very troublesome one of thin Rheum from the Glandules of the Wind-pipe and Lungs like the sucking of a Pump In the second degree of a Consumption the Indications are almost the some as those above mentioned In the Second degree of this Distemper that is when the Tubercles are first bred in the Lungs with a dry and troublesome Cough and so long as they remain crude without any great Inflammation and Exulceration the Indications are almost the same as before excepting that they must insist more diligently upon a very plentiful use of altering Medicines according as the degree of the Hectick heat is increased but according as their Weakness and the Colliquation of the Humours are greater all manner of Evacuations must be made more cautiously and sparingly but especially we must endeavour all we can to dissolve those Swellings with the use of Balsamicks Chalybeates Antiscorbutick Medicines of Wood-lice and other things of that kind But in the last degree of a Consumption there are new Indications But as soon as the Distemper comes by the Inflammation and ripening of the Tubercles at length to the last and for the most part fatal degree of a confirm'd Consumption which commonly shews it self not only by the vast increase of the Colliquation and the accession of a new Fever not only an Inflammatory or Peripneumonick but likewise a Putrid Intermitting Fever there presently arise new Indications of Cure 1. For when the Lungs are affected with an Inflammation of the Tubercles in the manner of a Peripneumony as there is an Indication of timely Bleeding and of Temperate and Cordial Juleps to soften the Blood and to keep up their Strength so also of a very thin Diet and a plentiful use of Pectoral Medicines but especially such as are Oily and Mucilaginous to take off the Convulsive contraction of the Lungs by their Anodyne Power and to facilitate and promote the bringing up or expectoration of the Phlegm out of the stufft Pipes But as soon as the Peripneumonick Fever happens to be succeeded by a Putrid Intermitting In the Putrid Intermitting Fever all Evacuations are to be avoided and extream Colliquative Fever together with a sudden decay of Strength after the Inflammation of the Tubercles turns once to an Exulceration as all Evacuations are contradicted by that Weakness so there is an Indication for the use of Temperate Pectoral Cordials Pectorals Opiates Slippery and Cleansing Medicines We must likewise endeavour to root out the Putrid Fever which although some deceitful Truce may be gained with the use of the Peruvian Bark The Peruvian Bark must be given yet does never admit of a perfect Cure without the Ulcers are healed which when they are small and benign is not altogether impossible with the help of a convenient Diet and good Air and the use of Balsamick Medicines But however that may be we may endeavour to give some check to the Colliquation by mitigating the Fever Fit and to alleviate the fatal Symptoms which arise on every hand from the Colliquation Of which I shall speak more largely by and by in the Method of Cure The Medicines that are proper in this Disease What Purging Medicines are convenient in a Consumption are First Purging Medicines which ought always to be mild and benign as Manna Lenitive Electuary the greater Compound Pouder of Senna Aloes prepared with the Juice of Roses Mastick Pills Pills of Amber Alaephangine Pills Stomack-Pills with Gums my Magisterial Stomack-Pills by the Prudent use of which at due distances my most dear Father who was himself a very Skilful Physician for the space of Thirty Years lived till he was an Old Man though in a Consumptive and Sickly state the description of which I am willing to publish out of his own Manuscript for the Publick Good Take of the finest Aloes an Ounce the best Myrrh Mastick of each half an Ounce Cinnamon Saffron of each two Drams Cloves Roman Wormwood Red Roses Nutmeg Mace Calamus Aromaticus of each a Dram of the best Rhubarb two Drams Galingale Schaenanthus Yellow Saunders Wood of Aloes the lesser Cardamoms of each half a Dram of Oriental Musk four Grains with a sufficient quanty of Syrup of Wormwood Make them up into a Mass for Pills according to Art Likewise the Purging Mineral Waters and in general all gentle Purgers that are grateful to the Stomack and Nerves and which cause as little heat as may be in the Blood and Spirits are of use here What Vomits may be given To this Head we must also refer Vomits as Honey of Squills and in the beginning of a Consumption especially when it is from a Surfeit the Infusion of Crocus Metallorum What Diuretick Medicines are proper Secondly Diureticks as the Mineral Waters both Chalybeate and Purging Wood-lice both crude and prepared the four greater cold Seeds common Turpentine Natural Balsam Balsam of Tolu of Peru and Compound Medicines made of these as Balsam of Sulphur made with Oyl of Turpentine and with Oyl of Aniseeds Dr. Goddard's Balsamick Syrup both the Simple and the Anodyne the Roots of Fennel Parsley Eringo and those either raw or candied of Elecampane the Seeds of Mallows of Marsh-mallows Plantain-leaves