that there is a Necessity that it be cut off You must begin the Cure with such Medicines that may discharge the Guts and Bladder of their Exerements that they may not hinder the Reduction of the womb Then let her ly upon her Back with her Thighs wide asunder and draw up her Knees and let her with her own hands or by the help of a Mid wife thrust the womb inwards or that you may drive it in farther and hurt her lesse make a Pessary of linnen cloaths and with it thrust up the womb first anoint it with the Oyl of Lillyes and if it be swelled use a Fomentation of Althaea common Mallows Fenugreek and the like Before you repose the womb to its place anoint it with the Musilage of Comphry Roots or Infusion of Gum Traganth or any thing that is of a glowing Nature When it is up let the woman ly with one Thigh over the other and put up toward the Neck of the womb a little wool wetted in ted wine or Rosewater wherein Acatia and Hypocystis hath been dissolved Rodericus à Castro adviseth the Physitian to come with a red hot Iron and to make as if he would thrust it into the womb Avenzoar and Zacutus Lusitanus after the use of all means and devices by this Stratagem reduced the womb that is having laid her down as before said and one held down her Thighs and another her Breast then put her into a great fright by setting Mice or Frogs to run up her Legs and Thighs by this fright the womb hath been reduced into its proper place for by this means Nature contracteth her self for fear and draweth the womb with her Then lay a plaister against Ruptures on the Region of the womb and Groins and have a care that you keep the Body that it be not costive nor too soluble To conclude all the Medicines externall and internall prescribed against the immoderate flowing of the Menstrues are here good but beware you use them not when the Courses should flow and lest by the frequent use of such Medicines they should be hindered your Patient being young having her Courses monthly be sparing in the use of them but rather let her wear a Trusse CHAP. LXXIX Of Barrennesse BArrennesse or Sterility is an impotency of Conception the principall causes thereof are four first when the Woman doth not conveniently receiv the Man's Sperm into her Womb and this happeneth by divers causes viz. If the Woman be too young and the Neck of the Womb too strait for the Man's Yard the same happens to elderly Virgins being not exercised in actions tending to Generation their genitall parts become flaggy withered so streight that they canot easily admit of the Man's Yard some are lame and crooked that they cannot ly in a fit posture some have a cold Distemper in the Womb that they are dull and have no delight in the act others are very fat which causeth a Streightnesse in the passage or their Bellyes being big hinder their due conjunction with the Man Want of love between a Man and his Wife is a great cause Diseases in the Womb or the adjacent parts hinder the Reception of the Seed The second cause of Barrennesse is when the Woman doth not retain the Seed of the man in her Womb for sometimes the Womb is moist and slippery and full of excrementitious Humours by which means the Sperm doth easily slide back again and the Orifice of the Womb is so loose flaggy that it cannot contract it self to hold the Seed or it may be so slack that it cannot contract to do its Office and this Slacknesse may be occasioned by a breaking of the Fibres of the Womb one from another in hard Labour or Abortion to say all the Whites or any moist Distemper of the Womb may be the cause of Barrennesse Thirdly want of sufficient Nourishment of the Womb to cherish the Seed may be the cause of Barrennesse and this comes to passe by any Distemper of the Womb that doth corrupt the Seed a cold Distemper extinguisheth a hot Distemper dissipateth the Spirits in the Seed a moist Distemper hindereth the Seeds coming to its due Thicknesse and a dry Distemper consumes and drinks up the moisture of the Seed Some say Witchcraft and Charms may be the cause certain Meats and Poysons many things are antipathetical to Faecundity as Vinegar Mints Water-cresses Beans and such like Jet Glow-Worms Saphires Smaragds the Matrice of a Goat of Mule malignant Diseases may corrupt Seed and hinder Conception as stinking Ulcers the French Pox leprous Infections and the like The fourth thing that hinders Conception is when the Woman wants fit materialls for the formation of the Embrio to augment the same and this chiefly dependeth upon want of seed menstruous blood and this defect happeneth to those that are too young or too old the determined approved age is from fourteen to 50. Likewise the materials may be ill disposed through evill diet which cannot breed blood or good seed Diseases weakening nature may cause the same Add to all these causes a disproportion or unsureablenesse between the man's Sperm and the Woman's that is when the man and the Woman are of one Complexion by which means the seed of either of them partake of the same excesse that is that they are either too hot or too cold hence it cometh to passe that the same Woman who could never have a Child by her Husband after his Death hath Children by another man and a man by another Woman Sometimes a man and Woman live ten years or more together and have no Children and afterwards the woman conceaveth and bringeth forth and this cometh to passe by the change of Temperature caused by years I should now lay down the Signs of all these causes but most of them are evident to the Senses and the rest he who cannot discover hath not a Head befitting a Physitian therefore to abbreviate the work I shall leav it to the search of the Ingenious and trouble the Reader with a few Rules left by the Ancients to try whether a Woman be naturally barren or no Hippocrates adviseth to wrap the Woman close in Blankets and burn some Perfume under her and if the Smell proceed through her Body to her Mouth or Nostrills then certainly she is fruitfull The same Author adviseth to put a clove of Garlick peeled into her womb or Galbanum and if the Smell come to her Head or Mouth judg that she is fruitfull Amatus Lusitanus to try whether a Woman be fruitfull or no giveth a Drachm of Hares Runner dissolved in warm water to the Woman being in a Bath of hot water fasting and if the Woman findeth pains in her Belly he judgeth her fruitfull if she hath no pain he judgeth her barren Some steep Barly in the Urine and if it shoot within ten dayes they judg the Woman fruitfull Before you try these uncertain conclusions upon the Woman
the Tongue as in the other and Wind and Water sometimes bursteth out at the Mouth of the Womb. Secondly to distinguish between the sorts of these Dropsyes consider if Wind be the Cause the lower part of the Belly being struck giveth a Sound thence is a pricking pain in the Belly which reacheth to the Diaphragma the Womb riseth like a Globe towards the stomach Wind bursteth our of its Neck and the Patient is subject to Belching and when she breaketh Wind she findeth some ease If a watry wheyish Humour be the Cause the part appeareth soft and flaggy with a Noise of Water and great Heavinesse If from Phlegm it will be more soft and the parts adjacent as well as the Womb have a phlegmatick Swelling Thirdly you ought to consider whether this Disease hath its originall in the Womb or by consent of other parts thus if there appear Symptoms of the whole Body or some part thereof to be misaffected viz. if there be long Feavers or a Flux of Blood Distillations from the Head Weaknesse of the Stomach Swelling of the Liver and Spleen and other stubborn Diseases in those arts judge that the Womb receives its Distemper frō some of these parts On the contrary if the Body and all the parts are in good health saving some particular Disease of the Womb then judge that the Disease hath its originall in the Womb. Fourthly to know whether the Wind or watry Humour be in the Cavity of the Womb or in little Bladders take these two Rules that if it be in the Cavity of the Womb it maketh a greater Swelling and more Water flows out at the Neck of the Womb. Secondly if little Bladders of Water come forth it is an evident Signe that the Water or Wind is not contained in the Cavity of the Womb. Fifthly this Womb-Dropsy is easily distinguished from Tumors of the Womb caused of blood or Choller because there is no Feaver nor pain in the touching of it it differeth likewise from a schirrhous Tumor for it is not so hard as not to yeeld to the finger Sixthly it is very convenient to distinguish between this Disease and a Woman's being with Child when a Woman begins to be big with Child the bignesse of her Belly buncheth out in this Disease it is depressed and flat in the first the Woman's Dugs do swell in the latter they become extenuated and smaller Women with Child after a while grow better and better but in this Disease they grow worse and worse Again the Child is manifestly perceived to stir Lastly you must distinguish between this Disease and the false Conception Mola thus in Mola Women find a great heavinesse in their Wombs and when they turn toly on either side it roules like a Stone to that side again they that have conceaved with Mola for the most part have a violent Flux of their Terms every third or fourth Month and lastly the Dugs swell and sometimes have Milk in them which things never happen in this Womb-Dropsy Sometimes this Disease cometh not to the height but proveth an Inflation if it continueth if the Humour be void of Putrefaction though it continueth long yet it is curable nay sometimes it floweth out of its own accord If wind or water be in the cavity it is evacuated with more ease then if it be shut up in Bladders If the Humour be malignant and sharp it produceth the like Symptoms and is dangerous for the most part deadly You must begin the Cure with Phlebotomy if the Disease hath its originall from the Terms and the Body be plethorick other wise it will much hurt because natural Heat is much weakned thereby Then you must give such things as have power to purge open provoke Sweat and move the Courses you need go no farther then to the 58 and 71 Chapters treating Of the Dropsy and Green-Sicknesse Give a gentle Vomit twice a week if the Woman be easy to vomit The Heat of the Stomach must be cherished and maintained by Medicines prescribed in the Chapters treating of the Diseases of that part and the Womb must be strengthned and the peccant Humours discussed by Fomentations or Baths made of the Decoction of the Roots of Briony wild Cucumber and horse Radish the Leavs of Dwarf-Elder Mercury common Elder Origanum Calamint Rue Sage Wormwood Marjarom Mugwort Pennyroyall Time the Seeds of Annis Fennel Broom Carrots Cummin Bay and Juniper the Flowers of Camomill Melilot and Rosemary If it be a windy Dropsy a dry Fomentation will be much better Afterwards anoint with the Oyl of Nard Rue Wormwood Dill and Southernwood Give frequent Clisters and Injections to evacuate the Humours contained in the Womb then make Pessaryes of Coloquintida Elaterium Mechoacan and such like with Hony and apply it Nitrous and sulphurous Baths do profit much and if the Disease proceed from Humours falling to the part let Issues be made in the Thighs CHAP. LXXVIII Of the falling down of the Womb. SOmetimes the Womb looseth its natural Scituation and falleth down to the water-gate sometimes out to the very Thigh All things that may cause a Rupture or Relaxation of the Ligaments of the Womb may be a cause of this grief as a Blow Fall dancing leaping lifting carrying violent sneezing or coughing especially in Child-bed or being big with Child Tenasmus hard Travel a violent drawing the Child out of the Womb or of the after-birth or the expulsive Faculty of the womb being violently provoked to expel a dead Child after birth or the Mole and many such like Accidents may be the cause of the breaking of the Ligaments and falling out of the Womb. A Relaxation of the Ligaments may be caused by a long Defluxion by Crudityes the Whites external Causes may be prevalent as bathing in cold water the Southern or moist Air being received into the Womb soon after a lying in Meat of a cold and moist Nature to conclude all Meats Drinks and Actions which will breed Phlegm or cause its Deflux into the Womb. This Disease needs no Signes to discover it by it being apparent to the Sense the causes may be thus distinguished If it come by Loosenesse of the Ligaments it cometh by little and little the pain is leffe causes moystening the Womb have preceded If it come by a Rupture there is a violent pain sometimes Blood starteth out and such causes which have been able tobreak the Ligaments have preceded If the womb fall down by a rupture of the Ligaments it is incurable That which comes by a relaxation of the Ligaments is not very dangerous but troublesome to the patient it hinders her walking conception and monthly Purgation In young Women it is caslier restored to its place than in elderly The womb coming not far out and if taken in time the Cure is farr more easy then if the contrary happen Sometimes grievous and violent Pains do attend it and threaten Death Sometimes the Air corrupteth the womb and it becomes gangrenated so
