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
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
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.
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
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
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
with a shaking and Cold fit Which Heat slow vapours nor very burning when it has dispersed it selfe through the Body The Vrinâ— at first white thin and crude when the matter is digested thick troubled and often red The Pulse is exceeding smal seldom and slow The fit lasts eighteen hours and somtimes twynty four Vomiting and Sweating if they happen at first they proceed from strength of nature and thinness of the humor The CAUSE is Flegm putrifting in the Masaraich veins which is colected by means of the heat of the bowels diminished cold and moist kind of diet superfluous feeding upon such matter It putrifies through the causes afforsaid The CURE is firequently hazardous both because it lasts forty daies yea three months and longer and also because hurting the stomach and liver very much it throwes the patient into a Cachexy 'T is performed 1. By preparation of the petcant matter by convenient medicens moderaly hot which a clyster and gentle vomit may proceid 2. By evacuation of the the said matter being concocted by vomit where extract of Esula and water of radishes and green walnuts distilled with vinegar are good By purgation of flegm and sweat 3. By strengthening the stomach and Liver 4. By Diet. It is differenced according to the causes I. One sort comes from thick flegme Then the urin is white and thin but by little and little it begins afterwards to grow reeddish and the settleing becomes thicker and the patients mouth is continually ful of watterishness It requiers strong medicines to digest it and those frequently repeated to which preparations of tartar ought alwaies to be added Vomiting is profitably procured with mercurial pils 'T is good to purge with an infusion of the species diacarthami senna and ginger in Centory water some drops of spirit of vitriol being added Once in a week one dram of Venice Treakle may be given II. Another is from thin acid flegm and then there is paine in the forhead and left Hypocondrium costivness and acid belchings It must be scilfully cured least it turne to a quartan The liver veine of the left side may be oppened Before the fit some specifick medicament must be given III. Another is from salt thin flegm Then faltness and driness are felt upon the tongue The Urin is red and thick with sense of hear and sharpness in the making The Liver vein on the right side arme may be opened Article III. Of an intermitting Feaver or Quartan Ague An Intermitting Quartan is a feaver arising from melancholy blood in the misaraick veins which takes the patient every fourth day ' Its SIGNES are Reachings and yaunings with a shaking fit after which at first is smal but afterwards like those that in the extremity of winter are pained with the cold for it does not so much prick as beat and bruise as it were The Heat is kindled by degrees because of the thickness of the matter The Paronysmes returne every fourth day The Pulse is rare and slow but in the vigor of the Fit swift and frâ—â—â—ent The Vrines are at first thin and watery afterwards more colored and thick The Sweats are at first very smal afterwards exceeding plentiful The CAUSE is a Melancholly humor collected and putrefting in the Mesaraick veins about the spleen and neighboring Bowels arising from Causes like it selfe among which Vinegar is one The CURE is wholly difficult For 't is a long lasting ague and somtimes reaches out for certain years especially if it begim in the Fal of the leafe But 't is more difficult when it springs from black cholor if it happen to old people whose weake heat cannot overcom the Matter If it be a double ague If it be joyned with some greivious Affection of some of the bowels Easyer if it be a legitimate Quartan and unattended by any disease of any of the Bowels otherwise such as are taken with a quartan Ague are little troubled with Convulsions or if they are the matter turning towards the Hypocondria and remaining no longer mixed with the blood in the veins they are freed of cheir Quartan Ague 'T is performed in general first by gentle then stronger medicines In perticular I. By opening the Basilica or Mediana Veins at the very first the first passages being cleared if plentitude of blood requier so much not so soone if there be no plenitude Blood plentifuly if the blood come thick and black stop it quickly if it rune thin II. By preparation and Coction of the pecant matter reapeated with moisteners and splenicks such as fumitory Maidenhair Ceterach Roots of Eringos Decoction of Turneps syrup of fragrant apples c. III. By evacuation thereof either by vomiting after which a dram of venice Treacle may be given before the following fit mixed in a cup of wine or by stool to which end are good in the first place the Pilulae Tartareae of Quercetanus or Senertus afterwards extract of black Hellebore at last the pilâ— of Saga penum of Camilus de Camilis in Quercetans Pharmachopoeia or by the Haemorrohides leeches being applied Or by Sweats which may be wel procured by Treackle Antimony diaphoretick or six or ten grains of sal Armoniac purified in Cichory water before the fit The patient being strong and Coction appearing a purge is happelly given a little before the fit IV. By strengthening the bowels especially the spleen by their appropriate remedies such as wil not augment the feaver both external internal V. By Mitigation of symptoms of the shaking cold by treacle or Aqua vitae given four hours before the fit Of the Backpaide by application of Hartman his faccolus in his Chapter of the quartan Ague VI. By Diet where observe that we must order absence from al kind of food on the fit day wine that is ripe and thin may be alowed