Juniper-berries Elder-berries simple Honey Honey of Violets Craw-fish Syrup of Marsh-mallows Sweet Almonds c. Thirdly Diaphoreticks The Diapheretick Medicines that proper As Sarsaparilla-roots and China in decoctions Venice-Treacle Laudanum both liquid and solid Mithridate Confection of Alkermes Saffron Sassafras-wood Lignum Vitae Saunders yellow or red Fourthly Pectorals The several sorts of Pectoral Medicines As those that are soft to which Head I use to refer First all Simple and Compound Medicines which by taking off the Acrimony of the Humours do abate the Colliquative state of the Blood whereby it comes to pass that the Rheum is not separated so plentifully by the Wind-pipe and Glands of the Lungs As for Example Coltsfoot Maiden-hair Alehoof Brook-lime Water-Cresses Pine-tops Scabious spotted Lungwort the Flowers of the great Daisie of Rosemary Betony Sage Violets of Borrage Bugloss Lilly of the Vallies the Roots of Polypody the Leaves of Yarrow Mouse-ear Burnet Dandelion Plantain Self-heal Sanicle Fluellin and such mild Plants abounding with a Volatile Salt with Syrups and other Compound Medicines made of those Simples the Leaves of the Oak of Jerusalem of Sun-dew Golden Maiden-hair and other Herbs commonly called Vulnerary which by altering the Mass of Blood do very much help the Concoction of the Humours that are lodged in the Lungs Likewise the Balsam of Tolu of Peru Natural Balsam Storax Benjamin Gum Elemi Balsam Capivi with other Gums and Balsams Brimstone and the several Preparations of it Crabs-eys Egg-shells Chalk Coral Pearl Wood-lice the four greater cold Seeds the Seeds of Mallows Marsh-mallows and Lettuce the Roots of China Sarsaparilla the shavings of Hartshorn and Ivory with the Compound Medicines made of them such as Haly's Pouder the Analeptick or Restorative Antidote the
PHTHISIOLOGIA OR A TREATISE OF Consumptions WHEREIN The Difference Nature Causes Signs and Cure of all sorts of CONSUMPTIONS are Explained Containing Three BOOKS I. Of Original Consumptions from the whole Habit of the Body II. Of an Original Consumption of the Lungs III. Of Symptomatical Consumptions or such as are the Effects of some other Distempers Illustrated by particular Cases and Observations added to every Book With a Compleat TABLE of the most Remarkable Things By RICHARD MORTON M. D. And Fellow of the Colledge of Physicians Translated from the Original LONDON Printed for Sam. Smith and Benj. Walford at the Prince's Arms in St. Paul's Church-yard 1694. TO THE High and Invincible Monarch William III d. By the Grace of God King of Great Britain France and Ireland Defender of the Faith c. Dread Soveraign NOW that you have with the greatest Difficulty and Danger happily expended so many and such vast Labours for the sake of Religion and the Common-wealth now that you have had so many Remarkable and Eminent Rewards conferred upon Your Majesty as we must think by the Hands of Heaven with the Suffrage and Applause of all Good Men for your Vertue and Piety both towards God and Mankind which every way imitate and equal what has been always found in the Family of NASSAW permit me who not by my own Merits but by Your Favour alone was some time since advanced to the Doctor 's Chair to Present to your Majesty these First Fruits of my Studies how mean soever they be as an Expression of my most Humble Gratitude and to lodge them securely under the Protection of Your Most Mighty Patronage From which if any thing shall redound to the Publick Good I shall have Reason abundantly to Congratulate my own Felicity And may it please Almighty God that his free and infinite Goodness towards Mankind may especially at this time be manifested to all the World to bestow upon Your Majesty and upon the Most Illustrious Consort of Your Bed and Throne MARY Queen of Great Britain perpetual and unshaken Health a Long and Prosperous Reign and an Heir in every thing like his Parents and at length a late arrival to the Regions of Immortal Bliss This all Good Men particularly Pray for this they passionately desire In the mean time go on Most Renowned Monarch to Compose the disordered state of Religion and the Common-wealth to Succour the Christian Part of Europe that is just ready to perish to give Peace to the World and finally to take off every Unjust and Tyrannical Yoak that in after-ages you may for ever be stiled under God the only Deliverer and Saviour both of Your Country and of Mankind which is the most ardent desire of Your MAJESTY'S Most Humble and Devoted Subject RICH. MORTON TO THE READER THIS Book had remained concealed from Vulgar Eyes in the Learned Language in which it was writ by the Author had we not been certainly informed that the Translation of it was intended and attempted by other Hands And having also fresh Experience how by such means two late Treatises of Dr. Harris and Dr. Sydenham whose Copies were our Proprieties were surreptitiously invaded and by false and unintelligible Translations the worthy Authors themselves much defamed and injured we thought in Justice to our selves as well as the learned Author to anticipate