the parts by which the Stomach and Guts are provoked to send forth the Meat too soon Lastly in malignant Feavers and other dangerous Diseases the retentive Faculty is weakned and Nature being conquered degenerateth into a Lientery There is another Cause peculiar to the Coeliack Passion Namely the Obstruction of the Meseraick Veins which hinder the passage of the Chilus to the Liver and therefore must of necessity be cast forth by the Belly I need not lay down the Signes of this Disease being obvious to the Eye The Causes may be thus discovered If it come from a cold Distemper there are sowr Belchings the Excrements are phlegmatick If the Humours flow from the Head the Excrements are frothy and the Flux greater after Sleep the Signes of a Catarrh appear If it come from Provocation there is a Heat in the Hypocondria sharp and cholerick Excrements great Thust and a Gnawing in the Stomach These Diseases if they last long are very dangerous because Nature is deprived of her Nourishment and the Body soon falleth into a Dropsy or Atrophy If it follow other Diseases it is for the most part deadly If the Disease hath its originall from phlegmatick Humours covering the wrinkles of the Stomach you must use those remedyes propounded for the cure of Want of Appetite comming from a cold Cause with which make use of those things which are astringent to stay the Flux Clisters are of no great force except the Flux be violent in such Cases they must be astringent such as shall be prescribed in the 47 Chapter of the Flux Dysentery You must purge the peccant Humours and then strengthen the Stomach with the Medicines prescribed in the Cure of Want of Appetite for which purpose Amatus Lusitanus highly commendeth this following Opiate Take of Conserve of Roses six Ounces of the best Treacle six Drachms Sirrup of Quinces sufficient to make an Opiate give half an Ounce in the Morning and fast one hour If this Flux come from Provocation by cholerick Humours do as you are taught in the Chapter of cholerick Vomiting or you may use those things prescribed in the following Chapter of the Flux Diarrhaea For that which comes from the Imbecillity of the retentive Faculty now and then give Clisters made of Posset drink in which red Roses have been boiled and dissolve Sugar therein and the yelks of Eggs. Give inwardly strengthning and astringent things which are prescribed in the following Chapter and against cholerick vomiting Anoint the Stomach and Belly with this following Oyntment Take of the Oyls of Mastick Wormwood Mints and Myrtles of each two Drachms the Powders of Cinnamon Cloves and Galingale of each one Scruple the flowers of Pomgranates and red Roses of each half a Scruple Wax sufficient to make an Oyntment If this Disease depend upon the Obstruction of the Meseraick Veins use the Remedies prescribed for opening Obstructions of the Liver CHAP. XLVI Of the Flux Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diarrhoea is a Flux of the Belly or a great and copious sending forth excrementitious Humours not of Food or Chylus as in the Lientery or Caeliack Passion nor of Blood with Inflammation or Ulceration of the Intestines as in the Dysentery which remaineth next to be spoken of The Humours voided are either Cholerick Phlegmatick Melancholy or Serous The Place from whence it comesis either from the whole Body or from the Brain Stomach Intestines Liver Spleen Mesentery Womb and the like The Cause is either Critical or Symptomatical Internal or External The Disease it self is easily known from what hath already been said the difference of the Matter and Humours sent forth are manifest to the Senses It is somwhat difficult to know from what part of the Body the Humours are sent If it come from the whole Body there hath been some Disease which hath afflicted the whole Body as Cachexia Leucophlegmatia a continuall Feaver or excessive Eating or Drinking If it comes from the Head the Excrements are froathy and are voided more violent by Night then by Day and there is some manifest Disease in the Head as a Catarrh Deafnesse Lethargy c. If the fault be in the Stomach the Patient filled himself with Food apt to corrupt or there be Signes of Concoction hurt viz. If the Humours be sharp cholerick and stinking the Concoction is hurt by a hot Distemper of the Stomach and the expulsive Faculty laboureth to throw it out If they be crude and phlegmatick Concoction is hurt by a cold Distemper If Worms in the Guts be the cause their Signes seek 〈…〉 Chapter of the Worms If the Humours come from the Liver they are cholerick and there appeareth some Distemper of the Liver If from the Spleen the Excrements are blackish and distempers of the Spleen and Hypocondria appear If from the Mesentery there is extention but Humours there have their original from the Liver or Spleen If from the Womb there are the Symptoms of the Womb affected To the Prognostick I say the Flux of the Belly which is Critical that is easily endured and is a benefit to the Patient by which Humours which are burthensome to Nature are discharged is good On the contrary if it be symptomatical painful weakning to Nature it is evil If the Excrements are thin voided often with Pain without Feeling when they are voided or in an acute Disease all these are evil Signes If the Excrements voided be yellow as yelks of Eggs green black blew or of divers colours it is evil If this Flux afflict a Woman with Child she is in great danger of Miscariage If the Excrements begin to grow thicker there is hopes of Recovery If a Flux happeneth in the Dropsy wherein the whole Body is affected it causeth a Recovery understand this where the Patient is young strong and the Disease but begun for if Nature be weakned by the long continuance of the Disease and the Flux happen the Disease and Life hand in hand go together For the Cure If the Body abound with Blood open a Vein if not if the Patient hath a Feaver it is good to let Blood Then purge the Humour offending with such Purgers that leave an Astringent behind them If the Body be strong vointing is good for it revelleth and evacuateth the Matter of the Disease Before and after purging give cleansing Clisters after the Body is sufficiently emptied give astringent all which the next Chapter will furnish you with Inwardly you may give astringent und strengthning Medicines prescribed in the next Chapter If your Patient be free from a Feaver boil new milk and scum off the Foam and quench red hot Steel often in it and let him drink thereof warm which is a present Remedy Unripe Mulberryes and Blackberryes dryed and heaten to powder is good to stay this Flux This Opiate is excellent Take of the juyce of Quinces Conserve of Roses of each one Ounce Sanguis Draconis Terra Sigillata and fine Bole of each one Drachm Bloodstone
Ounce the conserve of Hips one Ounce and an half with Syrrup of Lemmons make an Opiate and take a little often Likewise you may make a decoction of China and Hepatick hearbs sweetning it with the aforenamed Syrrups and taking half a pint in the morning Likewise of the aforenamed cooling hearbs you may make an Apozen to cool the Liver or you may make a Bath to cool and moysten the body CHAP. LIV. Of the Inflammation of the Liver THe Inflammation of the Liver is a hot Tumor occasioned by bloud out of its proper vessells sent into the substance of the Liver This Tumor ariseth either from pure bloud or else the bloud is mixed with Choller Flegme or Melancholly so producing either a true Erysipelous Oedematous or Schirrous Phlegmon This Tumor is sometimes in the gibbous or hollow part of the Liver The causes of this disease are too much bloud or the heat thinnesse or sharpnesse thereof and by its motion in the Veins it is sometimes thrown into the Liver For the Liver being hot and in pain doth attract the humours to it self or by its weaknesse is forced to receive the burden that stronger parts lay upon it according to the Proverb The weakest goes to the walls Sometimes an obstruction of the Liver by retaining the thick humours which by a preternaturall heat is inflamed The externall causes are the same which cause heat of the Liver To which add a stroak or fall bruising the Liver or Medicines applyed to a cold stomach or a Cupping-Glasse fastned to the Region of the Liver The signs of the disease are heavinesse in the right Hypocondrion a weighty pain sometimes extending it self to the throat and sometimes to the lower ribs a Feaver more or lesse violent according to the nature of the humour offending viz. Choller or Flegm and difficulty of breathing because the motion of the Diaphragma is hindered a dry chough an unequal pulse and like a Saw the Tongue at the beginning red afterwards black great thirst loathing of meat vomiting Choller and sometimes Flegm a pale and yellowish colour of the whole body red and flaming Urine the sick hath more ease lying upon his back then upon either side for the most part he is costive because the heat of the Liver dryeth up the moysture of the Chylus but if the Liver be weak also the sick is loose and the excrements are like water wherein flesh hath bin washed If the Gibbous part of the Liver be affected you may feel the Tumor in the right Hypochondrion the breath is fetched with difficulty and the pain reacheth to the right side of the Throar If the cavity of the Liver be affected the Tumor is not felt but because that part lyeth upon the stomach there is greater loathing of meat vomitting thirst and sometimes loosnesse of the belly by reason of the corruption which the distemper of the Liver causeth in the Stomach The signs of the causes are thus known if the inflāmation be of bloud onely the face is either red or duskish the Pulse is great and soft the Urine is red and thick the body is full of flesh and there is sweetnesse in the mouth and for the most part the Patient is young and hath fed high If Choller cause the inflāmation the face is yellow the pulse swift hard and unequall the Urine thin and yellow the body thin the eyes hollow a bitter tast in the mouth and Cholerick vomitings The Symptomes of the inflamation of the Abdomen differ little from them of the inflāmation of the Liver therefore let us a little consider the difference If the Muscles of the Abdomen be inflāmed the skin is extended and if you lay hold of it you cannot move it but if the Liver be inflamed if you lay hold on the Muscles they yield and the Tumor appeareth deeper If these Muscles be inflamed the colour appeareth fresh and in its naturall colour but if the Liver be inflamed the colour is yellow as in the Jaundise you must likewise distinguish between the inflāmation of the Liver and a Pleurisy Sometimes moist and bloudy stools distinguish it in the Pleurisy the pain will be vehement and great towards the right Hypocondria no change of colour the cough great and dry with bloudy spittle for the most part the pulse hard and like a Saw the inflāmation of the Liver is manifosted by the signs laid down before If the Mesentery be inflamed the Tumor appeareth beneath the region of the Liver the stools will be thin and moist with unconcocted matter if the party recover the matter quickly is concocted the colour of the face is not much altered Prog. every inflāmation of the Liver is dangerous for the most part deadly if the Patient be not cured or killed presently the disease ends in a Dropsy Atrophy or Consumption If Choller be the cause of the inflāmation it is worse then if bloud were the cause and the Feaver is stronger The Hicchough in this distemper is a very evill sign for it shews the greater Malignity of the inflāmation which doth disturb the Stomach A Flux joyned with it unlesse it be criticall and the humours evacuated concocted is deadly To cure it follow the rules prescribed in the 42. Chapt. Of the Inflāmation of the Stomach Let his drink be Barly water with a little Syrrup of Violets If the disease be stubborn to the former Medicines prescribed in the 42. Chapter add this following Apozeme Take of the roots of Smallage Fennell and Parsly of each two ounces the leaves of Agrimony Violets Succory and Maidenhair of each one handfull Polypody of the Oak four Ounces Chammell flowers one Ounce the seeds of Fennell Gromwell and Parsly of each one Drachm boil it to a Pint and an half and in the strained Liquor infuse an Ounce of Sen na and three Drachms of Rubarb afterwards add of Sirrup of violets and Vinegar Simple of each two Ounces divide it into four Doses and let the Sick take every other Morning Then make an Epithem Liniment Unguent or Plaister thus Take of the Juyce of Endive Succory Sorrell and Plantane of each half an Ounce of the Oyls of Roses Wormwood Camomill and Myrtles of each one Ounce Vinegar half an Ounce boil it to the Consumption of the Juyces then add of the three Sanders in Powder of each one Scruple with Wax sufficient make an unguent and anoint the Region of the Liver If the Pain and Feaver decreaseth you must add to the former Oyntment such things as dissolve and mollify as well as cool as the Flowers of Camomill and Melilot Barly-meal the Roots of Marsh-mallows Calamus Aromaticus and Cypresse the Leaves of Mallows Violets and Agrimony the Seeds of Annise Fennell Faenugreek and Flax. Or with these Simples you may make a Fomentation If the Inflammation be not discussed as it seldom can it tends to Suppuration otherwise to a Gangrene The Imposthume for the most part is compleat in twenty dayes it is