Apropriate medicaments in this feaver are Amoniacum seven times sublimated Pouder of Vipers given the Quantity of one scruple or half a dram before the fit in some convenient Liquor An Hares Heart prepared like Fox-Lungs Oyl of Myrrh from four to eight drops before the fit The Quartan Feaver or Ague is distinguished two manner of waies I. One sort springs from natural Malancholly in which we must go to work with moisteners and moderate heaters Another arises from adust Humors which is known from decay of Appetite vehement thirst Head-ach and redness of Urine It arises from such things as burn the Humors In the Cure we use things moderately cooling to which in the progress of the Disease Cutters and attenuaters ought to succeed A Bath of sweet fair water is commended or rather to wash the Feet therein II. One comes of it self without another Disease foregoing And then a Diet somwhat thin is good at first afterwards somwhat grosser and then agin towards the state somwhat thin Another follows other Diseases Then a thicker kind of Diet must first be used Afterwards the state it must be somwhat diminished In the fit nothing
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
and fro of the whol body and the several members thereof arising from matter molesting and disquieting those parts that are capable of suffering There need no SIGNS for the Affect is apparent enough to the very view The CAUSE is a sharp matter whether it be a humor or a hot Vapor The CURE must be directed and so ordered that it look toward the said matter accordingly as it appeareth in the following differences thereof It is divided into Critical and Symptomatical The Critical consisteth in that suddain and unexpected perturbation of the Humor and from whence there is no danger to be feared That we cal Symptomatical is that which happeneth in general and it containeth under it I. That which we term Stomachical which is known by a kind of Nauseousness in the stomack somtimes without but most commonly with a vomiting and likewise a pain of the stomach It ariseth either from the Humors pulling and twinging the mouth of the stomack c. as it were soaked and drunk up into the Cotes or Tunicles thereof in which case purges that abate and lessen the acrimonious quality have their proper place or else from food unseasonably taken and here we are to help and succour the Patient by vomiting of him II. That that we term Inflamatory which proceedeth from the Inflamation of some one of the Bowels III. That which we cal Febrilis that appeareth in Malignant Feavers and is very dangerous if it be attended with the imbecility of the natural strength and powers of the body In the Cure we ought to have respect unto the several species or kinds of the Disease Article III. Of Rigor or an Extream Stifness The Rigor or unnatural vehement stifness is a vibration shaking and quavering of the Muscles of the whol body conjoyned with Refrigeration and a certain pain arising from somthing that doth molest by a suddain and unlookt for twinging and pulling of the sensible parts throughout the whol Circumference of the body and likewise by Irritating and stirring up the expulsive faculty The Part affected is the whol body or at least the Muscles of the same whether they suffer together more inwardly or not There is no need of Signs the Refrigeration that happeneth herein either it is of the Skin alone by reason of a pain excited and stirred up by the acrimony and sharpness of an humor or else it is also of the Muscles whether it proceed from the Diffusion of the Humor or otherwise from the Inflamation of Bowels The CAUSE is somthing that is grievous and burthensom whether it be collected and contained in the very Muscles themselves or else be transmitted thither from some other place But now then the said matter is sharp corroding and biting much of it in quantity and such as is swiftly moved and carryed up and down from place to place And this happeneth most especially in Feavers The CURE is accomplished by the removal and taking away of the causes The Disease if it cease not upon the use of an Evacuation is very evil and dangerous and so likewise if it be attended and accompanied with a Consumption and wasting of the whol body It is cheifly and especially divided in a threefold manner I. One kind or species hereof is from things External as for instance a cold Air or an External heat diffusing and dissipating the Excrements that before were at rest and were quiet without any molestation sprinkling of cold water upon the body the falling of a spark of fire upon the skin c. The Cure here hath nothing in it worthy of Observation Another there is that proceedeth from Causes Internal to wit a Cholerick humor a salt Flegm Melancholy black choler and acrimonious sharp Vapor The Cure hath respect unto the several sorts of the Disease Al the kinds of them are somtimes to be Mitigated with the Oyl of Rue of Bay-berries of Castor and of the several sorts of Pepper together with Treacle and Mithridate II. Another is vehement with a continual feaver and then if it chance to be in the beginning it betokeneth an inflamation of some bowel but if in the end it sheweth either that the feaverish matter is moved out of the Veins or that the Inflamation tendeth to a Suppuration Another is but little and not much considerable being such as only giveth notice of Feavers to follow of which see further in these Chapters wherein they are particularly treated of III. Another is Periodical which afflicteth the party but now and then and by fitts at certain seasons And this is the best and the most hopeful species of this Disease if it happen to appear on the Critical day if upon its appearance the body waxeth hot or else that any Evacuation of excrements follow thereupon Another is Symptomatical when as the matter is thrust forth into the external parts and the Circumference of the body without any Crisis at al and this is that of which we are now