of those objects that it receiveth from them The SIGNS are taken from this to wit that the sick party sleepeth for the most part with his lower Jaw-bone hanging down and with his Mouth gaping and wide open when he is rouzed and stird up he openeth his Eyes and answereth but immediatly again falleth asleep And so it is distinguished from the sad distemper Carus from the the Apoplexy and the suffocation
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
then the peccant matter assumeth unto it self and worse and more offensive quality if it happen to be in a burning Feaver and that a doting follow thereupon for then some great and grievous Disease succeedeth and the strength and powers of the body are wasted and consumed if the sick party Shrink and Start when he â—s toucht for then the Nerves are become over moystened by the peccant Humor But when we set about the Cure and that there be any hopes of effecting it it is then to be instituted and prosecuted according to the Nature and disposition of the several Causes and differences touching which we purpose to speak further in the sequel The Differences are al of them taken from 〈◊〉 the Causes introducing the same I. One is from External Causes especially such as are Malignant and Narcotick as to instance Quick-Silver Poysons opiates Henbane the Retention of the Secundines or After-birth and the suppression of the blood after delivery al which are to be removed Another is from Causes Internal of which we shal speak more in the Second Difference II. Another is from the Scarcity and want of Spirits which either are not generated and bred in a due and fitting sufficiency by reason of a cold distemper of the brain and in this case in the Cure thereof the Nature of the Disease it self ought heedfully to be regarded or else after they are generated they come to be dissipated wasted and consumed by an excessive heat an over great Evacuation and some long continued tedious Diseases and here we are to deal and do our endeavour by prescribing a fit and convenient Diet. Another there is from some faults and faylings in the Nerves themselves which may be I. A Cold and moist Distemper of the brain and there are some signs present of a misaffected brain The Cure must turn towards and Eye the Distemper For those Remedies that are taken inwardly these following are cheifly commended VIZ. The Essence of Balm and stoechas of Arabia Among the Medicaments that are to be externally administred these are highly approved of to wit the Oyl of the flowers of Trifoyl or the three leaved Grass vulpinum or the oyl of a fox the oyl of pepper the Oyl of castor c. 2. A Plethory when some wonted Evacuation is suppressed then in this case let a Vein be opened 3. An Obstruction of those same Nerves such as we term partial ones or a stoppage of them but in part whether it proceed from thick and gross Humors or else from Gluttony and sur-charging the stomach and other such like Causes See further hereof in the subsequent Cure of the Palsie Article V. Of the Palsie The Palsie is a spautaneous and voluntary abolition of motion in the parts without any the least hurt of the Reason arising from a defect and want of the Animal spirits through some fault and errour in the Nerves There is here no need of SIGNS the motion for the most part perisheth the sense and feeling stil remayning there is likewise a kind of softness and tenderness in the part affected a coldness also a weak pulse c. The CAUSE is a defect and fayling of the Animal spirits which happeneth by some fault of the Nerves There is no CURE at al to be expected if it chance to be from an extream and forcible Relaxation or Loosing of the Vertebrae in regard that then the Nerves are greatly crushed together and very much bruised insomuch that an inflamation followeth thereupon if it proceed from an incision or cutting of some one of the greater Nerves or the the spinal Marrow because there is then no Hope of a Coalition or closing together again of the incision The Cure is likewise exceeding Difficult and hard to be effected if it happen unto aged people in regard that it denoteth an imbicillity of the heat if the member be extenuated and the natural vegetative heat thereof be changed and altered especially if the eye on that side be impaired because it argueth then that the heat is wel nigh extinguished if there be many of the nerves and muscles affected if it succeed and follow upon an Appoplexy in regard that then the cause is over vehement But the Cure is more easie if the resolution be in the thinges or feet because that in those parts the nature and constitution of the nerves is dryer than elsewhere if the member resolved and loosened be actually hot and lastly if a trembling or a feaver follow upon it It is to be instituted and ordayned according to the nature of the causes and the differences The differences of a palsy are very various I. One is Vniversal in the which either the whole body the head alone excepted is seized upon or at least the one halfe thereof or one side of it And then if the Face be affected the brain also together with the spinal marrow is affected But if al the parts beneath the face then the begining and first entrance into the spinal marrow which we cal the marrow of the back bone is very far amiss in its transverse situation but if the affect surprise only the one half of the body one side then only of the Said spinal marrow is likewise affected and becometh faulty Another is particular when alone some one certain part suffereth And then if the Arms and hands be deprived of their motion then the nerves that proceed forth from the vertebre of the hinder part of the neck offend and are faulty If the Feet then those nerves that are in the vertebrae of the Loyns and the Os sacrum or channel bone If the eyes then the second pair of nerves is affected If the Tongue then the seventh payr of the nerves is affected And lastly if the voice fail then those nerves that are called recurrentis they only are affected and do suffer II. Another difference there is arising from a distemper in the nerves themselves by reason of phlegmy and cold humors that relax or loosen and dissolve their tone and these for the most part descend from the head These humors may be known and more fully understood what they are out of the Chapter touching the distemper of the head The Cure is to be wrought 1. by a gentle evacuation and imploying of the first and most principal passages least that otherwise the preparatives draw the crude humors into the stomach and here vomiting procured and excited by the use of Crato his vomitary made of the Juyce of the reddish in the which black hellebor hath bin steeped and infused hath its place if the stomach be stuffed ful of flegm but then if the matter be in its flux and motion the evacuation ought to be so much the stronger 2. by a preparing of the matter more than once by Cephalick medicaments among which Iva Arthetica primrose flowers the Flowers of Lilies of the Vally are the best that are now adayes in use 3. by purging with mechoacan or the
II. Another is from Replexion which dilateth the breadth of the Nerves and diminisheth the Longitude thereof It is known by the foregoing of the Causes a sudden invasion and surprisal without any evident and manifest Cause and exhasting together with a Flegmatick habit and temperament It ariseth I. From the Afflux of a Pituitous and Flegmatick humor into the Nerves according to their Tunicles or little Cotes and as they are essential constituting parts of the Muscles and instruments of the motive operaation Then there went before it such a like kind of Diet and the monthly Courses Hemorrhoides or other wonted Evacuations are suppressed In the Cure 1. We must attenuate and Cut the peccant matter by a timely administring of a Clyster In the next place those things that are highly commended and approved of are the Treacle of Andramachus the Water or the spirit of Juniper and the Balsam of Quercetan 2. We ought to Evacuate oftentimes with the milder and gentler sort of Medicaments the stronger sort of them pour out and quite expel the matter 3. A Revulsion must be made by frictions Gargarisms Cupping-Glasses c. 4. A Discussion of the offending matter must be wrought with the Oyl of Castor of Euphorbium Turpentine distilled the Oyl of Nutmeggs and the Hot Baths of Sulphur 5. In the Diet that is used there must be no kind of Wine drunk II. It proceedeth from an Inflamation of the Nervous parts and then there is present a Plethory a fal or a blow or something else that was violent long continued and acute pains in the Nervous parts vehement anger and passions of the mind c. had their precedence The afflux of blood hotter than ordinary is in great part the Cause hereof The Cure is to be directed and to look towards the Inflamation III. From extream windinesses and then the Causes thereof went before and it soon passeth away is gone To Discuss Vervein and Mother-wort imposed upon the Neck are very available 4. It happeneth from the wounding or pricking of a Nerve whether the said wound and hurt be simple or poysonous but of this kind of spasm we have treated before in the second Book Another is from Inanition or extream emptiness in which the Nerves are rendered and made shorter by reason of the exsiccation and sudden drying up of the Native Rudical Humidity It is known from hence that it maketh its approach sensibly and by degrees with a diminution of the member It ariseth from Causes that do either excessively evacuate such as are frequent and much bleeding at the Nose sweats and purgations with Hellebore or else they vehemently heat and dry up the radical Moysture and such are Inflamations watchings hard labor and over working the drinking of much wine immoderate and excessive venery a long lasting pain the Hectick Feaver and lastly Cauteries or Vesicatories over frequently applied unto the Nervous parts It is to be Cured 1. By a moystening Diet. 2. By Medicaments that are Analeptical or restorative and moystening and such are the unguents de Ansere Cata assatis that is to say of a Goose and a Cattrosted and baths made of Oyl the fattening water of Ferdinand in his third Book and the Chapter touching an Hectick Feaver made of swines Blood Morsels of the Flesh of the Tortoise or of Craw-fish The Magisterial of Hyacinth is specifical Another is that we cal Phusodes which hath its original from a gross and thick spirit or Vapor excited by Crudities that filleth out the spaces of the Muscles and distendeth them with a grievons pain It endureth so long as until the Muscle be relaxed it is quite removed and taken away by frictions and rubbing and chasing of the parts affected or else by annoynting it with Treacle or Juniper water Another is Illegitimate as we term it which proceedeth from the exstimulation goading as I may so say and pricking forward of the Nervous parts by some painful affect but yet without a perpetual extension and stretching forth of the said parts for the most part it happeneth by consent of the Orifice of the Stomach or of the Womb. The aforesaid grievous and painful affect is either from some distemper or else from the solution of continuity Chap 7. Of those Symptomes that hurt the Internal senses the Reason and Motion together with the External Senses Article I. Of Incubus or the Night-Hag and Catalepsis THe Symptoms that hurt the Internal senses the Reason and motion together with the senses External are Incubus or the Night-Mare as we usually term it Catalepsis we commonly cal it a Taking the Epilepsie or falling sickness Carus and the Apoplexy Incubus the Night-haggs is an interception of the motion especially that of breathing and the Voice with a false and Erroneous dream of some heavy and weighty thing lying along upon the Breast and thereby causing a suffocation as it were and choaking of the Party by means of the impeding and hindering the free penetration of the spirit the Passages being obstructed and stopt unto the Nerves The part affected is the Brain espeacially in the hinder part thereof by which the passage reacheth and attaineth unto the beginning of the spinal Marrow The Diaphragm is likewise compressed and kept down The SIGNS are a heaviness and immovableness of the body and cheifly the Chest or Breast a slow and dul sense and imagination and conceit of a suffocation especially in the first beginning of sleep the party lying upon the back and as it were an oppression and keeping down by somwhat lying heavy upon it insomuch that the Patient can by no means distinctly cal and cry out but only make a confused and unintelligible Noise The alone interception of breathing and the voice is brought and offered unto the imagination in regard that the motion of the breast alone is mainly and principally necessary in the time of sleep The CAUSE is an interception of the Animal spirits arising from a light Obstruction of the Ventricles of the brain and more especially of the beginning of the spinal Marrow That that Causeth this obstruction is a Gross and thick Vapor that is oftentimes cold yea even Narcotick and hence it cometh to pass that the party thus affected is so hardly awakened That which proceedeth from a gross and thick Flegm or from a Melancholy Humor sticking fast in the Hypochondria and neer about the Precordia this in these persons from Gluttony furfetting and drunkenness the stomach being thereby sur-charged from Crudities or other such like Causes being swoln and puffed up and then moved exhaleth and compresseth the Diaphragm and the Lungs rusheth violently into the beginning and enterance of the Nerves and so creeping as it were and insinuating it self into the very seat of the Imagination there intermingleth it self with the spirits The CURE is the less to be hoped for if from an internal cause it fieze upon those that are wel in yeers if it be of long continuance and
