which make Phlegme all which is done by 1. A Convenient Diet let the Air be hot and dry the sleep little exercise moderate avoid much rubing or kembing of the head and bearing weight on the Head avoid all perturbations of the mind except moderate anger and Wine that is strong and thick if you use Wine do it moderately and mixe it with water Let your meat be attenuating and drying as Bread well bak'd and with Anniseeds or Coriander-seeds Let your flesh be of Wild-fowl and rather roasted then boyled avoid Spices as filling the head with vapours and all thick grosse viscid and cold meats as Beef Cheese Milk Eggs fried or hard and the like Hence it is that the Children of poor persons are more troubled with this Disease then the Children of rich men because they eat grosse and ill Diet which makes and â—oments the humour 2. Purging Take of the Leaves of Senna half an Ounce of Polypode two Drams Ginger 15. grains half an Ounce of Raisins stoned Sebestens Pruins of each three in number of the Flowers of Borrage Violets Red Roses and Rosemary of each half a dram boil them in a pint of fountain water until half be consumed Take of the Decoction two Ounces of the hony of Roses two or three Ounces Let the humours be prepaired thus Take of the Leaves of Brownwort Plantain Dry Bettony and Mint of each half an handful boyle it according to Art of the Syrrup of Roses and Oxymel of each half an Ounce mingle them After the humours are prepared purge thus Take 30 or 40. grains of the Pills of Agarick or infuse two Drams of the Trochische of Agarick in three Ounces of the Water of Bettony all night strain it and add 2. or 3. Ounces of the Hony of Roses solutive Observe that most gentle Remedies often used is better then violent and hath often cur'd 3. By the restraining of the moving of the humour into the Part by rubbing Cupping-glasses and Blisters and there is no remedy so effectual and fit for derivation diversion and evacuation of the humour and in all Swellings and Tumours in Children about the Neck as is the exulceration of the Skin of the Head which is best done with Mustard-seed and a Nettle but with prudence and moderation but have a care you use not Cautharides which cause great pain and pissing of blood 4. By discussing the humour in the part if it be moderately thick and viscid which is done by inward Medicaments as by the use of the Trochische of Vipers and Treacle but principally by outward Medicaments first by softning it and then by dissolving it Emollient or softning Medicaments are the Plaister of Diachilon with the Gums or this Ointment Take four Ounces of Diachilon one Ounce of Hyssop four Ounces of the Root of Ireos finely powdred mingle them and with the Oil of Almonâ—s make an Ointment which use several days until the matter is softned then use Discutients as drye Figs or a Plaister made of Hony or the root of a wild Cucumber bo led in old Oyl to the form of a Plaister is very effectual so is this following which is stronger Take of Stavesacre Nitre of each two Ounces Rocket four Ounces with as much Turpentine as is convenient make a Plaister The Ashes of Colworts mixt with Hony is also very good Observe that strong Discutients may not be used lest Feavers are caused and the tender Flesh of the Child hurt If the matter be very viscid and contumacious it is not cur'd but by cutting or burning it which is very dangerous and turns them into Cancers that are mortall as is experienc'd in the using such remedies for the Kings Evill in the Neck Breasts or Grayn CHAP. IV. Of Pustules and little Risings in the Head PUstules or Risings or Swellings for the most part they are in the Head but sometimes in the whole body In the beginning they are small and little afterwards they are sore and make hard white Scabs and Crusts by the driness of the humour In sucking Children they are call'd Crusta in those of elder years they are called Achores they are ulcerous Tubercles or Ulcers with small risings perforating the skin with small holes through which passeth a sanious or filthy matter The cause is as some think a nitrous and salt Phlegme mixt with Choler Others a putrid corrupted and Ichorous blood but I consent to them who think the humour is mix'd partly thick and partly thin waterish salt and nitrous and according to the various mixture of the humours with the salt waterish humours the various colours of the Sores arise being thereby black red white or yellow and those humours are either generated in the womb of the Mother out of the Menstruous blood or after the Child is born by the fault of Milk or Diet nature purifying and purging her self sends them forth into the outward parts of the body The signs are manifest to Sight the Child cries cannot sleep and are watchful the Child Itches and after Itching they are sore a bloody humour passes forth and oftentimes the Child is lowsy If they proceed from blood there is a redness pain and more easie Itch but if from a more sharp humour there is a great Itch. The Presage Pustules sometimes degenerate into great Ulcers and sometimes corrode the Skull by the Malignity and badness of the humour that the Membranes may be seen They many times preserve Children from great and many Diseases as Feavers Falling-sicknesses and others by natures purging her self by the skin They heal frequently of their own accord by Time and Age. The Cure is in 1. A Convenient Diet by avoiding salt sharp hot and sweet things fish and fruit If the Pustules are moist a drye Diet is convenient as the eating of Wild-fowl roasted bread twice bak'd c. which ought to be us'd only by the Nurse if the Child suck 2. Evacuation of the humours by Blood-letting Leeches or Cupping-glasses and purging the Nurse if the Child suck not prepare the humours with Cichory Eudave Fumitory and Agrimony of each an handful boyle them in a pint and an half of Water until half a pint be consumed Take thereof three Ounces and add the Syrrup called Syrrup Byzantius and the Syrrup of Fumitory of each half an Ounce or temper the humour that is faulty with the Syrrups of Borrage and Fumitory The humours being prepared Take of Rhabarb one Dram infuse it all night in three Ounces of Endive-water in the Morning strain it well and add an Ounce and an half of the Syrrup of Roses solutive The Body being purged the part excoriated is to be cur'd by outward Remedies A Bath of common Water in which the Leaves of Scabius Agrimony and Plantane are boyled is very good The Ointments of Litheridge Cerusse or Diapompholiges cures it CHAP. V. Of Chapt Lips in Children THe Lips are made not only for Beauty but also for use for the defence of the Mouth and
plenty of Urine and worms If the defect is because the meat is not exactly prepar'd in the Stomach there is belching of Wind Vomiting and want of Appetite or some hot distemper If from the fault of food if in Infants the Nurses milk is not good for milk is made of food by the colour and ill constitution of the Nurse it is easily known if the Milk is bad it will not be very white have an ill taste not sweet of an ill smell and more thick and fluid then it ought to be The thickness and thinnesse of the Milk is known if some Milk is Milk'd upon the Nail of the Thombe and if it presently runs off it is too thin if it stayes and moves not off it is too thick Or if you curdle it the whey and curds ought to be equall else it is to thin or to thick besides if the Milk be thin andsharp the Child is troubled with Pain loosenesse and very ill breakings out If the milk is thick the Child is costive and there are little Inflamations Swellings and Vomitings they pisse little move and breath with difficulty and are full of Phlegm In those that are elder the badnesse of food is known by the colour of the Skin and out-side of the body wherefore if the countenance be ill colour'd scabby or pimpell'd or if any other part is weak as the head Stomach or Liver or if their be any infirmities distempers or passions of mind it is certain the Leanness is from the fault of the food Also it happens by the weaknesse from some Disease If these things had not been the Child would have had a florid and fresh colour good appetite and would eat and not complain If Leannesse be from Fascination no art or natural means is effectual and there is no internal or external cause of Leannesse in regard of the Nurse or Child Presage 1. All Suddain Leannesse proceeding from a Feaver is mortal because of the Vehemency of the cause weakness of the strength tenuity of the humour and laxity of the whole Body 2. Consumptions that are seldome and not from Feavers especially those that are great and ill are sometimes cureable 3. Lean bodies that are moist and have a moist Skin may be made fat because all soft bodies are apt and fit to be extended into any dimension 4. Bodies that are dry and have their Skin hard and rough can scarce be fatned 5. Bodies that have the Skin dry and cleaving to the bones that neither by the hand nor Art can be stretch'd out there is no hope of fatning them but if the Skin be wrinkled and rugged so that it may be drawn forth and as it were seperated from the bones there is some hope of making them fat The Cure is 1. in Children that suck if the Milk be too little or bad change the Nurse and choose one who hath good Milk the notes whereof you have before let her be of a good constitution of a white and red colour of a good converversation and behaviour not under 20. nor above 40. years old having had Children twice and being not above 2 or 3 moneths from her last delivery broad chested having breasts neither big nor small but moderate If the Nurse may not be chang'd let her be in a temperate Air let her Sleep well it augments Milk let her avoid Passions especially Anger Grief and Love for they corrupt the Milk and congresse with a man spoils the Milk or provokes the menstruous Flux that the Milk is lessened A Nurse that lives with her husband is allowed coition and congresse with him lest She be disturbed by desire of it and by experience we see that Mothers that live with their Husbands and use congresse Nurse the Child without any hurt The Nurse ought to use moderate exercive rubbing of her bosome and breasts before she eats is convenient let her not drink or very little and that which is sweet which lest offends the head lest by increasing Milk the Child hath the Falling Sicknesse The meat ought to be of a good and plentifull nourishment avoiding sharp salt and bitter things the best bread the Flesh of Birds Veal Mutton and the like Fish is to be avoided Broath especially with the Milk of Almonds increase Milk If the Milk be faulty by the coldnesse moisture and thinnesse of it the Dyet must be hot for the correcting of it If the Nurses body abound with cold and moist humours prepare and purge them but with gentle Purgatives as the Syrrup of Roses or Rhabarbe whose weak vertues are extinguish'd before they are communicated to the blood if you purge strongly let not the Child suck the Nurse two or three days after If the Milk is too thick the Diet is to be attenuating Vinegar Raddishes and the like are good a gentle Vomit is more convenient then a Purge If the Milk be sharp and hot the Nurse is to be kept in a cold Air Rest Baths of fresh water are convenient Wine is hurtful let the meat be Barly broth with cooling Herbs especially Lettice which cools and thickens the blood and increases Milk avoiding salt and things acrimonious and Spices If the fault be not in the Milk but in some part of the Infant the Nurse is to be dieted and purged and the Infant is to take no inward Medicament but external because these Ages bears not vehement Medicaments wherefore external remedies are only to be used and therefore if the Childs Stomach be cold and moist hot or dry Plaisters Bathings and Oyntments are to be used for the correcting of them Take the Leaves of Marjoram Mint of each one handful the Aromatick Reed and the Flowers of red roses of each half a handful the water of Calamint one Pint of Sweet Wine two Ounces boyle them well and with a Cloth dipp'd in it bath the Stomach if it be cold Afterwards annoint it with this Take the Oyl of Mastick half an Ounce the Powder of Cinamon and Cloves of each half a Dram mixe a little wax with them and make an Oyntment If the Stomach be dry bath it with Milk and annoint it with this Take fresh Butter the fat of an Hen of each half an Ounce Saffron four grains the Oyl of Wormwood three Ounces mingle them and make a Liniament If the Leannesse is from heat Take Cichory Endive Water-lilly and Wormwood waters of each four Ounces Vinegar two Ounces make a fomentation for the Liver afterwards annoint the side with this Take of the Oyntment of Sanders â—iâ—hory and Liverwort waters of each two Ounces of the Vinegar of Roses one Ounce make a Liniament If Leanness is from Loosness the Nurse is to use binding meats as Quinces Services Rice Medlers or Broth of an old Hen and Calves feet Corral or Jaspers Stone hung about the childs neck is convenient So is this Take of Mirrh and Quince of each half an Ounce powder of Red Coral two Ounces of Oakwater two Ounces the powder
Feaver it being contrary to its nature p. 44. Why Feavers are not dangerous and why sometimes they turn into Hectick Feavers p. 46. Why the Kings Evil exactly cured returns again p. 18 19. Why waterish humors are more often collected in the head of Children then other parts and in the Womb then out of it p. 7. What is the use of Lips and why are more often chopt in Children then in others and most frequently from cold p. 27. How good Milk from bad may be known p. 76. and how the bad Milk of a Nurse may be made good p. 78 79. How a good Nurse may be known from a bad one p. 78. Whither the Small Pox had a beginning or not and where and whither beasts have it or not and how it differs from the Measles which hath the same matter cause and cure p. 53. Why the cause is not the impurity of the Mothers blood as by most supposed p. 54 55. Nor is the cause the fault of the Air p. 56. Why scarce any one but hath it and that it is mortall to some and not to others happening most to Children p. 57. Why some have more breakings out and marks then others and the face most troubled and next to it the Feet and Hands p. 58. Why the Small Pox troubles the eyes more then the Measles p. 58. Why the Small Pox is infectious and more easily to kindred then others p. 58 59. Why some have twice rarely thrice almost all once p. 59. Why Scars and Blemishes are left chiefly in the Face Lips and foreskin p. 59. Why the Stone of the Bladder is seldome in Female Children and not so often in men as Children yet the Stone made in the Reins is oftner in men then Children pag. 147. How Teeth and Bones differ p. 130. The use of Teeth p. 131. and the order and time of their Growth p. 132 133. Worms why very Familiar to Children and in what parts they are made and found pag. 167. 168. The difference of Worms p. 168. Imprimatur Octob. 28 1663. Roger L'Estrange The First Book Of External Diseases in CHILDREN CHAP. I. The PREFACE IT will not be unprofitable to prepare a way for the ensuing Discourse of Childrens Diseases by premising these Particulars 1. What is Age and the Definition of it 2. The Division of Age 3. The Subject of the Discourse 4. Why Children are apt to Sickness 5. Why Childrens Diseases are so call'd 6. The Order and Method of the Discourse of Childrens Diseases It is answered 1. Every Age is obnoxious to all kinds of Diseases but one Age is more disposed to some Diseases then another is for every Age hath a peculiar temper and so a similitude with some Diseases whereby it is more easily affected and changed by them then by other Diseases nevertheless Age it self doth not produce Diseases but only disposes and makes one apt to receive certain sorts of Diseases for Age is a thing that is natural and a Determination of a time and it is defined by some to be a Space and Duration of Life in which the Constitution of the Body is manifestly changed by the Action of the natural heat upon the radical Moisture The Life of Man consists in Heat and Moisture the Heat consumes by degrees the Moisture whereby necessarily follows several Changes of the Temperament which are called Ages 2. The Division of Age is various by the Ancients some divide it into 7. parts other into 6. or 5. parts But the Modern considering that in all things there is a Beginning Increase State and Declination have divided Age into 4. parts alluding to the 4. Elements 4. Humours of Mans body and 4. seasons of the year 1. Adolescency or growing Age in which are contained Infancy Childhood and Puberty and it extends to 25. or 30. years 2. Youthfulness or flourishing Age extending to 36 or 40. years 3. Consistent Age extending to 45. or 50. years 4. Old Age which contains decrepit Age and extends to the end of Life 3. The Subject treated on will be the first Age and Adolescency as it extends only to 14. years for then and not before ought a man to be said perfect though some say at 7. years because as Plants are said then to be perfect when they first begin to bear fruit so Man ought to be called perfect in that time when he begins to be prolifick and procreable 4. Children are disposed to very many Diseases for divers reasons because of the 1. Impurity of the nourishment in the Womb by an erroneous Diet or Sickness of the Mother 2. Great labour and pains in the Birth and Getting out of the womb being a narrow passage whereby is weakness and very often are bruises 3. Cutting of the Navel String that the Infant may get forth whereby pains and Inflamations often follow 4. Diversity of Nourishment Children in the Womb are nourish'd with the purest blood of the Mother and they only perfect the third Concoction but after Birth they use Milk and other food and need the help of the Stomach and Liver for the first and second Concoction 5. Change of place being not used to the Air for Infants live in the womb in the greatest Lukewarmness and Tranquility but as soon they feel the cold Air outwardly and breath it in they are hurt which appears by their crying 6. The unsoftness and uneasiness of the things they lye upon for Infants lye very soft in the Womb. 7. Hot and moist temper which is very obnoxious to Corruption 8. The fault and badness of the Milk 5. Diseases of Children are so called not only such which trouble and affect only Children as Diseases arising from breeding of Teeth but also such Diseases which most frequently happen to Children are cur'd in a different manner in them then they are in other Ages 6. The Order and Method in the Discourse of Childrens Diseases will be 1. Of External Diseases and such as belong to the outward parts of the body 2. Universal Diseases which affect all parts of the body Thirdly and lastly Particular and inward Diseases of particular and inward parts of the Body proceeding from the Diseases of the upper parts to the lower parts CHAP. II. Of the Greatnesse Dropsie or Water of the Head THere is somtimes an immense largeness of the head vitiating the natural Actions of it yet the Head is not to be called diseased as if it needed the help of a Physician because it is natural and incurable that is not here intended but that which is called the Dropsie of the head and though sometimes it is in a peculiar part of the Head yet for the most part it is in the whole capacity of the head and it is more frequently in Children and Infants newly born then others of elder years in regard of the softness of their head and bones It is defined to be a Tumor of the Head contrary to nature hapning for the most part to Children or a