speaking Article IV. Of Tremor or Trembling This Trembling is a depravation of the Voluntary motion by reason of the which the Member elevated and lift up cannot be kept in its own proper situation arising from the debility and weakness of the faculty of motion There is no need of SIGNS It Differeth from a Convulsion because in this latter the part is contracted and so kept from a Palsie because that in this the part is seldom or never lifted up or at least very slowly from a Palpitation in regard that in this not the whol Member but the flesh and especially the Skin is moved and the member unmoved one while falleth down and again another while is distended and stretched forth and lastly it differeth from the Rigor or stifness aforesaid in regard that it is without any pain The CAUSE is a weakness of the moving faculty which happeneth either by a default in the Animal spirits or the Nerves CURE there is none if it befal those persons that are in yeers by reason of the extream imbecillity and weakness of the spirits and the brain if it happen in a vehement Phrensie or Melancholy for then it is caused either by means of the exsiccation or overgreat drying of the Nerves by a Feaver or else by reason of a corrupt and depraved quality if it be hereditary or that it proceed from some fault and disorder in point of diet especially in such that have the Organs of the Animal faculty extreamly weakened if the sick person Shrink and Start when he is toucht in acute Feavers because that the Nerves are either exsiccated and over dried or else are pulled and twinged by some depraved and vitiated matter upon which there followeth a Convulsion The Cure is more facile and easie if it proceed from Causes that are evident It is doubtful and difficult if it happen on the lest side in regard that then the innat heat of that part is the more easily impaired and made to decay if it turn into a Convulsion because
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
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
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
is but new beginning and then there fly to and again before the Eyes as it were Gnats or some certain other dark and dim appearances Another is Augmented and then the color of the Pupilla appeareth like unto that we cal sea-green or else it is like unto the Air when ful of little Clouds Another is Perfect in which the sick person discerneth nothing at al and then the Pupilla appeareth to be of a white color III. They differ in regard of their Cause 1. One is from a thin matter and such as is Fluxile as for most part it is wont to be in the beginning and then if there be present a Plethory we may prescribe Venesection and cause a Vein to be opened Another is thick clammy tenaceous and then we ought to abstain from bloodletting 2. Another resembleth the cleer pure air as also it resembleth silver Playfter or Parget and Margarites and this kind leaveth some Hopes of a Cure Another is black which is by no means to be Cured no not by the Needle Another is Green which is likewise altogether incurable IV. Another is that which is truly and properly so called and of this al that hath hitherto been said upon this subject ought to be understood which siezeth only upon one of the Eyes or else if both yet not together not a like and whose Symptoms are constant and continual Another is Bastard and Spurious which carryeth it self quite contrary unto the former and ariseth from a Vapour ascending from the imferiour parts and is wholly taken away when the Affect is removed Chap. 7. Of what is amiss in the Humors of the Eyes THe Humors that together with the Tunicle constitute the Eyes are in number three to wit the Watery the Chrystalline and the Glassie Humor I. The Faults or things amiss in the Watery are especially sour I. The Diminution thereof by reason of heat dryness overmuch Evacuation which in regard that it is conjoyned with the dryness of the whol body is there not to be Cured without much difficulty II. Effusion when it is poured out which happeneth in the Rupture of the Cornea and then a wound or Ulcer went before the Cornea Tunicle lieth underneath This Humor is somtimes bread again of its own arising from the admixture of thick Humors or Vapors and then the Humor appearth not to be altogether so cleer as it is wont and certain resemblances or babies as we term them fly up and down before the Eyes c. IV. Obscuration and another kind of Color by Reason of the Humors that are therewith mingled These things may be wel known at the first sight and by the very view II. Those things that are amiss in the Crystalline Humor are especially these I. Glaucoma when this Humor is turned into a Grey color It is known by this that about the Pupilla there appeareth a notable manifest whitness somwhat deeply seated and al things are seen as it were through smoke and little clouds It ariseth from exsiccation which happeneth either by Reason of Age or else from some other Cause II. Solidity and Obscurity which therefore needeth a greater illumination from whence proceedeah that we cal Nuclalopia or a Nocturnal blindness with the which such as are affected see indifferently wel in the day time but more obscurely and dimly after sunset and in the night time nothing at al. III. The Scituation changed which is wont to happen many waies 1. Vpwards or downwards from whence the incruciation as they cal it or Crossing of the Opticks is dissolved or else the Axes of the Pyramids thereof are fixed in a double plane and so al things appeare double 2. At the sides and then things appear more on the right side or on the left than indeed they are 3. Towards the middle and the Center from whence it is that those things that are night at hand are rightly seen but things more remote are not distinctly enough discerned 4. Beyond the middle and Center toward the Optick and then those things that they desire to discern they are constrained of necessity to lay