signes and tokens of a distempered and affected stomach In the cure we may safely and successfuly have recourse unto vommits c. Another is from worms which are easily discovered by their signes Unto scolecobrotick Medicaments there ought to be added and therewith mingled Antepileptical remedies Another is from the womb which is known by this that there is then some affect or other of the Womb present to wit the suppression of the courses the retention of the Seed or the Secundines a dead childe in the womb c. The Cure is to be directed and to look toward the Affects in the which the root of round aristolochy is much commended Note here that the water of swallowes distiled with Castoreum Galbanum and vinegar is most proper and convenient that for a woman great with child there ought not upon any termes sweet smelling odoriferous things be applied or laid neer unto her wombe yea likewise that al odoriferous medicaments since they offend the Head and make it heavy are wel removed from it Another is from the External parts either wounded or ulcerated or else hurt by biting which is exactly and diligently to be examined and inquired into left that otherwise it should be mistaken for that which proceedeth from the Womb. It is to be Cured according to the Nature and quality of the Causes VI. Another is of such as are grown up and have attained to maturity of yeers unto whom al that hath hitherto been spoken upon this subject is to be applied as most suting and agreeing unto them Another is of Infants in the Cure of which if they be yet sucking at the Breast in the Paroxysm we must then proceed so as is above declared only there must be special Care and regard had unto the tenderness of their Age. Out of the Paroxysm the Nurse ought as far as necessity requireth to have appropriate Medicaments given her to drink and withal the Infant is to be Evacuated and emptyed with Syrup de Tribus as the shops cal it and then his brain is to be strengthened and the impostums if any there be that break out are by no means to be hindered in their flux but on the contrary they are by al means possible to be furthered There are some that in this case do very much commend the anoynting of the whol Body with Butter unwashed unsalted and Mingled with Rue bruised and beaten in a Mortar An approved Remedy to preserve from this sad and fearful affect is the preserving power of Hartman the Aqua Vitae that is usually Exhibited and given unto Women with Child Oyl of sweet Almonds with Sugar given to Childeren new born In that Difference that is by consent there is to be highly commended the Emplaster of White Amber of Frankincense and of Mastick of each one dram and an half of Galbanum Opoponax of each one scruple of Birdlime of the Oak two drams Amber six grains Musk three grains Male Peony seed half a dram Ladanum a dram and half of the Oyl of Nutmeg a smal quantity al these aforesaid being strewed over with the pouder of Cubebs the emplaster must be spread upon leather and so imposed upon the Abdomen or lower belly But if in Women it happen as many times it doth from the Curdling of the Milk then that which is of singular use is a Cataplasme formed of Elm-leaves three parts boyled in the Vrine of a Child with two ounces of butter new and fresh and then applied unto the Region of the stomach The Cure of Children that are weaned differeth not much from those before mentioned Article III. Of Carus Carus is a deep and profound sleep with the hurt of the sense and motion the breathing only excepted and likewise the Imagination arising from the impeded motion of the Animal spirits The SIGNS are sleep with the Eyes alwaies shut so profound that the sick person being asked never so many questions yet answereth nothing at al and so it is distinguished from a Catalepsie and a Lethargy a retraction or drawing back of the Member if it be pricked which is not done in the Apoplexy a free respiration and breathing unless the vehemency of the Cause be most extream and intense The CAUSE is the prohibition and hindering of the influence and exercise of the Animal spirits upon the senses and the Motion of which the divers and different Causes shal be declared in the subsequent differences CURE there is None if it chance in the declining of continual Feavers the strength and powers of the body being extreamly weakened It is of much difficulty if the breathing be hurt if it be Joyned together with the heaviness of the Head because that a humor not over gross and thick penetrating into the substance of the Nerves and extending them immediatly a Convulsion followeth and lastly if it befal the party after some great Evacuation It is Accomplished according to the quality and condition of the Causes It is divided five manner of waies I. One is When there are no Animal spirits generated which happeneth when either the Arteries Carotides that earry the Animal spirits unto the brain are hurt or else when the Muscles of the Temples having a very notable and singular agreement and consent with the brain by the intercourse of some eminent Nerves are Compressed or bruised II. Another is when the Animal spirits are dissipated which cometh to pass either from some extraordinary and excessive Evacuation or else from some exquisite pain proceeding from either an external or an internal Cause or else issuing from the Defatigation wearying and tiring of the Brain by reason of an over-great and extream shaking thereof which cometh to pass in that heavy deep sleep that hapneth in the Close and conclusion of the Epileptical Paroxysm III. Another is When the Animal Spirits are stupefied and made as it were drowsie And this is done either externally and that 1. From the fume of coals kindled in some close room or Parlour of which we have likewise spoken above 2. From the use of Narcotick Medicaments Opium Hen-bane c. Where Castoreum with Oxymel or Cassia Lignea have their place 3. From Poysons either taken inwardly or else outwardly applied where Treacle ought to be administred Or else internally 1. From Vapors sent forth in Feavers and 2. From the same Vapors elevated by Worms touching which their proper places are to be consulted The Cure may be fought out and found in the following Member of the Difference IV. Another is When the spirits cannot penetrate unto the Members And this is done I. From the Compression of the skul and brain of which above II. From the Obstruction of the Passages and then there wil be present signs of Flegm In the Cure a regard being had unto the whol body Revulsions head-purgers c. are to be administred and then we may see what is further to be done in the Cure of the Apoplexy V. Another is when the spirits are
greatly disturbed as in case of a blow fal or any other accident whereby the Head is hurt c. Of al which see more in their own places Article IV. Of the Apoplexy The Apoplexy is a sudden abolition of al the Animal functions the breathing alone remayning and this likewise now and then exceedingly afflicted arising from the streightness and shutting up of the Passages especially about the basis of the Brain by the which the Animal Spirits are derived unto the Members The part affected is the Brain not only according to the ventricles thereof but likewise according to its pores and especially neer about the inferior and hinder part thereof where the Nerves begin and take their Original The SIGNS are of an Apoplexy imminent and nigh at hand somtimes none at al somtimes a lightness and swimming in the head which we usually cal the Vertigo dimness of the Eyes and welinigh loss of sight the Incubus or Night-hagg a trembling of the whol body the grating of the Teeth in sleep an extream coldness of the External Parts an abundance of Snot and Snivel the heaviness of the Head c. The signs of an Apoplexy Present are the abolition of the sense and motion and this suddenly and with snorting and by this it is distinguished from Curus that it is without a Feaver and excitation and so it is differenced from a Lethargy that it is with a Relaxation and loosness of the Members a ful pulse and the Face reteyning stil its color and thus it is distinguished from a Syncope and the Suffocation of the Womb. The CAUSE is the streightness or narrowness of the turnings and windings and of the pores of the Brain especially of the Basis thereof and of the Rete admirabile therein as it effecteth a shutting up or shutting in of the spirits But from whence this proceedeth we shal show further in the Differences CURE there is None if upon a Difficult drawing of the breath a sweat ensue if immediatly the sick persons strucken suddenly mute and dumb and without snorting aloud be not surprised and set upon by an acute Feaver which haply might attenuate and dissolve the Pituitous flegmy matter and likewise the flatulent Vapor The Apoplexy usually if not alwaies if terminated and endeth in a Passie It Respecteth 1. Preservation which preventeth and taketh away the Antecedent Cause and this varyeth according to the Nature of the Differences 2. Iâ— hath respect unto the Cure spoken of in the several species which is to be begun with a Prognostick when we are to make a discovery whether or no there be any life in the Party either by lighted Candles the windows being shut put as neer as may be unto the Nostrils or else by a looking-glass clean wiped put to the mouth of the party It is to be Performed 1. By a due and fit placing of the sick person that so he may the more easily attract and draw in the Air together with a light and gentle concussion and shaking up of the party lest that by a more violent rowsing of him the matter should be dispersed al the body over as also by a rubbing of the extream parts with Salt and Vinegar 2. By the Revulsion of the matter by Cupping-Glasses imposed on the head which is indeed the only Remedy by strong forcible Clysters and Suppositories by opening of the Cephalick vein or the common Median Vein without the least delay and that likewise by several Repetitions and not al at once and yet al within the space of a very few hours and also lastly by opening of the Jugular veins according to their length 3. The matter is dissipated and scattered by the use of Antepileptical waters by which the Brain is exceedingly recreated The Differences of the Apoplexy are many and Various I. One is Legitimate of which more in the subsequent differences Another is that we cal Bastard or Spurious which ariseth either from the Obstruction of the Arteries Carotides and the Jngulas Veins of which see in Carus or else from Narcotick Vapors that stupisie and make dul the spirits where Revulsion hath its place the Evacuation of the matter somenting and cherishing the Disease and the breaking of the stupefaction by Castoreum with Vinegar II. Another is from the Obstruction of the Basis of the Brain which is caused I. Either from a Flegmatick and thick Matter either dissolved by heat or else driven forth by cold into the Passages of the brain It is known by the tokens of a cold distemper It driseth from the same Causes It is Cured 1. By the Evacuation of the peccant Matter by Venesection after that by a strong and forcible Purgation by Errbines and Sternutatories put up in the form of a powder among which that Nose-purger the Latines and Late Physitians cal it Nasipurgium of Bartoletus is much commended by Frictions of the tongue and Palate with Treacle or Mustard Seed this last Boyled in strong Wine by Cauteries Issues c. Vomitories have here no place 2 By strengthening of the Brain by Cephalick waters the spirits of black Cherries the Essences of Rosemary Sage the Balsames of Marjoram Amber Rue c. II. Or else from gross and thick Vapors with the which we ought to proceed and to deal in the very same manner as aforesaid Another is from Compression which is Caused I. Either from Violent Causes as for instance a Concussion a Blow a Wound of al which see above II. Or from cold and moist humors heaped up in the Brain by their constant and continual watering and moistening of the Brain Rendering the substance thereof that is naturally soft by far more soft and loose touching which see more in the former member of this same Difference III. Or else from that which they cal Flegmonodes diathesis that is to say an abundant store of blood al at once as it were rushing thronging into the sourse and spring head as I may so term it of the Animal spirits It is known by the signs and tokens of a Plethory there is some wonted Evacuation suppressed It ariseth from the same Causes It is Cured like as is that which is caused by a Flegmatick obstruction Yet notwithstanding in this case plenty of blood may be emptyed forth of the veins III. Another is a light and gentle Apoplexy which most commonly endeth in a Passie of the one side or the other and in which the breathing keepeth some kind of order Another is Vehement in the which the Respiration or breathing is violent unequal inordinate and intermitting Another is strong in which the breathing is violent there is also a snotting to be heard and there appeareth likewise a froth which is but very little if it be excited by the very humidity of the Lungs from some most vehement compression of the Heart but very much if it proceed from a pituitous or Flegmatick humor that is ful of Wind. Another is the strongest and most dangerous of al in the
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
is but new beginning and then there fly to and again before the Eyes as it were Gnats or some certain other dark and dim appearances Another is Augmented and then the color of the Pupilla appeareth like unto that we cal sea-green or else it is like unto the Air when ful of little Clouds Another is Perfect in which the sick person discerneth nothing at al and then the Pupilla appeareth to be of a white color III. They differ in regard of their Cause 1. One is from a thin matter and such as is Fluxile as for most part it is wont to be in the beginning and then if there be present a Plethory we may prescribe Venesection and cause a Vein to be opened Another is thick clammy tenaceous and then we ought to abstain from bloodletting 2. Another resembleth the cleer pure air as also it resembleth silver Playfter or Parget and Margarites and this kind leaveth some Hopes of a Cure Another is black which is by no means to be Cured no not by the Needle Another is Green which is likewise altogether incurable IV. Another is that which is truly and properly so called and of this al that hath hitherto been said upon this subject ought to be understood which siezeth only upon one of the Eyes or else if both yet not together not a like and whose Symptoms are constant and continual Another is Bastard and Spurious which carryeth it self quite contrary unto the former and ariseth from a Vapour ascending from the imferiour parts and is wholly taken away when the Affect is removed Chap. 7. Of what is amiss in the Humors of the Eyes THe Humors that together with the Tunicle constitute the Eyes are in number three to wit the Watery the Chrystalline and the Glassie Humor I. The Faults or things amiss in the Watery are especially sour I. The Diminution thereof by reason of heat dryness overmuch Evacuation which in regard that it is conjoyned with the dryness of the whol body is there not to be Cured without much difficulty II. Effusion when it is poured out which happeneth in the Rupture of the Cornea and then a wound or Ulcer went before the Cornea Tunicle lieth underneath This Humor is somtimes bread again of its own arising from the admixture of thick Humors or Vapors and then the Humor appearth not to be altogether so cleer as it is wont and certain resemblances or babies as we term them fly up and down before the Eyes c. IV. Obscuration and another kind of Color by Reason of the Humors that are therewith mingled These things may be wel known at the first sight and by the very view II. Those things that are amiss in the Crystalline Humor are especially these I. Glaucoma when this Humor is turned into a Grey color It is known by this that about the Pupilla there appeareth a notable manifest whitness somwhat deeply seated and al things are seen as it were through smoke and little clouds It ariseth from exsiccation which happeneth either by Reason of Age or else from some other Cause II. Solidity and Obscurity which therefore needeth a greater illumination from whence proceedeah that we cal Nuclalopia or a Nocturnal blindness with the which such as are affected see indifferently wel in the day time but more obscurely and dimly after sunset and in the night time nothing at al. III. The Scituation changed which is wont to happen many waies 1. Vpwards or downwards from whence the incruciation as they cal it or Crossing of the Opticks is dissolved or else the Axes of the Pyramids thereof are fixed in a double plane and so al things appeare double 2. At the sides and then things appear more on the right side or on the left than indeed they are 3. Towards the middle and the Center from whence it is that those things that are night at hand are rightly seen but things more remote are not distinctly enough discerned 4. Beyond the middle and Center toward the Optick and then those things that they desire to discern they are constrained of necessity to lay them close to their Eyes Towards the Pupilla or Bal of the Eye and then they rightly discern those things that are remote and at a distance from the Eyes III. Those things that are amiss in the Vitreous or Glassie Humor are I. The Augmentation thereof by which not only the Pupilla is the more dilated but likewise the Crystalline Humor is obscured and hath as it were a mist and shadow cast before it and the Spirits also much dulled and blunted II. Diminution from whence the Tunicles are wrinkled up together the Pupilla contracted and falling down above the Crystallaine Humor and abbreviating the space betwixt it and the Tunicles in the which the external splendours meet together produceth the very like affect as in those that wink with one or both Eyes that they may the better behold the bright body of the Sun III. A Crassitude or thickness which ariseâ—h either from the mingling together therewith of an humor or else from the admixture of some other adventitious substance Chap. 8. Of those Diseases that infest and annoy the Globe of the Eye THose Diseases that infest and affect the Globe of the Eye are Atrophy Procidency or standing out and Strabismus or Squinteyedness unto the which may be added out of the Symptoms the Debility or weakness of the sight and stark blindness I. Atrophy is then when the parts of the Eyes consume and wast away It ariseth most especially from excessive Evacuation and over great exsiccation It is Cured by those Medicaments that humectate and moysten and cheifly the Breast-Milk of a Woman layed therein II. Procidency when the Eye either stands out of its Orb in an unusual and unbeseeming manner or otherwise falleth out so at least that it cannot be covered with the Eye-Lids It ariseth from Causes as wel External a blow blowing of Trumpets strangling Hard Labour in Child bearing c. as internal to wit the resolution of the Muscles and Nerves a Tumor thrusting forth the Eye c. In the Cure we must have regard 1. Unto the putting back of the Eye into its proper seare or if that may not be done then wholly to take it away 2. Unto the Deteining and keeping of the same in its place or seat by Fomentations made of Astringents to wit Roses Pomegranate flowers and Acacia Neither must we forget to let blood and the inflamation is likewise to be repelled and driven back If Resolution be the cause thereof then Apophlegmatisms are very available III. Strabismus is then when the Pupilla or bal of the Eye declineth from the middest so that it appeareth more in one part of the Eye than in the other It ariseth either from an ill frame and composure at the first from the very Womb and then it is not by any means to be Cured or else it chanceth from an ill custom as it is