vitall Heat is decayed and the Body oppressed with cold and moist Humours The other Cause you may discover in those whose Bladder nor Sphincter is no ways distempered but they imagine when the Quantity and Sharpnesse of the Vrine stirreth up the expulsive Faculty that they are pissing against the Wall and so get a custome of it which cannot be cured by Medicines The Sphincter Muscle may become weak or loose by Youth old Age decay of vitall Heat by the Palsy in Women from Diseases of the Womb or hard Labour cutting for the Stone or any Wound there or deep Vlcer This Disease is easily known and the cause thereof is as easily discovered if it come by Wound Vlcer old Age or the like it is apparent If it come by consent of other parts the Diseases of those parts are obvious as the original If neither of them appear consider the cold and moist Temper of the part which is known by the internall and external causes and the Effects upon them depending as Softnesse of the Body Whitenesse and Loosenesse of the Nervs about the privityes Childhood Age evill phlegmatick Concoction and such like In old Men this Disease is incurable because the vitall Hant cannot be repaired In Children Nature worketh the cure when they grow elder by drying up the superfluous Humidity and knitting the Muscle but if a man continue so till the Age of twenty or twenty five he is incurable If involuntary Pissing come to a man sick of an acute Feaver Death is at hand If this Disease come by a Wound or Vlcer or any other manifest Disease the cure depends upon the removing of them otherwise the cure is wrought by amending the cold and moist Distemper and the Loosenesse of the Sphincter Muscle First you must purge the cold and phlegmatick Humours add to your phlegm-Purgers such Medicines which purge and leav a binding Quality behind it as Rubarb Myrabolans and the like Then give Medicines that knit the part and dry the Humours Take of the Roots of Comphry and Cypresse of each half an Ounce Cypresse-Nuts and Myrtles dryed of each two Drachms Coriander Seed prepared red Corall Amber and Shavings of Ivory of each one Drachm the Seeds of Plantane Rue and Acorn cups of each two Scruples powder them and with the Sirrup of Comphry make an Opiate and give the Quantity of a chesnut Morning and Evening or drink half a Drachm of the powder in red Wine Sweating Medicines are much cōmended Things proper for the cure of this Disease are the Brain and Stones of a Hare burnt the Throat of a Cock Snails and Egg shells Mice fryed or dryed to powder Hogs Hoofs powdered Agrimony and the Gizzards of Hens in powder Apply Medicines to the Privityes that are hot strengthning and astringing Let him drink the Decoction of the inward Bark of an Oak of Sloes and such like and let him avoid drink to bedward You must allay the Symptomes which may accompany this Disease as Feavers Thirst Watchings Consumptions c. by the Remedies laid down in their proper chapters CHAP. LXVIII Of the Stoppage of Urine and Strangury THe Stoppage of Urine and the Strangury are Diseases which differ onely in degree the first is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the other 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Iscuria is when the Urine is totally stopped when little is voided then it is called Stranguria The first is caused by an Obstruction in the Nerv which helpeth the expulsive Faculty of the Bladder by the Palsy or some sleepy or stupifying Disease A cold Distemper of the Bladder dulling the Sense thereof may be the Cause Sometimes an Inflammation or Tumor in the Muscle of the Bladder may stop the Passage the Stone some thick humor clod of Blood or the like Sometimes by long holding of Water by which the Bladder is so stretched that it cannot contract it self to open the Passage Sometimes the Bladder is empty no Urine cometh to it this is called a bastard Iscuria and may be caused by some hurt in the attractive or expulsive Faculty of the Roins The attractive Faculty is hure by some Stoppage in the Reins or emulgent Veins The Reins may be obstructed by the Stone thick Phlegm or the like the emulgent Veins by abundance of Blood or Water Sometimes the watry humour is spent as in Feavers or sent to some other part as in the Dropsy by which means the attractive Faculty of the Reins is hindered The expulsive Faculty of the Reins is hindered by the Stone Phlegm or clods of Blood Diag The Disease is easily known the Causes thereof may be obtained If it come by long holding the Urine the Patient is able to inform you If there be a stoppage in the part the use of the Catheter or fearing Candle and the ingenuity of the Artist will discover the Nature of the stoppage If the Passage be stopped by the Stone the Symptoms of the Stone have gone before If a Caruncle there hath gone before a Gonorrhaea or an Vlcerin the passage of the Yard If clods of Blood stop the Passage the Patient hath formerly voided Blood and clotted Blood will stick to the Catheter The Strangury is thus known there is neither Weight Tumor or Extension about the Privityes but rather an Emptinesse the attractive or expulsive Faculty of the Reins is obstructed as aforesaid Prognosticks are thus made This Disease is ever dangerous if it continue above seven dayes it is deadly The same judge if the Patient hath Hiccough or Tenasmus accompanying this Disease or if it came by a Wound or Blow upon the back-bone or if his Breath stink of Pisse The Cure of both these consisteth in removing the Causes If it proceed from the fullnesse of the emulgent Veins bleeding is good if from Diseases of the Reins or Ureters seek the Cure out of the Chapters that treat of the Pain Inflammation or Stone in the Kidneys If it depend upon the Inflammation of the Bladder see the 64 Chapter If upon the Stone fastned in the Neck of the Bladder lay the Patient upon his back with his Thighs lifted up move him hither and thither till the Stone fall out of the Passage if that will not do make use of the Catheter If the Stone lyeth in the Passage of the Yard bathe the Yard in warm Milk or Oyl labour to get it out with your fingers if it will not come out bind the Yard on each side and make an Incision on the upper side of the Yard If a Caruncle stop the Passage Medicines which are proper to take it away must be conveyed to the part with a Wax-Candle If Phlegm obstruct purge it with Medicines convenient and when you see occasion give such as provoke Urine The Chapters of the Stone of the Bladder or Kidneys will direct you how to prepare them as also Clisters Fomentations Unguents and the like CHAP. LXIX Of the Scalding of the Urine 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dysuria in
thin plate of Lead about the Reins pricked full of holes Let the Patient's ordinary drink be Beer in which is tunned Mastick-wood sliced and cut small Plantane and the Herbs before named If the Liver be distempered with Heat conferr with the 53 Chapter If the Stone or Gravell be the Cause use no strong Diureticks because they provoke the Flux but that which I have known very effectuall in this case I shal here commend and put an end to the Chapter Take of the four greater and lesser cold Seeds of each one Drachm Quince Seeds half a Drachm the Seeds of Marsh-Mallows white Poppy and Winter Cherryes of each one Scruple make an Emulsion with the Decoction of Marsh-Mallows and give two three or four spoonsuls in the Morning and if you add a little Oyl of Vitrioll it will be the better Venice Turpetine made into Pills with the Powder of Rubarb half a Drachm taken in the Morning doth gently cleanse the Reins CHAP. LXXI Of the Green-sicknesse THis Disease is called by some the Virgins Disease the white Feaver the white Jaundice but vulgarly the Green-sicknesse It is an evill habit of the Body proceeding from the Obstruction of the Veins about the Womb Liver Spleen and Mesentery causing a heavinesse unweildinesse of the whole Body difficulty of Breathing panting of the Heart and Head-Ach a desire after Food that is evil and a loathing of good The Veins about the Womb being obstructed that Blood which Nature hath ordained to go thither having not free passage runs upwards and oppresseth the Heart Liver Spleen Diaphragma stops the Vessels and destroys the naturall Heat hence it cometh to passe that the Stomach and Bowels cannot concoct well as they ought to do so Crudityes are dispersed throughout the body and make an evill Habit. Sometimes by this means the Hypocondria is swelled which depressing the Diaphragma causeth Shortnesse of Breath This grosse Blood being carried in the great Artery to the Heart which least it should be suffocated by it labours for its deliverance often moving of its Arteryes causeth a Palpitation and Beating of the Temples The Stomach by this means being filled with Crudityes and excrementitious Humours causeth a Loathing of Food and a desire after such things which ought not to be eaten as Salt Chalk Coals Ashes Oat-meal Wheat Tobacco-Pipes c. which Disease is called Pica Malacia and we have spoken of it in the 35 Chapter of this Book This Obstruction is caused many wayes as drinking cold Drink to Bedward eating raw or unripe Fruits Some go to Feasts and upon a full Stomach dancing and sporting all Night disturb the naturall Frame of the Body and want Rest others sleep too much and sit long at their work as Seamsters Bonelace-makers and the like By these and the like means Concoction is hurt the naturall Heat is extinguished and the Body filled with crude Excrements and thick slimy Humours which cause Obstructions This Disease is easily known and you may know the diseased if you do but veiw their Faces which are pale and white sometimes of a Lead colour blew or green the Face and Eye-lids the Legs and Feet swelled The whole Body is unweildy and lazy When the body is stirred by Exercise or Walking especially going up a hill or steep place there followeth Palpitation of the Heart and Shortnesse of Breath Beating in the Temples and great Head-Ach behind if the Womb be obstructed before if the Hypocondria be afflicted there is great loathing of wholesome Meat and desiring the contrary the Pulfe is swift and quick as in a Feaver and when the Disease comes to the hight the Terms are stopped This Disease continueth a long time yet is seldom dangerous sometimes by long continuance it breeds Corruption in the naturall parts Dropsyes Feavers Consumptions which end in Death If the Veins of the Womb onely are obstructed a Husband will cure her Women that have a long time been in this condition bring forth weak and sickly Children and sometimes they are barren This Disease is cured by opening the Obstructions evacuating the filthy Humours and strengthning of the parts The Obstructions are opened by such Medicines as are mentioned in the cure of the Obstructions of the Liver and Spleen you may add to them such things which respect the Womb as Mugwort Fetherfew Pennyroyall c. If the Spleen be obstructed add such things which are proper for that as Caper-bark Ceterack Spleenwort c. Open the Saphaena or Ancle-Vein but first if the Maid be full of Blood open a Vein in the Arm. Then purge often with such Medicines as are prescribed in the Cure aforenamed and make use of such Medicines as powerfully open Obstructions there prescribed Zacutus Lusitanus doth much commend the Conserve of Mugwort given thirty dayes together drinking after it a little of the distilled Water of Savin in which Rubarb hath been infused The Salt of Mugwort is very good and Faecula Brioniae mixed with the Conserve hath an effectuall and powerfull operation If the Obstructions are stubborn and not easily opened make a Bath thus Take of the Roots of Marsh-Mallows Briony Elder and Lillyes of each two pound Balm Fethersew Mallows Mercury Maddir Mugmort Nep Pennyrorall and Violets of each three Handfulls the Seed of Flax and Fenugreek of each two Ounces boil them in a sufficient Quantity of Water and let the Patient bathe her self in the Morning and Evening two dayes let the Decoction be renewed the second day The next day open the Vein under the Ancle if the Terms be stopped as for the most part they are in this Disease then give Medicines that powerfully open Obstructions when you find that the Obstructions are opened which you may easily perceive by the decay of the aforenamed Symptoms then you must discusse the peccant Humours that remain in the Veins and other parts of the Body by Sweats for which you must use the Decoction of Guajacum in cold constitutions or of China and Sarfa in those that are hot In the mean while every fourth or fifth day give a purge to cleanse the Body of the crude Humours which cannot be sent forth by Sweat CHAP. LXXII Of the Stoppage of the Terms MEnsium Suppressio or the Terms stopped is when a Woman of ripe Age hath little or no Evacuation of Blood by the Womb once in a Month yet gives not suck nor is with Child Divers Diseases of the Womb may cause this Suppression viz. A cold and dry Distemper which thickneth and bindeth the Womb. A hot and dry Distemper dryeth the part Inflammation Tumor Ulcer or Erosion of the mouths of the Vessels in Abortion or Tumor in the adjacent parts by compression may cause this Stoppage The Vessels of the Womb may be obstructed by thick and phlegmatick Humours or they may be compressed by a Tumor in the parts adjacent The cause may be in the Blood when it offends in Quantity Quality or Motion in Quantity when there is
