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A46235 The idea of practical physick in twelve books ... / written in Latin by John Johnston ... ; and Englished by Nich. Culpeper, Gent. ... and W.R.; Idea universal medicinae practicae libris XII absoluta. English Jonstonus, Joannes, 1603-1675.; Culpeper, Nicholas, 1616-1654.; W. R. 1657 (1657) Wing J1018; ESTC R8913 546,688 377

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Heart-Medicines ibid. Point 2. Of cooling heart-medicaments 32 Article V. Of Stomach Medicaments ibid. Point 1. Of hot Stomach Medicaments ibid. Point 2. Of stomach cooling Medicaments 33 Article VI. Of Epatick Medicaments ib. Point 1. Of hot Liver Medicaments ibid. Article VII Of Splenetick Medicaments ibid. Point 1. Of hot Splenetick Medicaments ibid. Point 2. Of cooling stomach medicaments 34 Article VI. Of Liver-medicaments ibid. Point 1 Of Heating Liver-medicaments ibid. Point 2. Of Liver coolers ibid. Article VII Of Splenetick Medicaments 35 Point 1. Of warming spleen medicaments ibid. Point 3. Of cooling spleen Medicaments ibid. Article VIII Of Nephritick Medicaments ibid. Point 1. Of heating Nephriticks or Kidney-remedies ibid. Point 2. Of cooling Nephriticks 36 Article IX Of Vterine Medicaments ib. Point 1. Of heating Vterine or Womb-Medicaments ibid. Point 2. Of Womb-cooling Medicaments ibid. Chap. VII Of vegetable Medicaments referred to the seven planets 37 BOOK IV. Of the Method of healing in General and in Special TItle I. Of the Method of healing in general 1 Title II. Of the Method of healing in special 2 Chap. I. Of the Additional Method ibid. Chap. II. Of the abstructive Method in generall 3 Chap. III. Of the abstractive Method in special and first of the taking away of Causes 4 Article I. Of the taking away of Causes which offend in Quantity ibid. Article II. Of the Removal of Causes which offend in the Quality 5 Point 1. Of alteration ibid. Point 2. Of Purgation 6 Point 3. Of provocation of Vrine Vomiting and sweating 8 Article III. Of the Removal of Causes offending in Motion 9 Point 1. Of Revulsion and Repulsion ib. Point 2. Of derivation and Interception 10 Article IV. Of the Removal of causes offending in place 11 Point 1. Of Softening and Discussing ib. Point 2 Of Suppuration and Atraction ibid. Article V. Of Expulsion of wind called Carmination ibid. BOOK V. Touching the Removal of Diseases TItle I. Of the Diseases of Similar parts and their Cure 1 Chap. I. Of the Method of knowing and curing distempers without matter ibid. Chap. II Of the diseases of distemper with matter 2 Chap. III Of Diseases springing from Hidden qualities 3 Title II Of Organical Diseases 4 Chap. I Of Diseases of Conformation ib. Article I. Of diseases of Figure ibid. Article II. Of diseases of the Cavities 5 Point 1. Of diseases of the Cavities consisting in Excess ibid. Point 2. Of diseases of the Cavities in defect 6 Article III. Touching Diseases of the Surface ibid. Chap. II. Of diseases of Number ibid. Chap. III. Of diseases of Magnitude 7 Article I. Of Tumors ibid. Point 1. Of an Imposthume 8 Point 2. Of the Hole in an Imposthume 9 Article II. Of diseases consisting in magnitude diminished ibid. Chap. VI. Diseases in Situation 10 Article I. Of Luxation ibid. Title IV. Of Diseases of Unity dossolved 11 Chap. I. Of Vlcers ibid. Chap. II. Of Wounds 13 Chap. III Of Fractures 16 Title II. Touching Symptomes and their Removal 17 A single Chapter Of pain in general ibid. BOOK VI. Treating of External Diseases Title I. Of the several sorts of Tumors 1 Chap. I Of Swellings or Tumors Caused by Blood ibid. Article I Touching over great Corpulency ibid. Article II. Of an Inflamation 2 Article III. Of the Bubo or Inflamation so called 3 Article IV Of the Phygetlon Phyma Furunculus or Felon Tumor so called ibid. Article V. Of the Tumor Parotis 3 Article VI. Of Nail-sores Kibes and Chilblains 4 Article VII Of an Ecchymoma ibid. Article VIII Of a Carbuncle ibid. Chap. II. Of Tumors springing from Choller 5 Article I. Of an Erysipelas or Tumor so called ibid. Article II. Of Herpes or the Shingles 6 Chap. III. Of Tumors springing from Flegm ibid. Article I. Of the Tumor cald