present certain signs of those parts affected 2. Or else from External Causes exciting and raising up Vapors to wit the extream cold or over great heat of the Air overmuch feeding and fulness either of food or Wine from whence Crudities are heaped up together in the Head from the north wind blowing immediately after the South wind which is very easily removed from frequent smiting upon the Head and Temples which is very difficultly Cured in regard that the Humors by Reason of the pain flowing together unto the Organs of hearing it is wont to turn into a deafness Or else from Internal Causes that send forth the very same and this 1. By Breaths and blasts that are over heating and filling forth that little Artery that runneth under the Ear and then the Disease is wont to be of long continuance and here we are to deal with those Remedies whether Decoctions or Juyces that both cool and moisten Opium may likewise in this case be administred but then it must be with very great caution 2. From a Humor Flegmatick and cold and then the Malady began by little and little from less to greater and returneth likewise at some certain seasons and by intervals the noise or sound is cleerer and more distinct than ordinary and lastly there were some Causes of the same that went before In the Curing hereof general Remedies being evermore premized and taking the first place we are to act operate by such things as attenuate and discuss which ought to be applied in the morning and before Supper as namely the Vapor of Vinegar together with an Oxe Gall the Secret Remedy that is Compounded of those little Worms that he betwixt the wood and the bark of the Oak Tree and the Oyl of Rue and that Oyl likewise known by the name of Olium Castinum see further hereof in Petraeus the prepared Gal of the fish Lucius or the Pike as we commonly cal it and the Fume or smoak of the Herb Mercury 3. From a Cholerick Humor and then it chanceth in Feavers it also seizeth the Patient either Symptomatically or Critically and somtimes it is dissolved and vanisheth of its own accord and somtimes again not until after a Cholerick flux of the Belly 4. From filth and Impurities which ought to be washed forth with the destilled Urin of an Ass or a little Child in the which there hath been first wel soaked a fit quantity of the Wood Guaiacum a due proportion of Castoreum and a little bundle of wild mints 5. From an Apostume which discovereth it self by its own signs Thickness as we term it or hardness of Hearing otherwise called Paracousis is then When the hearing preceiveth its object â—ry confusedly And this is Caused either by an Ulcer not rightly cleansed and consolidated when as the Windy Vapor being driven through the Arteries by its impetuous violence offendeth the hearing or else in Feavers Vapors being lifted up into the Head and then poured forth into the Ears Or else without any Feaver when there is a hot Evaporation continually and without any intermission exhaled and drawn up into the Head from the impure Entrails Title VI. Of the Diseases and Symptoms of the Nostrils Chap. I. Of the Ulcers of the Nostrils as also of Ozaena and Polypus THe Affects of the Nostrils are Vlcers Ozaena Polypus the Hemorrhage hurt of the Smelling Stuffing thereof by a Rheum falling down from the Head thereinto and Sternutation or Sneezing The Vlcers of the Nostrils happen somtimes from a blow a Contusion a fal a wound and other Causes that are evident and somtimes from the Acrimony of those things that pass by them as Salt Flegm c. They are known divided and Cured like as are other Ulcers accordingly as we have shewn in the first Book The principle Difference is that whereby they are divided into Ulcers Recent and newly begun and those that are Old as having been of a long continuance Recent Ulcers are known from hence that they very frequently issue forth a smal quantity of blood and that more especially when they are hard touched upon and thereby Irritated and that the Nostrils are by this oftentimes moystened and that if they be suffered and let alone they are then over grown and covered over with a dry scurf and crustiness and that most usually of a black color which somtimes falleth off upon the strong and Violent cleansing of the Nostrils by blowing of them II. That that is Old and invetterate and now become a putrid ulcer is called Ozena It is known from hence that from it there falleth off a more and filthy crustiness and likewise that there issueth therefrom a kind of snotty filth of a very il and offensive savour insomuch that then the sick person is himselfe offended with the stench thereof and is likewise very noysom and offensive unto al those that are neer about him by the contagion of a foul and stinking breath and that if the mallady be of long standing the wings as we cal them of the nostrils or that that standeth betwixt them or the other tender and soft bones of that place are eaten through and putrefied and the pallate also being eaten through is oftentimes perforated and this especially chanceth if it hath the resemblance of a Canker or be contracted and caused by the venereal and foul disease It hath its original either from externals to wit suffumigations from Mercury and Cinaber inconsideratly administred or else from internals to wit sharp and corroding humors and which happeneth in the french pox such as are extreamly mallignant It is Cured I. By the administring of Vniversal or general Remedies that so new affluxes may be turned away from the head II. By the Evacuation of the Head by Gargarismes Masticatories c. and the strengthening thereof by external and internal Cephalicks III. By the 1. Detersion or wiping and clensing of the ulcer either by the Juices of Milfoil Horehound Betony with honey of Roses or by Alum water or by the green water of Hartman before which the mollyfying and suppling of the Crust by the vapours of emollient herbs ought to be premized and first made trial of 2. by the Excication and drying of the said ulcer by the vapour of the refuse and dross of fire-hot iron be sprinkled with red wine by the suffumigation of orpiment commonly called in the shops Auripigmentum Cinnabar Benzoin styrax Callamite and Cloves al together throughly mingled one with the other the nostrils being first stop't at their roots lest that otherwise the brain should chance to be smiten and hurt 3. By Consolidation with the Trochisques of Rondeletius c. III. Polipus is a fleshy excrescence in the Nostrils hanging thereat by certain thin and smal Roots or strings and now one while hanging before out of the nostrils and then as soon again descending unto the Palate It is known by this that this said flesh is loose thin soft and of a various color that
greater hopes of safety in regard that the Inflamation advancing into the outward parts may possibly be drawn forth and digested Another is that we cal Paracynanche the which seizeth upon the Neck alone and the Muscles thereof that appertain unto the Tongue and the Hyoid bone This of al the rest is least to be feared as having least danger in it because of its distance from the Throat as also by Reason of the constitution of the parts affected which being Kernelly soft and loose may the better without any difficulty receive the Humor that floweth unto it in regard that the Muscles of the Larynx are not inflamed neither the way and passage of breathing intercepted and stopt V. One is that which is dissolved and removed by a Diaphoresis or Sweat the Cause thereof being thereby diverted drawn back Evacuated or at least dispersed and scattered Another that is Cured by Maturation and the Evacuation of the Pus or corrupt Matter out of it being first opened Another which is terminated and ended by the Translation of the Peccant matter unto some other Part which is known by the sudden and unexpected cessation of the swelling and the pain and likewise by the alteration and change of the Pulse The matter is Transferred 1. Vnto the Brain and then there followeth a grievous pain of the Head a Phrensie and a Dotage 2. Vnto the Muscles of the Neck and then there is usually produced and excited an extream pain a swelling and somtimes a Convulsion 3. Vnto the Lungs and the Pleura Membrane and then there ariseth a pain of the Breast Cough and difficulty of breathing 4. Vnto the Heart whereupon a Trembling swooning and an obscure and weak pulse affect the Diseased Party Title II. Of the Diseases of the Throat A Single Chapter Of those Kernels we cal Strumae and of Bronchocele a swelling in the Throat THe Diseases of the throat are Strumae and Bronchocele I. Strumae commonly called Scrofulae or the Kings Evil in the Throat are swellings in the Glandules or Kernels generated of thick and Clammy Flegm and included in their own proper Membrane There is no need here of many SIGNS the swellings are round Pendulous and hanging easily moved if touched and such as are separable from the Skin The CAUSE is flegm which is somtime alone but other while conjoyned with Melancholly it ariseth from Meats that afford a Crude raw and thick Juyce and thereupon it is most Familiar unto Infants and such as are yet in the state of Childhood It may especially likewise be thrust and made to appear by those Waters that contein in them Mercury or Quick Silver such as are those in Carinthia Styria and about the Alpes It is somtimes together with a nourishing Juyce if the said Juyce offending in quantity be not wholly consumed and wasted by Nature sent unto the Glandules as unto the more ignoble parts The Membrane in which they are included is never by the Formative Faculty produced in Vain or to the end it should be idle and of no use For when as the Memberane is distended by the Superfluous Humor in great abundance thereunto flowing and haply likewise thereby broken Nature then attempteth as it were the contexture and forming of a new kind of Membrane The CURE dependeth cheifly upon the Particulars following I. The matter that is the Cause thereof ought to be Evacuated II. The same matter is to be wholly wasted and consumed with the Herb Scrophularia commonly called blinde Nettle and Water Betony the Root of the dead Nettle the Roots of Herbs Filipendula and Gladiotus but especially the Root of the shrub Ruscus or Butchers broom of which there is to be taken after it hath been reduced into a smal pouder every day for a while one dram thereof in wine III. The said matter is to be cut and dissipated by Emollient Topicks And for this purpose there are commended the Leaves of the Cypress Tree the pouder whereof being sprinkled with Wine let it be so made up into one Mass or Lump and then let the aforesaid Strumae or kernels be anoynted therwith for two or three daies IV. It is to be suppurated and when it is brought unto Pus or Matter then the swelling is to be opened the Pus or filth to be emptyed forth the hollow or Cavity thereof to be throughly cleansed and purged and lastly to be filled up again with Flesh II. Branchocele is a swelling in the throat sticking and strutting forth so that it taketh up much room arising from a windiness and conjoyned with an extension The aforesaid windiness breaketh in under the Skin and the general Membrane that is situate under and knit unto the Skin in the more inward parts of the Neck It is Caused by the Air which when the Skin whose Membrance in that place is more thick and somwhat more red than else where is violently pulled away from those seats and places that are subjected unto the Aspera Arteria or rough Artery and the Anterior Muscles of the Neck by some extraordinary vehement streining of the Body and this often cometh to pass whilest the breath is long held in that so the Excrements or the infant in Child-bearing may the better and more speedily be thrust forth or when Trumpets are strongly blown and thereby the Cheeks extreamly swollen and puffed out and being rent and divided as aforesaid it causeth and produceth there a void and empty space to prevent a vacuity breaketh in and so elevateth and lifteth up the Skin and Membrane into a Tumor or Swelling Title III. Of the Diseases of the Aspera Arteria or the great rough Artery THe Diseases of the Aspera Arteria are Asperity or roughness Narrowness or streightness Wounds and Vlcers I. Asperity or roughness which is a want or defect of the Natural Smoothness is known by the hoarsness of the Voice Either from Externals as from Oyl if by Reason of its Age or frying therewithal it become Rank from Nuts from dust from Smoak c. Or else from Internals either Humors fallen down from the Head or else A Vapor striking upon the foldings thereof It is to be Cured by those Medicaments that moisten Mollifie and make smooth and these Medicaments termed Arteriacal either they are wholly void of al kind of Mordicacity and biting quality to wit Butter Milk Sweet Must the Decoction of Raisons Liquorice Jujubes Tragacanth or withal abstersive as Sugar the Honey or Juyce of dryed Figgs the Sugar of Penidies the Syrup of Violets and of Jujubes or else with a kind of Acrimony and Tartness as Hyssop the Flower-de-Luce Roots Nettle Seed spike Frankincense and Mirrb But that which is here most profitable and expedient is that sort of Pills that we term Bechichae likewise the Troquisches Bechici and the Oyl of Sweet Almonds with Sugar Candy II. The streightness or narrowness of the Rough Artery is known from the difficulty of breathing and the fear of a neer approaching suffocation
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
