the use of it 'till the Symptom is quite gone CHAP. CV Of Barrenness AS to the Cure of Barrenness too much Fat must be corrected by an orderly Diet and by convenient Evacuation Such as are of a robust and manly constitution must be reduc'd to a womanly state by all means they must forbear strong Meats and Labour and the Coarses must be forced and by Bleeding and Purging and the like the Habit of the Body must be rendred moist and cold If from Distortion Obstruction Tumors or Ulcers of the Womb or from its being shut Barrenness is occasion'd proper Remedies must be applied If too hot an Intemperies be the cause it must be corrected so must immoderate siccity by Milk and Bathing But the most frequent Cause of Barrenness is a cold and moist Intemperies of the whole Body and of the Womb which the Whites often accompany and for the Cure in this case the Whites must be cur'd by the Method prescrib'd in the Chapter for the Whites and the following things must be order'd which are peculiarly proper for the said Intemperies which may be varied according to the discretion of the Physician so as that they may heat more or dry more according as Humidity or Frigidity exceeds And first the flegmatick Humors stagnating in the Body must be evacuated by Medicines that purge sweat and force Urine and Revulsion must be made by Issues in the Arms Neck and Legs and the principal Parts must be strengthned by Treacle Mithridate Confection of Alkermes and the like Aftewards such things must be us'd as are proper by a specific quality to strengthen the Womb and to help Conception Take of the Roots Eryngo and Satyrion candied each one ounce of green Ginger candied half an ounce of Hazel-Nuts Pine-Nuts and Pistaches each six drachms one Nutmeg candied of the Seeds of Rocket and Cresses each two drachms of the Ashes of a Bulls-Pisle of the Reins of Scinks and of the Raspings of Ivory each one drachm of Confection of Alkermes three drachms of Diambra and sweet Diamoch each one ounce and an half of Ambergrise half a drachms with the Syrup of candid Citrons make an Electuary let her take the quantity of a Nutmeg at Bed-time drinking upon it a Glass of good Wine Some count the Secondine of a Woman dried and powder'd very effectual one drachm of it being taken The Seeds of Bishop's Weed is also much commended Many good Authors affirm That if a Woman drink six ounces of the Juice of Garden-Sage with a little Salt the fourth Day of her menstrous Purgation and a quarter of an hour after has Conversation with her Husband she will infallibly conceive And by the use of this Remedy Aetius says the Egyptian Women became fruitful after a great Plague Topicks are also to be used but purging must always go before Take of Diaphenicon and Hierapicra each half an ounce of Turpentine and Mercurial Hony each one ounce of Castor one drachm Mingle them and reduce them to a convenient consistence that Pessaries may be made for the Womb. If the Womb abound with a great quantity of Excrements a stronger Pessary may be made in the following manner But this injection must be first used Take of the Leaves of Wormwood Mugwort Mercury and Rue each one handful and an half of the Pulp of Coloquintida one scruple of Agarick trochiscated half a drachm of Ginger and Myrrh each one scruple Make a Decoction in Water and White-Wine to a Pint in which dissolve two ounces of Hony of Roses Let three ounces of this Decoction be injected for three or four days morning and evening after the Flux of the courses and afterwards immit the following Pessary Take of Hiera picra and of Benedictum Laxativum each one ounce of the Pulp of Coloquintida and of Agarick trochiscated each half a drachm of Spikenard and of the Seeds of Roman Nigella and of the Leaves of Savine powder'd each one drachm let them be incorporated with Rosemary-Hony and put them up in Silk and make Pessaries let one be put into the Privities at Bed-time and let it remain there two hours afterwards let the part be washed with White-wine To bind strengthen and dry the Womb the following Medicines may be us'd Take of round Birthwort half an ounce of Wood of Aloes three drachms of Cypress-nutts and of the Roots of Cypress each two drachms of sweet-smelling Flag one drachm of the Leaves of Dittany of Crete and of Savory and Myrtles each one handful of choice Myrrh Storax Calamit and Benzoin each two drachms and an half of the Flowers of Stechas Rosmary and Marjoram each one pugil Boil them in a sufficient quantity of good White-Wine in a pint of the strain'd Liquor dissolve of the Troches of Alipta moschata two drachms of Ambergreese and of Musk each seven grains of Civet five grains Make an Injection Morning and Evening hot for some Days Before or after the Injection the following Fume may be used Take of the Troches of Gallia and Alipta moschata each two drachms of Storax Calamit Benzoin and pure Labdanum each half an ounce of Wood of Aloes and of Rhodium each one ounce of the Seeds of Roman Nigella Cubebs and Cloves each four scruples of Amber and Tacamahaca each one drachm and an half of Mace half a drachm Make a Powder and with Gum Tragacanth dissolv'd in Orange-flower-water make Troches whereof let one or two be cast upon the Coals and let the Fume be received through a Tunnel Poor People may be fumed with equal Parts of Myrrh Franckincense Wood of Aloes Storax Benzoin Cinnamon and Cloves After the Injections and Fume the following Pessary may be used Take of Frankincense and Mastick each two drachms of the Troches of Gallia and Alypta Moschata each four scruples of the Roots of Bistort of Cypress-Nuts shavings of Ivory and of red Roses each one drachm of Storax Benzoin and Labdanum each two scruples of sweet-smelling Flag and Cyprus each half a drachm Moisten them with Orange-Flower-Water and with a fine Rag make two Pessaries of a due magnitude whereof let one be used at Bed-time the top of it being anointed with Oil of Nutmegs and Civet mixed Before the strengthning Injections and the Fumes the Sick may use the following Bath Take of the Roots of Briony Masterwort Valerian Orris Elecampane each three ounce of the Leaves of Marjoram Mugwort Catminte Pennyroyal Mercury Sage Lawrel each four handfuls of the Berries of Lawrel and Juniper each one ounce Boil them for a Bath But sulphurous and Bituminous Baths are the best as our Bath-waters and the like to which such Women fly as to an Asylum After the Bath and Fume the Region of the Pubes and Perinoeum must be anointed with the following Liniment Take of Nard-oil one ounce and an half of Oil of Wall-flowers half an ounce of Diambra and Dimosh each one drachm and an half of liquid Storax one drachm of Civet half a scruple of Musk
soure Belching Pain or Wind in the Stomach signifie that it proceeds from the Stomach that a Giddiness proceeds from the Liver Spleen or Womb is known by the following Signs When it proceeds from the Spleen there are frequent and large evacuations of Wind inflation of the Belly soure Belchings and the like when from the Womb there is stopage of the Courses or Hysterick Fits A Giddiness that is recent and seldom invades and that which is occasioned by external Causes is light and easily Cured that which is inveterate and frequent most commonly ends in the Falling Sickness or Apoplexy CVRE The Cure is much the same with the Falling Sickness which see in the Chapter of the Falling Sickness But when it is small it does not need so large a course of Physick as is requisite for the Cure of the Falling Sickness But those things will be sufficient which I shall here set down First therefore if Blood abounds inject a pretty sharp Glyster and afterwards Bleed then Purge with the following Pills Take of the fetid Pills two Scruples of Resin of Jalap five grains with a sufficient quantity of Galbanum dissolved in Briony Water make seven Pills to be taken in the Morning repeat them Thrice But if the Patient cannot take Pills the following Purging Potion may be given instead of them Take of Gerions decoction six Ounces boil in it of the Fibres of black Hellebore and of Agarick each one Dram and an half strain it and add an Ounce of the Syrup of Roses Solutive and two Drams of Compound Briony Water Make a Potion Afterwards let the Patient use the following Sneesing Powder Take of the Leaves of Marjoram Sage Rosemary dried each half a Dram of the Roots of Pellitory of Spain and white Hellebore each one Scruple of Musk three Grains make a Powder Cupping-glasses with and without Scarification frictions of the extream parts Bleeding from the Hemorrhoidal Veins may be used to cause revulsion Blisters are also of use for derivation Afterwards use such things as are proper to strengthen the Head which you will find in the Chapter of an Epilepsie The Conserves of the Flowers of Marrygolds is counted by some a Specifick for Giddiness CHAP. IV. Of the Falling Sickness THE Falling Sickness in Latin Epilepsia is an universal and violent Convulsion the Fit most commonly comes of a sudden and precipitates in the twinkling of an Eye to the Earth and deprives a Man of Sense and Understanding for they seem rather forcibly thrown down than to fall and that part which first comes to the Ground is most commonly bruised or wounded They gnash with their Teeth foam at the Mouth and often beat their Heads against the Ground their Arms and Legs either become rigid or tossed here or there Some beat their Breasts violently and some cast their Bodies impetuously hither and thither But in most the Belly swells much After some time sometimes sooner sometimes longer the symptoms suddenly cease as if the Tragedy were just ended and then the Sick come to themselves again and are sensible but there remains after the Fit is gone off a pain in the Head and a dulness in their Senses and often a Giddiness The Fits are sometimes wont to come at set times of the day month or year but most commonly according to the greater turns of the year or according to the Conjunctions or opposite Aspects of the Moon or Sun they return more certainly and afflict more violently and sometimes the Fits are uncertain and come as occasion is offered and according to the variety of evident Causes Sometimes they are gentle sometimes violent sometimes though rarely some Signs forewarn the Epileptick person of a Fit before he falls as a dulness of the Head sparkling of Fire before the Eyes Noise in the Ears and the like Sometimes a Convulsion in some outward part as in the Arm or in the Leg or in the Back or in the Hypochondres precedes which rising from thence like a cold Air towards the Head occasions the Fit CVRE You must begin with Purging but if the Sick bear Vomiting well a Vomit must be first given and must be repeated for several months four days before the Full Moon Wine of Squills mixed with fresh Oyl of Sweet Almonds or half a Scruple or a Scruple of Salt of Vitriol may be given to Infants But for grown People and such as are of a strong Constitution the following forms of Medicines may be prescribed Take of Crocus Metallorum or of Mercurius Vitae four or six grains Mercurius dulcis fifteen Grains or a Scruple grind them together upon a Stone mix them with the Pap of a roasted Apple or Conserve of Borrage make a Bolus Or give half an Ounce one Ounce or one Ounce and an half of the infusion of Crocus Metallorum or of Mercurius Vitae made in Spanish Wine according to the Strength of the Sick Or Take of Emetick Tartar four or six grains They that are of a weak Constitution may take a Scruple or half a Dram of Salt of Vitriol and half an hour after let them drink several Pints of Posset-drink and then with a Feather or with the Finger let them provoke themselves to Vomit often The next day after the Vomit unless any thing forbid draw Blood from the Arm or by the Sucking of Leeches from the Hemorrhoidal Veins and the next day after Bleeding give a Purging Medicine which afterwards must be constantly repeated four days before the New Moon Take of Rosin of Jalap half a Scruple of Mercurius dulcis one Scruple of Castor three Grains of Conserve of the Flowers of Peony one Dram make a Bolus to be taken in the Morning Or Take of the Fibres of black Hellebore infused in Vinegar dried and pouder'd half a Dram of Ginger half a Scruple of Salt of Wormwood twelve Grains of Oyl of Ambar two drops make a Pouder give it in the Pulp of a roasted Apple in the Morning Of the days the Sick does not Purge especially at the Seasons of the Moon give Morning and Evening specifick Remedies Take of the Roots of male Peony dried and poudered one two or three Drams give it twice a day in the following tincture at eight in the Morning and at four in the Afternoon Take of the Leaves of Misleto of the Oak two Drams of the Roots of Peony cut half an Ounce of Castor one Dram put them into a Glass and pour upon them of Bettony Water or of simple Peony Water and of White Wine each a Pint of Salt of Misleto of the Oak or of Common Salt two Drams Digest them in a close Vessel in the heat of Sand for two days Give three Ounces with a Dose of the Powder above prescribed At the same time make a Necklace with Peony Roots sliced and hang it about the Neck and the Roots fried or boiled till they are soft may be eat daily with the Meat Take of Man's Skull prepared one Ounce of misleto
Cause which is a cold intemperies of the Brain To which end the following Remedies must be used Take of the Roots of Cyperus Florentine Orris Angelica Zedoary Elecompane each one Ounce of the Leaves of Bettony Marjoram Balm Peniroyal Calaminth each one handful of the Tops of Thym and Sage each half an handful of the Seeds of Anise Sesely and Fennel each three Drams of Liquorish rasped of Raisins of the Sun cleansed each one Ounce of the Leaves of Senna cleansed and sprinkled with Aqua Vitae two Ounces of the Seeds of Carthamus bruised and of fresh Polypody of the Oak each one Ounce of Agarick newly trochiscated of Turbith and Hermodactil's each three Drams of Ginger and Cloves each one Dram of the Flowers of Staechas of Rosemary Sage and Lavender each one pugil boil them in a sufficient quantity of Water to a Pint dissolve in it four Ounces of White Sugar clarifie it and aromatize it with two Drams of Cinnamon and make an Apozem for four Doses to be taken in a Morning In the first and last Dose dissolve three Drams of Diaphaenicon Or Take of the Mass of Pill Cochiae Minor two Scruples moisten them with Bettony Water make five or six Pills guild them and let him take them early in the Morning The Pills of Agarick and of Cochiae major are used for the same purpose Take of Gujacum and of Sarsaparilla each two Ounces infuse them twenty four hours in two Quarts of Fountain Water over hot Ashes then boil them over a gentle fire to the consumption of half strain it give half a Pint hot in the Morning and cover the Sick well that they may Sweat The use of this may be continued for fifteen or twenty days or longer In the use of Sudorifick Decoctions this is always to be observed viz. let some Purging Medicine be given once a Week omitting for that day the Sudorifick Potion Sneezing Apoplegmatisms Blisters Head Powders and Baths are also used After the use of the Diet Drink give the following Pills once a Week Take of the faetid Pill Coch. Minor each half a Dram Troches of Alhandal four Grains mingle them and make Pills to be taken in the Morning But because the Humour wants preparation before every Purge therefore two or three days before every Dose of the Pills give three or four Ounces of the following Water in the Morning two hours before Eating Take of Gujacum four Ounces of the Bark of the same one Ounce of Sarsaparilla one Ounce and an half of China one Ounce of Sassafras six Drams of Wood of Aloes and of Galingal each one Dram and an half of the Roots of Angelica Peony and Fennel each three Drams and an half of the Seeds of Peony two Drams infuse them twenty four hours in six Pints of Fountain Water and two Quarts of White Wine Afterwards add the Leaves of Bettony ground Pine Sage each one handful of the Flowers of the Lime-tree Primrose Staechas and Rosemary each two Pugils of Lavender Flowers one Pugil of Old Venice Treacle half an Ounce of the Seeds and Bark of Citron each two Drams and an half of Polypody half an Ounce of Cinnamon six Drams distil them in a Bath to two Pints and an half of the Liquor add four Ounces of Penids If the Purges abovementioned are not successful it will be convenient to give Chymical Vomits as Vinum Benedictum and the like if the Sick is able to bear them After general Evacuation we must use Topicks both to the Paralytick part to recall the Heat and Spirits and to the Spinal Marrow where for the most part resides the Cause of the Disease therefore let the part affected be rubbed daily gently with hot Cloaths and let Cupping Glasses be applied to the Heads of the Muscles of the part affected let them have a narrow Mouth and much Flame But they must not be kept on long lest what is attracted should be dissipated Afterwards apply a Plaister of Pitch and Rosin of the Pine that what is attracted may be kept in All the Paralytick part may be Stung gently with Nettles Afterwards the part affected may be anointed with proper Oils Ointments and Balsams The following Ointment is very good in this case Take of the Juice of Squills four Ounces of the Juice of Wild Cucumber and of the Juice of Rue each one Ounce of Euphorbium Castor Sagapenum Ammoniacum Bdellium dissolved all in Vinegar each one Dram and an half of Myrrh Frankincense Pellitory of Spain Niter each one Dram of Oils of Elder Turpentine and of Euphorbium each half an Ounce of Wax a sufficient quantity to make an Ointment After the anointing the part wrap it about with hot Cloaths If the Disease goes not off by these means Plaisters are to be applied to the Spine of the Back the following is of excellent use for this purpose Take of Ship-pitch Galbanum Sagapenum and Gum Ammoniack each one Ounce of the Roots of Pellitory of Spain and of Mustard Seed each half an Ounce of Euphorbium two Drams of Yellow Wax three Drams of Oyl of Turpentine a sufficient quantity make a Plaister It is also very good to Sweat the Part affected by the Vapours from a Decoction of Cephalick Herbs and Roots made in White Wine but the Decoction must not touch the Part. A Decoction of the Roots of Burdock is also much commended in this Case These sorts of Baths are to be used twice or thrice a Week and after Bathing you must put the Sick to Bed and give him a Dram of Venice Treacle The green Leaves of Tobacco infused in Malago Wine and the Parts bathed with it after Sweating is reckoned the best outward Remedy for a Palsie But lastly the Bath Waters are best if the Sick drink of them some days Bath and Wash the Head with them and afterwards rub the Parts with the Infusion of Tobacco Leaves The Paralytick Parts must be always kept warm If it can be with the Skins of Foxes Hares or Lambs CHAP. X. Of a Convulsion A Convulsion in Latin Spasmus is an involuntary and perpetual Retraction of the Nerves and Muscles towards their Original It is twofold one properly so called to which the Definition above mentioned agrees the other is rather a Convulsive Motion and they are thus distinguished In a true Convulsion the retraction of the Muscle is continual and the Member immoveable In a Convulsive Motion the Member is variously agitated as in the Falling-sickness They also differ in their Causes for a true Convulsion proceeds from fulness or emptiness a Convulsive Motion from Irritation A true Convulsion is divided into universal and particular an universal takes its rise either from the Brain and then the Muscles of the Face are also seised with Convulsions or it arises from the beginning of the Spinal Marrow then the Muscles of the Head or those that move the Spine forward or backward are seised with Convulsions Upon which account there are three sorts
of Convulsions the first is called Emprosthotonos wherein the Body with the Head and Neck are violently contracted forward so that the Chin touches the Breast and the Body represents the Keel of a Ship and sometimes is bent like a Bow and the Head touches the Knees In this sort two Muscles that bend the Head forward are chiefly affected The second is called Opisthotonos and in it the Body is bent backward The twelve Muscles that extend the Head or some of them being Convulsed The third is called Tetanos wherein the Muscles before and behind are equally contracted and the Parts kept as it were in Aequilibrio This is the strongest of all it arising from a Contraction of all the Muscles A particular Convulsion is caused by the Contraction of some one part the Nerve that serves for its Motion being ill affected which has sometimes a peculiar Name from the effect or symptom as a Convulsion of the Muscles moving the Eyes is called Strabismus that of the Jaws and Muscles of the Temples 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 A Convulsion of the Mouth from a Contraction of the broad Muscle arising only from one part is called the Dog Convulsion But if there be a Contraction in both sides it is call'd Risus Sardonicus but sometimes the Mouth is distorted by the Palsie by Relaxation of the other Muscle A Convulsion of the Yard is call'd Satyriasis or Priapismus Other Convulsions have no proper Names The immediate Causes of a true Convulsion according to Hippocrates and Galen are repletion and inanition the mediate Causes which occasion a repletion and inanition are various a Flegmatick humour flowing into the Nerves is supposed to distend them as to their Breadth and so they must be necessarily contracted as to their length Another cause of Convulsion from repletion is an inflamation of the Nervous Parts The Causes of Convulsions by Emptiness are all immoderate Evacuations by Bleeding Vomiting Sweat and a Consumption of innate Moisture which is occasioned by Burning and Coliquative Feavers by immoderate Labour by Watchings and Cares and immoderate Venery A Convulsive Motion proceeds from Matter that Vellicates and Pricks the Nervous Parts which most commonly is malignant for such a humour commonly happens in malignant Feavers It is also occasioned by Worms Poison and by Hysterick Fits A Convulsion which seises many Parts especially near the Head is dangerous and that which seises the Muscles of the Breast is also dangerous for the Sick may be suffocated by it A Convulsion arising from great Fluxes of Blood or over-purging is dangerous if not deadly so is a Convulsion arising from a Phrensie and upon a Feaver Hypocrates says that those who are seised with a Tetanos die within four days but that if they live longer they recover CVRE The Cure of this Disease is to be varied according to the variety of the Causes That which happens from Emptiness is incurable After Bleeding or it being omitted if it be not convenient strong Purges must be used but respect must be had to the strength of the Patient After Bleeding apply Cupping-glasses with Scarification if Blood has not been drawn before otherwise without Scarification They must be first applied to the remoter parts afterwards to the parts near the affected part But if the Legs are Convulsed they must be applied to the Buttocks and Loins if the Arms to the Neck and Shoulders Blysters are also applied with good success to the parts opposite to the part affected In the mean time after the first Purge the Matter is to be prepared with Medicines proper for the Head Note that Castor ought to be added to Purges in this case Sharp Glysters are frequently to be injected such as were mentioned in the Chapter of an Apoplexy The part affected must be anointed with the following or some other proper Linement Take of the Oyntment of Marsh-mallows six Ounces Oyl of Turpentine and Camomile each one Ounce Oyl of Lavender three Drams of Oyl of Foxes half an Ounce Liquid Storax two Ounces wherewith anoint the affected part and the Spine of the Back frequently with a hot Hand After anointing the parts wrap them in a warm Sheep-Skin just taken from the Sheep Sheeps Lungs Pidgeons or Hens cut in the middle and applied hot are also good It is also good to put the affected part into the Belly of an Ox or Sheep newly kill'd and keep it there as long as it is warm but the use of Sulphurous Baths is most successful When a violent Pain accompanies the Convulsion use the following Linement Take of the Oyls of Violets Lillies Camomile each one Ounce and an half of Oyl of sweet Almonds Mastich and Roses each one Ounce mingle them and anoint the part affected Sneesing Powders and Apophlegmatisms are also proper in this Case CHAP. XI Of Trembling TRembling in Latin Tremor is a depraved Motion of the Members whereby they are involuntarily moved The chief Cause of it is weakness of the Nerves occasioned by Old Age by long Sickness by immoderate Venery by Fear and other passions of the Mind or by such things as are wholly offensive to the Nerves as the Fume of Quicksilver Hard Drinking will also occasion it and a partial Obstruction of the Nerves by gross humours CVRE It is Cured by the same Medicines that are used in the Palsie CHAP. XII Of a Catarrh A Catarrh in Latin Catarrhus according to the Ancients is a preternatural fluxion of Humours from the Head upon the Lower Parts But the ingenious Dr. Lower is of the Opinion that it is put off by the Blood upon the Glands that are seated in the Throat and Jaws and he says there are no passages to convey it from the Head CVRE Whatever precipitates the Serum through the Reins or carries it off by Stool or by Sweat is good in this case or whatever else lessens the Serum Wherefore nothing is better for Curing a Catarrh if a Feaver does not accompany it then abstaining a long while from Drink for several have been Cured by not drinking in three or four days time for by this means the source of the Disease is dried up just as Râ—vulets become dry for want of Rain But if you have reason to imagin from the Pulse the Urine or restlesness of the Body that there is some Feaver Having first purged the Body you must presently Bleed and the Sick must be kept to a thin Diet and other things are to be done which the Cure of the Feaver requires but respect must be had to the Flux of the Serum But if by reason of abundance of Serum the Catarrh continue obstinate in this case nothing is better then after Purging to use Diureticks if the Catarrh yet continue you must make Issues in the Neck Arms or Legs or apply Blisters there But because these things require time to do the business if need require or if there be danger of Suffocation you must Bleed again and presently Sweat the Patient once or twice a
them beyond Measure especially if there be also a hot and moist Intemperies of the Brain they are retained by reason of an Obstruction of those Parts or too great an Oppression of them as in those that are flat-nosed The Disease of the Nose occasioning such a Stink may be known by its proper Signs But if there be no such Disease in the Nostrils we may conjecture that it arises from a putrid Humour contained in the Brain or Mamillary Processes or in the Os cribrosum The Prognostick of an ill Scent in the Nostrils which is occasioned by an Ulcer Polypus or Sarcoma depends on the Prognostick of them But that ill Scent which proceeds from Corrupt Humours contained in the fore part of the Head if it be lately come may be easily cured if it be inveterate it is incureable especially if it come from an ill Confirmation of the Nostrils as in such as are flat-Nosed The Cure is performed by taking away the Causes and by moderating the Symptoms The Cure of an Ulcer Sarcoma and Polypus are mentioned above but a putrid Humour contained in the Brain Mamillary Processes or in the Os Ethmoides must be carried off by Purging and Cleansing And first universal Evacuations are to be ordered which free the whole Body and the Brain from Flegmatick Excrements and if there be abundance of Humours a Sudorifick Diet-drink must be also ordered afterwards cleansing Errhins must be prescribed to remove the conjunct Matter And first Whitewine wherein Centaury has been infused must be put into the Hand and snuft up Morning and Evening or the Juice of Beet drawn with Marjoraâ— Water may be used but the following is more Powerful Take of the Roots of Florentine-orris half a Dram oâ— white Hellebore and long Pepper each half a Scruple of the Seeds of Anise and of dried Marjoram powdered each one Scruple of the Oyls of Nard Wall-flower and Violets each as much as is sufficient Make a soft Oyntment wherewith anoint the Top of the little Finger and anoint the Nostrils within or a Tent besmeared with the Oyntment may be applied Lastly To palliate the ill Stink sweet-smelling things may be often drawn up the Nostrils as an Infusion of Nutmegs in fragrant Wine Angelica Water and the like CHAP. XL. Of a Coryza COryza is a sort of Catarrh wherein the Fluxion falls on the Nostrils it 's easily known by the abundance of Moisture that is evacuated by the Nostrils 't is commonly call'd a Cold or Stoppage in the Head It requires the same Method of Cure as is used for a Catarrh but in this Case you must not use Errhins least they should draw Humours to the Part affected Masticatories and Apoplegmatisms may be prescribed after general Evacuation and some-things are reckned peculiarly proper for this Disease as the Vapour of a Decoction of Marjoram received into the Nostrils or of Vinegar wherein red Roses have been infused the Venegar being poured upon red hot Iron if it be occasion'd by a very cold Fluxion the Fumes of Frankincense cast upon live Coals corrects the cold Intemperies of the Brain and dries up the Superfluous Moisture CHAP. XLI Of Sneezing THo Sneezing often happens in Health and is generally so small a thing that it scarce deserves the Name of a Symptom yet sometimes 't is so very troublesome that it requires Medicines and the Physicians help and the ancient Custom of saying God bless you upon sneezing shews that some time or other it has proved dangerous some say 't was an Epidemical Disease in the Time of Gregory the Great and that the Sick died sneezing As to the Prognostick 't is of it self without Danger but 't is very injurious at the Beginning of a Catarrh or Coryza and in Feavers when it is frequent it sometimes occasions bleeding at the Nose but most commonly it does good by expelling Superfluities from the Brain When Sneezing is injurious as in a Plurisie Peripneumonia and the like or when it becomes a Disease the Cure must be undertaken by Revulsions and Evacuations and if by Reason of a hot Intemperies of the Brain or of any other Part sharp Vapours are transmitted to the Nostrils Bleeding must be used and proper Purges and to qualifie the Acrimony and to asswage the Irritation of the Nostrils it will be proper to snuff up warm Milk into the Nose or to anoint the Nostrils wlth Oyl of Violets or of sweet Almonds or with fresh Butter CHAP. XLII Of Bleeding at the Nose or Spitting of Blood BLeeding at the Nose comes at any Time of the Year and seises chiefly those that are of a weakly Constitution and have hot Blood and oftner when they are in Years than when they are Young at first there are some Signs of a Feaver which goes off by bleeding at the Nose but a Pain and a Heat in the fore part of the Head remains the Blood flows for some Hours then stops a while and afterwards breaks out again and so it does by turns till at length it is quite stop'd either by the use of Remedies or of its own accord by reason the Quantity is diminished but the Sick is in danger of a Relapse yearly either upon drinking of Spirituous Liquors or from being over-heated upon any other account In order to the Cure I endeavour to qualifie the Head and Ebullition of the Blood upon which account the preternatural Extravasation arises Wherefore I bleed often in the Arm and take away a large Quantity of Blood I order a cooling and thickning Course of Diet as three parts of Fountain Water and one of Milk boil'd together and drank cold roasted Apples Barly-broths and the like forbidding the use oâ— Flesh I also prescribe thickning and cooling Juleps and Emulsions and the like Take of the clarified Juices of Plantane and Nettles each six Ounces of the Aqua Lactis Alexiteria four Ounces of Cinnamon Water hordeated three Ounces of white-Sugar a sufficient Quantity mingle them make a Julep let him take four Ounces in the Morning and at four in the Afternoon and so daily for three Days following Take of the Waters of Plantane and of Cinnamon hordeated each four Ounces of distill'd Vinegar half an Ounce of true Bole and of Dragon's Blood each half a Dram of London Laudanum three grains of Syrup of Myrtles one ounce and an half mix them make a Julep let him take five or six Spoonfuls every Night at Bed-time Take of the Syrup of Juice of Nettles four ounces give half an ounce in his Liquor every time he drinks and he may drink of Tincture of Roses every time he drinks Take of the Seeds of Henbane and of white Poppies each half a dram of Sugar of Roses three drams of Syrup of Comfry a sufficient quantity make an Electuary give the quantity of a small Nutmeg twice a day and let him drink a draught of Tincture of Roses presently after it Or Take of the four greater cold Seeds each one dram and an half of
