the excretory Vessels gape into the cavity of the mouth certainly by this way chiefly the envenom'd Latex of the Blood will find its passage forth which it cannot readily do elsewhere Wherefore upon a Salivation being rais'd the Blood long fermenting like Wine or Beer purging it self throws off by the Ductus Salivales and the innumerable Meatus every where gaping into the Mouth whatsoever extraneous and degenerate substance it may either contain within it self or can drink up or receive from elsewhere be it from the Viscera or solid Parts or from other humours Moreover it is likely that as the off-scowrings of the Blood so also those of the Liquor that irrigates the Brain and Nervous Appendix being stirr'd upon the entrance of the Mercury are voided forth also this way viz. by the Ductus Salvales Therefore a Salivation caus'd by Mercury if haply it succeeds well removes sometimes difficult and indeed Herculean distempers and such as will not be mastered by any other Remedies viz. forasmuch as this operation by a long expurgation throughly cleanses the Blood and nervous Juice and other humours destroys all exotick serments quells the enormities of Salts and Sulphurs and also exagitates the morbifick matter sticking any where or stagnating and often leads it forth Nevertheless this Medicine is not always free from danger viz. because the Mercury being become exorbitant and carrying with it a mighty store of most sharp and as it were envenom'd Serum and rushing violently into the noble Parts and especially the Brain with the appendixes both medullary and nervous or into the Lungs and Praecordia brings upon them an indelibel and sometimes a mortal prejudice Wherefore in an ancient and fore Head-ach there is danger lest the indispos'd Fibres be more irritated by the Mercury pervading them with much and Corrosive Serum and be put upon greater Convulsions and painful Corrugations And also lest upon the mighty recourse of Humours to the Head the Brain be invaded and consequently which happens too often lest the sleepy or Convulsive affects be caused I would have discoursed more concerning these things because it is of a great concern but that we daily expect an exact method of Salivation and a full account of it as to its ways and effects advantages or disadvantages to be set forth by the Leanred Physician Dr. Needham From Chirurgery there remains yet another famous remedy for curing inveterate Head-achs viz. the opening of an Artery Some of the moderns use this and very much extoll it it being greatly accounted of amongst the Ancients Nevertheless as far as it has appeared to our observation success has often been wanting to that so much cryed up operation Nor is it a wonder because that ground on which the Ancients relying blam'd the Arterious Blood as differing from that of the Veins and more exorbitant and therefore advised it to be let forth does not hold good Nor indeed is thereany other reason wherefore Blood drawn from an Artery rather than from a Vein near the place grieved should give ease but rather on the contrary we may expect a greater help from the opening of a Vein because an Artery being emptied receives and draws away nothing from the part affected but a Vein being opened in the place of the Blood issued forth draws from the whole Neighbourhood and often drinks in again and restores to circulation the Blood and other humours heaped together and Stagnating near the seat of the Disease However lest we recede too far from the practice of the Ancients attributing nothing to Arteriotomy we grant that sometimes haply it gives help tho not immediately and causally but only by way of consequent and per accidents viz. forasmuch as the ends of a cut Artery grow together so that the passage for the Blood that way is stopt for the time to come hence in regard somewhat a less store of Blood is brought towards the place by the Arteries and an equal quantity is still carried away by the Veins therefore it sometimes happens that the fuel of the morbifick matter is diminished and that its flock is consumed by degrees For this reason that administration has often succeeded well in distempers of the Eyes Moreover Farriers use a practice not unlike this for curing malignant tumours in Horses Legs to wit they take and bind the Artery by which the matter flows to the part affected mean while that which was there sticking partly evaporates and partly is drunk up again by the Vein I have heard that in a manner the same method was successfully tryed by our Harvey for curing strumous and schirrhous tumours also in the Body of man I might here set down many other kinds of Remedies and also Prescripts and forms of Medicines which are wont to be used both by Physicians and by Empiricks for curing Head-achet but the Books of Physicians abound too much with these I shall now give you some rare cases of Persons troubled with the Head-ach and first some examples of a most severe continual Head-ach which also the cause being invincible has often proved fatal A Woman fifty years of age after that she had been ill for about six months with a very great pain of her Head troubling her almost continually under the Sagittale Suture and yielding to no Method or Medicines fell at length into a Lethargy with a Partial resolution of her Limbs from which nevertheless being in a short time recovered by remedies seasonably administred she had again the violent pain in her Head as before and afterward within a fortnight or three weeks falling into a sleepy affect she departed this life The Scull being opened on the side of the third Sinus a schirrhous tumour three fingers broad grew to the Membranes by the mediation of which the Dura Menix also for some space grew to the Pla and the Blood Vessels which ought there to open into the cavity of the Sinus were stopt moreover both the outward Anfractus of the Brain and â—its inward cavity were filled with clear water From these observations the invincible and at length mortal cause of that Disease may plainly appear I remember formerly to have observed by Anatomy a case like to this in a certain other Person Moreover in regard I judge that in many Persons troubled with the Head-ach the Disease depends on such an invincible cause I shall here give you one instance that is quite fresh of that kind of affect Some few years since I was called to see a Lady of Quality troubled for above twenty years with a Head-ach which at first was intermittent but of lat eis almost continual She was endowed with admirable gifts both of body and mind so that she was excellently skilled in the Liberal Sciences and all Learning above the condition of her Sex but as tho Nature thought it too much for her to enjoy so great endowments without some affliction she has suffered very sorely from this disease Before she was eight years of
voided more sparingly besides in the Head vertiginous affects frequently preceed or follow the invasions of this Disease nay and the Colick encreasing and becoming inveterate often brings Pains in the outward Members and at last is terminated in a Palsey Since therefore many Parts are wont to be troubled by it we must enquire which is primarily affected and by the means of which the rest suffer and shew what is the conjunct Cause of this Disease in what place it subsists and whence it draws its Origine As to the Part primarily affected when the Disease presses the whole region of the Belly is wont to be troubled yet its primary seat ought to be plac'd where the pain infests chiefly and sticks most obstinately Now this is said by many Physicians to be somewhere in the Colon because we generally observe that the Intestines and chiefly the Colon being irritated by Flatus's by which choler and haply other humours contained within their cavities fall into pains and gripes but if the pains of the Cholick proceeded from the sharp and irritative contents of the Colon doubtless those things which loosen the Belly and copiously expell Flatus's and the Faeces would bring a most certain relief the contrary of which oftentimes happens viz. that after frequent or violent Purging that Disease becomes worse Wherefore that the seat and nature of this Disease may be duely known we must first distinguish here concerning the Gripes or Pains of the Belly vulgarly accounted as of the Colick For either being meerly occasional they arise from an evident cause alone and without a previous disposition in any Person indifferently thus alterations about the six non-natural things often raise mighty disturbances in the Viscera of the Belly with pains Which kind of affect never theless ought not to be lookt upon as a Disease but only as a symptom rais'd from a manifest cause But besides the Colick properly speaking does not only happen to any men indifferently being produc'd by an accidental cause but following some men predispos'd after a peculiar manner depends wholly on a procatarctick cause brought to a ripeness by degrees the greater fits of the Disease for the most part have their periods and observe the alterations of the Air and of the Year Moreover being rais'd they do not easily yield to Remedies nor soon pass off But notwithstanding the use of Epithems or the Belly 's being purg'd tho in a plentiful manner by Clysters or Catharticks they often continue many days and sometimes weeks with great violence the pains in every fit take always to the same Part and for the most part are attended with the like concourse of other symptoms Moreover Colick pains tho they have not the same seat in all but sometimes rage most about the Ventricle sometimes about the Navel or hypochondres sometimes in the hypogastrick Region or toward the Loins Yet as often as they return in the same Diseased they most commonly observe the same seat I say now that the Part primarily affected in the Colick is the Mesentery We have shewn elsewhere that the causes of certain convulsive motions which are vulgarly called hysterical oftentimes lye hid in the Plexus's of the Mesentery and then we asserted the pains of the Colick sometimes to have their seats in the same places and we made it plain enough from Anatomical observation But it is not the same but somewhat a differing matter which is wont to raise those so different affects under the same roof in the Passions called histerical we have set forth at large in the former Tract that the Animal Spirits being overcharg'd with an Elastick Combination burst from one another or are exploded as it were and consequently that they force in despite the containing Bodies into irregular or preternatural motions but in pains of the Colick the same Spirits being irritated by reason of a Matter annoying them and being disproportionate to them and thereupon being divided and severed from each other they force the sensible fibres to very troublesome corrugations after what manner this is done in the Colick and what is the Conjunct cause and Procatarxis of that Disease we shall now say somewhat more plainly Therefore for the Seminium or Minera of the Colick we suppose that certain recrements of the nervous humour falling from the Brain by the Nerves and passing into the Mesentery and other Plexus's of the Abdomen are there heap'd together Which if they are so gross and viscous that they cannot be receiv'd and sent away by the Lymphaeducts or distill forth into the cavities of the Intestines by the small branches of the Vessels then stagnating and being heaped together by degrees in those Parts they arise at length to an irritative plenitude Afterward that matter becoming more degenerate and more offensive by stagnation and growing turgid on some occasion or of its own accord or haply fermenting with the Saline-fixt humour sent thither from the Blood will torture with very troublesome and painful corrugations the branches of the Nerves and Nervous Fibres with innumerable of which the Mesentery is stor'd Which affect of them does not wholly cease till the fermenting matter either is discuss'd or express'd into the cavities of the Intestines or at length is subdued Again forasmuch as from the Mesentery and its Plexus's nervous branches and fibres are most thickly protended to the bottom of the Ventricle the Gall-Bladder the Ductus Choledochi all the Intestines and on every side almost into all the Viscera of the Abdomen therefore whilst the Colick matter fermenting in its Minera's causes there often most sharp gripes and tortures at the same time in most other membranous Parts Cramps and Convulsive or painful contractions will be every where raised Hence by reason of the Mesentery primarily affected under the Navel there is a cruel pain as tho a stake were stuck there or a piercer were making a hole moreover all about almost in the whole Abdomen by reason of the Intestines being variously drawn forward and backward at the same time in differing places erring pains shoot this way and that and by reason of the motions of the Fibres being distracted or inverted as well in those parts as in the primary Vessels the Belly is in a manner always bound and there ensues sometimes a suppression of Urine or very little is made Moreover the Duodenum the Gall-Bladder with its Ductus's and the bottom of the Stomack being affected with a cramp and their Fibres being drawn upward a frequent vomiting with a copious casting up of a yellow or greenish Choler often happens during the Fit In a Fit of the Colick to Pains of the Belly most violent Pains of the Loins raging in the lower part of the Back are oftentimes joyned which certainly can arise from the irritation of no Intestine but it will be easie to conceive that they are raised from a morbifick cause plac'd in the Mesentery viz. in as much as certain considerable Nerves of the Loins