such an ill Design by procuring and putting forth this Exact Traduction wherein not only the Sense but also the Life and Elegancy of the Author's Style is fully set forth And we do here at once declare to the World our Intentions to frustrate the Designs of any whoever they be who for the future shall go about to Translate and Publish any Copy of Ours S. Smith B. Walford The CONTENTS BOOK I. OF Consumptions in General and particularly of a Consumption proceeding from the whole Habit of the Body or an Atrophy both that which is Nervous and that which is caused by Evacuations pag. 1. Chap. 1. Of a Nervous Consumption pag. 4. Chap. 2. Of a Consumption proceeding from some Evacuation p. 11 Chap. 3. Of a Consumption from Bleeding p. 14. Chap. 4. Of a Consumption from a Gonorrhoea and the Whites p. 19 Chap. 5. Of a Consumption proceeding from Apostemes and large Ulcers p. 23. Chap. 6. Of a Consumption happening to Nurses from the giving of Suck beyond what their strength will allow p. 32 Chap. 7. Of a Consumption from a Bloody-Flux and from a Looseness p. 37 Chap. 8. Of a Consumption from a Diabetes or too great a Flux of Urine p. 41. Chap. 9. Of a Consumption caused by Salivation or Spitting p. 45 Chap. 10. Of a Consumption proceeding from a Dropsie p. 47 Chap. 11. Of a Consumption caused by profuse Sweats p. 52 The Appendix p. 57 BOOK II. OF an Original Consumption of the Lungs pag. 62 Chap. 1. Of the Causes of an Original Consumption of the Lungs p. 64 Chap. 2. Of the Degrees of an Original Consumption of the Lungs and the Signs which give us warning of it together with the Preservatory Indications or what we are directed to do in order to prevent it p. 69 Chap. 3. Of the Diagnostick and Pathognomonick Signs of the beginning of a Pulmonary Consumption p. 82 Chap. 4. Of the Pathognomonick Signs of a Confirmed Consumption of the Lungs p. 100 Chap. 5. Of the Differences of an Original Consumption of the Lungs p. 117 Chap. 6. Of the Prognostick Signs of an Original Consumption of the Lungs p. 122 Chap. 7. Of the Indications of Cure in an Original Consumption of the Lungs p. 127 Chap. 8 Of the Method of Cure in an Original Consumption of the Lungs p. 138 Chap. 9. Of the Cure of a Consumption in the Second Degree of it to wit when from the want of a due Expectoration and from the Matter that was lodged in the Lungs thereupon staying long in them some crude Tubercles arising from the knotty Swelling of the Glands of the Lungs happen to come upon a long Cough p. 155 Chap. 10. Of the Cure of an Original Consumption of the Lungs in the Third Degree of it to wit when the Patient is reduced by the Inflammation the Apostems and Exulceration of the Glandulous part of the Lungs to the state of a Marasmus together with an extraordinary Weakness a Consumption of his Flesh an increase of his Hectick Fever and likewise the addition of a Peripneumonick and Putrid Fever and the other direful Symptoms which are wont to accompany the Fatal state of a Consumption p. 171 Chap. 11. Of the Relief of the Symptoms of a Consumption in the Third Degree of it p. 182 BOOK III. OF a Symptomatical Consumption of the Lungs pag. 191 Chap. 1. Of a Scrophulous Consumption p. 194 Chap. 2. Of a Scorbutical Consumtion p. 202 Chap. 3. Of an Asthmatical Consumption p. 212 Chap. 4. Of a Consumption proceeding from Melancholy as also from an Hysterical and Hypochondriacal Affection p. 217 Chap. 5. Of a Consumption caused
apply'd to his Belly and the Julep I just now mentioned in the last History which was made very strong of the Salt of Amber to be drank as often as he would take it What I have been telling of the former Patient the same thing did happily fall out here in this For the Boy refusing all other Liquors did covet the Julep Day and Night so that he drank almost four and twenty Ounces every day By which means it came to pass that in the space of a fortnight or less his Stools were brought to a Natural consistence colour and quantity His Urine also flow'd plentifully The swelling of his Belly went down to a Miracle Neither could I any more perceive any Swellings that lay conceal'd within it though I strictly examin'd with my fingers His Appetite and desire of Drink were Natural and as they ought to be His Flesh likewise seem'd gradually to increase every day And now his Melancholy and Weariness being overcome the Boy seems to recover not only the wonted vigour and activity of his Body but also a good Look and a fresh Colour in some measure so that I am not at all sollicitous about what remains to compleat the Cure A TREATISE OF Consumptions The Second BOOK Of an Original Consumption of the Lungs What a Consumption of the Lungs is A Consumption of the Lungs is a Consumption of the whole Body with a Fever proceeding first from an ill Affection and at length an Exulceration of the Lungs Which indeed is the most Famous Consumption and that which is called so by way of Eminence and of which Authors use to treat as if there were no other kind of Consumption and therefore I shall now speak more largely of it It is either Original or Symptomatical This