too much Blood which doth so dilate the Vessels that they cannot contract to expell it too little when the Body hath not enough for its Nourishment It offendeth in Quality when the Blood is thick slimy and viscuous by some cold Distemper of the Liver or by the mixture of such Humours with the Blood It offends in Motion when it flows some other way as by the Haemorrhoids by Urine the Nose Vomiting and by Spitting and many other wayes Riverius saith that he saw a Maid which had a sore Head which opened once a month and bled plentifully and I know a Maid in the same Condition at this time Externall causes are taking cold in the time of the Flux eating things of a very hot Nature by which the Substance of the Liver is dryed or Food that is cold thick and astringent especially at the time of Purgation eating too much or too little by too long retaining of Excrements by bleeding at the Nose or any unnatural Evacuation by Vomit Seige Urine or Sweat To these add the externall Causes mentioned in the Chapter aforegoing Of the Green-Sicknesse This Disease is known by the Patient's Relation but it is convenient to distinguish between this kind of Suppression and that which is common to Women with Child They who have their Menstrues thus stopped are pale and more discoloured then those who are with Child They who are in this condition the longer it continues the more the Symptoms encrease the contrary you shall find in Women with Child They are likewise more sad and melancholy then those who are with Child In these the lower Belly though it swell yet it is not so hard nor proportionable to the Womb. And Lastly an expert Midwife may distinguish it by the mouth of the Womb for in these the mouth of the Womb is not so close shut as in a Woman with Child but rather hard and painfull More particularly the Stoppage of the Vessels of the Womb are known by a pain in the Loins especially when the Terms should flow and if any thing issueth it will be white or blackish and slimy If the parts adjacent be obstructed the Veins in the Thighs Arms by abundance of Blood are swollen especially if the Woman be fleshy plethorick and hath fed high Or else the Woman wanteth Blood Or the Blood is corrupted which you may perceive by the evill habit of the Body and some Disease of the Liver If the Blood hath a praeposterous Motion or flow some other way it is manifest The Stoppage of the Terms is very dangerous and many I had almost said all Diseases may come thereof It is lest dangerous if it come by reason of too much Blood It is worst which cometh by Streightnesse of the Vessels or crude and slimy Humours which obstruct them The Cure consisteth in this generally If too much Blood be the cause abate the Quantity by Phlebotomy first in the Arm then in the lower Veins Then by Fomentations soften and relax the parts about the Womb and give such Purges as do properly provoke the Terms If you find that Want of Blood is the cause of the Obstruction use Restoratives in the first place and whatever you find to be the cause of Extenuation let that be removed and if you find a praeposterous Motion of the Blood labour to repell it and drive it to the Passage of the Womb. But seeing that for the most part this Obstruction is in the Veins of the Womb you may follow the same Rule in cure prescribed in the Chap Of the Green sicknesse adding such things which more especially respect the Womb. Purge thus Take of Aloes three Drachms the Masse of Cochy Pills one Drachm with the Juyce of Savin or Sirrup of Mugwort make twenty Pills and give three in the Morning every third day Emollient Clisters are likewise of great use After Phlebotomy and sufficient purging give such things as powerfully open Obstructions such as are prescribed in the cure of Obstructions of the Liver and Spleen to these add Medicines made of the Roots of Asparagus Parsly Fennel Smallage Maddir Elicampane Birth-Wort Angelica Cyperus the leavs of Wormwood Calamint Camomill Origan Southern-wood Mugwort Pennyroyall Hyssop Hore-Hound Rue Motherwort Sage Fether-few Maiden-hair Nep and Savin the seeds of Smallage Parsly Fennel Juniper Bayes Annis Cummin Nettles and such like of these may be made Decoctions or distilled Waters Sitrups and the like which I omit fearing my Book will swell to a farr bigger volume then I intended Of these or such like you may make a Bath for the Patient to sit in afterwards anoint the Share parts about the Privities with the Oyl of Dill Rue Lillyes c. You may likewise make dry Suffumigations with Castor Storax Galbanum Cinnamon Frankincense Bdellium Benzoins Lignum Aloes Cloves and Mace Or you may make Pessaries with the masse of Cochy pills Hony and the Juyce of Mercury Or with Hiera Picra and Benedicta Laxativa with the Hony and Juyce aforesaid but this remember that Pessaryes must be applyed to married Women onely If the Disease be inveterate let Issues be made in the Legs and after the menstrual Flux is obtained let them be dryed up again CHAP. LXXIII Of the immoderate Menstruall Flux Mensium Fluxus Immodicus is when the monthly Terms do exceed in Quantity come too often or stay too long This is caused by an opening of the Veins either by Abundance Heat Sharpnesse or Thinnesse of the Blood or by some Blow Fall or Wound to understand the Cause more fully have recourse to the 19 and 30 Chapters Of bleeding at the Nose and spitting of Blood The Disease it self may be known by the Patient's information and the Symptoms which follow viz. decay of Strength and Appetite an ill habit of the Body by reason of ill Digestion Swelling of the Legs and a Leady coloured Complexion To know the Causes observe that a thin habit of the Body with a Diet which doth encrease thin and wheyish Blood or you may perceive the thin and wheyish Humours in the Blood which cometh from the Patient this sheweth that the Blood soaketh thorough the Veins If the Coats or Ends of the Veins be broken the Patient hath had soule Wound Bruise or Fall or used some immoderate Labour Excercise or Venery hath indured too great Heat or Cold or she hath had a hard bargain in Child-birth a Miscarriage or been handled by an unskilfull Midwife If there be an Exulceration in the Womb by which the Veins are eaten thorough the Blood droppeth by little and little with Pain and Sharpnesse the Patient's Body is afflicted with sharp and cholerick Humours the Blood which issueth is at first matterish wheyish blackish or yellow If it encrease the Ends of the Veins come with the Blood and the Flux encreaseth and is hard to be stopped Prognosticks are All long and lasting Issues of Blood are dangerous especially those of the Womb that which comes by soaking
thorough the Veins though it continueth longer yet the Blood and Spirits do not so much decay therefore it is not so dangerous On the contrary the breaking of the Veins cause more danger because of the sudden issuing of Blood yet is sooner cured because the Patient hath Strength and Store of Blood But of all the other that which comes from Exulceration is most dangerous because some part of the Veins is perished which letteth out the Blood in great abundance and is very difficult to be cured If she grow weaker and the Issue more violent there is danger of Death in elderly Women it is hard to be cured Since the Cure must be performed in the same manner almost as is praescribed in the 51 Chapter Of the immoderate Flux of the Haemorrhoids I shall say the lesse First open a vein in the Arm and let her bleed much by degrees Use Frictions and Ligatures and fasten Cupping-Glasses to her dugs as Hippocrates adviseth Purge with the same Medicines prescribed in the Chapter aforegoing Also Vomits are good for they draw the Blood upwards and Hippocrates treating of Womens Diseases doth much commend them Then make use of this Powder much commended by Johannes Michael Paschalius and it is thus prepared Take the Shells of two new layd Eggs burnt Frankin-cense Mastick of each half an Ounce Pearls and red Corall prepared and Amber of each two drachms Hamatites and Emerald of each half a Scruple Barly meal fine sifted two Pugills the Whites of four Eggs and chalybiated Water enough to make the Powder into two Cakes bake them in an Oven so hard that they may be beaten to Powder give of this Powder half a Drachm or a Drachm in the Morning in Broth made of Sheeps feet or Calves feet The Juyce of Plantane Yarrow Nettles Shepherds Purse Knot-grasse Comphry and Hors-tail is very good or a Sirrup made of all or either of them is much and upon good grounds commended Milk in which red hot Steel hath been quenched allayeth the Sharpnesse of the Humours and stayeth the Flux Spiknard in fine Powder inwardly taken or applyed to the Womb upon a little Lint hath been much approved of Minerall Waters which receive their Tincture from Vitriol Iron or Allum do remove the Cause and strengthen the Part. The Chymists do much commend the Tincture of Corall and vitriolated Steel Before you go farther take this necessary Caution that you do not altogether give strong astringents but sometimes Medicines which strengthen the Liver and somewhat bind Outwardly foment upon her Loins Share and about the Privityes with a fomentation made of the aforegoing Herbs Then anoint the parts aforesaid with the Oyl of Myrtles Mastick and Quinces or make an Ointment more astringent adding Frankincense Dragon's Blood Sealed Earth Bolearmenick and the like Unguentum Comitissae is very powerfull in this Distemper Afterwards apply a Plaister to the Navel and Loins Emplastrum ad Herniam Hystericum or Emplastrum de Mastich either of these or all three are very effectuall Likewise dry Fumes Pessaryes and Injections for the Womb may be prepared of the aforenamed Herbs and other astringent Simples When she is cured you must endeavour to prevent the Disease for the future by the Rules prescribed in the 51 Chapter Of the Immoderate Flux of the Haemorrhoids CHAP. LXXIV Of the Whites THis Disease is called the Flux of the Womb the Woman's Flux and the Whites and it is an excrementitious Humour flowing from the Womb sometimes white and sometimes watry sometimes mixed with yellow green or black according to the Nature of the Humour Women are subject principally to this Distemper and sometimes Maids though some have affirmed the contrary and condemned them as unchaste yet according to the opinion of the wisest Physitians the purest Virgins may have this Infirmity and their opinion is confirmed daily by Experience These Humours are bred in the whole Body or in some particular part or in the Womb it self They are bred in the whole Body either by ill Diet or a vicious habituall Distemper The particular parts may be the Brain Stomach Liver or Spleen These Humours may be bred in the Womb by a cold or hot Distemper therein the cold maketh it unable to digest its Nourishment and the hot Distemper corrupteth it hence cometh this excrementitious Humour Child-bearing Abortion Contusion Inflammation Imposthume or Ulcer in the Womb may weaken the part and dispose it to breed and receive such Humours This Disease is known by the relation of the Patient from what part it cometh is thus known If the whole Body send this Humour to the Womb the whole Body appeareth in an evill State is weary and heavy as if the Patient were weary with hard labour and by this Flux her Body is at present refreshed the Hands and Feet are puffed up with a great itching and stinging if the Humour be cholerick If it come from some peculiar part the Symptomes and Excrements proper to that part appear If it come onely from the Womb something hath happened which hath hurt the Womb as a Fall or Blow upon the Back or Belly immoderate carnall Embracements especially if the Woman be young or any Disease of the Womb. Signes that distinguish between this Disease and an Ulcer in the Womb or Gonorrhaea are these If there be an Ulcer in the Womb that which floweth is more digested mattery mixed with Blood and stringy and cometh with pain and the Woman admits not of Copulation without pain In the Gonorrhaea the Matter comes in a small Quantity and seldom and is of a shining Whitenesse But if it be a Gonorrhaea which is gotten by acting with an unclean Person then is the Womb ulcerated the Urine sharp and many other malignant Symptomes This Disease is not dangerous but is hard to be cured for it is hard to divert the Humours from this Channell it being the Sink of the Body through which the superfluous Humours of a healthy Body are every Month evacuated That which is blewish green black and stinking is worse then that which is pale white and doth not stink This Disease is seldom cured in old Women because they abound in Phlegm Lastly by its continuance it may breed great evills as Barrennesse Falling out of the Wōb evill habit in the whole Body and Consumption To cure the Humour offended must be purged with convenient Medicines and because Phlegm for the most part is the Humour peccant purge with such Medicines as principally purge Phlegm with which mix such as purge the Humour mixed Vomits if the Patient be strong are good because they empty the Stomach of excrementitious Humours and do powerfully revell the Humours from the Womb. After sufficient Evacuations let the Patient take sweating Decoctions made of Lignum Vitae and Sassafras if the Patient be phlegmatick of China and Sarsa if she be cholerick or melancholy Also Sweat procured by sulphurous Baths is kind Milk wherein Steel hath been quenched is very good