them close to their Eyes Towards the Pupilla or Bal of the Eye and then they rightly discern those things that are remote and at a distance from the Eyes III. Those things that are amiss in the Vitreous or Glassie Humor are I. The Augmentation thereof by which not only the Pupilla is the more dilated but likewise the Crystalline Humor is obscured and hath as it were a mist and shadow cast before it and the Spirits also much dulled and blunted II. Diminution from whence the Tunicles are wrinkled up together the Pupilla contracted and falling down above the Crystallaine Humor and abbreviating the space betwixt it and the Tunicles in the which the external splendours meet together produceth the very like affect as in those that wink with one or both Eyes that they may the better behold the bright body of the Sun III. A Crassitude or thickness which ariseâ—h either from the mingling together therewith of an humor or else from the admixture of some other adventitious substance Chap. 8. Of those Diseases that infest and annoy the Globe of the Eye THose Diseases that infest and affect the Globe of the Eye are Atrophy Procidency or standing out and Strabismus or Squinteyedness unto the which may be added out of the Symptoms the Debility or weakness of the sight and stark blindness I. Atrophy is then when the parts of the Eyes consume and wast away It ariseth most especially from excessive Evacuation and over great exsiccation It is Cured by those Medicaments that humectate and moysten and cheifly the Breast-Milk of a Woman layed therein II. Procidency when the Eye either stands out of its Orb in an unusual and unbeseeming manner or otherwise falleth out so at least that it cannot be covered with the Eye-Lids It ariseth from Causes as wel External a blow blowing of Trumpets strangling Hard Labour in Child bearing c. as internal to wit the resolution of the Muscles and Nerves a Tumor thrusting forth the Eye c. In the Cure we must have regard 1. Unto the putting back of the Eye into its proper seare or if that may not be done then wholly to take it away 2. Unto the Deteining and keeping of the same in its place or seat by Fomentations made of Astringents to wit Roses Pomegranate flowers and Acacia Neither must we forget to let blood and the inflamation is likewise to be repelled and driven back If Resolution be the cause thereof then Apophlegmatisms are very available III. Strabismus is then when the Pupilla or bal of the Eye declineth from the middest so that it appeareth more in one part of the Eye than in the other It ariseth either from an ill frame and composure at the first from the very Womb and then it is not by any means to be Cured or else it chanceth from an ill custom as it is
Worms which discover themselves by the corroding pain restlessness and other such like conjectural Symptoms How these Worms ought to be drawn forth see further in the Practitioners They are killed by the Oyntment of Capons Grease and the Oyl of the Hazel Nut or Filberds mingled with two grains of Mercurius Dulcis and so put into the Orifice of the Ears with Silk they are killed with the Decoction of Hemp into the part affected IV. Water fallen into the Ear is again drawn forth by infusing Oyl thereinto Ticle V. Of the Symptoms of the Ears Chap. 1. Of Pain and Deafness THe Symptomes of the Ears are Pain Deafness Tingling and a Hardness of hearing together with a mistaking therein The Pain needeth no signs in Infants if the part be but touched it is then discovered by the moan and complaint that is made It ariseth from Causes distending the Membranes encompassing about the Cavity of the Ear and endued with an exquisite sense The Cure hereof is somwhat doubtful if it infest and annoy those that are young and tender if in those that are declining in yeers it be accompanyed with frequent Relapses and if it abide and keep its residence in the deeper part or bottom of the Ear. It is performed by Anodynes and if it be Vehement and intollerable by those Medicaments that stupefie Among these are the green Leaves of Tobacco moystened either with a specifical and proper Water or at least with Rue Water and so applied together with three grains of Opiate Laudanum Those things that are applied externally ought to be gentle lest that the pain be exasperated and Augmented The Differences are taken especially from the Causes I. One there is from Externals as to instance from somwhat fallen thereinto from a Wound c. which are al to be known by the Relation of the sick person Another there is from Causes internal to wit a Distemper either without or with matter and this either cold in which the Juyce of Onions with some kind of liquor is very helpful or else hot in which the Breast-Milk of a Woman together with the Juyces of cooling Herbs do much avail and profit a Wind for the which those things are useful and proper which in the following discourse touching the noise and sound in the Ears remain further to be spoken of from an Inflamation of which enough hath been above said or lastly from an Vlcer and corrupt matter of which likewise sufficiently in the same place Deafness is an Abolition of the Hearing differing from that we cal Barucoia or Hypocophofis in the which a man not without much difficulty heareth and perceiveth sounds although at a Just and meet distance only in regard of the greatness and intensiveness of the Cause It ariseth from the default of those things that concur to the constitution and perfection of the Hearing and I. Of the Brain in that it either produceth no Animal spirits or else doth not transmit them by Reason of some peculiar Disease II. Of the Auditory Nerve which hath no passage or conveyance for the said spirits either by Reason of some thing amiss in its very frame and formation and hence for the most part those that are deaf are likewise dumb and this kind of Deafness is altogether incurable or else by means of some obstruction thickness c. III. Of the Animal Spirit