Consumption of the Lungs is either Original which from the very beginning depends upon an ill disposition and an Exulceration of the Lungs Or Secundary and Symptomatical when ever the Lungs receive any great Injury from preceding Distempers But seeing that we ought always in the Cure of a Symptomatical Consumption of the Lungs to have a particular regard to the Primary Distemper from which this Consumption has its Origine and the Cure of it does require a variation in some things according to the Nature of that Distemper I shall make it my business in the last Book of this Treatise to treat of the Cure of this kind of Consumptions having first given in this Second Book so far as I have been able to observe a general Account of the Nature Causes Differences Diagnostick and Prognostick Signs Indications of Cure and the Method of Curing an Original Consumption of the Lungs CHAP. I. Of the Causes of an Original Consumption of the Lungs The general cause of a Consumption THE cause of a Consumption of the Lungs in general is a vitiated disposition of the Mass of Blood and of the Spirits in the Nerves contracted gradually from several Procatartick or predisposing causes in which the sharp or Malignant Serum or Water of the Blood being separated by the soft and Glandulous substance of the Lungs does stuff inflame and at length also exulcerate the Lungs themselves which is the immediate cause of this Distemper The Procatarctick causes of a Consumption First the stopping of Evacuations The Procatartick causes or those which give the first occasion to this Disease are First the stopping of some usual and necessary Evacuations as the Monthly Courses Child-bed Purgations Old Sores and especially Fistula's Issues Sweating in the soles of the Feet or any other parts of the Body a Gonorrhoea the Whites and other Evacuations of that kind when they are stopt without correcting or removing the causes upon which they depend From whence it comes to pass that even the Blood it self is polluted and distemper'd by those Humours which are condemned by Nature to be thrown off or banisht but by some Bars and Impediments lying in their way are stopt and retain'd in the Mass of Blood longer than is convenient 2. Passions of the Mind Secondly troublesome Passions of the Mind but especially Fear Grief Anger too much Thinking and Sollicitude as also unseasonable and too long Studies with other things of this Nature which contribute very much to this Distemper not only by vitiating the Animal Spirits and thereupon hindring the Natural Fermentation of the Blood but also by fixing almost a continual Spasmodick Contraction or Convulsion upon the soft substance of the Lungs Thirdly 3. Intemperance in eating and drinking a too plentiful and an unseasonable gorging of Meat and Drink and also an imprudent choice of such Meats and Liquors as abound with Excrementitious parts and are not very easie to be digested but especially the drinking too much Wine and Liquors that are very Spirituous Which when it is joyn'd with Cares and Grief and other such-like Passions of the Mind so far as I have been able to observe is commonly the cause of a Consumption of the Lungs For the Habit of the Body being from hence filled with a load of dispirited and unprofitable Humours as it is when it is Oedematous the whole Mass of Blood is polluted and rendred waterish and sharp and at length is disposed to a Hectical heat Fourthly the neglect of due Exercise 4. Want of due Exercise for want of which the Excrements which ought by the usual Law of Nature to be thrown out by the Skin being detained in the Blood are wont by degrees to destroy the Crosis or mixture of it For want of this the Humours also are wont to stagnate in the Habit of the Body and various Obstructions to arise here and there in the small Fibres themselves which contribute very much to the corrupting of the Blood and the weakning of the Spirits Fifthly Night-studies 5. Night Studies and long Watchings and long Watchings which not only weaken the Animal Spirits which are necessary for the Fermentation of the Blood but also keep within the Body those Excrementitious parts which are wont to be thrown out in the Bed by Sweat or Perspiration and who will think it strange that the whole Mass is by degrees vitiated by this means Sleeping in the day To this we may also add sleeping in the Day and sleeping much but especially presently after eating which as it dispirits the Mass of Blood and fills it with useless Chyle by hindring the Digestion of the Food from which cause frequent and troublesome Coughs are wont to proceed So by putting the Animal Spirits to sleep at an unseasonable time and thereupon hindring the Fermentation and Volatilization of the new Chyle it makes the whole Mass of Blood too waterish and sharp 6. An ill Air. Sixthly also a foggy and thick Air and that which is filled with the smoak of Coals does extreamly promote a Consumption by vitiating the Animal Spirits which are so necessary to the Natural Fermentation of the Blood and also by stuffing