Ear Milfoil and Citron Rinds Prepared the Decoction of Pimpernel Walwort Sugar of Roses Old with the Whey of Goats Milk the Secret of Freytagius of which you may see further in the same Author in his tract of Opium China Root Guajacum c. Let the Patient every hour lick in the Lohoch of Walwort with the Conserve of Red roses III. The Correction of the Blood that so that that floweth unto the part affected may be good And therefore in the Diet Milk is accounted wholsom because that by its serosity it clenseth the Ulcer and by its Caseosity if we may so term it or Cheesie part it Consolidates and then lastly by its Aereal and buttery Fatness it Humectates and moisteneth the wasted and extenuated Body And certain it is that Goats Milk ought to be taken at dinner time at least if there be present no great Feaver or pain of the head that so it may not sour in the stomach or Cause unsavory belchings At Supper the Emulsion of white Poppy Seed and of the greater cold Seeds of each one dram of the Milk of sweet Almonds one pint also milk Boyled with Rice If Milk be not thought convenient Barley Hulled and with the broth of a Cook reduced into a Cream Distilled Medicaments are not here approved of because that their Nutritive faculty doth not transcend the Alembick IV. The Removal of the Feaver by those things that cool and moisten V. The Depulsion of the Extenuation by those things that have in them a power restorative And here Pultises of Milk the Yolks of Eggs fresh Butter Sugar and the meal or flour of Barley and Rice have their place Then let a Bath of warm Milk be made for the sick person after which let a Rosted pullet that hath been fattened with Milk succeed and then the distilled liquor of Snails and the Aqua Mirabilis of which we may see more in Zacutus his Eight Book VI. The Nerfion of the whole Nocturnal Colliquation by Sudorificks or Sweats Then in the evening we must administer the Conserve of Red Roses with the Syrup of Poppy of Jujubes and Diacodium The Breast and the Back-bone are to be anoynted and a Liniment Resumptive as Practitioners cal it with the Oyl of Roses and Violets c. The Phthisis is divided in a twofold manner according to the quality and condition of the Causes and its Duration I. One is from Blood which being got forth into the Lungs there clotteth and putrefieth And in this if al things else be answerable Phlebotomy hath its due place in the very beginning thereof Another from a sharp Humor whether it be Serous or Cholerick which is either sent from the Head neither may it be cast forth by Coughing and then the Cure is to be ordered according to the Nature of the Catarrh or else it is poured forth from the Heart into the Lungs or else it regurgitates from the suppressed Courses or Hemorrhoids and then the Cure must be sought for in its own proper place Another but that is very rare from Sweet Flegm if in too great abundance it flow unto the lungs obstruct the lappits therof render the substance thereof over moist and there putrefie by reason of its long abode there and for want of Ventilation Another from Pus or corrupt stinking matter upon the breaking of the impostum of the Quinsie of the Uvula the Pleurisie c. And hence is that of Hippocrates those saith he that after a Pleurisie happen to be impostumated if in forty daies they be not freed thereof they then become Phtysical Another by Contagion from the breath of the Phthisical and hereunto belongeth that of the Sea hare corroding and eating through the Lungs by its specifical Poysonous quality and likewise the breath and stench of Cats and Dogs sent forth especially in the dissecting and opening of them II. One is Recent and but newly begun in which the Symptoms are not so strong and Violent Another such as is confirmed and of a long continuance in which the Cheeks wax black or of a Leaden color with a Paleness in the Face although I grant at somtimes the Cheeks by Reason of Vapors ascending from the Lungs may appear to be of somthing a red color The Breath by reason of the imbecillity of the breathing Faculty or the obstruction of the Bronchia we cal them the Lappets of the Lungs either from store of purulent matter sent thither or else from the many Excrements that in the weakned Lungs are gathered together and heaped up becometh very difficult and is hardly drawn The Pulses are one while languid and slow another while quick and swift one while hard by Reason of the dryness of the Body and another while soft in regard of the Humid matter moystening the Arteries Sweats in great abundance break forth in the time of sleep by reason of the debillity of the natural Faculty And at length the Malady having now gotten the upper hand certain smal parcels and portions of the putrefied lungs are cast forth with an intolerable strength The Hair of the Head sheddeth and falleth off by Reason of the defect and want of Aliment and the Corruption of that that is bred in the Body The Nails become Crooked that Flesh that was wont to be at the Fingers ends being consumed A Smal sort of Lice are generated in regard of the Corruption of the Aliment The Extream parts especially the Feet by reason of the extinction of the Native heat are much swollen And at length the Flux Diarrhoea together with a suppession of the Spittle followeth upon it from the weakness of the retentive Faculty of the Stomack and the Intestines See further in Freytagius touching the Phthisis Title V. Of the Diseases of the Thorax or Breast Chap. I. Of the Inflamation of the Mediastine or the Transverse Muscle and the Tumors of the Diaphragm THe Diseases of the Thorax or Chest are the Inflamation of the Mediastine the Swlling of the Diaphragme the Pleurisie the Empyema or Constipation the Consumption or wasting of the Back and the Worms of the Back I. The Inflamation of the Mediastin that disjoyneth the Lobes of the Lungs is known by the continual Feaver the frequent thick and swift breathing an extream and intense burning in the Breast a smal pain at the stern unto which the Mediastine is tyed and by the spitting and casting forth of that that is at first red and then afterward Yellow But the matter that is thus cast up because that it is gathered together betwixt a double Membrane as it were and is not easily Evacuated unless the said Membrane be eaten through is not in any great abundance It ariseth from the Blood and chiefly the Cholerick It is Cured after the manner of other Inflamations Where take notice that the Repressing Medicaments ought indeed to be cold but no way astringent and that in this Case the Oyl of Violets is cheifly approved of which must be made
which issueth forth be somwhat bloody and il savored if upon the same occasion Pus or filth or else a water flow forth generally and in a great quantity if in them the searching instrument or probe be colored by the Pus and filth like as by the fire It respecteth I. The Concoction of the suppuration II. The breaking of the Impostume which is effected by the eating of salt meats by frequent retchings and spittings c. III. The Evacuation of the Pus or matter where we are to have eye upon natures motion and which way she tendeth to wit whether upwards or downwards unto the intestines or the bladder The spittle may be notably procured by the oyl of Sulphur and the spirit of Turpentine pectoral decoctions being therewith wel mingled There is likewise much commended the juice of ground ivy of Hore hound made up into a â—ohock with Myrrh Frankincense diapenid Touching the decoction of Ebony and the syrup of shel Crabs see more in Zacutus his 8. Book Chap. XI If these prevayl nothing we ought then to proceed unto Section or lancing and also to burning touching which consult those Authors that have written upon this subject As concerning the differences one is from a rupture of some proceeding Apostem as of the quinsey the Plurisy the peripneumony whenas they are terminated by suppuration Another when out of a vein opened broken or gnawen asunder a portion of the blood issuing forth into some particle of the Lungs is converted into Pus or corrupt filth in the top thereof formeth and frameth for â—â—t self a bladder of which we have spoken suffciently above in its proper place Another from a distilation fallen down from the Head unto the Breast and in fourteen dayes time not purged from thence by spitting Chap. IV. Of the Consumption or wasting and the Worms of the Back THe Consumption of Back is when the Back withereth pineth and wasteth away There are four species or kinds thereof I. From Excessive venery and immoderate use of women and then it seemeth to the party as if Emmers from the superior parts and out of the head fel into the Spina or Backbone the seed passeth forth both by day and by night there is no fever there at the first but within a very short time there is a fever attending it II. When the natural inbred heat of the Spinal Marrow is in a manner overwhelmed by an abundant store of blood and thereby wel nigh extinguished III. When it is overmuch dried those passages being altogether shut up throw which the Nutriment is carried and conveyed unto the same IV. When there is a depraved baneful distillation continually incumbent and lying thereon For this see Salius Diversus and others II. The Worms of the Back called Crinonis most commonly infest and trouble Children and infants They are knowen by this That these infants eate indeed but are never a whit nourished thereby yea they wear and wast away because that in regard of that most troublesom perpetual itching that followeth them and there being now and then lanced they can never be quiet but are alwaies restless and by this likewise these may be knowen to have worms when being brought into the Bath and there forcibly rubbed there bud forth out of the Skin certain small hayres resembling ashes or else of a blackish color They arise from a viscous and Clammy matter shut up under the skin in the Capillary veins They are taken away if the infants be anointed on their backs with a Liniment formed of wheaten flower and hony and the little heads that these smal worms in a short time thrust forth be cut off with a Razor c. Title VI. Of the Symptoms of the Lungs and the Thorax or Breast Chap. 1. Of the vices or things amiss in the Breathing The Symptoms of the Lunges and the Thorax are the fault in breathing the Asthma the Cough and the Hemoptysis or spitting of blood Unto the faults of Respiration or Breathing there belong I. Macropnoea or a great Respiration exceedingly distending the Breast and drawing unto it abundance of Air which happeneth by the violence and strength of fevers in which the heat of the heart is inflamed so that thereupon there is a great want and indigency of refrigiration and drawing forth of fuliginous sooty fumes II. Tachypnoe a or a Respiration greater and more frequent what is agreeable to the course of nature its use being augmented by the heat sooty fumes It ariseth either from the distemper of the heart the Lungs the Breast or else from the abundance of hot vapors and exhaltations especially when the faculty is weaker than that it can suffice for the Just and right dilating of the Thorax III. Dispnoea or the difficulty of breathing arising from the default of the organs themselves which is easily known for it manifesteth it self unto the sence of its own accord It ariseth 1. either from things external to wit the fume of quicksilver the smoke of coals Calcarth or vitriol lime anoynting with Mercury and other such like or else from internals that produce the streightness and narrowness of the vessels either by obstruction or by compression of both which we have spoken before It is wont likewise to fail by Reason of extream driness although this very rarely happen when the Substance of the Lungs by an Ulcer is so consumed or dryed away that it can now no longer be dilated and this somtimes chanceth unto those that are Phthisical before they dye II. Another is Essentially such and unto this what hath hitherto been spoken doth properly belong Another by the Consent and greement 1. Of the Thorax whose motion is hindered by the fault either of the Spirits or of the Muscles 2. Of the Diaphragm whose motion is hindered either because the Nerves inserted and implanted therein are hurt or else because the Vapors exhaling from the inferior parts reside and settle neer about the said Diaphragm or else lastly because that a Waterish humor presseth it down 3. Of the Liver Spleen and Stomach which somtimes are distended and swoln III. One is Lighter or less in which the breathing is thicker and more frequent yet without any noise or panting and of this must be understood what hath been already said Another is more sad and Grievous which we cal Asthma touching which more anon IV. Apnoea or the taking away of al sensible Respiration accompanyed with an extream great danger of Suffocation It ariseth partly from the very same Causes peccant in the highest degree and partly from the Contrary to wit Necessity deminished or the use taken away It happeneth somtimes after the eating of Mushroms and somtimes in the most sad and grievous suffocation of the womb and likewise in the Syncope or swooning fits The Cure is to be ordered according to the Causes and the Diseases touching which elsewhere Chap. 2. Of Asthma ASthma is a frequent thick and short Respiration or fetching of the
Juyce the skin is to be condused and made thicker with the oyl of the mirtle tree and with the oyl of Mastick or else it is from the thinness of those things that are to be retained and therefore here those meats that are not over fluid and easily dissipated have their place as being most fit and proper 2. By Evacuations that are sensible as wel of the blood as of other humors where Note that these Evacuations are to be stopped that the body ought not to be besprinkled with those things that are cold that in a large and abundant sweat only such things as close and bind the skin are to have any place or use 3. By diseases as overmuch want of rest and sleep of which enough before a vehement pain the gnawing or pain of the stomach the Colick pain the Nephritick or pain of the stone in the kidneyes or blader the pain of the Teeth c. a sudden breaking of an impostume in which there may a restauration be made by restorative meats sweet smels and rest 4. By such things as are evedent and apparent as namely extream hunger the immoderate use of venus too much and over violent exercise c. III. Another from the alteration and corruption of the spirits which is caused by a malignant matter whether external or internal as for instance the rottenness of humors poyson drunk and taken down the bitting of venemous Creatures and then the Cure is to be sought for in its peculiar and proper place IV. Another from the suffocation of the spirits which is caused 1. By overmuch blood and then there are present and appear signs of a plethory and in this case the opening of the Basilick vein helpeth much 2. A humor that is Crude and thick very much abounding about the heart and the veins and arteries thereof the capsula or purse of the heart and the neer neighboring members and this is either there cellected or else transmitted either from the head and other parts and then the habit of the body is Hydropical neither can the patient undergoe and bear either the opening of a vein or purgation Frictions or rubbings downwards anoyntings with oyls that open and loosen the use of Oximel with the decoction of other things that cut and divide and fasting unless the pulse be suddenly changed and discover an extraordinary weakness al these help and conduce much to a Recovery 3. By fuligenous vapours gathered together in great abundance about the Heart and the Members adjacent by which the respiration or breathing is hurt these are soonest and best taken away by discussives 4. By a Sudden Terror and Fear for which Evacuation is most convenient lest that from the afflux of Blood some obstruction in the Vessels or else an Inflamation should be excited For what remaineth see further to the Treatises of the Practical Physitians Title VIII Of the Affects of the Paps or breasts in Women Chap. 1. Of the Diseases of the Papps Article I. Of the Tumors or Swellings of the Paps THe Affects of the Paps or Dugs are either Diseases or Symptoms unto the