it self which either is not at al generated by reason of some extraordinary great distemper of the Brain or else is abolished by reason of the extream straightness and narrowness of the passages or otherwise it passeth not through by Reason of somthing amiss in the Nerve or else it is but very little and that likewise over thick and impure by Reason of the Ambient Air or from other Cause IV. Of the Inbred air which either faileth to wit by Reason of a wound or an Ulcer c. and passeth forth dissipated and Scattered by noises and sounds the contusion of the Head or a Vehement affect of the Brain not restored and made good again by Reason of a fayling and want of Nourishment or else it is impure either from some matter sent thither from the brain or from elswhere V. Of the Auditory Passage which either is formed amiss Or else stopped and that either but in part and then there is only a diminution of the Hearing or else wholly and altogether and hence it is that the external sound is not at al perceived but then there is another new one produced by the Air left remayning there or else from things External falling or sent thereinto or otherwise from internal Humors filthiness and impurities Ulcers c. Or else it is condensed and thickned by an Inflamation some smal Tumor or rising c. Or else lastly compressed and thrust together by Reason of some fracture of the Bones VI. Of the Tympanum or drum which may be broken loosened rendered thicker or drier extended and otherwise infested by an inflamation arising about or neer unto it VII Of the three little Bones which either are not rightly formed or else are moved out of their place And yet notwithstanding most frequently from a Pituitous and Flegmatick or Cholerick humor which happeneth in acute and violent Feavers and somtimes it discovereth that the matter is carryed forth unto the exterior parts In the Cure hereof we must see and look wel to it that the Medicaments be applied Warm that there be no new remedies laid to until after that al the filth and Impurities be throughly cleansed and wiped away that there be never more than three drops conveyed in at once that we be not over forward in tampering with those things that are Viscous and Clammy and the sick person lie upon that Ear that is sound and wel and lastly that there be care taken of the Head There are here commended the destilled Water of Carduus Benedictus the Leaves thereof being twice infused in the Glass Vessel the Juyce of an Onyon wel soaked in the spirit of Wine and then roasted under the Embers the Juyce that is pressed forth of Ants Eggs or the destilled Water of the same the Gal of an Hare with a like proportion of Virgin Honey and such like of all which you may see further in Petraeus and Hartmannus Chap 2. Of the Noise or Ringing of the Ears and thickness of Hearing THis Tinnitus or Ringing noise is Defined to be a Preternatural sound in the Ears made and perceived in the instrument of hearing or else in the Cavity of the Head bone arising from Vapors first shut up therein and then moved In this Affect there is no need at all of Signs The CAUSE is conjectured to be that which they term Pneuma Physodes as it preternaturally moveth up and down the inbred Air. Now this indeed ariseth 1. Either of it self or otherwise by the Consent and agreement of other parts to wit the Spleen the Liver the Womb the Stomach c. And then there are
in that a beating pain doth precede neer the affected place and there is neither biting nor looseness c. The CAUSES are sharp Humors corroding the Guts and peculiarly offensive to them conteining I know not what Antimonial Helleborine or somwhat like unto the Sea Lungs offensive to the Lungs and like to Cantharides inimicous to the bladder These infected by a Dysenterical Contagion peircing into the Veins and arteries do cause a Fermentation and imprint a disposition like unto it self by a stain on the whol mass of blood and stir it up with the other Humors as purgers do they fix also an evil disposition on the Guts so that the chyle passing by is changed into a vitious Humor and the Excrements of the Belly receive not a natural Elaboration and quality Somtimes in human bodies they are rendred such by the occult influences of the stars hence sucking children who never came into the open aire and were only nourisht with their Mothers Milk are somtimes taken with a Dysentery But they have their Original from Waters carried through Leaden and Old condites from the spring Aire rainy and southerly after a dry and northerly winter both by reason that the drying up of the Humors is hindred and by the strong puttefying power in moisture from a hot and dry Aire thence at the begining of the autum and end of the Summer this Disease is raised and Reigns cheifly in the hottest Countries From evil and unaccustomary Meats hence in Aegypt and India 't is common because they feed on the flesh of beasts which are nourisht by Cassia Fistula From autum Fruits both because they easily putrefie and because by their astriction they retaine those which are putrefied The use of Grapes and new Wine because they make a Fermentation and are easily tainted with foulness Blasting dews The CURE is Difficult in women by reason of their tenderness and weakness in Children by reason their Guts are moister and therefore subject to Putrefaction in Old people by reason of the greatness of the cause that is the acrimony of the humors in a body indisposed and Feebleness of strength 'T is doubtful if the stools be sincere that is mixt with no waterish moisture If the effusion of pure blood be joyned with it for it shews that the greater veins are corroded If loathing of meat afflict with a feaver because the stomach being drawn into consent the concoction is weakened there is some ulcerous putrefaction in the guts If cholerick vomitings seize at the begining because it argues a great power of boyling choler which troubles the upper and lower belly If the stools