Sweet Almonds two pair of the Seeds of white Poppies two drams Plantane-water eight ounces of Red-Poppy-water four ounces of Cinnamon-water hordeated one ounce and an half make an Emulsion to which add three drams of pearled Sugar and half an ounce of the Juice of Citron mingle them give four ounces thrice a day I order that the Sick should keep from Bed daily for some time and that a gentle cooling Glister be injected every day and a Paregorick Draught to be taken at Bed-time But because sharp Humours often accompany such Hemorragies besides Cooling and Revulsion I order gentle Purging even when the Disease is at height and when it has done Working I give an Anodyn that is stronger than usual and when the Symptom is quite abated I give another Purge As to External Applications Rags four times doubled and dipt in cold Water wherein Sal Prunella has been dissolved and gently press'd out may be applied often in a day to the Neck and after general Evacuations the following Liquor may be applied Take of Hungarian Vitriol and of Alum each one ounce of the Flegm of Vitriol half a pint boil them till all are dissolved filter the Liquor when it is cold and separate it from the Cristals that sometimes arise to the remaining Liquor add a twelfth part of Oyl of Vitriol dip a Tent in this Liquor and put it up the Nostril from whence the Blood flows and leave it there two days Rags dipt in this Liquor and applied stop Blood in any external part A Spitting of Blood which I shall now treat of seises Weakly People of a hot Constitution whose Lungs are weak it happens chiefly to young People in the Spring or Summer-time It must be cured much the same way as the Bleeding at the Nose only Purging must not be used often for if it be the Sick will quickly fall into a Consumption Take of Lucatellus's Balsam one dram of true Bole one scruple mingle them and give it Morning and Evening with a draught of the Traumatick Decoction Take of Plantane-water two ounces of Cinnamon-water hordeated one ounce of distill'd Vinegar half an ounce of red Coral prepared half a dram of Dragons Blood half a scruple of London Laudanum two grains of Syrup of Myrtles one ounce mingle them give a Spoonful every hour till the Blood stops Or Take of Tincture of Roses one pint of Comfry one ounce and an half mingle them give a draught every fourth hour Or Take of Conserve of red Roses and of Comfry each three drams of Cutle-bone finely powdred two drams of Crabs Eyes one scruple boil them in half a pint of Milk to four ounces let him eat and drink all Or Take of the Lohoch of Purslain one ounce and an half give three drams every fourth hour And lastly Bleeding frequently used a Glister every day injected and Diacodium taken every Night at going to Bed and also a Diet and Medicines that thickens and cools will perfect the Cure Of Diseases of the TONGUE CHAP. XLIII Of an Inflammation of the Tongue and other Tumours of it AS all parts of the Body especially such as are fleshy are wont to be inflamed so also is the Tongue sometimes by reason of Blood flowing into it and as it is Pure Cholerick Flegmatick or Melancholly it occasions either a Flegmon or an Erysipelas an Oedema or a Scirrhus and sometimes it ends in Suppuration whereof Forestus mentions an Observation of a Brewer who had a great Inflammation of the Tongue which Suppurated But most commonly the Swelling of the Tongue is soft and loose and purely Oedematous of which Galen proposes an Example of a Man whose Tongue was so tumified that it could not be contained in his Mouth And sometimes also the Tongue grows excessively big when there is no Oedema no Scirrhus nor any other kind of Tumour and without any kind of Pain and is only an increase proceeding from too great Nourishment of the part The Diagnostick of these Tumours is not difficult for they may be seen but the differences of them may be so distinguish'd if there be an Inflammation Pain and Heat and Redness attend it and the Face is also affected therewith but if the Swelling proceed from Flegm the Tongue is white and much Flegm flows out which tasts sweet and insipid But if it be only an increase of the Tongue there are no signs of other Tumours or ill Humours As to the Prognostick Tumours of the Tongue for the most part do not endanger Life unless they grow so great that Suffocation should be feared from thence or take their rise from some Malignant Humour which may generate a Cancer which is known by Hardness pricking Pain and a livid Colour The Cure of an Inflammation of the Tongue must be begun with such things as cause a Revulsion and with repelling Medicines And then first a loosening Glister must be injected and a large quantity of Blood must be taken away presently after Cupping-glasses with Scarrification must be applied to the Shoulders afterwards cooling and repelling Gargarisms must be used Galen commends the Juice of Lettice wherewith the Tongue must be washed or a Gargarism may be prepared of a Decoction of Plantane Nightshade of Syrup of dried Roses After Bleeding Purging may be prescribed with a Medicine made of Cholagogs and Flegmagogs The Fluxion being stopt by Evacuation Revulsion and Derivation the Derivation of the Humour stuft into the Tongue must be endeavoured to which end the Veins under the Tongue must be opened But if it cannot be done by reason of the bigness of the Tongue a Cupping-glass with Scarification must be applied under the Chin. If the Tumour tends to Suppuration it must be promoted by applying a Fig cut in the middle which must be frequently changed or by a Gargarism made of a Decoction of Barly Mallows Violets Figs Raisins of the Sun of the Seeds of Quinces and Fenugreek adding to them Syrup of Violets and of Jujubs Suppuration being made if the Abscess does not break of it self let it be opened with a Knife and the Ulcer must be presently cleansed with a Decoction of Barly Agrimony and Plantane with Honey of Roses But a soft and loose Tumour arising from Flegm is cured first by Revulsion made by Bleeding if the Sick abound with Blood afterwards some strong Purge must be given as is the Pill Coch minor But if the Sick cannot take Pills a strong Purging Potion must be used After these Evacuations cooling and repelling Medicines must be applied at the beginning The Tongue may be washed with the Juices of Lemons Pomegranates Sorrel of Plantane or with Simple Oxymel to which may be added in the increase of the Disease a little Ginger Sal Gemma or Sal Armoniack Zacutus Lusitanus in a very dangerous case when Suffocation was feared by reason of the bigness of the Tongue applied four Leeches to it and soon after a great quantity of Blood was evacuated and the Tongue asswaged The same
an half strain it let the Sick take three or four Spoonfuls either by themselves or in some hot Broth. These kind of Jellies may be made more pleasant to the Pallate by adding at the time of use a little of the Syrup of Baulm Gilliflowers Raspberries Oranges or Lemmons though it must be confessed Acid Syrups do not so well agree with Jellies The manner of making a Restorative Broth is as follows Take a Capon drawn and cut in pieces of Sheeps and Calves feet each two pair the shavings of Ivory and Harts-horn each half an ounce two leaves of Mace one Nutmeg cut yellow Sanders three drams or half an ounce boil them all gently in one gallon of Fountain-water till half is consumed add towards the end of boiling a pint of Malago-Sack and of the Flowers of the greater Daisie Coltsfoot Maiden-hair Spotted Lungwort each one handful of fat Dates eight pair of Jujubs twelve pair of Sebestens ten pair of Raisins of the Sun stoned three ounces strain it let the Sick take a large Draught of it twice or thrice a day Prepared Coral Millepedes Pearls Crabs-eyes prepared the Simple Powder of Crabs-claws and other testaceous Medicines taken plentifully and often in a day are good to blunt the Acrimony of the Blood Take of the Aqua lactis Alexiteria of Carduus or of black Cherry-water one pint of Cinnamon-water hordeated half a pint of prepared Pearl half an ounce of white Cristaline Sugar two ounces mingle them make a Julep whereof let the Sick take four ounces shaking the Viol always when it is used three or four times in a day adding if the Stomach require it one or two ounces of Epidemick water Or Take of the Powder of Millepedes of Crabs-eyes prepared of the Simple Powder of Crabs-claws each one dram of the Powder of white Ambar half a dram mingle them divide it into nine Papers whereof let him take one thrice a day in a Spoonful of the Pearl Julep Fifthly If the Sick seem free from an Obstruction of the Liver and has neither the Dropsie nor the Jaundice but the Milk-Diet before described does not agree by reason of a Loosness or the Acid Ferment of the Stomach besides the altering Medicines above described the free use of the compound distilled Waters of Milk Snails a Pig and the like may be ordered with success to attemperate farther the Acrimony of the Humours The Milk-water Take of the leaves of Maiden-hair Coltsfoot spotted Lungwort Speedwell each three handfuls of Hyssop Goats-rue Mint and Wormwood each two handfuls of the Flowers of St. John's Wort and Scabious each two handfuls of English Saffron one dram three Nutmegs sliced Dates and fat Figs each half a pound of Raisins of the Sun stoned one pound cut them and infuse them in three gallons of fresh Cows Milk and three quarts of Malago-Sack distill them in a cold Still and draw off half the Liquor and mix the Distillations and keep them for use If the Consumption be Scorbutical you may add in Distillation the tops of Pine Water-cresses and Brook-lime and Ground-Ivy with other gentle Antiscorbuticks And instead of Malago Sack you may use Brunswick Mum. If you would have this Water also Restorative you must add a Capon or a Pig in the second Distillation For instance Take a Capon or a Pig the Intrails being taken out cut in pieces of the Milk-water above described one gallon distill off three parts of the Liquor Snail-water Take of Garden-Snails cleansed with Salt three hundred of common Milk or rather of the Milk-water above prescribed three gallons distill them in a cold Still with a gentle Fire till the Liquor becomes Acid And the following Magisterial water of Worms is not to be despised for it will keep good a long while Take of fresh Milk two gallons of Mint and Roman Worm-wood each two handfuls distill off one gallon Then take of Garden-Snails first wash'd in common water then in Small-beer half a peck of Earth-worms prepared one Pint of Angelica one handful and an half of Agrimony Bettony and Rue each one handful put the Herbs into a Still and the Snails and Worms upon them and at top shavings of Harts-horn half a pound Cloves one ounce Saffron three drams infuse them in two quarts of Syder and one of Malago-Sack then distill all in a cold Still These Liquors are to be drank freely for the ordinary drink mixed with an equal part of Milk if the Stomach will bear it and if the Sick can quench his Thirst with it If a Julep be more pleasing give it in the following manner Take of the Waters of Pig or Capon before described one pint of white Cristaline Sugar a sufficient quantity boil them to a Syrup Take of Milk or Snail-water one pint and an half of the Syrup just described four ounces mingle them make a Julep whereof let the Sick drink freely Or Take of the Water of Milk or of Magisterial Snail-water a quart of pearled Sugar ten drams or an ounce and an half mingle them make a Julep whereof let him take freely and frequently But if there is not so much a Hectick Feaver as a difficulty of Breathing as it often happens to such as are afflicted with a Scorbutick Consumption a Pectoral Hydromel is better for the ordinary Drink than distilled Waters abounding with Flegm Take of the roots of China sliced six ounces of the roots of Coltsfoot gathered at a Fit-time three ounces of the roots of Burdock and Avens each three ounces of the roots of Elecampane two ounces of the leaves of Lungwort all the Scabious both the Speedwells Meadow-sweet and Monywort each two handfuls of all the Capillaries each one handful of the flowering tops of Bugles and Bettony of the flowers of red Speedwell and of Cowslips each four Pugils of all the Ground Ivy three handfuls of Jujubs Dates Sebestens and Raisins of the Sun cleansed each one ounce and an half of Spanish Liquorish one ounce and an half cut them all and boil them in sixteen quarts of Fountain-water with a gentle Fire till half is consumed strain it and clarifie it and add to it four pound of the best Honey boil it again and take off the Scum strain it again add half an ounce of Cinnamon six drams of Coriander-seed of the Seeds of Annise and Sweet Fennel each three drams put the Liquor into a large Tub and let it ferment which it will the sooner do if the Tub be placed in the Sun for then it will be sufficiently fermented in forty days otherwise it will require a much longer time The Vessel must be always kept open and full Of this let the Sick drink a good Draught twice or thrice a day for many Months When the Consumption comes to its third State the Sick very rarely is cured or lives long unless the Ulcers are very small and benign wherefore though a prudent and honest Physician being called to Consumptive People at this time may endeavour to
and Marjoram Garden-rue and of the Herb called Basilicon and of the Tops of the lesser Centaury each half a handful of Bay-berries three drams of the Seeds of Angelica Lovage and Annise each half an ounce of Ginger Nutmegs and Mace each one dram and an half of Cinnamon six drams of Cloves and the Bark of Oranges each one dram cut them and powder them grosly and pour upon them twenty quarts of Maligo Wine digest them two days in a Bath then distil them till they are dry pour all again upon the Ingredients and distil off three Fourths CHAP. LXV Of the Hickops THe Hickops are a Convulsive Motion of the Stomach The Matter occasioning the Hickops is either collected in the Stomach or communicated to it from the Liver Spleen Bowels or other Parts or from the whole Body so sharp Meats or Medicines sharp Humours or Worms contained in the Stomach may occasion an Idiophathick Hickop But a Sympathick is occasioned by Inflammations of the neighbouring Parts or from Humours or sharp Vapours transferred to the Stomach from Diseases of the whole Body as in acute and malignant Feavers The Signs of the Causes must be thus distinguished If it be Idiopathick it is more continual and Signs of Humours contained in the Stomach appear and then it is cured by Vomiting The Peccant Humour collected in the Stomach may be known by Vomiting Belching a Taste in the Mouth and other Signs If it proceed from a Disease of any other Part the Signs of it must be sought for in the proper Chapters As to the Prognostick that Hickop from any Procatarctick cause as from Meat Drink or Cold is not dangerous and also that which precedes a critical Vomiting If it happen in a Feaver it shews that the Disease is very dangerous A Hickop coming after Vomiting is also dangerous The Cure of this Disease is to be directed to the Causes of it which as is said before produce this Disease Sympathically or Idiopathically the Causes that occasion a Sympathick Hickop are the Diseases of other Parts which being cured the Hickop is also taken off though those Remedies which are proper to remove the Symptom may be used in the mean while An Idiopathick Hickop is occasioned by Flegm Wind Choler or any other acrid or malignant Humour That which is occasioned by a Flegmatick Humour must be cured by Remedies that incide purge and cleanse that Humour and that strengthen the Stomach to which may be added the following Medicines which are peculiarly proper for the Symptom Take of Tincture of Castor one dram of the Juice of Mint four ounces Let the Sick take a spoonful or two at a time and let his Stomach be anointed with it hot twice or thrice a day Vinegar of Squills may be taken frequently to incide and dissolve the Matter impacted into the Tunicks of the Stomach or instead of it Oxymel of Squills Cloves also held frequently in the Mouth do good also Elixir Proprietatis described by Crollius is good Take of the Seeds of Dill two or three drams boil them gently in eight ounces of good Wine Let the Sick takâ— two Spoonfuls Morning and Evening The Seed also tied up in a Rag may be held to the Nostrils frequently when the Disease is obstinate the following Pills are very effectual Take of Castor and Mirrh each three drams of Sal-gemma half an ounce of Diagridium and Mastich each one dram of the fresh Troches of Agarick three drams of choice Aloes the Weight of all mix them with the Juice of Mint and make a Mass Of each dram make six Pills gild them let the Sick take two or three in a Morning two hours before Meat twice a Week Pills also made of the Powder of Hiera with Oxymel are also good whereof a dram may be taken at a time Of the days the Sick does not Purge let him take the following Powder Take of the Seeds of Dill half an ounce of Zedoary and of Woo◠〈◊〉 Aloes of Nutmegs Cloves and of the Powder of Dâ—â—mbra each one dram mix them let him take two scruples with a little good Wine or adding three ounces of common Salt let him use of it with his Meat Let the following Cataplasm be applied to his Stomach Take of the Roots of long Birth-wort of Florentine-orris of Bayberries of the Leaves of Rue and dried Mint each three drams of Castor and Mirrh each two drams of Cloves and Hyposistis each six drams with Honey of Rosemary-flowers make a Cataplasm Lastly when the Disease is very obstinate we must use a Decoction of Guajacum and the Bath-water That which prooceeds from Wind must be cured by Remedies that are proper to expel Wind Let Cupping-glasses be applied to the Region of the Stomach which like a Miracle mitigate and take off suddenly flatulent Diseases of the Lower-belly That which proceeds from an acrid and cholerick Humour must be cured by Bleeding if there be a Plethora and by Vomiting or by Purging every third day Take of choice Rhubarb powdered and moistened with Endive-water half an ounce of the Pulp of Tamarinds two drams of the Seeds of Endive Purslain and Spodium each one dram of Yellow Sanders and of Diagridium each half a dram with Syrup of Lemons make a Mass for Pills of half a dram make four or five Pills to be taken in the Morning Of other Days let him take the Conserve of Roses and Borrage mixed with a little of the Powder of the three Sanders Emulsions of the cold Seeds attemperate powerfully the Acrimony of the Humours Syrup of Apples mixed with Syrup of Quinces is also good hot or cold Water or a Ptisan is also to be drank freely of Foment the Stomach with a Spunge dipt in Rose-vinegar and apply the following Plaister to the Back and Stomach Take of the Ceratum Santalinum and of Ointment of Roses each one ounce of Mastich half an ounce of the Bark of Citron and of the Flesh of Quinces each one dram with the Juice of Housleek and with a little Turpentine make Plaisters If there be a Suspicion of a malignant Quality Treacle or some other Alexipharmick must be prescribed and the Region of the Stomach must be anointed with the Oyl of Scorpions But from whatsoever Cause the Hickops arise the following Medicines are to be used First The Peccant Humour must be evacuated by Vomit if the Sick can bear it and it must be repeated if the Disease be lessened by it but not quite taken away and strong Vomits must be given if the Case so require as Platerus teaches in his Practice whereof he mentions an Observation in these Words A Surgeon was seized with the Hickops and they were so continual Night and Day that he cou'd not sleep nor scarce speak or eat being extreamly weakned by them he earnestly desired we should give him a strong Chimical Vomit which being taken he cast up a vast Quantity of green and black Choler the Vomiting stopt and he recovered But if the
the strength of the Patient Take of the Waters of black Cherries Rue and compound Briony each three ounces of Castor tyed up in a Rag and hanged in the Glass half a dram of fine Sugar a sufficient quanity make a Julep whereof let her take four or five Spoonfuls when she is faint dropping into the first Dose if the Fit is violent twenty drops of the Spirit of Harts-horn After the Purging Pills just described are taken let her use the following Take of the filings of Steel eight grains with a sufficient quantity of extract of Wormwood make two Pills let her take them early in the Morning and at five in the Afternoon for thirty days drinking upon them a draught of Wormwood-wine Or if she like a Bolus better Take of conserve of Roman-wormwood and of the conserve of the yellow rind of Oranges each one ounce of candied Angelica and Nutmogs candied and of Venice Treacle each half an ounce of candied Ginger two drachms make an Electuary with a sufficient quantity of Syruy of Oranges Take of this Electuary one drachm and an half of the filings of Steel well rubbed eight grains make a Bolus with a sufficient quantity of Syrup of Oranges to be taken in the Morning and at five in the Evening drinking upon it a Glass of Wormood-wine Take of choice Myrrh and Galbanum each one drachm and an half of Castor fifteen grains with a sufficient quantity of Balsam of Peru make twelve Pills of every drachm Let her take three every Night and drink upon them three or four Spoonfuls of compound Briony-water through the whole course of this Process But if the Pills last prescribed move the Belly which sometimes happens in Bodies that are very easily purged by reason of the Gum that is in them the following may be used instead of them Take of Castor one drachm of volatil Salt of Amber half a drachm with a sufficient quantity of extract of Rue make twenty four small Pills Let her take three every Night But here you must take notice That Chalybeats in whatsoever Form or Dose they are taken occasion sometimes in Women great disorders both of Body and Mind and that not only on the first days which is usual almost in every Body but also all the time they are taken in this case the use of Steel must be interrupted at those times but Laudanum must be given every Night for some time in some Hysterick Water that they may better bear it But when the Symptoms are mild and it seems that the business may be done without taking Steel I think it sufficient to bleed and to purge three or four times and then to give the altering Hysterick Pills before-mentioned Morning and Evening for ten days which method seldoms fails when the Disease is not violent yea the Pills alone bleeding and purging being omitted oftentimes do a great deal of good Yet we must take great notice That some Women by a certain Ideosyncrasy so abhor Hysterical Medicines which give ease in most of the Symptoms of this Disease that they don't only not receive benefit but are much injur'd thereby therefore they must not be given to such for Hippocrates says 'T is in vain to do any thing contrary to Natures inclination Which Ideosyncracy is so great and so frequent that if we have not regard to it the Lives of the Sick may be hazarded And so Hysterical Diseases are most commonly cur'd and most Obstructions of Women especially the Green Sickness and also all Suppressions of the Courses But if the Blood is so very feeble and the confusion of the Spirits so great that Steâ—l order'd to be us'd according to the Method prescrib'd is not sufficient to cure the Disease the Patient must drink some mineral Waters impregnated with an Iron Mine such as are Tunbridge and some others lately found out for the Chalybeat Vertue of these is better mingl'd with the Blood by reason of the great quantity that is taken of them and also because they are more agreeable to Nature and they cure Diseases more effectually than Iron how much soever exalted by Art But this is more especially to be observ'd in drinking of them that if any Sickness happens that is to be referr'd to Hysterical Symptoms in this case the Patient must forbear drinking them a day or two till that Symptom that hinder'd their Passage is quite gone and it is to be noted that Purging must be avoided all the time the Patient drinks these Waters But if this Disease by reason of its Obstinacy does not yield to Steel-waters the Sick must go to the Bath and when she has used them inwardly three mornings following the next day let her go into the Bath and the day following let her drink them again and so let her do by turns for two months for in these and in others of what kind soever they are this must be carefully noted That the Patient must persist in the use of them not only till she perceives some benefit but till she is quite well that the Symptoms may not return again in a short time Venice-Treacle alone if it is us'd often and a long while is a great Remedy in this Disease and not only in this but in very many other Diseases that proceed from want of heat or concoction or digestion 't is perhaps the most powerful that has been hitherto known Spanish Wine medicated with Gentian Angelica Wormwood Centory and other Corroboratives infus'd in it does a great deal of good some Spoonfuls of it being taken thrice a day if the Woman be not of a thin and cholerick habit of Body and truly a large Draught of Spanish Wine by it self taken at Bed-time for some Nights by my Advice has been very beneficial to some Women for by it the habit of the whole Body was render'd stronger and they who before were Cachectical became fresh-colour'd and brisk Moreover sometimes we find that the Peruvian Bark wonderfully comforts and invigorates the Blood and Spirits a Scruple of it being taken Morning and Evening for some Weeks but it succeeds best in that kind of Hysterick Diseases wherein VVomen are afflicted with Convulsions But if any of the Remedies above-mentioned don't agree well which often happens in cholerick and thin Constitutions then a Milk-diet may be us'd for some VVomen which one wou'd wonder at at first that have been conflicted a long while with Hysterick Diseases and even such as have frustrated all the endeavours of Physicians yet have recover'd by dieting themselves for some time only with Milk and especially those that labour with that Disease I call an Hysterick Cholick which can't be appeas'd by any thing but Narcoticks to which repeated by Intervals the VVomen are much accustom'd the Pain returning assoon as the Vertue of the Anodyne fades But nothing of all I have hitherto mention'd does so much comfort and strengthen the Blood and Spirits as riding on Horse-back every Day for a long while but though
plenty of Excrements heap'd together in the first Region and distending the Belly or it vitiates the Blood in the whole Body rendring it unfit to nourish the Child or it fills the Vessels of the Womb which retain the Child with a slymy moisture Bleeding may be also used for this Cacochymy in a small quantity but the chiefest way of Cure is by frequent Purging that the superfluous Excrements of the Body may be evacuated and betwixt Purge and Purge such things must be used as asswage the Intemperies of the Bowels and the Acrimony of the Humors if there be any and thicken the said Humors in case they be too thin and if flegmatick Humors abound they must be discussed with Sudorificks and Diureticks and other Remedies howbeit we must diligently observe that whatever ill Humors abound Issues are very proper to prevent Abortion of which Zacutus Lusitanus gives a special note in these words By most happy Experiments I have observed That frequent Abortion caused by corrupted Humors which flow from the whole Body to the Womb and by their evil disposition or abundance kill the Child is hereby as by a most present help prevented many Women have miscarried on this account among whom some having oftentimes brought a Child of seven Months or four Months growth torn and putrified cou'd by no other means be freed from so great a Calamity save by Issues made in their Arms and Thighs which were always made at the beginning of the Fluxion by which means they went out their time and brought forth Children healthy and not defiled with any Infection The peculiar Diseases of the Womb as over-great Moisture Swellings Ulcers and such like must be cured by their proper Remedies If these Diseases happen when a Woman is with Child the difficulty is greater because big-bellied Women cannot so easily bear all kind of Remedies yet lest being destitute of all help they should remain in extream danger of Miscarriage and Death some kind of Remedies are to be used In case therefore the Patient be too full of Blood she must have a Vein opened tho' she be with Child especially in the first Months and so twice or thrice if need be always remembring that there never be much Blood taken away at a time And when there is abundance of some ill Humors gentle Purging must be repeated especially in the middle Months and if a moist and flatulent or slymy Intemperies annoy the Patient we may sometimes proceed to a Sudorifick Diet at least a gentle one in the strongest sort of Women In the mean while these astringent and strengthening Medicines are to be used all the time the Woman is with Child that are proper to hinder Abortion Take of Kermes-berries and Tormentil-roots each three ounces of Mastich one drachm and an half make a Powder of which give now and then half a drachm or as much as will lie on the point of a Knife Or Take of red Coral two drachms Kermes-berries Date-stones each one drachm shavings of Ivory half a drachm of Pearls not bor'd one scruple make a Powder Or let her take every day in the morning some grains of Mastich Our ordinary Women use frequently Plantain-seed which they take in the morning to the quantity of half a drachm with Wine and Water or in an Egg or Broath or by it self almost every day all the while they are with Child and with good success To the same purpose very effectual Electuaries are compounded according to the following Example Take of Conserve of Roses two ounces of Citron-peel candied six drachms of Myrabolans candied of the pulp of Dates each half an ounce of Coral prepared Pearl prepared and shavings of Hartshorn each one drachm with syrup of Quinces make an Electuary of which let the Patient take often the quantity of a Nutmeg If a Liquor be more pleasing a Decoction of Tormentil-roots sweet'ned with Conserve of Roses may be given successfully The following Lozenges are very good for they strengthen and by little and little free the Body from Excrements though they do not sensibly purge sometimes Take of Mace of the three sorts of Sanders Rhubarb Sena Coral Pearl each one scruple of Sugar dissolved in Rose-water four ounces make all into Lozenges weighing three drachms apiece Let her take one twice a week by it self or dissolved in a little Broath Ointments and Plasters are to be applied outwardly Take of Ship-pitch half an ounce of Frankincense one ounce Mastich half an ounce Dragons blood and red Roses each two drachms make a Cerecloath Or Take of Oil of Myrtles and Mastich each one ounce of red and yellow Sanders Hypocistis and Acacia each half an ounce of Spodium and red Roses each two drachms of Bole-armonick seal'd Earth Ivory each two scruples of Turpentine washed in Plantain-water one ounce with a sufficient quantity of Wax make a Cereloath spread it on Cloath and apply it to the Reins Or Take of the Plaster for the Matrix three ounces of Bistort-roots Acacia Hypocistis Pomgranat-peels each half an ounce of Labdanum six drachms soften them with the juice of Quinces and make a Plaster for the use aforesaid As to Plasters it is to be noted That they must not be worn long together but taken off now and then otherwise if they stick too long upon the Back they do so heat the Kidnies that sometimes they occasion an heat of Urine and the voiding by Urine Sand Stones yea Blood it self Nor are those things to be omitted which are accounted Specificks for retaining the Child in the Womb as the Eagle's stone worn about the Neck a Load-stone applied to the Navel Corals Jaspers Smaragds Bones found in the Hearts of Stags and such like worn under the Arm-pits or hanged about the Neck But that the success of these Medicines may be good the Patient must be ordered to rest and to keep her self as quiet as possibly she can both in Body and Mind and to abstain from Coition which does much disquiet the Womb for whilst the Womb opens it self to receive the Semen with which it is much delighted it drops out the tender Fetus not yet well setled in the Womb. But if notwithstanding the Medicines aforesaid by reason of the vehemency of the Cause whether it be external or internal the Patient be ready to miscarry we must do the best we can with these following Remedies And in the first place so soon as Pains and Throws shall be perceived to be in the lower parts of the Belly towards the Pubis in the Loins and about the Os sacrum we must seek to allay and stop them both by Medicines taken inwardly and outwardly applied according to the variety of the Causes for if Abortion be caused by Crudities and Wind which is most usual when it begins from an internal Cause a Powder must be given made of Aromaticum Rosatum and Coriander-seeds and we may give of the Aqua Imperialis if Phlegm and Wind abound At the same time let