Oedema ibid Chap. IIII. Of Tumors proceeding from the Melancholick Humor 7 Article I. Of the Tumor called Scirhus ib. Article II. Of a Cancer ibid. Chap. V. Of sumors springing from Wheyish Salt and Cholerick Humors mingled together 8 Article I. Of Scabyness ibid Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called 9 Article III. Of the Epinyctides Alphus and Leuce ibid Article IIII. Of the Impetigo and Gutta Rosacea 10 Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane ibid Chap. VII Of Tumors arising from a solid Substance 11 Chap. VIII Of Tumors caused by solid parts falling from their due Situation ibid. Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called ibid. Chap. IX Of Malignant Tumors 12 A single Article Of the Elephantiasis ibid. Title II. Of Diseases of the Skin 13 Chap. I. Of Lentigines Ephelides Naevi-materni Infantum Maculae ibid Chap. II Of the Maculae Hepaticae itch and bad smels ibid. Title III. Of the Diseases incident to the Hair 14 Chap. I Of falling off of the hair ibid. Chap. II Of the Porriga and Plica 15 Title IV Of Ulcers in Particular ibid. Chap. I Of the Gangraena ibid. Chap. II Of the Sphacelus 16 Chap. III Of Burnings 17 Title V Of Luxations in Particular 18 Chap. I Of Luxations of the Jaw-bone the Clavicula and the Vertebrae ibid. Chap. II Of Luxation of the Humerus Cubitus Radius and the Fingers ibid. Chap. III Of Luxations of the Thigh Knee and Ankle 19 Title VI Of Fractures in Specie 20 Chap. I Of the more usual fractures of the bodies ibid. Chap. II Of less frequent fractures ibid. BOOK VII Touching Feavers TItle I Of Feavers in General 22 Title II Of Unputred Feavers 23 Chap. I Of the feaver Ephemera ibid. Chap. II Of the feaver Sinocha Simplex 24 Title III Of Putrid Feavers in General ib. Chap. I Of continent putrid feavers 26 Article I Of the Synochus putrida ibid Chap. II Of a continual Periodick feaver in General 27 Articke I Of a Primary continual feaver ibid Point 1 Of a continual Tertian feaver ib. Point 2 Of a continual quotidian or every day feaver 28 Point 3 Of a continual quartan feaver 29 Article II Of a continual Symptomatick feaver ibid. Chap. III Of an intermitting feaver or Ague in general 30. Article I Of a tertian intermitting feaver or tertian Ague 31 Article II Of a Quotidian intermittent 32 Article III Of an intermitting feaver or quartan ague 33 Article VI Of compounded feavers particularly the Semitertian 34 Title IV Of the Hectick Feaver 35 Title V Of Malignant Feavers 36 Chap. I Of malignant feavers in general ibid. Chap. II. Of the several sorts of malignant feavers 37 Article I. Of the smal Pox ibid. Article II Of the Measles and such like breakings forth 38 Article III. Of the spotted feaver ibid. Article IV. Of the Hungarian disease 39 Article V. Of the sweating sickness the malignant feaver with Cramping and that with the cough and catarrh ibid. Title VI. Of Pestilential Feavers 40 A single Chapter Of the Pestilence ibid. BOOK VIII Of the Diseases of the Head TItle I. Of the Diseases of the
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
the patient be troubled with Heart burning stomach fickness and desire to vomit but so as the humors be not thereby drawn out of the veins to the first passages Salt of vitriol Asarum Broome water of pismiers or Aunts are commended if warily administred 3. By Blood-letting if the Humor have penetrated out of the first region of the body into Vena cava which is known by the redness of the Urines and it ought to be performed upon the day of the Agues Intermission 4. By preperation with cooling medicaments moistening and such as cleanse the first passages Taraxacum or dandelion sorrel Barly Cichory Spirit of vitreol Cream of tarter Tartarum vitriolatum syrup of juyce of Citrons are good also these specificks Centory Devils-bit c. 5. By purgation down wards and that for the most part on the wel day yet on the fit day if the matter of it selfe encline to go away by stoole Rubarb is good and syrup of Cichory with Rubarbe 6. By sweat procured by sudorificks salt of wormwood of Centori of Cardus Harts-horn prepared Magestiry of Mother of Pearle which are to be given either