Tumor of the Head caused by the Collection of Waterish humours in some part of the Members constituting the head The immediate cause is either 1. A Wind which is seldome in regard of the rarity and purosity of the head which appears by the hairiness of it and the Thumes and Tenuity of the Wind made of a very thin humour and so easily dissolved and dissipated 2. Thin and Waterish humour which is sometimes thick and coloured by the mixture of the Ichor of other humours with it This humour is collected more often in the Womb then out of it and in the head then other parts because 1. Of the great moisture of the Brain 2. The plenty of Vapours which ascend to the head and by its coldness turne into Water 3. It being the seat of Waterish humors for the Head is placed over the Belly as the Head of a Still over the body of it 4. The Density of the Skull which retains the Vapours The Signes by which this Disease is known relate to the Cause or Place If Wind be the Cause the head lightly struck will sound like a Drum and the Tumor prest by a Finger yeilds to it and leaves a Dent which presently fills up again If an humour be the cause and not within the Skull the Tumor is soft clear if prest it slowly returns to its former fulnesse the Colour of the Skin is unchang'd and there is crying and want of sleep If the humour be within the Skull the Infant hath an heaviness of the head cryes and cannot sleep and in those of elder years the eyes are prominent and stand out weeping and can hardly be shut and sometimes the fancy is hurt The Presage If the Tumor is within the Skull some think it incureable others think it cureable by Cauteries and by Diaphoreticks If it is on the outside of the Skull it is dangerous because of the Dignity of the Head and the tenderness of it in an Infant for every Disease of the head is dangerous especially in an Infant whose tenderness cannot endure a Disease or Remedy and if the humor should move inwardly there is great danger of a Lethargy or Apoplexy The Cure is by discussing and extenuating the wind and evacuating the humour insensibly or sensibly by purging or manual Operation for the doing whereof a convenient Diet is necessary which ought to be directed to the Nurse if the Child suck otherwise to the Child Wherefore let the Air be hot and dry where the Nurse and Child is kept if it be not so naturally by the season of the year prepare it so by good fires and fumes of sweet and hot woods If the Child suck let the Nurse watch much and if it is wean'd let it sleep lesse then if it was sound because watching doth much dry the body as sleep softens it Moderate Exercise and a soluble belly is very convenient which if need let it be help'd by a Suppository made of Hony The Nurse and Child both are to abstain from Wine and in the place of it a Drink is to be made of Water with Coriander seed prepared and Anniseed let the Meat be such as discusses and breaks wind and dissipates humours wherefore let the Bread have a little Coriander seed in it and the Flesh be rather of Wild Fowl and roasted rather then boyled a Moderate use of spice is profitable and Coriander canded with Sugar All Herbs and Waterish Fruits are to be avoided If the Nurse be sound avoid purging her lest you hurt the Milk if she be unsound purge her as the quality and nature of the humour require External Remedies only belong to an Infant for Purges and other Remedies are to be used to the Nurse and very carefully least they hurt wherefore this Fomentation will be convenient Take of Pennyroyal Maryroom Savory of each an handful Cumminseed and Aniseed of each an Ounce boyl them together in a pint and an half of Water to a Pint in which wet a Spunge and apply it to the head afterwards anoint the head with the Oyl of Cammomile salted if this prevails not the Oyl of Anniseed may be added and to the two Oyles without the Salt you may add a little of the Powder of Anniseed and Fennel-seed It will be convenient for the Nurse to use the following Electuary which will make the Milk discusse wind Take the Conserve of Bettony and of Rosemary of each an Ounce the Powder of Coriander and Anniseed of each an Ounce mixe them and take Morning and Evening half an Ounce In a Child of some years that can endure Medicaments Purge the Child first gently with two Ounces of the Hony of roses solutive mixe it with a little Broath Afterwards prepare the humour thus Take of Mugwort Savory Staccados Celandine of each half an handful boyl them in a pint and half of water to a Pint. Take two or three Ounces of the said Decoction of the simple Hony of Roses of the Syrrup of Staccados of each half an Ounce mingle them and give it the Child 3. or 4. days together then purge the humours so prepared Take of the Pills called Pillula Aurea one Dram and a half of Castor two Grains of the Root of Ireos finely powdred half a Dram mingle them with the Hony of the Syrrup of Roses solutive and make thereof for one Doss or quantity to be taken at once five little Pills If the Child refuse Pills Take an Ounce of the root of Ireos of Raisins of the Sun half an Ounce the Seeds of Fennel and Coriander of each half a Dram boyl them according to Art Take of the Decoction an Ounce and a half of the Trochische of Agarick two Drams infuse them all Night then strain them strongly and add an Ounce and an half of the Hony of Roses solutive After sufficient Purging the use of the Electuary directed before for the Nurse and the External Remedies will be convenient to which may be added this following Lixivium Take of Figtree-wood two pound of Salt or common water twenty pints make of it a Lye according to Art when it is strained add to it Coriander-seeds and Anniseeds of each a Pugill of Bran one Pugill the Leaves of Penny-royal Maryroom and Mugworth one handful and an half boyl them away to a fourth part then strain and use them In the same manner you may prepare a Lye of Brimstone beaten and applied to the head with a drye woollen Cloth it dries the head very much stronger driers are dangerous There may be made Plaisters of the aforesaid Herbs being boyled and bruised to the form of a Plaister and laid upon the head a Plaister made of Snails bruised and applied to the head untill they fall of themselves is an approved of remedy The following Ointment doth very much discusse the water or wind in the head Take of the Oyl of Ireos and Cammomile of each two Ounces of the Powder of Sulphur and Ireos of each two
Teeth and also for Speech and Sucking so that they being chopt they cause pain and hinder Sucking This Disease is a certain Division of the Lips with Pustules and breakings out and sometimes without them The immediate cause is a salt sharp and cholerick humour or sharp biting and exulcerating vapours proceeding chiefly from the whole body as in Feavers many times from the Head Stomach Lungs or other principal part of the Body These humours and vapours produce the Cleavings and Ulcers of the Lips chiefly in Children because of the frequent motions of the skin which draws them to the mouth and in regard of the tenderness of them which makes them apt to receive The External Causes are the use of hot things hardness of Dugs kisses of many people but chiefly an intemperate Air in heat and cold but most frequently the coldness and driness of the Air for though Lips may be so dried by the Air that they may exulcerate yet not so frequent as from the coldness and driness of it because heat cleaves and divides that which is moist by consuming the moisture Cold by compressing and repelling and it is easier to repell and press moisture out of a thing then to consume it especially in soft parts to which humours continually flowe as it is in the Lips The Signs are manifest as little Ulcers and pains in the Lips there is also pain Itching and crying of Children If a Vapour is the Cause then the Child hath an Inflamation or a great Feaver If humours then there is Catarrhs and Distillations and the Ulcers are moist and an humour passeth out of them The Presage is this Disease is not mortall unless malignant Ulcers are made by Unskilfulnesse Ulcers made in a Feaver or afterwards are a sign of Health for they shew the humours generating a Feaver are dissipated and dissolved The Cure is if the Choppings of the Lips proceed from an internal cause a gentle purge is convenient and Diet that corrects the humours If from the Sharpnesse of the Milk let the Nurse use cooling Diet and things correcting the Milk If from the hardness of the Nibble soften it Medicaments for the Childs Lips are Oyl of Roses with the white of an Egge Oyl of Eggs Oyl of Wax which is most excellent Ointment of Roses of Cerusse Camphorer Pomatum Take an equal quantity of Turpentine Hony and Goose-grease mix them to which you may add half an Ounce of Cerusse or Litheridge more or lesse as you would have it drye If there be extraordinary pain you may mixe a grain or two of Opium with a little of the Nurses milk You need not fear here the use of Opium because it is only used outwardly CHAP. VI. Of the Inflamation of the Navill THe Inflamation of the Navil is an hard and hot Tumor with pain and Pulsation It is caused in Children presently after the cutting of the Navil-string which paining the Navil the blood is drawn thither and there heats and so makes this Inflamation The Signs are hardnesse swelling rednesse heat pulsation and a Feaver The Cure is 1. Let the Nurse use a Diet that is cold and moist 2. Then use such things as may asswage the pain and repell the humours as the Oyl of Roses the white Oyntment or the Oyntment of Poppies these are to be used untill the beginning of the Inflamation is past then use the Oyl of Cammomile and the Oyl of Roses and the more distance there is from the beginning the more use Discutients but have a care of strong Discutients as the Oyl of Anniseeds or Cammomile Lumbricated 3. Suppuration and ripening it which is to be avoided if you can help it Bread or Mallowes boyled in Milk ripen gently such as ripen more vehemently are painful and torment the Child CHAP. VII Of a Rupture and Broken Belly A Rupture is a falling down of the Guts from their place The Cause is the breaking or relaxing the Inner rine of the Belly that joyns to the Caul the latter cause is most frequent in Children in regard of their Moisture The External Causes are vehement motion extraordinary Crying holding of the Breath abundance of Wind and a strong Endevour of disburthening the Belly The Signs of the Causes are thus If the Peritonation be broken the Tumor was caused and increased suddenly and the Gut descends to the bottome but if it be relax'd the Tumor grew by degrees neither doth the Gut descend to the bottome The Cure is by 1. Putting the Gut up into the belly if it hath wind in it which is known by the noyse and sending wind out of it then use Discutients anoint it with the Isle of Cammomile or Anniseeds if it hath its ordure hardned in it soften it by Poultesses Clysters and Bathings if it hath Phlegme in it evacuate it by degrees with Clysters and Suppositories and use things that are hot and dry and attenuating 2. The keeping it in its place after it is put into it that it fall down no more which is done by a Trusse and inward and outward Medicaments The Internal are the Powder of Mouse-eare used at Meals taken in Water Rupterwort taken from the New of the Moon to the full Decoctions of great Comfrey St. Johnswort and Saniclé The internal Medicaments profit little but the External are more certain and the only hope is in them The Seed of Ameos with the white of an Egge is highly praised The Emplasters called Emplastrum ad Herviam and Emplastrum Caesaris will serve in the place of all other Medicaments 3. In cutting it if it be not cur'd by the Medicaments above which is easie and without danger CHAP. VIII Of the Falling of the Fundament THe falling of the Fundament is a going forth of the right and streight Gut called the Pudding Gut with the Sphyncter Muscle The Cause is 1. A weakness of the Muscle by coldness of the humours or outwardly as when Children sit on Stoves or by a loosness of the Belly 2. A great Endevour and striving in disburthening the Belly 3. A great irritation and frequent desire of emptying the belly which comes from a Dysentery or Tenesme The Signs are manifest to sight The Presage This Disease is hard to cure because all Diseases of the Fundament are very difficult to cure because 1. The part is very sensible and cannot endure sharp Medicaments 2. The passing of the Filth which if it be hard it exasperates the part 3. Medicaments are not easily applied to this part nor are kept long enough by the passing of the Filth 4. The Place is hot and moist which requires remedies that are cooling and drying which irritate and exasperate and therefore scarcely endur'd That which is without an Inflamation not inveterate but new is more easily cur'd The Cure is 1. By putting it into its place which is done by a gentle hand if it be swell'd bath it with a Decoction of Mallowes before you put it up which will likewise cleanse
the Filth and slimy humour from it which is requisite also to be done 2. Retaining it in its place after it is put into it which is done by astringent remedies which ought not to be very strong because they exasperate cause pain and want of sleep to which use serves Terra Lemnia Sanguis Draconis Frankinsence and Cerusse which are to be sprinkled upon the part apply to the Fundament a Spunge dipp'd in an Astringent Decoction of Sanicle Herb-robert Acornes or Leaves of Oake or the greater Comfrey CHAP. IX Of the Galling of Children THe Galling of Children are certain Ulcers in the Skin or Excoriations which happen to Children between the Thighes sometimes they are in the Feet Lips and between the Thighes in those of elder years The Cause is 1. External sharp Urine especially in fat Children sharp and cholerick Filth of the Belly and Foulness of Cloaths walking rough Cloathing and violent motion drawing the sharp humours to the Skin or exasperating the humours in the Skin 2. Internal and immediate a sharp and corroding humour which is either generated in the part exulcerated or it flowes from the body into those parts 3. Antecedent the fault of the Milk if the Child suck In elder ones an ill Diet especially meats that are hot sweet salt or corroding The Signs are obvious because the part is red and pain'd especially if it be touch'd and rubb'd Presage If they are neglected they turn into ill Ulcers and are dangerous otherwise they are easie to cure The Cure is if the Child suck let the Nurse use a good Diet and abstain from Motion Watching Anger Wine and all meats that are sharp salt and corroding If she be of an unhealthy blood let her purge The Child is also to be often wash'd and clens'd from his filth and excrements and his Cloathes are to be clean and not hard If the Child doth not suck the like Diet is to be used as is advised for the Nurse and the same remedies for preparing and purging of the humours and outwardly to be applied are convenient which are advised in the Fourth Chapter to which I refer you To them may be added Dear-Suet or the Suet of a Goat Take a Turnip make a Hole in it then fill it with the Oyl of Roses and Roast it of which make a Liniament CHAP. X. Of Chilblanes and Kybes CHilblanes usually follow Tumours and Swellings and the matter of it is dry sharp and corroding and makes an Ulcer which for the most part is dry and no matter or humour issues of it It happens to Children chiefly because they lesse feel the cold and defend themselves against it and so are most frequently hurt with the cold It happens to he hands and Feet and not other parts of the body because 1. The hands and feet are farthest from the fountain of heat the heart 2. They are without Flesh and have no defence from outward injuries and do abound with Nerves and Bones whereby we have great pain and are more cold in these parts then in other parts insomuch that these parts many times corrupt and putrefie with cold by what is said Chilblanes may be defined A dry Ulcer in the hands and feet chiefly in Infants The Cause is cold or shoes that hurt being too straight rough or hard The Signs are An Inflamation more or lesse sometimes Pustules afterwards exulcerations a little pain but the Itching greater a purulent Ichor comes from it that seems to be like ripened or thin matter The Presage It is not dangerous if it be not neglected if it be a Mortification of the Feet may happen and so Death The Cure is in 1. Preservation from it wherefore avoid straight and hard shoes defend your feet from the cold Air and rub your feet with salt and hony mingled which is good in the begining when the swelling only appears so is the washing your feet with salt water or with a Decoction of Betes And when there is only a Swelling these are good as Turnips boyled and applied in the manner of a Plaister Bran boyled in Wine Take of the Gumme Ammoniacum one Dram of Resin two Drams dissolve them over the fire add thereto six Drams of Common Oyl of Wax half a Dram let the Wax be dissolved then add Flower of Fengreek Frankinsence and Mastick of each two Drams mingle them 2. In curing the Ulcer Aloes alone or mix'd with sweet wine cures it being laid to it if the Ulcer be sordid clense it with the Ointment called the Ointment of the Apostles when it is clensed that no filth is left then skin it with the Plaster called Diapalma CHAP. XI Of the Scab THE Scab is a Swelling with a distemper and exulceration of the Skin The Cause is a corrupted blood mixt with salt Phlegme and burnt Choler either generated in the womb of the Mother by the menstruous blood or after the Child is born by the corruption of milk or fault of Diet by which the Liver chiefly is intemperately hot or the blood is corrupted by contagion which being expell'd to the Skin there sticks exulcerates it and makes it sore The Signs are manifest and are in the Definition The Cure is in 1. A convenient Diet the meat ought to be boyled not roasted of an easie Disgestion not salt hot or having ill qualities unclenliness and unseasonable exercise are to be avoided 2. Tempering and purging the humors as in the fourth Chapter 3. By provocation of Sweat with a Decoction of Scabius Harts-horn Fumitory and Cardus benedictus 4. External Remedies which gently clense and drye Quicksilver is much commended but it is only convenient if the Scab be contumacious and in the oldest Children Unguentum Enulatum is profitable but be careful it be without Mercury Take of the Oyl of Roses four Ounces live Brimstone one Ounce the Juice of Limons two Ounces the Resine of Pine-tree one Ounce mixe them and make an Oyntment of them Take of Turpentine four Ounces wash'd in-Rose-water the Juice of four Oranges the Yelks of four Eggs and an Ounce of the Oyl of Roses mingle them all and make an Ointment of them which is excellently good if the Scab be old and dry Elecampane powdered and with Hogs grease made into an Oyntment is highly praised so is Brimstone finely powdered and annointed with Milk Also Garlick beaten very smal and mix'd with Hogs grease is very good CHAP. XII Of the Itch. THe Itch is a pain exciting a desire of Scratching without the unevennesse or exulceration of the Skin The Itch is sometimes in the whole body but most frequently in the Soles of the Feet by reason of the hardnesse and thicknesse of the Skin hindering the humours to evaporate The Cause is Choller or salt or thin Phlegme thereby insinuating it self into the smallest pars but it is viscid and clammy that it may adhere and cleave tenaciously to the parts It is caused in the Womb of the Mother by the Menstruous blood or