former of these there belong Tumors the Cancer and the Magnitude The Tumors of the Paps are four I. An Inflamation which is a hard swelling It is known by the redness the pain the pulse or beating and the heat thereof by which it differeth from that we cal the Clotting or Curdling of the Milk and the overgreat abundance thereof It ariseth from the great store of Blood that is attracted transmitted or suppressed It is Cured 1. By a Diet that is thin and spare cooling and moistening 2. By Diversion which is performed by letting blood in the Ankle if the Causes be suppressed 3. By Evacuation by opening the internal Vein of the same side and so letting out the Blood as also by a gentle Purgation 4. By the Application of Topical Remedys in the Inflamation of such as thereunto accustomed And here we are to take Notice that the Repellers ought to be temperate lest that the Heart be overmuch cooled that in the Augmentation thereof there is commended beer and butter wel warmed and so applied that the extream Hardness may most properly and succesfully be prevented and removed by the Medicament that is formed and made of the Marrow of a Calves Thigh two ounces thereof of Oesipus or the moisture of greasie sheeps Wool one ounce of Saffron four scruples of Cummin wel bruised two scruples that when it is Suppurated in regard that the Breasts or Paps are Spungy and ful of hollow Caveties it is most commonly to be opened in divers places thereof that the Pap affected is very rarely cured and healed unless the Milk of the other that is sound be dryed up in regard that the blood equally floweth unto both and lastly that the Pain is to be moderated and mitigated if it be in Summer most fitly with the Leaves of Henbane if it be in the Winter then with the Roots of the said Henbane roasted under the Embers and then wel beaten together with Hogs Grease II. Oedema which is somtimes diffused and spread abroad throughout the whol Paps or Breasts so that they wholly and equally swel It is known by this that it is soft and that by intervals and at certain times to wit in the time that the Courses flow the swelling and the pain is exasperated but yet notwithstanding that there is evermore some of the swelling remayning The Original and the Cure hereof are to be sought for out of that which is spoken in the general touching these Tumors And here it is only to be Observed 1. That in the retention of the Courses those meats that are Tosted and Roasted are not so fit and convenient 2. That the stronger sort of Maturatives are to be made choice of in regard that here the matter is tenacious and very loth to yield 3. That a due regard is likewise to be had of the Stomach that is the Receptacle of the Flegm III. The Scirrhus of the Paps is either Exquisite or not Exquisite 1. The Exquisite is various I. One is that which is but newly begun or but now beginning which upon the touching thereof is a little painful and in this regard it is distinguished from a Cancer that is likewise but now beginning and it is very hardly Cured Another Old and Inveterate which is hard without pain incurable by Medicaments especially if it resemble the color of Capers or if haires grow therein it is somtimes Cured by Manual operation II. Another is by the Congestion or heaping up of a Humor that is in it self thick in the Curing of which we are not to use Vinegar either in the beginning or long at any time lest that either the residue thereof should be hardened and become like unto a stone or else that the substance of the part being overdryed should wast and consume away neither ought we to attempt any thing by Manual operation if the whol
Breasts or Paps Wax hard and that the swelling so add hereunto the Thorax or Chest that without extream peril it may not be thence removed Another by Resolution in which the thinner part is dryed up by preposterous Medicaments and which Galen Cured by an Evaporation of the sharpest and sourest Vinegar poured forth upon the Pyrites stone we cal it the fire stone Red hot but this was after the use of liquid and moystening Medicaments In the Curing of them al we must be sure that we have a special regard unto the Spleen and the suppressed Courses and that Emollients and Resolvers succeed one the other and be interchangably applied 2. The Scirrhus not Exquisite is known by this that the swelling is bigger than in a Cancer of the color of Ashes with an hardness and the Veins thereof somwhat black and blewish in the outward parts and that it somtimes vexeth the Party especially upon the neer approching of the Menstrua or Courses It ariseth from Black Choler mingled together with Melancholly especially in such as are barren or such which soon ceased their Child-bearing or else lastly those that have altogether a suppression of their Termes or monthly Courses In the Curing hereof among the Repellers without astriction there is commended the Unguent of Frogs of which see further in Castrensis his first Book of the Diseases of Women Chapter 21. See likewise touching the Manual Operation in the Same Author IV. A Windy Tumor which is known by this that the pain is very acute especially in the left breast with an Excruciating and torture of the Arm the whol side the Ribs and the Shoulder blades It ariseth from an Exhalation that is thick and drawn up from the Menstrua or the Seed suppressed or else from some other Excrements and so extending the said Paps In the Cure hereof take notice that a Linnen Cloath soaked in Soapsuds or else wet in Water and then dryed is commended for dissipation and when there is occasion to disperse and Scatter and that the Pain is wel mitigated with bread taken hot out of the Oven and then moystened with the Oyl of Nard the shops cal it Oleum Nardinum and of Rue Article II. Of the Cancer and Greatness of the Paps I. The signs of the Cancer in the Breasts as also the Causes and the Cure may be known and sufficiently understood by what hath been already said in the Second Book touching a Cancer Let it suffice here only to add I. That the Cancer that is not Exulcerated may be rendered and made more milde and gentle if the Courses being recalled return to their pristine state and condition either by the Course and Vigor of Nature or else by the assistance of Art and the help of Medicaments or else if the Body be preserved free from a Cacochymy either by a good order of Diet or else by Medicaments There may likewise be applied unto it that Unguent that it compounded of Lithargyrum two ounces thereof in a Marble Mortar drawn about with a Leaden Pestle and incorporated with Rose-water and the Oyl of Roses of each three ounces II. For the Cure of the Cancer Exulcerated see in Hartman who writeth that the said Cancer may be perfectly Cured with Aqua Fuliginis that hath in it a clensing Faculty and with the Oyl of Arsenick fixed and wel tempered in Plantane Water II. The Magnitude of the Paps unseemly as it is is exposed unto the sight It ariseth from the often handling and stroaking of them and especially from the great abundance of Flatulency and windiness the Retention of the Courses c. The Cure hereof ought therefore to be Endeavored because that by how much the greater and bigger they grow but so much the more easily they may be affected with the Cancer It is performed 1. By Meats that are Astringent but little or not at all flatulent or Windy 2. By Driving back the blood or other the Humors flowing unto them and here the Juyce of Hemlock and the Partridg Eggs anoynted upon the place are much approved of 3. By the Discussion of that that is already gotten unto the part affected for which purpose that Unguent that is compounded of the Dirt or Clay that is to be found in Barbers Mils two ounces thereof the Oyl of Myrtle one ounce and Vinegar half an ounce is much commended 4. By the Compression of them by Artificial ones of Lead anoynted on the inside with the Oyl of the Seed of Henbane c. Chap. 2. Of the Symptomes of the Breasts Article I. Of the want of Milk too great abundance thereof and its Coagulation or Curdling THe Symptomes of the Breasts are the Defect Redundence and Coagulation of the Milk I. The Defect of Milk according to the Nature of the Causes is twofold For one is from a Fauâ—â— in the Blood which faileth by reason of Disâ—â—â— that over dry the body from a distemper in the Liver from much rasting and spareness of Diet and lastly from extraordinary Evacuations of al which there must be care taken in the Cure Now to generate and breed Milk these things following are experimentally found to be good Namely Crystal prepared the leaves Roots and Seed of Fennel while they are fresh and green the ponder of Earth-worms prepared and taken in Wine the Electuary of Zacuthus in the Ninth Book of his Pract. Hist and last Chapter Another is from somthing amiss in the Lactificall or Milk breeding Faculty when it is so weak that it can neither attract the blood nor contract it either by reason of External refrigerating Causes and such as are likewise Astringent or else by reason of other Diseases unto which we ought to have due respect in the Cure II. The Redundance or over great store of Milk proceedeth from the abundance of blood and a strong Lactifical Faculty In the Cure the Luxury and prodigality of Nature in the breeding of Milk is to be restrained and the Milk that exceedeth and is over and above ought to be dissipated and dryed up For this purpose venesection in the first place is approved of and then driving back by Medicaments which ought to be put upon the Paps towards the Arms And also those Medicaments that wast away and lessen the Milk such as that they cal Muria a kind of brinish Liquor or Pickle with the pouder of Cummin and Hemlock Boyled in Chervil Water and Vinegar c. III. The Coagulation or Curdling of the Milk is then Caused when the more thin and subtile parts do by little little exhale the thicker remain behind from whence the Glandules or Kernels wax hard and swellings yea and also impostumes arise In this Case the Infant ought not to be suckled out of the Breasts affected and yet notwithstanding the Milk is to be suckt out lest that which is bred anew should be Curdled by that Milk that is already become as it were Cheese and that part of the Curdled Milk that begins
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
moistning things if it be swelled II. The retaining of it being reduced to its place either by astringent Decoctions or by pouders of Frankincense mastick c. Inwardly is comended the Decoction of the Root of wild self-heal being drunk Outwardly the Ashes of beetles of sheeps dung strowed upon the Gut The Differences are taken from the Causes 1. Either it is from great straining which is Either in forcing out the Excrements and then the Belly must be kept loose or in labour 2. Or it is from a great irritation which afflicts either in a dysentery or tenesmus against which the Cure must be directed or from the weakness of the Muscles which are wont to draw back the Fundament thrust forth after the emptying of the Belly or by reason of the often falling down of the Fundament or by reason of some cold and then the Nerves must be strengthned and the cold distemper be corrected 3. Or from a Resolution either by reason of a contusion of the Nerves about the Region of the Os Sacrum or Rump bone where things consolidating take place or by reason of some Extraordinary refrigeration of them of which we spake even now or by reason of some impostumation or fistula arising about the sphincter Muscles II. The wounds of the Guts I pass by the Perforations made by worms wind c. are either of the smal Guts in which the meat and drink comes forth Choler is cast up by vomiting there are great pains with a Feaver and these because the Guts have a Nervous Coat and ful of many Vessels are by no means or very difficultly Cured Or of the great Guts in which the Excrement comes forth the body is bound the which if they be long waies and smal they are the easier Cured if they be large and Crosse the Guts the harder no waies Cured if they become blackish See their cure in Practitioners III. Concerning Vlcers we shal treat in a dysentery Mortification is wont somtimes to follow a Rupture the Iliack Passion and an Inflamation it happens also in wounds if the Guts falling out of the Belly be alterd by the Aire and become blackish Chap. 2. Of the Symptomes of the Guts Article I. Of the Iliack Passion The Symptomes of the Guts are The Iliack Passion the Collick costiveness of Body and a lask The Iliack passion is a sharp pain in the smal Guts arising from a violent solution of continuity with a Tumor of the belly rowled up like a bundle of strings and so great an obstruction of the Belly that nothing goes downward but the Humors and Excrements are somtimes violently cast up by vomiting The part affected is the Ileon Gut and the other smal Guts for though somtimes the great Guts also may be affected yet there is no such vehemency and danger in them because they are looser and more ignoble The SIGNS are a sence of paine in the upper guts rouled up above the navel most sharp extending it selfe upwards cheifly to the right side a puffing up and vehement distension an eminent swelling of the upper part of the belly and smal guts a perfect restraint of dung and winde vaine belchings bringing no ease murmurings of the smal guts and cheifty of the upper if the evil doe increase al things are carried upwards Hence follow vomitings swellings under the ears a coldness of the extream parts and whole body with a great difficulty of breathing and stoppage of urine c. The conjunct cause is a violent solution of continuity proceeding from obstruction corrosion and other things of which shal be treated in the differences for then the expulsive faculty of the guts rising up to expel that which is troublesome to them and whenas it cannot move its natural way downwards because the passages leading to the fundament are possest with a strong obstruction or because the part pained or inflamed cannot bear the weight or acrimony of the humors or excrements by a converted and peristattick motion contracting the fibres of the guts it thrusts upwards first of al things hurtful afterwards by the violence of the motion al things contained in the guts The Cure is more hopeful if the guts be affected but in part if it befal children because they have a strong innate heat and humors â—ess sharp and biting 'T is doubtful if it afflict â—ld people if a strangury succeed unless a feaver happening and dissolving the matter plenty of urine flow forth If the hickops or vomiting or convulsion or dotage succeed Of little hopes if upon vomiting up of the excrements either deafness or an acute feaver or with the same an elevated hypochondry swellings under the ears do follow It Respects 1. The causes of which in the differences 2. The Pain which must be mitigated by things emollient and anodyne The Blood of a bat anointed on the hypochondries is confirmed to be of force by wonderful experience The Differences are taken from the causes I. One is from external things as from the â—yr either too hot and drying or cold binding up the passages from deadly medicines and pâ—â—â—ons from the use of pease services quinces medlars c. then the business must be done by vomâ—ting Another is from internal things of which in the following Difference II. One is from diseases of the neighboring bowels which wil appeare by their proper signs ' 2. From a rupture of which we spake formerly 3. From an inflamation which is common and cheifly happens in the autumn which forces to the center the thin and movable humors that were bred in the summer 't is known and cured as was said formerly 4. from an ulcer and other tumors to wit a schirrus with a continual hardness and a cancer which are scarce curable They reside either in the inward parts and then the tumor it selfe is visible Another is from the obstruction of humors which are 1. Excrements hardened and in this al things are more milde a long continued obstruction of the belly went before it the cure is ordered by things mollifying and fat things inwardly and outwardly applied a suffumigation of a calves Cal and guts boyled in broth is commended inwardly cream or tartar given one dram and an half weight in broth 2. Humors either thick and viscous or sharp and biting which if possible are to be cast forth Another is from wind in which glisters of sulfurious and salt things are commended Article II. Of the Chollick The Collick is a pain of the Collick gut arising from things that doth dissolve its continuity The Signs are a piercing and boring sense of paine in the great guts especially in the left groine where the collick gut is narrower carried most of al from the navel downwards a puffing up and distension of the lower part of the belly a suppression of excrements and winde a nauseousness belching vomiting difficulty of urine al which wil become more certain by the remembrance of things going before and the demonstration of things consequent 'T is