so much danger when they Flux the Physician should endeavour all he can to hinder their Fluxing by bleeding presently in the Arm if there be the least suspicion of the Flux-pox and by giving a Vomit afterwards and by keeping the sick up till the 6th Day from the first sickness Afterwards he must be put to Bed and keep there to the end of the disease but he must have no more Cloaths on nor a greater fire in his Chamber than he used to have when he was well and he must drink freely of small Beer or other cooling Liquors But because notwithstanding the sick frequently grows hot lightheaded and restless I give an Anodyne every Night but a little earlier than is usual because in this Disease a fit of heat and restlessness comes almost every day towards the evening But which is to be lamented notwithstanding these things and all other Physical Helps the sick is very often seized on the 11th Day or on some other of those Days which we said were most fatal in the various kinds of Flux-pox with a violent Fever difficulty of breathing and restlessness and dies suddenly In this case nothing is more effectual than the taking away of ten or twelve ounces of Blood and in the evening a large Anodine must be given as before and so afterwards morning and evening and sometimes oftener for it is diligently to be noted that in some the fury of the Disease is so high that a very large dosed Anodyne cannot stop its force in 12 hours in which case it is necessary to repeat the Anodyne every 6th or every 8th hour But because it happens often at the latter end of the Disease that the Body is bound up so much that the sick is like to be suffocated and consequenrly is in great danger in this I have given successfully an ounce and an half of Lenitive Electuary dissolved in four ounces of Succory-water or the like which Draught gives some stools before night but if it does not an Anodyne must be given in the evening and sooner notwithstanding the Purge if great Restlessness or some considerable sickness threaten danger If therefore the Purge does not answer the first day it must be repeated the next and then it seldom fails and in this manner Bleeding and Purging may be repeated by Intervals as occasion requires But it is to be noted that the sick must not be purged till the 13th day or after nor then unless Bleeding has gone before For spitting of Blood and a bloody Urine coming upon the small Pox for both these Hemorraghes come sometimes at the beginning of the Disease After bleeding largely once give an Anodyne Take of red Poppy water two ounces of liquid Laudanum 14 drops of distill'd Vinegar three drachms of Diacodium half an ounce make a Draught to be repeated every night at bed time Take of Troches of Lemnian Earth and of Bole-armenick each one drachm of sealed Earth Bloodstone Dragon's-blood and red Coral prepared each half a drachm of Mastich and Gum-arabick each one scruple mingle them make a fine Powder whereof let him take half a drachm every third hour in a spoonful of syrup of Comfry drinking upon it four or five spoonfuls of the following Julep Take of the Waters of Plantain and Oak-buds each three ounces of Cinnamon-water Hordeate two ounces of syrup of dried Roses one ounce make it a little acid with spirit of Vitriol Emulsions also of the four greater cold Seeds with white Popies do a great deal of good But after the Hemorrhage is stopt you must proceed according to the method described in the small Pox. Great care must be taken that the Salivation continue according to the manner of it from the beginning to the 12th or 13th day for if it quite stop before the 11th day the Sick is in great danger It may be much promoted by ordering the Sick to drink freely small Beer or any other Liquor which is neither heating nor provokes sweat In the next place the Loosness in Children must be permitted because it evacuates the morbifick matter At last when the Pustles are crusty and hard I use to anoint the Face often with Oyl of sweet Almonds If in the distinct small Pox the Face does not swell I give an Anodyne presently but if the Patient be light-headed and very sick and makes Water often but little at a time he can be relieved no other way Death being near at hand than by giving Narcoticks freely or by taking away a large quantity of Blood and by exposing the Body to the Air but I would not be so understood here as if in every Phrensy coming upon the small Pox there being no Symptom more frequent that I should advise Bleeding presently but only in that which therefore happens because the Face does not swell in the distinct kind tho' there be a great number of Pustles If in the Flux-Pox the Spitle be so thick and clammy that the Sick is in danger of being suffocated which happens often on the 11th day a Gargarism must necessarly be prescibed and must be ordered to be used often Day and Night It may be made of small Beer or Barly-water with Hony of Roses Or the following may be used Take of the bark of Elm six drachms of Liquorice half a drachm of Raisins of the Sun ston'd number twenty of red Roses two pugils boil them in a sufficient quantity of Water to a pint and an half In the strained Liquor dissolve of simple Oxymel and of Hony of Roses each two ounces mingle them make a Gargarism But when the sick is in danger to be suffocated every moment and is stupid an ounce and an half of the Infusion of Crocus Metallorum must be given for a less Dose will not work by reason of the stupidity of the sick But this Remedy does not always do the business The Coma may be easily relieved by the help of a moderate Regimen For a Suppression of Urine which sometimes afflicts young and brisk People nothing does so well as taking the Sick out of Bed and after he has walked twice or thrice cross the Room by the assistance of the By-standers he will presently make Water freely and be much relieved thereby But the Symptoms arising from catching cold or by Evacuations unduly used whereby the small Pox are struck in must be removed by Cordials and an agreeable Regimen but they must not be continued after the Symptoms are gone off The chief of these are a flatting of the Pustles and a Loosness in the distinct small Pox for in the Flux a depression of the Pustles is natural nor is a Loosness dangerous in Children In both these cases a Cordial-potion made of distilled Waters Diascordium liquid Laudanum and the like is proper not only to remove these Symptoms but also at any time of the Disease if the Sick complain of a pain at the Heart or of sickness But to speak the truth Symptoms of this kind are
them and make a Julep of which take often Take of Gascoin's Powder of oriental and occidental Bezoar-stone of each one scruple one leaf of Gold mix them and make a fine Powder Take to the quantity of twelve grains when there is occasion in the Syrup of the juice of Citron and of Gilliflowers each two drachms drinking upon it a few spoonfuls of the Julep prescribed Take of Treacle-water four ounces of the Seeds of Citron two drachms beat them together and make an Emulsion add to the strained Liquor a sufficient quantity of Pearl-sugar to make it grateful to the Taste Take two spoonfuls three times in a day But if the Fermentation be neither too high nor too low I leave it in that state and use no Remedies unless I am forced to do something by the importunity of the Sick or his Friends about him that may please them without obstructing my design And now I must tell you that when I was called to a poor Body who was not able to be at the charge of going through a long course of Physick I did nothing else after Bleeding and Purging was over if they were indicated but order them to keep their Beds all the time of their Sickness and to drink Oatmeal and Barly-broath and the like and that they should drink Small-beer warm moderately to quench their Thirst I took care that they should have a Glister of Milk and Sugar every day till the Tenth or Eleventh day and towards the end of the Fever separation being now begun if it were slow I permitted them now and then stronger drink to help it instead of a Cordial And so without any more ado except that I used to give a gentle Purge at the end of the Disease I cured them If the Patient be very weak or if there be not a perfect Despumation so that I cannot boldly give a Purge on the Fifteenth day I defer it to the Seventeenth at which time I give the following or the like according to the strength of the Patient Take of Tamarinds half an ounce of Senna two drachms of Rhubarb one drachm and an half boyl them in a sufficient quantity of Water to three ounces of the strained Liquor add Syrup of Roses solutive and Manna each one ounce mingle them and make a Potion Purging being over I order the Patient to rise who has been hitherto kept in Bed by my prescription and to return gradually to his accustomed Diet. It happens often especially in old Men that the Patient though the Fever be cured and the Body sufficiently purged is notwithstanding very weak and sometimes expectorats by Cough and sometimes also hauks up a great quantity of clammy Phlegm which Symptom does not only affrighten the Patient but also imposes upon the Physician especially if he be unwary and induces him to believe that this will make way for a Consumption though I have observed that this is not so very dangerous In this case I order the Patient to drink Old Malago or Muskadine with a Toast which takes off this Symptom in the space of a few days as I have often Experienced If the fermentation proceed well there will be a perfect despumation of the morbifick Matter within the time aforesaid but if cooling Remedies or Glisters have been given too late the Fever will continue much longer especially in very ancient Men ill manag'd by the Physician I have been sometimes called to such after they have laboured under a Fever forty days or more and have tryed all things to induce despumation of the Blood but it was so much weakened partly by old Age and partly by Glisters and cooling Medicines that I could not attain my end either by Cordials or any other corroborating Medicines but either their Fever stood its ground or if otherwise it seemed to cease the Patient's strength was very low and in a manner gone But other Remedies being unsuccessfully used I have been often forced to take this course and indeed with very good Success viz. I have applied the brisk heat of young People to the Sick neither is there any reason why any one should much wonder that the Patient is so mightily strengthned and weak Nature relieved by this method though it be unusual as that it can deliver it self from the relicks of the Matter to be eliminated seeing it is easie to conceive a transfusion of a great quantity of vigorous Esâ—luvia from the sound and strong Body into the withered one of the Sick Nor have I ever found that the repeated application of hot Cloaths could at all do that which the now mention'd method has perform'd where both the heat applied is more agreeable to the human Body and gentle moist equal and lasting And though this way of emitting balsamick Spirits into the Body of the Patient may seem absurd yet it has been used by others with happy success Nor truly am I ashamed to mention this Remedy though perhaps some impertinent Men superstitiously contemning all things Vulgar may ridicule me for it for I think the health and good of my Neighbour is very much to be preferred before their vain Opinions He that prudently and with due consideration hath observed â—he method hitherto deliver'd will free the Patient if not from all yet at least from most of these Symptoms which are either wont to accompany this Fever or to come after it But forasmuch as such accidents often happen either because the Sick neglected to call the Phisician in time or by reason of the unskilfulness or carelesness of the Physician I think it not amiss to treat briefly of their particular Cure but will confine my self to those Symptoms that require a different Cure proper to themselves And to begin with a Phrensie if the Sick either upon the account of taking hot Medicines unseasonably or by being naturally of too hot a Constitution becomes Light-headed or which is next to it if he does not sleep at all if he looks and talks fiercely if he rakes Medicines and common drink greedily and as it were snatches it and lastly has a suppression of Urine in this case I say I bleed more freely than before and use Glisters and cooling Medicines oftener especially in the Spring And though this Symptom does not appear in young People and in those whose Blood is brisk they admit of these Remedies without much hazard and by the use of such Remedies I endeavour to keep up the Patient till the Disease has lasted a while and then it is not difficult to free him at once of the Symptom and the Disease too and this may be done by giving some Narcotick Medicine in a large Dose for though when the Fever is at the height those things that are of a narcotick quality do no good nor answer the Physician 's end yet being given seasonably at the declination of the Disease are very beneficial But if the use of a Narcotick be deferred till the 14th day it will do the better
of the Oak factitious Cinnabar and of Elk's Hoof each half an Ounce Dose half a Scruple or one Scruple Some find benefit by Shaving the Head and by applying to the forepart of it a Plaister Take of the Roots and Seeds of Peony of Castor of Misleto of the Oak and of Man's Skull finely powder'd each one Dram of the Plaister of Bettony two Ounces of Carrana Tacamahaca each two Drams of Balsam Copaiba a sufficient quantity make a Plaister spread on Leather and apply it to the Sutures of the Head Anoint the Temples and Nostrils often with Oyl of Ambar either by it self or mixed with Oyl of Copaiba Sneesing Powders and Apophlegmatisms must be used every Morning Take of white Hellebore one ounce of Castor and Euphorbium each half a dram of sweet Marjoram and the Leaves of Rue each two drams make a Powder which you may dissolve with Mustard in a decoction of Sage or hyssop and with it wash and gargle the Mouth Glysters may be used daily upon occasion 'T is said that six or eight Ounces of the decoction of Gujacum taken twice a day and the second decoction of it used for ordinary drink as is used in the French Pox will Cure this Disease CHAP. V. Of Childrens Convulsions CHildrens Convulsions in Latin Epilepsia puerorum are so frequent that it is almost the only Species of Convulsions They are chiefly subject to them in the first Month and at the time they breed Teeth but they also happen at other times and proceed from other causes in such are disposed to them Sometimes they do not come presently after the Birth but lye hid until the breeding of Teeth or not till a great while after and take their rise from other evident Causes either Internal or External as from an Unhealthy or Big-bellied Nurse from Milk coagulated or corrupted in the Stomach from a Feaverish Disposition from Ulcers or Scabs of the Head or of other Parts suddenly disappearing from changes of the Air or from the Conjunction or opposite Aspects of the Sun and Moon We must endeavour to prevent these Convulsions in Children and Infants or to Cure them when they are come for if the former Children of the same Parents have been subject to Convulsive Fits this Disease ought to be prevented by the early use of Remedies in such as are born after To this end it is customary to give to new-born Babes as soon as they begin to breath some Medicine proper for Convulsions Some upon this occasion give some drops of pure Hony others a Spoonful of Canary-wine sweetned with Sugar or Oyl of Almonds fresh drawn others give a drop of Oyl of Ambar or half a Spoonful of Epileptick water Besides these things used at first which certainly do good some other Remedies ought to be administred for instance give a Spoonful twice a day of the following Liquor Take of the Waters of Black Cherries and Rue each one Ounce and a half of Langius's Antiepilectick Water one Ounce of Syrup of Coral six Drams of prepared Pearl fifteen Grains mingle them in a Viol. The third or fourth day after the Birth make an Issue in the Neck and if the Countenance be florid evacuate by bleeding an Ounce and an half or two Ounces of Blood from the Jugular Veins but take care that too much Blood do not flow out in sleep rub gently the Temples with the following Linement Take of Oyl of Nutmegs by expression two Drams of Balsam of Copaiba three Drams of Ambar one Scruple mix them Hang round the Neck the Roots and Seeds of Male-peony and a little Elks hoof sewed up in a Rag Moreover Medicines proper for Convulsions must be given daily to the Nurse Let her take Morning and Evening a Draught of Whey wherein the Roots of Male-peony or the Seeds of Sweet Fennel have been boiled Take of the Conserves of the flowers of Bettony Male-peony and Rosemary flowers each two Ounces of the Powders of the Roots and Flowers of Male-peony each two Drams of red Coral prepared and white Ambar each one Dram of the Roots of Angelica and Zodoary prepared each half a Dram with a sufficient quantity of Syrup of Peony make an Electuary Let her take the quantity of a Nutmeg Morning and Evening and be very orderly in her Diet. But if any Infant be actually seized with Convulsions because the Issue does not run well you must apply a Blister to the Neck or behind the Ears and if the Infant be not of a cold Constitution Blood must be drawn from the Jugular Veins by Leeches and Linements must be used to the Temples Nostrils and Neck and to the Soles of the Feet and Glisters which empty the Belly plentifully must be injected Moreover often in a day namely every sixth or eighth hour Specifick Remedies must be given Take of Oyl of Copaiba and of Castor each two Drams of Ambar half a Dram make a Linement Apply to the Soles of the Feet the Plaister with Euphorbium spread on Leather Take of prepared Pearls of the Powder de Gutteta each one Dram mingle them for twelve Papers whereof let him take one Morning and Evening in a Spoonful of the following Julap drinking after it one or two Spoonfuls Take of the Waters of Black Cherries and of Lilly of the Vallies each two Ounces of Fennel-water and Compound Peony water each two Drams of Syrup of red Poppies six Drams Take of the Powder of the Seeds of Rue of Castor of Assafaetida each a sufficient quantity mingle them and tye it up in a Rag sprinkle it with Vinegar and put it often to the Nostrils Vntzerus commends much the Gall of a Sucking Kitlin all the Juice being taken out of the Bladder and mixed with a little water of Lime-flowers and given to the Child An excellent Physician lately told me that he had known several Children cured with this Remedy When by reason of breeding Teeth difficultly Convulsions happen this Symptom is Secondary and less Dangerous and therefore does not require the first and chief work of Healing for sometimes we are more Solicitous to ease the Pain and take off the Feaverish Disposition And therefore a thin and cooling Diet is ordered for the Eruption of the Teeth either by rubbing or cutting the Gums and things that are anodine are applied to the swelled and pained Parts and here Glisters and Bleeding are often used and we ought to procure Sleep and to qualifie the Fury of the Blood in the mean while Temperate Medicines for Convulsions and such as do the least stir the Humours are to be used and Blisters because they evacuate the Serum too apt to be poured upon the Head do often give relief When Children are seized with Convulsions not presently after the Birth or upon breeding Teeth but from other Occasions and Accidents the cause for the most part of such is either in the Head or in the Bowels when the former is suspected as is wont to be
known by the signs which shew watry Humours heap'd up in the Brain the Medicines above mentioned must be used Moreover for those who bear Purging well a Vomit or gentle Purge must be prescribed Wine and Oxymel of Squills also Mercurius dulcis Rubarb and Rosin of Jalap are of good use when the cause of the Convulsions seems to be lodged in the Bowels or when Worms or sharp Humours in the Belly are the cause For Worms a Purge of Rubarb or of Mercurius dulcis with the Rosin of Jalap must be given and the following Medicines are also of use Take of the Roots of Virginian Snake-weed powdered one Dram of Coral calcined till it is white half a Dram make a Powder The Dose is half a Scruple or a Scruple twice a day for three days following drinking upon it the Decoction of the Roots of Grass Take of Hiera pitra and of Venice-Treacle each one Dram make a Plaister for the Belly If the Convulsions are thought to proceed from sharp Humours disturbing the Bowels or Stomach Purging upward and downward by turns is to be observed to this end a gentle Vomit of Wine of Squills or Salt of Vitriol is to be given Take of Syrup of Peony three Ounces Salt of Vitriol two Scruples of Compound Lavender-water one Dram mingle them give a Spoonful three or four times in an hour till the Child has once Vomited or went to Stool once But if Evacuation downward seem most proper give the Infusion of Rubarb or the Powder of it or Syrup of Succory with Rubarb or Syrup of Roses with Agarick And moreover Glisters are to be used frequently in this case and External Medicines are to be applied to the Belly Take of the leaves of Camomil cut small two handfuls put them into two Bags made of fine Cloth or of Silk which being dip'd in hot Milk and pressed out are to be applied successively to the Belly CHAP. VI. Of the Night-Mare or Incubus IT is commonly supposed by the ordinary sort of People that this Disease is occasioned by the Devil or an Evil Spirit 's lying upon their Stomachs which perhaps may be so sometimes but it also comes from meer Natural Causes as is supposed though what those are or where the Morbisick Matter is placed is not known when it is thought to come from Natural Causes the Cure is to be undertaken in the following manner Bleeding and gentle Purging is first to be used and afterward things proper for the Head as Powders of Ambar Coral Pearls the Roots of Male-peony Dittany of Crete Contra yerva and other things prescribed in the Chapter of the Apoplexy and the like But an orderly Diet is first to be prescribed windy Meats and such as are hard of Digestion are to be avoided and Sleep must not be indulged after Eating or Study and large and late Suppers and lying on the Back must be forbid Infants and Children are often troubled with this Disease the sign whereof is their starting in their Sleep and crying out violently and after they have had these Fits often they fall into Convulsions wherefore a right Method of Cure ought to be administred as soon as they seem to be disordered in their Sleep Inquiry must be made concerning the Milk they Suck whether it be good or not and whether it agrees with their Stomachs after they have Sucked plentifully they must not be suffered to sleep the Nurse must use an orderly Diet and let her take also Morning and Evening a Dose of a Powder or Electuary that is proper for the Head drinking upon it a Draught of Posset-drink wherein the Leaves of Sage or Bettany or the Roots or Seeds of Peony have been boiled Let the Infant take twice a day a Spoonful of Black-Cherry-water let an Issue be made in the Neck and let it lye sometimes on one side sometimes on the other and seldom or never upon the Back And Coral or the Seeds of Male-peony being hanged about the Neck or upon the Pit of the Stomach may do some good When they start violently often in their Sleep apply a Blister to the Neck or behind the Ears Moreover Morning and Evening daily give half a Scruple of the Powder de Gutteta in a Spoonful of Lime-flower-water CHAP. VI. Of Sleepy Diseases Coma Lethargy Carus and Apoplexy THere are four sorts of Preternatural Sleep Coma Lethargy Carus and Apoplexy which because for the most part they proceed from the same Causes and require the same Methods of Cure therefore they shall be treated of together in this Chapter The first and principal cause of these Diseases is a Flegmatick or Watry Humour contained in the Brain contrary to Nature Secondly Sleepy Diseases are wont to be generated by Blood abounding in the Brain and from extravasated Blood stopping or oppressing the Ventricles of the Brain sleepy Disease and especially an Apoplexy is sometimes occasioned Thirdly It is certain that a Comatose Disease proceeds from a Tumor that oppresses the Brain by its weight Fourthly Immoderate Vapors carried to the Head may be the cause of a Sympathetick Coma. Fifthly From the immoderate use of Narcotick Medicines inwardly taken so deep a Sleep is occasioned that many by the imprudent use of Opium have slept their last That Sleepy Diseases are occasioned by Flegmatick Humours stagnating in the Brain is known by a Flegmatick Habit of Body by old Age or Childhood by a cold or moist Season or Country by the Suppression of the Excretion of Flegm by the Mouth and Nostrils and for that the Sick before the coming of this Disease was afflicted with a Dulness of the Head Dimness of Sight and Unaptness for Motion and because in the Disease Flegm flows from the Mouth and Nostrils or falling upon the Throat is frequently swallowed down by the Sick That Blood produces a sleepy Disease is known by a Plethorick Disposition by Redness of the Face and by a Pain in the Head foregoing this Disease That the Sympathetick Disease arises from Vapors elevated to the Brain is known by the absence of those Signs which signifie an Idiopathetick Disease also by the signs of the peculiar disorder of the Parts from whence Vapors are transmitted to the Brain A very thin Diet is to be ordered at the beginning of these Diseases and when the Fit is off the Sick to prevent a Relapse must forbear all strong Liquors and be fed with Barly and Oat-meal Broths or with Chicken Broth and sometimes especially when he Purges with Chickens Lamb and the like When a Physician is first called to a Patient that is seized with a sleepy Disease he must endeavour by all means to rowse him by offering Violence to all his Senses and therefore he must expose his Eyes to the Sun-beams or to a clear Light his Ears must be filled with violent Noises and Clamours and the Sick must be sure to be called aloud by his own name sharp things are to be blown up his Nostrils the Sense of Touching
is to be revived by Frictions Vellications plucking of the Hair Ligatures Squeesing of the Fingers together and the like he must be presently Blooded if he has Strength but his Strength is not to be judged of by the present Circumstances but by such as he was in before the Disease invaded him You must first Bleed in the Arm and then in the Jugular Vein presently after give the following Vomit Take of the Blessed Wine one Ounce and an half of Carduus water one Ounce of Spirit of Juniper-berries two drops make a Vomit Inject two or three sharp Glisters in a day Take of the Carminative Decoction with Bay-berries and Juniper-berries ten Ounces of the Electuary of Bay-berries one Ounce of Vinum Benedictum three Ounces and of brown Sugar three Ounces of Chymical Oyl of Juniper ten drops mingle them make a Glister If the Glister be not rendred in due time provoke the Belly by a Suppository Take of Hiera picra half an Ounce of Sal Gemma one Dram of Hony a sufficient quantity make Suppositories The Spirit of Sal Armoniack must be held to the Nostrils and things of all kinds that cause Revulsion must be used not only Frictions and Ligatures but also Cupping-glasses set on the Back Shoulders Arms and Thighs But in an Apoplexy you must not apply Cupping-glasses to the Back or to the Hypochonders least the Muscles of the Breast and Belly should be contracted and so Respiration more hindred Cupping-glasses applied to the Head are counted very proper apply a Blistering Plaister with Euphorbium to the Neck Some according to the Custom of the Ancients hold a red-hot Frying-pan to the Head at such a distance as it may burn the Hair but not the Skin Take of the Waters of Rue Balm and Black-Cherries each three Ounces of Compound Peony water and of Compound Syrup of Peony each one Ounce and a half of Tincture of Castor one Dram of Spirit of Sal Armoniack half a Dram mingle them make a Julep give four or five Spoonfuls often In the general Cure of these Diseases you must take notice that in those which proceed from Blood Medicines that heat the least are to be used but Bleeding is to be used more freely and afterwards the Vein in the Forehead is to be opened and things that purge Choler are to be mixed with those that purge Flegm If the Brain be very much cooled the Sick after universal Evacuations may use Tablets made in the following manner Take of Amber-grease half a Scruple distilled Oyl of the Seeds of Anise Cinnamon and Nutmegs of each three drops Oyl of Cloves one drop of Sugar dissolved in Orange-flower water four Ounces make Tablets let him take a dram or two drams every Morning The following Powder is also commended and is much in use Take of white Ambar half an Ounce of the Powder called Diarhodon Abbatis two drams of the Roots of Peony one dram and an half make a Powder whereof give a dram in two Spoonfuls of Simple Peony water before the New Moon It is also proper to hold Nutmeg often in the Mouth and to chew it and Perfumes are to be held often to the Nostrils especially Apoplectick Balsam Spices are to be used with Meats and the following Digestive Powder after Meals Take of the Seeds of Coriander sweet Fennel Caraways each fifteen Grains of white Ambar one Dram of the yellow peel of Citrons and flowers of Rosemary each one Dram and an half of Nutmegs half a Dram of white Sugar three Ounces powder them grosly and give half a spoonful after Meals If from too great a quantity of Blood a sleepy Disease is feared the Patient must be sufficiently Blooded and the utmost endeavours must be used to make the Hemorrhoids flow than which nothing can be more advantageous Purging is to be ordered to prevent a Relapse Take of the Pill of Ambar and of the lesser Cochie each two Scruples of the best Castor six Grains of Oyl of Ambar a sufficient quantity mix them and make 12 Pills Take six for a Dose and the other six three days after Or Take of the Pill of Ambar one Scruple of Rosin of Jalap six Grains of Tartar vitriolated eight Grains spirit of Lavender eight drops of Elixir Proprietatis a sufficient quantity make 4 or 5 Pills to be taken in the Morning After Purging prescribe the following Medicines Take of the Conserves of the Flowers of Male peony and of Rosemary each one Ounce of the Bark of Citron Candied six Drams of the Species Diambra and Dianthos each one Dram of Castor powdred two Scruples of Compound Spirit of Lavender half a Dram with a sufficient quantity of the Syrups of Gilliflowers and Compound Peony Make an Electuary give the quantity of a Nutmeg Morning and Evening daily and let the Sick take four spoonfuls of the following Julep after it Take of the Waters of Black Cherries Rue Pennyroyal each three Ounces of Compound Peony Water and Langius's Epileptick Water each one Ounce of the Syrup of the Flowers of Male Peony one Ounce mingle them Or Take of the Powder e gutteta three Drams of Castor half a Dram of Syrup of the Flowers of Peony a sufficient quantity make forty Pills whereof let him take four every Night at Bed-time drinking upon them two spoonfuls of the following Julep Take of the Waters of the Flowers of Peony Black Cherries Rue Pennyroal each two Ounces of Compound Peony Water and of Compound Briony Water and Tincture of Castor each one Ounce of Syrup of Male Peony an Ounce and an half mingle them Take of Ambar one Ounce sprinkle the fourth part of it every Night at Bed-time upon the Head CHAP. VIII Catalepsis or Catoche THis Disease is very rare and very wonderful Galen mentions an Observation of one of his Scholars who upon hard Study was seized with a Catalepsis He lay says he like a piece of Wood extended rigid and inflexible his Eyes were always kept open but he could not speak When he recovered he told us he could hear us speak though not plainly he remembred what was done and saw all that were with him but he said he could not speak nor move a Limb And Fernelius mentions two Observations of this kind He says that a person studying very hard was seized with this Disease and that he was so stiff that sitting with his Pen in his Hand and looking earnestly upon his Book he was supposed to be hard at Study till being called and pull'd he was perceived to have no Sense nor Motion Another lay as it were Dead who neither saw nor heard nor felt when he was pricked He breathed well and whatever was put in his Mouth he readily swallowed Being taken out of his Bed he stood alone and being push'd he went forward and in what manner soever his Hand or Arm or Leg was Bent it stood fix'd so that he look'd like a Statue The like Observations are to be found in many other