before the fit or in the end thereof 7. By strengthening the Liver and stomach Salt of wormwood dissolved in spirit of Niter and againe coagulated into Christals is good being taken to the quantity of a scruple 8. By application of topicks such are the Cataplasme of Mynsichtus P. 368. The pouder of a dryed manchet beaten with greene sage the white of an egge and a little vinegar being added and so bound to the wrist The Herb Potentilla wild tansie or wild Aegrimony beaten with salt and vinegar and so applied to the pulses and the soles of the feet in the fit A Cataplasme or pultise of Bryony Rootes Black Hellebor bay salt white pepper saffron and figs. 'T is divided into Exquisit Bastard an Pernicious I. The Exquisit Intermitting Tertian is hereby known 1. In that the shaking coldness at the first comming is vehement and pricking arising from an humor and Vapour very thin and smal in quantity shipping out of the veins 'T is smal if the matter be plentiful and not easily moved more vehement by how much the matter is thinner and sharper the expulsive faculty stronger and the sence of the parts more exquisite 2. In that the Heat is much sharp and biting and spreads it selfe al over the body in the Hight of the Hot fit And if you hold your hand long upon the patient it grows gentler by reason of the easy discussion at what time the body is al over bedewed with a gentle moisture 3. In that the pulse at the Beginning of the fit is smal and slow the matter being not yet conquered by the oppressed heat yet is it not drawn back in the Progress of the fit 't is vehement swift frequent a little hard straitned by reason of the store of matter newly inflamed like green wood more swift in the Intermission of the dilatation by reason of the heat of the smal quantity of humor remaining in the Chimney of putrefaction communicated to the rest of the humors and carried to the heart 4. In that the fits last not above twelve howers 5. In that the Urine is reddish and yellowish of a midling Consistence shewing a white cloud or a swim in the first fit and then the Ague lasts not beyond the fourth fit It arises from choler sometimes resembling that which in the Gal-blader regurgitating into the first passages somtimes verdigreise colored or green bred in the stomach and veins The cure is now of the hardest for 't is terminated for the most part within the compass of seven fits It is ended either by sweat if the humor be cast bak into the veins which are in the surface of the Body or by vomit and stoole if to the stomak and entrals or by name of these if a great part consist in the misaraick veins and then the patient feels a pressure pains and Inflamations about the midrif Blood-lettiug must be administred before the third fit least it fal in with the state of the dissease The Bastard tertian is hereby knowne in that the Heat is milder nor is it diffused through the whole Body In that it is terminated neither by vomit nor sweat by by egresse of vapours in the Declination In that the Pulse is at first hard the hardness encreasing til the seventh day growing afterwards more soft as the Urines become better digested In that the fit lastes many times eighteen houers and the Ague reaches to the fourteenth and somtimes to the twentyth day It ariseth from cholor mixed with melancholy or flegme nor is it generated only in summer but in the Spring Autumne and Winter In the Cure a vein must be opened after the third fit when a good quantity of the morbifick matter is mingled with the blood in Vena Cava In the Praparation we must have an eye to the Diversity of Humors III. The Pernicious Tertian which happens from seven causes 1. If an Error be committed by the Patient or Physition 2. If that Humor which ought to be sent out of the vessels by reason of their closure do come to settle in some principal member 3. If it be too Thin and putrid For thence come frequent swownings and over great sweats without any ease to the patient 4. If it have some peculiar pravity either through adustion or badness of diet For the humors being inflamed roughnes of the tongue and unquenchable thirst are thereby caused Holowness of the eyes by reason