Scabs drye not of themselves fast enough use Aloes Litharidge Cerusse and Sanders and wash them in salt water in which Plantain Roses or some other drying thing is that may take away the acrimony of the Salt If they do not ripen fast enough boil Figs and Mallowes together and dip a Cloth in it and touch them often with it being warm it mitigates pain and ripens them In the end of the Disease the Scabs sometimes turn into Ulcers which are cur'd with the Ointment of Litharidge and Cerusse and an ill colour is left which is taken away thus Take of Lupine Barly and Beans of each two Drams bruise them and boil them in a convenient quantity of water until it is thick and with it wash morning and evening the Childs hands and face until the Scales fall off The Scars and holes left by the Pox is hardly cureable the fat of a man and the Oil of Egs is very much commended Chap. IV. Of the Consumption A Consumption is called Leanness Gracility and Tenuity If it be considered as an habit and a certain durable and permanent state of the body and as hurting the Actions of the body it is a Disease if as it depends on a vitiated Nutrition and as a simple Disposition then it is rather to be called a Symptome and an effect of a Disease A Consumption is an Extabescency and Exiccation of the whole body arising from a want of nourishing of the body The Subject is the whole body the harder part whereof may be dried and diminish'd the Veins and Nerves may be so extenuated that they may seem to be much lesse that a great vein may seem to be a little vein c. but these parts cannot be so lessened as that the whole body should decrease wherefore the whole body is said to be extenuated in respect of the more soft parts as the fat and flesh the fat is first consumed because it is caused by cold and whatsoever is concreted by cold unlesse it be vehement is easily dissolved by heat Moreover fat hath scarce any other use but to preserve the natural heat After the fat the flesh is consumed which is as a bond of the Constitution of mans Body but not necessary to Life but the seminary parts as Veins Nerves Arteries c. are the foundation of Life and cannot be consumed with the preservation of Life as the flesh can be which is not necessary for Life and it is of three sorts 1. Musculous which consists of Veins Membranes and Arteries 2. Glandulous as that of the Breast anp Testicles 3. Pure Flesh as that which is between the Teeth and in the top of the Yard These three sorts of Flesh consume in this order First the the Musculous Flesh. Secondly the Glandulous and last of all the pure flesh The immediate cause of this Disease is the frustration of nourishing either by the fault 1. of the Aliment being deficient and too little or vitious that it is not assimilated or attracted by the parts of the Body 2. or fault of the Nutritive faculty when the naturall heat and radicall moisture is Defective The nourishment and food is too little when the appetite in the Stomach and other parts is wanting as in an Universal weaknesse or when it is not distributed the Meseraick Veins by their drynesse are often so shut and close that the Chile cannot passe from the Stomach into the rest of the Body and so the parts are extenuated So likewise as often as the meat is prepar'd and sent another way there is Leannesse as in Vomiting and Fluxes so it is by worms consuming the nourishment that ought to be turned into flesh The Blood is faulty cause of Leanness when it is too Melancholical for where the Spleen flourishes the rest of the body growes Lean and where the rest of the body consumes the Spleen growes So likewise when the Blood is too Cholerick for then it is offensive to nature for no blood can be turn'd into the substance of the body that hath Choler mixt with it or if it be waterish whereby bodies also consume as in Dropsies so likewise if the blood be Salt leannesse is caused for Salt things are Earthy Dry and contrary to nourishment and dry the body and is not assimilated and therefore consume and extenuate directly and naturally by accident Salt may conduce to nourishment by exciting an Appetite and distributing the Food but naturally it is contrary to nourishment insomuch that some have Writ that Fishes are not nourish'd with Water or Juyces that are Salt but with sweet things or other things that are found in the Sea Nourishment is also hindered by the fault or distemper of the Part that should assimilate the nourishment when it is too dry so it happens to old walls to which Lime cannot be agglutinated by reason of the great drynesse of it Moreover Leanness is also made by causes that dissolve the fat and flesh as great Feavers do but in Children it is caused for the most part by the defect of nourishment being either too little or vitious and unusefull proceeding from the fault of the milk wherefore it is that Children by one Nurse fattens and consume by another or Worms destroying their nourishment and sometimes by a distemper of some principall part as the Stomach Liver or Heart and it is observ'd that an old and contumations and native consumption cannot be without the Liver be affected and the temperament dry but that which is new may be from any one of the causes aforesaid The external causes of a Consumption are a hot or dry Air hence it is that most Aethiopians are lean and most men consume in Summer Watching and Care consumes a Body and as it were eats it Meditation Grief Study Immoderate Venery natural Bathes that drye Scarcity of Food and feeding once a day consume men and Children of which quality are sharp things It is also conceived that Children by reason of the softnesse and tendernesse of their body grow lean and consume by Fascination proceeding from their touching unhealthy bodies or the unwholsome vapours out of the Eyes or Mouthes of Women not well which truely is not Fascination for Witchcraft is rather the work of the Devil then by any proper power of the Sages The Signs of a Consumption are manifest for the Flesh and Fat are visibly consum'd the face like one that is dead and the figure of the whole hody deprav'd If it is from a cause that melts and dissolves the Fat and Flesh there was or is a violent Feaver If from want of food it is known in elder Children by their not taking what is necessary in Sucking Children by the Flagginess and Emptiness of the Nurses Breast the ill dyet of Nurses the Child pisses little and doth not wet his Cloaths cryes and Sucks eagerly If the want of food is the cause because nourishment goes into other parts it is known by the loosness of the Belly
well and the parts inferiour to it are hurt Prog. every Palsy especially that which is inveterate is difficult to cure in Children but numnesse is more easie to cure If a Feaver or trembling comes upon a Palsy or numnesse it is very helpfull for the Feaver dissolves the matter of the Disease and the trembling drives the same matter from the nerves The Cure is the same as in the Epilepsy and Convulsion and greater remedies are to be used to the Palsy then Numnesse Take of Earth worms a large quantity burn them in a clean pot afterwards let them be powdered take of that powder half a pound of Ginger and and Galangle of each half an Ounce make a Liniament of them with clarified hony with which annoynt the Child three nights binding his Arm upon his Belly and covering well the Child and beware that the Child is not expos'd to the cold unto the third day so in three days the Child will be cured either of the Palsy or Convulsion as divers affirm CHAP. IV. Of Childrens dreaming and troubled Sleep THe consideration of the chief Diseases belonging to motion being past it follows in the next place to consider the Distempers of the common sense which in Children are Dreams and immoderate Watching Children never sleep moderately for they are opprest with sleep in the womb and after they are born they sleep for the most part because the infant is mindfull of the perpetual sleep he had in the Womb and because his body is very moist not only by the abounding with humours but by the sollid parts being moist and soft the want whereof in old men and their having sollid and dry parts of their heads though they abound with humours makes them most watchfull 2. But this sleep is natural but when sleep which should be for the restoring of the spirits and natural heat consumed by watching is unquiet troubled and terrifying this is a distemper hapenning to Children here intended Disturb'd sleep is an effect in the kind of depraved actions of the Common sense This distemper in an infant is like to the Incubus or Night-mare in these that are elder and as that foreruns an Apoplexy so terrifying dreams are Signes of an Epilepsy and other ill Diseases The internal cause is a corrupted meat in the Stomach they are made in Children by the debility of the Stomach from which arises sad Phantasies for as men are sad and troubled as often as the Stomach is grieved and the notable sense of the mouth of it the manner of it is this Melancholly arises out of the corrupted meat of the Stomach whose Phantasmes are carryed to the Imagination which they necessarily deterre and consequently make terrifying Dreams which are the operations of the Imaginations about Phantasmes offered from the senses The externall cause is milk or meat corrupted and by its acrimony knawing the mouth of the Stomach Signs are the groaning of Children shaking crying out of Children in their sleep an unnaturall colour and heat and a stinking breath by which many are deceived and think they have the worms The Cure is if the Milk be bad from the constitution of the Nurse change her if from dyet correct it if it be good it is vitiated and corrupted in the Stomach by the plenty of it therefore let the Child suck lesse If the Child suck not let him not eat too much nor bad meat and remove what is corrupted in the Stomach to this end the giving of hony to Children is commended because it clenses the Stomach and Guts A Suppository is convenient so is a Clyster Take of whey six or eight Ounces of Hony an Ounce and half Salt a scruple mingle them and make a Clister If the Child be somewhat big Hiera Pietra may be used which wonderfully clears the Stomach which being done the Stomach is to be comforted with half a Scruple of the powder called Diamosce or as much of London Treacle may be used by the Child or take of the Species of Diamoschi one Scruple of Diacalamint one Scruple and half Sugar and Rose-water as much as suffices to make them into small Lozenges one whereof powdered may be given every morning in Milk and suck presently after it If the Child is wean'd give it powdered in Broth or Milk Outwardly Ointments comforts the Stomach annoint it with the oyle of Wormwood Mint Nutmegs or Mastick and Bathings made of Wormwood Roses and Wine and Plaisters also comfort it It is convenient to hang red Corall about the Childs neck which comforts the Stomach by a secret quality if it touch it outwardly CHAP. V. Of immoderate watching of Children THe want of sleep in Children is very hurtful being contrary to their nature who by the greatest and most large sleep are not made sick and being used to sleep much it causes sharp humours alters the temper of the brain it makes Feavers and Crudities and weakens Children The cause is not drynesse as in men but the corruption of the Milk and meat in the Stomach from which sharp vapours ascend to the brain and offending the Membrane hinder sleep If the vapours are thick and ascend not to the brain then only sad Phantasme which onely moves the Imagination and causes troubled Dreams are made but not watchings The Signs are manifest they continually cry mourn and sleep not Prog. The want of sleep is an evill and hurtfull and in Children because it is contrary to their nature The Cure is in taking care the milk and meat be good in quantity quality as in the preceeding Chapter let the Nurse use meats that are very good and apt to cause sleep as Lettice sweet Almonds and the like avoiding strong Wine let the Child be kept clean and wash'd and change the Childs Linnen which often causes sleep and whilest he cryes appease him by motion singing or giving the Child Suck foment and annoint the Stomach with the Oyles in the preceeding Chapter let the feet be washed with a decoction of Mallowes annoint the feet with the Marrow of the bones of a Hart annoint the Temples with the Oyle of Violets or Juice of Poppies Some use the Confection of Requies Nichelai and Sirrup of Poppies when there is great necessity but they are not to be used often for they stupifie and dull the brain of the Child CHAP. VI. Of the Inflammation of the Head IN regard the Diseases of the Sight and Hearing in Children have nothing peculiar to them from the same Diseases in men they are here omitted and the Diseases belonging to the natural faculty of the Head considered This Disease is called by a Word derived from another Greek word which the Latins interpret a Hole because the Head is perceived as it were excavated and made hollow in the former part of the Head it is called by some the heat and burning of the head It is an Inflamation of the parts about the Brain and the Membranes The Cause is a humour whilest it
putrifies it doth resemble the nature of Choler not that it is true pure Choler because it cannot be imagin'd how heat before the Disease or in it can make the most hot humour as Choler is in the head that is moist and almost water nor pure Phlegme because it is cold and moist and the humidities of Children are hot therefore old men waxe gray because they abound with Phlegme Children not because they abound not with Phlegme that is cold and moist The External causes are a very hot Air blows falls Milk that is very hot by the Nursés using hot drinks Milk hath the power of making one drunk and one observes well tender Kids of Goats are made mad with Milk and there is no doubt but the tender Brain of Children are much offended by the Milk of Nurses The Signs are the Hole and cavity of the Anterior part of the head because the heat of the Inflammation dries the Brain which being drye the Skull is deprest and sunk with its own weight and makes a hollownesse of the eyes by the same cause is a heat of the whole body and dryness continual Feaver palenesse of Countenance weaknesse losse of Appetite want of sleep and a loosness of the Belly Prog. This Disease is very dangerous in Children because they are more easily extenuated by their heat it is wont to kill in three days afterwards there is hopes the Disease declines and the strength increases The Cure is in 1. Dyet let the Nurse drink only water and use such Meats which greatly cool as Ptisan and Barly Broth with the Emulsions of the Seeds of Poppy-Broths with Lettice and Endive the Nurse and Child are to be kept in a cold Air in great quiet of mind and body Purges are unprofitable or hurtful but if the Child be costive his belly may be loosned with a common Suppository or this Clyster Take of Barly water Three Ounces of Whey Five Ounces red Sugar half an Ounce mingle them Outwardly use two Ounces of the Oyl of Roses with the Yelk of an Egge it mitigates pain concocts and dissolves the humour the Juice of Lettice Pomkins and Melons the flesh whereof may be pounded and the Juyce prest out and the Leaves of Lettice steep'd in it and laid upon the head or a Cloth dipp'd in the Juice These Medicaments are often to be changed lest by staying too long on the head they heat and dry and hurt as much as help and in the Winter they are to be laid on lukewarm in the Summer cold Nor is it safe to exceed these cold remedies and use the coldest lest the temper of the Brain is destroyed When the Inflamation is appeased then leave the use of the cooling remedies and use discussive ones and first such as are gentle the yelk of an Egge of Oyl of Cammomile two Ounces mingle them afterwards a stronger discutient Take the Flowers of Cammomile the Leaves of Penny-royal and Dill Bran tyed in a Cloth half a Pugill boyl them according to Art then take half a pint of the said Decoction the Oyl of Cammomile