be continual or that stopping a new dilute flux bloody like to an hepatick flux or a filty diarrhy do follow If it invade with a feaver or with divers colored stools or an inflamation of the liver If it happen to a woman great with child and bate not after the delivery of the child and voiding of the secundine Of some hopes if the excrements be changed unless the change be to worse if belching or farting succeed because it is a signe that nature doth begin to concoct If it befal the splenitick because the melancholly humors are carried away where we must wel distinguish between the melancholy blood concrete in the guts and black choller If it follow madness because it betokens that the matter is translated from the head to the lower parts Of little hopes if black choller be voided of its own accord no feaver going before nor good concoction appearing because it differs nothing from an ulcerated cancer If convulsions and ravings Succeed because they shew the matter is carried to the head and nerves If peices of flesh be voided because the substance of the guts cannot be regenerated nor a scarre be drawn over so great an exuleration If any one releeved from an acute disease be taken with it because his strength is not able to undergoe it If in process of the disease the hickops follow if a black pustle like to a vetch appear behind the left ear with a great thirst because it signifies death on the twentieth day The Cure is accomplisht 1. By revulsion and derivation of the humors rushing to the guts where Bleeding takes place if there be plenty of blood if it rush violently with the humors to the guts if there be an inflamation or if it be feared If the Feaver be continual If a hot liver minister matter Yet note it must be emptyed by little and little timely and at the first dayes least the strength be dejected the median or liver vaine must be opened with a smal orifice the vein of the ancle if some accustomary evaccuation be stopt 2. By emptying the corroding humors so that the stronger be avoided because they move the humors to the guts Let the purging be at the begining before there folow too great exulceration and that very often that the humor may be taken away The syrup made of the infusion of damaske Roses is commended Myrobalans Tamarinds the infusion of Rhubarb first of al not torrefied afterwards torrified if we would binde a little Mechoacan by whose frequent use the belly is dryed The decoction of myrobalans which see in Sennertus 3. By the abstersion of the same humors by glysters made of barly the yelks of egs honey of roses Sugar and other things according as the exulceration is greater or less 4. By mitigation of the pain for which serve cows milk so that the body be purged and if there be a Feaver Let it be mixt with plantane water or let it be boyled with flints with yelks of egs and the mucilage of quince seeds and cast in by glister Mulein goats suit mixt with the same a clyster described by Sennertus of a weathers head 5. By stopping of the flux by the medicines rehearsed in a diarrhy to which ad raw services if the flux be most desperate a Nutmeg rosted in the embers if there be no feaver the decoction of the clay of the furnace in steeled milke new treacle if there be no inflammation the pouder of a dogs-turd fed three dayes with bones drank with goats milke Laudanum opiate but these ought so to be administred that sometimes hot sometimes cold things be given To cooling things let hot things be mixt that helpe concoction al in a smal quantity least the flux be stopt suddenly and let them be given often because they stay not long in the guts 6. By the use of mundefiers and things that fil up the hollow ulcer c. in which observe that when as the pain is exasperated by the use of detersivnes the glyster being voided another must be given made of milk 7. By the application of topicks concerning which note that astringents are of force rather in lean bodies than in fat when as in these they cannot penetrate Things very cold neither vertually nor actually must not be chosen vinegar or thin white wine must be mixed with them Cataplasmes
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
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
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
the same concerning which things see the chapter of the hemrods of the anus Article IV. Of the ulcers of the neck of the wombe There is no need to define what the ulcers of the neck of the womb are Their Signs are a pain and perpetual biting in the same place which by little is increased especially if any thing abstersive be cast in a flowing forth of sanious humors and matter by intervals somtimes with blood if the ulcer be great or the courses flow A pissing often and hot if the otifice of the bladder be drawn into consent a paine in the forepart of the head extending it selfe to the roots of the eyes if the head A smal seaver which in process of time growes slowe with often horrors c. The CAUSES are al external and internal things which by their acrimony can dissolve the continuity in that part of which in the differences The CURE is difficult because it is in a place of exquisite sence moist and which hath a consent with many parts 'T is Ordered the same manner was spoke in general in the first book To inhibit the paine Steeled milk cast in doth good For drying baths The Differences are various I. Some are from external causes as medicines hard labor violent copulation And others from internal as are the secundine corrupted the flux of blood retained the flux of the womb a virulent gonorrhaea the french pox Inflamation Humors flowing thither either from the whole or a part or generated there al which must be attended in the cure II. Some are superficial from which little matter flows and medicins may be layed upon them Others profound which are in a contrary way and the medicines ought to be injected III. Some are Milde with little matter thick not