First of one troubled with a simple Cough which begins of it self and is free from the suspicion of a Phthisick Some years since I took care of the Health of a Student who from his Childhood had been subject to a Cough and was wont often to undergo severe fits of it and of long continuance he seem'd to be of a pretty strong Constitution only that his lungs being originally weak suffer'd much whenever his blood began to run into serosities in summer as long as a free perspiration lasted he was sound enough but spring and fall when the blood changing its temper either of its own accord or upon some slight occasion offer'd falls into serous fluxions he fell lightly into a Cough accompanied with abundance of thick spittle yet this affect very often vanisht by degrees within six or seven days without any great adoe with Medicines assoon as the mass of blood was purg'd by the lungs But if to the said slight occasion of this Disease other greater Causes were added as chiefly the stoppage of the Pores and errours in Diet sometimes a most violent and obstinate Cough came upon him not soon nor easily yielding to Remedies and threatning nothing less than a Phthisick Then growing ill indeed for the first days he had light shiverings in his whole Body and perceiv'd a Catarrh in his Larynx Afterwards he was troubled with a frequent Coughing accompanied with a thin spittle together with a giddiness deadness of the senses and a dropping at the Nose In this state his best Remedy and often try'd with good success was to drink Sack somewhat freely and as little of any other Liquor as might be for by this means the Acidity and flowing of his Blood being supprest and a more free perspiration rais'd he sound himself very much eas'd and sometimes in a very short space grew well Moreover going to Bed and first in the Morning he us'd to take seven or eight drops of Tincture of Sulphur in a spoonful of Syrup of Violets or of the Juice of ground Ivy Or Take Conserve of red Roses four Ounces Spirit of Turpentine two Drams Mix them the Dose is the quantity of a Chesnut Evenings and Mornings But if these Remedies together with the Canary Antidote and a thin Diet do not do the Disease not being Cur'd by such means runs then to a great length and following him sharply for some Weeks and sometimes Months brings the Diseas'd to a mighty leanness and even to the brink of the Grave For the Cough growing daily worse and very troublesome hinders sleep mightily and interrupts it his strength languishes his appetite is dejected heat and drought press hard upon him In the mean time the Spittle is daily increas'd and cast forth in a vast quantity so that afterwards not only the Serum and dreggy Excrements of the Blood but even the nutritive Juice and the wastings of the solid parts being continually pour'd on the Lungs turn into corruption which is Cough'd forth in abundance but respiration grows difficult the Limbs very weak and the Flesh consumes very much When our Patient was lately ill in this manner we prescrib'd the following Method and Remedies by the continued use of which he at length recovered In the first place a thin Diet being ordered him and Ale or Beer wholly forbidden he took of the following Apozeme about four Ounces twice a day warm and a little of it at other times cold to quench his thirst Take China Roots two Ounces Sarzaparilla three Ounces white and yellow Saunders of each an Ounce shavings of Ivory and Hartshorn of each three Drams Infuse them according to Art and let them boil in eight pounds of fountain water to half adding Raisins of the Sun three Ounces Licorice three Drams Strain it and let it be us'd for ordinary drink Take Tincture of Sulphur three Drams Let him take from seven drops to ten going to rest and early in the Morning in a spoonful of Syrup of Violets or of Syrup of the Juice of ground Ivy. When by a long use of this Medicine he began to loath it the following Eclegma was ordered in its stead Take Conserve of red Roses four Ounces Spirit of Turpentine two Ounces Mix them by bruising them together the Dose is about a Dram at the same hours Afterwards instead of this the following Powder was sometimes taken Take Powder of the Leaves of ground Ivy prepar'd in the Summer Sun three Ounces Sugar Candy half an Ounce Mix them the Dose is half a spoonful twice a day with three Ounces of the following distill'd water Take Leaves of ground Ivy six handfuls Hyssop white Hore-hound of each four handfuls the Lungs of a Lamb half boil'd and slic'd small pour to them of Posset-drink made with small Ale eight pounds distil it in common Organs Let the whole Liquor be mingled and when it is us'd sweeten it at pleasure with Sugar Candy or Syrup of Violets To appease the almost continual toyl of Coughing he swallowed now and then the following Troches or a little extract of Licorice Take Species Diatragacanthi frigidi three Drams Powder of the Seeds of Annise Caraway and sweet Fennel of each half a Dram Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple extract of Licorice diluted with Hyssop water what suffices Make a Paste and form it into Troches Or Take Species Diaireos è Pulmone Vulpis of each two Drams Flowers of Sulphur Roots of Elecampane of each half a Dram Oyl of Anniseeds half a Scruple Sugar dissolv'd in a sufficient quantity of Pennyroyal water and boil'd to a consistency for Tablets six Ounces Make Tablets according to art weighing half a Dram let him take one as often as he pleases swallowing it by little and little In the midst of this Course though he had a weak Pulse and was of a cold temperament he was let Blood in the Arm Besides these Remedies a great benefit accrued to him from the fresh Air which he took daily either on Horseback or in a Chariot For by this he first began to recover his Appetite Digestion and Sleep which afterwards were followed by degrees with an abatement of the other Symptoms so that at length he perfectly recover'd He has us'd a method like to this and with the like success as often as till this time he has been troubled with a tedious and stubborn Cough and now though he be wholly free from that distemper yet he is forc'd carefully to avoid all occasions by which the Pores are stop'd or by which a Fusion or Precipitation of the Blood into Serosities is rais'd such are chiefly his going by Water on the Thames and his drinking Acid Liquors as Cider French or Rhenish Wines The foregoing Relation gives you a Type and way of Curing a Cough caus'd through the fault of the Blood and not reaching the limits of a Phthisick Now follows another which Illustrates the nature of the same affect when it proceeds chiefly from the
of Cichory with Rhubarb or of Roses with Agarick ought to be given And I have often seen a Convulsive affect in Children Cur'd by these Remedies when seasonably administred moreover Clysters in this case are of frequent use But withal let not outward Medicaments be omitted viz. Fomentations Liniments and Plaisters to be applyed to the Belly Take Cammomil Leaves small slic't two handfuls let them be put into two bags made of fine Linnen or Silk which being dipt into warm Milk and wrung forth must be applyed successively to the Belly Take Tops or Flowers of Mallows slic't boil them in fresh Butter or Hogs Lard and let them be applyed to the Belly in the form of an Ointment or Cataplasm CHAP. III. Instructions and Prescripts for Curing Convulsive Diseases in Adult Persons hapning by reason of the Origine of the Nerves being chiefly affected THough Convulsive affects which happen to Adult Persons being denoted by other Names are also vulgarly accounted to have another Origine and are wont to be refer'd to those they call Hysterical Hypochondriacal or Colick passions or to the Scurvy nevertheless if the thing be a little more attentively considered it will easily appear that certain Convulsive Symptoms frequently happen both to Men and Women which properly and duly claim the name of a Convulsion Now these may be variously distinguisht according to the Manifold seat of the Morbifick cause but especially into these three kinds viz. into certain Convulsions caus'd by reason of the Origine of the Nerves being chiefly affected and into others which are caus'd by reason of the extremities of the Nerves being stopt with a Morbifick Matter and lastly into others whose Morbifick Matter descending from the Head gets possession of the whole or the greatest part of the Ductus's of some peculiar Nerves or of them altogether We shall treat of each of these kinds of Convulsions one after the other Therefore first of all as to Convulsions hapning by reason of the Origine of the Nerves being affected we must note first that the Morbifick Matter besetting the Origines of the Nerves sometimes passes chiefly into the foremost Pairs of Nerves viz. which attend the Muscles of the Eyes and Face and thence Contractions and tremblings sometimes of the Nose Cheeks or Lips sometimes of the Eyes or Mouth ensue Secondly sometimes the Par Vagum and Intercostal chiefly imbibe the Heterogeneous Particles and then Inflations or Contractions of the Abdomen and Hypochondres and also a Palpitation and Trembling of the Heart a difficult and interrupted Breathing an intermitting Pulse and other Symptoms of the middle or lower Region of the Belly chiefly molest us Thirdly but sometimes the Morbifick Cause lying behind chiefly affects the Spinal Marrow and therefore the outward Members and Limbs are rendred obnoxious to Twitchings and Contractions Moreover as we may conjecture from various Types of the Con\vulsive affect it seems that the Convulsive Matter going to these or those Nerves or to many of them together either lodges it self in a manner only about their Origines so that upon frequent Explosions of the Spirits there an almost continual and very troublesome Vertigo arises and so Tremblings and a short Fainting and danger of Swounding are perceiv'd about the Praecordia and often Twitchings and gentle Contractions in the Bowels or Muscles Or Secondly the explosive Particles convey'd to the Origine of the Nerves enter deeper into their Processes and often falling down into the Plexus's of the Nerves belonging to the Praecordia or Viscera of the Belly or also to the outward Members make there other seats as it were of Convulsive affects so that as often as the Spirits are forc't to Explosions about the Origine of the Nerves presently Fits as it were Hysterick Asthmatick or otherwise Convulsive arise in the Belly Thorax or outward Members I shall now give you some instances of Persons in whom the Morbifick Matter besetting the Origine of the Nerves and not yet fall'n deeper into their Processes caus'd frequent Vertigo's and only gentle Convulsions of the Viscera and Praecordia 1. A Lady of great Quality about Thirty years of Age of a tender Constitution and of a thin habit of Body was wont to be sorely afflicted every Winter with a Catarrh distilling on her Trachaea and Lungs with a Cough Hoarsness and great Spiting but the last year through a diligent care and caution us'd she escaped that evil But after the Winter solstice upon taking cold she was seis'd with a violent Head-ach a ringing in the Ears a Vertigo with a mighty Distillation of Rheum at the Eyes and Nose whence it easily appear'd that the filthy Mass of Serum which was wont before to distil on the Brest was then wholly depos'd within the Head and Brain The effect whereof moreover was that as often as she began to sleep she was very much troubled with a sort of Hysterick Fits to which she had never before been obnoxious For if at any time beginning to sleep she clos'd her Eyes presently it caus'd a rising of a heavy thing in her Belly a Suffocation in her Throat and Tremblings and Twitchings about the Praecordia Which affects nevertheless when she was perfectly awak't presently ceas't so that the Diseas'd was forc't to abstain in a manner wholly from sleep for many days and nights together Being call'd to this Lady after she was become very weak upon many days Sickness I was forc't to use only gentle Medicines Therefore I ordered four Ounces of Blood to be taken from her Foot and a Clyster of Milk with Sugar to be daily given her after which she was wont to have three or four Stools Moreover every eighth hour I gave her a Dose of Spirit of Harts-horn in a Spoonful of the following Julape Take Water of Penny-royal Wallnuts black Cherries of each three Ounces Hysterick Water two Ounces Syrup of Clovegilly-flowers an Ounce and a half Castoreum tyed in a Nodulus and hung in the Glass half a Dram Pearl powdred a Scruple mix them I applyed with good effect Vesicatories behind the Ears and Cataplasms of Leaves of Rue and Aron with Bryony Roots Sea Salt and black Soap to the Soles of the Feet Sometimes in the Evening I gave half an Ounce of Diacodium in a little Draught of the Julape before ordered which was followed by a moderate sleep without being attended according to wont with Convulsions Which kind of effect I have often experienced in such a case after Opiats given For quenching Thirst I gave a Ptisan with Diuretick Ingredients boil'd in it By the use of these things she was very much reliev'd within a short time But that which fell out much for her good was that an Abscess in the left Ear breaking of its own accord first discharg'd a yellow Gore and afterward for many days a vast quantity of thin Ichor After which Evacuation the Convulsions of the Bowels and Praecordia wholly ceasing the Disease was perfectly determin'd I have known many
Persons both Men and Women Diseas'd after this manner who being ill of a Head-ach an oppression of the hinder part of the Head or a Vertigo perceiv'd in their sleep presently Convulsive motions in the Praecordia or Bowels or in both of them together Which happens from the Salley of the tumultuary Spirits reflected from the Brain into the Origines of the Nerves And as an Opiate gave the Patient before mention'd a quiet sleep without the wonted Sequel of Convulsions so I have often successfully Cur'd terrible Convulsive Fits both Asthmatical and as it were Hysterical by giving Opiats 1. A Woman sixty seven years of Age having still a florid Countenance and being of a gross habit of Body and who first had liv'd long subject to a Swelling of the Face and great Fits of the Head-ach upon the Weathers growing very cold in the Winter fell into a very grievous Vertigo with a Trembling of the Heart a Fainting of the Spirits and a frequent striving to Vomit Being put to Bed if she open'd her Eyes or was turn'd from one side on the other she was presently seiz'd with a mighty Scotomia a danger of Swooning and moreover with a cruel Vomiting As I was to see her I did not doubt but the cause of the Disease was the Convulsive Matter convey'd from the outward Region of the Head to the inmost Recesses of the Brain by the ill Breath or Heterogeneous Combination of which the Animal Spirits being struck they rais'd the Vertiginous affects as they made their disorderly sallyes towards the Brain and when they tumultuarily rusht into the Roots of the Nerves they caus'd the Scotomia the disorders of the Praecordia and the striving to Vomit The Cure of this was perform'd within a few days by the application of large Vesicatories to the Nucha and behind the Ears the dayly injection of Clysters and by a frequent use of Spirit of Harts-horn and a Cephalick Julape Dr. Willis gives Instances of Persons in whom some portion of the Morbifick Matter which besets the Origine of the Nerves descending from the Head often enters deeper into the Ductus's of the Nerves and so about their middle and extream Processes and Plexus's makes a fomes of an explosive matter as it were of Gun-powder But for brevity sake I omit them It is observ'd that when a Convulsive Fit begins within the Brain at the Origine of the Nerves presently the remotest Spirits residing in the extremities of the Nerves as many as are predispos'd for that Symptom fall upon Explosions and so convey upwards the Convulsive affect there more strongly begun which happens for this reason that when some whole Series of Spirits is disturb'd those which are in the extream parts are first destitute of their Original Influx wherefore those before others begin to grow in a tumult and to be irregularly dispos'd as when a Nerve of the Arm or Thigh is constring'd by lying on it so that it is hindred of its wonted influence of the Spirits a stupor with a sense of pricking is first perceiv'd in the Fingers or Toes of the hands or Feet whence it creeps upwards by degrees towards the places affected And hence it is we find that if whilst the outmost Spirits are exploded a strong Ligature or Compression intercepts the succession of others into the same space or their progress towards the parts the Convulsion is usually