and Anniseed of each an Ounce shake them well together and apply them warm to the Head CHAP. VII Of the running at the Nose Cough and difficult Breathing THe running at the Nose Cough and difficult Breathing in Children are the effects and issue of a Distillation which as some observe is the mother of all Evill and is a desluxion of a petuitous humour into the parts subjected if the matter flowes to the Nose it is called the Pose and running at the Nose if it descends to the breast and is expelled by the Spirit that goes out it 's called a Cough but if the same matter falls upon the Lungs and stops the ways of the Spirit and oppresses the body of the Lungs it produces a difficulty in breathing this matter seldome makes hoarsness in Children because sucking Children by their daily use of Milk cleanses the Phlegme that it doth not stick about the Jawes in those that are elder hoarsnesse is seldome because they are hot about the Jawes which dryes up the Phlegme These Distempers are Symptomes and effects of a very moist Brain sometimes cold because Infants draw Air more cold then they were used to which cools the Brain and it is sometimes hot by its natural temper which is very hot by Air that is hot Fire Smoake too hot cloathing of the head and the gluttony and intemperance of the Nurse The Signs are manifest of the Cough Poze and difficulty of Breathing if they come from a hot cause the Child sneezes often the colour of the countenance of the Child is florid and red the Jawes are red and whilest the Child sucks the Breasts are heated that the Nurse perceives the heat If from a cold cause there is seldome sneezing no change of the Colour of the Countenance no heat perceived in the mouth Prog. These Distempers are not dangerous if they be not neglected otherwise they produce Broken Bellies and other Diseases and often Death The Cure is 1. in Diet let the Air be temperate without Excesse avoid Wine and Meats that are windy and grosse and such as flye to the head as Spice and meats prepared with them If the matter is cold a little Spice and hot meats may be allowed but sparingly for all which fly to the head are apt to attenuate and loosen both the cold and hot matter which causes these Distempers and many others 2. Evacuating and diverting the humour by loosning the Belly of the Child by a Clyster or Suppository or by a Vomit which is very good to evacuate the Phlegme which you may do by dipping your finger in Hony and pressing down the Tongue of the Child also to evacuate the matter Take of the Hony of Violets one Ounce of the Powder of Ocymi one dram mingle it and put it in the Mouth of the Infant and then give him the Breast in a cold cause Mirrh and Hony are commended In a hot cause Take one dram of the Seed of White Poppy of Tragacanthy half a Dram of the Seed of a Goard three Drams bruise them all and with a Decoction of Sobestens make a Liquor or you may powder them and take half a Scruple mingle them with a little hony of Violets and give it the Infant to lick If the Breath be difficult with the Cough use the Syrrup of Hyssop in the place of the Hony of Violets It is also convenient to keep the Breast of the Child easie and not straight that it may dilate wherefore annoint the Breast and Back with the Oyl of sweet Almonds which is also good if it be swallowed and taken inwardly CHAP. VIII Of the pain and humidity of the Ears THe pain of the Ears is reckoned by all Physicians amongst the Diseases of Children It is a grievous sense which vehemently affects the parts about the passage of hearing which is very sharp in regard the inward parts of the
Ear are very nerveous Note the outward part of the ear is fleshy and cartilaginous The humidities of the ears are reckoned amongst Childrens Diseases by some but not the humidities of the Nose or Palate because the Expurgation by the Nose and Palate is natural to men and Children but the expurgation by the Ears is not natural The Cause of it is the great humidity of the Brain which cannot be all evacuated by the Mouth and Palate so that excrementitious humours which abound are evacuated by all Passages wherefore many will not drye up this humidity unlesse it ulcerate or threaten obstruction or deafnesse The Cause of the pain in the ear are the humours especially Choller Ichorous matter Wind or Worms Prog. The Pain of the Ear is very dangerous The Cure is 1. The mitigation of the Pain with luke warm milk or Water and the Oyl of Roses mix'd and a Cloth dipp'd in it and laid upon the Ear a Decoction of the heads of Poppy and as the Causes of the Pain are so ought remedies to be for the taking them away If the pain is from hot humours the part is red and hot and cur'd by cold things if from cold by luke-warm things if from Wind the Diet ought to be such as discusses Wind for which purpose Coriander is good for the Nurse to use and that the Child sleep upon the ear which pains him thereby natural heat is augmented and dissipates the Wind the Oyl of Cammomile or Anniseeds poured into the Childs ear is very good if the pain be from an Ichorous matter wipe and clense continually the Ear with Hony or Hony and water if from Worms put into the Ear bitter things that kill the Worms as the Oyl of bitter Almonds See the Chapter of Worms If there be humidity of the Ears and the Child old enough to be purged let him take three dayes this drink Take of the Leaves of Mirtles Bettony Staecados Violets of each half a handful let a Decoction be made according unto Art then take thereof two Ounces and an half of the Syrrup of Wormwood and Staecados of each two drams mingle them afterwards purge the head thus Take of the Pills of Agarick half a dram of Castor one grain two Cloves mingle them and with the Hony of Roses solutive make five little Pills The head being purged for the drying up of the humidity if it be cold infuse into the Ears the Oyle of Irnie or Rue If hot the Oyl of Roses with the Oyl of Cammomile Observe in the use of remedies that they be always lukewarm when you use them neither hot nor cold not in a great quantity but by drops and that the Child lye on the Ear that pains and observe the moisture flowing out of the Ears is not to be stopp'd CHAP. IX Of the inflamation of the Glandules in the mouth call'd the Almonds of the Ears THe Inflamation of these Glandules is reckoned by some amongst Childrens Diseases but onely in Children after breeding of Teeth Others say this Disease may be in Infants but in them it would then be very mortall by the plentifull flowing of humours which often strangles If the Gums are inflamed in Infants and the Glandules ulcerated before breeding of Teeth why may they not be inflamed what should hinder that an infant may not have this disease sometime and not be choak'd as I conceive The inflamation of these Glandules is an Intumescency of them made by a flux of humours The internal cause are all the humours especially Phlegm The external causes are a hot or extreme cold Air violent exercises hanging down the head vociferations strong drink and meat that heat the blood The Signes are if the mouth be opened heat pain rednesse and Swelling near the root of the Tongue difficulty in breathing and swallowing Prog. This Disease usually causes the Quinzey and inflamation of the Lungs and divers other dangerous Diseases 2. If a loosenesse of the belly happen upon this Disease the Flux cures it The Cure is 1. in a good Dyet avoiding any excesse of the air smoak the Sun all exercises of the body vehement motions of the mind especially anger bathing if the belly be bound move it with a gentle Clyster or suppository not by a remedy at the mouth for it is dangerous abstain from wine and use Barly water with the Juyce of Granates and Mulberries and Quinces let the meat be such as may be supt as Barly Broth bread boyled in broth with the Juice of the Seeds of Limmon the Yelks of Eggs in broth with the Juice of Granates 2. In revulsion of the humour by daily rubbing Ligatures especially Cupping-glasses applyed to the Loins and lower parts not the upper parts lest it draw the humor to the part affected 3. Repelling the humour by cooling and astringing remedies as the Sirrup of Mulberry Granate Mirtle with Barly water Rose water Plantain or Oak-bud water and wash the mouth with it to which purpose may be red Roses powdered finely and other astringent powders 3. Dissipating evacuating the humour with remedies that by a moderate heat attenuate and turns the matter into a wind Take the leaves of Dill Flowers of Camomile of each half a handfull of Bran half a Pugill the leaves of Marjarome six Drams of Common water a pint and an half boil it according to Art strain it and add three ounces of clarified Hony gargarize with it being Lukewarm If the matter cannot be discust but it begins to ripen help it with annointing the neck with the Oyle of Almonds or by applying a plaister of Diachilon The ripening of it is helpt inwardly by the roots of Mallowes or Figs boyled and Gargarizing and washing the mouth with it CHAP. X. Of the Sorenesse of the mouth THe Ulcers of the mouth in Children are Ulcers of the Superficies of the mouth that is the whole internal part of the mouth with a fiery heat They are easily caused in Infants by reason of the tendernesse and softnesse of the Palat of Children they being unaccustomed to meat being newly born and by their greedinesse and sucking more then they can digest wherefore it is a great fault in Nurses that whensoever the Child cryes to quiet them with giving the Breast for it is a rule amongst Physicians that milk should not be given not above three or four times in a day The cause is whatsoever is corroding or accrimonious or sharp whether the humours of the body meat or medicaments In Children they are chiefly caused by the sharpnesse and corruption of the Milk whereby ill vapours are sent from the Stomach into the mouth The external causes are whatsoever may heat the head of the Child as the air being hot the use of hot meats immoderate exercises and drinking of strong Wine The Signes are Swallowing with pain and difficulty if they are malignant they for the most part follow ill and pestilentiall Feavers besides they are fetid black or livid causing pain and
weakness or the fault of the matter of the Teeth being not sufficiently glutinous and earthy or by a privation of matter by Worms or a loosnesse in the seventh year Teeth fall out and others grow in their places growing of Teeth continues until fourteen years afterwards very few grow unlesse they be those called Posteriores Gemini which sometimes grow at 80 years The sooner Teeth come forth the less pain but they are the weaker Teeth come forth in the Spring and Summer more easily but with worse Symptomes and effects in the Winter with more difficulty but with lesse danger for they are lesse troubled with a Feaver Loosness or Vomit because their inward heat is more strong But a modern Author says that in every time of the year some are more troubled some lesse according to the natural constitution of Children which the times of the year cannot hinder The Teeth are of an equal number in men and women being 32. The Cutting Teeth which are four above and below grow first which are made of a thin matter and as they are made first so weaker and are broke fall out sooner then the rest the next are the Teeth called Dogs Teeth whose use is to break the meat as to cut is before breaking so the Teeth that cut are first afterwards the Teeth that break the meat afterwards the great and grinding Teeth grow whose matter is more hard and earthy and therefore they break out the more slowly and last of all the Gemini which never are renewed and grow again Hence it appears why the breeding of Teeth causes so many evils if they should grow in the Womb they would not be troublesome but growing after the Birth of the Child and in that time when the Gums are most soft which being bruised and crushed by a hard body as the Bone is causes great pain The Signs are the Childs crying loosnesse pinching the Paps whilest they suck the Inflammation and heat of their mouths and when their Gums are rubbed they are eased Prog. The breeding of Teeth is alwayes dangerous by reason of the great and grievous Symptomes and effects it produces as Convulsions Feavers and other evils If the Child is loose he is lesse troubled with Convulsions and fat Children more than lean yet there may be Convulsions by the sharpnesse of pain If the Child hath an acute Feaver there is seldome Convulsions by fulnesse it being remedied by the Feaver Teeth come forth more slowly most commonly with a little Cough because there is a defluxion in the mouth which argues the weaknesse of the brain The Cure is in a cold dyet of the Nurse and the pap kept cool which much refreshes the Child the Child is not to eat any hard meat and the Gums are to be cooled and relax'd the Juice of Mallowes and Lettice cools Take the Juice of Mallowes half an Ounce of Butter washt in Mallow-water half one Ounce half the yelke of an egge mingle and anoint the Gums with it this that followes is stronger Take of the Juice of Night-shade half an Ounce of the Oyle of Roses six Drams of Butter washt in Lettice-water three Drams mingle them and anoint the Gums with it it being cold rubbing the Gums with your finger for it often mitigates pain The Gums are relax'd by things that are fat as all fat of a Hen c. Oyl of Almonds and the Brains of a Hare boyled in the place whereof may be the brains of a Hen Hony boyled is much commended It is conceived by some that the breeding of Teeth is the more easie by hanging about the neck Corral a Jaspis-stone or the Root of wilde Colothwiths which others think superstitious CHAP. XIII Of the Hiccough CHildren are more chiefly affected with Diseases in the lower Venter in three parts the Stomach Bladder and Guts which follow in their order The Hiccough is a motion like to a Convulsion in which the Stomach endevour to expell what is hurtful infixt in the mouth of it The cause is in Children the plenty or quality of the Milk or nourishment being too cold sharp or corroding vehemently irritating the expulsive faculty sometimes but rarely it comes from emptiness The external causes are a cold Air hot and sharp meats as Pepper The Signes are manifest for as the Proverb is Love and the Hiccough cannot be hid if it is from fullnesse the Child is greedy and Vomits if from cold it is known by rhe Nurses using cold meats and externall injuries that preceeded it if the Childs Stomach is fomented with hot Cloathes it ceases presently if from evacuation fasting flux or vomit preceeded it if from acrimony the meats are corrupted or the milk is sharp and biting and the Child often mourns and grieves and there are pains of the Belly besides the Ordure shewes it Prog. The Hiccough in Children for the most part is safe if it be made from emptiness it is mortal for Children which are naturally full and very moist if they are vehemently dryed by a great cause they are hardly restored If a Hiccough be with the Falling-sicknesse or another kind of Convulsion it is Mortall The Cure is if the Hiccough be from 1 cold use hot things inwardly and and outwardly Take the Syrrup of Mint or Betony outwardly the Oyl of Anniseed Chamomile and Wormwood besides Plaisters and Ointments that are hot and set forth in several Chapters 2. Plenty or quality of Milk correct it as is shewed in several Chapters and if it be from the Acrimony of the Milk let the Child use a little quantity of this Take of Saccharum Rosatum half an Ounce of Bole Armenick half a Scruple mingle them If from Evacuation the same remedies are good as are for Leannesse from Evacuation see the Chapter of Leannesse Bathing with sweet Water and Broth is good in elder Children the Yelks of Eggs and all Meats that easily nourish It is related by some that the Herb called Alyssus held in the hand look'd upon or smell'd to cures the Hiccough by Propriety of Substance Others say that Sneezing and holding the Breath cures all Hiccoughs but these Helps are too difficult for Children and Infants Sneezing and Vomiting because they evacuate the matter is commended CHAP. XIV Of Vomiting and a vain desire of Vomiting BEsides the Hiccough the vain desire of Vomiting and Vomiting happens to Children for the matter that troubles the Stomach is either infixed deeply in the mouth of the Stomach and so makes a Hiccough or infixed but not profoundly and either in the Mouth or Tunicles of the Stomach whence it is a vain desire of Vomiting or else the matter is contained in the Space of the Stomach and so makes a Vomiting The Causes of Vomiting or a vain desire of Vomiting in Children are The humidity and laxity of the Stomach the plenty of cold humours falling from the head the plenty of Milk or Meat the Acrimony and coldnesse of the same Milk The External causes