and weakning the Lungs that serve for Respiration which are the Seat and Theatre of this Distemper 7. An Hereditary Disposition Seventhly An Hereditary Disposition from the Parents does very often bring a Consumption of the Lungs when every Body knows very well that those who come of Consumptive Parents are apt to fall into the same Distemper 8. An ill formation of the Breast Eighthly an ill formation of the Breast whether it be Natural or Accidental is another cause of this Disease I call that Natural where the Breast is narrow the Neck long and the Shoulder-blades stand out like Wings And that I call Accidental where there is a crookedness or distortion of the Breast whereby not only the parts of the Breast and especially the Lungs being once weakned in their Tone are rendred subject to the Flux of Rheumes but also the Lungs wanting their necessary expansion and being streightned do heap up in themselves and retain the vitiated Serum of the Blood from whence it comes to pass that at length they come to have Obstructions Ninthly 9. Infection This Disease is also propagated by Infection For this Distemper as I have observed by frequent Experience like a Contagious Fever does infect those that lye with the Sick Person with a certain taint Tenthly 10. Chalky stones and such like in the Lungs also Chalky Stones that are Preternaturally bred in the Lungs or Nails and other hard Bodies slipping down into the Lungs when Persons laugh are to be reckoned among the Causes of a Consumption of the Lungs By which not only a troublesome Cough provoking a Flux of the Humours is caused but also Apostemes and Ulcers where also for the most part a spitting of Blood preceding does dispose the Lungs to those Apostemes and Ulcers Of which I shall afterwards give some Histories Eleventhly 11. Some preceding Distemper Also some particular Diseases which corrupt and overthrow the Nature of the Blood and Spirits do occasion this Distemper From whence there follow a Symptomatical Consumption of which I shall make it my business to discourse in the end of this Treatise as the Scurvy Kings-Evil Convulsive and especially Hysterical Affections if they have been of a long continuance also Fevers and especially Intermitting and Scarlet Fevers and such as proceed from a Surfeit so the Small-Pox Measles Stone in the Kidneys the French Pox an Asthma spitting of Blood Inflammation of the Lungs Pleurisie and other Distempers of the Breast ill cured likewise the Green-sickness a sixt Melancholy Gout and Rheumatism The more immediate cause is taking of cold The Body being thus predispos'd to a Consumption by these and other such-like Procatarctick Causes the more immediate cause of this Distemper is for the most part the taking of Cold from whence it comes to pass that in the Body disposed in such a manner by a load of Humours or Water continually deriv'd from the distemper'd Habit of the Body into the Lungs a Cough is caused that is not easily shaken off as that is wont to be which happens from a meer accidental Cold where the Matter is concocted within a few days into a putrid Flegm and upon that is all perfectly thrown out by a Cough as I shall shew more largely in the Chapter of a Catarrh Moreover from a stock of very sharp and Malignant Humours which were gathered before in the Habit of the Body as there is a continual supply of new Matter from the Circulation of the Blood there is a continual and troublesome Cough produced and sticks upon the Patient to his dying day The Serum or Water of the Blood being separated as it were in a perpetual stream by the Glandulous parts of the Lungs and not admitting of any Concoction until the Lungs especially the Glandulous parts of them swell from their being stufft and grow hard and at length the Tone of the parts is quite destroyed and they are ulcerated by the sharpness of the Humour that is separated by these tender and soft ways Which indeed is the immediate Cause of a Consumption of the Lungs CHAP. II. Of the degrees of an Original Consumption of the Lungs and the Signs which give us warning of it together with the Preservatory Indications or what we are directed to do in order to prevent it THE degrees of this Distemper are these which follow to wit first The first degree is a stuffing of the Lungs 2. A Swelling a stuffing of the Lungs from the Serum or Water of the Blood that is plentifully separated in them Secondly a hard Swelling but more especially in the Glandulous parts of the Lungs arising from the same Serum distending those parts too much and not having a free passage out of them Which Tumour I take to be the crude Tubercle mentioned by Galen which Tubercles or crude and glandulous Swellings I have often found in the dead Bodies of Consumptive Persons when the other parts of the Lungs have been full of Apostemes and Ulcers Thirdly 3. An Inflammation an Inflammation of the Lungs arising from the heat and sharpness of this Serum And lastly 4. An Impostumation and Exulceration an Impostumation and Exulceration of these inflamed Parts when the Distemper comes once to its height and extremity The signs which respect a Consumption of the Lungs are