and it will be more powerfull it a little Bolearmenick Sanguis Draconis and Terra Sigillata be given with it Among a multiplicity of Medicines which are astringont and proper for this Diseale I shall insert but one or two Zecheus doth highly commend this following Electuary Take of Gum Arabick and Gum Tragant of each two Drachms Corall of both sorts Eg-shells burnt Harts-horn Dill Seeds Amber of each four Scruples Hony of Roses as much as will make into it an Electuary give half an Ounce in the Morning and fast two howers after it This Julep I have found of great virtue Take of the distilled Water of Plantane red Roses Oak Leavs and Knot grasse of each four Ounces infuse therein a whole Night of the Flowers of Comphry Buglosse and red Roses of each one Pugill strain them out and make it sharp with Oyl of Vitriol with the Sirrup of Comphry and red Roses make a Julep for four or five Mornings Draughts Whatever part sendeth pblegmatick Matter to the Womb you must seek its cure from its proper Chapter To conclude the Medicines prescribed in the former Chapter are good against this Distemper Outward Remedies as Fomentations Unguents Fumes Pessaryes and Injections such as are prescribed in the Chapter aforesaid are usefull here CHAP. LXXV Of the Mother THis Disease is called the Hystericall passion Uteri Strangulatio by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it the Mother and Strangling of the Womb. It is caused by the Seed menstruall Blood or other excrementitious Humors retained besides the intent of Nature in the Womb and there putrified and corrupted breedeth venemous and malignant Vapours which arising doth afflict divers parts of the Body Now these Vapours do not alwayes afflict but when they are stirred up by some cause the most noted are sweet odours sweet meats eaten anger terror and grievous passions of the mind these and such like bring Women subject to this Infirmity into their Fits wherein their breathing is impaired sometimes to appearance abolished the Body becomes cold their Speech gone and Pulse intercepted so that they ly for dead and sometimes have been laid out for burial and yet have revived Sometimes these choaking Fits are not so extream yet is accompanied with other hystericall Symptomes as Vomitings Ravings Convulsions Swoonings and the like Sometimes the Patient feeleth herself as it were choaked by an halter or rope this is caused by abundance of Vapours and Winds ascending from the Womb sometimes seconded by hypocondriack Melancholy which Vapours compressing the Diaphragma and Lungs hinder Respiration and the Patient feeleth herself as it were strangled Others will have it proceed from the Nature of the malignant Vapours whose property is to cause Suffocation Sometimes she loseth her Breath without pain or sense of Strangling by reason of the stupefactive Power of these Vapours which taketh away the vitall Action from the Heart and so hindreth Respiration For Nature having ordained the drawing of Breath to cool the Heart and the Heart is extreamly cooled by these venemous Vapours having no need of the cool Air Breathing ceaseth For the vitall Spirits being destroyed the Animall which are made of them must needs lose their functions We may also say that these venemous and stupisying Vapours do fly up and assault the Brain and hinder the Influx of the animall Spirits whereby the Motion of the Diaphragma and the Muscles which serve for Respiration are hindered Likewise the Womb being filled with these flatuous Vapours doth ascend towards the upper parts as it were by a convulsive Motion which causeth a Compression of the Midriff and Muscles of Respiration Sometimes these sharp and malignant Vapours ascend to the Head and disperse themselves into the membranous parts and cause divers pains pricking and smarting and sometimes stretching and swelling sometimes they cause pains beating like the Pulse Sometimes the Falling-Sicknesse cometh from the Womb by reason of sharp and malignant Vapours which having gotten a powerfull Acrimony do sharply smite the nervous parts These Vapours assaulting the Heart the Heart laboureth to expell them hence ariseth Palpitation Likewise it causeth a great Pulsation in the Back The Stomach doth oftentimes suffer much by this Distemper according to the Nature of the Humours afflicting or part of the Stomach it gets possession of as Want of Appetite or a depraved Appetite that is destring Food which Nature disdains as Coals Chalk c. Loathing of Meat Vomiting Belching Hiccough and pain in the Stomach If in the Womb menstruall Blood is retained it floweth back by the Voins into the Liver from thence shed abroad into the whole Body hence cometh Swelling Feavers and other Diseases If it flows back to the Spleen Swelling Stopping Melancholy and hypocondriacal Diseases are bred Lastly Women have pains in their Loins Thighs and other parts which are caused by these Vapours conveighed from the Womb. Therefore to know this from other pains mark well the Signes of this Disease Much may be gathered from what huth already been said remembring this you must not expect all the Symptomes in one but some in one and some in another the Breathing faileth Sense of Strangling Coldnesse of the Body the Pulse ceaseth and the like which I have mentioned before There goeth before the Fit a Noise in the Belly below the Navill Belching Inclination to Vomit Wearinesse Stretching the Face pale and wan As it gathers Strength it bringeth Suffocation or Choaking afterwards all the vitall animall Actions are depraved diminished and as it were abolished the Womb may be felt in divers parts of the lower Belly gathered round like a Ball tossing and tumbling to and fro When the Fit begins to be over a moist Humour floweth out of the Womb the Body beginneth to be warm they have a Colour in their Face they open their Eyes they sigh they begin to move and so by degrees are freed from the Fit Signs of the Causes are thus known If the Seed corrupting in the Womb hath been the Cause there hath preceded those things which might gather together or excrease Seed and cerrupt it in the Womb as flourishing Age high keeping and an idle life Sanguine Complexion and ripe for Generation or one formerly accustomed to the Actions of Generation and left it of if any such fall into this Disease and have their monthly Purgation well you may judge that Corruption of Seed is the Cause If it come from the Putrefaction of menstruous Blood the Menstrues are stopped or come not down well and the Woman wanteth no carnall Embracements If evill Humours be the Cause the Woman enjoyeth camall Excercise and hath her monthly Purgation but her Body is full of evill Humours Prognosticks we make thus This Disease is seldom mortall but of long continuance the Patient is in great danger if it continue long because Respiration being so often hurt there is danger that the native Heat be suffocated Young Women when they come to bear Children for the most part
Inflammation imposthumate and gather Matter the pain and Feaver encreaseth and the Patient hath shaking Fits and most of all about the Evening Sometimes it turns to an Ulcer which is known by avoiding of snotty Matter or Quittor out of the Womb. If it be party-coloured greenish or Lead coloured stinking and cometh away with great pain it is the worse If it depend upon the French Pox or Gonorthaea their Symptoms will declare the same Sometimes the Inflammation turns not to an Imposthume nor Ulcer but to a painlesse hard Swelling called a Schirrus which is thus known the Feaver and pain ceaseth and the Swelling remaineth there is a hardnesse heavinesse and Sense of Weight bearing down when the Woman standeth As to the Prognostick I shall say a word or two of either of them An Inflammation of the Womb is a dangerous and de adly Symptome especially if the whole Womb be inflamed If a Woman with Child suffer Inflammation of the Womb the Child dyeth and probably the Mother followeth Ravings Hiccoughs Coldnesse of the Hands and Feet and cold Sweats are the Messengers of Death If it imposthumate and turn to an Ulcer it ought not to be slighted because the Womb is of exquisite Sense and hath a fellow-felling with the principall parts of the Body If the Ulcer turns cancrous hollow or fistulous it is seldom or never cured but vexeth the Patient miserably all her life-time An Ulcer in the Neck of the Womb is most easily cured because Medicines may be applyed to them immediatly A Schirrhus or insensible hard Swelling is seldom cured because the naturall Heat is so weak in that part that it can hardly discusse such an hard and almost stony Substance If it be not cured it soon brings a Dropsy and if it be tampered with with over hot and moist Medicines it turns to a Cancer The Cure you must prosecute thus First in the Inflammation of the Womb give a cooling Clister then open the Basilick Vein on the same side the Womb is inflamed if all the Womb be inflamed repeat your Phlebotomy afterwards open the lower Veins Rubbings and Bindings are good and Cupping-Glasses fastened to the Loins and Back Purge the Humour offending with such things as purge gently Then give cooling Juleps or Emulsions to allay the Heat and sharpnesse of the Humours mix therewith Narcoticks to give ease and rest if the Patient be tired out Apply cooling Liniments and Cataplasms In Liniments use the Oyl and Ointment of Roses Galen's cooling Ointment Ceratum Santalinum and such like and with the Oyl of Roses white Bread and Milk make Cataplasms adding the Juyce of Henbane Night-shade Plantant and Sorrell or instead of the white Bread the Meal of Barly Flax and Fenugreek Seed Of such cool Herbs make Injections and Pessaries But use not cooling and repelling too long lest the Tumor be fixed and hardned but rather use softning and discussing Medicines with repelling such as these viz. Marsh and cōmon Mallows Mugwort Melilor Camomill Fenugreek If the Patient be subject to be costive give gentle purgers or mollifying and cooling Clisters If the pain be very violent make Injections with new Milk and a little Opium and make Pessaries of Philonium Romanum and a little Cotton and apply it If it tends to Suppuration apply a Cataplasm made of the aforenamed softning Herbs fat Figs Yolks of Egs Saffion Oyl of Lillyes and fresh Butter When it is broken we must endeavour to purge out the Quitter and cleanse the Ulcer You must often purge with gentle Medicines as Senna Rubarb Tamarinds Mirabolans Agarick Catholicon and such like that the evill Humours may be diverted from the Womb for such who are easy to vomit a gentle Vomit is very profitable Make a vulnerary Drink to cleanse and heal the Ulcer Take of Agrimony Burnet Mugwort Knot-Grasse Plantane and Yarrow of each one Handfull China Root half an Ounce Rha Ponticum one Ounce Currance and French Barly of each two Ounces boil them in Chicken-Broth and let the Patient take somewhat more then a Quarter of a Pint Morning and Evening Venice Turpotine washed in Mugwort Water or in the Water of any other Herb respecting the Ulcer is good to cleanse and heal it If the Humours be sharp and painfull inject the Emulsion of the cold Seeds Goats Milk or for want thereof Cows Milk with the Juyce of Shepherds Purse or of any of the Herbs aforenamed To dry and fill up the Ulcer make a Decoction of the aforenamed Herbs or of the like Nature made in Water wherein Steel hath been quenched or in Plantane Water add thereto Acacia Hypocistis Sanguis Draconis Bolearmenick fine Starch Aristolochia rotunda great Comphry c. Unguentum Egyptiacum de Plumbo de Ceruso and de Apio are very good in Injections and the Oyl of the Yolks of Egs stirred in a Leaden Morter is much more commended If the Ulcer in the Womb come by reason of the French Pox a Fumigation made of Cinnabaris or Minium taken into the Cavity of the Womb hath a peculiar property to cleanse and heal the Ulcer the same virtue hath Quick-Silver Ointments If it come to a Schirrhous Tumor you must purge the melancholy and rebellious Humours and give steeled and such Medicines which powerfully open Obstructions of the Womb or other parts Then you must prepare emollient and resolving Medicaments to be applyed outwardly as the Fomentation and Cataplasm mentioned in the 56 Chapter Of the Schirrbus of the Liver Likewise the Liniment there prescribed may serve here for an Injection To conclude you must use a great deal of care diligence and industry in this Cure lest that the Tumor become harder or which is most dangerous degenerate into a Cancer CHAP. LXXVII Of the Womb swelled by Wind or Water There is a twofold Dropsy of the Womb one from Wind which is like that sort called Tympanites the other from a watry and wheyish Humour answering to Ascites Some add a third answering to Leucophlegmatia which is seldom seen This Wind or Water is contained in the Cavity of the Womb or in the Membranes thereof or in certain Bladders It is caused by the weaknesse of naturall Heat in the Liver or Spleen from which parts Wind Phlegm or wheyish Humours are sent to the Womb or by the weaknesse of the Womb those Humours are collected Causes which weaken the naturall heat of the womb are many viz. cold aire heedlesly taken into the womb or staying in the cold or padling in cold water whilst the courses flow the use of cold meates and drinks add to these abortion hard labour immoderat flux of the Termes all diseases proper to the Womb. This disease is best discovered by signes which distinguish between this and the universall Dropsy of the Belly The Womb-Dropsy causeth a swelling chiefly in the lower Belly in the other Dropsy the swelling is in all parts in this the Body decays not nor there is not such a Thirst and Drinesse of