are a bad Air stinck or an ill tast the use of Oyly and fat things The Signs of Vomiting are manifest it is known if it be from 1. Coldness by the cold Diet of the Nurse preceding it and the help from hot things Besides the Milk is kept some time if the Stomach be cold it presently rejects the Milk 2. Acrimony then Children languish and are afflicted before and after Vomiting 3. Plenty then Vomiting eases evacuating the cause of Laxity Prog. Vomiting which is from taking more then the Stomach is able to bear and Vomiting only that which offended and retaining and correcting the rest the Child is not sick but more cheerful the Stomach being strong and the fault only in the quantity of the Milk 2. Vomiting immediately only what is taken if it continue causes a Consumption and Death The Cure is The Milk is to be corrected by lessening the quantity of it in suckling the Child and altering by purging and correcting the temper of the Nurse as is directed in several Chapters If the fault be in the Childs Stomach by the weaknesse of it Cloves or Coriander chewed by the Nurse and instill it into the Mouth of the Child sometimes alone sometimes with the Syrrup of Mirtles Quince or Granates is commended Outwardly apply the Plaister called Emplastrum de Crusta Panis or take the Oyl of Mirtles two drams of the Juice of unripe Grapes or one dram and an half red Wine one dram boyl them to the Consumption of the Wine then add Mastick Mirrh Acaciae and Frankinsense of each half a dram Wax and refine as much as will susfice to a soft Plaister let the Child wear this constantly above the Stomach CHAP. XV. Of the unvoluntary pissing of Children INvoluntary pissing or not holding of the Water in Children is more familiar to them then those that are elder because Children are rather governed by their appetite then will and cannot hold their water longer but this Incontinency of Urine is not here intended it being not a Disease but the involuntary pissing here meant is an Affection preternatural by which Children are forced and involuntarily make water at all times The cause is in Children an Imbecillity and cold and moist temper of the Muscle of the Bladder called Sphincter proceeding from pituitous and thick humours Sometimes the resolution of the Sphincter the motive faculty being not sent to it by reason of the obstruction of the Nerves especially about the Spinal Marrow from the like humour The External Causes are the coldness of Air and Meat drinking of cold water blowes about the Back and falls The Signs are elder Childrens wetting of their Clothes their inward garments being always wet with pisse but in Children newly born it is hard to know whither in an often sucking an often pissing is involuntary and that Age gives no testimony of voluntary pissing Prog. Involuntary pissing is more hard to Cure if it come from an obstruction then cold and moisture If it comes from an External Cause it is mortal especially from a fall or Luxation The Cure is in 1. By a Diet which is hot and dry as you have in several Chapters you are to abstain from meats that move Urine 2. The Belly loosned by a Clyster or Suppository use this Syrrup Take of the Leaves of Calamint Plantane and Mint of each half a handful the Seeds of Rue two drams boyl them according to Art Take of the Syrrup of Purslane Red Roses and Wormwood of each half a dram mingle them together After the humours are prepared purge with two Scruples of Pill Hiera cum Agarico or Take of Mirabuline Chebuline one dram of the Seed of Rue half a dram of the Flowers of Violets and Roses of each half a Pugil boyl them according to Art Take thereof three Ounces Trochische of Agarick two Scruples and an half infuse it all night then presse it and add the Syrrup of Roses Solutive two Ounces the body being purged outward remedies are to be used as Baths which heat drye and are binding it is good to annoint the Loyns and Parts nearest to the Bladder with the Oyl of Wormwood or the Oyl of Worms foment those parts with this Take of Calamint Mint Rue Marjerome red Roses of each an handful Galengal and Cyprus of each two drams boyl them in red Wine according to Art If these will not prevail then Blisters will be useful Divers remedies are propounded by Authors that are supposed by a Propriety to cure this Distemper as the Brain and Testicles of a Hare burnt and given to drink in White-wine the Bladder of a Sheep or Sow used in the like manner and divers others CHAP. XVI of the Strangury and Suppression of Urine THe difficulty of Urine is either when that no Urine is made which is called Ischury or when the Urine is made by Drops which is called a Strangury both which distempers differ only in degree The Causes are a coldnesse sometimes alone sometimes with moisture weakning the expulsive faculty that it cannot expell the Urine or if it doth not in such a manner as it ought so that the expulsive faculty is essentially hurt or the cause is either from a Stone or the humours viscid and thick The External Causes are an Air that is cold grosse thick and cold meats and drinks especially the Milk of the Nurse for as the manner of Diet is such is the Milk as the Milk is such are the Children that suck it The Signs are manifest for the Child makes no water or by drops and with groaning If it be from a cold distemper then if the parts be rubb'd heated or compress'd the Urine comes forth if from Obstruction if you compresse them no Urine is made it is known also by the course of Life preceeding to it and by the Childs being said before to have Urine that was thick and muddy Prog. The Strangury and Ischury in Children are difficult distempers for all distempers in Children of the natural faculties are dangerous The Cure is 1. In a good Diet avoiding fulness grosse and thick meats and drinks 2. Expelling the Excrements in the Stomach and first passages by loosning the Belly with two or three Ounces of the Hony of Roses then prepare the humours thus Take of the Simple Hony of Roses Simple Oxymel of the Syrrup of Bettony of each three drams mingle them and give it alone or else with Broth afterwards purge Take of Cassia five dâ—ams of Species Hiera one dram and an half mingle them or Take the Hony of Roses Solutive two Ounces of Electuary Lenitive three drams two Ounces and an half of a Cordial Decoction of Violet Roses mingle them and make a Drink 3. Provoking of Urine the Decoction of Grownsell Saxifrage Centmade or Red Cicers is much commended or Take the Roots of Asparagus half an Ounce the Leaves of Saxifrage and Maidenhaire of each one handful red Cicers one Pugil make a Decoction according unto Art give three
Ounces of it with a little Sugar the Stomach being empty Outwardly are useful the rubbing and compressing the hands being annointed with the Oyl of Scorpions If it help not boyle the Pellitory of the Wall in the Oyl of Rue and make a Plaister and lay it to the parts about the neck of the Bladder or Take a Cruce Glass in which Oyl hath been kept a long time put it in hot water then put the Yard of the Child into the Mouth of the Cruce Glass and it is very effectual CHAP. XVII Of the Stone of the Bladder CHildren are very obnoxious to the Stone of the Bladder and are often troubled with it by their much eating causing much crude humours which stay not in the Reyns but is expelled into the Bladder Female Children are seldome troubled with it because they have the Channel of the Bladder broad straight not contorted and crooked The Stone of the Bladder which is immediately made in the Bladder is more often made in Children then in old men because Children are great Eaters thereby abound with much crude humours which is the matter of the Stone and falls into the Bladder besides Childrens native heat is strong which easily hardens the matter into a Stone old men although they abound with crude and earthy humours because their heat is weak in the Bladder the Stone is not made to which may be added the strength of the expulsive faculty the narrowness of the passage and the tenuity of the humour in Children The Stone which is first made in the Reins is in old men more often then in Children as is proved by experience because old mens expulsive faculty is infirm and the Ureters wide so that the thickest and grosse matter is detained in the Reins and consequently turn then into a Stone The material causes are humours thick petuitous and tenacious the efficient cause is the greatnesse of the heat The immediate internal causes are chiefly the narrownesse and straightnesse of the passage or Channel then the hereditary disposition and propriety from parts and the Milk of the Nurse being bad either from Diet or temper for when the Child doth suck impure Milk if the Child hath large Veins from the Stomach to the Bladder the impure matter is carried to the Bladder where it settles with the Urine as muddy water shak'd together in some Vessell and then resting makes a Sediment in the middle which Sediment of the Urine afterwards is conglobated and made round by Phlegme like a little hill and is hardned as Iron in a Furnace The External Causes are the same as in the Strangury The Signes are 1. Groaning and pain in making water 2. The making water by drops 3. The Blood is often mix'd with the Urine 4. The water is somewhat white crude sometimes with a slimy sometimes with a Sandy Sediment 5. Inflamation of the Bladder 6. Itching of the Preputium and foreskin and frequently scratching of the Privities Prog. The Stone of the Bladder is very dangerous and difficult by reason of the pain and in curing Suppression of the Urine which often happens The Stone if it cannot be cur'd by cutting it is mortal for the most part because the Stone growes in Children so great that as the years increase Nature cannot sustain it The Cure is If the Stone be Small and newly begun by such things that break and diminish the Stone by a quality that is either 1. Manifest as by Goats Blood Restharrow Ceterach Saxifrage the Root of Parsley and Fennell Lapis Spongia Lapis Judaicus the Stone that is found in the Call of an Oxe powdered and drank in White wine or a Decoction of Restharrow Take 2. or 3. drams of Turpentine wash'd and melted and mingle it with two Ounces of the Water of Restharrow it is much commended 2. Or an Occult quality and propriety as the Throat of a Hen burnt and powdered and given in Wine So Eryngoes boyled breaks the Stone by propriety Before the use of these remedies the Child is to be put into a Bath Water for some dayes in which Mallows are boyled that the matter may be somewhat softned and more easily and safe done in Children in Men. CHAP. XVIII Of Costivenesse and being bound in the Belly COstivenesse is a preternatural disposition in Children by which they discharge not the filfth and Ordure of the Body either in a due hour and time or in a due measure The Filth ought every day to be expelled and if much be eaten or that is not nourishing the greater the quality of the Excrements ought to be expelled The Causes are the offending the Guts either not by sending the expulsive faculty to them by a resolution of some Nerve or Muscle by a distemper or obstruction or because Choller is not sent to the Guts by which the Guts are stimulated and excited to an Expulsion Or the Expulsive faculty of the Guts is hurt by some Tumor or Skin or some distemper The Guts are offended also by some Errors within by viscid and thick humors wrapp'd and mix'd with the Filth and so gather the Filth together that they fasten them to the Guts that they cannot go forth or with great difficulty or Externally by the coldness of the Air for it is certain that Costivenesse is more in the Winter than Summer much sleep idleness great Meditations they drye the Belly drink that is thick and binding and sparingly used the same Errors also in meats as also preposterous eating taking first astringent things afterwards liquid and they that are accustomed to dine and omit it are bound in their Bellies The Signs are the Child 's not discharging his Belly every day and complaining and if the Child is somewhat great it is troubled in the head and when the Child empties it self it is with pain groaning If it proceed from a cold distemper the body consumes is pale windy and belching if from gross and viscid humours they will appear in the Filth if from the want of Choller sent to the Guts the Colour of the body will be muddy and the Filth of the Guts white or somewhat Ash-coloured Prog. The Astriction of the Belly in most are dangerous especially in Children which great eaters for which Diseases are generated in them in time and in the Time of breeding of Teeth cause Inflamation Feavers and Convulsions the body being full The Cure is 1. In moving the Belly in sucking Children that the Nurse use meat that loosen the Belly as Mallows Dry Figs Raisins and the Broth of Coleworts and all such meats which can loosen the Belly for as the Milk is made out of Blood and it out of meat so it is not to be doubted that the Milk is affected with such meats as the Nurse eats The remedies that are to be used to the sucking Child ought raiher to be External then Internal The External are Suppositories made out of hard Hony or the roots of Mallowes Garlick roasted in Ashes and put
into the fundament of the Child provokes Stool So doth Coriander Candied with Sugar put into the Fundament for it tickles the expulsive faculty and causes no pain Besides these remedies to make the body soluble there are others to be applied to the Navil as half the White of an Egg boyled hard and fill'd with Butter and a little Coloquintida or two Grains of Scammony the Gall of Beef laid to the Navil doth the same so doth the Juice of Cyclaminis with an equal portion of the Oyle of Sweet Almonds and Hens grease If the Child is somewhat great the use of Turpentine is much commended it clenses the Liver and Spleen Likewise Bread that hath some Bran in it and Raisins continually used The broth of Coleworts and Mallowes may be likewise used or the Suppositories directed above 2. In removing not only Astriction but also the Causes of it therefore if it be in an Infant that the Nurse uses convenient Diet and such as doth not bind avoiding idlenesse the use of Wine that is sharp and binding meats that are grosse and binding as Barberies Medlers Cervices and the like and whatsoever is binding If the Astriction of the Belly be in a Child that is somewhat great he is to use meats that loosen the belly and to abstain from those that are binding his sleep watching and exercises are to be moderate and to avoid North winds If Astriction be from a cold distemper of the Guts if in Infants the Milk ought to be corrected with meats that heat or the Nurse changed and remedies applied to the Stomach or Navil of the Child Take half a Pint of the best Wine of the Leaves of Calamint Abrotanum Mint Marjerome of each half a handful boyl them and with a Sponge foment the whole Belly or use this Oyntment Take the Oyle of Spikenard or Mint of each three drams the powder of Cloves half a Scruple a little Wax mingle them make an Ointment If Astriction is from cold and viscid humours use such things that are attenuating as Oxymel and the Syrrup of Harehound these are very useful if the Child lick them or the Nurse take them If from the want of the coming of Choller to the Guts then obstructions are to be removed in a Child that is somewhat great a Decoction of Rubra Tinctorum Red Cicers the Roots of Fennell or Asparagus and the use of Maidenhaire is convenient stronger remedies in Children are not to be used CHAP. XIX Of the Flux and Loosnesse of the Belly THe Flux is too great a Laxity of the Belly by which Children do expel more filth more often then ought to be by reason of the Meat and Drink The cause is a cold Distemper of the Guts by which the Concoction is vitiared and so the corrupted Meats cause the Flux and also a moist distemper whereby the retentive faculty which consists in dryness is weakned and being not able to retain the filth causes that the expulsive faculty excited by them expells more and more often then it ought to which may be added the humidity that comes from the head to the Stomach and from thence to the Guts also corrupt meats which when they have Acrimony and are past to the Guts irritate their expulsive faculty likewise sharp and biting thin humours do the same such as are in the Breeding of Teeth The External Causes are the South Wind immoderate exercises of body the use of liquid meats and such as are apt to loosen the Belly The Signs are manifest Children very often evacuate the Filth of their Belly and it is more fluid and liquid then it ought If it be caused by the Corruption of meats the Ordure and Filth stink and appear unconcocted and the Child breaks Wind often if from breeding of Teeth the Signs you have in the Chapter of Breeding of Teeth If from Bilious and Ichorous humours the Filth and Dung is bilious and yellow and if they have hurt the Guts the Dung will be bloody and covered with a bloody slime If from a distemper there will be the Signs of a moist or cold distemper and no Signs of any other causes If from a Distillation the Child will have a Catarrhe not falling to the Lungs and the Filth will be frothy It it be from external Causes it is known by a careful and diligent observation of the manners and life of Children Prog. A Dysentory in Children is very dangerous The loosness of the Belly one or more dayes is healthful if there be no Feaver and if it is stopt within 7 dayes An unseasonable stopping of the Flux in Children is mortal If the Flux continues and perseveres and is very long it causes a Consumption and Death The Cure is 1. In an Infant if the Milk be bad by changing the Nurse in long Fluxes nothing hath been found better if it cannot be corrected If the Cause is hot the Nurse is to use a cooling Diet abstaining from Wine and using water in which Steel hath been quench'd or Wine somewhat binding but a very little of it also meats somewhat astringing and cooling as Barly Broth with the Juice of Quinces Rice and the like Annoint the Childs Navil and Stomach with this Take the Oyl of Mirtles Quinces of each three drams the Powder of Mastick Red Corall and Acaciae of each half a Scruple a little Wax make a Liniament If the Cause be cold the Nurse is to use a Diet that is hot as Wine somewhat binding Spice the best Flesh Mint Marjerome boyled in Broths Take the Oyle of Wormwood and Mastick of each three drams the Powder of Sothernwood Comfrey and Bole Armonick of each half a Scruple a little Wax mingle them and make a Liniament the Bag of a Hare is very good but the Child is not to suck when it is used but let the Child take Pannado with the Milk of Almonds for as the Bag thickens Milk outwardly so if it should be used unseasonably it would be dangerous if it should do the same and not above half a Scruple at a time is to be used The Cure of a Child somewhat great is If the Flux comes from 1. Corrupted Meat stop them not nor retain them but only comfort and strengthen the Stomach Take of the Oyls of Spicknard and Mastick of each five drams of the powder of Red Corral one dram and an half of Wax a little mingle them 2. If from petuitous humours falling from the head provoke Urine with a Decoction of the common Seeds of the Roots of Parsley Fennel Asparagus Birtcher Broom for they divert the Phlegme from the Guts 3. If from bilious humours temper them and take care they do not exulcerate the Guts wherefore let the Child abstain from Wine meats that are hot salt acrimonious and sweet and use Barly Btoth with the Syrrup of Barberies Quinces or Granate Take of the Decoction of all the Myrabulous six Ounces the Juice of Millet strained four Ounces mingle them and