of the wastings of spirits Fiery Urin with cholerick stools Anulcerous pain of the whole Body Paucity of sweat by reason of the thickness of the matter 5. If a thick humor melted by heat settle in some part Hence follows by reason of the difficulty and faculty of 't is inflamation an inequality of being heated The melting and plenty of a thick humor and which semed to be little in the greater vessells but by rarefaction caused by Heat it becomes in the smal vessels more in quantity Hence it is that the hot fit is interupted by a cold and the cold fit by an hot The Urin becomes watery of much and thick sediment The pulse is sometimes intercepted In the declination sweat issues from the navil to the head Neither Augment nor state nor declinotion are equal 6. If it a contagious or pestillent malignity 7. If ●he Heat either draw the womb in conceit and move the humors contained therein or cause a dangerous Catarh Tissick or Gout Article II. Of a Quotidian Intermittent A Quotidian Intermittent is a feaver arising from flegme putrifying in the misaraick veins and aflicting the patient with every day a fresh fit ' Its SIGNS are The foregoing of such causes as breed flegm ' Its dayly Assaults which are for the most part in the night time whence it is more dangerous by reason of the unseasonabelness of giving Physick at that time and they come
with a shaking and Cold fit Which Heat slow vapours nor very burning when it has dispersed it selfe through the Body The Vrin● at first white thin and crude when the matter is digested thick troubled and often red The Pulse is exceeding smal seldom and slow The fit lasts eighteen hours and somtimes twynty four Vomiting and Sweating if they happen at first they proceed from strength of nature and thinness of the humor The CAUSE is Flegm putrifting in the Masaraich veins which is colected by means of the heat of the bowels diminished cold and moist kind of diet superfluous feeding upon such matter It putrifies through the causes afforsaid The CURE is firequently hazardous both because it lasts forty daies yea three months and longer and also because hurting the stomach and liver very much it throwes the patient into a Cachexy 'T is performed 1. By preparation of the petcant matter by convenient medicens moderaly hot which a clyster and gentle vomit may proceid 2. By evacuation of the the said matter being concocted by vomit where extract of Esula and water of radishes and green walnuts distilled with vinegar are good By purgation of flegm and sweat 3. By strengthening the stomach and Liver 4. By Diet. It is differenced according to the causes I. One sort comes from thick flegme Then the urin is white and thin but by little and little it begins afterwards to grow reeddish and the settleing becomes thicker and the patients mouth is continually ful of watterishness It requiers strong medicines to digest it and those frequently repeated to which preparations of tartar ought alwaies to be added Vomiting is profitably procured with mercurial pils 'T is good to purge with an infusion of the species diacarthami senna and ginger in Centory water some drops of spirit of vitriol being added Once in a week one dram of Venice Treakle may be given II. Another is from thin acid flegm and then there is paine in the forhead and left Hypocondrium costivness and acid belchings It must be scilfully cured least it turne to a quartan The liver veine of the left side may be oppened Before the fit some specifick medicament must be given III. Another is from salt thin flegm Then faltness and driness are felt upon the tongue The Urin is red and thick with sense of hear and sharpness in the making The Liver vein on the right side arme may be opened Article III. Of an intermitting Feaver or Quartan Ague An Intermitting Quartan is a feaver arising from melancholy blood in the misaraick veins which takes the patient every fourth day ' Its SIGNES are Reachings and yaunings with a shaking fit after which at first is smal but afterwards like those that in the extremity of winter are pained with the cold for it does not so much prick as beat and bruise as it were The Heat is kindled by degrees