stinking in which both the gentler abstersives as honey of roses with barly water whey with sugar or the decoction of lentils and the more benigne astringents take place Others sordid with plenty of matter and flowing forth with paine in which we must act with stronger things The mundifyer of smallage in Castro l. 2. c. 29. is here commended Others are eating with a colored matter green livid stinking flowing forth with paine in which aloes and wormwood amongst mundifers are the cheife IV. Some are called Phagades which are smal and longe ulcers eating the skin of the necke of the womb They are known both by the paine and blood caused in copulation and by sight if the neck be looked into and they are like unto them which in winter time are wont to rise in our hands They arise many waies 1. Externally from a painful labour violent copulation and then we must use an astringent glyster 2. Internally from an inflamation condylomata an afflux of sharpe humors which must first be taken away by purgers before we come to topick medicines There is commended for them the fatt which distils from wooden spoones used to boyl in kitchins if they be a little moved to the fire and burnt and also the oyntment pomada Others which leave behinde them a Fystula which is voide of paine unless it come to a nervous part sometimes it passes to the bladder and right gut and the excrements are cast forth through it If it be ancient it ought to be left to a palliative cure in which at fit seasons the body is purged but the callus which is alwaies joyn'd with it if that be curable after drying of the part being molefied by vulnerary potions must be wasted either by cutting or burning Of a cancer and gangrene I meet with nothing singular That is generated by menstruous blood adust and when scirrous tumors continue long This in this place ariseth from an inflamation cancer and ulcers there il cured For while these parts are moist and abound with excrements they are easily corupted and perish Chap. 2. Of the diseases of the womb Article 1. Of the distemper of the womb The diseases of the womb are distemper straitness of the vessels inflation inflamatition a scirrhus dropsy falling down of the womb wounds and ulcers The distemper of the womb is a swarving of the same from its natural temper to a preternatural distemper arising from external and internal causes 'T is divided twofold I. One is hot which is known by a proness to venery by the scarceness yellowness blackness adustion acrimony of the courses and by their difficult and inordinate flux whence in process of yeares they become hypochondriacal by the early growing of hair in the privities redness of the face and dryness of lips often pains of the head and abundance of cholerick humors in the body It ariseth either from the birth from whence are viragos and barrenness or after the birth from external causes amongst which are the use of hot thing too much venery medicines which do move the heat and blood to the womb 'T is cured 1. By the contrary diet 2. By cooling medicines both internal and external which are applyed to the loins and back but they must be moderate least the heat necessary for conception be weakned the cold substance of the womb because it is membranous be violated the vessels which ought to be open for flux of the courses be condensed and the nerves which are in the loins and back be hurt 3. By emptiers viz. Rhubarb syrup of roses solutive manna c. The flowers of Vitriol of Venus Mars from three grains to six grains given in some syrup is an appropriate purger for the womb Another is cold more frequent than the hot which is known from a less desire to venery and the little pleasure in it by the stopping mucosity flegmatickness of the courses and their inordinate flux by reason of the plenty of the like humors collected in the womb from whence is obstruction by the plenty of wind in the womb by the crudity and watrishness of the seed from whence it flows without any pleasure by the pale color of the face and other things opposite to the former It ariseth also from causes contrary to them 'T is cured 1. By a contrary dyet 2. By hot medicines applyed to the womb amongst which do excel inwardly the Roots of Birthwort avens angelica eringoes the Leaves of Mercury balme dittander of Candy pennyroyal Sage Rosemary mugwort The Flowers of wal Flower Marigold Sage Rosemary burrage Spices Nutmeggs Cubebs Saffron Cinnamon Of Compounds Oyl of Mace Amber Myrrh Cinnamon Fecula bryone Aqua vitae Mulierum The extract of Zedoary Outwardly the same things reduced into their formes Another is moist which for the most part is joined with a cold It is known by the plenty thinness and watrishness of the courses the moisture of the privities by reason of the humidity of the excrements and the passion of the Flux of the womb even when the seed is voided no delight in venery and an aptness to miscarry when the young one grows bigg It ariseth from the same causes as yet which
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
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