make a Clyster which is very good So is this Take of Mullen the greater Comfrey of each half a handful boyl them according to Art Take thereof two Ounces and an half of the Syrrup Deribes one Ounce mingle them Whey in which Steel is quench'd is good and may be given to six or eight Ounces at once If the Guts are sore this Confection is very useful Take of the Conserve of Barberies one Ounce of Thus one dram of Mastick half a dram of the powder of the great Comfrey two Scruples mingle them the quantity to be used is two or three drams every morning The Broth of an old Hen in which Mullen is boyled is good for all old and petuitous Fluxes So is the heart of a Beef burnt and powdered taken in Milk in which Steel is quench'd or in the Decoction of Mullen half a Scruple of it or a Scruple is to be used at once Clysters are good Take the Water of Barly in which Steel is quench'd eight Ounces Red Sugar one Ounce make a Clyster this is good in the beginning because it moderately dries absterges and mundifies the Ulcers afterwards the Ulcers are to be dryed and healed to which purpose use this Take of Whey in which Steel is quench'd nine Ounces of Thus Bole-Armonick and of Comfrey the great of each three drams Sanguis Draconis five drams mingle them and make a Clyster CHAP. XX. Of the Tenesme AFter a Loosness and in the Loosness and from them a distemper usually arises called a Tenesme which is a certain vain desire of evacuating the Filth of the Belly with pain and trouble The Cause is A hot or cold distemper of the Spyncter of the great Gut most commonly from a humour thick viscid and sharp adhereing to it where it stimulates the expulsive faculty which endevouring to expel the viscous and sharp matter but cannot in regard of the tenacity of the humour the Tunicle of the Gut is as it were strain'd into pieces and in the same divulsion the appetite and pain is made The antecedent causes most frequently are Preceeding Fluxes for the humors continually touching the great Gut distempers it if the humours are hot the distemper is hot if cold the distemper is cold whereby sometimes there is not only made a distemper but an Inflamation The Signs are manifest because the Child desires and endevours often to expell the filth of the Belly and with such endevours that sometimes the Fundament falls and comes down the Filth that is evacuated is very little slimy and bloody if it be from a hot cause a heat is perceived by the Children in the Fundament there is a rednesse and cold remedies help if from cold there is a lesser pain a little or no heat no rednesse and hot things help Prog. This Disease if it be diligently handled in the beginning ends well but it sometimes happens by continual pains watchings and crying of Children that it brings them into mortal Feavers and Consumptions The Cure is of sucking Children by ordering the Nurse if a Child somewhat great by abstaining from meats that are acid sharp salt and sweet and to use such as provoke Urine If the cause be hot to asswage the pain then lessen the desire of going to Stool Make a Decoction of Mullein or Dyptams and sit in it Take Mirabulous Chebules and the Leaves of Mullein and boyle them in Red wine and dip a Sponge in it and apply it to the fundament Turpentine put upon the Coales that it fume and smoke the fundament is very good if these will not help Take of Opium four grains of Saffron one Scruple of Thus one Scruple and make a Suppository of it with the White of an Egg roasted put it into the Fundament it takes away pain dryes up the humours that causes the distemper especially the hot humors CHAP. XXI Of the pain of the Guts THe Guts being very full of Turnings and windings and rowlings and very long retain the humors a great time in them which makes the internal Tunicles of the Guts bare and naked from the slime which covers the Guts and makes their sense dull for their receiving of hard and sharp excrements and corrodes the substance of them and distends them whereby there is a vehement torment and pain The cause is either wind that cools the Guts and oistends the Tunicles of them or humors that are cold or hot which distemper them or causes a Solution of continuity somtimes Worms is the cause The external causes are the coldnesse of Air Feet and meat also sweet meats and Summer fruits If it be from Wind the pain is sometimes vehement sometimes gentle goes and comes breaks forth upwards and downwards If from humors the pain is more durable and constant if from Phlegme that Filth that is evacuated is but little and slimy If from Choller the Excrements of the Belly are yellow If from the corruption or sharpnesse of Milk there are notes of the badnesse of the Milk and the Filth and Excrements evacuated resemble corrupted Milk Prog. Pains that are persevering are dangerous especially the vehement pains in the Guts of Children proceeding from Worms which many times kills them The Cure is If the pain is from corrupted Milk change the Nurse if the be so vehement that it will not allow time to correct the milk if from wind the Nurse is to abstain from all windy meats and use Coriander and Fennelseed So ought the Child that is elder to use Auodynes such things which heat in the first degree and evacuate the matter of pain and attenuate and dissipate it annointing the Childs Belly with the Oyle of Anniseed If it is not effectual put a Clyster-pipe in the Fundament so the Wind is drawn forth sometimes if not make three Ounces of the Oyle of Anniseed lumbricated is sufficient for a Clyster If the Child be great use Cummin or Anniseed in Sweet Oyle and the Oyle afterwards being strained take of it 6. or 8. Ounces for one Clyster Observe the Wind ought to be expelled out of the Guts by gentle remedies if more hot are used the pains usually are increas'd if the Cause of the Wind be in the Guts If the cause is a petuitous humour in a Child that is somewhat great the gentle remedies above mittigate pain afterwards take the Leaves of Dill Marjerome Cumminseed of each half a handful boyle them according to Art Take Take of the Decoction three Ounces of Oxymel Simple and of the Syrrup of Byzantine of each three Drams the humors being prepared purge with one dram of Hiera in Wine if the Child will take it and there being no Feaver otherwise Take of Electuary Lenitive 5 drams of Hiera Picra one dram mingle them and make a Bolus If the pain is from hot and sharp humors use outwardly the means as is said before Take of Barly water six Ounces Oyle of Anniseed two Ounces the Yolk of an Egge and make a Clyster
ΠΑΙΔΩΠÎΟΣΗΑΤΑ OR CHILDRENS DISEASES BOTH Outward and Inward From the time of their Birth to Fourteen Years of Age. WITH Their Natures Causes Signs Presages and Cures IN THREE BOOKS 1. Of External Diseases  2.  universal  3.  Inward  A'LSO The Resolutions of many Profitable Questions concerning Children and of Nurses and of Nursing Children By J. S. Physician London Printed by W. G. and to be Sold by J. Playsord and Zach. Watkins at their Shop in the Temple near the Church 1664. To the illustrious person ROBERT BOYLE Esq Brother to the most Honourable the Earl of Corke FAME reports your Generosity and Humanity to equal your Learning the latter is so great that it makes you a Transcendent especially in the mysterious Secrets of Nature and practical Philosophy and so most fit for the Protection of the meanest of this Work as you are by the former most ready to pardon my unworthyness therefore I have put forth this Manual under the Patronage of your Illustrious Name hope for Pardon if not Acceptance because it is a part of practical Philosophy Medicine being only the Application of the precepts of Philosophy in which as you are the greatest Luminary so the noblest Encourager of others in it If you vouchsafe this favour I doubt not but it will be accepted of as well by the Learned as the Vulgar it being an Extract or Issue not meanly Descended habited in English by Your Devoted Servant in all humility I. S. Courteous Reader THE true use of Physick is as difficult as the abuse is dangerous for the goodness of remedies consists in the conveniency and fitness of them good and convenient being the same to the Patient causes and circumstances of Diseases the mistake whereof by the Vulgar is often mortal especially to Children who are very obnoxious to alteration by the tenderness and softness of their bodies To prevent which I present this Manual to you pointing and holding forth what ought to be done and what not for the procuring preserving the health of Children in which are slipt in some few words either not altogether fit for the matter or the unlearned Reader by my being under pressure of business when this Work was in the Presse where by Pugil is to be understood as much as the Thumb and four Fingers can take up by Liniament a Medicine thinner then an Oyntment and by boyling according to Art boyling from a pint and an half to a pint and putting Flowers and Seeds in towards the end of the Decoction the other Obscurities will be no Impediment to him which makes me hope for acceptance from him as I do from the learned by the quality of the matter proved by most eminent Authority in Physick as appears by a List of the Authors hereunto annexed Oundle in Northampton June 9. 1662. Vale. A Catalogue of the AUTHORS used in this Work A. AEtius Avicen Aristotle Averrhoes C. Cardanus Crato Celsus D. Dioscorides Dordonaeus F. Fallepus Fabritius de Aquapendente Fabricius Hildanus Fernelius Fonseca Fontanus Fucksius G. Galen H. Hartmanus Hippocrates Horstius Hurnius L. Amatus Lusitanus Zacutus Lusitanus M. Mercurialis Mesnes P. Paraeus Platerus Plato Prymrose R. Rhazes Rolfincius Riverius S. Sennertus Salaemander T. Theophrastus Trallianus The CONTENTS of the CHAPTERS The first Book of EXTERNAL DISEASES THE Preface Chapter 1. Pag. 1. Of the Greatnesse Dropsy and water of the Head Chap. 2. p. 5. Of the Kings Evil. Chap. 3. p. 15. Of Pustules and little Risings in the head Chap. 4. p. 23. Of Chapt Lips in Children Chap. 5. p. 26. Of the Inflamation of the Navil Chap. 6. p. 29. Of a Rupture and Broken Belly Chap. 7. p. 30. Of the falling of the Fundament Chap. 8. p. 32. Of the Galling of Children Chap. 9. p. 34. Of Chilblanes and Kybes Chap. 10. p. 36. Of the Scab Chap. 11. p. 39. Of the Itch. Chap. 12. p. 51. The second Book of Universal Diseases Of Feavers in Children in general Chap. 1. p. 43. Of a Synoche Feaver Chap. 2. p. 49. Of the Small Pox and Meazles Chap. 3. p. 52. Of the Consumption Chap. 4. p. 70. The third Book of Particular Diseases of Inward Parts of the Body Of the Epilepsy or Falling Sicknesse Chap. 1. p. 86. Of Convulsion Chap. 2. p. 27. Of the Palsy Chap. 3. p. 101. Of Childrens dreaming and tronbled sleep Chap. 4. p. 104. Of moderate watching of Children Chap. 5. p. 108. Of the Inflamation of the Head Chap. 6. p. 110. Of the running at the Nose Cough and difficult Breathing Chap. 7. p. 114. Of the pain and humidity of the ears Chap. 8. p. 117. Of the Inflamation of the Glandules called the Almonds of the Ears Chap. 9. p. 120. Of the Sorenesse of the Mouth Chap. 10. p. 123. Of the Ranula of the Tongue Chap. 11. p. 127. Of Dentition and breeding of Teeth Chap. 12. p. 129. Of the Hiccough Chap. 13. p. 135. Of Vomiting and a vain desire of Vomiting Chap. 14. p. 138. Of the involuntary pissing of Children Chap. 15. p. 140. Of the Strangury and Suppression of Urine Chap. 16. p. 143. Of the Stone in the Bladder Chap. 17. p. 146. Of Costivenesse and being bound in the Belly Chap. 18. p. 150. Of the Flux and Loosnesse Chap. 19. p. 155. Of Tenesme Chap. 20. p. 161. Of the pain in the Guts Chap. 21. p. 163. Of the Worms Chap. 22. p. 167. Contents of several Questions WHat is Age the Definition and Division of it Page 2 3. Why before 14. years of Age ought one not to be esteemed a perfect man Why before 7. years of Age Children have not the use of reason p. 87. When and how the Lessening of blood is to be done in Children p. 46 50 51 65 66. Why Children are disposed to many Diseases p. 3 4. Why they never sleep moderately p. 105. and why their want of sleep is very hurtful p. 108. Why they hold not their water so well as men p. 140. Why Chilblanes and Kybes happen chiefly to Children and to the hands and feet and not to other parts p. 36 37. Why a Consumption is said a Disease and an Effect of a Disease or a Symptome p. 70 71. What is the Subject of it and in what order the parts consume pag. 71 72. Why a Feaver is called a Childs Disease p. 44. Diseases in Children why so called p. 5. Why Phrensy Madnesse are not reckoned amongst Childrens Diseases p. 87. Nor the Apoplexy though it hath the same matter as the Epilepsy hath p. 101 102. Nor the moisture of the Nose and Ears and yet the humidity of the Ears is called a Childs Disease p. 117 118. Whether the Inflamation of the Almonds of the Ears may be in Infants p. 120 121. Why Diseases of the head are difficult to cure p. 8. As also of the Fundament p. 33. Why a Child is most apt to a Synoche Feaver and whether he may have a Quartan
by the corruption or fault of the Milk or by meats and drinks that are hot salt or other things that heat the Liver The Signs are manifest The Cures are 1. By attemperating the humours with the Whey of the Milk of Goats and the Syrrup of Fumitory 2. In evacuating the humors Take a Dram of Rhabarb infuse it all night in a little Water strain it and add three Ounces of Whey and two Ounces of the Syrrup of Roses solutive 3. Mitigation of the pain and discussing of it by Baths of Water in which are Mallowes Cammomile or Pellitory So much of External Diseases The Second Book Of Universal Diseases in CHILDREN CHAP. I. Of Feavers in Children in Generall HItherto have been considered External Diseases Internal are either Universal which affect the whole body or perticular which affect some parts A Feaver is an Universal Disease so is the Small Pox and a Consumption which three Diseases will be considered in this Book Although Feavers and their Causes are common to all Ages yet in regard Infancy is most obnoxious to them and hath peculiar considerations in the Cure of them Limiting the strength quality and quantity of the remedy it will not be altogether improper to call Feavers Childrens Feavers Children are subject to Diseases that are accidental and Symptomatical proceeding from other Diseases as in breeding of the Teeth Inflamation of the Gums c. and also to Feavers essentiall and of their own accord and to all sorts of them but especially a Synoche Feaver in regard their bodies are hot and moist their temperament sanguine and their bodies dense by which transpiration of the heat is hindered which increases and produces a Feaver Children may have a Quartan Feaver though their natural temper be contrary to it because 1. Humours partake aswell of the matter as of the Agent and Temperament of the body wherefore as Humours and Excrements of the body do not shew the Temperament for old men are cold and dry of temper yet they abound with Phlegme so do they not only depend on it but on Diet likewise which in Children is very often grosse and unorderly eaten and so Crudities and very thick humours are made 2. If the Mother was elderly and of a Melancholy temper the menstruous blood with which the Child was nourish'd may much alter the temper of the Child 3. A Quartan Feaver is not always made from Melancholy but may be made from any humour that is thick The Internal Causes are the humours of the body The External Causes are chiefly 1. The Air If the Winter be cold and dry and the Spring hot and moist bodies cannot be cooled in the Summer but burn and cause Feavers besides in the Summer Childrens bodies are more thin and spare 2. Unseasonable and immoderate exercise being full or empty 3. Immoderate and ill Diet whence are Crudities Obstructions and Putrefying and so Feavers Presage All Feavers in Children for the most part are not dangerous because the natural Faculty is strong and active in them and can resist powerfully the Causes of Feavers Children sometimes by Feavers have an Hectick Feaver not by the difficulty of the Curing it or the greatnesse of the Feaver but by the morosity of the Child that will not be govern'd The Cure is If the Child suck the Nurse is to be cur'd with such things that alter and purge as the kind of Feaver seems to require It is much doubted how blood is to be lessened in Children that have Feavers Some think that after the Fifth Month Cupping-glasses may be applied and blood drawn out by them Others think not before a year which opinion is most safe because this Age is wont greatly to be overcome by pain and trouble and Cupping glasses are painful but after a year Cupping glasses may be applied but only to sanguine and strong Children And then not to the part above but on the Thighs because the Spirits and strength are not so wasted from those parts as from above And only to the taking away an Ounce of blood and no more Besides these remedies others may be added Inwardly may be taken the Juice of Granates which is highly praised with Oxymel and Citron It may be made thus Take of the Juice of Granates one Ounce of Simple Oxymell half an Ounce you may give the Child a Dram at a time unto half an Ounce but it is better to mixe the lesse quantity of Oxymel because the Childs Nerves are very infirm and Oxymel and all sower things hurt the Nerves wherefore the Syrrup of Maidenhair Syrrup of Red Poppies are good If the Child is bound in his belly you may not use purging Medicaments because the Childs body is hot naturally and is more heated by the Feaver so it is dangerous to add the heat of a purging Medicament wherefore it is better to use a more gentle Clyster or Suppository Take of Whey half a pint of Hony half an Ounce of Salt half a Dram mingle them make a Suppository of Flesh and Hogs grease or the common Suppository for strong Suppositories are dangerous Outward remedies may be used 1. Things very gentle may be applied to the head or Feet to provoke sweat as the Root of a Reed if the Childs body which is Dense be opened by Sweat the heat and putrid vapours will go forth 2. Cloths dipped in Cichory Endive Plantane or Rosewater applied to the Breast Side or Back for cooling The Liver and Stomach ought to be helped in Concoction in all Feavers much more here which is done by cooling and binding remedies applied to them Take of the Oil of Mastick half an Ounce powder of Red Corall Sanders and Red Roses of each two Scruples of Wax a little make an Oyntment of it but if the Child be between seven and fourteen years he must be handled in another manner which shall be set forth in the following Chapter CHAP. II. Of a Synoche Feaver EVery Synoche putrid Feaver in Children is from obstruction made by gross humours in hot moist and sanguine bodies and the putrid matter is in all or the greater veins The Cure of it in a Child between 7. and 14. years will be in removing the obstructions and tempering the Febrish heat which will be done by 1. A convenient Diet let the Air be cold motions of the body and mind avoided if the belly move not use a Clyster or Suppository let the Drink be water or Barly water the Diet sparing only Barly broth or Broth of Meat But because this will be accounted too strict and hard to indulge you may add to the Broth bread and sometimes the Yelk of an Egge but be careful you do not nourish too much because the strength and the Disease are nourish'd together The time of eating let it be as it was when the Child was well 2. Blood-letting Some think that Blood-letting ought not to be before the Child is 14. years old because that which the opening of a Vein ought