because of the thickness of the matter The Paronysmes returne every fourth day The Pulse is rare and slow but in the vigor of the Fit swift and fr●●●ent The Vrines are at first thin and watery afterwards more colored and thick The Sweats are at first very smal afterwards exceeding plentiful The CAUSE is a Melancholly humor collected and putrefting in the Mesaraick veins about the spleen and neighboring Bowels arising from Causes like it selfe among which Vinegar is one The CURE is wholly difficult For 't is a long lasting ague and somtimes reaches out for certain years especially if it begim in the Fal of the leafe But 't is more difficult when it springs from black cholor if it happen to old people whose weake heat cannot overcom the Matter If it be a double ague If it be joyned with some greivious Affection of some of the bowels Easyer if it be a legitimate Quartan and unattended by any disease of any of the Bowels otherwise such as are taken with a quartan Ague are little troubled with Convulsions or if they are the matter turning towards the Hypocondria and remaining no longer mixed with the blood in the veins they are freed of cheir Quartan Ague 'T is performed in general first by gentle then stronger medicines In perticular I. By opening the Basilica or Mediana Veins at the very first the first passages being cleared if plentitude of blood requier so much not so soone if there be no plenitude Blood plentifuly if the blood come thick and black stop it quickly if it rune thin II. By preparation and Coction of the pecant matter reapeated with moisteners and splenicks such as fumitory Maidenhair Ceterach Roots of Eringos Decoction of Turneps syrup of fragrant apples c. III. By evacuation thereof either by vomiting after which a dram of venice Treacle may be given before the following fit mixed in a cup of wine or by stool to which end are good in the first place the Pilulae Tartareae of Quercetanus or Senertus afterwards extract of black Hellebore at last the pil● of Saga penum of Camilus de Camilis in Quercetans Pharmachopoeia or by the Haemorrohides leeches being applied Or by Sweats which may be wel procured by Treackle Antimony diaphoretick or six or ten grains of sal Armoniac purified in Cichory water before the fit The patient being strong and Coction appearing a purge is happelly given a little before the fit IV. By strengthening the bowels especially the spleen by their appropriate remedies such as wil not augment the feaver both external internal V. By Mitigation of symptoms of the shaking cold by treacle or Aqua vitae given four hours before the fit Of the Backpaide by application of Hartman his faccolus in his Chapter of the quartan Ague VI. By Diet where observe that we must order absence from al kind of food on the fit day wine that is ripe and thin may be alowed Apropriate medicaments in this feaver are Amoniacum seven times sublimated Pouder of Vipers given the Quantity of one scruple or half a dram before the fit in some convenient Liquor An Hares Heart prepared like Fox-Lungs Oyl of Myrrh from four to eight drops before the fit The Quartan Feaver or Ague is distinguished two manner of waies I. One sort springs from natural Malancholly in which we must go to work with moisteners and moderate heaters Another arises from adust Humors which is known from decay of Appetite vehement thirst Head-ach and redness of Urine It arises from such things as burn the Humors In the Cure we use things moderately cooling to which in the progress of the Disease Cutters and attenuaters ought to succeed A Bath of sweet fair water is commended or rather to wash the Feet therein II. One comes of it self without another Disease foregoing And then a Diet somwhat thin is good at first afterwards somwhat grosser and then agin towards the state somwhat thin Another follows other Diseases Then a thicker kind of Diet must first be used Afterwards the state it must be somwhat diminished In the fit nothing
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of th● rootes of gentian dittander each five grain● with syrup of bay berries and given one scr●ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a