makes motion difficult but presently 't is discust Yet al these Signs do not happen in al. There have been those who were troubled with continual laughing the Vapor insinuating it self into the Membranes of the Breast there have been those who seemed to frame the hissing of Serpents the croking of Crows c. According to the proportion of the passages and breath breaking forth It differs from an Epilepsie because in this the Convulsive motions are more universal they have no remembrance of those things after the fits which happened to them in the fits the Pulse is greater than before a foam flows about their Mouth From an Apoplexy because in this the fit is suddain without any notice a singular snoaring afflicts them in breathing there is so great a resolution of the Parts that though they be prickt yet they do not feel From a Syncope because there are no presages in this of the fit to come the pulse failes to the sence cold sweats afflict it vanisheth in a short time when as the Hysterical passion lasts somtimes a day or two From the dead they are distinguisht by Sneezing Caused by Sneezers and other means The CAUSE is a malignant Vapor thin and spirituous in one moment penetrating the whol body and raised from the matter corrupted after a peculiar manner in the womb and stirred either of it self or by external things as things sweet-smelling fear Anger and ascending upwards not only by the Veins and Arteries but also by occult passages But what that is shal be said in the Differences The CURE is somtimes of doubtful hopes If it long afflict old women because it infers an impeachment of the strength and shews a plenty of humors If it happen to breeding women a hard labour or abortion going before if it assaile great bellied women because it strikes a feare of abortion of better hopes if breathing be not hurt too much if the fits do not return often It respects 1. The time of the fit where care must be had 1. To intercept it by binding of the belly about the navel with a girdle made of the skin of a hart kild in the act of copulation with the doe 2. To raise her by ligatures and painful Frictions by pulling off the hairs especially of the priveties by suffumigations made of partridg feathers horses hoofs and Eel skin By applying of assa faetida oyl of tartar to the nose c. 3. To reveal by ligatures frictions of the lower parts glysters discussing wind cupping-glasses without scarrification applyed with much flegm first to the ancles and thighes by and by to the groines by putting up sweet things into the privities as are oyl of Civit half a scruple with oyl of nutmeg by expression one scruple 5. To discuss and that outwardly by oyl of white amber with the pouder of walnut flowers By extract of castor of liver-wort Mynsichtus his specificum diajovis The same Authors Theriaca mulierum Hartmans essence granorum Chamaeactes in pennyroyal water Treacle water others that are appropriate Outwardly by putting into the navel oleum Jovis the salt of the same described by Crollius By plaisters made of the fat of a black cow fed with utrine plants clary boyld in butter adding gum tacamahach carama 2. The time out of the fit in which 1. We must empty by Grulingius his extract of bryony of which in his cures by Agricola his flores virtioli Veneris et martis 2. The womb must be strengthened by things internal and external that do resist the malignity also The faecula of briony is commended Castor c. 3. That diet in which odoriferous and sweet things are which are wont to move the womb must be shunned For preservation see Zacutus his Hysterical Pils Prax. Hist l. 9. c. 12. The Difference is taken from the causes One is from the seed corrupted by the fault of the parts or humors mixt with it and sending forth such a vapor which is known by this that the courses are right in the patient Al the Symptoms are more vehement the fit declining a humor like to seed flows forth of the privites 'T is Cured universals premised by emptying of the seed by glysters and utrine pessaries by prohibition of the same by medicines diminishing the seed or by slender diet Another from menstruous blood stopping and therefore corrupt which is known by this that the menstruous blood is joyned with vitious humors especially a melancholly one The symptoms are milder with the signs of a suppression The Cure must be turned against the suppression of the courâ—es Another from vitious humors concerning which consult with the chapter of the distemper of the womb Article III. Of the madness of the womb and Melancholly of Women The Madness of the womb is an immoderate desire of Venery almost making women stark mad arising from the plenty of seed acrimony and peculiar quallity of it The subject of this affect are either wel flesht virgins black and having adust blood or the youthful flourishing widows or married women that are barren by the impotency of the husband The Signs are various some wast away in sadness and silence suppressing their desire others reason being overcome do prate are lascivious break into anger laughter weeping wanton and baudy discourses Some freely prostitute themselves to men The Cause is the plenty heat and accrimony of the seed which ariseth if you consider the internal causes from the heat of the womb the distemper of the stones especially and spermatick vessels hence many labor of an inflamation of the womb and itching which are not affected with this madness If the external from a diet generating plenty and accrimony of blood by a drauft of hippocras in which there was some Borrax c. dissolved The Cure is accomplisht 1. By bleeding if blood do abound 2. By purging if hot and adust humors be mixt with it 3. By alteration by coolers as are Letice Purslan water-lilies Ladies navil by things that act by an occult quallity as are the chast tree rue hemp Camphire hemlock which are rather to be used in Nunneries The Melancholly of Women is a dotage with sadness anxiety weeping or laughing by intervals invading without a feaver arising from a melancholly vapor darkning the animal spirits The SIGNS are various the women are sad complaine of a grief at heart yet are not able to express the cause of it The Arteries about the Spleen and back do beat more vehemently than usual a pain of the left side against the heart afflicts somtimes seazing on the left breast the Vapors from the intercostal Arteries being poured forth into those places and pulling and distending the Membranes of the Breast a dryness of the Jaws somtimes troubles them with a suffocation But these symptomes affect by intervals because the Vapor is dispersed and the stirring of the blood in the Arteries ceaseth The CURE respects 1. Bleeding which must be ordered at the beginning if
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
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