either the Prognostick or Diagnostick and Pathognomonick signs Those of the first sort are these which follow First Prognostick Sign being born of Consumptive Parents First the being born of Consumptive Parents for this Distemper so far as I have been able to observe is more Hereditary and oftner propagated from the Parents than any other 2. An ill figure of the Breast 3. A shrill squeaking Voice Secondly an ill conformation and figure of the Breast whether it be Natural or Accidental Thirdly a Voice that is naturally small and squeaking or at least so by use and a habit as being that which proceeds either from a Natural weakness of the Lungs or from an Obstruction of the Glandulous Coat of the Wind-pipe and the branches of it caused by a glutinous and tough Phlegm But from which soever of these Causes that appearance arises still it threatens a Consumption of the Lungs which is afterwards like to follow 4. A white soft Skin 5. A blouted habit of the fleshy parts Fourthly a white and soft Skin together with a thin Habit of Body Fifthly a soft and blouted habit of the Muscular Parts proceeding from their being much stufft with old and dispirited Nutritious Juice 6. Melancholick Oppressions about the Breast Sixthly long Hypochondriacal Oppressions about the Region of the Breast that feel heavy like some troublesome weight as also Hysterical Choakings that are frequent of long continuance and unusual being in the same places 7. Thoughtfulness and some Passions of the Mind 8. The stopping of Customary Evacuations 9. Spitting of Blood 10. The hawking of black and tough Phlegm Seventhly Thoughtfulness
at least by prudent Counsel if he cannot by Medicines Therefore first let the Patient be ordered to take though often but a very little quantity of Food at a time Secondly let him be indulg'd the use of Food that is most grateful to his Stomack so it be such as affords good Juice and is of easie digestion Thirdly let him as much as ever he can keep from Coughing and deep hawking up of Phlegm that lyes low and let him likewise forbear sleeping and lying down presently after he has eaten But Medicines can scarce do any good in this deplorable state Of relieving a Thrush a pain in the Throat and Hiccough in the end of a Consumption After the flame of the Putrid Fever is kindled but especially when the exclusion of the colliquated Matter by the Bowels and other Doors is hindred by Art it sometimes happens that Nature endeavours though in vain the extrusion of her Enemy by the Salivatory Ducts and Glandulous Membrane of the Mouth and Gullet From whence a continual troublesome spitting for many Weeks arises Secondly by reason of the sharpness of the Humour separated by these parts there follows an Inflammation of the Membrane not only of the Mouth but also of the Gullet and Stomack Thirdly from the Inflammation there follows an Exulceration and thereupon little Ulcers commonly call'd a Thrush attended with a very troublesome pain in the Throat as I observed in Mrs. Wells and some other Consumptive Persons who were wont to complain of this Symptom more than of the Original Distemper it self Fourthly and lastly a very troublesome Hiccough arising from the Inflammation and Exulceration of the Stomack And these Symptoms A Thrush and Hiccough are always fatal as they are wont to be very troublesome so sometimes also of a long continuance but always fatal and such as presage the Patient's Death neither indeed do they admit of any Cure For that the cause from which they proceed is incurable However that may be yet an honest Physician ought here also as much as it is in his power to give a helping hand with the use of Gargles to be squirted into the Mouth and Throat with a Syringe which must be made of Cleansing Soft Astringent and Mucilaginous Ingredients Such as we have often occasion to use in our Practice the forms of which we meet with every where in Authors under the Head of a Fever But yet for the easing of this kind of pain in the Throats of Consumptive Persons the keeping the backward Glands seated in the Throat continually Night and Day defended from the external Air with a covering of Flannel doubled does a great deal of good from whence there may be more relief expected than from Gargles or Mucilages A TREATISE OF Consumptions The Third BOOK Of a Symptomatical Consumption of the Lungs I Call that a Symptomatical Consumption of the Lungs which is caused by What a Symptomatical Consumption is and depends upon some other preceding Diseases For it often happens so that from Distempers and those not only Chronical but also Acute and that whether they are perfectly cured or not the Mass of Blood is so altered by the preternatural Ferment preceding that there remain and lurk in the Blood some indelible Impressions and the Seeds of a Consumption that will afterwards follow which by degrees shews it self by a Cough and other usual Signs until at length the miserable Patient being on every side environed with the Fatal Symptoms of the Disease is forced to submit to the stroke of Death Yea sometimes also it is not only the Distemper