hindred from ascending upward Wherefore as Physical Histories testify when a stupor beginning at the top of a Finger or Toe of a hand or Foot creeps to the upper parts with a sense of Formication or like a cold wind and at length taking to the Brain causes terrible Convulsions If presently at the first seizure the Arm or Leg be strongly bound about the Convulsion being not able to pass that place is hindred from getting to the Head Nay and it s an usual thing for Hysterick Women assoon as a Swelling of their Belly or an ascent of a heavy lump is first perceiv'd in their Abdomen to bind about hard the Trunk of their Body with Swathes and so commonly the Praecordia and the Region of the Head are kept from being affected with the Convulsive Fit It 's likewise observable that if Blood be let forth of a Vein in the midst of a Covulsive or Apoplectical Fit it presently seems to be congeal'd so that being receiv'd in a Bason it does not keep an even and plain Surface like Liquids but accumulating it self drop upon drop it rises in a heap like Tallow melted and distill'd into a cold Vessel Yet as to what some conclude hence viz. that Convulsions depend wholly on the thickness obstructed motion and stagnation of the Blood we must not allow of it For Blood drawn from Persons that are subject to Convulsions a little before the Fit is diluted with Serum and fluid enough Wherefore we may opine that that Congelation is caus'd by the Fit it self To wit because in Convulsive motions from the excessive Contractions of the Muscles and Viscera the Blood passing bet wixt them its Spirit and Serum exhaling is a little solv'd in its mixture and therefore is somewhat coagulated just as when Milk by reason of its too great agitation and Separation of parts one from another hardens into butlter wherefore this kind of Coagulation of the Blood seems rather to be the effect of Convulsions than their cause The Therapeutick Method AS to the Cure of these kinds of Convulsive affects which in Men or Women proceed from a Morbifick cause besetting the Origines of the Nerves The first Indication will be to withdraw the fuel of the Disease viz. to hinder the Blood from discharging on the Head the Heterogeneous Particles either engendred in it self or receiv'd from elsewhere from the Bowels For this purpose an Evacuation ordered both by Purging and Bleeding unless somewhat indicates the contrary is wont to be administred with good success Vomiting very often gives relief wherefore let Vomits of the Infusion of Crocus Metallorum or of Salt of Vitriol or of Wine of Squills be given in the first place Then in a few days let Blood be drawn either by opening a Vein in the Arm or by Leeches applyed to the haemorrhoid Veins then afterwards let a gentle Purge be ordered either of Pills or of a Purging Apozeme and let it be repeated in due and convenient time Take Crato's Pills of Amber or Bontius's Pills of Tartar two Drams Rosm of Jalap sixteen Grains Castoreum a Scruple Oyl of Rosemary or of Amber half a Scruple Gum Ammoniacum dissolo'd in a sufficient quantity of Hysterick-water make sixteen Pills let four be taken every sixth or seventh day Take Roots of Polypody of the Oak sharp pointed Dock prepar'd and of Chervil of each six Drams of Male Peony three Drams Leaves of Betony Germander Ground-pine Vervain Male Fluellin of each a handful Seeds of Carthamus and Burr-dock of each three Drams let them boil in four Pounds of Fountain-water
also Elixir Proprietatis sometimes also Spirit of Harts-horn for many days afterward at long run upon taking that Powder daily for some space she began to find help Inthe mean while that this Method of Cure was followed her Hair being Shav'd off her Head was cover'd only with a thin Dress she wore the Hysterick Plaister with a mixture of Galbanum on the Abdomen She drank for her ordinary drink a Boâ—het of Sarsa and China with the Roots of Male Peony and other appropriated things infus'd and boil'd in Fountain Water Within a Month the Fits remitted a little Afterward becoming more mild by degrees and lesser at length they ceas'd in a manner altogether unless that near the time of her Menses she was wont to be troubled with an assault or two of that disease Moreover she was troubled almost with a constant Giddiness and a loathing of Meat in the midst of Summer the drank Astrope Waters for six weeks and grew perfectly well As to the way of Cure to be us'd in general for such Marvellous Convulsions it is not an easie thing to assign Remedies equal to so Hereulean a Disease or a certain method of its Cure confirm'd by frequent experiments For besides that cases like those seldom occur we may likewise observe that the same Medicine which did good to this sick person at one time gave not the least relief to another person or the same when given at another time the reason of which seems to be that the cause of the Disease seems to consist in the Discrasy of the Nervous Juice Which liquor is not always perverted after one and the same manner But from the manifold combination of the Salts and Sulphurs gets a Morbid disosition of a various kind and condition and often changes it Wherefore in those difficult affects we must not prescribe vulgar Medicines taken from Apothecaries Shops but Magisterial ones as occasion requires according to the appearances of the Marvellous Symptoms A Gentle Vomit a Purge and Bleeding ought in the first place to be us'd and sometimes to be repeated as it shall seem convenient And as to Specifick Medicines and such are appropriated in those cases since the chief Indication will be to amend the Crasis of the Nervous Juice we may try a great many things and sift their vertues from the effect Therefore we may try what things endued with a Volatile or Armoniack Salt will do For this purpose let the Spirits and Salts of Harts-horn Blood Soot the Flowers and Spirits of Sal Armoniack be taken These giving no relief we must come to Chalybeats let the Tinctures and Solutions of Coral and Antimony be given which sort of Medicines must be given in such a Dose and form and for so many times that some alteration may be made by them in the Blood and Nervous Juice Again if these have not success we must proceed to Alexipharmicks which are good against Poyson and a Malignity gotten into the Humours viz. of these we must order Decoctions Destillations Powders Conserves and other Preparations of Vegetables and we must variously compound them the one with the other and administer them several ways It seems likely that those sorts of Medicines which being inwardly taken are wont to do good to such as are bit by a Viper or by a Mad Dog and likewise against Wolfs-bane and Napellus may also be of use in the above mentioned Convulsions We may here after the example of Gregor Horstius in his Tracts of the Malign Convulsive disease prescribe also Magisterial Remedies in form of a Purging Electuary also of a Powder and Convulsive Antidote for these Marvellous Convulsions and variously Compound the same of Simples partly Alexipharmical and partly Antiepileptical CHAP. VIII Of the Affects which are vulgarly call'd Hysterical IF at any time an unusual sort of Sickness or of a very Secret Origine occurs in the Body of a Woman so that its Cause lies hid and the Therapeutick Indication be wholly uncertain presently we accuse the evil influence of the Womb which for the most part is guiltless and in any unusual Symptom we cry out that there is somewhat Hysterical in it and consequently the Physical intentions and the uses of Remedies are directed for this end which often is only a starting hole for Ignorance The passions which are wont to be rank't in this number are found to be various andmanifold which seldom agree in divers Women or happen wholly after the same manner the most common of them and which are vulgarly said to Constitute the formalstate of an Hysterick affect are these viz. A Motion in the lower part of the Belly and an Ascent as it were of some round thing there then a Belching or Straining to Vomit a distention of the Hypochondres and a Rumbling with a Belching forth of Wind an uneven and for the most part a letted Respiration a Suffocation in the Throat a Giddiness an Inversion or Rotation of the Eyes often Laughing or Weeping a Talking Idly sometimes a Speechlesness and Immobility with an obscure or no Pulse and a Cadaverous aspect sometimes Convulsive Motions rais'd in the Face and Limbs and sometimes in the whole Body But universal Convulsions seldom happen and not unless the disease be raised to its worst state for the Tragedy of the Fit is acted through for the most part without any contraction of the Members only in the Belly Breast and Head viz. one of them or successively in all Women of all Ages and Conditions are obnoxious to these affects to wit Rich and Poor Virgins Wives and Widows I have observed those Symptoms in Girls before the time of Puberty and in old Women after their Menses ceast to Flow nay and men are sometimes troubled with such kind of Passions instances of which are not wanting The cause of these Symptoms must not be imputed to the Ascent of the Womb and to vapours rais'd from the same nor to the Impetuous rushing of the Blood into the Lungs as the Learned Highmore has Judg'd But we say that the affect call'd Hysterical chiefly and primarily is Convulsive and depends principally on the Brain and Genus Nervosum being affected and is produc't wholly by the exposions of the Animal Spirits as other Convulsive Motions And whatever disorder or irregularities happen else about the Motion of the Blood they are only secondary and depending on the Convulsions of the Viscera The way of the difference whereby the kinds of this disease both differ from each other and from the other Convulsive affects is taken from the various Origine and chiefly from the extension of the Morbisick Cause for the Origine of this as of many other Convulsive affects sometimes resides in the Head the Womb being wholly without fault Though sometimes this affect happens through the fault of the Womb and sometimes through that of other parts As to the extension of the Disease from whatever Origine it proceeds for the most part it chiefly affects the Interiour
Nerves to with those that particularly regard the Viscera and Precordia and their appendixes and chiefly troubles the Spirits lying in them Sometimes also though rarely the Spirits that presides in the Exteriour Nerves and likewise those in the Brain and Cerebellum are involv'd in the same affect As to the Morbifick Matter or Explosive Combination which accruing to the Spirits within the Brain and deriv'd with them into the Processes of the Nerves often is the cause of the affects which are vulgarly call'd Uterine or of the Mother We say this to be Heterogeneous Particles sent from the Blood as in other kinds of Convulsions and which are wont to be made to cleave to the Spirits that pass into the Origines of the Nerves on two chief occasions viz. either through the fault of the Spirits themselves or through the great force of the Matter instances of both kinds every where occur Through the fault of the Spirits themselves as when through a sudden Passion suppose of Fear Anger Sadness they are very much Troubled and forc't into Irregularities through the Exorbitant force of the Matter as in the evil Crises of Fevers also in any Malignant and Scorbutical and other Chronical affects of an ill Determination these causes are much upheld and promoted by an ill or weak Constitution of the Brain and Genus Nervosum whether it be hereditary or acquir'd by an ill dyet hence Women are more obnoxious to Convulsive affects than Men and those one more then another Tho' these they call Hysterical affects very often arise from the Brain yet sometimes they are rais'd by a cause beginning either in the Womb or in other of the Viscera and this either by reason of a solution of continuity through a Tumor or Ulcer or Stimulation of the part or by reason of the obstruction of the Nervous Juice in its Circulation thus when some accustomed evacuation whereby the superfluities of the Nervous Liquour were wont to be discharged is stop'd as upon the sudden stopping of Issues or drying up of old Ulcers without Purging many have fallen into Convulsive affects which sometimes also happen to Virgins and widows through a retention of the Semianl homour which ought to be Voided its proper way And sometimes the Nervous Juice regurgitates toward its Origine because its passage is somewhere stop't by a Cancrous or Scirrhous Tumour To illustrate our doctrine of the vulgarly call'd Passions of the Womb I shall now give an instance of a person troubled with them A Renowned Lady extreamly beautiful and endowed with an excellent temper of mind and manners lately lived in these parts who for many years was obnoxius to Convulsive affects she having contracted this valetudinary disposition fro her Birth or Hereditarily and having found in herself these fruits of the morbid root almost every fourth year of her Age but especially as often as she conceived with Child as she often had and undergone frequent Abortions she was wont to be extraordinarily troubled with Convulsive passions in a manner Hysterical For presently upon the stopping of the Menses the Heterogeneous Particles being convey'd to the Brain and Genus Nevosum brought violent Fits of the distemper After that she had last conceived in the first Months according to her ancient wont she was often troubled with Convulsive affects about the uinth week of her being with Child upon taking Cold she fell into a dangerous Fever in which very acute Pains sorely infesting her in the Loins and about the lower part of the Belly seem'd to threaten an Abortion But those Pains as it appear'd at last being rather to be judg'd of the Colick proceeded from a Sharp humor falling from the Brain into those parts by the Ductus's of the Nerves for about the declining of the Fever that matter being convey'd elsewhere a Diarrhaea Pains of the Feet and a Blistering as it were ensued As soon as this Lady grew well of her Fever and Pains the Convulsive affects returned for every morning as she awaked from her sleep she was wont to undergo violent Contractions and Convulsions about the parts of the Mouth and Face and also in the Arms and Legs which Syptoms doubtless arose from the Serous filth heap'd together in the Head about the Origines of the Nerves and deeply Imbib'd by them during the sleep together with the Juice that passes in them and when afterward the same matter was caryed again by the conveyance of the Interiour Nerves into the Plexus's of the Mesentery and the Loins most violent Pains of those parts and likewise Fits as it were Hysterical sorely infested her For those Convulsive Motions of the Face and Members ceast in a short time yet she continued still Weak and Infirm with a Pale Countenance Trembling as she went and having a mind to no Food but such as was improper and to hot Liquors about the end of the third Month at which time she used constantly to Abort her Menses broke forth which passing from her for two or three days together with pieces of broken Membranes she expected the Abortion But the Flu ceasing Pains like those of a person in Labour arose in the Abdomen and Loins as before and miserably tormented her day and night for a week At length having us'd a Bath of Emollient Herbs and then being put to bed to sweat she was delivered of the burthen of her Womb the Conception thus passing from her with a mighty torture was as a Pea-hens Egg in bigness and figure the outward coat of this was ragged and broken the inward coat remaining whole contained about half a pound of clear Water and nothing else And no rudiments of a Faetus that was form'd or about ot be form'd did appear Afterward for four or five days the Lochia flowed from her with some pieces of Membranes Mean while Pains troubled her with their wonted violence And in regard that after a week was past they did not cease of their own accord at length remedies were desir'd for appeasing them For this end in the first place Liniments Fomentations Baths and Glysters were freuently administred And Medicines cleansing the filth of the Womb on which the cause of the whole distemper was charg'd were inwardly taken Upon the use of the former short intermissions of the Pains followed But now and then the affect returned and was mighty tedious Nay and within three weeks the disease growing much worse brought many other horrible Symptoms along with it For besides the Pains in the Abdomen and Loins which grew daily more violent she was now troubled likewise with a great torture in her Back Neck Shoulder Blades also in the Arms and Leggs and that more severely as often as she grew warm in her Bed Moreover she was afflicted with a frequent Giddiness a Vomiting and Nauseousness and often in a day with vehement Convulsive Fits viz. First a great heavy thing seeming to Ascend in the lower parts of the Belly presently raised up the