of Mastick and Tormentill of each half a Dram mingle them and make a Liniament the senting of the Clothes with Fumes of things that are binding are also convenient If Leannesse arise from the drynesse of the whole body use Bathing with fresh water in which are boyled Mallowes Lettice Water-Lillies or Endive and a Liniament may he made of the Oyl of Roses Violets Butter without Salt and Hogs grease Clysters are also good in these cases made of Milk or Bread boyled in broth or made of Eggs because they may nourish Children being they are next to Generation that is the state which they had in the womb in which they were nourish'd by the Navil without the Concoction and preparation of the Stomach Observe that Plaisters to draw nourishments to the parts are not convenient for Children because their bodies are as Wax and that sort of remedy by the heat of it doth enervate and wast the flesh of Infants If the Child is bewitcht a Saphir or Carbuncle hung about the Childs Neck is conceived good so is Hartsthorn hung in the house and many more which I omit as superstitious or false If the Child doth not suck but is nourish'd with solid Meats then the Cure is by removing 1. The External Cause or the Internal Disease if it be the cause of it caused by proper remedies to it Afterwards by procuring a good Nourishment distributed and assimulated which is done by a convenient Diet. Let the Air be temperate and moist heat hurts and be careful the Child is not Clothed too hot Let the sleep be long the mind quiet the Exercise moderate and that which is slow fatness and swift exercise consumes the Belly moderately loose Baths used seasonably Wine that is thin thick Wine obstructs and is not vehicle for the meat Odoriferous somewhat sweet not sharp but very moderately used The Meat nourishing somewhat fatty Juicy neither salt nor acide unless it be to provoke a Stomach as the Flesh of Fowl Veal c. Eggs the Brains of a Calf or Hog-bread boyled in Broth Rice boyled in Milk Parsnip steep'd in Milk Raisins and Almonds Besides these there are meats that fatten either by a quality 1. Manifest by helping concoction as Spices by being gratefu to the Stomach and increasing the native heat of it as Cinamon Cloves and Nutmegs Take the Pulpe of a boyled Capon and Patridge of each half an Ounce of the Pine Kernell Pistack Nut steep'd in Mallagoe Wine half an Ounce of Sweet Almonds an Ounce Cinamon Clove and Nutmegs of each an Ounce and an half Fine Sugar as much as suffices make Lozenges they are pleasant and fatten much or by apposing and fastning the meat as all Diureticks and Diaphereticks do which opens the wayes and carries the nourishment to the parts So doth Drinking likewise between Meals or by apposing and fastning the meat to the parts by their tenacious and viscid humidity which humidity in hot and drye bodies is to be cold and in cold bodies hot 2. By a Propriety and an occult quality as Sarcocolla now the Indian Nut is in great use the Marrow whereof being finely bruised an Ounce or two or half an Ounce is mix'd with broth Take of sweet Wafers and Sarcocolla of each one pound make a past with Butter and drye them then powder it and use five Ounces in cold water Observe cold water is praised by many and cold meats but this is by a manifest quality and good where Leanesse is by the great heat of the Liver The Third Book Of Inward DISEASES of several parts CHAP. I. Of the Epilepsy or Falling-Sicknesse IN the two precedent Books you have the External and Universal Diseases in this Book you have Inward Diseases belonging to particular parts of the body but in regard Children especially before 7. years of Age have not the use of reason reason being as it were drowned and drunk with moisture and humours which made one say the Souls of Children differ nothing from the Souls of Beasts for whilst we are Infants we all live the Lives of Beast using only the faculties of the Vegetative and Animal Souls therefore the faults of the Actions of the rational faculty as Phrenzy and Madness are not considered by Physicians amongst Childrens Diseases which likewise I omit in this Book The Epilepsy hath several Names I shall only mention three of them here It is called 1. A Childs Disease because Children are most frequently troubled with it by the cold distemper and large moisture of the Brain 2. An holy and divine Disease so divers of the Ancients testifie in their Writings 3. Lunatick 26. Matth. the Lunatick there was the same with this because as one excellently says they who are conceived in the change of the Moon when the Moon is in conjunction with the Sun without Light they have the Falling Sicknesse The Falling Sicknesse is a preternatural involuntary and intermitting contraction and retraction of all the Muscles and Nerves The mediate cause of an Epilepsy by consent is a Vapour raised from the lower parts to the head which some think is but seldome whether it be from fear corrupted Milk in the Stomach Worms breeding of Teeth the Small Pox Meazles or Feavers The immediate Cause of the Falling Sickness when the Brain is primarily affected is a thin humour or vapour because it is made and gone quickly therefore the matter of it must be such as may go away and return quickly which cannot be in a thick humour which must be dissolved by concoction which is done in time and not suddenly which vapour or thin humour by a peculiar vertue doth prick the Membrane of the Brain and part where the Nerves begins causing a Constriction of the passages and exciting the sensible parts to an Expulsion of what is hurtful thence is the shutting out and Retraction of the sensique Spirits and by a defect of them follows a diminution or cessation or abolition of the Actions of the mind and thereby all the parts of the body have a convulsive motion A cold and moist temper of the Body hereditary Disposition and the Nativity being in the Eclipse of the Moon are Dispositions to this Disease The external Causes are 1. Things which administer matter as grosse and vaporous meat as old Pigeons Sparrows Eales c. 2. Things that excite it as Moon-shine the smell of stinking things also great fear and tickling Signs of the coming of it in children are because the Child is born of Parents that have the Falling Sicknesse in those that are elder Pains of neck back heart fears and inordinate motions in the sleep often spitting Signs of the Paroxysme and when it is upon the Child are as 17. Matth. a noise crying out falls in the fire foames out of his mouth and is without sense so was the Child cur'd by Christ in the Chapter aforesaid but that Child was Epileptick and possest with a Devil as one learnedly sayes or as another sayes the
Child was Epileptick but the Disease made in him by the Evil of the Divel The froth in the mouth is made because the Spirits and Fume which come from the Lungs is mixt with the Spittle and Phlegme that comes from the head which moved and exagitated to and fro turns into froth as the Sea-water agitated and broken with many winds The Noise is a kind of Voice made from the motive faculty hurt and depraved Prog. This Disease in Children is the most acute Disease and therefore mortal because of the straightnesse and narrownesse of the Veins that cannot receive the grosse Phlegme and so it remains in the Brain or because of the moistnesse of the Brain and the weaknesse of the motive faculty the humor cannot be dissolved or driven forth far enough out of the Ventricles of the Brain 2. Those that are once cur'd are never again Epileptick because the expulsive faculty continually expells gathering of humours the same way it did when the Disease was removed whereby it cannot be gathered into the Ventricles to offend 3. The Epilepsy which is by Error of Diet is incurable of it self without help 4. The Falling Sicknesse which is from the Birth of the Child and his Parents is cur'd of its own accord without any rethe great humidity which is the cause of this Disease is lessened by Age and the faculties are stronger If it happen after the change of Age that is after 25. years it is most difficult and impossible to cure because then the faculties are strong and congenited moisture lessned cannot overcome the cause of the Disease which is very powerful and as it produceth it can preserve the Disease and because the humours which makes the Episepsy are Melancholy and dry and so difficult of themselves to be taken away and daily increase by Age. The Cure is 1. A convenient Diet which belongs to the Nurse for a sucking Child and the same is to be used by a Child that doth not suck You are to choose and prepare the Air to be hot and dry they that live in cold Countries their Children are often Epileptick use moderate sleep for this Disease is as it were asleep avoid unseasonable exercises fears and frighting which hath often brought the Disease Bathes and fulnesse are hurtful so is much fasting it fills the head So Wine hurts the Nerves and is to be avoided the Drink is to be such that heats but not hurting the head the meat hot and attenuating which hath cur'd many but that which breeds gross humours is windy and with a certain propriety offends the head is to be avoided 2. If the Child suck and the Disease be by consent from the Stomach which is most frequent being oppress'd with too much Milk let the Child suck seldome Or from the ill quality and sharpnesse of the Milk correct the Milk and apply this Plaister to the Stomach Take of the Powder of Aloes and Myrrhe of each half a Scruple the Powder of Mastick one Scruple and mingle them with a little Wax and Rosine and apply it to the mouth of the Childs Stomach If it be by the fault onely in the head which is most frequently the use of Hony is profitable Take of Paeony half a Scruple of the Leaves of Stocados and Betony half a Pugill Cyperus one Scruple powder them finely put of this Powder in a little Spoon and put it into the Childs mouth and presently give him the Breast that he may Swallow the Powder A Seton in the neck is very profitable so is the following Powder sprinkled upon the head Take Maidenhair Cypresse Iridis of each two Drams Cloves one Scruple powder them finely and mix them The whole body may be anointed with Camomile and the oyle of Iridis Take the Leaves of Coltsfoot one handfull of Oak Misseltoe half an Ounce boyle it according to Art and dip a Cloth in it and wrap the child in the Cloth it is much commended Paeony and Smaradge is much commended to be hung about the Childs neck that it may reach to the Stomach If the Child be somewhat great and the Epilepsy be by consent and from other parts sending a thin humour or vapour to the brain Purge him as he is able to suffer and alter the distemper of the part If it be outwardly in the Arm Thigh Hip or other part rubbing is good and a discutient Plaister applyed to the part then if it will not do Blister the part If the Disease be by the fault only of the head use first this Clyster Take of the lesser Centaury half an handfull of Mallowes one handfull of Bran tyed in a Cloth half a Pugill boyle them according to Art Take of that Decoction 8 Ounces of Hony an Ounce and half of Chamomile 2 Ounces and an half of Salt half a Dram mingle them and make a Clyster then prepare the humours Take of the Leaves of Stocados Betony of each half a handfull the seed of Paeony one Dram boyle them according to Art Take of that Decoction 3 Ounces more or lesse as the Childs age will bear of the Syrrup of Stocados and Oxymel Simple of each half an Ounce mingle When the humors are prepared then Purge but although this Disease require vehement remedies yet they are not to be used by reason of the Age. Two Scruples of Pillulae Aureae are sufficient or take of the Trochische of Agarick two Drams infuse it all night in two Ounces of Betony-water strain it hard then add two Ounces of the Hony of Roses solutive the Electuary di Psillie one Dram mingle and make a Potion this Disease many times appears not in two or three moneths and is very stubborn therefore for the perfect curing it Take of Guyacum two Ounces of the Water of Betony two pints infuse it 24. hours and boyle them to the consumption of a third part and in the end add two Drams of the seed of Paeony finely powdered of Oak Misselto one Dram and half of Coriander-seed one Dram afterwards Strain it and make a Syrrup of it then take the same Guiacum and put four pints of common water to it and boyle the fourth part away and in the end add two Ounces of Anniseed and use it as ordinary drink and give of the Syrrup three or four Ounces every morning continuing so 40. 50. or more days Blistering is good so are Fontanells and Issues There is no Disease that hath more remedies commended by Authors then this hath I shall content my self with the following remedies Take of the seed of Paeony and take Misseltoe of each two Drams Cardamums one dram Cantharades prepared two Scruples Powder them and make an Electuary of them of which half a Dram may be taken three hours before meat Take Coriander prepar'd Mustard-seed Nutmeg of each half a Dram the Seed of Paeony 7 Drams Dictamnes 2 Drams make a Powder of them and give the Child of it in the morning at your pleasure in
Wine that is hot A long use of Mithridate with a Decoction of Paeony cures any Epilepsy as some think so doth a little fine Mosche given twice or thrice a day Take of the Oyle of Amber the Spirit of Vitriol of each two or three Graynes with the water of Betony and it presently frees the Child from the Fit CHAP. II. Of Convulsion CHildren often fall into a Convulsion by the weakness of the Nerves plentiful use of thick Milk Crudities and by breeding of Teeth The matter of it is the same as is in the Falling Sicknesse and it is very like to it so that an Eminent Physician said a Convulsion was an Epilepsie of a part and an Epilepsy a Convulsion of the whole body both being a Contraction of the Muscles but they differ one from another because in an Epilepsy the Internal and External senses are hurt but in a Convulsion the Brain is not so affected and the sense is not lost in the Epilepsy the matter in the Muscles is quickly discuss'd in the Convulsion not which is only also a contraction of the part but the Epilepsy is a Convulsion of the whole body A Convulsion is a preternatural Contraction of one or many parts of the body If it be a Contraction of the Anteriour parts of the Neck towards it is called Emprostonos or a Contraction of the parts before us If the hinder parts Opistotonos if both the hinder and anterior parts are contracted it is called Tetanos The Cause of a Convulsion by consent is when the knawing or pricking of the Mouth or Stomach or any other part hurts the beginning of the Nerves The Cause of an essential Convulsion is either repletion or exiccation for as strings fil'd with too much humour or are too much dryed they are contracted and break so it is with the Nerves if they imbibe too much humor they grow broader and shorter and so contract and if to drye they shrink up Repletion is from a Phlegmatick humour the exiccation and dryness is from a great peculiar Feaver which doth not universally dry the whole body but wast the Nerves more then the flesh and that violently So that though a Hectick Feaver doth very much drye the body yet it produces no Convulsion in regard the dryness is made leisurely and easily in all parts so that the Nerves are not dryed with any great vehemence Some saye that this dryness proceeds from any immoderate evacuation or things that vehemently heat and dry The External Causes are a moist Air wherefore Children have the Convulsion most often in the full of the Moon the Air being the most moist hurting the Nerves of the Child Watching Fear which making the Spirits retire the Nerves are contracted Bathes Costiveness and binding of the Belly Drinking of strong Wine Milk plentifully taken or thick crying the ill Diet of the Nurse and from other parts Signs are manifest if it be made by consent it is in a moment if by essence it is always if from repletion it is made suddenly and in a small time if by dryness and inanition it is caused by degrees and in a longer time Prog. The Convulsion that begins from the back is mortal 2. Children â—hat have the Convulsion perish for the most part before the seventh day from their Nativity 3. Convulsions in Children are more easily cur'd then in men because their humidity is Airy and is easily overcome 4. Convulsions from a perfect and consummated drynesse is incureable but that which is not from a perfect dryness is cureable which as the dryness is more or lesse is easier or with more difficulty The Cure of a Convulsion from repletion and moisture is the same as in an Epilepsy The Members and parts contracted are to be restored gently by hands to its straightnesse then annoint and rub the part with a convenient Oyl as of Lillies or Cammomile The Syrrup of Betony and Staecados with the Spirit of Black Cherries may be used Carduus Water is very good If the Convulsion is from drynesse the Cure is by moistning of the body by Diet and Medicaments a Bath that is hot and moist is convenient and annointing the part with the Oyle of sweet Almonds sweet Butter and such things that soften and moisten CHAP. III. Of a Palsy IN the two preceeding Chapters were considered the depravation of Motion in this place the Abolition and diminution of motion will be discoursed of not abolition of the whole body for Children are never troubled with a universal Palsy and privation of sense and motion in the whole body which is called an Appoplexy appears by experience and observation and Apoplexies are made for the most part from 40. years to 60. Although Children have often the Falling Sicknesse which hath the same matter and part affected as the Apoplexy and differs from an Apoplexy because it is a Privation of motion and an Epilepsy the Depravation Nevertheless a Child is not troubled with the Apoplexy not because it proceeds from a Melancholy humour as some think which a Child hath not which is untrue for a Child may have a Quartan Ague which is caused by Melancholy as you may see in the Chapter of Feavers but because the matter in the Epilepsy is not so thick as that which makes the Apoplexy being only Phlegme besides the Phlegme of Children is Airy and flatulent Moreover the expulsive faculty of the Brain is strong in Children so that it more effectually expells the humour that it stop not the Ventricles of the Brain which happens not in those Ages in which the humour is thick and lesse flatulent and the expulsive faculty more weak A Numness and Palsy is a distemper of the same kind and differ only in degree for a Numness is but as it were an imperfect Palsy and a Palsy is as it were a certain great Numness The cause is a pituitous humour which by coldness moistness thickens obstructs the Nerves that they cannot receive the animal Spirits or Influence of thea nimal faculty as this obstruction and condensation of the nerves and ways of the faculties is more or lesse so it makes numnesse or weak motion or want of motion In a Palsy there is no motion because the wayes of the faculties are totally stopt in a numnesse they are not stopt completely therefore the faculty operates and there is a weak motion The external causes are compressions by falls blowes binding tumours or other causes which can compresse and condensate the nerves that a free ingresse of the faculty is hindered Signs if a part is affected with the Palsy it cannot move and is called the Dead Palsy if with numnesse the party can move but weakly and with difficulty If the Disease be in the Spinalis medulla the Arms and all the inferiour parts are hurt if the right part of it is affected all the parts on the right side if the left the left parts If in the Osse sacro the parts above it are