day if his Strength will bear it which by casting forth the serous Humour through the Pores of the Body will perform the Cure Take of the decoction of Senna Gerionis four Ounces of Syrup of Buckthorn six Drams of Spirit of Sulphur five Drops of Aqua Mirabilis one Dram mingle them and make a Potion to be taken in the Morning At Bed-time after Purging give the following Pills Take of Pill Storax eight Grains of the Juice of Liquorish half a Scruple make three Pills Repeat the Purging Potion every third day for thrice Of the days the Sick does not Purge let him take of the following Electuary Take of the Conserve of Red Roses vitriolated of the Electuary of Sassafras one Ounce of Frankincense powder'd one Dram of Diacodium a sufficient quantity make an Electuary let him take the quantity of a Nutmeg Morning and Evening drinking upon it three Ounces of the following Decoction Take of the pectoral Decoction one Pint add to it in boiling of Balsam of Tolu three Drams of the Leaves of Ground-Ivy half an handful To the strained Liquor add two Ounces of Diacodium and one Ounce of Spirit of Carraways mingle them Diureticks and Diaphoreticks must be also used Lastly He that would wholly prevent this Disease must be well Cloathed and must remove into a hot and dry Country CHAP. XIII Of the Head-ach HEad-ach in Latin Cephalalgia This word is used for all Pains of the Head in general but properly it only signifies a new Pain of the Head Cephalaea is an inveterate Pain of the Head Hemierania the Pain of one side of the Head It is also divided into external and internal Idiopathick and Sympathick and of these some are pricking others heavy and some beating an inward pain of the Head is seated upon the Meninges which lies deep and reaches to the Roots of the Eyes but the outward pain is seated upon the Pericranium and is exasperated when the Head is prest or the Roots of the Hair turned back An Idiopathick Pain is continual This does not proceed from the disorder of other parts but a Sympatick Pain does What that part is which communicates the pain to the Head may be easily known by the proper Signs of the affected part The pain of the Head proceeds from a cold Cause and from a hot Cause For the Cure of the former the Flegmatick Matter is to be evacuated by the following Pills Take of the Pills of Ambar one Scruple and an half of Cochiae Minor two Scruples and an half of Tartar vitriolated ten Grains of Peruvium Balsam a sufficient quantity mingle them make twelve Pills give six of them once a Week in the Morning The Bath is very effectual in this case the party being bathed and his Head washed with it Sneezing Powder is also very proper Sudorifick Decoctions are also very beneficial in iinveterate pains Take of Sarsa parilla and Gujacum each two Ounces infuse them twenty four hours in two Quarts of Fountain Water upon hot Ashes and boil them over a gentle Fire till half is consumed add to it Coriander Seeds and Liquorish or of Sugar and Cinnamon as much as is sufficient to give an agreeable taste Strain it and keep it in a Glass let him take half a Pint hot in a Morning for fifteen twenty or thirty days and let him have more Cloaths on than ordinary But this is to be noted in the use of Sudorifick decoctions that some Purging Medicine must be given once a Week from the very beginning of the Cure Specifick Remedies should be used and such an one is the following Epithem Take of the Powder of Zedoary one Draw of the Waters of Bettony Vervain and Elder each one Ounce mingle them apply it hot to the pained part with Scarlet Cloth Among the Specificks for the pain of the Head from whatever Cause it arises Vervain is the chief whereof the distilled Water is applied to the Head and taken inwardly to four Ounces with four Drops of Spirit of Salt and Forestus says that he knew two sick People that were Cured by only hanging green Vervain about their Necks when other Medicines were used to no purpose If the pain of the Head proceed from a hot Cause give first a Glyster and then Bleed But a greater quantity of Blood is to be taken away when the Pain proceeds from Blood than when Choler abounds Afterwards some Medicines that Purge Choler must be given not only when Choler is the chief Cause but also when Blood is Luxuriant for the thinner part soon turns to Choler If by one Evacuation the peccant matter is not sufficiently purged the Purging Medicine must be repeated at due distances of time in the whole course of the Disease if the Belly be not fluid Glysters that are emollient cooling and gently Purging are to be injected every day For pains of the Head which come upon continual Feavers Sheeps Lungs taken out hot and applied to the Head do powerfully asswage the Pain Or Take of the Seeds of white Poppies two Drams of Saffron half a Scruple of Camphor one Scruple with a sufficient quantity of Populeon Oyntment spread them upon Leather and apply them to the Forehead And after general Evacuations derivation may be successfully used by Bleeding in the Forehead with a Lancet or with Leeches and by applying Blisters to the Neck In the mean while the Humours must be attemperated by Juleps and Emulsions Lastly If the Pain be very violent we must use Narcoticks outwardly and inwardly In every Pain of the Head from whatever Cause it arises and will not yield to other Remedies the Head must be shaved and a large Blister applied all over it Diseases of the EYES CHAP. XIV Of a Gutta Serena WHen the Sight is lost and there is no apparent fault in the Eye it is occasioned by the hindrance of the influx of the Animal Spirits into the Eyes An Obstruction is the most ordinary cause of a Gutta Serena which is generated by a Flegmatick Humour falling from the Brain into the Optick Nerves But it is also certain that this Disease is occasioned by the compression of the Optick Nerves by Flegm coleated about them or with Blood or some other Matter heap'd up in that place whereby Tumors are made in those places and Experience shews that an inflamation of the Brain or Phrensie in malignant Feavers occasion Blindness Lastly Wounds in the Head whereby the Optick Nerves are cut hinder the influx of the Animal Spirits to the Eyes This Disease is known by the Eyes seeming to continue in their Natural State only the Pupil appears blacker and larger But there is great difficulty in distinguishing the Causes of it for though when it proceeds from Blood or Pus an Inflamation Abscess or Wound go before yet no sure Sign can be given to distinguish a compression by a Flegmatick Humour from an Obstruction Yet we may in some sort guess because in an Obstruction only of the
Medicines may be applied to the Forehead and the Temples at the very beginning of the Disease because by them the Veins by which the Humours fall upon the Eyes are compressed and the Humour repelled They may be made after this manner Take of Bole-armenick Dragons blood Frankincense Mastich each one Dram red Roses Balaustins and the Flower of Lentles each two Scruples mix them with the White of an Egg and Vinegar of Roses Make a Cataplasm to be applied to the Forehead and Temples A Cataplasm made of the Juice of Nettles and Wheaten Flower is esteemed very effectual for stopping the Flux of Humours upon the Eye being applied to the Forehead and Temples sometimes the Juice of Nettles by a specifick quality does stop all manner of Fluxes of Blood being either applied outwardly to the place or taken inwardly In the mean time if the pain be very violent which causes a Fluxion more and more upon the Eyes anodine Medicines must be applied to the Eyes of which the new Milk of an healthful Woman is the best which is to be milk'd from the Breast into the Eye instead of it new Cheese made of Sheeps Milk may be used But it must be often changed lest it turn to Butter and so augment the inflamation The White of an Egg beat into Water is greatly commended by Galen because it eases Pain and stops the Fluxion gently An Apple roasted under Cinders does also greatly mitigate the pain of the Eyes The Mucilages of the Seeds of Fleabean Quinces and Fenugreek Seeds extracted with Rose-water do greatly ease Pain they must be changed once in two days lest they become sharp Of these several Compositions may be made upon occasion For example Take of the Pap of a sweet Apple roasted under the Cinders one Ounce of the Mucilages of the Seeds of Psyllium and of Quinces extracted in Rose-water each six Drams of the Liquor of the White of a new Egg and Womans Milk each one Ounce Make a Cataplasm to be applied to the Eyes Pieces of Kids Calves or Sheeps Flesh new kill'd frequently applied to the Eyes powerfully ease Pains A more simple Cataplasm may be made of Crums of Bread moistned in Womans Milk and Rose-water But if the Pain be vehement and intolerable Narcoticks must be used but sparingly and with Caution because they condense the Spirits that serve for Sight and thicken the Coats of the Eye and the Humours and so dull the Sight Amongst the Ocular Narcoticks Trochisci Albi Rhasis with Opium are the best which may be prescribed after this manner Take of Rose Water two Ounces the White of an Egg strongly beaten one Ounce Trochisci Albi Rhasis with Opium one Dram make a Collyrium to be dropt into the Eyes After the Pain is abated repelling Medicines are to be used which ought to be moderate and anodine Medicines are to be always mixed with them to this end the following Collyrium uses to be prescribed Take of Plantane-water Rose-water each an Ounce and an half Liquor of the White of an Egg an Ounce Trochisci Albi Rhasis without Opium one Dram make a Collyrium to be often dropt into the Eyes If the Pain be more sharp Womans Milk and the above mentioned Mucilages may be added to the Collyrium The following Remedy powerfully abates the Inflammation and stops the Fluxion Take the white of one Egg beat it with a pretty big piece of Allum in a Tin Platter stir it until it has got the consistence of an Ointment spread it upon a Rag and apply it warm to the Eyes romove it in the space of two Hours lest by staying too long it fix the Humours in the Eye by the astringent force which is in the Allum Sal Saturni dissolved in Rose-water or Oxycrate or mixed with Pomatum does powerfully extinguish the Inflammation of the Eyes In the augmentation of the Disease digesting Medicines are to be mixed with repelling Medicines therefore to the above-mentioned Collyriums may be added Waters of Eye-bright Fennel Celandine and the Mucilages of the Seeds of Flax Marsh-Mallows Foenugreek Galen chiefly commends the Decoction of Foenugreek Seeds because it Digests Concocts and moderately repels When the Disease is at a height Sarcocol is also added to Collyriums which digests a little more powerfully But because it hurts the Eyes by its Acrimony it is fit to infuse it some days in Milk often changed before it be used and a small quantity of it ought to be prepared at once for after it is long kept it turns sharp and is hurtful to the Eyes it may be used after this manner Take of Flowers of Melilot Camomil red Roses each one pugil of the Seeds of Foemigreek well cleansed one dram boil them in Plantane-water in four ounces of the strained Liquor dissolve a dram of Sarcocol prepared of Tutty prepared and Trochisci albi Rhasis without Opium each half a dram make a Collyrium There are some Waters commended by Authors as very effectual Quercetan in his Dispensatory commends the Infusion of Crocus Metallorum in Eye-bright and Plantane-waters Crollius and the rest of the Chymists greatly commend Salt of Saturn dissolved in Rose-water to which may be added some Grains of Sal Ammoniacum It may be prescribed after this manner Take of Sacharum Saturni three grains of Salt Ammoniacum three grains Rose-water three ounces mix them and drop of it into the Eyes Morning and Night A Water made of white Vitriol it being dissolved in Red Rose-water or Plantane-water is commonly used as Take of White Vitriol one scruple dissolve it in four ounces of Plantane or Rose-water strain it and drop it into the Eyes If it be too sharp it must be qualified by mixing more Water with it Many Ointments are also commended for the Cure of an Ophthalmia Take of prepared Tutty an ounce and an half of Camphor one dram of Verdigrease grains twelve powder the Camphor and the Tutty together in a Mortar and the Verdigrease by it self all of them must be very finely powdered then take of fresh Butter one Ounce of Rose-water one dram boil them together gently and having taken them from the Fire mix by degrees first the Tutty with the Camphor afterwards the Verdigrease strain them through Silk and make an Oyntment Anoint the inward part of the Eye-lids especially about corners with this Oyntment This is of excellent use for Inflammations of the Eyes and for itching of the Eye-lids When the Disease is come to its State resolving Remedies ought to exceed Repellents and the same Remedâ—es which were used at the beginning are also good when it is at its height if you increase the quantity of the Resolvents and lessen the quantity of the repelling Ingredients A Fomentation made in the following manner is convenient to be used to discuss the Morbisick Matter when the Disease is at height Take of the Flowers of Camomil Melilot Roses each one Pugil of the Seeds of Fenugreek two Ounces make a Decoction wherewith foment
mean while he is sometimes bound in his Body and sometimes too loose the Stools being frequent and very liquid it sometimes happens when the Disease is very high and Bleeding has not been used the Patient is not able to Cough but labouring under a great difficulty of breathing is in a manner suffocated by the Violence of the Inflammation which is sometimes so very great that he can't open his Breast large enough for Respiration without exquisite Pain And sometimes after a violent Inflammation and when Bleeding has been ommitted which ought to have been used at the Beginning of the Disease an Imposthume is presently occasioned and the Cavity of the Breast is filled with Matter in which case tho the Original Feaver either wholly ceases or is at least lessened yet the Patient is not out of Danger for an Empyema or an Hectick Feaver following the Poor Wretch dies Consumptive But now though a Pleurisie commonly takes its rise from the proper and specifick Inflammation of the Blood which is wont to produce it when it is an Original Disease Yet it comes sometimes accidentally upon other Feavers of what kind soever they be from a Precipitation of the Febrile Matter upon the Pleura or intercostal Muscles and it happens for the most Part at the very beginning of the Feaver the Febrile Matter being as yet crude and not subdued by a fit Ebullition and so not prepared for a due Separation but this Inconvenience most commonly arises from an unseasonable and preposterous use of hot Medicines For Nature being disturbed by this means is forced to expel the Humour as yet crude by any Way and so sometimes the Feaverish Matter is impetuously cast upon the Meninges of the Brain and then a Frenzy is occasioned and sometimes upon the Membrane covering the Ribs and from thence a Pleurisie arises especially when the Age and Temperament of the Patient and the Season of the Year betwixt Spring and Summer contribute to it For certainly at that Season Feavers are prone to turn to Pleurisies Though this Disease has an ill Name and is of it self more dangerous than any other yet if it be well managed it is easily cured and indeed as certainly as other Diseases As to the Cure as soon as I am called I order that ten ounces of Blood be taken away from the Arm of the Side affected and afterwards I prescribe the following Potion to be taken presently after Bleeding Take of Erratick Poppy-water four Ounces of Sal Prunella one dram of Syrup of Violets one ounce mingle them make a Draught At the same time I prescribe the following Emulsion Take of sweet Almonds number seven of the Seeds of Melons and Pompions each half an ounce of the Seeds of white Poppies two drams beat them together in a marble Mortar pouring gently upon them a Pint and an half of Barley-water of Rose-water two drams of Sugar-candy half an ounce mingle them make an Emulsion give four ounces every fourth Hour I also order Pectorals to be taken frequently For instance Take of the Pectoral Decoction a quart of Syrup of Violets and Maiden-hair each one ounce and an half mingle them make an Apozem let him take half a pint thrice a day Take of the Oyl of Sweet-Almonds two Ounces of Syrup of Violets and Maiden-hair each one ounce of Sugar-candy half a dram mingle them make a Linctus of which let the Patient lick often in a day Oyl of Almonds by it self or Oyl of Flax-seeds is often used with good Success As to Diet I forbid the use of all Flesh and all Broths of it though never so thin I advise that the Patient be fed with Oaten and Barly-Broths and Panada and let him drink of a Ptysan made of Barly-water with the Roots of Sorrel and Liquorish and the like and sometimes Small-beer Moreover I prescribe the following Oyntment Take of the Oyl of Sweet-Almonds two ounces of the Oyntment of Marsh-mallows and Pomatum each one ounce mingle them make a Liniment with which anoint the affected side Morning and Evening applying upon it a Cabbage-leaf I also order he should persist in the use of the said Remedies through the whole Course of the Disease Of the same day I am first called if the Pain be very violent I take away again the same quantity of Blood or else the day following and so the third day and after this manner four times one day after another unless the Patient be well before when the Pain and other Symptoms rage violently but if the Disease being more moderate and less dangerous permits me to proceed more gently or if the Patient being weak cannot well bear Bleeding so often I do not repeat it again after it has been twice used till a day or two be past betwixt each Bleeding I have seldom observed that a confirmed Pleurisie has been cured in grown People with less than the loss of forty Ounces of Blood or thereabout though in Children once or twice Bleeding is most commonly sufficient nor does the Diarhea which sometimes comes upon this Disease hinder the foresaid repeated Bleeding for indeed it may be soon stopt by this very Method without any Astringent Medicine But I either wholly omit Glisters or take care that they be injected at as great a distance as may be betwixt the Bleedings and they should be only made of Milk and Sugar All the time of the Disease I take care that the Patient be not over-heated and therefore I give leave that he be taken every day out of his Bed and that he keep up some hours according to his Strength which is of so great moment in this kind of Disease that if the Patient be kept continually in Bed neither this so large Evacuation of Blood nor other Remedies how cooling soever will sometimes do any good for the taking off the said Symptoms Presently after the last Bleeding unless perchance it happens before that all the Symptoms abate and that the Patient who has been kept hitherto for some days from all Spirituous Liquors and Strong Nourishment soon recovers his Strength it will be convenient to give a gentle Purge But now if any one should say That proceeding in this way we scarce touch upon Expectoration so far are we from discoursing largely of the ways by which it is to be promoted through the various Seasons of the Disease he is to know that these things were not unwarily past over But after good consideration designedly neglected for I always thought that they were in very great danger who committed the Cure of this Disease to Expectoration for it often happens that part of the Morbifick Matter being concocted and perhaps spit up the rest remains crude the best maturating and expectorating Medicines having been used in vain for sometimes the Expectoration goes on very well and sometimes is wholly suppressed The Patient in the mean while being in Jeopardy on every hand and for any power I have over Expectoration which indeed is
Syrup of Violets let it be clarified with the white of an Egg and give it Purgatives are not always to be given nor ever unadvisedly in this Disease but Glisters are used frequently and most commonly daily they must be gentle and emollient such as easily move the Belly without any great Agitation of the Humours or Blood for this purpose Milk or Whey is often convenient with brown Sugar or Syrup of Violets Or Take of the Leaves of either Sort of Mallows of Melilot and Mercury each one handful of Linseed and sweet Fennel-seeds each half an ounce of sweet Prunes Number six boil them in a sufficient Quantity of Spring water to a Pint to which add Syrup of Violets one ounce Sugar ten drams Sal Prunella one dram make a Glister Medicines for the third Intention viz. for dissolving the Clamminess of the Blood are wont to be administred in the Form of a Powder of a Spirit or a Potion according to the Manner following 1. Powders Take of Crabs-eyes two drams of Sal prunella one dram and an half of pearled Sugar one dram make a Powder for six Doses one to be taken every Sixth Hour with a proper Julep or Apozem Or Take of the Tusk of a Boar of the Jaw of a Pike or of Crabs-eyes each one Dram and an half of the Flowers of Sal Armoniack of the Powder of red Poppy Flowers each half a dram mix them for four Doses 2. Spirits and Chymical Liquors Take of Spirit of Sal-armoniack distil'd with Olibanum three drams the dose is from fifteen drops to twenty thrice a day Or Take of the Spirit of Vrine or Soot after the same manner Take of the sweet Spirit of Nitre three drams the dose it from six drops to ten 3. Potions Take of Carduus-water one Pint fresh Horse-dung three ounces dissolve it warm and filter it the dose is three or four ounces twice or thrice a day add half an ounce of Syrup of Violets or of red Poppies Or Take of the Leaves of Dandelion two handfuls bruised and infused in half a Pint of the Water of Maries Thistle Treacle-water half an ounce press them out add Powder of Crabs-eyes one dram take four or six Spoonfuls thrice a day The fourth Intention of Healing in respect of the Symptoms greatly urging does suggest divers Sorts of Operations First in respect of the Feaver the Juleps and Apozems above prescribed are convenient Moreover the Use of Sal-prunella ought to be frequent Secondly for the Cough and difficulty of Breathing Lambatives and Decoctions or Pectoral Juleps are administred with Success Take of the Syrups of Jujubes and Maiden-hair each one ounce and an half of Syrup of Violets one ounce Flowers of Nitre one Scruple make a Linctus to be lick'd now and then Take of Syrup of Marsh-mallows one ounce of Diacodium and of Syrup of red-poppies each half an ounce Powder of Crabs-eyes two Scruples make a Linctus to be taken the same Way Take of the Syrups of Hyssop and Liquorish each one ounce and an half of the Powder of red-poppy Flowers one Scruple of Crabs-eyes one dram of the Lohoch of the Pine six drams make a Lohoch take the Quantity of a Nutmeg four times or oftner in a Day Take of the Roots of Grass Chervil Marsh-mallows each one ounce Figs Number four Jujubs and Sebastines of each Number six Raisins one ounce Liquorish three drams Barley half an ounce boil them in three Pints of Spring-water to a Quart strain them the Dose is three or four ounces Take of Raisins stoned one ounce and an half Filberds number four of Liquorish sliced three drams of Hyssop Water one Pint and an half infuse them warm in a close Vessel six Hours strain them and add one ounce and an half of Syrup of Marsh-mallows make a Julep the dose is three or four Spoonfuls often in a day swallowing it by degrees Thirdly Against Watching Take of Red-poppy water three ounces of Syrup of the same six drams of Epidemick-water two drams make a Draught to be taken at Bed-time If the Pulse be strong and the Strength remains Take of Cowslip Water three ounces of Diacodium half an ounce make a Draught to be taken at Bed-time Fourthly If the Pain be much about the Place affected Take of Oyntment of Marsh-mallows two ounces of Oyl of sweet Almonds one ounce and an half mingle them make a Liniment to be applyed with thin Paper Fifthly For the last Intention of healing which assisting the Secundary Indication prescribes Medicines maturating and expectorating the following Forms are convenient Take of Linseed Oyl fresh drawn three ounces Syrup of Violets two ounces of Hissop water half a Pint mingle them in a Glass take two or three ounces twice or thrice a day shaking the Glass first Take of Olibanum powdered one dram put it into an Apple made hollow roast the Apple in the Embers let him eat it at Bed-time repeating it three or four times Take of Oyl of Almonds fresh drawn of Syrup of Maiden-hair each one ounce and an half Sugar-candy two drams stir them in a glass Mortar till they are perfectly mixed make a Linctus to be taken often in a day with a Liquorish Stick also let a Spoonful be taken thrice a day in a Draught of Posset drink It would be easie to produce many Observations of Peripneumonick Patients but seeing the Type of the Disease and the Reasons of the Symptoms are in all almost the same it will be sufficient to mention only one or two and while I was writing these Things I was sent for to a Patient very Sick of a Peripneumonia he was about fifty Years old lean and cholerick he fell into a Feaver by taking Cold he was troubled with a Cough a pain in the Breast and a Difficulty of Breathing when he had continued thus four days without any Remedy or Physical Administration I found him in a great Feaver with Thirst and a great Inflammation in the Breast breathing very difficultly and painfully and ratling insomuch that he seemed in the Agony of Death but because his Pulse was strong enough though quick and disturbed I presently ordered him to be blooded and that eight or ten ounces of Blood should be taken away and seeing he was little relieved after three Hours Intermission a Glister being first administred I ordered twelve ounces more of Blood to be taken away moreover I prescribed Spirit of Harts horn twelve drops of it to be given every sixth Hour with a proper Julep and between I ordered a Dose of the following powder to be administred Take Powder of Crabs-eyes and Sal-prunella each one dram and an half of Pearl one dram Sugar-candy two scruples make a Powder to be divided into eight Doses Moreover he took as often as he pleased a Draught of a pectoral Apozem by the use of these within three hours all the Symptoms began to abate and the Night after he sweated and slept a little the day after I repeated
Phlebotomy and then continuing the same Remedies he recovered in four or five Days the Blood we took from him was always in the Superficies viscous and discoloured A certain Gentleman of a Sanguine Complexion and of a strong Habit of Body after immoderate drinking of Wine fell into a Feaver with a grievous Peripneumonia so that Heat and Thirst mightily afflicting him sitting always upright in his Bed or Chair and breathing short and very frequent he could scarce draw in Air enough to sustain the vital Flame because he could not undergo large Bleeding I took it away by degrees twice or thrice day after day Glisters were often injected Moreover Apozems and Juleps also Spirit of Sal-armoniack and Testacious Powders were given by turns within four or five days the Feaver some what abated also he began to breath better and sometimes to sleep a little yet he did always complain of a great Heaviness of his Breast and of an intolerable Oppression of the Lungs wherefore when Bleeding was no longer safe I applied very large Blisters to the Arms and Thighs the Blisters on his Arms soon dried up but those on his Legs did not only remain open but after five or six days did run very much and afterwards almost for a Month daily discharged great Plenty of a sharp Ichor in the mean time his Lungs sensibly amended and at length were freed of their Burden Lastly The little Sores raised by the Blisters were difficultly cured and not without frequent Applications of Medicines CHAP. LVII Of a Bastard Peripneumonia A Feaver accompanied with many Peripneumonick Symptoms invades yearly about the beginning of Winter but oftner at the End of it it chiefly seizes those that are of a gross Habit of Body and middle aged or which oftner happens those that are older and too much addicted to Spirituous Liquors especially to Brandy for when the Blood in such Men has been burdened with Flegmatick Humours heapt up in the Winter and stirr'd into a new Motion by the approaching Spring a Cough is presently occasioned by this Means by which the said Flegmatick Humous rush upon the Lungs at which time if the Patient chance to live irregularly and continues to drink freely such spirituous Liquors the Matter growing almost thick which occasioned the Cough stops the Passages of the Lungs and the Feaver consumes the Mass of Blood At the beginning of the Feaver the Patient is sometimes hot and sometimes cold is giddy ond complains of a launcing Pain of his Head when the Cough is violent he vomits up all liquid things when he coughs and sometimes when he does not the Urin is turpid and very red the Blood taken away is like that of Pleuriticks he is often short breath'd If he cough his Head akes just as if it were cleft in Pieces for so the Patient terms it there is a Pain of the whole Breast or at least a Pressure of the Lungs which is perceived by the Standers by when the Patient coughs the Lungs not sufficiently dilating themselves the vital Passages are as it seems shut up by the Swelling and the Circulation on that Account is so intercepted and the Blood so stopt that there are no Signs of a Feaver though this may also happen by reason of the Plenty of the Flegmatick Matter by which the Blood is so burdened that it cannot rise to a perfect Ebullition especially in gross Bodies In curing this Feaver I count I am oblidged to take away that Blood by Phlebotomy which occasions the Suffocation and Inflammation of the Lungs and to ventilate and open the Lungs with Pectoral Remedies and to mitigate the Heat of the whole Body with a cooling Diet but whereas on the one hand the Heap of Flegmatick Matter contained in the Veins daily supplying Matter for the Inflammation of the Lungs may seem to indicate Bleeding often repeated yet on the other hand I found by the best Observation I could make that Bleeding often repeated has succeded very ill in Feavorish People of a gross Habit of Body especially if they have passed the Flower of their Age and therefore I forbore the Repetition of it and instead of it used frequent Purging which is well enough substituted for it in those that abhor large and often repeated Bleeding Therefore I proceeded after this manner I ordered that the Patient should be blooded in the Arm lying in Bed and that he should not rise till two or three Hours after for all Blood letting somewhat weakning and disordering the whole Body may by this means the easier be born for the Patient lying a Bed can better bear the taking away of ten ounces than of six or Seaven when he is up the next day I give the following Potion in the Morning Take of Cassia extracted one ounce of Liquorish two drams of fat Figs number four of the Leaves of Senna two drams and an half of Agarick trochiscated one dram boil them in a sufficient Quantity of Water in four ounces of the strained Liquor dissolve one ounce of Manna of Syrup of Roses solutive half an ounce mingle them make a Potion The next day I used to bleed a second time and the next day save one I order the Purging Potion above prescribed to be repeated and to be given every other day till the Patient is quite well when the Patient does not purge I advise him to use a pectoral Decoction and Oyl of sweet Almonds and the like I forbid the use of Flesh and the Broth of it but especially of all spirituous Liquors in the stead of which I allow him for his ordinary drink a Ptisan of Barley and Liquorish and small Beer if he desire it And indeed the Bastard Peripneumonia occasioned by a great deal of Flegmatick Filth heapt up in the Blood is to be cured by Bleeding repeated and by Purging Though this Bastard Peripneumonia is something like a dry Asthma both as to Difficulty of Breathing and some other Symptoms yet it is sufficiently distinguished from it for in this there are manifest Signs of a Feaver and Inflammation which never appear in that though in this kind they are much less and obscurer than those which accompany a true Peripneumonia But you must carefully observe that 't is by no means safe to forbid the drinking of Spirit of Wine and such Liquors all of a sudden when the Patient has been a while addicted to them but they must be left off Gradually for there is Danger of a Dropsie from an hasty and abrupt Change which ought to be observed in all Diseases that come on this Occasion and seeing there has been Mention made of Spirit of Wine I will say by the by that indeed it ought to be wished that they were either wholly prohibited or at least used for refreshing the Spirits and not for extinguishing them or that the internal use of them was wholly abdicated and that they should be only used by Surgeons in Fomentations to digest Ulcers or to be applied to