but likewise the Physician himself that uses to be the occasion of this Consumption to wit when being greedy of Gain and a little present Fame he does in a perfunctory manner and without a due Method and necessary Evacuations rather suppress than root out the Ferment of the preceding Disease whereupon the Patient not being so much cured as translated from one Distemper to another after some space of time spent in a sickly state falls into an Acute and Deplorable Consumption This is the most common Consumption And indeed this kind of Consumption as far as I have been able to observe is the most common of all others and where we see one Original Consumption of the Lungs which depends meerly upon an alteration of the Blood predisposing the Patient to it there are five and it may be ten to be found which proceed from Crapulous and Intermitting Fevers from the Small-Pox Measles Scarlet Fevers a Pleurisie Peripneumony Melancholy and Hysterick Affections from the Kings-Evil Scurvy Green-Sickness Asthma Spitting of Blood Stones in the Lungs and sometimes also in the Kidneys and Bladder from the French-Pox Gout stoppage of the Monthly Purgations of Issues a Gonorrhoea and of Old Ulcers especially such as are Fistulous and Scrophulous These Consumptions have a peculiar disposition Which Symptomatical Consumptions besides the general Nature of a Consumption use to have likewise a proper and peculiar Genius or Disposition of their own and thereupon they are to be distinguisht amongst themselves as by particular Marks and Pathognomonick Signs And there is some variation to be made in the Cure proportionate to the different Nature of the Distemper And a Physician can scarcely in the Cure of a Symptomatical Consumption of the Lungs rationally satisfie all the Indications of Cure by the general Method already described so as to obtain a happy and desired event of things Therefore in the Cure of them a respect must be had to the Original Distemper unless he has in the whole course of his Cure as well a peculiar respect to the Original Distemper by mixing Specificks with his other Medicines as to the Symptoms in the Lungs which are the effects of it by Medicines that are proper for a Consumption of the Lungs which we have already described Therefore taking it for granted that the Description and Cure of an Original Consumption the Lungs already delivered belong likewise to of these Consumptions that I may not draw out the Thread of this Discourse to too tedious a length by Tautologies I thought it worth my while briefly to add under their proper Heads those things which may shew the various Nature of these Consumptions their Causes Differences Pathognomonick Signs and Indications of Cure by which a Physician with his Judgment and Sagacity may alter the general Method of Cure so as to be able to accommodate his Remedies to the peculiar Nature of the Disease and to answer the Indications that arise from it CHAP. I. Of a Scrophulous Consumption This Consumption is very fr quent I Shall speak of this kind of Consumption in the first place because it occurs most frequently in our Practice For I remember more of this kind of Consumptive Patients that I have cured or at least have seen cured by others than of any other sort For in a Scrophulous Consumption the Blood by reason of its preternatural
1. pag. 299 Observation 2. pag. 302 Observation 3. pag. 304 From Fistula's a Consumption pag. 254 A Fistula in one of the Testicles pag. 353 From the French Disease a Consumption pag. 250 The Cure pag. 251 An Observation pag. 252 G. GArgarisms to be used in the Thrush pag. 190 From a Gonorrhoea a Consumption pag. 19 The Signs pag. 20 The Cure pag. 21 From the stopping of a Gonorrhoea a Consumption pag. 254 The Cure pag. 255 From the Gout a Consumption 276 The Cure pag. 277 From the Green-Sickness a Consumption pag. 258 The Cure pag. 259 An Observation pag. 260 H. A Hectick Fever one Sign of a Consumption Pag. 94 A Hectick Fever when the Sign of a confirm'd Consumption Pag. 158 When the Hectick Fever is considerable what is to be done Pag. 163 The Hiccough how to relieve Pag. 189 From an Hypochondriacal Affection a Consumption Pag. 217 From an Hysterical Affection a Consumption Ibid. The Cure Pag. 218 Of an Hysterical Consumption an Observation Pag. 223 Hysterick Passions the sign of Nurses Consumptions Pag. 33 I. AN Icterical Consumption Pag. 307 Diagnostick Signs Pag. 311 Prognostick Signs Pag. 313 The Cure Ibid. Observation 1. Pag. 316 Observation 2. Pag. 321 Observation 3. Pag. 327 Observation 4. Pag. 338 Jellies to be used in a Consumption Pag. 166 A Jelly-Broth Ibid. Inciding Medicines Pag. 134 Inciding Medicines good in an Asthmatical Consumption Pag. 214 Incrassating Medicines Pag. 135 Incrassating Medicines good in the beginning of a Consumption Pag. 146 Incrassating Medicines good in an Haemoptoical Consumption Pag. 230 Incrassating Medicines hurtful in an Asthmatick Consumption pag. 214 In a Consumption from the Gout pag. 277 In an Icterical Consumption pag. 314 Indications for preventing a Consumption pag. 75 Indications of Cure in a Pulmonary Consumption pag. 127 Inflammatory Fever a sign of a confirm'd Consumption pag. 100 The Inflammatory Fever described pag. 174 The Cure pag. 175 From Intermitting Fevers a Consumption pag. 296 The Cure pag. 298 Observation 1. pag. 299 Observation 2. pag. 332 Observation 3. pag. 344 Issues convenient in an Original Pulmonary Consumption pag. 81 Issues when convenient in a Consumption from Ulcers pag. 28 Issues convenient in a Consumption from Sweats pag. 54 In a Consumption from stopping of Ulcers pag. 255 Juleps to be used in a Pulmonary Consumption pag. 167. 