are profound If benigne and not malignant they are without a Swelling or profoundity If from blood they are hot and red If from Phlegm they are lesse hot lesse painfull and are white If they are made by Melancholy they are blackish and dark coloured Prog. All Ulcers of the mouth are hard to cure because the Medicament cannot conveniently adhere but those that are black stinking profound very painfull are very dangerous and is a most miserable horrid death of them which dye and are consumed by this Disease The Cure if the Ulcers are benigne they are cured by altering the temper and cicatrizing with cooling and astringing remedies If the milk be bad change the Nurse or correct the Milk by dyet and purging the Nurseas hath bin shewn the Ulcers are healed with Hony of Mulberries or Sirrup of Pomegranates Mirtles or Red Roses dryed with which the Nurse dipping her finger is to touch the Ulcers and if they be contumacious mingle a little powdered Alum with the Sirrup of Mulberries for the Powder of Alum hinders the spreading of the Ulcer and without any notable pain If the Child is somewhat great the dyet ought to be cooling and meats that may be suck'd is to be used as Broths and Eggs with Broth or Verjyce If the Ulcers are great commonly causing inflamations and drawing of the humours Cupping-glasses applyed to the Loins are convenient and to evacuate by them what the age and constitution of the body will permit then purge Gently the Medicaments to be applyed to the Ulcers are the same as in Infants or make a decoction of Millefoyle or Plantain with Red Roses Sanders and take of it four Ounces and mix with it an Ounce of the Sirrup of Mulberries wash the mouth with it In Malignant Ulcers in Infants Take of the Scordiuum finely powdered one Dram of the rinde and Pill of Pomegranes finely powdered two Scruples burnt Alum one Scruple Hony as much as will suffice If the Child is somewhat great the use of the Juyce of Granates especially sowre is good If this is not effectuall use Aqua Magistralis Aluminis Unguentum Egyptiacum or the Flower of braâ—s corrected with a little Sirrup of Mulberries These are not to be used but in great necessity because the Palate hath two broad ways one to the Lunges and another to the Stomach and therefore it is dangerous any venemous medicine should come thither wherefore it is better to use remedies in such a form as cannot go further then the Palat as when the Ulcers of the mouth are touch'd with the Oyle of Sulphur or Sublimate water which is an excellent remedy against all inveterate Ulcers Take of sublimated Mercury twelve Grains the water of Roses and Plantain of each eight Ounces boyle them to the consumption of a half part the use of it is that the Ulcer of the mouth be touched with one drop which if it cause a considerable pain then mitigate the pain with Milk that hath Steel quench'd in it CHAP. XI Of the Ranula of the Tongue THis Disease is an Inflamatory humour of the parts under the tongue and especially of the Veins in Children for the Veins under the tongue being with a petuitous blood sometimes Melancholy which is sweat out or goes out of the mouth of the Veins into the Passages of the flesh and there being collected the humour is elevated into a Tumour or Swelling which is called Ranula It sometimes resembles a soft Aedema which being opened a white matter like to the white of an Egg flowes from it The Cause is a petuitous blood or as some say a petuitous humidity The Signs are manifest to Sight there appears a Tumour with great pain and heat and a hinderance of Speech the colour of the humour is as it were mixt of the colour of the Tongue and Veins Prog. This Tumour if it be neglected is dangerous it sometimes makes a Feaver and suffocates Children The Cure is by a cooling and astringing Diet in using Vinegar Verjuice Limons and the like with meat Clysters are convenient Purges by the Mouth are hurtful If the Child is somewhat large Cupping-glasses applyed to the Thighes are convenient so are Friction and Ligatures after Astringents are good Salt of Armoniacum rubbed upon the part is commended by all Maryroom rubb'd upon the part stronger then it are Flower of Brasse Allume burnt Spunge and Tragacanthum burnt If these cure it not the Tumour must be cut off at the Roots for sometimes the humour is in a Coat which if it be not taken away the humour returns after the Cutting of the humour stay the blood with salt powder of Mirtles Totmentil or Bistorte then Cure it with Myrrh and drying things that cures wounds CHAP. XII Of Dentition and breeding of Teeth THE generation and perfection of Teeth is the work and intent of Nature but in regard the matter out of which they are made suffers not that this Work can be done without trouble and pain It causes that a Disease followes the generating of Teeth which Disease is not intended by Nature Dentition is an Eruption or breaking forth of Teeth first conceived in their proper holes It is said by some to be a violent work of Nature and the gums are as it were prick'd with needles whereby great pain is caused and a supernatural heat in those parts is excited which drawes the humours thither which are made putrid salt and sharp in those parts and being precipitated to the Stomach and guts strongly excites the expulsive faculty and consequently causes loosnesse and sometimes Dysenteries Bones and Teeth are the same according to kind and matter but differ in Species and name The difference of Bones and Teeth in their nature and particular beings appears 1. Teeth are made after the Birth of a Child all other Bones before grow to a certain time and have no sense and never are renewed but Teeth grow during the whole life have an acute sense and grow again It 's observed that amongst the Bones the Teeth only cannot be consumed by fire Neverthelesse they are corrupted and consumed by a putrid Phlegme besides Teeth have no marrow and fat as other Bones have and therefore they are the most hard body They are corrupted with hot things as by washing them with warm water but preserved by moderate cold as by washing them with cold water nor are they hurt by an actual extraordinary cold for in Frost they are not troubled but by a cold that is potential because Teeth have but a little heat and cannot resist a great cold Teeth were made for the breaking of hard meat for speaking and distinguishing of Tasts and therefore they have soft Nerves in them and although Histories relate several have been born with Teeth yet for the most part they break forth in Children about the 7th month sometimes sooner as in them which use more hot milk They are very slow in some sometimes to the Third or fourth year either by
Afterwards to evacuate the humors Take of the Decoctions of Tamarinds two Ounces and an half of Rhubarb two drams of Spike 10 Grains infuse them all night then strain them well and add half an Ounce of Electuary Lenititve and make a Drink If all these remedies are ineffectual use half a Scruple of Laudani Opiati in one of the Clysters as is above directed CHAP. XXII Of Worms VVORMS are very familiar to Children by reason of crudity and corrupt Phlegme from their eating of fruits and milk after other meats for it is observed that sucking Children which eat Flesh are most troubled with Worms because their tender Stomach cannot concoct solid meat and therefore it corrupts and breeds Worms besides Milk is presently concocted and passes into the Guts if flesh unconcocted be mingled with Milk and passes with it into the Guts it putrifies there Worms are Annimals generated in the body variously hurting the Operations of the Body Worms are found almost in all parts of the body as appears by the diffection of Bodies and the Excretion of Worms but it is doubted whether the Worms were bred in those parts or crept there especially Worms found in the Stomach Some think Worms may be bred in the Stomach because the matter of Worms is no lesse communicated from food or defluxion or otherwise from other parts and that the efficient cause being also not wanting in the Stomach but more frequent they breed in the Guts The Cause is a petuitous crude and viscous humour which ariseth from immoderate eating meat easily putrefying and causing a thick Juice as Cheese Milk Summer fruits things that are sweet sugared honied and the like having something that hath an analogy to seed instructed with a formative virtue which disposes the matter to receive this form of a Worm and not another and informs the matter so disposed as we see peculiar Worms to proceed out of Wormwood the Salt of the Sea Milk Hony and other things The difference of Worms according to their Figure is threefold some are round and long others broad and long and some small compared with the other two sorts Worms differ in their colours being white red livid ash-colour or yellow the variety of which colours proceeds either from the crudity or coction of the matter out of which they are made or from the variety of the nourishment or diversity of corrupted matter out of which they are generated The Signs of the three sorts of Worms in common are many a Stinking breath unquiet sleep with starting trembling grating of the Teeth Itching and often rubbing of the Nose paleness of the Face red by Intervals the Eyes hollow and darkish the white whereof being turned pale or yellow spitting much Phlegme the swelling of the belly with murmuring and noise in it the Griping of the Belly which is worse when one is fasting sometimes looses Vomiting and Epilepsy The Signs of the particular Worms if they be long then the biting of the Belly is more vehement a little drye Cough Hiccough a vain desire of Vomiting abominating meat sounding troublesome dreams with trembling rising up and crying out If the Worms are broad they are known by Excrements not unlike the Seeds of Goardes an unsatiable desire of eating sudden dejection of things newly taken leanness and consuming a great pain sometimes in the right side sometimes in the left If short Worms the pain is continual a most troublesome Itch about the Fundament with a continual desire of evacuating Prog. Broad Worms are the worst because for the most part they continue longest The short Worms are the least hurtful because they are little and thin and are bred in the thick Guts most remote from the noblest parts and easie to be expelled with the Excrements and for Medicaments to be applied to them 4. Worms that are great fat thick and fill'd with blood are worse then thin short and extenuated because these showe the scarcity of matter those the abundance of matter 5. White Worms are scarce dangerous but Worms that are yellow livid or red are much worse 6. Worms that are expelled dead where there is no Feaver or a Feaver that is benigne dye by the scarcity of the matter but in malignaut Feavers they dye rather by the venome and so worse then living Worms The Cure is 1. In a convenient Diet the Air is to be temperate and inclining to drynesse sleep and watching moderate avoiding sleep immediately after meat immoderate Exercise avoiding idleness and rest the Belly soluble if it be bound loosen it with a Clyster or Suppository the Drink if there be no Feaver ought to be Wine and Water somewhat binding bitter or sharp not sweet Vinegar and Water is good so is sharp Wine but if there be a Feaver in the place of Wine let there be a Decoction of Pruines that are sharp or facid Cherries or Granates The meat ought to be easie to digest attenuating and penetrating wherefore convenient meats are such as are sharp acid bitter oyly and sweet things viscid thick and fat things are hurtful the flesh of Birds is much commended Beef and Veale are greatly discommended with what is not convenient mix'd Vinegar Verjuice the Juice of Granates or some other sharp Juice avoid all Fish and things made of Milk only such fruits are to be used which are acid as Granates Oranges Limons Services Medlars sharp Pruines avoiding all crudities and indigestable meats either from the quality or quantity of them 2. In the use of Sena Tamarinds or Mirabulous but above all Aloes for the consuming of the matter of Worms which is in the Stomach or Guts Take of Aloes Succotrinae two drams Mirrhae Scordum White Dictamus of each a Scruple with the Syrrup of Wormwood make Pills the quantity at once is half a dram or forty grains 3. In the killing or dulling of them that they cannot resist the remedies which is done by things that are bitter sharp salt acid oyly in the use of which observe 1. That bitter or salt things or such as kill Worms are to be mixed with sweet things which delight them and drawes them to that which kills them otherwise they avoid it 2. Remedies used by the Fundament ought either to be sweet things alone or else to prevail in sweetnesse above other things which are mix'd with them for the Worms drawn by sweetnesse move the lower parts of the Guts but remedies taken in at the mouth ought to be more sharp and bitter then sweet otherwise the Worms would move into che Stomach and cannot be conveniently kill'd 3. The remedies ought not to be vehement because they would offend the Stomach and the Worms agitated by them would be more grievous and offensive 4. The Stomach ought to be empty when the remedies are used else they would be obtruded and extinguished in regard they are weak 5. There is no remedy which commonly kills all Worms and there is no remedy so present as Coralline and Sea Mosse 6. If the Child hath a Feaver then remedies which are cold ought to be used if not then hot remedies may be used Every kind of Worm hath its proper remedies and the Long Worm being in the next place to the Stomach requires not such strong remedies as the oother Worms do wherefore Wormwood Southernwood Coriander seed or the Decoction of Calament are sufficient which may be used in powder or a Deâ—oction The Syrrup of Mint Wormwood or Purslane is very good so is a Decoction of Sebesten Outwardly apply above the Navil for Long Worms are in the first Guts a little above the Navil this Oyntment Take the Juice of Wormwood and Southernwood of each one dram and an half the Powder of Scordum Aloes of each two Scruples of common Oyle one Ounce of Wax a little make an Ointment or take of Mirrh and Aloes of each a dram Powder of Scordum and the Seeds of Wormwood and Citron of each half a Scruple with Wax and Rosine as much as is sufficient make a Plaister Treacle dissolved with the Juice of Limon or Vinegar is good applied above the Navil or taken inwardly so are the Seeds of Nettles Fennel Cummin and Mint and in regard that Worms that are killed are not expelled therefore use such remedies as kill and expel them as Rhabarb Hiera Aloes Agarick take 2 drams or half an Ounce of the Syrrup of Sychory with Rhubarb with an Ounce of the Water of Grasse which given every day is much commended If there happen a loosness that is not moderate and dejects the strength restrain it gently with Plantane or Purslane boyled in broth The Broad Worms are cured like the Long Worms but require stronger remedies because this Worm is greater Ferne Cardamon Costos and Treacle are commended The Ascarides or Little Worm require stronger remedies then the Long and Broad Worms do because they are most remote from the Mouth and Stomach wrapt in viscid humours and are made of viscid and thick humours These Worms have also peculiar remedies Take the Leaves of Wormwood one handiul Lupines one Pugil and an half boyle them then take of that Decoction 12. Ounces Hony of Roses 3 Ounces of Salt one dram and an half mingle and make a Clyster Take of Nitre of Salis Gemma of each one Scruple of the Gall of a Bull one dram of Hony as much as suffices make a Suppository or foment below the Navil or about the Fundament with the Decoction for the Clyster Also is good flesh salted and the fat cut from it and made in the form of a Suppository and put into the Fundament So is old Cheese Many things are propounded by Authors to be taken in at the mouth as Scammony and Co'oquintida which are too strong for Children the Juice of Ireos will be better and convenient for it moves the Belly and consequently expells the Worms and by a peculiar faculty kills them Pillula Ruffi Hiera cum Agarico are also good FINIS