Burns in which Case they are better than any other Medicine yet found out for they defend the under Skin from Putrefaction and so soon perform the Cure not waiting for Digestion which requires a considerable Time if a Rag dipt in Spirit of Wine be presently applyed to the Part hurt with Scalding Water Gunpowder or the like and moistned with the foresaid Spirit now and then till the Pain from the Fire be quite gone and afterwards only twice a day CHAP. LVIII Of an Empyema AN Empyema is a Collection of Matter within the Cavity of the Breast whereby the Organs of Respiration are oppressed This Collection of Matter is occasioned either by a Pleurisie Peripneumonia or Angina suppurated and broken The Signs of an Empyema either shew it is coming or that it is already perfectly formed Of the former kind are these Diseases going before from whence this usually arises as a Pleurisie Peripneumonia and Angina and sometimes also a Bruise or Wound in the Breast and sometimes also other Diseases not well carried off from whence there will be a greater Suspicion of an Empyema if after a Week or two passed without plentiful Spitting Shaking and a Feaver and Faintness of the Spirits supervene and then after fourteen or twenty Days the Signs of a confirmed Empyema will appear viz. Difficulty of Breathing a Weight upon the Breast Fluctuation of the Matter an uneasiness from Motion Thirst and almost always a small Feaver Redness of the Cheeks Restlesness and Watching As to the Cure of an Empyema you must first consider whether the Signs of its being already made be certain or dubious in the former Case there is not much use of Medicines but the Body being well prepared we must presently open the Side wherefore if from a Pleurisie or a Peripneumonia not well cured or if by reason of Blood extravasated by a Blow a Fall or Wound a Fluctuation of Pus of Purulent or Bloody Matter be perceived and the Spittle lessened or none at all it is to no purpose to wast Time in using expectorating and maturating Medicines but having loosned the Belly and attemperated the Blood and Humours by Juleps Apozems and Anodyns an Aperrion must be undertaken either by the Knife or in tender and timerous People by applying a Caustick betwixt the sixth or seventh Vertebra and when the Eschar is made we must divide it gently with a Knife and pass the Knife gently into the Cavity of the Breast then having put in a Silver Pipe the Matter must be evacuated by degrees but it must be let out as hastily as the Strength of the Patient will permit for that which remains within will stink horridly in a few days to prevent which a cleaning and Traumatick Liquor must be injected with a Syringe twice or thrice a day It is not necessary to describe particularly the Manner of the Operation it being well known and often practiced by skilful Chirurgions and daily practiced After it is cut open and dressed as it ought to be there is little more to be done by the Physician An exact Course of Diet a frequent Loosning of the Belly so oft as there is Occasion by Glisters and also these Remedies which are Vulgarly called Traumatick which do hinder the Dissolution of the Blood and keeps the Seresities of it from falling upon the Breast to hurt it ought to be prescribed But if the Signs of this Disease are uncertain or altogether doubtful the Breast ought not to be opened too soon or rashly I have known some have their Breasts opened to no purpose when they have spit stinking Pus and they have also laboured under a Dyspnaea and a Difficulty of Breathing therefore when an Empyema is not evident by Pathognomick Signs Medicines such as are prescribed for the Cure of a Peripneumonia which help Expectoration and evacuate gently by Sweat and Urine ought to be used for some time If these do not any Good and the Empyema still remains or Augments then the Breast must be opened As to the Forms of the Medicines requisite for the Cure of an Empyema before Section the same Remedies which were prescribed for a Peripneumonia are to be used but after the opening of the Breast the following are chiefly to be used To prevent Fainting which may happen either in the Operation or after it the following Julep must be in Readiness and four or five Spoonfuls of it must be taken upon occasion Take of the Waters of Balm and Black Cherries each six ounces of Aqua-mirabilis one ounce of Pearl powdered one dram of Syrup of Gilly-flowers one ounce mingle them make a Julep The following Decoction must be taken twice or thrice in a day Take of the Leaves of Harts-tongue Speedwell Hemp Agrimony Colts-foot Mouse-ear Sanicle each one handful of the Roots of Madder and Chervil each one ounce of Barley half an ounce of red Cicers half an ounce Raisons of the Sun one ounce and an half boil them in two Quarts of Fountain-water till half is consumed sweeten it with Clarified Honey or with the Syrup of Mouse-ear as it is taken If there be no Feaver the following Pills may be used Take of the Powders of Crabs-eyes two drams of Flowers of Sulphur one dram of Sal-Prunella half a dram of the Species Diarrhodon-abbatis one Scruple of venice Turpentine washed a sufficient quantity make a Mass make small Pills take a Scruple or half a dram of them Morning and Evening or the Turpentine being omitted half a dram or two Scruples may be taken in the Form of a Powder twice a Day CHAP. LIX Of a Consumption A Phthysis in general is a Consumption of the Muscular Parts of the Body It is twofold either Original or Sympromatick There are two Species of the original Phthysis viz. Atrophia and a Consumption of the Lungs An Atrophia is twofold viz. Either Nervous or arising from Inanition A Symptomatick Phthysis is occasioned by other Diseases going before An Atrophy or Nervous Phthysis is a Consumption of the whole Body without any considerable Feaver Cough or difficulty of Breathing but loss of Appetite and Indigestion accompany it upon which account Faintness and a daily wasting of the Body follow This sort of Consumption sometimes happens in England but very often to the Inhabitants of Virginia when they return hither In the beginning of this Disease the Body appears Oedematous the Face Pale and Squalid and the Stomach nauseates every thing but Liquors and the Strength is so languid that the Sick before the Fleshy parts are evidently consumed is rendred so very Weak that he cannot keep from Bed the colour of the Urine is most commonly of a deep Red and very little in quantity though sometimetimes but rarely as it is wont to happen in Diseases of the Nerves it is pale and voided in a great quantity but no considerable Feaver can be discerned either by the Pulse Drouth or Heat how high-coloured soever the Urine is so that the Pathognomonick Signs
of this Consumption beginning are Faintness and want of Appetite without any notable Feaver Cough or short Breath though in progress of the Disease when the habit of the Body is wasted some difficulty of Breathing as is usual in all that are Faint may be perceived This Disease is very difficultly cured if the Physician be not made use of at first it ends in an Hydropical and Oedematous Tumour of the Body especially of the lower parts and then the Disease is past all hope The main of the business must be performed by Stomachick Medicines and such as strengthen the Nerves such are Chalybeats Antiscorbuticks and Cephalicks and bitter things of every kind For Instance Let the Sick take if his Body be bound four Ounces of the bitter Decoction with Senna and every fourth night two Ounces of Tinctura Sacra or of the Tinctura of Hiera Picra made in the Waters of Rue Black Cherries Compound Peony In his ordinary Drink hang a Bag of Cephalicks and Antiscorbuticks an hour before Dinner let him take half a Dram of Elixir Proprietatis in a Draught of Whitewine wherein Wormwood has been infused Apply to the Region of the Stomach the Magisterial Stomachick Plaister with a few drops of the Chymical Oyl of Cinnamon and Wormwood or foment the Stomach daily with Aromatick Bags made of the Leaves of Mint and Wormwood Cinnamon Mace Zedoary Galingal Cyperus and Sweet-smelling Flag and boil'd in Claret If it be Summer-time let him drink Chalybeat Waters if Winter Syrup of Steel or the Wine of it made by quenching Filings of Steel in good Whitewine three or four times then by infusing in it Zedoary Galingal Nutmegs sharp Cinnamon Mace Cubebs and Cloves grosly beaten But amongst Chalybeats Mynsichts extract is thought the best which must be given in the form of a Bole or of Pills for the space of twenty or thirty days For Instance Take of the Extract of Mynsicht half a scruple Balsam of Gilead seven drops of Haly's Powder six grains of the Compound Powder of Wake-Robin four grains of the Powder of Liquorish a sufficient quantity make Pills of an ordinary size repeat them every day once Opobalsamum by it self as also Spirit of Harts-horn and Spirit of Sal-armoniack are very effectual in this case because they are agreeable to the Nerves For Instance Let the Sick take eight or ten drops of Opobalsam or of Spirit of Harts-horn in a sufficient quantity of Sugar-candy Let him endeavour to make himself Chearful by Exercise and Company for this Disease most commonly proceeds from Care and Sorrow and let him live in a good and open Air And because the Stomach is chiefly affected in this Disease he must eat a delicate sort of Meat and not be too long accustomed to any one The Consumption that proceeds from Innanition is next to be discoursed of and first Of that which proceeds from an Hemorrhage whither by the Nostrils or from the Lungs by Coughing or from the Jaws by Hawking or from the Stomach by Vomit or from the Reins by Urine or from the Hemorrhoidal or Uterin Vessels in the customary monthly Purgation or from hard Labour or lastly from Wounds when there has been a great and long Flux of Blood In this case the Hemorrhage must be first stopt by thickning Remedies and by binding hard the extream parts and if there be occasion and the Sick have Strength Bleeding must be used frequently but sparingly you must apply if the part will admit of it Galen's Stiptick Plaister the Royal Stiptick Water Oxycrat cold Ink Ashes of Hair a little burnt in a Retort and with Vinegar made up in the form of a Cataplasm true Bole Dragons blood and the like and they must be often renewed Let the Sick take inwardly three or four times a day twenty or thirty drops or more of the Royal Stiptick-water in a Draught of the Milk-water and five or six Spoonfuls of the clarified Juices of Plantane and Nettles or let him take frequently in a Spoon the following Linctus Take of Syrup of Purslain three ounces of true Bole Dragons blood of the Troches of Spodium and of sealed Earth each two scruples of Japan Earth one dram of Gum-Tragacanth a sufficient quantity dissolved in Plantane-water mingle them make a Linctus Or let him take thrice a day the quantity of a Nutmeg of the following Electuary Take of the Conserve of red Roses one ounce of the Troches of Ambar three drams of true Bole and of Dragons blood each half a dram with Syrup of Myrtles make an Electuary Let him take also every night at Bed-time five or six Spoonfuls of the following Julep shaking the Viol when he uses it Take of Plantane-water six ounces of Cinnamon-water hordeated three ounces of distilled Vinegar half an ounce of true Bole and of Dragons blood each half a dram of London Laudanum three grains of Syrup of Myrtles one ounce and an half make a Julep The Flux of Blood being stopt we must endeavour by all means to raise the weak Blood with new and good Chyle and to extinguish the Febrile Flame if it be begun least a Consumption should follow wherefore the Sick must be frequently nourished with good Broths and variety of Meats that are full of Nourishment and of easie Digestion and pleasant to the Stomach but he must be sure to abstain from Wine and from things salted and spiced and because this sort of Sick and all other that are inclining to a Consumption are subject to Anger Sorrow Oppressions of the Hypochonders Hysterick Passions and want of Appetite upon which account they can neither eat plentifully nor digest well They must endeavour to recreate themselves and to take the Benefit of a wholsome and free Air which most commonly does more good than Medicines But if the Sick be Hectick the Peruvian bark given freely is of admirable Vertue and if there be occasion the Sick must use a Milk Diet or Chalybeat Waters but you must by no means Loosen the Body A Consumption also often arises from a simple Gonorrhaea and the Whites also from Imposthumes and large Ulcers and also from giving Suck from a Loosness and Dysentery from a Diabetes from Salivation a Dropsie violent Sweating and the like But a Consumption of the Lungs is the chief The Cause in general of it is an ill Disposition of the whole Mass of Blood and of the Nervous Spirit contracted by degrees by the various Procatarctick Causes whereby the Acrid and Malignant Serum of the Blood separated by the soft and glandulous Paranchyma of the Lungs stuffs and inflames them and at last causes Ulcers which is indeed the containing Cause of this Disease The Procatarctick Causes are first a Suppression of the usual and necessary Evacuations as of the Courses the Lochia of old Ulcers of Issues of Sweat by the Soles of the Feet and other parts of the Body and the like without correcting and removing the Causes on which they depend whereby the Blood
is vitiated Secondly Great Passions of the Mind especially Fear Sorrow Anger deep Thinking unseasonable and too hard Study and the like Thirdly Eating and Drinking too much and unseasonably especially Drinking too much of Wine and Spirituous Liquors Fourthly Neglect of due Exercise Fifthly Long Watching Sixthly Marshy and gross Air and Smoak of Coals Seventhly An Hereditary Disposition Eighthly An ill Conformation of the Breast Ninthly Contagion Tenthly Stones generated Preternaturally in the Lungs Eleventhly Particular Diseases which corrupt the Blood and Spirits By these and such-like Procatarctick Causes the Body being predisposed for a Consumption the Disease takes its rise immediately from taking Cold. For the Cure of an original Consumption of the Lungs Blood must be drawn from the Arm especially if the Sick be Plethorick or accustomed a long while to Blood-letting and let six seven eight or ten Ounces be taken away Secondly It is requisite after Bleeding especially if the Disease took its rise from a Surfet or is accompanied with Nauseousness or a Disposition to Vomiting to give a gentle Vomit of Honey or of Oxymel of Squills and sometimes of the Vinum Benedictum in a moderate quantity The Vomit especially if the Sick bear it well and if it be necessary may be repeated three or four times at the distance of three or four days betwixt each Vomit It is best to give the Vomit towards the Evening the Sick being blooded the day before and at Bed-time after every Vomit you must give an Anodyn Take of Honey of Squills half an ounce give it in a Draught of Posset-drink and repeat twice or thrice in an hour if the Sick does not Vomit enough This is proper for Children and young People Take of Oxymel of Squills and of Oyl of Sweet-Almonds each one ounce mingle them let the Sick take it in a large Draught of Posset-drink and let it be repeated twice or thrice in an hour if there be occasion Or Take of Vinum Benedictum seven drams Syrup of Violets two drams mix them and make a Potion for Vomiting And if it be needful you may give of Oxymel of Squills and Oyl of Sweet-Almonds each half an ounce in a Draught of Posset-drink twice or thrice in the Operation Salt of Vitriol is not at all convenient in this case because it irritates and pricks continually the Glandulous parts about the Jaws and so promotes the Flux of the Serum and increases the Cough After the Vomit hath done working give the following Opiat or the like Take of the Pectoral Decoction clarified four ounces of Tincture of Saffron two drams of Helmont's liquid Laudanum fifteen drops of Syrup of Violets two drams mingle them make a Draught or you may give ten grains of the Pill of Hounds-tongue or of Storax Thirdly It is convenient to Purge gently by Stool the Humours by Stomachick Purges and the like which the least agitate the Blood For Instance Take of choice Manna and of Oyl of Sweet-Almonds each one ounce and an half or two ounces dissolve them in a Pint of hot Ptisan let the Sick drink half in Bed and the rest half an hour after when he is up Or Take of the best Senna two drams of Cassia with the Canes broke and of Tamarinds each half an ounce of the Seeds of Coriander prepared half a dram boil them in a sufficient quantity of Fountain or Barnet water to eight ounces dissolve in it an ounce of Manna and half a dram of Sal-prunella Let the Sick take half in the Morning and the rest half an hour afterwards And every Night after Purging give an Opiate to asswage the Blood and to quiet the Lungs least a new Flux of Humours should fall upon the Lungs by the Agitation of the Blood occasioned by the Purge For the same reason it is proper to mix some Opiate with Stomachick Purges to be taken at Bed Time For Instance Take of Aloes-rosat one scruple or twenty five grains of the Pills of Hounds-tongue half a Scruple mingle them make four Pills to be gilded which are to be repeated every other Night after the Patient hath been blooded These Pills are vulgarly called Pilulae Catarrhales by the Apothecaries for they do not only evacuate the Humours by Stool but also hinder a new Flux of them to the Lungs Or Take of the Stomachick Pills with Gums Aleophagin of Mastich or of Ambar half a dram or two scruples of London Laudanum one grain mingle them make four Pills gild them and let them be taken every third Night for thrice And if the Catarrh be very violent and if a Difficulty of Breathing or a straitness on the Breast does not arise from the Use of Opiates an Opiat must be given every Night for at the beginning of this Disease nothing considerable can be done without them Fourthly In this State of the Disease Diaphorecticks do much Good but you must take notice that they must be never used before Bleeding Vomiting and Purging if they are necessary and they must be always mixed with Opiates and such must be chosen as are least hot Take of venice-treacle half a dram or two scruples of Conserve of old red Roses half a dram mingle them make a Bolus Or Take of Diascordium and conserve of Wood-sorrel each one dram make a Bolus Or Take of Matthew's Pill fifteen grains make two Pills gild them and let them be taken at bed-time Or Take of the Pill of Hounds-tongue twelve grains of Diaphoretick Antimony one scruple of Tincture of Saffron a sufficient quantity mingle them make four Pills These Diaphoreticks must be taken at Bed-time and great Care must be taken that the Sick does not take Cold after the use of them Blisters must also be applyed to the Arms and betwixt the Shoulders and Pectoral Medicines must be used when the Sick does not Purge Take of Oyl of sweet Almonds of Syrup of Maiden-hair of Jujubs Violets or of Marsh-mallows each one ounce and an half of White Sugar-candy one dram and an half mingle them exactly whereof let the Sick take a Spoonful every fourth Hour drinking upon it four ounces of the following Apozem hot Take of the Pectoral Decoction clarified one Pint and an half of Tincture of Saffron extracted with treacle-water of Syrup of Maiden-hair Scabious or of Jujubs each one ounce mingle them make an Apozem If you desire to have a more thickning Linctus Take of fresh Oyl of sweet Almonds of Syrups of Comfrey of red-poppies of dried Roses each one ounce and an half of Diacodium half an ounce of Sugar of Roses one dram and an half mingle them make a Linctus If you wou'd have a more lubricating Linctus Take of fresh Oyl of Flax extracted without Fire of Syrup of Liquorish and of Honey of Violets one ounce and an half of white Sugar-candy one dram and an half mingle them exactly make a Linctus If there be a Feaver omit the Hissop and Tincture of Saffron if there be a Loosness use the
following Take of the Lohoch of the Lungs of a Fox of Colts-foot and Purslain each one ounce of Syrup of Jujubs and Maiden-hair each one ounce and an half of Flowers of Sulphur two drams of Tincture of Saffron half an ounce of the Species Diatragacanth frigid of Diamargit frigid of the Powder of Haly each one dram of Penediat Sugar half an ounce mingle them make a Linctus Take of Tacamahaca of Balsam of Peru each one Drain of the Ingredients for the Pectoral Decoction a sufficient quantity boil them in a sufficient quantity of Fountain Water to a Pint and an half with the strained Liquor and with a dram of each of the four Cold-seeds with the Seeds of white Poppies and of Henbane each two drams and with eight Almonds blanched make an Emulsion to be sweetned with Pendiat-Sugar But if by reason of the Clamminess of the Flegm the Difficulty of Breathing is more than usual the following Linctus must be prescribed Take of the Lohoch of Raisons and of Squills each one ounce and an half of Syrup of Hedge-mustard of Hyssop and of Hore-hound each one ounce and an half of the Species Diaireos Diacalaminth and the Flowers of Sulphur each one Dram and an half Tincture of Saffron half an ounce of white Sugar-candy six Drams mingle them make a Linctus And if this Symptom be very violent a dram of pure Gum-ammoniack and a dram and an half of Flowers of Benzoin may be added And for these Intentions Balsamick Medicines with things that agglutinate are proper For Instance Take of the Pulp of the conserve of red Roses and Wood-sorrel each one ounce and an half of Olibanum three drams of Opobalsam two scruples mingle them make an Electuary whereof let the Sick take the quantity of a Nutmeg thrice a day drinking upon it four ounces of the following Apozem Take of the Leaves of Millfoil Mouse-car Burnet Dandelion spotted Lungwort Scabious each one handful of the Flowers of St. John's-wort Violets the greater Daisy red Poppies each half an handful of Jujubs and Dates each six Pair of Saffron tied up in a Rag half a dram of the Seeds of Annise and Juniper-berries each three drams infuse them and boil them in a sufficient quantity of Fountain-water to three Pints in the hot Liquor strained dissolve four ounces of Conserve of red Roses which being added to the Apozem render it Balsamick and Pleasantly tasted strain it again and add of the Syrups of Coral and of Oak of Jerusalem and of Maiden-hair each one ounce make an Apozem Or instead of the foregoing Electuary the following may be substituted Take of the Pulp of the conserve of red Roses two ounces of the conserve of Hips one ounce of the Powder of Haly one dram of Lucatellus's Balsam half an ounce of Balsamick Syrup a sufficient quantity mingle them make an Electuary to be taken as before Let the Sick take often in a day one or two Spoonfuls of the Balsamick Syrup which is very agreeable to the Stomach and with every Dose of the Syrup a scruple of the Balsam of Tolu made into small Pills may be taken and every Night at Bed-time the Sick may take twenty five or thirty drops of Helmont's liquid Laudanum in a spoonful of Balsamick Syrup When there are no other Medicines to be taken and there is nothing contrindicates it it is also very effectual to prescribe a dram of Flowers of Sulphur to be taken in a rear Egg or Honey of Rosemary-flowers If a Tickling Cough by reason of the Acrimony and Thinness of the Humuor issuing from the Windpipe and Bronchia be very troublesome to the Patient the following Tablets must be used Take of the Pulp of the Roots of Marsh-mallows one ounce Pearl-sugar Gum-arabick Tragacanth white Starch dissolved in Poppy-water each two drams of Penediat Sugar dissolved in Rose-water a sufficient quantity make Tablets each weighing a dram But if the Cough continues long and is violent and will not yield to the foregoing Remedies we must use Balsamicks For Instance Let the Sick take thrice a day three of the following Pills in a spoonful or two of some proper Linctus Take of the Powder of Millepedes prepared three drams of Gum-ammoniack well purified one dram and an half of the Flowers of Benzoin two scruples or one dram of Extract of Saffron and Peruvian Balsam each half a scruple of Balsam of Sulphur anisated or made with Turpentine a sufficient Quantity mingle them make Pills of a moderte bigness gild them or cover them with Powder of Liquorish These Pills have often done good in Consumptire Coughs The Sick must chuse an Air that is moderately hot and dry and somewhat thin the diet must be of easie Concoction as Mutton and Veal and the like and the Sick must eat Flesh only at Dinner at Supper he must only eat Water-gruel Panada-broths potched Eggs and the like and he must be sure to be moderate in his Diet he must drink sparingly of small Beer and the like Wines must be avoided and other spirituous Liquors it is also convenient that his Beer be medicated with Pectoral things and the like which are proper for the Disease for by this means a great quantity of Medicines will be mixed with the Blood without nauseating the Stomach or injuring the Appetite which a Physician ought to take great Care of For Instance Take of the best Sarsa-parilla cut eight ounces of the Roots of China sliced four ounces of Polypody of the Oak Maiden-hair Ground-ivy spotted Lung-wort Colts-foot Scabious Oak of Jerusalem each two handfuls of the Flowers of Scabious water-lillies and of Rosemary of the grater Daisy and of St. Johns-wort each one handful of Juniper-berries four ounces of Raisins of the Sun stoned six ounces of Liquorish rasped one ounce of the Seeds of Annise two drams mingle uhem make a Bag for four Gallons of middling Beer which let the Sick use for his ordinary Drink The Sick must exercise himself daily moderately especially before Dinner he must take great Care that he does not catch Cold The Sick must be diverted as much as may be from Anger Sorrow deep thinking and all other great Passions of the Mind from Study and unseasonable Watching always sleeping if he can the first part of the Night But in the second State of this Disease which may be known by the Increase of the hectick Feaver which now is often like a putrid Intermitting Feaver and by the manifest wasting of the Flesh by the dry Cough a Weight upon the Breast and difficulty of Breathing all Evacuacuations by Stool Vomit or Sweat are injurious for they promote the Feaver and Increase the Consumption Nor is Bleeding to be used at this time unless it be to prevent a Peripneumonia but the Alteratives and Pectorals before prescribed must be used frequently as often as the Stomach will bear them but especially the use of the Balsamicks before prescribed must be long continued if there be no considerable Feaver
mitigate as much as may be the Symptoms and may prescribe Medicines proper for the Consumption and the present Indications yet he ought by no means to promise a Cure but rather acquaint the Patient of his Danger and so he will secure his own Reputation and that of the Medical Art The Curative Indications at this time of the Disease are these four First Pectoral Medicines must be prescribed and the Cure of the Ulcers must be promoted if they are small benign and curable as much as can be in this weak and wasting Condition of the Sick Secondly The Peripneumonick or Inflammatory Feaver as often as it happens must be taken off with all its dreadful Symptoms Thirdly The Putrid Feaver arising from the Purulent Matter of the Lungs must be mitigated Fourthly and lastly The Tormenting Symptoms arising from the Putrid Feaver by reason of the Colliquation must be removed as far as may be that at least the Sick may dye easily As to the first in this State of the Consumption Altering Expectorating and Balsamick or Healing Medicines that are not too hot by reason of the great height of the Feaver but always Cordials are to be given and those are to be chosen that are most palatable and may be taken in the smallest quantity For instance Take of the Pulp of the old Conserve of red Roses of Wood-sorrel and of Lucatellus's Balsam each one ounce mingle them make an Electuary whereof let him take the quantity of a Nutmeg wrapt in a Wafer Morning and Evening or let him take twice a day of the Balsamick Pills above described number three Take of the Aqua Lactis Alexiteria eight ounces of the Magisterial Water of Snails of Cinnamon-water hordeated each three ounces Aqua mirabilis one ounce of prepared Pearl two drams of clear Ghalk one dram of white Cristaline Sugar one ounce or ten drams mingle them make a Julep whereof let the Sick take four or five Spoonfuls after every Dose of the Electuary and of the Pills and as often as he will Take of the Balsamick Syrup which is very agreeable to the Stomach three ounces of Tincture of Saffron made in Treacle-water two drams mingle them let him take of it often in a Spoon and in a Spoonful or two of this mixture let him take twice a day six or eight drops of Opobalsam But if the Cough and Watchings are very obstinate let him take sometimes twelve drops of Helmont's Liquid Laudanum Nevertheless in this languid state Opium ought to be given cautiously in small Doses and in due distances of time neither ought it to be given at all without urgent necessity require it least a sudden Death follow and the Disgrace of the Medical Art Or Take of the Syrup of Maiden-hair four ounces of Aqua mirabilis half an ounce or six drams mingle them let the Patient take a Spoonful of it frequently or with a Liquorish-stick especially when the Cough is troublesome Jellies and Restorative Broths are to be prescribed in this case And indeed in this deplorable Condition Medicines are rather to be taken from the Kitchin than the Apothecary's Shop As to the Peripneumonick Feaver it arises always from the great Inflammation of the Tubercles of the Lungs and therefore it uses to return frequently viz. As often as a new Tubercle either of its own accord or from cold taken or from any Error committed in Diet happens to be inflamed and during the Inflammation this Feaver continueth and often kills the Patient suddenly it being accompanied with uncertain Shivering and violent Heat succeeding alternately with Watching Restlesness a Delirium difficulty of Breathing difficulty of Expectoration violent and wandring Pains of the Side Breast and Shoulders but when the Inflammation first begins to Imposthumate which if the Sick lives happens usually about the seventh day of the Disease the continual Inflammatory Feaver is succeeded by a Putrid Intermitting Feaver either Quotidian or Tertian which certainly indicates Matter in the Tubercles and can never be perfectly eradicated unless they be cured This Inflammatory Feaver as all others of the same kind requires a thin Diet that the Belly should be kept open and Cordial and Attemperating Juleps are to be used freely also Pectoral Apozems and Lubricating and Inciding Linctuses to facilitate the Expectoration of the Flegm too much thickned by the Feaverish Heat and to take off the painful Compression of the Lungs and to ease the Cough Diaphoretick Opiats are also to be used sparingly at due Intervals to promote the Expulsion of the Febrile Matter through the Pores of the Skin Also Blisters and Epithems are to be used for the relief of the Brain and Genus Nervosum which would otherwise suffer much by Feavers of this kind Liniments also and Anodyn Fomentations must be prescribed to remove the Painful and Convulsive Contraction of the Muscles and Membranes of the Breast but above all Bleed seasonably and largely and it must be repeated if there be occasion according to the Strength of the Sick and the present Effervescence of the Blood and perhaps Consumptive People require Bleeding more than those that are strong Wherefore the Physician though he count the Consumption deadly ought to endeavour the Cure of the Peripneumonia in the following manner Let him order a Diet of Water-gruel Ptisan roasted Apples and the like and middling Beer with a Toast in it But at the first Declination of the Feaver Chicken-broth potched-Eggs and the like And the Belly if there be occasion must be presently loosned with a Glister made of Milk and Sugar with Camomil-flowers which also must be repeated upon occasion then eight or ten Ounces of Blood must be taken away from the Arm of the pained Side and Bleeding must be repeated every day or every other day according to the Effervescence of the Blood and the Violence of the Pain in the Side and of the difficulty of Breathing if the Strength will permit that an Imposthumation may be hindred if possible In the mean while through the whole Course of the Disease one Spoonful of the following Linctus dissolved in four Ounces of the Pectoral Apozem must be taken every third or fourth hour hot Take of the fresh Oyl of Sweet-Almonds of Syrup of Maiden-hair each one ounce and an half of white Sugar-candy one dram and an half mingle them exactly and make a Linctus And if the Flegm be very tough and if the Difficulty of Breathing and the Pain increase by reason of it instead of Oyl of Almonds Oyl of Linseed fresh drawn without Fire may be substituted and Syrup of Hedge-mustard or of the five opening Roots instead of Syrup of Maiden-hair if a Flux of the Belly does not contra-indicate Besides two or three ounces of the Oyl of Linseed may be taken by it self every fourth Hour for it does not only Lubricate but is also very Anodyn Take of the Pectoral Decoction clarified one Pint and an half of Tincture of Saffron made in Treacle-water and of Syrup