Purging to apply Anodyne and mitigating Epithemes to the Places affected and also often to give gentle Hypnoticks by frequent changes Apozemes also and Juices and Expressions of Herbs that allay the Fervour of the Choler and gently carry it off by Seige and Urine are of excellent use but in the mean time let smart or strong Medicines whether they operate by Seige Urine or Sweat in regard they too much fuse and exagitate the Blood and Humours be carefully avoided I have often observ'd in Persons troubled with an acute and obstinate Pain of the Head that the Serum swimming on the Blood when let forth have been ting'd with a Yellowness or with bilous excrements incocated in it and that also in this Case a spare and frequent Bleeding and afterward a free drinking of Whey and Spaw-Waters have given a notable Relief and beyond other Remedies 4. Moreover if the Parts of the Head suster through the Fault of some one of the Viscera as of the Stomach Liver Spleen Womb or any other by reason of the Transmission of the ill Ferment then in the Cure of the Disease let such Remedies as regard the Viscera be administred together with Cephalicks hence to certain Persons troubled with the Head-ach whose Stomach also is in a Fault Elixir Proprietatis Mynsichts Elixir of Vitrol Tinctura sacra Vitriolum martis the compound powder of Aron Roots and other things vulgarly accounted for Stomachals often do good to others whose Heads participate of the evils of the Spleen Chalybeats often give help Some Women sometime find ease of their Head-ach by hysterick Remedies in like manner when the Faults of other Parts contribute to the Head-ach let the coindicated things taken from those Parts be joyned with the first things indicated 5. Sometimes the nutritive Juice is the Cause of a periodical Head-ach viz. in as much as being mix'd with the Blood and not duely assimilated it causes a Turgescency in it by reason of its disagreeing Particles so that the Blood boyling to the Head throws off its Refuse in its Meninges or certain Parts of them predispos'd for it and so irritates the Fibres to painful Convulsions For this Reason I have known many to have been obnoxious to a daily Head-ach after the Measles Small-Pox and other Fevers or Sicknesses with which the Mass of Blood is wont to be vitiated viz. so many Hours after Meals sometimes sooner sometimes later first a flushing of Blood in the Face then a Plentiude and Pain in the Head infested them moreover after drinking of Wine or eating of turgid Food they were more severely punish'd The Access of the Distemper is wont to happen sooner or later after they have eat or drunk according as the Chyle begins to grow turgid either a little after its first entrance into the Blood or after it has stay'd some while in it This affect is free from Danger and for the most part is easily enough cur'd After a Provision being made for the whole a gentle Purge and sometimes blooding being ordered Remedies which restore the Crasis of the Blood such as are chiefly antiscorbuticks and Chalybeats prove mighty beneficial Take Conserve of Fumitory Tansey Wood Sorrel of each two Ounces compound Powder of Aron Roots three Drams Ivoy Crabs Eyes Coral prepar'd of each a Dram and a half powder of yellow Saunders Lignum Aloes of each half a Dram Vitriol of Mars a Dram salt of Wormwood a Dram and a half syrup of the five Roots what suffices make an Electuary let the Quantity of a Chesnut be taken in the Morning and at five a Clock in the Afternoon drinking after it three ounces of the following Liquor Take Water of the Leaves of Aron Vervain and of the Flowers of Elder of each six Ounces magistral Water of Snails and Earth-worms of each two Ounces Sugar on Ounce mix them Various Medicines wont to be us'd against the scorbutick Diseases of the Blood may be rang'd here and giv'n with good Success for Head-aches which are so familiar in the Scurvy oftentimes proceed from the Fault of the Blood perverting the nutritive Humour and discharging its Recrements in the Membranes of the Head wherefore the Remedies mention'd by me elsewhere against that affect claim a place also here 6. There remains yet another Humour to wit the nervous Liquor which being carried into the Fibres of the Meninges and other parts of the Head sometimes becomes disproportionate to the Fibres by its own disagreeing nature as it is sharp or otherwise degenerate sometimes twitches the containing Parts and irritates them into Convulsions or painful Distentions as it strongly ferments with some other humour viz. the nutritious or serous Humour flowing thither The nervous Humour where it is thus morbifick either being vitiated in its whole Mass brings a very great Injury on the Brain predispos'd for it or being faultless of it self is perverted within the Fibres affected and so becomes morbifick secondarily the Cure of which then depends on the Restitution of the containing Parts viz. If the Weaknesses of the Fibres or their injur'd Conformations be amended the Humour irrigating them will presently be free from Fault With what Remedies the Defaults of the Parts predisposed for Head-achs are remov'd we shall presently acquaint you Mean while if the nervous Humour being degenerate in its whole Mass causes a great Offence to the Head predispos'd for Pain let those kinds of Medicines and that method be us'd with which being reduc'd to its due Crasis and gently passing through those Fibres it may irritate them little or not at all for which end neither strong Purging nor large or frequent Blooding are proper in regard they exagitate the Blood and Humours and impair the Strength and consequently give a greater Acrimony and Rage to the nervous Humour which was faulty before But gentle Loosners and a spare Bleeding will now and then be of use whereby the Viscera may be cleans'd and the Mass of Blood be somewhat purg'd and a way be prepar'd for other Medicines which will succeed the better afterwards Now the Medicines that render the nervous Liquor more friendly and benign to the Membranes of the Head which are wont to be offended by it are those which are vulgarly call'd Cephalicks viz. whose Particles being active enough and withall fine and subtle pass the Blood without any Turgescency or Tumult and then insinuating themselves into the nervous Liquor gently actuate it and cause the Ductus's of the Nerves so to open themselves that thereby the animal Spirits more freely irradiate all Bodies both sensible and motive and inspire them without Swoonings Convulsions or anomalous Distentions These kinds of Remedies tho not always efficacious nevertheless often remove some Head-achs that are not very inveterate and in others tho never so obstinate they frequently do good moreover those things that are prescribed against Pains of the Head are also given against Affects of the Brain and Genus Nervosum and on the contrary the things
to set forth here cases of the Head-ach whose Fits being erring and uncertain proceed from the Blood or Serum rushing into the places affected in regard that these are very frequent and vulgarly known I shall now set before you certain choice Observations of this Disease being either periodical or seeming to arise from some one of the Viscera per Consensum As to the Former the periodâ—â—â— invasions of the Head-ach are produced either from the nutritive Humour or from the nervous Juice I shall now give you example of both A venerable Matron in the forty fifth year of her age being of a thin habit of Body and a bilous temperament after having liv'd for a long time obnoxious to Head-achs wont to be occasionally rais'd about the beginning of Autumn she began to be troubled with a periodical Head-ach This affect seizing her about four a clock in the Afternoon was wont to hold her almost till midnight till the diseased being tired with watchings and tortures was forced to fall asleep then after a pretty prosound sleep upon her awaking in the morning she was well The Diseased having undergone daily Fits of this Disease for three weeks after this manner delay'd the use of Physick which she very much abhorr'd but at length her appetite being dejected and her strength worn away she was forc'd to desire a method of Cure and after a gentle Purge and blooding she took twice a day for a week or a fortnight the quantity of a Chestnut of the following Electuary and grew perfectly well Take Conserve of the Flowers of Cichory and Fumitory of each three ounces compound powder of Aron Roots two drams and a half Ivory a dram and a half yellow Saunders Lignum aloes of each half a dram Salt of Wormwood a dram and a half Vitriol of Mars a dram Syrup of the five Roots what suffices make an Electuary The cause of this periodical Head-ach doubtless was that the assimilation of the Chyme or nutritive Humour into Blood was hindred For when its store received into the mass of Blood could not be overcome it was wont after a little stay to fall at odds and ferment with its particles Therefore presently the Blood falling into a turgescency that it might shake off that incongruous mixture depos'd its recrements as on other Parts so chiefly and with a greater sence of offence on the Fibres of the Meninges being before weak or injur'd in their conformation so that the pain lasted till the heterogeneous particles boyling by their mutual congress either were subdued or did exhale A handsome tall and slender Woman long and sorely obnoxious to cephalick affects was wont to be infested sometimes for many days nay weeks with a violent Head-ach which seiz'd her daily at her awake early in the morning and afflicted her for three or four hours In the mean space she was also affected with a heaviness of the whole Head a deadness of the Senses and a stupidity of Mind which affects vanishing together with the pain before Noon like Clouds disperst left all things calm and serene Till the next morning they possest again the Brain like a sogg and dark mist For curing these distempers I prescribed parging Pills a spare Bleeding Vesicatories also and the use of Spirit of Harts-horn or of Soot with Cephalick Juleps or Waters In this Gentlewoman the pains of the Head rather followed sleep than was cur'd by it because in this morning Head-ach the morbifick matter resided in the nervous Juice whose greatest curdity and aggravation about the Head happen presently after sleep but the other evening fit of this disease in regard it depended on the plenitude and turgescency of the nutritive liquor within the mass of Blood therefore hapned so many hours after dinner and was not mittigated but after sleep which appeases the disorders of the Blood Tho the Experience and Complaints of sick Persons manifestly shew that Fits of the Head-ach sometimes arise by consent from the other Parts viz. the Womb Spleen Stomach c. Nevertheless it as clearly appears from the accounts of them and the Phoenomena being duely considered that this is done by another means than by Vapours rais'd from the Viscera affected to the Head And first as to the pains of the Head seeming to be rais'd from a Womb nothing occurs more frequently than for violent Head-achs to ensue upon the suppression of the menses or lochia moreover tho the menses observe their due course yet some Women are wont to be afflicted with a violent pain of the Head just as they are coming others as soon as they are past But yet tho at the same time that the Head is affected the Womb is also yet it does not follow that the Injury is convey'd immediately from this to that but it is the Blood it self which fixes the morbifick matter on the Head viz. it sometimes perversly conveys it being engendred within its own bosom and design'd for the Womb into the Meninges of the Brain and sometimes withdrawing it from the Parts of the Womb it delivers it to the Head with a greater mischief This Aetiology agrees also with the Head-ach vulgarly imputed to the Stomach Spleen and other Parts A beautiful young Woman of a thin habit of Body and a hot Blood having been obnoxious to an hereditary Head-ach was wont to undergo frequent Fits of it and those coming at random to wit some happening on a light occasion and others arising of their own accord that is without any evident cause On the day before the spontaneous access of the Disease being very hungry in the Evening she greedily eat a plentiful Supper with a hunger-starv'd not to say Canine appetite most certainly fore-knowing by this sign that a pain of the Head would seize her next morning which sign never fail'd of Event for as soon as she awak'd being afflicted with a most cruel torture throughout the Sinciput she was affected likewise with a vomiting of a humour sometimes acid and as it were vitriolick sometimes bilous and extremely bitter it hence seeming to appear that that Head-ach had its rise from the fault of the Stomach To undertake to give the reason of this in the first place it is known that a vomiting ensues upon the Head's being injur'd viz. after a stroak Wound or a fall from an high place nevertheless a pain of the Head seldom or never follows a vomiting Cardialgia or the Stomachs being otherwise troubled unless an effervescency of the Blood happens Wherefore in the foresaid case of the Person diseas'd since it plainly appear'd that the Meninges of the Brain were predispos'd for Head-aches and that its Fits had raised an agitation of the Blood hence it will be obvious to conceive when the heterogeneous Particles by reason of the fault of Chylification were heap'd together in the mass of Blood to a fulness presently upon its beginning to flow in order to the expulsion of that which was offensive they being severed