One spoonful of the tincture of orange peels extracted with spirits of wine Sperma ceti with oyl of sweet almonds Outwardly gum taccamahac and Caranna applyed to the Navel The antiapoplectical balsome with one or two grains of Zivet c. IV. One is exquisite of which we have hitherto spoken Another Spurious whose cause sticks either in the peritoneum or in the membranes which are spred over the abdomen and parts of the belly 'T is known by this that the paine is most greivous and very lasting and cannot be mitigated neither by glysters nor medicines nor fomentations nor by those remedies by which the true collick pains are abated and yet it succeeds to long continued feavers and other cholerick diseases whose solution is difficult For nature endeavoring a crisis and the expulsion of the hurtful humor by the stoole when she can no where find a ready and cleare way to empty it doth often cast it out of the veins and bowels into the membranes whence do arise pains more grievous than the former disease 'T is observed by Fernelius that both continuall feavers and tertians and more frequently quartans are terminated with these pains which a long time had their exacerbations at certaine circuits and retained the like order of fits See concerning this Mattheus Martinus on the diseases of the Mesentery V. Another is which tends to a particular palsey which Palmarius was wont to cure with a syrup compounded of white wine six ounces Rose water two ounces pouder of Alarbazi or antimony prepared one dram choice cinnamon one dram and an half infused al night strained by gentle pouring it off adding of Sugar eight ounces The dose is from half an ounce to an ounce after a draft of chicken broath Article 3. Of Costiveness of body Costiveness of body is no casting forth of excrements or very little in proportion to the nourishment received There is no need of signs The causes shal be explained in the differences The cure is not to be neglected for from thence the head is assaulted with vapors the whole body grows heavy the concoction of the stomach is hindred the appetite destroyed the loines grow weak to wit the veines being burthend and a preternatural heat caused in them Sometimes the belly is moved by sneezing and coughing sometimes if the diseased walk on the ground bare sooted c. The difference is taken from the excrements and guts I. One is by default of the excrements which either are not by reason of fasting and the use of meats of good juice Or do not stimulate either by reason they are small in quantity or by reason of the want of choler which either is carried to other parts as in the jaundice or is not produced out of cold meats Or they are hard either by fasting and a hot habit of body or by a continued restraint there by which it comes to pass that they forthwith grow dry and the veins of the mesentery do suck forth somwhat of their juice Or by reason of gross tough astringent meat eaten at first and not moistned by reason of the too great heat of the liver and kidnies and then there must be care taken of those parts we must act by mollefyers Solenanders liniment is approved of if the navil be anointed therewith 't is compounded of new oyle of sweet almonds goose grease May butter dialthea each two drams Coloquintida sixteen grains Salt one scruple and half the pouder of Simple hiera one scruple diagridium four grains II. Another is by fault of the guts which either do not feel either by reason of their long custom or by their stupidity such as is caused by the drowsy disease palsy apoplexy or by reason of flegme adhering to their coats of which in the chollick Or do not cast it forth either by reason of the narrowness of the passages from the obstruction of the guts of which formerly or of some tumor of the mesentery or bowels pressing the guts or from the fault of the muscles of the belly or from the strength of the retentive faculty from the moderate dryness Article 4. Of a Looseness Point 1. Of a Lientery and Coeliaca Fluxes of the belly are A Lientery Coeliaca Diarrhy Dysentery and Hepatick flux A Lientery is too sudden a voiding by the stool the nourishment in that forme in which it was received proceeding from the fault of the retentive and expulsive faculty of the stomach and guts The SIGNES are evident whether you consider the consistence or the colour smel and other qualities of the aliments taken The CAVSE we have laid in the definition on the faults of the retentive and explusive faculty of which hereafter in the differences The CURE must be hastened because this symptome proceeds from a great prostration of the natural heat and a weakness of the tone of the stomach 'T is difficult if it be supervenient to acute and chronical diseases because the strength is impaired It respects 1. The cause which must be taken away 2. The symptome which must be stayed by astringent means and things that stregthen the stomach and guts The Diffence is taken from the causes One is by default of the retentive faculty which is hurt 1. By the refrigeration of the guts which is caused I. By immoderate drinking of cold water especially when the body is hot by a southerne wind over moist and excessive cold especially in bodies of a fine texture c. 2. A cold distemper which ariseth from flegm either generated there or sent from some other part covering over the wrinkles of the guts doth make them laxe and slippery duls their heat and closeth up the mouths of the mesaraick veins In this for the most part a Celiaca was precedent If sour belching which was not before be supervenient to this of long continuance it is a good signe The Cure requires a casting forth of the matter either by vomit or stoole to which end serve Myrobalans Chebul Citrini tamarinds Rbubarb A restraint of the same and strengthening of the stomach by the distilled oyles of masticke wormwood mint c. order of dyet in which wine takes place II. by a laxness from the continuall use of things oyly fat and emollient from whence is too great a mollification of the Mouth of the stomach whether also belongs the resolution of the nerve of the sixth payre that contracts the fibres of the inward coat III. By a strange quality inured and that either from an evil constitution of the aire as happens in a popular lientery or from the unseasonable eating of mushrums melons cowcumbers c. IV. By a thick and smooth scar such as is wont to follow a great disentery and a deep ulceration which by its thickness stopping the Mesaraicks hinders the distribution by its smoothness the Retention This must be rubbed off and wiped away as it were by eating of sharp things attenuating and strong abstersive as musterd Seed Onions Garlicks honey of
Sometimes by no meanes if the stooles be black fat lived like the rust of brass and stinking The cure is undertaken by the same means as before having respect unto the Feaver It is divided twofold 1. Either it is Critical which is to be stayed and promoted or Symptomatical for a time which nature stimulated by the quantity or quality of the matter doth order before concoction but with strength of its faculty which is neither to be stopped nor promoted nor sometimes to be left to nature but the matter to be emptyed must be revelled altered Or plainly Symptomatical which is from the irritation of the cause of the disease nature being unwilling as it were which must be opposed by the remedies before rehearsed 2. Or it is colliquative or not of which see the following difference Another is without a feaver which is known by this that the humor is seldom voided under its pâ—â—per forme but changed and that 't is sigâ—â—yed by no signs that it doth proceed from the too much heaping in of corrupt meats or other causes there are no signs present of any particular part affected It is caused sometimes when serous humors the cause of a dropsy are voided by the stoole or when in sound men whose veins abound with very much serum the night or morning cold of the autum peircing deep into their bodies doth repel the serous humors from the outward vessels towards the inward into the greater passages of the vena Cava which at last being carried to the bowels and to the creeping branches of the mesentery flow into the cavity of the gutts Concerning the cure note That medicines are best given in a solid form That Oyle must not be mixed with vomiters that we must act with things incrassating and abstersive together that the Serosities are best of all dispersed by sweaters IV. Another is colliquative which otherwise is called a colliquative flux which is known by this that the excrements are for the most part endewed with divers colors commonly very stinking Sometimes fat and viscous that there is a feaver present either burning or malignant or hectick the body suddainly is wasted beyond measure c. It happens in burning feavers a hectick ptisick inflamations in which by the great heat not only the humors in the veins but the next aliment of the parts is melted and if it be thinner it is dissipated if thicker it flows to the belly The cure is for the most part in vain especially in hectick bodies and ptisical whose haire falls off we must act with coolers moistners and somewhat astringent which are not so much to be applyed outwardly as inwardly least the flowing forth of the preternatural heat be hindered Another is not colliquative of which in the third difference V. Another is from the guts when the matter causing the diarrhy resides in them and then the causes are 1. Somtimes Worms whose signs wil be ready and they must be driven away with their proper remedies 2. The obstruction of the mesaraick veins that they attract not the chyle which being collected there doth by its plenty stimulate the guts and then the chyle is voided white a consumption followeth if the fluxe last long we must act cheifly with openers and truly with such which also are good for the liver and do not provoke to stool Another from the brain which sends an inspid or salt flegm into the Guts cheifly in the night the patient sleeping on his back which either makes the coat of the stomach and guts slippery or mixed with the meat weakens the concoction 'T is known by this that there are present the signs of an infirme brain and 't is most familliar with stutterers by reason of their moisture In the cure Gargarisms and masticatories must be avoided least the matter of the catarrh be drawn into the stomach Vesicatories may be applyed to the first and second vertebra of the neck Another from the stomach which is known by the signs of the stomach affected It ariseth either from corrupt meats either of themselves then because nature is very much irritated the other humors in the body are stirred up an evil disposition is brought into the stomach and this diarrhy is dangerous or from the manner of taking them and then there is less danger Or from excrementitious humors heaped there by reason of depraved concoction which somtimes also are sent from elsewhere by reason of their evilness are not attracted by the liver and do stir up the expulsive faculty to excretion The Cure hath nothing Singular Another is from the Liver which is obstructed either in the hollow part where we must act with openers or in the Gibbous part and then diureticks do good Or abounds too much with Choler and then there wil be the signs of a distempered Liver In the Cure is commended for its astriction Old Cheese broken smal washt with some cooling and astringent water and fryed in a Pan. The Diureticks must not be sharp Another from the Spleen which Casts off a Melancholly Humor collected there or derived from some other part so that the stool is somtimes black as Pitch by reason of blood from some vessel opened in the hypochondries and poured into the Guts and there burnt to a blackness and then there are signs of the Spleen affected Blood falling out of the Vessels and concreting if it be stopped causeth swounings and other greivous evils Somtimes the Scurvy concurs Least the biting Humor exulcerate the Guts detersive and tempering Clysters ought often to be cast in Another from the womb when the Humors and Courses being stopt are carried to the Liver from thence to the Guts Then somtimes periods of time are observed in the Cure regard must be had to the Courses Point III. Of a Dysentery A Dysentery is a frequent bloody and Purulent going to stool with a Pain in the Belly and Exulceration of the Guts from a sharp corroding matter peculiarly offensive to the Guts The Name of Dysentery is attributed also to a diarrhy in which the Humors which are voided do Cause torments although there be no Exulceration and with this if blood somtimes be voided that comes rather from an opening of the Vessels than an Exulceration of the Guts The SIGNS are an often going to stool because the Guts are stimulated by the acrimony of the Humor somtimes continually if the matter be sufficient somtimes it returns periodically every third day The pain and torments of the Belly are especially at going to stool and a little before the excretion Those things that are voided are somtimes Cholerick and of divers kinds somtimes mucous and bloody somtimes wholly different from the natural kind of excrements A Feaver somtimes when the Disease hath lasted for some daies by reason of restlessness and putrefaction See the difference from an Hepatick flux in the Chapter of that It differs from an impostumation at whose breaking there follow eliquations as it were of matter because
anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