of Maiden-hair each one ounce mingle them make an Apozem for the use above described To recruit the Strength and to attemperate the Effervescence of the Blood four or five Spoonfuls of the following Julep may be prescribed Take of the Aqua-lactis alexiteria eight ounces of Cinnamon-water hordeated and of Plague-watery each two ounces of prepared Pearl one dram and an half of white Sugar six drams mingle them make a Julep At Bed-time the following Anodyn and Diaphoretick Bolus may be prescribed to be taken with a Draught of the Cordial Julep especially if the Belly as it often happens in this State of the Disease be too loose Take of Venice-treacle half a dram of the compound Powder of Crabs-claws one Scruple of Syrup of Gilly-flowers a sufficient Quantity mingle them make a Bolus Presently after Bleeding apply Blisters to the Neck to the inner parts of the Arms and Legs and a Cephalick Plaister with Euphorbium to the Soles of the Feet to relieve the Brain and Genus Nervosum To ease the Pain of the Side occasioned by the Convulsions of the Muscles and the Membrans of the Breast the following Fomentation and Liniment may be applyed by turns to the Parts affected Take of the Roots of Parsly and Fennel and of Linseeds and of Fenugreek-seeds each two ounces of the Flowers of Camomel and of Melilot each two handfuls mix them and boil them in a sufficient quantity of Fountain Water pour it into a fresh Ox-Bladder let the Bladder be half full apply it hot to the Parts affected when the Bladder is taken off apply an hot Flannel besmeared with the following Liniment Take of Ointment of Marsh-mallows half an ounce of Oyl of white-lillies and of Bricks each three drams mingle them make a Liniment To attemperate further the Effervescence of the Blood and the Heat of the Lungs the following Powder may be used with good Success Take of pure Salt-peter two drams of white Cristaline Sugar half an ounce mingle them and make of them eight Papers whereof let one be dissolved in every Draught of Beer As to other things they must be left to the Judgment of the Physician that attends to be prescribed upon Occasion As to the putrid Feaver of Consumptive People it is to be noted that although the Sick being treated according to the Preceeding Method do not die of a Peripneumonia yet the Inflammation of the Tubercles of the Lungs ending most commonly in an Ulcer presently after the Inflammatory Feaver a putrid intermitting Feaver arises returning at certain Periods every day or every other day with Shivering Heat and Sweats Which Feaver seems impossible to be taken quite off unless the Ulcer be cured from whence it arises yet the Peruvian Bark frequently repeated at due Intervals is often very Successful for suppressing the Feaver for a while and the Lives of some by the frequent use of it have been protracted for many Years Take of the Peruvian Bark finely powdered half a dram of the Balsamick Syrup a sufficient quantity make a Bolus which let the Sick take in the Morning and every sixth Hour for three days successively drinking upon it three or four ounces of the following Apozem Take of the Peruvian Bark powdered three ounces of the Balsam of Tolu two drams of English-saffron and Cochinele each one Scruple boil them in a Pint of the Pectral Decoction clarified to six ounces then strain it and put on a Pint more of the Decoction repeat the Operation thrice then mix all the strained Liquor and add to it of Maligo Saek and Balsamick Syrup each fouâ— ounces mingle them make an Apozem Repeat the use of this Febrifuge in the manner now described twice in a Month or oftner if there be Occasion and in the Intervals the daily use of Balsamick and Pectoral Medicines must be ordered and they must be varied according to the Temper of the Sick and the Genius of the Disease If the Belly be too loose a grain of London Laudanum may be added to every Bolus to be taken at Bed-time or instead of the Bolus's Pills made of Diascordium and the Jesuits Powder may be substituted but every Dose must contain half a dram of the Powder Yet it must be confessed that the Bark is not constantly so successful in the Consumptive Feaver as in Agues To take off a Loosness and to mitigate a Dysentery and the Gripes Opiat Medicines must be used freqently and freely and during these Symptoms the Sick must abstain from all sorts of Beer and instead of it must use the white Decoction or Milk-water Let him take also if there be Occasion every fourth Hour the quantity of a Walnut of the Astringent Electuary described before in the use of Asses-milk or let him take twelve Drops of Helmont's liquid Laudanum And to attemperate the Acrimony of the Humours that are wont to be evacuated by the glandulous Tunick of the great Guts and to restore the Tone of the Parts weakned thereby let a Glister be daily injected made of Chicken broth or of a Sheeps-head with the Wool on boiled in Water or this that follows Take of Milk altered with red Roses and by quenching often hot Steel in it six ounces of Diascordium half an ounce mingle them make a Glister But in a moderate Diarrhea viz. when the Gripes are not very violent especially if there be a Difficulty of Breathing Opium must be prescribed rarely and sparingly in any Form for most commonly upon giving it the Breast is oppressed and Breathing and Expectoration are rendered more difficult and the Stomach becomes nauseous Wherefore it is safer only to moderate the Loosness by giving an Opiat every third or fourth Night than to stop it quite least a greater Injury should follow and always after the use of an Opiat expectorating and lubricating Medicines should be freely used least the Matter should be so much fixed in the Lungs that the strength of the Patient should not suffice to bring it up When the Cough and Watchings are very violent the following Medicines may be used but it is to be noted that Opiats must be used very sparingly and with great Caution when the Sick is very weak Take of Syrup of Marsh-mallows and Purslain each one ounce and an half of the Species Diatragacanth frigid of the Powder of Haly each two scruples of Diacodium an ounce and an half mingle them make a Linctus to be taken in a spoon or with a Liquorish Stick when the Cough is violent Aqua-mirabilis also mixed with Pectoral Syrups does good Or Take of the Balsamick Syrup two ounces of Helmont's liquid Laudanum two Scruples mingle them let the Sick take a spoonful every Hour or every other Hour The white and black Lozenges being leisurely dissolved in the Mouth and swallowed down are also of use To moderate the great and Colliquative Sweats let the Sick sleep but little at a time and let him take temperate Pearl Cordials often and in a large Quantity to which
distilled Water Tincture of Tartar of Steel or of Antimony may be also given by turns As to the Cure of the Trembling of the Heart Medicines proper for Convulsions must be given it being meerly Convulsive Wherefore having made sufficient Evacuation the follow Medicines may be given Take of prepared Coral and of Pearls each two drams of both the Bezoars each half a dram of white Ambar two scruples of Ambar-grease one scruple make a Powder The Dose is half a Dram twice or thrice in a day in some proper Julep or distilled Water Take of Compound Powder of Crabs-claws two drams of the Powder of the roots of Male-peony of Mans Skull prepared each one dram of the flowers of Male-peony and of Lillies of the Vallies each half a dram make a Powder to be taken the same way Take of Ivory and red Coral powdered each three drams of the Species Diambra one dram of white Sugar dissolved in a sufficient quantity of Orange-flower-water and boiled to Tablets seven ounces make Tablets each weighing half a dram Let him take one or two often in a day or when he pleases Take of the Conserve of the Flowers of Lillies of the Vallies six ounces of Coral prepared of Pearls Ivory and Crabs-eyes each one dram and an half of Vitriol of Mars one dram with a sufficient quantity of Syrup of Coral make an Electuary The Dose is one or two drams twice a day drinking upon it a Draught of the following Julep Take of the Waters of Orange-flowers and of the whole Citron each six ounces of Orange-peels distilled with Wine two ounces of Sugar half an ounce make a Julep Take of Syrup of Steel six ounces The Dose is one Spoonful in the Morning and at five in the Afternoon in two ounces of the Julep above prescribed but you must omit the Sugar Take of the Powder of Ivory and of Coral each two drams and an half of the Species of Diambra one dram of Salt of Steel two drams of Sugar eight ounces of Ambar-grease dissolved half a scruple make Tablets each weighing half a dram The Dose is three or four drams twice a day Taâ—e of fresh Strawberries eight Pints of the outward Peel of twelve Oranges of the fresh Filings of Steel half a pound beat them together and pour upon them four quarts of Wine Let them ferment together in a close Vessel twenty four hours then distill them in a cold Still Take of Spirit of Harts-horn or of Blood or the like three drams The Dose is twenty drops twice a day in some proper Vehicle Take of the Flowers of Sal-armoniack and of Coral prepared each two drams The Dose is one scruple twice a day Take of Sal-prunella two drams of Salt of Ambar one dram of Salt of Harts-horn one Scruple The Dose is from fifteen to twenty grains twice a day in some proper Liquor Note Such of these Medicines as agree with the Constitution of the Patient are to be chosen CHAP. LXII Of Weakness THE Cause of Weakness is a Defect of Native Heat and of Spirits This Defect is occasioned by the Defect of Vital Spirits The Vital Spirits are wanting either when they are not generated in a sufficient quantity or because when they are generated they are dissipated corrupted or suffocated as it happens in Fainting But the difference betwixt Fainting and Weakness is That in Fainting the Causes produce their Effect of a sudden but in Weakness by degrees The Cure of this Disease respects the taking away the Cause and the cherishing the Heart and Vital Spirits The Causes are almost all great Diseases whereby Nature is much weakned therefore the taking off the Causes respects the Cure of almost all Diseases which must be sought for in their proper Chapters But the Strengthning the Heart and the Restoration of the Vital Spirits are to be treated of a part and sometimes to be preferred before the Cure of the Morbifick Causes when there is danger of Death But you must always take care that whilst you endeavour to refresh the Spirits you do not increase the Morbifick Causes and therefore in a hot Disease you must give temperate Cordials in a cold such as are hot And first With Meat you must mix Cordials as Confection of Alkermes or of Hyacinth in Broths also Mutton Broth the Fat and Skin being cut off is good also Gravy of Mutton is frequently used and the Gravy of the Heart is mightily commended The Italians make a Soop of Yolks of Eggs Wine Sugar and Cinnamon which is very restorative Jelly of Harts-horn is also very good Cordial Juleps may be also prepared in the following manner Take of the Waters of Bugloss Roses and the Flowers of Oranges each one ounce of Syrup of Apples and of Lemons each half an ounce Confection of Alkermes half a dram of Cinnamon-water two drams make a Julep To the Stomach may be applied Bags made of Spices and moistned with Wine the private parts may be fomented with Confection of Alkermes dissolved in Wine The Arteries of the Temples the Hands and Feet may be anointed with the same And Apoplectick Balsam may be often held to the Nostrils CHAP. LXIII Of Appetite depraved diminished and abolished THE Cause of an excessive Appetite is a sharp Juice abounding in the Body and especially brought from the Pancreas to the Intestine and sending thence Vapors that are sharper than usual to the Stomach This Acid is increased in the whole Body by sharp Meats and Drinks Cold and Serene Air immoderate Grief continued long violent Motion and long Watching The Appetite is diminished by Fat Choler and by Fat and Viscid Meat by Hot or Rainy Weather by too much Sleep Sloath and great Cares The Causes that diminish Appetite will wholly abolish it if they are extream Depraved Appetite is usual in the Green-sickness and in Women with Child and sometimes but rarely Men are troubled with it It most frequently happens before the Flux of the Courses or when they are suppressed In the Green-sickness they crave for Meats that are improper and unusual or they eat Chalk Ashes Coals Pitch Dirt Leather and many other things Appetite increased is to be cured with such things as temperate the acid Juice as Coral Pearls Crabs-eyes Filings of Steel and the like also Fat and Oily things and Volatile Spirits Take of Coral prepared and Pearls prepared each one scruple of white Chalk half a scruple of white Sugar three drams make a Powder to be divided into six Doses Take two Papers in a day three or four hours after eating in a Spoonful of strong Wine If a Liquid Medicine be more pleasing let him take a Spoonful of the following Mixture now and then Take of the Waters of Mint two ounces and of Scurvy-grass-water and of the Tincture of Cinnamon made by Infusion in rectified Spirit of Wine each half an ounce of Syrup of Wormwood one ounce mingle them Or Take of Oyl of Mace by Distillation and of the Oyl of Juniper-berries
Ulcer That which is generated by Wind must be cured by Remedies that discuss and evacuate that flatulent Matter and also Flegm which breeds Wind. And first An emollient and loosning Glister must be injected and presently after a carminative and discussing Glister made of the Decoction of the Leaves of Wild-marjoram Calaminth Penny-royal Rue and the lesser-centaury the Seeds of Annise Fennel Daucus Cummin and the like wherein may be dissolved Benedictum Laxativum Oyl of Dill Rue and Honey of Rosemary If the Pain continue a Glister must be made of Oyl of Rue or of Nuts and of generous Wine each equal Parts you must add to it two ounces of Aqua-vitae or you may prepare a Glister of Whitewine mixed with eight drops of Oyl of Juniper Cinnamon or of Chymical Oyl of Cloves Afterwards the following Fomentation must be applyed to the Region of the Stomach Take of the Roots of Cyperus Galingal sweet smelling Flag each one ounce of the Leaves of Mint wild-marjoramâ— Marjoram Penny-royal Hyssop and Sage each one handful of the Seeds of Fennel Daucus Caraways Bay-berries each half an ounce of the Flowers of Camomil Melilot Rosemary and Lavinder each one Pugil cut them and beat them and put them into two Bags boil them in generous Wine press them out and â—pply them hot to the Stomach and Belly by turns But when the Matter is not very cold the following Fomentation may be prepared which is much commended by Forestus and he says it will give Ease when other Medicines will do no good Take of the Roots of Marshmallows half an ounce of red Roses the Flowers of Camomil and of the Tops of Centaury each one handful boil them in Fountain and Camomil-water to a Pint and an half at last add a little good Rhenish-wine Rose-water and Vinegar make a Fomentation After the Fomentation anoint the parts with Oyl of Rue and Dill mixed with Aqua-vitae and a little of the Oyl of Sage or of Cloves Chimically extracted after the Anointing apply the Plaister of Laurel-berries or instead of it a Cataplasm made of Honey and the Seeds of Cummin In the mean time whilst these things are about if the Stomach be nauseous Vomiting may be provoked by some gentle Vomit or a Purge may be given that evacuates Flegm After the Body is purged Oyl of bitter Almonds mixed with White-wine may be taken or Aqua-clareta or Cinnamon-water The following Julep is very effectual to ease Pain discuss Wind to cleanse Flegm and to strengthen the Stomach Take of the Leaves of common Worm-wood of the lesser Centaury and Agrimony each half an handful boil them to five ounces in the Liquor dissolve one ounce of white Sugar Let it be taken for two days in the Morning Amatus Lusitanus greatly commends the distilled Water of Camomil-flowers as a special Remedy to ease Pains of the Bowels and Stomach three ounces of it may be taken warm or in the place of this Water a Decoction of Camomil-flowers may be used which is greatly commended by Forestus who says that he cured a certain Merchant of a violent Pain in the Stomach with only giving this Decoction once he had no sooner drank it than he fell into a Sweat belching up Wind and in a Minute all the Pains went off so that there was no occasion for any other Remedies A Vomit may be prepared of this Decoction made with Seeds of Dill or with Agarick or the Roots of Wake-robin wherein may be dissolved Oxymel Syrup of Sorrel or of Roses solutive which may be given at the beginning of the Disease to mitigate the Pain by evacuation Galen says that a Cupping-glass applied to the Stomach removes the Pain wonderfully but this Caution must be taken notice of viz. That but little or no crude Humour be in the Stomach for if there be it will increase the Pain Bread fresh drawn out of the Oven cut in the middle and applied to the Part does good either by it self or sprinkled with Aromatick Powders But if the Disease be obstinate you must use a Bath made of a Decoction of emollient and healing Herbs which is safest and most effectual for it eases the Pain by discussing the Wind and driving it through rhe Pores of of the Skin But the Buisness will be sooner done if in the Bath the Sick take some discutient Remedy for both concurring the Cure will be effectually performed The Bath ought to be very hot that the Wind may be the easier discussed and that the gross Humours may be melted If Glisters cannot be injected or retained by reason of the violence of the Pain a Purge must be given in the Bath where the Sick must continue half an hour or an hour till the Purge begins to operate But sometimes when there is danger by reason of the violence of the Pain Narcoticks must be given which being prudently administred do often a great deal of good Some mix Narcoticks with Purgers that the Pain may be eased and the peccant Matter evacuated at the same Time Take of Diaphaenicon half an ounce of Philonium Romanum two Scruples with the Water or Decoction of Camomil make a Potion After the Pain is taken off Purging should be repeated once or twice a Month in such as are subject to this Disease that the Cause of Wind may be removed corroborating Medicines must be also used but if the Pain arise from Choler it must be cured by the Evacuation of the peccant Humour as by a gentle Vomit or a Purging Medicine or by injecting Glisters frequently which ought to be emollient not sharp or hot Afterwards the Acrimony of the Humours is to be mitigated by cooling and thickning Juleps by Emulsions of the four greater cold seeds by new Milk Oyl of sweet Almonds newly drawn by Yolks of Eggs and the like Strenghning Medicines must be used and Narcoticks upon occasion and outwardly must be applied a Cataplasm of White-bread Crums boiled in Milk Yolks of Eggs and Saffron being added Or you may apply Bread fresh drawn and cut in the middle and moistened with Vinegar or let the part be fomented with a Decoction of the Flowers of Camomil Violets and of Water-lillies or which is much better let the Sick be bathed with warm Water for this is very effectual for the Cure of this Disease If when the Pain is eased it should chance to return again the Sick must be purged twice a Month and the hot Intemperies must be corrected by a cooling Diet and convenient Remedies But when the Pain proceeds from an Inflammation Abscess or Ulcer it must be cured by Remedies to be proposed in the following Chapter CHAP. LXIX Of an Inflammation Abscess and Vlcer of the Stomach THough in the Stomach as in all other Parts all sorts of Tumours may happen yet here we only treat of an Inflammation or Phlegmon which is most frequent for other Tumours rarely happen and may be cured by the same Method wherewith the Tumours of other inward parts are
An Inflammation of the Stomach is a preternatural Tumour arising from Blood poured upon the Substance of the Stomach and its Membranes And this Blood is either pure and sincere and then it produces a Phlegmon properly so called or it is mixed with Choler Flegm and Melancholly and then it produces an Oedematous Schirrhus Phlegmon or a Phlegmon mixed with an Erysipelas There may be many external Causes viz. Whatsoever renders the Blood hot as hot Medicines drinking of Wine or whatever forces the Blood thither as a Bruise of the Stomach especially when it is full of Meat to which may be added hot and acrid things taken inwardly as Cantharides Sublimate and the like The Diagnostick Signs of this Disease are a great Burnining Pricking Distending Pain with Pulsation stretching it self to the Back The Tumour may be felt and sometimes seen the Shoulders are drawn backward the Breathing Swallowing and Belching are difficult Sometimes something Bloody is Vomited up there is a violent Feaver accompanied with dreadful Symptoms If the Inflammation be purely from Blood it is somewhat gentler but if it be joined with an Eâ—ysipelas the Symptoms are very violent and there is an inward Feaver though the outward Parts are cold and the Thirst is unquenchable To this Inflammation of the Stomach that Inflammation is near of kin which either seises that Part of the Liver wherewjth the Stomach is covered or that lies upon the Region of the Abdomen which can be only distinguished by the violence of the Symptoms for the Inflammation of the Stomach is the most violent and most dangerous From what has been said it may be easily prognosticated that this Disease is very dangerous and most commonly deadly Nevertheless that is most dangerous which seises the upper Orifice of the Stomach and partakes of the Nature of an Erysipelas If the Inflammation do not kill and be not resolved it degenerates into an Abscess which is known by the Remission of Heat and Feaver the Tumour remaining The Abscess being broken an Ulcer is left behind which may be known by the Evacuation of Matter by Vomit and Stool But an Ulcer of the Stomach does not only proceed from an Abscess broken but also from other causes which must be here mentioned least any thing should be desicient in the Theory of it Therefore the causes of an Ulcer of the Stomach are either Internal or External the Internal causes are acrid Humours bred in the Stomach or transmitted from another place to it as Yellow and Black Choler or salt Flegm The external causes are acrid and corroding Medicines or Poisons and hither may be referred Wounds of the Stomach ill cured which degenerate into an Ulcer and also the Rupture of some great Vein which cannot be well cured after vomiting much Blood up An Ulcer bred in the Stomach may be known chiefly by the Evacuation of Matter by Vomit and Stool to which primary Sign others may be added For first There is perceived in the Stomach a pricking Pain with Heat especially when any thing acrid salt acid or any thing very hot or very cold is taken inwardly There is moreover a Loss of Appetite Stinking Belching and a small and continual Feaver The Prognostick is most commonly deadly unless the Ulcer be very small and possess the Superficies and has not a Feaver joined with it for the Membrane of the Stomach being ulcerated is difficultly cured and the Nourishment cannot be well concocted and it is rejected before a due concoction besides Medicines can do little good for things that cleanse which are necessary for the Cure of the Ulcer cause Pain and things that dry which should satisfie the other Indication of Healing the Ulcer are continually spoiled by the Meat and Drink and Chyle and other Humours which always stagnate in a weak Stomach The Cure of the foresaid Diseases is to be instituted particularly And first The Cure of the Inflammation is to be begun by Bleeding repeated in the Arm as often as the Strength will bear and though it may seem to be dejected at first by reason of the fainting and Coldness of the extream Parts yet this Infirmity of the Strength proceeds from an Oppression which requires Evacuation and therefore Bleeding ought not to be forbid Moreover the opening of the Hemorrhoid Veins if the Sick has been accustomed to this Evacuation may conveniently cause a Revulsion of the Blood from the Stomach Cupping-glasses applied to the Back and Buttocks both dry and moist Frictions and Ligatures of the extream Parts and the heating those that are wont to be cold by applying hot Cloaths and by anointing them with Oyl of Orris Nard and with other hot things may be also conveniently used to draw the Blood from the Stomach But Purging is not allowed of because it disturbes the Humours and draws them to the Part affected Yet Avicen commends a Decoction of Tamarinds or half an ounce of Cassia dissolved in Endive-water or in Whey and would have it given daily till the seventh Day yet it is better to abstain from all purging at the Beginning but the Seventh Day being over and some Signs of Concoction and Declination appearing Purging may be instituted with a dram of Rhubarb and a Scruple of red Sanders infused in Borrage-water you must add one or two ounces of the Syrup of Roses that the Filth sticking to the Part may be evacuated In the mean while Lenient cooling and emollient Glisters must be daily injected Take of Chicken-broth or a Decoction of Mallows and Violets one Pint of Cassia fresh drawn one ounce of Oyl of Roses and Violets each two ounces of Sugar one ounce and an half Yolks of Eggs number two make a Glister The same altering and corroborating things may be taken inwardly which were proposed for a Cure of the Pain of the Stomach occasioned by a Cholerick Humour But Syrup of Water-lillies and of the Juice of Purslain are peculiarly proper especially at the beginning because they may serve instead of a repelling Medicine Emulsions also of the four cold Seeds and of the Seeds of white-Poppies are proper for they are lenitive and qualifie the Heat and so do also the following Juleps Take of the Waters of Roses three ounces of Plantane two ounces of the Juice of Sorrel one ounce and an half of Sugar of Roses one ounce boil them a little and strain them Let him take two ounces twice or thrice a Day If the Pain be very violent Syrup of Poppies may be taken Let him use for his Drink Barley-water sweetned with Syrup of Violets which he must drink cold In Progress of the Disease Medicines are to be mixed with the foregoing which may help the Resolution to which end the following Julep may be prescribed Take of the Syrups of Water-lillies of Apples and of the Juice of Purslain each one ounce of the Syrup of Roman Wormwood half an ounce of the Waters of Sorrel Lettice and Fennel each three ounces of the Species Diamargarite