from the blood as disagreeing with it and partly being sent from the Arteries into the Ventricle stirr'd up its ferment and so produc'd hunger and partly rush'd into the predispos'd Meninges of the Brain and there depos'd the fuel or rather incentive of the Head-ach which was presently to ensue This Patient loathing all Medicines and refusing undergo any method of Cure became at length also obnoxious to paralitical and convulsive affects From what is said it will be easie to give the Aetiology of any other Head-ach viz. hypochondriacal hepatical or otherwise sympithical so that it will not be needful to add here more Hystories or Observations CHAP. II. Instructions and Prescripts for curing the Lethargy HItherto we have described with what Disease chiefly and how diversly the precincts of the Head or the Coverings of the Brain are wont to be affected Now descending to its inward Parts and to its cortical Substance which immediately lyes under those Coverings let us see to what affects chiefly this Part is found to be obnoxious We have shewn elsewhere that the Cortex of the Brain is the Seat of Memory and the Entry of Sleep wherefore we justly ascribe to the cortical part of the Brain that Disease which is wont to cause an excess of Sleep and a defect or eclipse of the Memory to wit the Lethargy The word Lethargy is wont to signifie two kinds of affects which are only the act and disposition of this Disease for those that are said to be troubled with a Lethargy either altogether keeping their Beds through a very great Invasion of it are so far overwhelm'd with Sleep that they are scarce able to be rais'd by any impression of a sensible Object nay and if hapy they open their Eyes or raise their Limbs upon pricking or a smart stroak presently becoming insensible again they sink down and often when they are left to themselves falling into a perpetual Sleep they dye out right which kind of Fit has very often a Fever joyn'd with it though when the diseased awake and come perfectly to themselves for the most part it ceases of its own accord Or secondly those are accounted for Lethargical who being opprest with an immoderate deadness of the Senses are in a manner always prone to sleep so that in walking nay whilst they are eating or doing any other thing they now and then fall into a dead Sleep and since there are divers degrees of this Sleepiness and various manners of affecting hence also there are made many Species of the Lethargick Disposition at present we shall speak of the former Lethargy and so properly called and afterward of the continual Sleepiness also of the Coma Carus and other sleepy affects allyed to them and likewise of continual Watching Mean while you may observe that almost in every kind of Lethargy a Drowsiness or Sleepiness and Forgetfulness are always present as Pathognomick Signs and equally attend it Wherefore that the formal Nature and Causes of the Lethargy may the better be known We must first enquire here concerning Sleep and Oblivion what they are and for what causes they are rais'd The Essence of Sleep consists in this that the corporeal Soul withdrawing it self a little and contracting the Sphere of its Irradiation in the first place renders destitute the outward part of the Brain or its Cortex and then all the outward Organs of Sense and Motion of the Emanation of the Spirits and closes the Doors as it were so that they being called in for refreshment sake lye down and indulge themselves to rest mean while the pores and passages of the outward part of the Brain being free and void of the Excursions of the Spirits afford a passage to the Nervous Liquor distilled from the Blood for new Stores of Spirits In natural and usuall Sleep these two concauses conspire and happen together as it were by some mutual compact of Nature viz. at the same time the Spirits recede and that nervous Humour enters but in nonnatural or extraordinary Sleep sometimes this cause sometimes that is first for either the Spirits being weary or called away withdraw themselves first and afford an entrance to the Nervous humour heaped together in a readiness for it or a plenty of Nervous humour coming to those Places and making a way by force as it were repells the Spirits and entring their Passages floats them as it were Concerning Oblivion or the Eclips or defect of Memory the cause of this is wholly the same as of immoderate Sleep viz. an Exclusion of the animal Spirits from the passages of the outward part of the Brain which are filled with some Humour and their return prohibited for a time Preternatural Sleep or insatiable Sleepiness which is the chief Symptom in the Lethargy and in the sleepy Effects seems to arise wholly from the same causes as non-natural Sleep rais'd to a greater Energy viz. either the animal Spirits being first affected leave the outward part of the Brain and yeild an entrance not only to the Nervous but likewise to the Serous or otherwise vitious Humour or the serous and excrementitious Humours together with the Nervous force open the cortical Gates of the Brain and floating as it were its Pores and Passages repell and drive away the Spirits thence sometimes this Cause sometimes that is the first and chief and sometimes both happen together Therefore the conjunct Causes of the Lethargy are 1. a heaping together of a redundant or incongruous Humour within the Pores of the cortical part of the Brain which depends on other both procatarctick and evident causes As to the former both the Blood uses to be in fault in that it sends morbifick matter to the Part affected and the Brain it self in that it admits it too easily The evident causes which joyn with these are chiefly Over-eating Drunkenness and especially immoderate drinking of Wine and hot Waters then upon such an Excess to sit up all night or to sleep in the open Air Moreover a long suppression of an usual evacuation of Serum by other ways Also if Spaw-waters drank in a large quantity are not presently discharg'd again by Urine they threaten a Lethargy the same also is caused by the recrements of other Diseases coming to an ill or no Crisis convey'd to the Head so that a Lethargy happens upon acute or long continued Fevers and other Cronick Diseases and very often upon a Head-ach Frensie Empyema and Cholick 2. In regard as non-natural so sometimes preternatural sleep begins from the Spirits being first dejected therefore the other Conjunct cause of the Lethargy consists in a stupefaction inflicted on the Spirits which proceeds either from Opiats taken inwardly or from narcotick particles engendred in the Body The sum of what is said concerning the Lethargy is this that the animal Spirits residing in the outward part of the Brain being stop'd from their wonted motion and emanation yield to a profound and insatiable Sleep Now they are stop'd either
of the Brain they raise a thousand and often horrible Fantasms with which Sleep is kept off or directing farther their Tendency into the Genus Nervosum they raise there great disorders which continually drive away and break off Sleep tho seeming never so much to be stealing on or to be at hand As for the former of these I have often observed some troubled with watching who dreaded to begin Sleep tho it came on according to desire for as soon as being about to sleep they closed their Eyes presently starting up again they cryed out that a confused multitude of Fantasms made them mad so that they found themselves necessitated to abstain from Sleep Secondly when the Spirits being become exhorbitant are called from the circumference of the Brain towards the inward parts in order to Sleep sometimes they convert their Sallies into the Genus Nervosum and then either rushing in a tumultuous manner into the Nerves that go to the Precordia or Viscera they cause disorders in the respective Parts hence to such as are so affected as often as closing their Eyes they invite Sleep either Tremblings Leapings and Constrictions of the Heart with Failings of the Spirits and a letted Respiration happen or inflations and Swellings of the Viscera a Sense of Suffocation and other Symptoms vulgarly accounted for hysterical or secondly the Spirits being called from their Watchings and converted to the Genus Nervosum sometimes transfer their Sallies into the spinal Marrow and thence into the Nerves that pass into all the outward Members wherefore to some when being a Bed they betake themselves to sleep presently in the Arms and Leggs Leapings and Contractions of the Tendons and so great a Restlessness and Tossings of their Members ensue that the diseased are no more able to sleep than if they were in a Place of the greatest Torture Sometime since I was advised with for a Lady of Quality who in the day time was wont to be afflicted with a Cardialgia and a Vomiting and in the Night was hindred from Sleep by reason of those spasmodick affects which came upon her as now and then she was upon the point of rest nor indeed was she able to sleep all Night unless she took first a pretty good dose of Laudanum Wherefore of this Medicine which at first was allowed her only twice a Week she took afterward daily for about three Months receiving no injury thereby either in the Brain or about any other function and when in the mean while by the use of other Remedies the discrasies of the Blood and Nervous Juice being corrected the animal Spirits became more benign and mild she afterward leaving off wholly the Opium was able to sleep indifferently well As to the cure of the VVatching-evil which we even now describ'd because it cannot be long endured therefore those things are chiefly to be given which give a present relief for this end those things are proper which sooth the Spirits and gently appease their Disorders as the vulgarly called Anodines viz. distilled waters Decoctons Syrups and Conserves of Flowers of Nymphea Cowslips Mallows Violets Knapweed the Leaves of Lettice Purslan the Willow also Emalsions or juicy Expressions And if the restles Spirits will not be mitigated by fair means we must force them to be quiet by imposing Fetters as it were and using Severity their stores ought to be diminish'd and withall the spaces in which they may freely and without tumult expand themselves ought to be dilated and cleared from the stuffings of other humours viz. of Blood and Serum for which ends opening a Vein sometimes is proper Vesicatories in a manner always have place moreover let Diacodium and Laudanum in case they agree well be frequently taken and mean while that the Opats give truce from the violence of the Disease let the cause of it be eradicated by the use of other Remedies as much as may be Wherefore day after day at Physical hours let things be given that take away the sharpness of the Blood and Nervous Juice and restore them to sweetness In which rank we account Testaceous Powders Apozemes and altering distilled Waters of temperate Antiscorbuticks gentle preparations of Steel spirit of Harts-horn of Soot and above all things tincture of Antimony There remains another kind of Watching-evil whose cause consists for some part if not mostly in the almost continual opening or too great gaping of the Pores or Passages in the cortical part of the Brain for besides that the animal Spirits being sharp and somewhat exhorbitant refuse to lye down of their own accord and to yeild to rest and that they are not kept down or subjugated by the Nervous Liquor entring the Pores of the Brain but being free and exempt from all imposed Burthen they are expanded also within the outward spaces of the Brain which are every where open for them for which cause those that have the watching evil perceive no drowsiness or heaviness of the Sinciput no appulse or desire of Sleep I have known some affected after this manner who when they had past many Nights one after the other wholly without Sleep yet being still chearful and brisk having a good Stomack and ready at business seemed not as yet to have wanted Sleep The cause of this doubtless is a burnt and melancholy Blood which supplies the outward part of the Brain with a Nervous Juice not mild and benign but too much scorcht and filled with adust Particles which consequently is neither apt to flay long within the Pores of the Brain nor kindly to receive and contain the Animal Spirits Moreover the Spirits themselves ingendred from it become too elastick and restless in their Nature so that they are neither easily appeased nor inclin'd for Sleep of their own accord Nevertheless being of a fixt Nature they do not readily fly away nor are soon tired so as to flag but last a long time and continue vigorous without any great refreshment Concerning this sleepless Disposition of the animal Spirits since it is the same as in Persons troubled with melancholy we shall have a fit place of speaking somewhat more largely of it in the sequele We may observe that Coffee also on the same account keeps Persons from Sleep for that Drink insinuates its adust Particles with which we find it to abound both by the tast and smell first into the Blood and then into the Nervous Juice which thereupon by their Agility and Restlessness both keep the Pores of the Brain still open and add spurs and a certain rage to the Spirits all other Combination and Stupefaction being deposed by which they are stirred up to a longer execution of their Functions Again as to what regards the prophylactick cure of this Watching-evil or the removal of the morbifick cause we shall give it you in the Sequel where we shall treat of Melancholy mean while for the immediate removal of that Symptome as often as it sorely presses we observe that Opiats will not do