examine the man and see if the fault be not in him It is known thus if the man be unable to raise his yard if he want Sperm if he hath a swelling in his Stones or if he have the Running of the Reins he is not fit for Venus School If the man be of an effeminate Spirit if he hath no Beard if he be long casting forth his Seed and taketh little delight in the act and the Woman in the act feeleth his Seed cold be sure the man is unfruitfull Or Causes which may make the Seed unfruitfull have preceded Prog These that conceave not by reason of tendernesse of age have great hopes to live to have better successe but if she live above forty and never conceaved she hath little reason to hope If Barrenness be caused by Fatnesse or any Distemper or Disease whatsoever if the Woman can procure Leannesse or have her Distemper removed she may conceave But if Barrennesse be caused by evill shape of the Members it is likely to continue In the cure you must endeavour that whatsoever hindereth may be removed If tendernesse of age be the cause let her wait the time in the mean while let her refuse carnall Embracements lest her genitall Members be spoiled If it be caused by Age that is incurable by weaknesse of Nature you may endeavour to strengthen the Body and revive the Spirits but it is difficult If the Body be too corpulent or too manly you must extenuate moisten and cool If any Distemper of the Womb hinder Conception labour to remove the Distemper If a hot Distemper be the cause cure it as a hot Distemper of the Liver If drinesse be the cause use a restorative Diet such as is prescribed in the Chapter Of the Hectick Feaver If it be caused hy Witch-craft next to fervent and devout prayers to god and a confident despising and slighting of Charmes and Witch-crafts let the Woman wear the Pizzle of a Wolf about her or the Adamant or Hyacinth Stone which are much commended against Fascination likewise Sea Onions Sea Holly Sagapenum Rue and St John's Wâ—rt which some call the Divell driver are of great efficacy But for the most part a cold and moist Distemper of the Womb and of the Body being accompanied with the Whites is the cause whose particular cure you may find in its proper Chapter You must purge the cold phlegmatick Humours you must make Issues in the Arm Neck or Thighs and give such things as strengthen the Womb. Some things there are which have a peculiar virtue to cause Faecundity and remove Barrennesse viz. the After-Birth of a Woman dried and beaten to powder and given to the quantity of a Drachm The Stones of a Bore pig and the Liver which was farrowed alone without any more in that Litter Half a pint of the Juyce of Sage taken a quarter of an hour before the Woman enjoy her Husband it is best for her to take it soon after she hath had her monthly Purgation Rejecting the multiplicity of Medicines which I might here insert I shall content my self and the Reader with one or two of the best of them and first an excellent Electuary may be made thus Take of the Roots of Eringo and Dogs Stones called Satyrion candied or preserved of each one Ounce Green Ginger candied half an Ounce Pine and Filbert kernells and Pistachios of each six Drachms one preserved Nutmeg the Seeds of Rocket and Water-cresses of each two Drachms Ashes of a Bulls Pizzle the Reins of the Sea Scinkos and Shavings of Ivory of each one Drachm Confection of Alchermes three Drachms the Powders Diambra and Diamoshe Dulce of each one Ounce and an half Ambergreese half a Drachm with Sirrup of preserved Citrons make an Electuary and let the Woman take the quantity of a Chesnut to Bedward twice or thrice in a week and drink a glasse of Sack after it Quercetanus doth much commend this Decoction following Take of the Stones of a Ram prepared with Wine and dryed the Matrix of a Hare prepared in the same manner Mace Cinnamon Cloves white Ginger and Seeds of Ammeos of each two Drachms Saffron a Drachm and an half Hazell-Nut kernells and Pistachios of each three Drachms boil them in a quart of Muscadine till a third part be consumed let her take three or four Ounces of it for three dayes together three houres before Meat then let her upon the fourth day have Geniall Embracements with her Husband Likewise externall Medicines as Pessaries Injections Fumigations such as have power to cleanse dry and strengthen the Womb may be applyed the afore-going Chapters will direct you CHAP. LXXX Of Miscarriage ABortion or Miscarriage is the bringing forth of a Child either dead or alive having not attained to the just Term of growth which it ought to have had The Causes are either externall or internall the externall causes do either kill the Child deprive it of its naturall Nourishment or loosen the bands by which the Child is fastened in the Womb. Things that kill the Child are the Stink of a Candle or such abominable Smells such things as are antipatheticall to the Womb and provoke the Courses strong purges or the Child may be killed by violent Commotions of the Mind as Anger Sadnesse Terror c. and many times things longed for and not obtained kill the Child If the Mother undergo Penury or Famine or lose much Blood the Child wanteth Nourishment The Bands by which the Child is fastened to the Womb may be loosned by violent Excercise dancing running riding being jumbled in a Cart or Coach by some fall lifting or carrying any thing which causeth a violent motion of the Belly as Coughing Sneezing Vomiting Convulsions c. or immoderate Copulation Internall causes of Abortion may be attributed to the Humours to the Child to the Womb. Humours offend in excesse or defect in excesse in a plethorick and full constitution when more Blood flows to the Womb then is requisite to nourish the Child and flows to the Veins so the Courses flowing provoke the expulsive Faculty and drive forth the Child Defect of Humours fit to nourish spring from such causes which destroy the Nourishment or draw it from the Child as long fasting loathing and vomiting up of all Food immoderate bleeding at the Nose Womb or Haemorhoids or a Loosenesse or any thing that makes the Body lean or weak The causes attributed to the Child are if the Child be over great if there be more then one for the womb overladen doth exclude the Child before the fit time likewise if the Child be dead Nature desires to be rid of it In respect of the Womb if it be any way diseased or defective that it cannot open as the Child groweth bigger or if it be moist or slack it cannot contain the Child but Abortion must necessarily follow Abortion when it happens is known there are signs preceding it which do foretell Abortion to follow her Breasts grow
little and flaggy she feels a heavinesse about the Loius and Hips she hath no appetite to eat nor desire to stirr she hath a shivering by Fits she hath Streightnesse of the Sides and Belly above the Navell and a pain in her Head plenty of Milk flowing from the Dugs shews that the Child is weak and danger of Abortion If pains about the Reins Loins and Share torment the Woman then know that Abortion is hard at hand the same judg if Blood or Water burst out and flow and the Scituation of the Child is changed from the middle of the Belly to the Bottom If any of these or the like Symptoms befall a Woman with Child after any externall cause of Abortion as Blow Fall c. let the Woman betake herself to her Bed and take such Medicines which prevent Abortion Prognosticks of Abortion are thus made Women are more endangered by Abortion then by a naturall and timely Birth because in a timely Birth the Vessels and Ligaments are loosned and opened of their own accord but in Misearriage they are broken in sunder the like you may perceive between the Stalk of ripe and unripe fruit Women many times become barren by Miscartiage because the womb is rent and its natur all disposition much altered Much bleeding seconded with Convulsions raving and fainting is alwayes deadly If an Inflammation of the Womb follow Abortion it is deadly In young Women who never bore Child before it is worst because the passage is narrower and they more unaccustomed to pains The bigger the Child is the more the danger Women who have moist and slippery Wombs do often miscarry and with little danger To prevent Miscarriage you must before and after she is with Child endeavour to remove all evill dispositions of the Body or Womb that may cause Miscarriage if Blood abound open a Vein purge the peccant Humours strengthen the Womb but if the Woman be with Child beware how you bleed except it be in the first month and the Body full of Blood and in this case let Purges be gentle and often reiterated To conclude to streng then the Womb fetch Medicines from the 73 Chapter CHAP. LXXXI Of hard Travel in Child-birth HArd Labour is when more vehement Pains and dangerous Symptomes happen to Women in Travell and continue a longer time There are divers causes some whereof may be assigned to the weakness of the Womans Body Leannesse or Drinesse as well as Fatnesse of the Body her Age or Sicknesses as the Stone or preternaturall Tumor in the Bladder or any Disease of the womb Other causes may be assigned to the Child when its Body or Head is too big when there are two or when the Child is dead or when it endeavours to come forth with his Feet Hands Back Belly or Breech c. A cold and dry Air and Northern Wind streightneth the Body and driveth the Spirits inward and is obnoxious to the Child's first entrance into the world If the Air be more hot then ordinary it is as bad as the former for it dissipates the Spirits exhausts the Strength and introduceth feavourish Distempers into the Bodyes of Mother and Child Meats of a hard digesture or astringing quality taken a little before the time of Delivery Sleepinesse and Sortishnesse the Retention of Excrements all vehement Passions of the Mind want of an expert Midwife and Women to assist the labouring Woman may be causes of hard Labour Hard Labour is easily known to the Woman herself to the Midwife and the Assistants The time of a naturall Birth ought to be accomplished in the space of twenty four houres if the Woman continue a longer time it is hard Labour If her pains be weak and long before they return and more about her Back then Privityes the causes may easily be known many you may gather from the Relation of the Woman in Travell her Leannesse Weaknesse Fatnesse and Age is perceived Diseases of the Womb and Bladder may be known by their proper Signes The Bigness and disorderly Posture of the Child is soon seen by an expert Midwife If the Child be dead you may know it by these Signs the Breasts of the Woman become flat and flaggy her Eyes hollow and troubled her Face and Lips are of a pale and leaden colour her Belly is cold there is a Sense of Weight there is no Motion felt though you apply somthing wetred in the Decoction of Tansy warm to her Navell When the Woman turnes the Child sways that way like Lead If the after-Birth come away before the Child it is a Sign of the Death of the Child And if the Child cometh not away it soon putrifieth and stinketh and stinking Moisture floweth from the womb and their Breath stinketh Hard Labour is dangerous for sometimes the Mother sometimes the Child and sometimes both do lose their lives Sleepy Diseases and Convulsions if they befall a Woman in Travell death is at hand If the Woman be in Travell above three dayes it is likely the Child will dy If the Woman fall a sneezing in her Travell it is good saith Hippocrates If the Child be dead the danger is exceeding great especially if it be not brought soon away for it will cause Feavers Faintings Convulsions dead Sleeps and death it self In difficult Labour first all causes which hinder the Birth must be removed if it be possible then such things as further the Birth must be administred An Ounce of Oyl of sweet Almonds and a Drachm of Confectio Alchermes given in Broth is good Burn white Wine with a little Saffron and Cinnamon afterwards dissolve a little Alchermes this I have found very powerfull to hasten the Birth If you find this Medicine too gentle make a Julep of more efficacy thus Take of the Water of Mugwort and Vervain of each two Ounces the Sirrup of Maiden-hair one Ounce Confectio Alchermes half a Drachm Dittany of Creet and both Birth worts of each one Scruple Oyl of Cinnamon five Drops mix them and make a Potion Oyl of Amber fifteen Drops or the Extract of Saffron five Grains may be either of them mixed insteed of the Oyl of Cinnamon Provoke sneezing and open the lower Veins if need be Then let the Midwife anoint the Mouth of the womb with the Oyl of Lillyes and Sweet Almonds and the like and foment the Belly with a mollifying Decoction and in a dangerous case give a sharp Clister Some things have a peculiar property to help the Birth as the Stone Aetitis Loadstone and Storax held neer the Privityes the Eyes of a Hare taken out in the month of March and dryed use it as the Stones and when the Woman is delivered take them away lest it draw out the Womb. Some commend the Gall of an Hen applyed to the Navell If the Child be dead give the same things before mentioned but it is convenient to make them stronger by adding Savin Water and the Leavs of Savin dried the Troches of Mirrh