viz. The Obstruction of the Meseraick Veins whhich stops the Passage of the Chyle Aetius and Celsus and many of their followers do propose another Cause of the Lientery viz. A hard Cicatrix upon the Intestines produced by a Dysentery The Cure of this Disease is to be varied according to the Variety of the Causes producing it And first that which is occasioned by a Flegmatick Humour may be Cured with the following Remedies but you must begin by Purging Medicines made of Aloes Rubarb and Mirobalans Take of old Conserve of Roses six ounces of the best Venice Treacle six drams Marmalad of Quinces a sufficient quantity mix them Let the Sick take half a dram in the Morning drinking nothing upon it Or Take of Japan Earth one dram and an half of red Coral and Crabs-eyes prepared each one dram of old Conserve of Roses one ounce and an half of Balsamick Syrup a sufficient quantity mix them make an Electuary The Quantity of a Nutmeg of it may be taken Morning and Evening Take of Gum-caranna of the Magisterial Stomach Plaister each a sufficient Quantity of the Chymical Oyl of Wormwood twelve drops mix them make a Plaister for the Region of the Stomach That which proceeds from a bilious Humour is to be cured with the following Remedies Take of the best Aloes washed in Rose-water three drams of Rubarb powdered and moistened with Borrage-water one dram of Mastich red Sanders red Coral prepared each one scruple of Syrup of Roses solutive a sufficient quantity make a Mass for Pills of which let the Sick take half a dram or one dram at a time Take of sealed Earth Bole-Armenick red Coral prepared Pearls prepared of the Seeds of Purslain and Sorrel each one dram of the Shavings of Hartshorn and of the Leaves of Mint dried each one scruple of red Roses half a Pugil make a Powder to be sprinkled upon Broth or to be taken in a Spoon with a little Water wherein Iron hath been quenched But if the Stools be pure Chyle this Distemper does not proceed from the Fault of the Stomach but from the Obstruction of the Meseraick Veins which is very frequent and is chiefly incident to Children therefore it is to be cured with Remedies that open Obstructions CHAP. LXXVI Of a Diarrhea A Diarrhea is that sort of a Loosness in which excrementitious Humours without Blood Chyle or Ulceration of the Intestines are voided by Stool There is another Species of a Diarrhea which is called colliquative arising from the Colliquation of the Substance of the Body If a Diarrhea be critical and is easily born and the Disease goes off by it or is greatly diminished the Sick is benefited by it But if a Diarrhea be Symptomatical it occasions a great deal of Pain to the Sick the Strength greatly decreases and the Disease upon which it comes is considerably augmented or at least does not decrease As to the Cure a Symptomatick Diarrhea rises for the most part from bad and corrupted Humours therefore the Cure of it is to be begun with the Evacuation of the Peccant Humour Take of the best Rhubarb six grains of the Seeds of Coriander bruised two scruples infuse and boil them in a sufficient quantity of Fountain-water to three ounces of the strained Liquor add of Rubarb torrified one Scruple of the Syrup of Succory with Rubarb one ounce mix them make a Draught to be taken in the Morning A Vomit is also sometimes convenient because it makes a Revulsion and Evacuation of the Morbisick Matter If there be Signs of abundance of Blood and the Body being strong Bleeding is necessary in the beginning The Body being sufficiently evacuated both by purging Medicines and the Loosness it self astringent and strengthning Medicines are to be given as well by the Mouth as injected by Glisters and applied to the Belly Take of Diascordium grains twenty five of the compound Powder of Crabs-Claws grains seventeen of Syrup of Mint a sufficient quantity mix them make a Bolus to be repeated upon Occasion Take of Epidemick-water half an ounce of Cinnamon-water hordeated three drams of black-cherry-water two ounces of Liquid Laudanum prepared with Juice of Quinces fifteen drops Syrup of Mint a sufficient quantity mix them let the Sick take this Mixture after the Bolus above prescribed and at Bed-time Take of Epidemick-water and of Cinnamon-water hordeated each three ounces of Mint-water one ounce of Black Cherry-water five ounces of Syrup of Mint a sufficient quantity mingle them let him take six spoonfuls after the Bolusses Take of Hartshorn calcin'd two ounces of Nutmeg four Scruples of the Roots of Tormentil three drams boil them in Fountain-water to three Pints adding towards the end an ounce of White-bread add to the strained Liquor two ounces of Doctor Stephens's water and sweeten it with Syrup of Quinces let him take it for his ordinary Drink Or Take of Diascordim three drams of Cinnamon-water and simple Angelica-water each five ounces infuse them hot in a close Vessel to draw a Tincture strain it and add to it fifty drops of Laudanum Cydoniated and a sufficient quantity of Syrup of Mint mingle them let him take two Spoonfuls every Night at bed-time and in the Day a spoonful after every Stool Or Take of London Laudanum three grains of Doctor Stephens's water and of Cinnamon-water hordeated each one ounce of Syrup of Quinces one dram mingle them make a Draught let him take it at bed-time repeat it at three in the Morning and at eight in the Morning Take of the Leaves of Mint the tops of Wormwood each four handfuls of Zedoary Galingal Cyperus sweet smelling Flag Nutmeg sharp Cinnamon Mace each half an ounce of Cubebs Cloves each two drams make two Bags to be boiled in Clarret-wine and Smiths-water each a quart press them hot out of the Liquor and apply them by turns to the Region of the Stomach Take of Conserve of common Wormwood half an ounce of old Mithridate Six drams of Powder of Mastich a sufficient quantity make a Plaister to be spread on Leather and to be applied to the Region of the Stomach you must spread the Margin with Paracelsus's Plaister to make it stick Or Take of the Stomach-plaister three drams of Oyl of Mace by Expression two scruples of Chymical Oyl of Wormwood and of Chymical Oyl of Mace each two drops mingle them make a Plaister to be applied to the Stomach Take of Diascordium six drams of Venice Treacle two drams boil them in Cows Milk let eight ounces of the strained Liquor be injected for a Glister and let it be repeated thrice Or Take of the Roots of Tormentil three drams of Yellow Mirobalans two drams of Balaustins one dram and an half of the Flowers of red Roses half an handful of Rice bruised half an ounce of Coriander-seeds half an ounce boil them in a sufficient quantity of Fountain-water to fourteen ounces strain it and make a Glister of half of it and give the other half four hours
the following are most frequent and ordinary a stinking Breath and Excrements like Cow-dung There are other Signs but they are not so common as a continual Feaver which has Exacerbations often in a Day with a cold Sweat Anxiety and sometimes with fainting Nauseousness Vomiting and great Thirst the Pulse are unequal the Cheeks are red by turns or wax livid the Eyes shine the Nostrils itch the Teeth gnash there is a small dry Cough the Spittle is more than usual sometimes the Head is heavy there is a sleepy Disposition sometimes a Delirium and Convulsive Fits there is most commonly a pain in the Belly like a gnawing or Biting sometimes the Belly swells as in a Dropsie sometimes the Body wastes beyond Measure and sometimes there is an insatiable Appetite The Worms called Ascarides are known by a troublesome itching about the Fundament and they also often appear upon the Excrements To conclude Putrefaction of the Gums is also a Sign The Cure of Worms is to be directed to the Expulsion of them by purging Medicines that kill them and expel the Matter from whence they are generated Take of calcin'd Harts-horn three grains of Mercurius dulcis sprinkled with a drop of Oyl of Sulphur by the Bell grains fifteen of Diagridium grains nine of Cinnamon grains two of Spirit of Harts-horn drops three mingle them make a Powder to be taken in the Pap of an Apple once a Week Take of Spirit of Harts-horn half a dram give ten drops at Bed-time after Purging thrice Or Take of the Roots of Virginian Snake-weed one Scruple of Harts-horn calcin'd and of Coraline each half a Scruple mingle them make a Powder to be divided into three Doses give one Morning and Evening in a small Draught of the white Decoction Take of Aloes and Mirrh each one dram and an half with a sufficient quantity of Venice-Treacle and Oyl of Wormwood make a Plaister for the Region of the Navel For broad Worms and Ascarides make a Glister of bitter things with Catharticks and repeat it often till the impurity from whence the Worms are generated is evacuated Horatius Augenus mentions an Observation of a Man about twenty six Years of Age that grew extreamly hungry so that nothing would allay his Appetite at length he voided a Worm twenty five Cubits long and recovered a moderate Appetite he cured him by the following Medicines he gave him a pint and an half of fresh Oyl of sweet Almonds divided into four Doses to be taken a quarter of an hours distance one from another just before Dinner he gave him two Bolusses made of a dram of Hiera Picra and one Scruple of Rubarb and presently after ordered him to take six ounces of a Decoction of Sebestines and before Supper he injected a Glister made of a quart of Goats-milk and gave him a dram and an half of the Pill of Aloes not washed CHAP. LXXX Of an immoderate Flux of the Hemorrhoides and of the Pain of them AN immoderate Flux of the Hemorrhoides is very dangerous and occasions other dangerous Diseases viz. Weakness of the whole Body a Consumption Cachexy and Dropsie The same Remedies are good for the Cure which were prescribed for Bleeding at the Nose The Hemorrhoidal Veins ending in the Extremity of the right Gut and Fundament are often swelled whereby much Pain is often occasioned As to the Cure first Blood must be drawn from the Arm that Revulsion may be made from the part affected which being sufficiently peformed a Vein in the Foot must be opened for Derivation The Belly must be kept continually open because hard Excrements and straining to evacuate them exasperate the Pain an Infusion of Cassia taken Morning and Eve is very good to loosen the Belly Take of the Leaves of Lettice and Purslain and the Tops of Mallows each one handful of Liquorish rasped and of Raisins of the Sun ston'd each half an ounce of the flowers of Bugloss and Borrage and of Violets each one Pugil boil them to eight ounces in the strained Liquor dissolve of Cassia fresh extracted one ounce strain them and clarifie them and add to them one ounce of Syrup of Violets In the mean while various Topicks are to be applied to the Part to asswage the Pain and Inflammation and to discuss the Tumour Oyl of sweet Almonds fresh drawn applyed to the Part eases the Pain and several Liniments and Oyntments may be prescribed for the same Purpose whereof some ease the Pain others dicuss and dry and others heat the Ulcers they are to be applyed with Lint or Cotton Take one Yolk of an Egg of Oyl of Roses or of Violets as much as is sufficient make a Liniment and if you add to it Populeum Oyntment 't will be more effectual to ease Pain and when the Pain is very violent a few grains of Opium may be added to it Or Take of the Mucilage of the Seeds of Psyllium and of Faenugreek extracted with Wine two drams of fresh Butter three ounces of Kid Suet one ounce stir them together in a Leaden Mortar make a Liniment Balsom of Sulphur made of the Flowers of Sulphur and Oyl of Turpentine is excellent to ease Pain and to discuss the Swellings and to cleanse the Ulcers a white Onion roasted under Ashes and mixt with fresh Butter like a Cataplasm eases the Pain and discusses the Swellings but if they cannot be easily resolved they must be opened after convenient Revulsions with a Knife or by Leeches CHAP. LXXXI Of the Jaundice THE Jaundice arises by the Consent of most from an Obstruction of the Gaul-bladder As to the Cure a Vomit at the beginning of the Jaundice whilst the Strength and Tone of the Bowels are firm does often good Take of the Infusion of Crocus Metallorum half an ounce or six drams of Wine of Squils one ounce of simple Oxymel half an ounce make a Vomit Purging Medicines are to be used in this Disease whether it be new or old Take of the Electuary of the Juice of Roses six drams of Rubarb one dram of Salt of Wormwood and Cream of Tartar each half a Scruple with a sufficient quantity of Syrup of Rubarb make a Purging Bolus to be taken in the Morning Or Take of the Pill Ruffi one scruple of extract of Rudius half a scruple make four Pills take them in a Morning and repeat them four or five Days afterwards once a Week Take of Elixir Proprietatis one ounce let him take twenty Drops in a glass of Wite-wine every day in the Morning and at five in the Evening Or Take of Madder and Turmerick each one ounce of all the greater Celandine and of the Tops of the lesser Centaury each one handful boil them in equal parts of Rhenish-wine and Fountain-water to a quart in the strained Liquor dissolve two ounces of the five opening Roots let him take half a Pint Morning and Evening hot till he is well Silvius much commends a Decoction of Hemp-seed and Soap dissolved our common Remedy
pound of the Ashes of Broom to be infused in the cold in three Pints of Rhenish-wine and that a Pugil or two of the Leaves of common Wormwood be added to it let the Sick take four ounces of the Liquor filtrated daily in the Morning at five in the Evening and late at Night till the Swelling goes off with which Remedy alone I have known some Dropsies that were accounted deplorable cured in such whose weak Constitution could not bear Purging But to come to the second Intention half the Business is no more than done when the Water is evacuated wherefore we must endeavour to strengthen the Blood by a long and daily Course of heating and strengthening Medicines to prevent a new Collection of Water and to this end the Sick must drink Wine whilst he is under Cure after the Passages are open for the Water to go out or instead of Wine strong Beer For poor People who could not provide better Medicines I use to order Srong-beer wherein Horse-radish Root the Leaves of common Wormwood Garden Scurvy-grass Sage the lesser Centaury and the Tops of Broom have been infused for their ordinary Drink Rich People may use Canary-wine wherein the same bitter Herbs have been infused whereof a small draught may be taken twice or thrice a day or they may take nine spoonfuls of Wormwood-wine instead of it after two drams of the following Digestive Electuary in the Morning at four in the Afternoon and at Bed-time Take of Conserve of Garden Scurvy-grass one ounce and an half of the Conserve of Roman Wormwood and of the yellow Rind of Oranges each one ounce of candied Angelica and Nutmegs candied each half an ounce of Venice Treacle three drams of the compound Powder of Wake-robin two drams with a sufficient quantity of Syrup of Oranges make an Electuary The Sick must be sure to drink sparingly of small Liquors but to take off his Thirst he may often wash his Mouth with cold Water sharpened with Spirit of Vitriol and he may hold Tamarinds in his Mouth now and then or may chew a Lemon but he must swallow neither of them But amongst corroborating things Steel is not the least Garlick is also very good and without any Evacuatious I have known a Dropsie cured by it Take of Syrup of Steel a quart let a spoonful be taken with fifteen grains of Cream of Tartar every Morning in five spoonfuls of the following Julep Take of Aqua-lactis Alexiter one Pint of compound Water of Wormwood and of compound Water of Gentian each three ounces mingle them make a Julep Take of Steel prepared with Sulphur of astringent Saffron of Mars each half an ounce of Crabs-eyes and red Coral prepared and of Salt of Wormwood each one dram of Volatile Salt of Amber one scruple of Extract of Gentian a sufficient quantity mingle them make ten Pills of every dram let him take four every Night at Bed-time 'T is to be noted that that Dropsie which only swells the the Legs or the Belly a little does not presently require to be cured by Vomiting and Purging for it 's often removed by the heating and strengthning Medicines above mentioned but above all 't is to be minded that when we undertake to cure this Disease by Corroboratives or Lixivial Medicines the Patient must by no means be purged Topical or external Remedies as far as I have observed do nothing considerable and Blisters often occasion a Gangrene To conclude though this Disease when it comes to a Dropsie of the Belly has been always accounted desperate yet it will appear that if it be treated according to the Method above described it may be as certainly cured if the Bowels are not corrupted as many other Diseases which are not reckoned so deadly CHAP LXXXIII Of a Timpany A Timpany is a fixt hard and equal Swelling of the Belly that sounds when 't is knock't upon with the Finger it proceeds from a Convulsive Inflation of the Bowels the Animal Spirits being obstructed in the Fibres it generally ends in a Dropsie Medicines do little good in this Disease yet they are not wholly to be rejected the following are prescribed by Dr. Willis Take of Peach-flowers and of Damask-roses each two pugils of the Flowers of Broom Elder and the lesser Centaury each one pugil of the Leaves of Agrimony and of Sea-wormwood each one handful of the best Senna one ounce of Rubarb six drams of the seeds of Bastard-saffron half an ounce of Dwarf-elder two drams of yellow-sanders three drams of the Roots of Galingal two drams cut them and bruise them and put them into a silken Bag and hang them in a Glass-bottle and pour upon them a quart of White-wine and a pint of Saxifrage-water and put into the Bottle a dram and an half of Salt of Tartar let them infuse forty eight Hours and then take four or six ounces every third or fourth Day The following has been used with Success in this Disease in a hot Constitution Take of purging-waters four quarts of Salt of Wormwood two drams evaporate a quart over a gentle Heat and to these I used to add of the Water distilled from Wine with Catharticks four ounces the dose is four or six ounces Or to the Purging-water evaporated to a quart add the Roots of Mecoacan and Tuâ—bith each half an ounce of Rubarb six drams of yellow-sanders two drams of Cloves one dram digest them hot in a close Vessel two hours filter them hot through Paper the dose is three or four ounces Glisters are often used in this Disease because they loosen the Belly without much provoking the Fibres Take of the Infusion of Stone-horse-dung with Camomil-flowers one pint of Mercurial-honey two ounces make a Glister Or Take of Vrine one pint of Sal-prunella one dram of Venice Turpentine dissolved with the Yolk of an Egg one ounce and an half mingle them make a Glister Diureticks also seem proper Take of live Millepedes cleansed three ounces one Nutmeg sliced beat them together and pour upon them a Pint of the following Diuretick-water strain out the Liquor hard the dose is three or four ounces twice a day Take of the green-berries of Juniper and Elder each six pounds of the Tops of Fir four pounds of green Wallnuts two pound of Winteran Bark four ounces of the yellow-Peel of six Oranges and four Lemons of the Seeds of Bishops-weed Rocket and Cresses each one ounce and an half of Dill two ounces cut them and bruise them and pour upon them four quarts of White-wine Posset-drink distill them in a common Still and mingle all the Waters Whilst these things are taken inwardly Topicks must be also applied not such things as are hot and discussing but those things which are indued with Particles of Volatile Salt and Nitre Take of the Flowers of Sal-armoniack one ounce of Sal-prunella two ounces of small Spirit of Wine a quart mingle them and dissolve them in a Bottle Flannels dipt in this are to be applied warm over
the Belly twice a day for the space of half an hour afterwards apply a Cataplasm made of Cows-dung and the powder of Dogs-dung or the following Plaister Take of the Plaister of Sope that is of the red-lead Plaister with a sufficient quantity of Venice Sope spread it thin upon thin Leather and apply it to the Belly and renew it within ten or twelve Days Altering Medicines are also requisite Take of the Filings of Steel finely powdered two drams of the distilled Water above described a quart of the Syrup of the five opening Roots two ounces mingle them in a Glass and let them clarifie by standing The dose is three or four ounces in the Morning and at five in the Afternoon Take of the Powder of the Roots of Wake-robin and of Crabs-eyes each three drams of Sal-Prunella two drams of Vitriol of Mars one dram and an half of Anthosat Sugar two drams mingle them the dose is half a dram in a convenient Vehicle And Medicines are to be prescribed against Fainting Difficulty of Breathing Watching and Drouth Cordials Take of the Waters of Orange-flowers of the Flowers of Marigolds and of Camomil each three ounces of Dr. Stephens's water two ounces of Tincture of Saffron two drams of Sugar one ounce of Pearls one dram make a Julep the Dose is four or five spoonfuls thrice or oftner in a Day Take of the Conserve of Marigold-flowers two ounces of Confection of Atkermes and of Hyacinth each two drams of Pearls powdered one ounce of the Syrup of the Juice of Citron a sufficient quantity make a Confection let him take the quantity of a Nutmeg Morning and Evening drinking upon it a draught of the Julep Hypnoticks Take of the Hysterick-water six drams of Diacodium half an ounce mingle them let it be taken at Bed-time Or Take of Syrup of Cowslips three Spoonfuls of compound Peony-water one spoonful of Laudanum tartarized one dram let a spoonful be taken in the Night if the Sick cannot sleep To quench the Thirst without much drinking which is always very prejudicial let the Sick lick often a small quantity of the following Linctus Take of Conserve of Wood-sorrel pulped three ounces of the Pulp of Tamarinds two ounces of Sal-prunella one dram of the Syrup of the Juice of Wood-sorrel a sufficient quantity make a Linctus CHAP. LXXXIV Of an Anasarca AN Anasarca is a white soft Swelling of the outward parts of the Body or of some of them it yields to the Touch and will pit and is occasioned by watry Humours extravasated As to the Cure there are two things chiefly to be minded First That the Water within the Skin should be evacuated Secondly That Care be taken to prevent the heaping up of new Water to which End we must endeavour the Viscera of Concoction being freed from Obstructions and Filth that good Chyle be made and carried in a due quantity to the Mass of Blood and that it be sufficiently fermented The Vital Indication is of little use in this Disease because there is seldom Fainting or Watching for which Cordials and Hypnoticks are required and also a strengthning diet for Fasting and Abstinence do good in this Case and often perform the greatest part of the Cure for the Vessels being emptied by Fasting absorb the Waters within the Skin or stagnating elsewhere and evacuate them by the Reins or the Pores of the Skin or otherwise The Sick must use purging Medicines prescrib'd for a Dropsie and the same Diureticks A Decoction of the Woods is also very proper Take of the Shavings of Guajacum six ounces of Sassafras two ounces of all the Sanders each six drams of Ivory and Hartshorn rasped each three drams infuse them and boil them in four quarts of Fountain-water till half is consumed adding to it the Roots of Sweet-smelling Flag of the lesser Galingal of Burdock and Butter-bur each one ounce of the Leaves of Sharp-sage and of dried Germander each two handfuls keep the strained Liquor for use the Dose is eight or ten ounces hot twice a Day to every Dose add twenty or five and twenty drops of Spirit of Saâ—armoniack with Amber or of Soot or of the Tincture of Salt of Tartar half a dram or a dram Frictions do often good in an Anasarca wherefore the whole Body may be rubb'd once or twice a day with a course Napkin or with Brushes made for that Purpose Blisters evacuate the Water plentifully but there is Danger of a Gangrene by the use of them But Escharoticks may be more safely used than Blisters an Emperick often evacuated successfully Water from the Members of Dropsical People if they were never so much swelled in the following manner by an Escharotick viz First he fomented their Legs Morning and Evening with a Decoction of Dwarf-elder Wormwood Camomil and other hot Herbs the grounds of Beer or Wine being added to it and betwixt the times of Bathing he applied a Cataplasm made of the Dregs of the Decoction and Bran after these things had been used three days he covered the Legs and Feet with a Plaister made of Burgundine-pitch leaving only upon each Calf a little hole about the bigness of a small Nut in which places he applied an Escarotick Medicine to the naked Skin made of the Ashes of the Bark of the Ash which being taken off after twelve hours a small Eschar remained from the pores whereof the Water first drained gently and daily afterwards it dropt more freely but when the Eschar cast it flowed as from a Fountain till it had emptied the Legs Another Way remains as good as the former but less us'd to drain the Water viz. By pricking with a Needle which also must be used cautiously and leisurely lest the Flux of Waters should be too great provide such a Needle as Tailors use and prick the Place that is most swelled with it so as that the Blood may not come you must prick only six or seven Holes at at a time at the Distance of the Breadth of a Thumb one from the other the Water will break out drop by drop from each Hole continually till all the Swelling about the Parts prick'd disappears and then the next time sometimes after twelve hours sometimes after eighteen and sometimes after twenty four prick again in another part of the same Leg or in the other and so once or twice a day in this or that Member in one or two or more at a time for the Water may be drawn more plentifully and safer this Way than any other and if the Breeding of new Water be prevented by Medicines the Disease will be easily cured Moreover in a deplorable Dropsie the Life may be prolonged this way An old Man of Seventy Years of Age that was dropsical all over kept his Head above Water and lived many Months by this means contrary to Expectation But to strengthen and restore the Blood the following Medicines must be used Take of Conserve of Sea-wormwood of Scurvy-grass and the yellow Peel
ounce boil them in a quart of Fountain-water till half is consumed add a Pint of Rhenish-wine strain it presently and add to it half an ounce of the best Senna six drams of Rubarb half an ounce of the Leaves of Black-hellebore of the yellow Peel of Oranges two drams infuse it warm in a close Vessel twelve hours keep the strained Liquor in a Glass well stopped the dose is five or six drams After Purging once or twice if Bleeding be indicated you must bleed in the Arm or with Leeches After Bleeding many Remedies of another kind are necessary but that you may prescribe orderly you must consider whether the Preservatory Indications have only place here or whether some curatory Indications namely such as respect the Symptoms that are violent ought not to be minded between whiles But if there be no urgent Symptom you must wholly apply your self to the Cure according to the following Method And as to the Cure of the Symptoms we shall treat of them by themselves below Wherefore If your chief Design be to erradicate the Cause of the Scurvy digestive and Specifick or Antiscorbutick Remedies must be used at all times except on the Days the Sick purges whereunto if there be Occasion Diaphoreticks or Diureticks must be sometimes added Various Forms are prescribed by Authors every where to answer these Intensions but we will only mention the chiefest which according to the twofold Disposition of the scorbutick Cause viz. The Sulphurous Saline and the Salino sulphurean Discrassy of the Blood we will distinguish into two Classes And First Of the cold Scurvy Among Digestive Medicines Cream of Tartar Salt and Tincture of it Tartar vitriolated Elixir Proprietatis or either of these may be taken twice a day Or Take of the Winteran-Bark of Wood of Aloes of the Roots of the lesser Galingal each two drams of Cinnamon Cloves and Cubebs each one dram of the Seeds of Bishops Weed and Cresses each half a dram bruise them and pour upon them the following Menstruum three Fingers high digest them in a Matrass six days in Sand keep the strained Liquor in a Glass well stopeed The dose is twenty drops more or less in a Spoonful of Canary-wine or some proper Water twice a Day The Menstruum is made in the following manner Take of Spirit of Vitriol rectified six ounces of Spirit of Wine rectified sixteen ounces mingle them and distill it in a glass retort and Cohobat it thrice and keep it in a Glass well stopt for use Elixir Proprietatis is made easier and better by this Menstruum than by the common way Whilst these Remedies are given in a small quantity Morning and Evening Antiscorbutick Medicines of another kind may be taken which are generally prescribed in a double Form viz. Solid and Liquid to be taken together the Solid first and the Liquid presently after Take of the Conserves of Scurvy-grass and Roman Wormwood and of Fumitory each two ounces of the Powder of the Winteran-bark of the Roots of Angelica and of Wake-robin each two drams of the Species of the three Sanders one dram and an half of the Powder of Crabs-eyes one dram of Salt of Wormwood two drams with a sufficient quantity of the Syrup of the Bark of Citron make an Electuary Take of the Conserves of the Leaves of Scurvy-grass and Brook-lime made with an equal quantity of Sugar each three ounces of the Troches of Capers and of Rubarb each two drams of Salt of Wormwood and of Scurvy-grass each one dram of Ivory Powdered and Coral calcined each one dram with a sufficient quantity of the Syrup made of the Juice of Scurvy-grass make an Electuary I use to prescribe Conserves made of the yellow Peel of Lemons and Oranges of the Purple-flowers of the Ash of the Leaves and Flowers of Ladies-Smock of the Roots of sharp-pointed Dock and of English Rubarb made with an equal quantity of Sugar which I give by themselves or mixed with other Conserves or Species For Country and poor People who desire Medicines that are cheap and easily prepared I prescribe after this manner Take of the Leaves of Scurvy-grass and Brook-lime each four ounces of white Sugar eight ounces beat them together in a Mortar and add to them of the Powder of the Winteran-bark half an ounce of Tartar calcined with Niter three drams with a sufficient quantity of Spanish-wine make an Electuary The Dose is the quantity of a Wallnut twice a day drinking upon it some proper Liquor Take of the Leaves of Scurvy-grass one pound of Raisins of the Sun stoned and of White Sugar each half a pound of the Lees of the Root of Horse-radish two ounces beat them together and reduce them to the Form of an Electuary In some scorbutical cases where the use of Steel is indicated three drams of Steel prepared with Sulphur or two drams of Vitriol of Mars may be mixed with any of the Electuaries After the taking of the Medicine once or twice a day the Body must be exercised Take of the compound Powder of Wake-robin one ounce and an half of Winteran-bark half an ounce of Cubebs grains of Paradise and Cardamoms each two drams of Salt of Wormwood three drams of Tablets of Oranges three ounces make a Powder The dose is one dram in some proper liquor For Delicate People the following Tablets may be prescribed Take of the Powder of the Winteran-bark and of Crabs-eyes each one dram and an half of Pearles powdered half a dram of white-sugar dissolved in a sufficient quantity of the Water of Worms and boiled to Tablets six ounces of Spirit of Scurvy-grass two drams make Tablets each weighing half a dram let two be taken twice a day drinking upon them some proper Liquor Tablets of Oranges are made in the following manner Take of Orange Lemmon and Citron peel candied each one ounce of Eryngo-roots candied half an ounce of Pine and Pistach-nuts each twenty of sweet Almonds blanched number ten of Annise-seeds powdered half an ounce of Ginger candied two drams of the Species Aromatick Rosat and of Nutmegs each one dram and an half of the Roots of Galingal one dram of Cloves number ten of Ambar-grease grains four of Musk and Civet each grains two of White-sugar dissolved in Rose-water and boiled to Tablets one pound and an half and so make Tablets Antiscorbutick Wines and Beers Take of the Leaves of Scurvy-grass four handfuls of Horse-radish-root rasped four ounces of Winteran-bark bruised half an ounce of the yellow peel of four Oranges and as many Lemmons put them into a glass and pour upon them six quarts of Rhenish-wine keep the Glass close stopt in a cold place let a quarter of a pint be taken Morning and Evening and at dinner-time daily and pour off the Wine clear when you use it But medicated Beer is more common for the Scurvy to be drank constantly for ordinary Drink Provide four Gallons of Ale and instead of Hops boil in it four handfuls of the tops of