tendinous Fibers execute the former Power but the sensible Species is received in a manner only by the membranous Fibres wherefore the outward Skin is the primary Organ of the touch after this the Membrancs that cover the Muscles and lastly those that compose the Viscera are in the same sort affected by the tangible Object wherefore the hurt or loss of the touch happens by reason of an Injury offered the outward Membranes viz. when the Fibres of these are obstructed with a Vitriolick Matter or are very much constipated by an excess of Cold so that the animal Spirits which ought to receive their Impressions are excluded from their Organs and that these Inhabitants of the outward Members are only affected it thence appears because the Members deprived of Sense do not wither as those deprived of Motion but continue full and fleshy which is a sign that the animal Spirits still entring the Nerves and carneous Fibres give their vertue to the Function of Nutrition but when Motion being abolish'd the Spirits are in a manner wholly banish'd from those parts the Flesh withers away because the nutritive Matter tho brought to them by the Arteries is not assimilated As to the Prognostick of the Palsey 1. Any Palsey that happens the knowing and vital faculties being unhurt ought not to be judged an acute Disease but being free from sudden danger admits of a cure at long run or at leastwise of an endeavour for it 2. This disease hapning through an evident cause alone as by a stroke a fall from an high Place a wound c. or coming upon an Apoplexy Carus Convulsion Colick or other affects of the Brain or Systema Nervosum if it be not altered for the better or yeilds to Medicines in in a short time for the most part proves incurable 3. If upon the origine of the medulla oblongata being wholly obstructed or through the Spine's being vehemently hurt a total resolution follows and takes away Sense and Motion the affect is cured with difficulty or scarce at all 4. A Palsey hapning to men that are Aged Cacochymical greatly Scorbutical or intemperate tho the affect be not great is cur'd with difficulty As the Types of the Palsey are many fold and its causes divers so its cure ought to be undertaken not always after one manner but by a various method viz. appropriate to each species of that Disease for the most part there will be these three kinds of it or rather there will be three wayes of healing whereof sometimes this sometimes that or the other ought to be entred upon in order to the cure of this Disease to wit according as the resolution of what kind soever and in what place soever it be is either first caused on a sudden by an outward accident viz. a stroke a fall from an high Place a wound an excess of cold or the like or secondly succeeds some other affect viz. The Apoplexy Carus Colick or a long continued Fever or thirdly being a Disease primarily and of it self depending of a Procatarxis or previous apparatus is raised by degrees we shall speak of each of these particularly 1. When therefore a Palsey is caused by reason of some accident with a violent hurt there will not be many Intentions of curing but only that the part injured may recover its ancient confirmation and first left the Blood and other humours flowing to it as being affected and weak and there staying increase the evil let Phlebotomy which most commonly is requisite in this case be presently put in practice afterward a thin dyet if the case requires it or a dyet of easie concoction being ordered we must insist chiefly on moderate Hydroticks to wit that whilst the diseased put to bed is kept in a gentle sweat all sorts of Superfluities withdrawn from the part injured may plentifully exhale and that the Spirits being gently agitated within the Pores and Passages of it so opened by the warm effluvia may recover their former Paths and Tracts For this end let the Powder for a fall described in the Pharmacopoea August and be given to the quantity of about a dram in a draught of White-wine or of Posset-drink made with it it being usual amongst us to give to the like quantity of Irish-slat and let it be repeated every six or eight Hours Moreover let a Traumatick Decoction if it may readily be had either of the Roots of Madder or Butter-burr or of the Flowers of St. Johns wort in Posset-drink be frequently given Moreover let the place affected in the mean time be diligently search'd after which will easily be known partly from the hurt inflicted on it and partly from the member resolv'd If any thing be dislocated in it we must endeavour that it be presently put in its place If a tumour contusion or wound be made let relief be given them by balsas liniments fomentations or cataplasms But if nothing preternatural appears outwardly let as much as suffices of the Oxycroceum and Red Lead Plaisters mixed together in an equal quantity be applied to the part hurt and let the Diseased by kept at rest and in a moderate warmth for three or four days if the resolution continues obstinate and an afflux of new matter be not feared let more resolving and discussing Remedies be applied about the places affected wherefore let fomentations and hot liniments nay and natural hot Baths if it be convenient or at leastwise artificial ones be used Sometimes it is good to put the members affected in warm Horse-dung or Grains and to keep them there for some time and now and then to interlace Clysters and gentle Purges with the use of these things But if no relief follows these Administrations this affect ought afterward to be handled with the like Method and the same Remedies with which an habitual Palsey or any other that is confirmed or follows upon other Diseases is dealt with which way of cure we shall give you beneath in regard it is common to every Palsey deeply rooted 2. When a Palsey hapning upon a Fever Apoplexy Carus or other Cephalick or Convulsive affects is great and comes on a sudden we must chiefly use a Physical means for the removal of its Conjunct cause which has its seat in a manner always in the Medulla oblongata or Spinalis Wherefore in the beginning of the Disease let Blooding and Purging if nothing indicates the contrary Clysters Vesicatories Cupping-glasses Sneezers Liniments and other administrations usual in Cephalick Diseases viz. such as some way drive out or withdraw the morbid matter sticking in the Caudex Medullaris or the little Heads of the Nerves proceeding from it be us'd And if the first effort of Physick does nothing within fifteen or twenty days the affect afterward in regard it is firmly rooted and become habitual is to be overcome by a long method and by Preservatory as well as Curatory Indications of which we shall presently speak 3. An Habitual Palsey depending of a Procatarxis
perfectly well But if a Tertian Fever by reason of the evil constitution of the diseased or by reason of errours committed in diet or Physick has laid its roots deep that after a long continued affect the fits still grow worse and worse and the diseased mightily languish their strength being dejected with a thirst and burning almost continual a loss of Appetite Watchins a weak Pulse a ruddy Urine and very full of contents somewhat a differing method of Cure ought to be ordered in this case first it must be endeavour'd that the Discrasy of the Blood be removed wherefore let the diseased feed only on thin diet as Barly or Oat Meats with the opening Roots boyled in them wholly forbearing Meat Broaths let the Belly be kept soluble if it be needful by the use of emollient Clysters Moreover Catharticks being omitted it seems that we ought only to insist on digestive Medicines which fuse the Blood and gently lead forth the serous Impurities by Urine and comforting Remedies which strengthen the Viscera and refresh the Spirits for this end apozemes of diuretick Herbs and Roots neatly prepared also Opiats of temperate Conserves with Sal Nitre or the fixt Salt of Herbs and with testateous Powders and Spirit of Vitriol mixt with them excellently conduce when the Crasis of the Blood is somewhat amended that the Urine is clearer and less colured also the sleep quieter with an abatement of Thirst and Heat then Remedies may be profitably given for stopping the fit of the Fever Wherefore let febrifuge Epithems be applyed to the Wirsts and to the Soles of the Feet also let the Powder of the Peruvian Bark or of its Succedaneum or also of the Bark of an Ash of Tamarisk or of Gentian be given in White-wine with the mixture of Salts After that the accesses are taken away and the diseased begin to gather Strength to have a Stomack and in some measure to concoct what they take gentle Purges will be of use but let the diseased still abstain from seeding on Flesh or rich fare and it is not to be doubted but he will soon recover his perfect Health without violent purging or blooding CHAP. V. Of the Intermittent Quotidian Fever or Ague NExt after a tertian Fever by reason of their Affinity and the likeness of the Fit follows a Quotidian viz. whose access is wont to return every day It is the Opinion of some that this Fever is only a double Tertian and that it arises from the matter being disperst and getting possession of a two-fold focus to which nevertheless I do not agree and I judge that its rise is to be attributed to a peculiar Discrasy of the Blood in this the symptoms of Heat and Cold are more remiss but the access holds longer and is often wont to continue eighteen or twenty hours this Fever for the most part follows upon a Tertian for when the vital Spirit is much spent by a frequent Deflagration of the Blood and the feverish Disposition still remaining the Blood is become weaker it less concocts or brings to perfection the nutritive Juice and perverts it in a manner wholly into a fermentative matter wherefore it is sooner brought to an increase and is heapt together to a plenitude of Turgescency in half the time as before but because the matter heapt together partakes as well of crudity as adustion therefore the heat of the fermentation is more remiss and more uneven and like green Wood laid on the fire it burns more flowly wherefore the fit is of a longer continuance Sometimes it happens that a Qutidian Fever arises first without a foregoing Tertian viz. when a feverish affect seises a Body that is cacochimical and filled with evil Juices for then the Blood being poor in Spirits perverts the nutritive Juice in a greater store and heaps it together in a shorter time to a plenitude of Turgescency and that which at first is a Quotidian often changes its Type and becomes a Tertian even as a Tertian often passes into a Quotidian there being a great vicinity betwixt these Fevers and their Causes and a little change of the Constitution of the Blood makes a transition of the one into the other An intermittent Quotidian Fever is not so easily cur'd as a Tertian for whether that comes first simply or follows upon another intermittent however it is raised drom a stronger cause and argues a greater Discrasy of the Blood which does not presently yield to Remedies Moreover this Fever if it be of Long eontinuance or comes upon another Cronick Disease besides the vice of the Blood it has most commonly joyned with it infirmities of the Viscera to wit the Blood being vitiated easily fastens its Impurities heapt together by degrees on the Viscera as it passes through their Involutions Hence in a quotidian Fever a loading of the Ventricle a tension of the Hypochondres obstructions or Tumours sometimes of the Liver sometimes of the Spleen or of the Mesentery are joyn'd tho these kinds of Affects are not the cause of the Fever as is vulgarly thought but only its products Wherefore in this Fever besides the simple Method of Cure which is indicated in a Tertian many other Intents or Coindicants come in consideration viz. We must use all our Endeavours that the Ventricle be purged of its load of Humours that the stuffings of the Viscera be clear'd that their Infirmities be strengthned and together with these that the Discrasy of the Blood be amended and the feverish accesses stopt so that by reason of these various kinds of Intentions we must proceed by a longer way to the Cure In this case Vomits if the Strength will bear them will be of use above the rest also Purges with which the assiduous increase of the excrementitious Matter may be sent forth must be often repeated besides these digestive Remedies and deobstruents which restore the Ferments of the Viscera and of the Blood and correct their Discrasies are frequently to be used Wherefore fixt Salts of Herbs their extracts the acid Spirits of Minerals and sometimes Preparations of Steel do excellently well Concerning these means there is a difficult task since because of the manifold evils many things are to be done together whereas by reason of the assiduity of the feverish fit the Diseased can use only a few In affects thus complicated tho the way of Method requires first a removal of Impediments and then to cure the Disease yet I have known this kind of Fever cured often without method and empirically in a cacochymical Body attended with many other affects to wit after a light provision for the whole febrifuge Remedies outwardly apply'd have first taken away the feverish access that afterward time and occasions of curing might be the better afforded for the other affects I lately went to see a Lady of Quality who having long had a cachectical habit of Body and being weak and feeble a month after Child-birth was seized with an intermittent Quotidian after fix
Motion of the Body or Perturbation of Mind from an ambient heat as that of the Sun or of a Stove by hot things inwardly taken as drinking of Wine eating of peppered Meats and the like for the Spirits of the Blood easily wax very hot of their own accord and being violently moved are not presently appeased but exagitate variously confound and force to a rapid and disorderly Motion other Particles of the Blood also by this Motion of the Spirits the Sulphur or the oily part of the Blood is more boyled a little more dissolved and somewhat more freely kindled in the Heart whence an intense heat is raised in the whole Body but for as much as the Sulphur is heated and inflamed only by minute Parts and not throughout the whole that fervour of the Spirits is soon allayed and ceases Wherefore the Fever which is raised after this manner is terminated for the most part within twenty four hours and therefore is called an Ephemera And if by reason of a greater heat of the spirituous Blood it be prorogued longer it seldom exceeds three dayes and it is called an Ephemera of many dayes or a Synochus not putrid but if it happens to be extended beyond this time this Fever readily passes into a putrid to wit from the long continued ebullition of the spirituous Blood at length the grosser Particles of the Sulphur fall a burning and involve the whole mass of Blood in this Effervescence An Ephemera Fever and a simple Synochus seldom begin without an evident Cause besides the things before-mentioned immoderate Labour Watchings a sudden Passion of the Mind a constriction of the Pores Surfeiting also a Bubo or Wound in Child-bearing Women an increase of milk are wont to bring these the procatarctick causes which dispose to them are a hot temper of Body an Athletick habit a Sedentary Life and a Disuse of Exercise The first beginnings of this Disease depend on the presence of an Evident Cause for either the Corpuscles of an extraneous heat mixt with Blood make it boyl like Water on the Fire or a Fever is brought by motion or by reason of Transpiration being letted even as when Wines being heated or stopt close in a Vessel are set in a strong working after what manner soever the inflammation be first rais'd presently the Spirits make an effort and moving hither and thither force the Blood to boyl and to inlarge it self in a greater space with a frothy rarefaction wherefore the Vessels are stretcht and the membranous Parts are vellicated hence a Pain especially in the Head and Loyns a spontaneous lassitude and an inflation as it were of the whole Body ensue But if with the Spirit of the Blood some sulphury Part withall be somewhat kindled a smart heat is diffus'd through the whole the Pulse becomes high and quick the Urine ruddy also Thirst Watchings and many other offensive Symptoms arise Concerning the Solution or Crisis of an Ephemera Fever and of a Synochus not putrid there are three things chiefly requisite viz. a removal of the evident Cause secondly a severing or difflation of the depraved or excrementitious matter from the Mass of Blood thirdly an appeasing of the parts of the Blood and their restitution to a natural and even motion and site According as these things happen sometimes sooner sometimes slower and with more difficulty