169. 173. 177 A Julep for the Colliquative Sweats pag. 187 K. FRom the King's-Evil a Consumption Vide A Scrophulous Consumption L. FRom a Lientery a Consumption pag. 57 A Lime-Water good in a Consumption from Apostems pag. 25 For a Lime-Water a Prescription pag. 26 From a Looseness a Consumption pag. 37 The Cure Ibid. An Observation pag. 38 Of the Looseness in a confirm'd Consumption pag. 109 A Looseness in a Pulmonary Consumption how to relieve pag. 183 The Lubricating Medicines that are proper in a Consumption of the Lungs pag. 134. 146 Lubricating Medicines when proper in a Consumption from a Peripneumony pag. 269 Lubricating Medicines good in a Consumption from Stones in the Lungs pag. 241 Lubricating Medicines do no good in a Consumption from the Gout pag. 277 Not to be used in Haemoptoical Consumptions pag. 230 Of the Lungs an Original Consumption pag. 62 The Causes pag. 64 The Degrees and Presaging Signs pag. 69 The Diagnostick Signs pag. 82 The signs that it is confirm'd Vide confirm'd Consumption Indications of Cure Vide Indications Method of Cure in the first degree pag. 138 Method of Cure in the second degree pag. 155 Method of Cure in the third degree pag. 171 Symptoms how to relieve pag. 182 Of the Lungs Symptomatical Consumptions pag. 191 M. THE Matter spit in a Pulmonary Consumpt pag. 115 True Matter or Pus how to be known pag. 116 A Mead when proper pag. 170 From the Measles a Consumption pag. 294 The Cure pag. 295 From Melancholy a Consumption pag. 217 The Prognosticks pag. 218 The Cure Ibid. Observation 1. pag. 220 Observation 2. pag. 221 A Milk-diet good in a Consumption from Apostems pag. 29 In a Consumption from Bleeding pag. 17 In a Consumption from a Diabetes pag. 41 In a Consumption from a Dysentery pag. 37 In a Consumption from a Gonorrhoea pag. 22 In a Consumption from a Looseness pag. 37 In an Original Consumption of the Lungs pag. 127 In a Consumption from Salivation pag. 46 In a Consumption from giving of Suck pag. 34 In a Consumption from Sweats pag. 55 In a Consumption from Internal Ulcers pag. 347 Concerning a Milk-diet some Observations pag. 163 A Milk-diet not proper in an Asthmatick Consumption pag. 214 Nor in a Consumption from a Dropsie pag. 49 Nor in an Icterical Consumption pag. 315 Nor in a Consumption from Melancholy pag. 219 Nor in a Scorbutical Consumption pag. 206 Nor in a Scrophulous Consumption pag. 197 Nor in a Consumption from Stones pag. 242 A Milk-Water pag. 168 Mucilaginous Medicines to be used in an Icterical Consumption pag. 314 N. FRom Nails c. a Consumption pag. 239 The Cure pag. 240 An Observation pag. 247 The Nerves to be relieved in a Consumption from Melancholy pag. 218 A Nervous Consumption Vide Atrophy O. OPiates convenient in a Consumption from a Looseness pag. 38 In an Original Consumption of the Lungs pag. 136 Opiates convenient after a Vomit pag. 140 After a Purge pag. 142 With Diaphoreticks pag. 144 At other times pag. 150 Opiates to be given to abate the Cough pag. 185 Opiates easily born in the Symptomick Looseness pag. 183 Must be given in the Symptomatick Looseness Ib. Opiates when cautiously to be given pag. 173 Opiates good in a Consumption from Melancholy pag. 219 Opiates good in a Consumption from spitting of Blood pag. 230 In a Consumption from Stones c. pag. 240 Opiates dangerous in an Asthmatick Consumption pag. 214 Opiates hurtful in a Consumption from the Gout pag. 277 In an Icterical Consumption pag. 315 In a Scorbutical Consumption pag. 204 An Oppression of the Breast in a Consumption pag. 96 Oyly Medicines Vide Lubricating Medicines P. PAins racking the Bowels to relieve pag. 183 Pains of the Sides how to relieve pag. 178 Pains in a Consumption from the Green-Sickness pag. 259 Pains in an Icterical Consumption pag. 313 Pains in a Consumption from Stones pag. 238 A Paracentesis when to be made pag. 268 From Parents a Consumption derived pag. 66 Passions troublesome cause a Nervous Consumption pag. 8 Passions the cause of a Pulmonary Consumption pag. 92 Passions attend a Consumption from Bleeding pag. 16 Confirm a Consumption pag. 21 Troublesome Passions must be avoided pag. 154 Of Pectoral Medicines the several sorts pag. 74. 133 Pectorals must be given plentifully The Peripneumonick Fever in a Consumption pag. 100. 174 The Cure pag. 175 Salt Phlegm sign of a Consumptive disposition pag. 71 From a Pleurisy a Consumption pag. 263 The Cure pag. 267 Observation 1. pag. 270 Observation 2. pag. 273 A Pleurisy ill cured causes Tubercles in the Lungs pag. 91 From the French-Pox