Citrons These Powders are pood of Corall Pearls Ivory Harts-horn Diamargaritum frigidum Diatriasantalon Diarrhodon Abbatis Confectio Alchermes and de Hyacintho with these may the Ingenious make Electuaryes or other Compositions according to Art CHAP. LXXXVI Of the Hectick Feaver AN hectick Feaver occupies the solid parts of the Body as well as the Spirits it is an unnaturall Heat of which the Patient is scarce sensible This Feaver is either primary and begins of it self or secundary and followeth some other Feaver Some begin at the Heart and some at other parts as the Lungs Liver Spleen Kidneys Womb or other parts inflamed The causes of this Feaver are externall or internall Externall causes are all that may occasion any of the other Feavers The Internall Causes are burning and pestilentiall Feavers which do speedily consume the Moisture of the Heart or some lingring Feaver An Inflammation Ulcer Putrefaction of any of the inward parts may cause an hectick Heaver An hectick Feaver is known easily because it is continuall without encreasing or decreasing saving a little after Meat the Pulse is little frequent and quick the Arteryes are hotter then the other parts the Urine appeareth as of a healthy man but after long continuance there is an Oyl swims on the top and a Sediment like to Meal which signifieth the Wasting of the Body An hectick Feaver may be cured unlesse it be neglected till it come to the height that is when the Eyes are hollow dry with dry Excrements the Bones stick out and the Colour of the Face is gone the Skin is dry and the Midriff so contracted as if the Patient had no Guts then it is incurable If the hectick Feaver depend upon the Disease of any other part the Cure must be directed to that Discase and if it be joyned with any other Disease respect must be had to that Disease The Cure of the hectick consisteth more in a due observance of Diet then in Medicines His Diet must be cool moisten and soon nourish as Chicken Broths or Broth made of Hens Capons Veal Kid Mutton in which boil French Barly Lettice Endive Succory Sorrell Burrage Purslane and such like The Flesh of young Hares Pheasants and young Partridges are good Panados Water Gruell Barly cream Rice pottage with Almonds or the cold Seeds Boiled Meat is better then rosted and if the Patient eateth rosted Meat let Oranges and Lemmons be his Sauce For his Diet likewise may be prepared Gellyes made of Capons Knuckles of Veal and Mutton Calves Feet Sheeps Feet and such like adding Herbs or other Ingredients that are cooling moistning and cordiall New laid Egs boiled rear are good and of Fruit Apples are much commended especially Pippins because they breed cold Blood For his drink let him use Barly Water with cooling Sirrups Galen approveth of cold Water with which he saith he hath saved many from the Marasmos which is the Consumption of the radicall Moisture of the Body which commonly followeth this Disease Great care is to be used in the giving of cold Water to decayed people lest the heat of the Patient should be wholly extinguished Motion and much Stirring and Labour is not good yet a little Exercise before Meat may be allowed of But above all Excrcises let him beware of the Under-sheet Let his Sleep be moderated if he be costive provoke a Stool by a Suppository or gentle Clisters Purges are not to be allowed of because the Body hath more need of repairing then weakning yet if the Body be full of Excrements you may venture to give gentle Purgers as Cassia Manna c. Cooling and altering Juleps such as are prescribed in the Chapter before going the Patient make use of but let him beware of the too frequent use of them lest they diminish his Heat too much Such Epithems Unguents or Oyles mentioned in the aforegoing Chapter are good to temper the Heat of the Lover Lastly such Medicines mentioned in the former Chapter as strengthen Nature and revive the Spirits may be used and there is need enough thereof The worst Symptome that can attend this Disease is a Loosenesse if it so happen give Goats or Cows Milk wherein Steel hath been quenched or Rice boild in it or Sirrup of Quinces given with the Decoction of French Barly parched or such like CHAP. LXXXVII Of the Tertian Ague THis Disease is divided into an Exquisite and Bastard Tertian the exquisite is terminated in 12 hours but a bastard lasteth lenger if it exceed twenty four hours it is called Tertiana extensa a Tertian extended The Tertian Ague is Simple Double or Triple the Simple is that which cometh every other day the Double Tertian cometh every day and shall be distinguished from the Quotidian in its proper place and sometimes the Patient hath two Fits in one day The Triple Tertian is when the Patient hath three Fits in two dayes Choller and such things as engender it are the cause of this Disease viz. a hot and dry Distemper of the Spleen youthfull Age hot Air Watchings Cares Anger Fastings use of hot Meats and overmuch Exercise Those that have hot Livers that eat and drink liberally and such things as breed Crudityes Phlegm and melancholy Humours are subject to bastard Tertians by reason of the Mixture of Choller with the Crudityes The exquisite Tertian doth alwayes begin with shaking the Quotidian begins with a light Shivering or Coldnesse After the cold Fit followeth great Heat sharp biting and intolerable Thirst and sometimes all the Symptomes of a putrid Tertian Feaver In the bastard Tertian all the foregoing Signes appear but more remisse and more vehement then a Quotidian according as more or lesse Phlegm is mingled with the Choller this Disease cometh nearer to a Quotidian or exquisite Tertian A Legitimate Tertian seldom lasteth above seven dayes and is not dangerous unlesse some Malignity be joyned with it and the Patient be of a healthy constitution and temperate in eating and drinking judg the contrary if the Patient is otherwise qualifyed If the Patient's Lips break out with Scabs or if he fall into a Loosenesse these are good Signes for Nature is turning out the Enemy To work the Cure a cooling Diet must be appointed and withall moistning such as hath been prescribed in the Cure of continuall Feavers the same you must observe in the double Tertian But in the bastard and Single Tertian a fuller Diet is to be observed What ever the Patient â—ateth let him eat nothing before the Fit two or three hours that there may be a digesture but it is good if he go to Stool before the Fit to help the same give a Clister Clisters in an exquisite Tertian must be made of emollient and cooling Decoctions adding Cassia Catholicon Diaprunum lenitive and solutive c. In a bastard Tertian let the Decoction be emollient and cutting and dissolve in it Diaphaenicon Hony of Roses c. Purgatives ought to be the same for the exquisite Tertian as for the continuall
drachm to a drachm Take them at night and continue taking them a week together Pilulae Mastichinae Mastick Pills They strengthen and purge the Stomach Brain Belly and Reins Take them as the former Pilulae Mechoacanae Pills of Mechacan They purge Flegm with violence The dose is from a scruple to half a drachm Pilulae de Opopanace Pills of Opopanax It purgeth cold Humours from the Joynts and Nerves is good against the Gout and Palsie Take a scruple or half a drachm in the morning Pilulae Rudii It purgeth Choller Flegm and Melancholly from the head and other parts of the body it is quick in operation safe and the best of Purges The dose is from one scruple to half a drachm Pilulae Russi They are preservative in Pestilential Times and evacuate malignant humours and such as are gotten by Surfeits and strengthneth the Vitals The Dose is from a scruple to a drachm take them to Bedward Pilulae sine quibus Pills without Which It purgeth Choller and Flegm from the Brain it is good for Ophthalmia caused by Choler and is good â—n the Bastard Tertian The Dose is from half a drachm to a drachm Pilulae Stomachicae Stomach Pills It strengthneth the retentive and digestive Faculties of the Stomach and cleanseth it of offensive humours The dose is from one drachm to two Pilulae Stomachicae cum Gummi Stomach-Pills with Gums They are of the same nature with the former they are stronger in operation The dose is a drachm take them in the morning early and sleep after them Pilulae de Succino Pills of Amber It is friendly to the Womb and takes away the causes of Sterility and helps Conception purging Choller and Flegm and leaves a binding and strengthning quality behind it The dose is from a scruple to a drachm take them at night Pilulae ex Tribus Pills of three things Strengthen the Stomach and Liver open Obstructions helpeth the Yellow Jaundise and frees the body of Cholerick Humours which cause the Itch and Scabs The dose is from one scruple to a drachm take them at night Pilulae Turpeti aureae They purge Choller and Flegm strengthen the Stomach and Liver Take them as the former Pilulae Azaiereth It strengthneth the body evacuateth Choller from the Veins and Chollerick Flegmatick and putrid humours from the Stomach and is a good preservation in Pestilential Times The dose and manner of taking them is the fame Pilulae ex Bdellio Pills of Bdellium They are good in the immoderate Flux of the Terms and Hemorrhoids The dose is half a drathm Pilulae de Rhabarbaro Pills of Rubarb They evacuate Chollerick Humours help the Jaund se open Obstructions of the Liver and strengtheneth the Stomach Take them at night from a scruple to a drachm Pilulae Arabicae It removeth the Diseases of the Head as the Vertigo and Megrim it makes a man merry it preserves his Mind in vigour clears the Sight repairs Hearing lost and frees the Stomach of vitious humours Take in the morning from one scruple to four Pilulae Arthriticae It helps the Gout and other Joynt-Griefs or whatever Disease hath its original from Flegm Take from one drachm to four scruples in the morning Pilulae Fumariae Pills of Fumitory This Pill is good for such as are troubled with Scabs Itch and such like for it purgeth Chollerick and adust Humours and falt Flegm The dose is from two scruples to a drachm take it in the morning Pilulae Indae It generally purgeth Melancholly therefore necessary in all Melancholy Diseases as Cancers Leprosies Quartan Agues Pains and Tumors of the Spleen Sadness Fear c. The dose is from half a drachm to four scruples take them in the morning Pilulae Luis Majores They are given with happy success in Diseases of the Eyes it purgeth Flegmatick and mixed Humours from the head and strengthneth the visive virtue Take them as the former Pilulae de Euphorbio Pills of Euphorbium They are good against pains in the Loins Dropsies and Gouts coming of a moist cause half a drachm is a sufficient dose Pilulae Scribonii They are good against spitting of Bloud Ptisicks and the like Take a scruple going to bed Pilulae de Cynoglosso de Styrace Pills of Hounds-Tongue and Styrax They are both good against a Defluxion of hot Rheums upon the Lungs or other parts against Cold caused by Defluxion and provokes sleep Take one scruple or two if you find your body strong Laudanum Nepenthes Opiatum It mittigateth violent pains allayeth the Fumes that trouble the Brain in Feavers and provoke sleep Beware how you give such Medicines in the beginning of Feavers The dose is from one grain to four CHAP. VIII Of Powders POuders may be made of any Hearb Flower Root Mineral Stone c. and they are varlously compounded as followeth Aromaticum Caryophyllatum Take of Cloves 7 drachms Mace Zedoary Galanga the less Yellow Sanders Troches Diarrhadon Cinamon Wood of Aloes Indian Spicknard Long Pepper Cardamoms the Less of each one drachm Red-Roses four drachms Gallia Moschata and Liquoris of each two drachms Indian Leaf and Cubebs of each two scruples beat them all into Powder It strengtheneth the Stomach and clears the Vital parts stays Vomiting breaks Wind and helps Digestion Take a drachm or two Aromaticum Rosatum It strengtheneth the Stomach Heart and Brain and is good against Swooning Palpitation Convulsion Epilepsie and such like it discusseth Wind and strengtheneth the Natural Parts and is profitably given in Consumptions The dose is from half a drachm to two drachms Puluis ex Chelis Cancrorum composiuts Or the Pouder of Crabs Claws compound Otherwise called Gascoins Pouder It is very good in Feavers either intermitting putrid or malignant it is of known virtue in the Small Pox and Measels it is very cordial chears the Heart and Vital Spirits The usual dose is from one grain to twelve Species Cordiales Temperatae It is a great Cordial strengtheneth both Vital and Animal Parts and is often prescribed among other Cordials The dose commonly is from a scruple to half a drachm Diacalaminth Simple and Compound It heats the body and cuts gross humours it expels Wind and opens Obstructions provokes Urine and the Terms and cleanseth Women in Child-bed The dose is half a drachm Dianisum It powerfully discusseth Wind from the Stomach and raw Humours and removes Flegmatick Humours which causeth a Cough Take half a drachm or a draclim being made into an Electuary Pulvis Radicum Ari compositus Powder of Aaron Roots compound It provokes Urine and the Terms expels the dead Child and After-Birth and cleanseth the Womb and easeth Fits of the Mother cleanseth the Stomach of tough humours and is a good Antidote say some against poyson Give a scruple or half a drachm Diaires Simplex Or Pouder of the Root of Flowerdeluce It is good against Coughs make it into an Electuary with Honey or some Pectoral Syrup and take it with a Liquoris Stick