this Disease is ended in a shorter or longer time 1. The Evident Cause which for the most part is extrinsecal is easily remov'd and Diseased Persons as soon as ever they perceive themselves injur'd by any thing are wont to avoid the presence of or continuance with that thing no Person being in a Fever upon drinking Wine continues still to drink it when any Person grows more hot than usual by the heat of a Bath or of the Sun it is irksome to him to continue in it longer 2. As to the excrementitious matter which ought to be separated and blown off from the Blood this is either brought from without as when by surfeiting drinking of Wine standing in the Sun or bathing in hot Water the Blood is infected with hot and fermentative effluvia's or Corpuscles or that matter is ingendred inwardly as when upon the deflagration of the Blood its Liquor is stuff't with adust Recrements or Particles both these Matters must be separated and blown off from the Blood and be sent forth either by Sweat or insensible Transpiration before the Fever is appeas'd wherefore when the Pores are clos'd and Transpiration is hindred the Ephemera Fever continues a longer time and passes from a simple Synochus into a putrid Fever 3. The Evident Cause being remov'd and this degenerated Matter blown off for a cessation of the burning heat there is required an appeasing of the Parts of the Blood and a reducement of them to order for a rapid and disorderly motion begun in the Blood is not presently stopt but ought to be allay'd by degrees also the divers Particles of the Blood disorder'd after this manner and being driven this way and that by reason of the feverish effervescence do not presently take to their former order of site and position but it is necessary that they be extricated by degrees and restored to their due mixture by little and little Tho this Disease after the removal of the Evident Cause ceases for the most part of its own accord yet some Physical Remedies are advantageously applied to Use especially where there is danger lest the Ephemera Fever passes into a putrid The chief Intentions must be to allay the fervour of the Blood and to procure a free Transpiration to which chiefly conduce blooding a very thin Diet or rather abstinence cooling Drinks a withdrawing the excrements of the Belly by Clysters but above the rest Sleep and Rest do most good which if wanting they must be seasonably procur'd by Opiats and Anodines A renowned young man about twenty years of age of an athletick habit of Body by an immoderate drinking of strong Wine fell into a feverish distemper with a drought heat and a mighty trouble of the Praecordia being blooded he drank a vast quantity of fountain-water and thereupon a copious sweat presently ensuing he soon recovered An ingenious young man of a sedentary Life and withall very much addicted to the study of Learning when of late he had exercis'd himself above measure in the Summer Sun began to complain of a Head-ach a want of Appetite a trouble of the Praecordia and a feverish distemperature over the whole Body To whom in regard he loathed all Physick I ordered a total Abstinence unless it were from small Beer and Barley-meats On the second day and again more on the third the Symptoms remitted by little and little at length on the fourth he became free from his Fever without any Medicine CHAP. IX Of the Putrid Fever A Putrid Fever is when the oily or sulphureous part of the Blood being too much heated grows turgid above measure and
easie to judge which we must obviate first and chiefly take care off in respect of the Fever Purging Bleeding and cooling things chiefly conduce but whilst these things are used the Malignity for the most part is increased and they being neglected it diffuses it self farther Against the Malignity Alexipharmicks and Diaphoreticks are required but these greatly intend the Fever exagitate as by a blowing of Bellows the Blood and Spirits kindled before and put them in a manner all in a Flame wherefore there is need here of a great Quickness of Understanding that these things be duely compared betwixt each other and that the curative Intentions be there directed where most danger shews it self tho so that while one is taken care of the other be not neglected but in these Cases besides the private Judgment of each Physician Experience furnishes us with the chief method of healing for when these Fevers first grow rise almost every particular Person trys particular Remedies and from their Successes compar'd together it is easily learnt what kind of Method we must insist on till at last by a frequent Tryal as it were by the Foot-steps of Passengers a common and Road-way as it were is made to the Cure of these kinds of Affects being fortified with various Observations and Precepts Besides these kinds of Fevers which assail many together and by reason of their Contagion Mortality and conspicuous Marks of Virulency deserve to be called Pestilential or Malignant there are found some other Epidemick or Popular Fevers which almost every Year either Spring or Fall grow very rise in certain Countries of which a great many of the Inhabitants are wont to fall sick and not a few especially of the more elderly People to dye in which nevertheless no Signs of a pestilent or malignant Nature appear nor does the Disease seem so much by Contagion to pass from some incontinently to others as to seise many together by reason of a Predisposition communicated almost to all Now these kinds of Affects depend chiefly on a foregoing Constitution of the Year for if a Season very intemperate by reason of excesses of Cold or Heat Drought or Moisture has preceded and has so continued a long time it changes our Blood for the most part from its due Temper whereby it is apt afterward to fall into severish Effervescencies and hence a Fever sometimes of this sometimes of that Type and Idea is produced which presently becomes epidemical because it draws its Origine from a common Cause whereby the Bodies in a manner of all Men are affected together Now such Fevers in as much as they depend on the Blood getting a Disposition sometimes sharp sometimes austere or of another kind according to the Temper of the Year for the most part they are of the number of Intermittents tho they are wont to be mark'd with a peculiar Apparatus of Symptoms according to the peculiar Constitution of each Year We cannot comprehend these under a certain common Rule or formal Consideration which aptly answers to each of the Particulars of this Nature because they vary yearly according to a great many Accidents tho however of these kinds of Fevers reigning of late Years in this Country we shall give the Descriptions taken at that time and shall set them down as a Conclusion at the end of this Work It remains for us still to add to the number of Malignant Fevers certain other private Fevers partaking of no Contagion as are those especially which are wont to happen to Women in Child-bed by reason of their difficult Labour or for that the Lochia are detain'd for it is manifest enough by common Observation that these are very dangerous and often mortal for if the Parts of the Womb being injured or upon the admission of Cold or haply for some other Cause the Lochia are stopt and the Humour which ought to have been voided forth comes to be mingled with the Mass of Blood it fouly defiles it with a certain venemous mixture as it were that thereby presently a Fever is raised which for the most part is attended with an ill Company of Symptoms viz. a Heat and violent Drought a Vomiting a Cardialgia and Watchings and generally comes either to no Crisis or a very difficult one because unless the flowing of the Lochia after their wonted way be again restor'd after the Blood has undergone an Effervescence for some Days the Taint is wont to be communicated to the Brain and the Genus Nervosum whence presently a Delirium Frenzy Convulsions and other very ill Affects for the most part are caused which often terminate in Death But these kinds of Fevers deserve a peculiar Consideration which we resolve to have more fully beneath in a Discourse appropriated to this purpose mean while we must give some Instances or Examples of the Fevers above treated of viz. of the Pestilential and Malignant The pestilential Fever of late Years has reign'd more rarely in these Parts than the Plague it self I shall give you briefly the Description of the only one of this kind which has occur'd to our Observation Anno 1643. when in the beginning of the Spring the Earl of Essex besieg'd Reading kept by the King's Garrison in both Armies a very Epidemick Disease began to arise tho however he pursuing his work till the Besieged were forced to a Surrender The Affect so prevail'd that in a short while afterward there was a Cessation on both sides and thenceforward for many Months there was a Conflict not with the Enemy but with the Disease Essex withdrawing his Forces seated himself at and the adjacent Places where in a short time he lost a great Part of his Men and the King returned to Oxford where the Souldiers first keeping themselves in the open Field and afterward being disposed off in Towns and Villages he underwent a loss not much inferiour for his Foot whom it chiefly seised being lodg'd a great many of them together in streightned Lodgings when they had filled all Places with Nastiness and Filth and stinking Odours that they seem'd to have defil'd even the Air it self fell sick many of them together and as it were in Files at length the Fever reaching farther than the Souldiery assailed every where the weak Multitude to wit the Persons of the Houses where the Souldiers lodged and others tho many of them at first the Contagion being yet but mild upon them escaped yet lying a long time in a very languishing Condition About the Summer Solstice this Fever began to psread it self with a worse Attendance of Symptoms and to seise a great many Husband-men and others living in the Country and afterward it reigned in this our City and the whole Neighbourhood for at least ten Miles round about mean while those who liv'd in other Countries far from hence as tho they were beyond the Sphere of the Contagion continued free from harm But here that Disease grew so general that the greatest part of Mankind was
their Bodies which are very tender and by reason of the Labours of Child-birth and the Exclusion of the Foetus are all full of open Pores are too unwarily expos'd to the open Air for most being impatient of their Bed put on their Cloaths and rise from it within a day or two or sooner than they ought thereby presently the Pores of the Skin being presently stopt and the Air getting into the Uterine Parts tanspiration is check'd and often the Lochia are suddenly stop'd either of which suffices to raise a feverish effervescence The conjunct Cause or formal Reason of this Distemper comprehends chiefly these three things to wit there are present first a mighty Dyscrasie of the Blood that growing very hot from a Fever occasionally rais'd it does not burn evenly nor does is subdue by degreeds the adust Recrements and purge them forth critically moreover the boyling Blood is presently loos'ned in its Mixture and its Texture being loos'ned it declines toward Corruption hence when it has a little abated of its Heat the Spirits being cast from their Governance are driv'n into Confusion mean while the sulphureous Particles become masterless and exorbitant wherefore the Strength fails without a manifest Cause the Pulse becomes weak and disorderly Tho from the Deflagration of the Blood a great many adust Recrements are heap'd together yet nothing is duely concocted or separated but Nature being greatlyopprest altho the Diseased continually sweat they often receive no ease thereby but the Febrile Matter which ought to be purged forth being conveyed into the Head and Genus Nervosum causes there very sore Perturbations of the animal oeconomy Secondly The Tragedy of this Disease for a good part of it is ascribed to the nervous Juyce forthwith turning sharp and therefore rendred disproportionate to the Brain and its Appendix for this being defiled with a Taint contracted from the Blood does not gently irrigate and mildly inspire its Subjects but as when an Infusion of Vitriol is pour'd on a Worm mightily vellicates and irrtates into Contrqactions and as it were into Motions of Trepidatons and Leapings those tender Parts and sometimes wholly overthrows their Functions hence Contractions severe Convulsions a Delirium Watchings sometimes a Stupor and sleepy Affects happen to Women after Delivery Ihirdly whilst these things are done often a third Troop of Symptoms infest the Diseased to wit for that the Womb being some way hurt moves it self disorderly and is struck with a Contraction in these or those Parts thence presently by the Membranes nad nervous Ductus's convulsive Motions pervade the whole Region of the Abdomen wherefore the Viscera and Hypochondres are blowen up Belchings and violent Vomitings are raised afterward the Affect creeping upward and possessing the nervous Parts of the Thorax a difficult and uneven Breathing a Palpitation of the Heart a sense of Choaking in the Throat by reaon of the Muscles there drawn together and other Symptoms are raised throughout the whole upon the same Injuries being communicated to the Brain The Fevers of Women afte Delivery are scarce ever free from danger tho sometimes it happens for them to be cur'd about the first beginnings by a thin Diet and upon restoring the flowing of the Lochia but if the feverish Distemper has laid deep Roots that the Blood be wholly kindled and boyls immoderately we can give but an ill Prognostick and there will be a greater Cause of Danger if besides a Heat diffus'd through the whole the Diseased are seised with a frequent Shivering if they are affected with a great Restlessness and Watchings with sudden Concussions of their Bodies or Contractions of the Tendons if on the third or fourth Day they complain of a ringing of the Ears with a great Repletion of the Head you may presently gather that a great Evil is at hand to wit a Mertastasis of the febrile and offensive Matter into the Brain nor is less to be feared if there lyes an Oppression and Load on the Praecordia that the Diseased cannot freely breath nor draw their Breath deep nor form the bottom of the Thorax but only from the upper part of it and that short and with a Blowing so that in the mean while the Diseased are forc'd to fit upright and to move themselves this way and that after a restless manner for this argues the Blood to stagnate about the Heart and Lungs also that it is apt to grow clotty and to be coagulated and if worse yet Affects of the Brain and Genus Nervosum ensue and the Pulse becomes weak and uneven you may declare the Case to be desperate but if as if sometimes falls out tho rarely after a Fever is kindled and threatens severely either a flowing of the Lochia or a Diarrhoea happens with Relief some Hope may be admitted Concerning the Cures of these kinds of Fevers a Physician has a very hard Task because among the Vulgar all Medicines to Women in Child-bed are accounted not only useless but likewise very hurtful wherefore Physicians are selfom called but when there is no place left for Medicines and the occasion for a useful Assitstance is wholly past and if they are present about the first beginnings of the Disease it will not be an easie thing to procure Health to the Diseased by vulgar Remedies and whatsoever they try unless it gives Help is affirmed by old Women and those that are about them as pernicious and the only Cause of their Death that in reality there is wont to accrue to us about the Cure of no Disease less benefit and more Disgrace than of this Now the method of Cure even as in contagious Diseases is twofold to wit Prophylactick and Therapeutick the former of these delivers Precepts and Cautions with which Women in Child-bed are preserved from the Incursion of Fevers the other suggests curative Intentions with which the Diseased if it may be recover again their Health 1. Tho this Fever however malignant it be is not accus'd of Contagion and there be no fear in those that lye in of a venemous Miasm being received from without nevertheless all Women in Child-bed have an innate Minera of Virulency and ought to have a care of the mischief of this as a Fomes of a mighty Malignity wherefore they have need of an exact Governance that after Child-birth the Impurities of the Blood and Humours may be duely purg'd without the danger of a Fever and that the evil Affects of the Womb be healed and that the Strength broken and debilitated by Child-birth may be duely restored For these ends these three things are to be chiefly inculcated in the Praescripts of Physicians First I think it necessary that a most exact form of Diet be ordered Women in Child-bed to wit that at least for a Week they wholly feed on Oat Broths sometimes prepar'd with Ale sometimes of Water mixed with White-wine because they are much emptied therefore they may sup often of them but let nothing of a solid or strong Food