are an increase of the Corporal bulk greater than in a Cachexy equal through the whol body so that the feet and Leggs swel in the begining a softness of the body a Laxness Paleness and weakness upon the least labor a continual Feaver slow with a puls smal oft and unequal the Urine white thin crude c. The CAUSE is the fault of the nourishment which by reason of the immoderate coldness of the Liver and Veins of which we spake in distempers is Flegmatick and crude nay the body is spred over with a clammy and congealed water and though the nourishment doth both concrete and adhere to the part that is to be nourshed yet 't is not assimilated The CURE is Easter than in others because a Flegmatick Humor comes neerer to the Nature of blood than a serous besides a strong diarrhy comming at the beginning while the strength is firme the Disease is Cured 'T is Performed 1. By emptying the watry matter dispersed throughout the body both by things that Evacuate by the lower Parts amongst which is commended the extract or Salt of Hedg Hyssop mixt with Rhubarb And by vomiters which see else where and by bleeding if it arise from a Plethorick Cause or retaining the blood least by the plenty of the cold Humor the heat be overwhelmed which must be done at the beginning And by sweaters as the Decoction of swallow wort used especially in a Laconick Bath before you enter into it some of Weckerus his water is wel administred concerning which see Hartman 2. By strengthning of the Bowels the Liver especially and stomach of which in their places Fardinandus commends the covering of the Patient in a heap of Wheat for to dry up the matter Article VI. Of the Jaundice The Jaundice is either Yellow or Black of which shal be spoken in the Symptomes of the Spleen The Yellow Jaundice is an effusion of a Yellow or greenish Humor into the habit of the Body proceeding from its Causes 'T is called also from the Name of a smal bird Galgulus from the variety of colors in the Rain-bow Arquatus and because 't is tenderly handled at Court Regius or because 't is beleeved to be Cured with Honey and wine a Princely drink The SIGNS of it are a yellowness of the whol body a Citron or pale green which is observed in the white of the Eye and at its inner Angle where the great Veins are A distension of the Veins under the Tongue a pain of the right Hypochondry or a hardness too Bitterness of the spittle with Cholerick Vomiting the Hickops and pain in the Head The CAUSE is a Humor of the same color which is poured forth into the habit of the Body for the Causes to be mentioned in the Differences The CURE varies according of the Nature of the Differences Yet it respects two things 1. The Cause which must be removed 2. The Symptomes which must be taken away after universals have been premised For the Face and Eyes is commended the fume from hot Vineger in which Rosemary hath been boyled The Specisicks are the extract of Columbine and Celandine which with a little Bezoar is given to the rich An Emulsion of Columbine Seeds with the distilled Water of the same for the poorer sort the pouder of Earth worms three or four live Lice in a poched Eg if we beleeve Zacutus which is a most sordid medicine A live Moth laid on the Navel til it die A live Spider in a Nut shel hung about the Neck placed to the pit of the heart til it die Amongst Magick things are reckoned the Patients bepissing of Nettles Cloths dipped in his Urin and exposed to the Air and many other things concerning which see Petraeus The Differences are taken from the Causes One is from those things that generate plenty of choler which are either External as sweet things hot meats and drinks Poysons especially as the Gal of a Leopard the biting of Vipers and venenate things and then we must act with things Alexipharmacal peculiarly opposite to the Nature of the Poyson in which also we must have regard to the manifest qualities Or Internal as are 1. A hot and dry distemper of the Liver and then the Urine is vehemently colord and thick the Excrements of the Belly are dyed of a Saffron color the Feet and hands are hot 2. An Inflamation and Impostumation of the same of which formerly Another is from those things which do hinder the puresying of the blood and the separation and Exclusion of Choler as are 1. The compression of the bladder of Gal by a Schirrus of the Liver or some other Tumor which see above 2. The Obstruction of the same from thick flegm plenty of Choler stones and other Causes which is either in the passage reaching to the Liver by which it is attracted and then the Excrements are dyed or in that tending to the Duodenum by which 't is cast forth and then the Excrements are white or it comes to pass by default of the Liver and then the right Hypochondry is distended if it become hard it foretels a Dropsie or by default of the bladder it self and then it invades suddainly the belly is slow to stool the Excrements because they are not dyed look white It is cured 1. With things that open obstructions amongst which prevails Dodder of Vetches the Decoction of the Strawberry Plant with horehound and Raysons the Juyce of Nettle Roots bruised in wine with Saffron Young Geese Dung gathered in the Spring dryed and given one dram weight Cremor Tartar diluted with steeled Wine spirit of Tartar c. 2. With Purgers given by course with openers amongst which Rhubarb and Hiera Picra are the best Another is from those things which do suddenly expel choler from the inward parts to the Circumference of the Body which cheifly comes to pass in acute Feavers in which either it is cast forth critically and then there went before Signs of coction and the Disease is Cured Or Symptomatically by reason of its plenty and Acrimony and then it happens before the seaventh day If it be without a coldness 't is thought to be either from a weakness of Nature or from an Inflamation if with a coldness the Feaverish matter is cast forth from the Bowels and veins to the Skin In the Cure we must have respect both to the Feaver and the Liver Article VII Of an Atrophy An Atrophy is a drying and wasting of the whol body arising from the disappointment of its nourishment The Subject is the whol body especially in relation to the soft Parts the Fat and Flesh the harder Parts indeed may be dryed but they cannot be so diminisht that from thence the whol body should decrease There is no need of SIGNS whenas the affect is apparent to the Eye The CAUSE is the disappointing of nourishment which proceeds either by default of the nourishment when that either failes that it is not taken not attracted not
put to is discussed c. Or is Vitious Or by default of the nourishing Faculty when the Native heat or radical moisture fails The CURE respects 1. The Symptome it self where take place a Bath of the Decoction of the Head and Feet of a Weather of red sallow Of sweet water in which have boyled the ashes of Hazel Flax Seed the bones of a Weather bruised A moistning Diet of the Emulsion of sweet Almonds of the four greater cold Seeds with Goats Milk c. The magnetick Cure concerning which see Hartmans Chymiatry Anoyntings with Amatus Lusitanus his Unguent in Sebastianus Austrius de Morbis puerorum p. 555. 2. The Causes of which in the Differences The Differences of an Atrophy are Various I. One is Vniversal of the whol body of which we have now spoken another Particular which proceeds from a peculiar fault of a part In the Cure take place fomentations dropaces pications and percussions by which the driness of the part is corrected the obtuse heat is roused up and the nourishment is attracted II. Another is from worms which vex Children Another from the Stomach that doth not wel elaborate the Chyle Another from the Liver when that is either troubled with a hot and dry distemper and wasnt with much Choler or is very much obstructed that the nourishment doth penetrate with difficulty Another from the Spleen to which the same things may happen Another from the obstruction of the Mesentery which is familiar in the East Indies and for the most part hath Joynd with it a bulimy with a Lientery but it turnes also to an impostumation which so washes the whol mesentery that the Guts confused without any order do stick together only by thin Skins In the Cure is commended the Cross grass of which see Alpinus concerning Aegyptian plants cap. 40. See also concerning these things Bontius in medicina Indorum p. 156. Another is from the Heart which is in a Hectick Another from an Vlcer of the Lungs which happens in the Ptissick 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 V. Of the Affects of the Spleen Chap. 1. Of the Diseases of the spleen Article I. Of the obstructions of the Spleen THe Diseases of the Spleen are Obstruction puffing up Inflamation a Schirrus Vlcers and wounds The Obstruction of the Spleen is a stuffing up of the thick Humors The Part Affected is the Spleen either according to its Veins and Arteries or according to its whol substance The SIGNS are these at the beginning there is Caused a heaviness of the Hypochondry a pain of the spleen from hence a humor mixt with the blood and diffused into the whol body dies it of a Livid color makes a difficulty of breathing after exercise Poured into the Stomach Causeth nauseousness and vomiting into the Guts a diarrhy Somtimes by reason of its dryness it binds the Body The CAUSE is an earthy and thick Humor which oftentimes is collected from a Fenny Air and gross meats and by reason of the weakness of the Spleen and interception of the Passages cannot be expelled Somtimes 't is heaped up by reason of a hot distemper of the Spleen and the attraction of the Chyle unconcocted which happens after often lying down on the left side too much exerise Somtimes it stopps there by reason of an accustomary flux of the Hemrods intercepted or the suppression of the Courses The CURE is ordered as in other obstructions yet note we must have a care of the Causes from which it comes the vomits do good when as there is a straite way from the Spleen to the stomach by the vas breve Of Purgers Poly pody and dodder of time with Raysons senny with cremor Tartar are of Force Of openers the Flowers of Broom and Saxonia his electuary of steel are commended A Plaister of Ammoniacum dissolved in Vineger of Squils may rightly be applyed Premising some convenient Fomentation See Solenanders strengthning electuary in Hartman II. The Inflation of the Spleen is a puffing up of the same into a Tumor by winde The SIGNS are these a Tumor and distension is perceived with some pain but without the sense of heaviness and a weight A murmuring and sound is made The Spleen being prest doth yeild The Causes are either too large drinking of cold water or windy meats as pease chesnuts beans scallions Or thick and viscous humors which may be overcome by the weak heat and are resolved into vapors which doe easily puff up the spleen because it is spungy The Cure is as in others The Chymists applaud the burning Spirit of saturn in the extract of ferne and anoint the region of the spleen with the same thrice a day purging in an external cause is disallowed anointing with oyl of rue cappers c. is sufficient Article II. Of an inflamation of the spleen and schirrus An inflamation of the spleen is the lifting up of the same into a tumor by blood poured forth into its substance Somtimes the whole spleen is affected somtimes not The Signs are a tumor in the left hypochondry bunching out as it were towards the fore parts and as it were girting a man in the middle so it is distinguished from the paine and inflamation of the left kidney which is higher than the right there is a pulsation and palpitation of that side by reason of the arteries with which it abounds a continual feaver observing the periods of a quartan difficulty of breathing by reason of the compression of the midriffe The Cause is blood poured forth and putrefying which is either pure or mixt and discovers its self by its signs The Cure ought to follow the method of other inflamations so that larger drinking after purging be avoided least the humor be carried to the substance of the liver II. Aschirrus of the spleen is a hard tumor of the same proceeding from a thick glutinous and a hardened humor The SIGNS are a resisting tumor with an ablong hardness in the left side and that without paine to which are added a difficulty of breathing a driness of the mouth a swelling of the feet uneasy lying on the left side troubelsome swears c. The CAUSE is a thick and glutinous humor which either presently was such arising from meats of a thick juice from labors watchings which do waste that which is spirituous in the humors Or afterwards when being thin of it selfe t is hardened either by the force of heat or by medicines too much discussing or by its tartarous nature tending to induration This diffused into the whole body with the blood makes it livid and colour'd and leads to a consumption because the spleen opprest is not able to discharge its office of sanguification The CURE is more difficult if the patient have a diarrhy ensue and a lientery or water betwixt the skin follow
the greater plenty of serum than boyling in the mass of blood 9. A pulsation in the left Hypochondry which either the celiacal branch causeth especially after anger and motion or the compression of the arteries in the mesentery by the glandules the great one especially which is in the center 10. A driness of the Palate mouth and tongue by reason of the ascent of resolved vapors through the gullet and rough artery 11. Difficulty of breathing both by reason of the affection of the nerves dedicated to the muscles of the breast and of the effusion of the evil matter into the spaces of the muscles 12. A perturbation of the brain for the vapors resolved if they be acrid cause an epilepsy if obscure they darken the spirits and cause melancholy dotages if many they are authors of a vertigo if dry they cause watchings which are wont to molest most men after midnight because the chyle distributed and carried to the second concoction the spleen and the neighbouring vessels doth stir up the humors lurking in them and raiseth up vapors from them Which are carried towards the brain if into the gullet the muscles of the larynx and rough artery they cause a fear of strangling by reason of the destension of that and the contraction of these if into the nerves of the tongue the armes according to the tract of the nerves they cause a stupidity and a formicant pulse somtimes in one somtimes in the other hand And these are the symptomes yet they do not invade al. The Cause is the flegmatick cholerick and melancholy humors yet melancholy cheifly not only by their first and second quallities as they are adust viscous fixt but also according to their highest powers and strength viz. hurting by their bitterness saltness sharpness and acidity They are collected if you respect the place in the branches of the vena porta the caeliacal and mesenterical arteries the greater especially and which do wash along the left hypochondry neither the vas breve nor the arterial nor venal vessels excepted nor the caul which hath large veins from the vena porta If the cause they are gathered 1 by reason of the concoction of the spleen hurt and truely either by a hot distemper by which it attracts crude juice the watery first afterwards the thicker which stopping in the veins being destitute of a vehicle is thickened and burnt and yeelds matter for the generation of winde or by dryness hardness and scirrosity its heat debating by which the chyle not attracted subsides and the excrements remaine not being cast off as happens in a sedentery life hence about the thirtieth yeare of our age the disease for the most part invades or by an external error when the chile is not concocted either by default of the meats or of the stomach or passions of the minde which while the meat is concocting doe cal away the heat to other parts mixe choler stirred up by anger with the meats trouble the spleene in its action which abounds with many arteries 2. By reason of the fault of the glandules which underprop the vessels of the mesentery whiles they either compresse them by a tumor or being comprest in a sedentary life they render them more streight The CURE is difficult by reason of the heape of symptoms The easier if it be begining if it fal neither upon a fulage nor declining if the hemrods swelling of the veins courses come upon it If it affect men rather than women the fat and faire than the swarfie If a bleeding of the left nostril happen If blackish urines be pist freely without a feaver It respects 1. Chyrurgery by vertue of which blood must be let where note a veine of the arme may be opened if a great part of the matter is communicated to the vena cava and any inflamation afflict about the liver that the external hemrod veins may very wel be opened because being inserted to the same right gut their mouths doe communicate with the internal 2. Physick by vertue of which 1. The corrupt humor sticking in the first region of the body must be brought forth Where glysters take place and womits especially if there be much in the stomach 2. The passages must be opened and the humor prepared by things incessive and