by which heat flegme and other humors good and bad are drawn from the brain which the brain fetcheth from all the body hence comes its decay and extenuation The Patient spetteth thick rotten Flegm and doth sweat at night as soon as he sleepeth A Consumption confirmed is known by these signes the Patient spitteth matter it self the Feaver stronger the Cough more violent with more provocation and lesse Evacuation the Cough is attended with a hollow sounding he ineth and wanteth appetite for the mouth of the stomach is weakened by the Defluxion The belly is loose for the Flegm falling from the head weakeneth the stomach and Bowells and the retentive Faculty is destroyed The Patient breatheth difficult ly for the faculty is weak and the Bronchia stopped with Putrid Matter the haire falleth off the cheeks waxe Blue and his feet swell the nailes of the fingers are crooked because the flesh on the tops of the singers which held them up is decayed Let the Patient spit in a Bason of Faire Water if he spit Matter it sinketh if Flegm it swimmeth Thus have I briefly touched upon the causes and signes of a Consumption a word or two of the Prognostick If the Consumption hath not long continued and the Ulcer but newly begun it may be cured otherwise not for those things which dry the Ulcer doe hinder spitting and encrease the Feaver and maketh the body leaner Those things which are moist good against leannesse and Feavers doe make the Ulcer fouler Those that have narrow and streight breasts and their shoulder blades stick our like wings are inclinable to Consumptions to whom it is natural for want of natural heat If the Consumption came with an acute Disease or the sick fall into an acute Disease it killeth speedily If the Patient spitteth stinking matter or cannot spit at all his belly loose he is very near Death It would take up a great deal more room then I have to spare to set down the cure of a Consumption I mean when it is only begun and the Patient strong I shall only Epitomise it Let the sick drink Milke warm either Asses Goars or Red Cows but above all the Milke of a sound woman is the best Let him use a coole and moist diet and make use of such things which may correct the Blood make a decoction of China Sanders and Guajacum You must purge the humors offending but be sure you make use of such purges as work very gently as Manna Rhubarb Cassia Sirrup of Roses and the like To allay the Feaver it is lawful to let Blood if your Patient be not too lean You must divert the Defluxion have recourse to the ninth Chapter Then you must give such things which have a healing quality to cure the Ulcer of which the Milk spoken of before is very good and if Sugar of Roses be given with it it will be much more available Conserve of Roses is good if it astringe too much and the breath fail and the sick cannot spit make use of Expectorating medicines as the Sirrup of Hysop Coltsfoot or Lohocks the last Chapter will enforme you If hear be procured by the same means give coolers as the Sirrups of Violets and Jujubes the Musilage of Flealand Quinces and the cold seeds The Sirrup of the juice of Ground Ivy is much commended by Quercetan see the fourth Book of Sirrups This Sirrup hath admirable virtues Take of the juice of Grounding Veronica and Carduus Benedictus clarifyed of each eight ounces in which boile of all the sorts of Maidenhaire Scabious and Lettice of each half a handful very gently then dissolve in the Liquor streined a pound an half of White Sugar and boile it to the heighth of a Sirrup adde in the end of the extract of Juniper three drams of the juyce of Liquorish and the Extract of Carduus of each four scruples Let the Patient take a spoonful before every meal and as much when he goeth to bed Forrestus commendeth this powder following Take of White Poppy Seed ten drachms Starch Gum Arabick and Tragacanth of each three drachms Purslane and Mallows Seed of each five drachms the four great Cold Seeds of each six drachms Quince Seeds the like quantity Spodium and juyce of Liquorish of each three drachms the Penids the weight of all the rest make it into fine powder and give two drachms in a morning with the Sirrups of Poppyes or Jujubes or you may give it in Barly Creame Almond Milk or in any other convenient liquor Or this Lohock is very good Take of Lohocke pulmone Vulpis and Sanum et Expertum of each one ounce Conserve of Roses Dimargariton Frigidum and Diapenidion of each half an ounce Manus Christi and Lac Sulphuris of each three drams with the Sirrup of Comfry make a Lohock of which let the Patient take the quantity of a Hazel-nut often and twice as much night and morning The oyle of Vitriol is good to dry the Ulcer if two or three drops be given in a morning with the juyce of Plantane or Rose Water and Sugar saith Claudinas The Balsom of Peru is not without its virtues for the healing of the Ulcers of the Lungs if a drop or two be made into a Pill with Sugar or the Powde of Liquorish and taken every morning so you may take the Balsome of Sulphur Fumigations may be made of Frakincense Mirrh Mastich Benjamin Yellow Sanders Amber Storax and the like and taken in the mouth or nose the roome sented therewith Or you may make a moist Fumigation of such hearbs which are freindly to the Lungs Take of Coltsfoot Hyssop Horehound Alehoofe of each two handfulls bruise them and put them in a Pipkin with a cover close Luted on with water sufficient put it into the Oven when the Bread is half Baked the Bread being Baked draw out the Pipkin and put a funnel into a hole which it must have at the top and draw the fumes into the mouth and put it out at the nose Many other medicines and precepts I might here prescribe which I must omitt for brevityes sake only remember that all the medicines against spitting of Blood are profitable for the Ulcer of the Lungs CHAP. XXXII Of the Palpitation of the heart The Palpitation of the heart is an immoderate and preternatural shaking of the part with a great diastole or vehement Systole which sometimes hath bin so great that the adjoyning ribs have bin displaced sometimes broken and sometimes an Artery hath bin much dilated so saith Fernelius lib. 5. Chap. 12 Pag 292. The Greeks call this Disease 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the Latines Palpitato Cordis The causes of it may be referred to three heads the first is a molestation of the heart sometimes a troublesome vapor arising from cold and thick humors lodged near the heart especially the Pericardium and conveighed to the Ventricles of the heart or sent from the stomach Spleen womb or the like or caused by the
Plague poison worms putrified or the Mestrues stopped and conveighed as before may be the cause of Palpitation To these adde excesse in quantity or quality of bloody Cholerick or watry humors oppressing the Veins Arteryes or Ventricles of the heart Likewise Inflammation Imposthumation or Tumors happening in the Arteries of the Lungs near the heart or in the Pericardium may be the cause of Palpitation A Second cause is a preternatural heat by which the Spirits are inflamed and the motion of the heart and Arteries is encreased and this sometimes though seldome ariseth from an inward cause often from an outward as anger violent excercise and the like The third cause is the defect of Spirits caused by hunger watching anger joy fear shame or great Diseases or any thing which dissipateth the Spirits which the heart labouring to recover encreaseth its motion and causeth Palpitation The Diagnosis or knowledge of this Disease is easie for it may be felt heard or seen The causes must be distinguished by their proper signes A hot distemper is known by often breathing by a Feaver and heat of the breast and a desire of cold things If wind be the cause it is subject to Variation and raised by a small motion the breath is difficult a mist before the eyes and a noise in the eares c. If the Disease commeth from humors in the heart or Pericardium it comes not suddainly nor goeth away quickly The nature of the humor you may gather from their Symptomes Water in the Peticardium is hard to be known but we may conjecture it by the weaknesse of the Pulse the heart seems to be almost suffocated in water If Malignant and Pestilent humors cause it the Patient fainteth a losse of the pulse and strength c. If it come by consent from other parts their proper signes declare it If a Tumor be the cause the motion of the heart is different from the natural and the pulse is various if the Tumor be in the pericardium and hard the disease is constant and the Patient decays without manifest cause To the Prognostick I say it is a dangerous Symptome because the motion of the heart by which life is preserved is hindered and Galen saith that they who are thus affected in youth or middle age live not to be old because the Vitalls are weak in them Alpho 41 de loco aff Sect 2 et 5 Chap. 2. If it come from a Tumor it is incurable if it be peculiar to the heart or pericardium it is incurable If it come by consent from other parts the cure must be sought out of their proper Chapters but seeing not only the cause ought to be removed but also the Symptomes asswaged by refreshing the heart you must administer Cordial medicines which have power to strengthen the heart If a hot distemper vex the heart Take of the Conserve of Violets Water-lillys Borrage or Buglosse flowers of each one ounce Diamargariton frigidum Diarrhodon Abbatis of each two drachms Red Sanders Coral and Camphire of each a drachm with the Sirrups of Coral Balme or Citron peels make an Opiate of which let him take often If cold humors cause the Palpitation Take of the Conserve of Roses and Rosemary flowers of each one ounce Aromaticum Rosarum Dianthus and Diambra of each one drachm Cinamon Cloves and Mace of each half a drachm Confection of Alchermes two scruples Amber Muske and Saffron of each one scruple with Sirrup of Clove-Gilly-flowers make an Opiat and give it as before With these and the like ingredients the Ingenious may form medicines of all sorts whether the disease be hot or cold likewise may Liniments Unguents Epithemas and Sacculibe prepared and applyed to the Region of the heart to strengthen and abate the hot or cold distempers thereof If an humor gathered near the heart cause the Palpitation extenuating medicines must be mixed with your Cordialls and if nothing prohibite open the inner Vein of the arme called Basilica if that appear not open the middle Vein which course Galen commendeth also if you see occasion administer purging and Carminative Clisters CHAP. XXXIII Of Swooning or Syncope 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Swooning is a sudden and swift failing of all strength for all parts having a continual necessary influence upon the heart and vital spirits when they fail all the rest must suffer This Disease is distinguished from the Epilepsy which hath a Convulsion and this not from an Apoplexy in which the breath is much stopped and the pulse not much abated till near death but here the pulse faileth and the breath is free In Fits of the Mother the breath is most obstructed the pulse not much altered nor the colour of the face except it be higher the contrary happeneth in a Syncope The immediate cause of this Disease is the defect of the Vital Spirits in which nature is constrained lest the heart should totally fail to fetch the spirits from other parts to the heart by which means they lose their functions This defect happeneth four ways principally First they are naturally few by fault in the faculty making of the Vital Spirits or the matter which fault commeth by diseases proper to the heart or by consent from other parts Proper to the heart are too much constriction dilation and Solutions happening to the Ventricles of the heart or such as destroy the natural temper as Sharp Malignant Fainting Pestilential and Hectick Feavers and the like The faculty may be hurt by diseases in those parts which have a Sympathy with the heart as the Brain Liver Stomach and Womb. The matter is faulty when the Aire or Blood by which the Vital spirits are generated is defective or corrupted The aire is defective when respiration and transpiration is hindered But the hinderance of nutrition causeth a defect of the Blood They are both corrupted when their qualityes are changed Secondly this Disease is caused when the Spirits are dissipated and spent by too great evacuations which may be done sensibly or insensibly Sensibly by inordinate Phlebotomy Bleeding of wounds or at the Mouth Nose Womb Belly or Hemorrhoids or an extraordinary discharging of other excrementitious humours by Vomit Stool Urine or Sweat the breaking of an inward Impostume or by Empyema or by tapping the Nave lin the Dropsy Insensible evacuations are caused by sharp or thin humours which rarifie the skin or the immoderate heat of Bathes or Hot-Houses To these add long Watchings Fastings Lechery Anger Joy long continuing and violent pain or sickness c. may cause a dissipation of the spirits Thirdly this disease is caused by things which alter and corrupt the Spirits as venemous and pestilential aire and stincks or an evill disposition of the Bowels and other parts in a word all things which are averse to the heart may corrupt the spirits Or Lastly the spirits may be suffocated or destroyed which may come to pass by a vehement returning of Blood and Spirits to the Heart as also corrupt