Case somewhat of Hope has shewn it self the Pulse and other Symptoms promising a little better tho the Cure has seldom succeeded but when that use of Cordials was remitted the Diseased fell headlong into Death with a weak Pulse and a Loosness forthwith arising 3. When still the case of the Diseased grows worse and worse that the Fever being increased the Pulse is weak and uneven and frequent Shiverings and convulsive Motions infest the whose Body with a Delirium or a Stupor then let the Physician first giving a Prognostick of Death insist on fewer Remedies and those in a manner only Cardiack and let him wholly abstain from Blooding Scarifying Vesicatories or the use of Cupping Glasses for such Administrations bring only an ill-will and Disgrace that thereby we are accounted by Women hard-hearted and cruel The Symptomatick Fevers of Women in Child-bed THE acute Diseases of Women brought to bed do not only follow the Type of the foresaid Fever but are sometimes attended with some notable Symptom to wit the Quinsey Plurisie Peripneumonia Dysentery Small Pox or of some other kind and then they are call'd by the Names of those Affects It is not proper to repeat in this Place what belongs to the Natures and Essences of each of them at large but I shall briefly set down what those Diseases complicated with the Affects of Women in Child-bed have peculiar to them as to their Causes or Cures We judge that all those Symptoms proceed from a certain Coagulation of the Blood and afterward its Extravasation now while the Blood is extravasated in one part every natural nad critical Effiux of it is restrain'd in another wherefore there is danger lest while the Blood begins to be coagulated either in a particular and usual Focus of Congelation or universally in its whole Mass presently the flowing of the Lochia be stopt which in reality happens for the most part and therefore those Affects are most commonly mortal to Women in Child-bed nevertheless the Cause of their Death for the most part happens with some difference to wit in the Small Pox the flowing Lochia call inward the Malignity began to be sent forth outwardly and wholly poison with their Taint the Mass Blood and the Heart it self and therefore in the Small Pox those uterine Purgations ought to be stopt but in the Pleurisie Quinsey and the rest when the Stimulus of the Disease fix'd here or there in a particular Place calls to it self and wholly derives from the Womb the Impurities of the Blood which ought to be voided by the Lochia thereby it increases the Taint of the BLood the Lochia restrain'd in the Small Pox might be sent forth by a more general way of Excretion with the venemous Particles of the Disease with indeed does not succeed in the rest by reason of the small and more spare way of Excretion Among these the Quinsey Plurisie and Peripneumonia by reason both of the great likeness of their Cause and the Analogy of their Cure may be considered together When a Woman in Child-bed is affected with either of these it is to be judg'd that besides the Miasms heaped together during the time of Ingravidation there happens a certain acid disposition of the Blood by the means of with whilst it feverishly boyls certain Particles of it being imbued with a sharpness fall into a Congelation in this or that place like Milk turning sour and consequently coagulated the Blood letted there and hindred in its Circulation hinders the Passage of the rest now the Blood being obstructed in its Motion butts against its dam and so being heaped together round about and driven out of its Vessels grows into a Tumour thence presently whatsoever haeterogeneous and separable is contained in its Mass is deposed in the Part affected as in a Sink wherefore the Corruptions of the Blood which ought to be purg'd forth by the Womb are deriv'd thence toward the Seat of this Disease which since they cannot be purged forth sufficiently this way both the Liquor of the Blood is more notoriously corrupted and a Crisis of that particular Affect to wit of the Quinsey Plurisie or some other is rendred more difficult For the Cure of these kinds of complicated Diseases presently from the very first beginning it must be endeavoured that the Blood fixt any where and begun to be extravasated be restor'd to Circulation and do not make an Impostume because it is very rarely that Women in Child-bed seised with those symptomatick Fevers are cured by an Abscess or spitting forth of the Matter wherefore inward Remedies which fuse the Blood and free it from Coagulation are to be used of which kind are chiefly Diaphoreticks filled with a volatile Salt as Spirit of Harts-horn of Soot of Urine and the Salts themselves also testaceous and bezoartick Powders Sal Prunella Decoctions and Juleps of Vegetables promoting the menses or the Urine in all which those things ought to be mixt which by Experience are found to be appropriated to uterine Affects moreover discussing Remedies which drive away and expell the Matter stinking in the Part affected of which kind are Liniments Fomentations and Cataplasms are carefully to be applyed to it Mean while let the violent Motion and immoderate Effervescence of the Blood be removed far from thence and let its Excretions of Filth be conveyed still to the lower Parts by what ways we may for this end Frictions Ligatures Epispasticks and if need be cupping Glasses may be applyed to the Feet or Legs in case the Affect growing very much worse blooding be indicated unless there be a great Plethora in the whole Body and a very acute Inflammation in the Part affected it will be best to breath a Vein in the Foot or to open the haemorroid Vessels with Leeches but if necessity presses for it to be done in the Arm after Blooding there let another Bleeding if it may be admitted follow in the Leg nevertheless we must give a Hint that opening a Vein ought to be very cautiously ordered in these Cases for unless it gives Relief which I have seldom known to happen presently the Pulse being rendred more weak the State of the Diseased becomes worse A Dysentery takes its Rise in a manner from the like Cause as the foresaid Affects but because in this the extravasated Blood is presently poured forth nor being restrain'd in the Body creates a mischief there and is still more corrupted and since this way of Excretion is performed near the uterine Efflux and does not derive it afterward another way hence less danger is feared from this Disease than from the others before mentioned tho oftentimes this Affect is mortal to Women in Child-bed and that the rather because by a Dysentery things that qualifie and gently astringe the Blood are indicated and these are found too apt to stop the flowing of the Lochia wherefore in this case till Women delivered are in a manner purg'd enough by a long flowing let the Cure
ib. p. 134 135. the Method of Cure ib. Prescripts of Medicines for it p. 136. An Instance of another Person troubled with it and how cur'd ib. p. 137. Dropsie call'd Anasarca see Anasarca Dropsie call'd Ascites see Ascites Dropsie call'd the Tympany see Tympany Dropsie hapning in the Scurvy its Cure p. 366 367. Dysentery see Purging E. EMetick Medicines see Vomiting Empyema what the Word imports p. 119. what to be considered in order to its cure ib. An Incision not to be attempted over hastily in it p. 120. Forms of Medicines requisite for curing an Empyema ib. A Julep against Faintings and Swoonings upon the Operation ib. Ephemera Fever see Fever Epilepsie seeing Falling Sickness F. FAlling Sickness its Description p. 138 139. Sometimes terminates of its own accord ib. The Method of proceeding with it p. 240. What Medicines us'd against the Fit ib. p. 241. The chiefest care in the Prophylactick part for removing the cause ib. What Medicines to be us'd for it ib. p. 242. An Instance of a Person troubled with the Falling-sickness and with what Medicines cur'd p. 243. The general Method of curing it with prescripts of Medicines ib. p. 244 245 246 247 248 249. Fever its Description p. 426. Intermitting Fevers whence caused ib. why a cold and a shivering precede the heat in them p. 427. whence their Intermission and set returns ib. p. 528. their Cure how undertaken ib. p. 529. Certain Irregularities of them p. 530. Fever tertian Instructions concerning it p. 531 532. Symptoms foreshewing its Remission ib. 533. It s Method of Cure p. 534 535 536 537. Fever quartan Instructions concerning it p. 540 541. Why so difficult to cure ib. curd by raising a gentle Salivation p. 542. Other Remedies for it p. 543 544 545. c. Fevers continual wherein differing from Intermittents p. 548. the kinds of them ib. Fever call'd Ephemera or simple Synochus holding one or many Daies Instructions concerning it p. 549 550. three things required to a Crisis or Solution of it ib. p. 551. its Cure ib. Fever putrid its Causes p. 552 553. the four observable times of it ib. p. 554 555 556 557. the most considerable Symptoms and Signs in it p. 560 561 562 563 564 565 566. the Pulse and Urine chiefly to be minded for knowing the State and Strength of the Diseased p. 567 568. 569 570. The kinds of the putrid Synochus p. 571 572 573. its Cure p. 574 575 576. Examples of Persons seised with it and the Method us'd with them p. 577 578 579 580 581 582. Fever Malignant or Pestilential in general wherein it consists p. 583. What parts of the Body their venom Affects p. 584 585. the Essence of a Pestilential Fever in what founded p. 587. whence it arises 588 what Bodies apt to receive it p. 590. how propagated by Contagion ib. p. 591. Fevers Pestilential and Malignant in Specie and other Epidemick Fevers p. 601. the distinctions betwixt a Plague a Pestilential and a Malignant Fever ib. p. 602. Pestilential and Malignant Fevers plac'd in the rank of Continual Fevers ib. Signs of Malignity in Fevers p. 604 605. what to be observed in the cure of Pestilential and Malignant Fevers ib. an Instance of a Pestilential Fever p. 606 607. its way of cure p. 608. Instances of the Malignant Fever p. 609 610 611 612 613. Fevers of Women in Child-bed Instructions concerning them p. 625 626 627 628 629. of the Lacteal Fever of Women after Child-birth p. 630. its cure p. 631. Putrid Fevers of Women in Child-bed ib. p. 632. their Procatarctick Causes p. 633. the Evident Causes ib. the Conjunct Cause p. 634. they are dangerous p. 635. the cure ib. p. 636 637 638. Fevers Symptomatick of Women in Child-bed what those Symptoms are p. 639. what must be done in order to their Cure p. 640. What must be done in the Small Pox when happening p. 641. Stories of Women in Child-bed troubled with Fevers ib. p. 642 643 644 645 646 647. Fevers Epidemick and Anomalous p. 648. A Description of one ib. p. 649. its Nature and Essence ib. p. 650 651. its conjunct Cause ib. what it has peculiar from common Intermittents and a Synochus p. 654 653. its general Prognostick p. 653. its particular Prognostick ib. its method of Cure p. 655 656 657. Fever Epidemick and Catarrhous described p. 657 658. the rise and formal reason of it p. 659. its Symptoms p. 660. its Prognostick ib. the method of Cure p. 661. Another Epidemick Fever described p. 662 663. its Nature p. 665. its Accidents p. 666 667. the Prognostick of it p. 668. the method of Cure p. 669 670 671 672. Fever Epidemick chiefly infesting the Brain and Genus Nervosum p. 271 272. its formal Reason and Causes 275. Instances of Persons seis'd with it p. 276 277 278. the method of Cure ib. p. 279 280 281. An Instance of a Fever chiefly radicated in the nervous Juice and its Cure 282 Fever Scorbutick its Cure 363. 364. Fits of the Mother p. 297. the various Passions vulgarly said to constitute an Hysterick fit or a fit of the Mother ib. those Fits are properly Convulsive p. 298. they arise chiefly from the Brain and genus Nervosum ib. sometimes from the Womb and others of the Viscera ib. p. 299. An Instance of a Person troubled with them and what done in order to the Cure ib. p. 300 301 302. The method of Cure to be us'd in the Passions vulgarly call'd Hysterical ib. p. 303 304 305 306. Flux See Purging Folly see Stupidity French-Pox safely cur'd with a Sweating Diet-Drink p. 38. Frensy its Definition p. 451. whence caused ib. the formal Nature of it wherein it consists p. 453. another Definition of it p. 454. the previous Dispositon of the Blood disposing to a Frensy ib. another Disposition to the Frensy ib. the evident Causes of it p 455. the Prognostick of it ib. p. 456. In the Cure of it regard must be had to two things ib. Prescripts of Medicines for it p. 457 458 459. an Instance of a Person Troubled with it and how cur'd ib. p. 460. G. GIddiness or running round of the Head see Vertigo Gout its Fits either seise at random or periodically p. 495. The Dispositions to this Disease and the Occasions or Causes which are wont to actuate them ib. the Morbifick Matter ib. the evident Causes of it p. 496 497. It 's near ally'd to the Stone in the Reins p. 498. The Prognostick of it ib. it often turnes to Gripes in the Belly to a difficulty of Breathing c. ib. p. 499. the Method of Cure with Prescripts of Medicines ib. p. 500 501 502 503 504 505. An Instance of a Person troubled with it ib. p. 506. Gout Scorbutick moving from one Place to another its Cure p. 362. Gumms sore their Cure p. 359. 360. H. Haemorrhagies see Blood Head-Ach its Subject p. 370. the formal Cause of it p. 371. the Prognostick of it ib. habitual Head-ach two