attenuating where note that al things are rather to be used in a liquid forme but if in a sollid a drauft of liquor must be dranke afterwards we must begin with the gentler and end with the stronger Amongst those things are of symples the roots of scorzonera male fern the herbs of fumitory spleenwort the flowers of burrage buglos Apples Burstorfian Of compounds the syrup of sweet smelling apples of fumitory the pouders of diacurcuma the essence of fumitory gremander c. of which formerly in the obstructions of the spleen and liver After these acid waters baths steele must be given spring and autumn which premising the evaccuation of the first passages may be given in conserve of burrage from too scruples to one dram and half upon an empty stomach first of al every third day til the twentieth before they are accustomed to it afterwards a drauft of wine must be added and walking up and down for two hours if they be able four hours after taking of it let them eate their dinner if they voide not black excrements we must forbear but if they be wholy supprest we must move the belly 3. The humor prepared must be emptied by benigne purging medicines corrected with moisteners by little and little given about the last quarter of the moon interposing baths and moistening Fomentations myrobalanes and cassia excluded In a nidorous crudity things purging choler are best in an acid purgers of flegme and melancholly taking meat two hours after that the medicine ascend not beyond the liver 4. The vapors fuming up must be diverted from the head and the heart by frictions glysters cupping-glasses causticks and other medicines as elixer proprietatis conserve of roses with spirits of sulphur and vitriol 5. The Parts which it offends must be strengthened and the simptoms taken away of which in their places The Differences are taken from the parts I. One is essentiall which we have hitherto explained Another by consent of other parts and this II. One is stomachical which is known by often spitting after feeding by sower belchings and savoring somwhat rusty by pricking of the mouth and jawes with which those so affected desire cold drink by vehement pains of the stomach which in some proceed even to the back the meate being concocted they cease by and by upon the taking in of more they returne c. It is cured by emptying by diversion by bleeding and cupping-Glasses If greate paine afflict by abstersives dryers strengtheners Another hepatical which is known by the pain of the right hipochondry loathing of meats a slow and erratick feaver the extension of the pain to the shoulders and cannel bones c. in the Cure which
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
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
'T is hardly cured if it have its Cause lurking in the bowels which nourisheth it in Infants 't is easily taken away with discussives Another is fleshy when a fleshy substance lifts the Navel up into a Tumor which is known by this that the Tumor is hard and being prest doth not yeild and is changed by no manner of lying 'T is Cured by cutting of the flesh performed by a caustick Medicine or Iron unless it turn to a Cancer for so the evil is incurable An Inflamation of the Muscles of the belly affects either the right Muscles or transverse If those the Tumor is oblong and extended al over the belly The Skin is not handled without pain and being laid hold on doth not follow In every posture the bulk of the Tumor remains the same If these the deep parts are more affected and because those Muscles are Membranous about their end and have many Nerves the pain is the greater 't is distinguisht from an Inflamation of the Liver by this that it follows the Figure of the Muscles and is not so round The Cure is such as in other Inflamations and so much of the lower Belly An Appendix Concerning the Gout An arthritis is a pain of the parts about the joints caused by a defluxion of a serous and sharp humor poured forth of the veins and arteries into them assailing by periods having joined with it an hinderance of motion The subject is the membranous parts and those endued with sense about the joints from which neither are the membranous ligaments excluded The pain is caused more in them both because the humors are thrust thither from the veins and arteries and because being carried thither they are in less room The SIGNS are almost evident by the relation of the Patient at first assault the pain invades the great Toe and for the most part of the left Foot afterwards a Tumor heat and redness is manifestly perceived there is added an impotency to move and in an Arthritis of long continuance hard Knobs c. The CAUSE is a solution of unity induced by a serous Salt and sharp Humor this ariseth from the use of nourishments as plants Carpes unwholsom wines by the accession of a vitious constitution of the bowels as of the Liver and Spleen the efficient Cause of that Salt or Tartar It oftentimes comes neer to the Nature of spirits which have a most biting Salt in them whence it often wanders up and down By reason of the want of sufficient separation 't is mixt with the blood By the veins and arteries 't is sent to the joints whence when the fit is at hand the vessels which lead to the hands and feet and are inserted to the utmost joints do swel by reason of their weakness either natural from their parents or acquired by labor excess of the air and other things altering the joints from whence they become softer and more relaxt nature being stimulated by its plenty disburthening it self and somtimes being helpt by external causes as the spring or autume aire affections of the mind the retention of accustomary sweating c. 't is moved to the joints rather than to other parts perhaps because the ligaments and tendons are nourisht with a more terrestrial blood and that hath affinity with the tartarous humor The CURE is in general most difficult both by reason of the disease it self in respect of errors in dyer and other things by reason of the fit because the humors dispersed through the ligaments membranes and nerves by reason of thickness coldness of those parts are hardly discust None at al if any deadly disease be joined with it If there be a luxation for though the joint may be reduced yet the ligaments remaine relaxt if in the luxation the cavity of the joint be filled with a tophous matter because before that is taken away the joint cannot be reduced that cannot be taken away if it be hereditary It respects I. The fit in which 1. The humors rushing to the part affected must be taken away where bleeding takes place if blood do abound and that quickly because the flux is urgent Of the basilica if al or many joints be affected in the opposite side if one only No bleeding if flegmatick blood predominate least discussion be protracted Purging when the pains are at hand for which end is thought to serve hermodactils Paracelsus his arthritical pouder Horatius Angenius his electuary cariocostinum the gum for the gout in stronger bodies in the weaker the matter boyling very much Solenander his syrup of buck thorne mechoacan c. Sweating which is very wel caused with the decoction of China of the root of bur dock with treacle harts-horne prepared antimonium diaphoreticum 2. The afflux must be hindered by repellers if the pain be increased by a suddain and too great afflux of humors but not by them alone least the motion intended by nature be stopt with danger of life but mixt with things anodyne The liquor of the flowers of mullein is commended and hartshorne burnt steept and boyled in the water of mullein flowers and applied to the greived part 3. The pain must be mitigated where takes place Stockerus his oleum raninum l. 1. c. 58. prax Rulandus his antipodagrical water in Hartmans Chymiatry Lacuna his ointment of dane wort The foame of the decoction of china root in Zacutus l. 3. hist med hist 38. Anointing with the oyl of mans bones Freitagius his secret of opium and camphure in his book of opium Another of the same Authors there of sugar of saturne and the salt of the same c. A lye sufficiently seasoned with salt the pouder of oriental Bezoar stone or harts-horne prepared mixt with hony of roses and vineger by a gentle heate and layd on by way of cataplasme c. 4. The matter which hath flowed thither must be discust where take place the ointment of castor Solenander his mushromy of the oake consil 24. sect 4. The water in which brass and iron are quenched and afterwards mercurius vitae is steept the decoction of Nettles made with wheaten bread Salt wine and water c. 5. The Knobs must be dissolved for which purpose serves A Cataplasme of old cheese dipt in the strong broth of Salt Hogs flesh and that which you may find in Hartmans Chymiatry 2. Prevention which requires 1. A convenient diet in which ought to be shunned the Air in excess meats that do administer matter for it drinking of Moravia and Austria wine c. too great passions of the mind 2. Bleeding unless the body be cold some open the Veins of the great Toes every month 3. Purging which ought to be ordered spring and autum and it requires gentle ones rather than strong 4. The use of things good against the Gout as are Germander Ground pin round Birth-wort the true Pontick Rhubard c. 5. The strengthning of the Joynts for which end serves a Lie made of
succeed the washing of the Head with Fallopious his lie IV. Pains of the Head in whose cure inwardly takes place Hartmans Diaphoretick Oyl of Mercury outwardly Vigoes Magistral Plaister de ranis and that of Platerus Observat l. 3. V. Pains of the Joynts and especially of the lower parts between the Joynts which at night grow more feirce because then the pores are stopt and they are taken away by fomentations VI. Pustles Efflorescencies Scabs clefts in the palms of the Hands and soles of the Feet the Cure of which see in Hartman VII A running of the Reins in which the same Hartman commends green Mercury precipitate or the Gum of Pockwood which being given Turpentine washt in violet water and dissolved with the yelk of an Egg ought to be administered with the Decoction of Sarsaparilla 'T is distinguished from another by this that it causeth little or no itching nor doth not so soon cast the Patient into a Consumption VIII A tingling of the Ears which is very difficultly cured yet somtimes it vanisheth by the use of the decoction of Pockwood Septalius commends an Asses water distilled in which Pockwood some castor and a bundle of Horse mint have steeped al night and dropt into the Ears or the fume of it received IX Hardnesses or Knobs and Gummosities for the Cure of which Platerus hath afforded excellent Plaisters in the third book of his Observation Hither belong Hartmans Oyntment made of Vnguentum Aureum of the shops and Mercury sublimate X. A Consumption in the Cure of which Septalius tels me l. 7. Of his Animadversions p. 322. That the Decoction of Sarsaparilla made with leane Veal is admirable 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 II. Of Poysons Chap. I. Of Poysons digged out of the Earth POysons considered in special are either digged out of the Earth or Vegetables or Living Creatures The cheife and most common of those digged out of the Earth are the following I. Aqua Fortis whose strength is broke by the Mucilage of Quince Seeds Flea-wort Gum Tragacanth c. II. Antimony whose Antidote is bole-Armenick given with Oyl of Cloves and a little Wine That it hurt not with its Vapors whiles it is wrought in the fire we must Eat butter with Rue or drink Zedoary water III. Lapis Lazuli which if it be taken either ill prepared or in a greater quantity it ought to be cast up by vomit and be tempered with a drauft of warm Milk especially asses Milk IV. Arsnick Auripigmentum Sandarach which somtimes infect by their smel their specificks are Crystal digged out of the Earth poudered and drank one dram weight with new Oyl of sweet Almonds and Oyl of Pine Nuts given three drams weight V. Burnt brass Scales of Brass the flour of Brass the rust of Brass which are weakned by sheeps Fat taken in broth are killed by Bole-Armenick given with Honey and water VI. Refuse of Iron and the rust of Iron whose antidote is thought to be one dram of a Load-stone made into Pils with the juyce of Mercury VII Lead to which are opposed the Kernels of quinces husked bruised and given two drams weight with sweet wine VIII Quick-silver against whose fume received we proceed with a drauft of wine in which some Cephalick things have been boyled Sublimate is resisted by Oyl of Tartar or Salt of Wormwood Chap. 2. Of Vegetable Poysons VEgetable Poysons or those of plants are as follow I. Aconitum or Monkes hood whose antidote is Andromachus Treacle or Terra Lemnia in wine outwardly the swelled body must be anointed with Oyl of St. Johns wort and Scorpions II. Spurge against which a vomit being premised Andromachus Treacle is good with Carduus water III. Mezereon which is resisted with water Germander red Coral Treacle and Terra Lemnia IV. Black Hellebore whose antidote is the pouder of the flowers or Roots of white water Lillie or of Parsnip seed with wine V. Coloquintida whose force Treacle doth infringe VI. Euphorbium whose force is broke with Citron Seed in wine in which Elecampane Roots have boyled VII Green Coriander which causeth a furious raving and hath the Root of swallow wort in wine for its antidote VIII Mandrakes which causeth a heavy sleep its Symptomes are resisted by garden radish taken somtimes with Salt IX Henbane which they that have taken of it do somtimes rangle and dote like drunken men somtimes think that they are beaten with rods by reason of an Itching caused in the whol body its antidotes are Pistachoes castor Rue Nettle Seed X. The Walnut Tree whose shade if any one lie under it it doth hurt and causeth pains of the Head they are taken away with a lie of betony Marjoram Lavender c. XI Nux Vomica whose antidote is Zedoary two drams weight Citron Pill or the Juyce of it Juyce of the Myrtle or quinces XII Opium upon the too much use of which a Heavy sleep seazeth with a Vertigo and itching of the whol body whose antidote is assa Faetida and castor to which add Rue and Origanum XIII Mushrums which if they be taken either in too great quantity or be not wel concocted do cause Suffocation raise the hickops stop the Urin and exulcerate the Guts In the Crue are commended the ashes of prunings of vines with honeyed water Treacle and other things Chap. 3. Of Poysons from live Creatures THe cheife Poysons which are inferred by living creatures are those which are Caused I. By an aspe whose wound is so smal that it can scarce be seen upon its biting there come a heaviness of the Head sleepiness paleness of the Face often gapings c. In the Cure we must provide by ligatures and Scarifications that the Poyson peirce not into the body Treacle with bruised Rue must be laid on the wound Things alexipharmacal must be given inwardly amongst which are commended the leaves of Mullein Avens boyled in Vineger II. By a Viper at whose stroke first the blood comes forth pure which is followed by a bloody and fro thy filth like to the rust of brass with a notable tumor of the part and whol body pustles adust and blackish in the part affected It s antidote is costus given from half a dram to one dram with wormwood wine or the Decoction of wormwood an Hares Runnet Leeks c. III. By a Scorpion at whose stroke do follow pain inflamation a Tumor pustles about the wound like warts 'T is resisted by sage water germander wormwood gentian birth wort up-right vervain wild time c. One hath been freed by frankincense bruised in whom the scorpion had left its print IV. By a Lizard which leaves in the wound for the most part its subtile smal black teeth the teeth must be drawn out with Cupping-Glasses a Cataplasme of the crum of wheaten bread made with the Decoction of
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