Pine or of Fir when it has done Working in the Vessels put in four handfuls of Scurvy-grass four ounces of the Roots of Sharp-pointed Dack and the Peels of four Oranges when it has stood a Week and is clear it may be drank for ordinary Drink Diet-drinks do a great deal of good in the Scurvy because they being continually taken with Meat they alter the Blood But in some Scorbutical cases and in a hot Scurvy Scurvy-grass Horse-radish and the Winteran-bark and other acrid things such as abound with Volatile-salt are sometimes injurious wherefore when the Morbisick Discrasie of the Blood is hot temperate Medicines are indicated Take of Conserves of Brook-lime and Ladies-Smock made with an equal quantity of Sugar each three ounces of the Species of the three Sanders of Diarrhodon Abbatis each one dram and an half of Ivory powdered one dram of Pearls half a dram of Salt of Wormwood and Tamarisck each one dram with a sufficient quantity of Syrup of Coral make an Electuary Take of the Conserves of Wood-sorrel and of Hips each three ounces or of the Conserve of the Roots of Sharp-pointed Dock and of the Roots of Succory each three ounces of the Troches of Rubarb two drams of the Species Diamargarite frigid one dram and an half of the Bark of Tamarisck one dram of Sal-prunella one dram and an half of Mirobalans candied number two with a sufficient quantity of the Syrup of candied Mirobalans meke an Electuary For the Poor I used to prescribe the following Electuary Take of the Leaves of Brook-lime six ounces of Wood-sorrel two ounces of White-sugar eight ounces bruise them and add to them half an ounce of the Flower of the Seeds of sweet Fennel of Ivory powdered two drams of Sal-prunuella one dram and an half with a sufficient quantity of the Syrup of the Juice of Brook-lime make an Electuary Take of the Powder of the Leaves of Ground-pine of the compound Powder of Wake-robin each one ounce and an half of Ivory powdered and of red Coral prepared with the Juice of Oranges each two drams of the Tablet of of Oranges two ounces The Dose is one Spoonful twice a Day Take of the Species of the three Sanders of Diamargarite frigid each one dram and an half of Pearls powdered Red-coral prepared and of Ivory powdered each one dram of Sugar dissolved in Scordium-water and boiled to Tablets six ounces make Tablets But if Chalybeats are to be mixed with these temperate Antiscorbuticks two or three drams of Crocus Martis or the like may be added to the Electuaries But it is often best to take Calybeats in Liquors Wines and mediated Beers Although the use of Wines in the Scurvy caused by reason of the Heat and sulpherous Saline Discrasie of the Blood are not very convenient nevertheless when the Weakness of the Stomach or Custom at least requires Wine mixed it with Water Such a Liquor that is temperated and medicated may be prepared In the first place Small Wines mixed with Water and those that are impregnated with the Infusion of Baulm Borrage and Burnet may be allowed Moreover Wines may be prepared of the Juice of Currants of Cherries and of Garden-fruits which may be ripened by Fermentation and are very grateful to the Stomach and purifie the Blood Syder is also very good if it be clear and not sharp Moreover many ingredients may be put into clear Syder as the Tops of Pine or of Fir the Flowers of Tamarisck the Raspings of Ivory or Harts-horn which sweeten and preserve the Liquor Temperate medicated Diet-drinks may be prescribed in the following Manner Provide six Gallons of Small Ale and instead of Hops boil the Tops of Pine or Tamarisck in it or the Raspings of the Wood of either of them and when it has done working put into a Bag sharp-pointed Dock dried which is an excellent Medicine for the Scurvy also the Leaves of Water-cresses or Brook-lime and Bank-cresses also Citrons or Oranges cut in Slices and hanged in Vessels Hitherto we have treated about the Removal of the Morbisick cause but when the Symptoms are very violent they require a peculiar Method of Cure And First Difficulty of Breathing with Narrowness of the Breast and Asthmatical Fits must be taken off by Medicines proper for the Symptom Elixir Proprietatis is of excellent use in this Case Pain of the Stomach Nauseousness Belching and Vomiting must be cured by a gentle Vomit of Wine of Squils or of Salt of Vitriol or the Patient must be purged with an Infusion of Rubarb with Salt or Cream of Tartar added to it Elixir Proprietatis is also good in this Case The Collick and Gripes must be cured by Glisters Opiats and testaceous Powders Take of the Powder of Crabs-eyes and of Egg-shells each one dram and an half of Pearls one dram make a Powder to be divided into twelve Doses whereof one must be taken every sixth hour in some Antiscorbutical-water And in this case Epsom and Barnet-waters do a great deal of Good An inveterate Diarrhea which frequently happens to Scorbutical People must not be stopt by astringent Medicines nor is it easily cured by Alteratives and Antiscorbuticks Tunbridge-waters and the like are of excellent use in this case Chalybeat Medicines are also very good but Crocus Martis is the best I have used the following Method often with very good Success First The Sick must be purged with the Powder or Infusion of Rubarb with some astringent Aromaticks added to it and it must be repeated three or four days after On the days the Sick does not purge he must take Morning and Evening the quantity of a Nutmeg of the following Electuary Take of the Conserve of Roman-wormwood made with an equal quantity of Sugar six ounces in a hot Constitution Conserve of Roses may be used instead of it of Diarrhodon Abbatis two drams of white and red Sanders powdered each one dram of the best Saffron of Mars half an ounce with a sufficient quantity of Syrup of Steel make an Electuary In a Bloody-flux and Tenesmus the like Method is to be used especially Tunbridge-waters or the like Moreover Glisters made of Vulnerary Decoctions must be often injected I lately cured a Man of a long Disentery who daily voided many Ounces of Blood by the following Remedy Take of the best Rubarb powdered two drams of Cinnamon one dram of Crocus Martis three drams make Pills with a sufficient quantity of Lucatellus's Balsam He took four sometimes every day sometimes every other day for the space of a Fortnight and was perfectly cured But he constantly drank a medicated Beer made of the Roots of Sharp-pointed Docks and of the Leaves of Brook-lime A Vertigo often comes upon an inveterate Scurvy as also frequent Swoonings and Numbness in the Limbs they are very difficultly cured by reason they are produced by a Scorbutick Salt obstructing the Brain and Nerves Cephalick Medicines such as are proper in the Vertigo and Paralitick Distempers which come of themselves
mixed with Antiscorbuticks are to be given Therefore the Body being cleansed by Catharticks which are proper in the Scurvy you may proceed with Medicines proper to cure these Diseases after this manner In the beginning of the Cure the Hemorrhoids are to be opened by the Application of Leeches and this ought to be often repeated unless something contraindicate Take of the Roots of Male-peony half an ounce of red Coraâ— prepared two drams of Man's Skull and Elks-hoof each one dram take of fine Sugar dissolved in Peony-water compound or the compound Water of Horse-radish and boiled to Tablets eight ounces of the best Oyl of Ambaâ— rectified half a dram make Tablets A dram and an half or two drams of them may be taken Morning and Night drinking upon them a draught of the following distilled water Take of the Leaves of Scurvy-grass Brook-lime Lillies of the Valley Sage Rosemary Bettony each three handfulâ— of green Wallnuts one pound the Peels of six Oranges and of four Lemmons the Roots of Male-peony green â— Pound and an half after they are bruised and sliced pour upon them of Flegm of Vitriol one pound of Who made with Syder five Pints distil them after the common manner mix all the Liquor together The Dose is three or four ounces Fluxes of Blood often threaten great Danger in the Scurvy therefore these Fluxes whether they be too great or from an inconvenient place ought to be stop for the present and guarded against for the future The common Method of stopping Blood when it flows immoderately is generally known and there is no peculiar thing more to be done on this Occasion than what is usual in other Fluxes of Blood Nevertheless to hinder these Fluxes of blood Remedies must be used which sweeten the Blood and contract the Orifices of the Vessels which are too lax and open Both these Intentions are excellently performed by Steel Medicines Take of the Conserve of red Roses and of Hips each three ounces of the Species Diarrhodon Abbatis of the three Sanders each a dram and an half of Salt of Steel one dram of Saffron of Mars two drams of red Coraâ— prepared one dram and an half with a sufficient quantity of Syrup of Steel make an Electuary The Dose is the quantity of a Nutmeg three times a day drinking upon it a Draught of some proper Liquor For the Poor you may prescribe after this manner Take of the Tops of Cypress and of stinging Nettles each four ounces of Brook-lime two ounces beat them in a Mortar with ten ounces of white Sugar afterwards add Filings of Steel finely powdered one ounce of white and red Sanders powdered each two drams with a sufficient quantity of Syrup made of the Juice of Nettles make an Electuary The Dose is the quantity of a Wallnut twice a day When the Scurvy does infect the inward Parts of the Mouth as when the Gums begin to swell and their Flesh grows spungy Medicines are presently to be used that resist Putrefaction Liquors to wash the Mouth and Liniments are of great use both at the beginning and height of this Distemper and as they respect various Intentions so they are to be prepared after divers manners Gargarisms or Waters for the Mouth are of divers kinds which are all made for the most part of the Decoctions of Vegetables or the Infusion of Minerals The Herbs and Roots which are boiled in a proper Liquor viz. Water or Wine are for the most part sharp bitter or stiptick Afterwards these Decoctions are impregnated with a Salt either volatile lixivial vitriolick or chalybeat and aluminous When the Gums are swelled and become spungy a Gargarism may be prescribed after this manner Take of the Bark of Elder and of Elm each half an handful of the leaves of Savory Sage Hedge-mustard and Cresses each one handful of the Roots of Pepper-wort two drams After they are cut and bruised boil them in three pints of Lime-water to the Consumption of the third part make a Gargarism it may be sweetned with two ounces of Honey of Roses Liniments may be also prescribed for the same purpose they are most properly applied at Night The following is greatly commended by Authors Take of the Powder of the Leaves of Columbines of curled Mint Sage Nutmeg Mirrh which is sometimes left out each two drams of Burnt-alum half an ounce of Virgin-honey a sufficient quantity make a Liniment If the Flesh of the Gums be dried and falls off from the Roots of the Teeth light Scarification is often used the Mouth also is to be washed with this Decoction Take of the Tops of Madder Cypress of the Leaves of Sanicle Ladies-smock each one handful boil them in three pints of Water wherein hot Iron hath been quenched to the Consumption of a third part add to the strained Liquor two ounces of Honey of Roses mingle them When the Gums are putrified and corrupted and the Teeth being carious and loose stink stronger Medicines and such as greatly resist Putrefaction are to be used The Infusion of Vitriol camphorated and of Lapis medicamentosus is very effectual in this case If deep and putrid Ulcers afflict the Gums or any other part of the Mouth strong Remedies must be often used also Cotton dipt in Aegyptiacum dissoloved in Spirit or in the Infusion of Lapis Medicamentosus or sublimate must be sometimes applied to the part affected Scorbutick People are also oftentimes afflicted with Pains in the Legs and in other Joints especially in the Night-time for the removing of which Pains which are sometimes very violent besides the general Method of curing the Scurvy Specifick Remedies are to be used Therefore in such a case Purging having been rightly performed and Bleeding if there be occasion for it Medicines both external and internal must be used As to the First Those that evacuate by Sweat and by Urine are oft-times very effectual Testaceous Powders Crabs-eyes the Jaw of a Pike the Spirit and Flowers of Sal-Armoniack Spirit of Blood Tincture of Antimony and of Coral Decoctions of the Roots and Seeds of Burdock Ground-pine and Germander are very proper and such like Remedies may be taken twice or thrice a day â—n distilled antiscorbutick-waters The distilled water of Horse-dung with Scurvy-grass Brook-lime and Ground-â—ine and the like may be conveniently used In the mean time Fomentations Liniments Cataplasms and â—uch like Applications must be applied to ease the Pain For a Scorbutical Gout Henricus Petreus mentions â—wo Remedies which are frequently used in Westâ—halia Take nine Worms beat them in a Mortar with two spoonfuls of Wine press it through a Cloth and add to it half a Measure of Wine let three spoonfuls of it be taken in the Morning at Noon and in the Evening for many days The other is as follows Take of Savin two or three Branches of Virgin-honey two spoonfuls boil them in a measure of Wine till the Wine sink two Fingers let four or five spoonfuls of the strained Liquor be taken thrice
a day Certainly the Magisterial-water of Worms of the London Dispensatory is very beneficial in this Disease so are the Spirit and Salt of Harts-horn Spirit of Blood Flowers of Sal-armoniack which I have often used with good Success Moreover Testaceous Powders as Crabs-eyes Coral Pearls and Vegetables which are counted good for the Gout as the Roots of Birth-wort the Leaves of Ground-pine and Germander and the like mixed with Antiscorbuticks conduce to the Cure of this Disease Oyl of Worms of Frogs and Toads are often useful to ease the Pain I have been told by a worthy Man that the Water drawn from what is contained in the Stomach of an Ox newly killed by Distillation and applied hot with Cloaths gives certainly ease For Convulsive and Paralitick Diseases occasioned by the Scurvy Remedies proper for them must be mixed with Antiscorbuticks For a Consumption and a Feaver ocasioned by the Scurvy gentle Catharticks Digestives and things that corroborate must be used And because they often arise from a scirrhous Tumour in the Stomach or Parts thereabouts things that open Obstructions are to be used as Tunbridge-waters and the like Moreover Fomentations Liniments and Plaisters must be outwardly applyed Asses or Cows-milk diluted with Barly-water or with some proper distilled-water is often good so is Broth made of Snails and Snails boiled in Milk Moreover Distilled waters of Milk or Whey with Snails and Antiscorbutick Herbs do a great deal of Good in this Case And for the Feaver the following Medicines may be used with a thin Diet Take of the Raspings of Harts-horn and Ivory each two drams and an half of Eryngo Roots candied six drams of the Roots of Chervil Dandelyon each half an ounce of the Leaves of Harts-tongue Liverwort each one handful one Apple sliced of Raisins one handful boil them in four Pints of Fountain-water to the Consumption of a third part pour the strained Liquor upon two handfuls of Brook-lime and a dram and an half of Sal-prunella or of Nitre fixed one dram let them infuse for the Space of three Hours four or six ounces of it may be taken three times a day Take of the Leaves of Brook-lime four handfuls of Wood-sorrel of the Herb and Root of Dandelyon each two handfuls of Snails cleansed one pound and an half the Peels of two Oranges After they are bruised and cut pour upon them six Pints of new Milk or Whey made with Syder or of the fresh Juice of Apples distill them after the common Way Three ounces may be taken twice or thrice a day A Scorbutical Rhumatism must be cured by Purging but especially by Bleeding and repeated sometimes according to the Strength of the Patient Diureticks and Diaphoreticks must be also used and four or six ounces of the Infusion of Horse-dung in Wine or Ale may be taken twice or thrice a day on the Days the Sick does not purge Spirit of Harts-horn or of Blood is also very good in this case A Scorbutical Dropsie arising from an evident Cause or occasionally is often cured wherefore if the Sick cannot sleep Opiats must be given and Purging must be repeated at due distances according to the Strength of the Patient and Glisters must be often injected to keep the Body loose Take of Mercurius Dulcis one Scruple of Rosin of Jalap five or ten grains of Cloves half a Scruple mix them and give it in a spoonful of Panado At other Times Diureticks and sometimes Diaphoreticks must be given Take of Tincture of Salt of Tartar impregnated with the Tincture of Millepedes as much as you please Give a Scruple or two Scruples twice a day in some proper Liquor Take of the Spirit of Sal-armoniack what quantity you please The Dose is fifteen drops Take of Mille pedes prepared three drams of Salt of Tartar two drams of Nutmegs one dram mix them make a Powder The Dose is half a dram twice a day with some proper Liquor Or Take of dried Bees powdered two drams of the Seeds of Bishops-weed powdered one dram of Oyl of Juniper one scruple of Turpentine a sufficient quantity for a Mass of Pills The Dose is one scruple or half a dram to be taken twice a day drinking upon it three or four ounces of the following Water Take of the Leaves of both the Scurvy-grasses of Water-cresses of Pepper-wort and Arsmart each three handfuls of the Roots of Wake-robin Briony and Florentine-orris each four ounces of the middle Bark of Elder two handfuls of the Winteran-bark two ounces of the yellow Peel of four Oranges and three Lemmons and of fresh Juniper-berries four ounces cut them and bruise them and pour upon them two quarts of Rhenish-wine and of the Wine made of the Juice of Elder-berries one quart Distill them in a common Still and mix the Waters The Dose is three or four ounces twice a day after a Dose of any of the Medicines above prescribed There remains one Symptom that comes though rarely upon the Scurvy viz. A crackling of the Bones but the Cure of it is not yet known An orderly Diet is of great moment in the Cure of the Scurvy The Sick must only eat Meat of easy Digestion he must avoid thick and clammy Meat and such as are smoaked and Pulse Milk-meats unripe Fruit and things that are sugared for the Scurvy has increased wonderfully of late by the immoderate use of Sugar Their Drink must be middling mild Beer that is clear and medicated with Antiscorbuticks Exercise and Labour are so beneficial in the Scurvy that many have been cured by them alone An Air moderately hot and dry thin and pure should be chosen CHAP. LXXXV Of the Stone in the Kidneys and of the Nephritick Pain THE Nephritick Pain is called that whick afflicts the Reins and Ureters The cause of this Pain is various but the most frequent is a Stone or gross Flegm The less frequent causes are Clods of Blood thrust into the Ureters or thick Matter conveyed from the Reins or other Parts into the Ureters The diagnostick Signs of the Stone The first Sign is a fixed Pain about the Region of the Loins the second is bloody Urine the third thin and little Water at the Beginning of the Fit which is sometimes succeeded by a total Suppression of Urine if both the Ureters be obstructed the fourth is the frequent voiding of Sand and little Stones the fifth is a Numbness of the Legs the Sixth is the drawing up of the Stones the seventh is Nauseousness and Vomiting The Cure of the Nephritick Pain and Stone sticking in the Reins and Ureters is peformed by dilating the Passages by the Explosion of the Stone or any other Matter which causes Pain and also by removing the antecedent Cause and mitigating the Pain to the which Indications the following Remedies answer Take of the carminative Decoction for a Glister ten ounces of the Electuary of Laurel-berries of the Electuary of Juice of Roses each three drams of Venice-turpentine dissolved in the Yolk of
Troches of Alkakengi which are peculiarly proper in this case must be used inwardly Also Emulsions of the cold Seeds of the Seeds of white Poppies adding if there be occasion Syrup of Poppies And lastly The Conserve of the Flowers of Marsh-mallows must be frequently given And the following Fomentation may be used to the Region of the Reins Take of the Roots of Marsh-mallows of the Leaves of Mallows Pellitory and Violets each one handful of the seeds of Flax Fenugreek and Alkakengi each three drams of the Flowers of Camomil Melilot and Water-lillies each one Pugil make a Decoction wherewith foment the Part with Flannels After the Fomentation use the following Liniment Take of Oyl of Violets and of sweet Almonds each one ounce and an half of Oyl of Roses one ounce of the Mucilages of the Seeds of Marshmallows and Fenugreek each two ounces of Suffron one scruple make a Liniment But to ease the Pain new Milk from the Cow with Dr. Gordon's Troches dissolved in it injected is the best Anodyne for it eases the pain and cures the Ulcer CHAP. XCI Of a Diabetes THis Disease was so rare amongst the Ancients that many famous Physicians made no mention of it but in our Age wherein excessive Drinking has been especially of Wine so much used there are many Instances of it As to the Cure The chief intentions of Healing are to prevent fusion of the Blood and to take off that which is so First The Fusion of the Blood is hindred when its gross and watry Parts contain one another and are contained so that they do not too hastily separate which may be effected by thickning Remedies and for this Purpose Rice Starch and Mucilaginous Vegetables also Gums and some resinous things are of use Secondly That the Fusion of the Blood may be taken off such Remedies are indicated as dissolve the Concretions of the Salts I have prescribed in this Disease the Tincture of Antimony with good success and Lime-water with the Seeds of Annise Raisins and Liquorish is much commended by some A Noble-man fell into a desperate Diabetes for besides that he voided a Gallon and an half of clear Urine that was almost as sweet as Honey in the space of a Night and a Day he was also afflicted with great Thirst a Hectick Feaver great Weakness and with a wasting of the whole Body he was cured in a short time by the following Medicines Take of the Tops of Cypress eight handfuls of the Whites of Eggs a quart of Cinnamon half an ounce having cut them small pour upon them four Quarts of new Milk and distill them in a cold Still Have a care of an Empyrema He took six ounces of it thrice a day Take of Gum-Arabick and Tragacanth each six drams of Penediate Sugar one ounce make a Powder give one dram or one dram and an half twice a day with three or four ounces of the distilled Water Take of Rubarb powdered fifteen grains of Cinnamon six grains make a Powder let him take it in the Morning and repeat it six or seven days after Take of Cowslip-water three ounces of Cinnamon-water hordeated two drams with half an ounce of Diacodium make a draught to be taken at Bed-time every Night His Diet was altogether in a manner of Milk which he eat sometimes crude sometimes boiled with Bread or Barley sometimes it was diluted with a distilled water or with Barley-water When he had been well a long time he fell into the same Disease again and the same Method and Medicines were ordered again whereby he grew better in a few Days afterwards he took five or six ounces of Lime-water daily thrice in a Day and having used it four days he voided Urine in a moderate quantity well coloured and somewhat salt I cured another of a deplorable Diabetes by the same Method especially with Lime-water CHAP. XCII Of Incontinence of Vrine INcontinence of Urine proceeds from a fault of the retentive Faculty of the Bladder it befalls either People waking and then the cause is great or sleeping and then it is less for at that time the Animal Functions are not so freely exercised and this happens two Ways viz. Either by the Weakness or Laxity of the Sphincter Muscle of the Bladder which sucking Children are subject to old People and some in their middle Age and others by false Imagination for many there are who by reason of excessive Drinking or by reason of the exquisite sense of the Bladder or sharp Urine piss in Bed in some sort willingly for they imagine in their Sleep that they are making Water against the Wall or some other Place and they are so accustomed to this Vice that they do it where there is no Fault either in Bladder or Muscle of it and they are not cured by Medicines but by rectifying their Imagination as in Children by the Rod and in grown People by placing some precious things upon the Places where they think they make water in their Dreams and by shewing such things to them often But a preternatural Disorder occasioning an Incontinence of Urine is seated in the Sphincter Muscle which is either affected Sympathically or Idiopathically it is affected by Sympathy many Ways as when the whole Body is weak and the Natural Heat decayed as when Death approaches or when the whole Body or half of it is seised with the Palsie or those Branches of the Nerves only which arising from the Os sacrum are communicated to the Bladder This Resolution of the Muscles is occasioned sometimes by reason of the Nearness to other Parts affected as in Women with Child in swellings and Pains of the Womb and great Diseases of the right Gut But the Sphincter Muscle is also affected various ways Idiopathically as by Wounds upon it as it happens in cutting for the Stone or by reason of deep Wounds that hinder the Contraction and Shutting of it but the chief and most frequent cause is a cold and moist Intemperies whereby that part is weakned and relaxed This Intemperies is much furthered by a natural cold and moist Constitution by Childhood Age the Feminine Sex by Diseases of the whole Body or of some Parts arising from a cold and moist Intemperies to which may be added external causes proper to produce such an Intemperies The Diagnostick Signs of this Disease either shew a Sympathick Disease which are to be taken from the Effects proper to produce an Incontinence of Urine mentioned above and if they are present we must suppose the Disease proceeds thence but if they are absent we must count it Idiopathick and if it be occasioned by a Wound Ulcer or any other Disorder of the Sphincter it is easily known but if none of these appear we must consider whither there be a cold and moist Intemperies of the part which may be known by the Constitution of the Internal and external Causes and by the Effects of them as softness of the whole Body a pale Colour a Laxity of the
it before in those parts but if he be delirious or paralitick the Suppression of Urine may be imputed to either of these Diseases The Compression that is made by Tumours of those or of the neighbouring parts or by other Causes above mentioned may be known by the proper Signs of those Diseases The Obstructions of the Channel of the Bladder may be known by probing it with a Wax Candle or a Catheter and if they do not penetrate but stop in the Passage it is a Sign that a Stone or a Caruncle or some other Matter obstructs and these things that obstruct may be distinguished viz. If a Stone stop the Channel Nephritick Pains went before if it fell from the Reins and if it was bred in the Bladder or lay a long while there the Signs of the Stone in the Bladder preceded at least some of the gentlest of them if a Caruncle stop the Passage a virulent Gonorrhea preceded or an Ulcer in the Passage of the Yard that emitted purulent Matter for a long time Lastly If clotted Blood or concreted Matter or thick Pus occasioned the Obstruction small parts of them have been evacuated through the Yard or have stuck to the Catheter when it has been used A false Ischury may be known for that there is no Tension nor no Tumour nor Weight in the Region of the Pubis but rather a Vacuity is perceived there there is no desire of making Water nor no Irritation of the Bladder and when the Catheter is used it passes in easily but Signs of the Stone in the Kidneys went before or of an Inflammation of the Ureters or of great Fullness or large Drinking went before but little Urine followed upon which account the Veins were too much filled Or Lastly there is a burning Feaver or a Dropsie whereby the Serous Matter is diverted As to the Prognostick A Suppression of Urine is very dangerous if it exceed the Seventh Day it certainly kills for the Serum regurgitates upon the whole Body and the Patient is in danger of a Suffocation or a Coma. Suppression of Urine occasioned by a Wound in the Spine or by reason of a Luxation of a Vertebra is incurable If the Smell of Urine can be perceived from the Mouth or Nostrils of the Sick it is deadly If a Tenesmus come upon a Suppression of Urine the Sick dies in seven Days The Hickops also indicate sudden Death The Cure of a Suppression of Urine whether it be total or partial is to be directed to the taking off the Causes And First The false Ischury that depends on the Diseases of the Reins or Ureters must be cured in the same manner as an Inflammation a nephritick Pain or the Stone in the Kidneys But that which proceeds from a Fulness of the Emulgent Veins must be cured by large Bleeding and by Hydragogue Medicines A true Ischury must be also cured by Remedies that take off the cause producing it And First If it proceed from an Inflammation of the Bladder or neighbouring Parts it must be cured as an Inflammation of the Bladder is but if the Suppression is caused by a Stone thrust into the Neck of the Bladder it must be removed by the following Remedies First The Sick must be laid upon his Back and his Legs must be elevated and he must be shook much and a long while that the Stone may fall back into the Bladder and if by this means it cannot be moved it must be forced back with a Catheter but if the Stone has passed into the Passage of the Yard we must endeavour by all Ways to exclude it by moving gently with the Fingers towards the end of the Yard and also by dipping the Yard into warm Milk or by placing the Sick in a Bath to enlarge the Passage But if it will neither go backwards nor forwards Practitioners teach that it must be cut out the upper and lower part being tied But an Obstruction of the Neck of the Bladder which proceeds from an Inflammation must be cured by proper Remedies for an Inflammation But in the mean time if the Urine be retained too long it may be gently let out by a Wax-candle dipt in Oyl of sweet Almonds But you must forbear the Use of a Catheter least Pain being occasioned you should increase the Inflammation thereby But the Suppression of Urine which proceeds from a Caruncle must be cured by the Extirpation of the Caruncle This must be done by proper Remedies thrust in by a skillful Chirurgion upon a Wax-candle But Necessity urging for sometimes the Caruncle swells and obstructs the whole Channel we must use the Catheter to evacuate the Water though there is danger that the Part will swell more But you must first endeavour to lessen the Inflation of the Caruncle by Bleeding and Vomiting and by repelling Medicines applied to the Pubes and Perinaeum If the Suppression of Urine be occasioned by thick Flegm Purging is first convenient with Diaphaenicon and Rubarb made up in a Bolus and afterwards Turpentine must be given frequently with Powder of Liquorish afterwards a Decoction of the opening Roots may be given with Oxymel and Byzantine Syrup In the mean while Glisters Fomentations and emollien and opening Baths must be used and all those things are proper that are proposed to dissolve or expell the Stone And amongst the rest the following are found by Experience peculiarly proper Take of Benedictum Laxativum half an ounce of the Troches of Mirrh two scruples of a Decoction of Savin three ounces mingle them make a Potion whereby a Suppression of Urine was cured in a short time in a certain Woman If there seem to be abundance of Flegm in the whole Body a universal Purge by an Apozem prepared for three or four Days must be ordered which is proper at the beginning Bleeding being first used A Julep also of the Juice of Pellitory of Sea-fennel and of Lemmons with Oyl of sweet Almonds is also very beneficial Dodoneus mentions an Observation of one of eighty Years of Age that was perfectly cured of a Suppression of Urine by only using once a Lee made of the Ashes of Egg-shells mixed with Rhenish-wine Arnoldus Villa Novanus commends Winter-cherry-wine and he mentions a Cardinal who had not made Urine for four Days and was much swelled was cured by drinking Winter-cherry-wine the Wine was made by beating five or seven or more winter-cherries with good White-wine afterwards it must be strained Millepedes also beat and given in White-wine are very Effectual to provoke Urine Oyl of Scorpions of Mathiolus also forces Urine powerfully five or six drops of it being given with Broth or some other Liquor The frequent use of Sal-prunella does also the same especially when there is danger of an Inflammation which is often occasioned in the inner Coat by the Urine too long retained Spirit of Salt also does the same but is more effectual the Juice of Pellitory clarified and four ounces of it given with half an
ounce of Sugar is very good Sal-prunella or the Spirit of Salt may be mixed with it If Suppression of Urine occasioned by a phlegmatick Matter often recur nothing is better than the Bath-waters which easily dissolve and cleanse away the Mucilaginous Matter A certain Nobleman that was afflicted with a Suppression of Urine for many Days after other Medicines used to no Purpose was freed by injecting the following Glyster which he retained two Hours Take of the Roots of Smallage and Parsly Knee holm Asparagous Mallows each two drams of Pellitory two handfuls of the Seeds of Annise Fennel Daucus Bishop-weed bastard Saffron Rue Cummiâ— and Juniper-berries each half an ounce of the Flowers of Camomil Mellilot Dill and Stoechas each two Pugils boil them in Whitewine till half is consumed in one Pint of the strained Liquor dissolve four ounces of fresh Butter of Honey of Roses two ounces of red Sugar one ounce of Benedictum Laxativum half an ounce of the Yolk of one Egg of Oyls of Nuts Dill or Linseeds one ounce make a Glister In the whole Course of the Cure Fomentations Liniments Cataplasms Baths and the like must be used among other things a Cataplasm of Pellitory fried with Butter or rather with Oyl of Scorpions is good also a Bladder half full of Oyl wherein Cantharides have been boyled A Cataplasm made of Onyons fried in Lard and with some Oyl is commonly applied to the Region of the Pubis and Loins When an Ischury proceeds from clotted Blood Troches of Ambar Mumny simple Oxymel Oxymel of Squills Syrup of Sorrel and the like must be used and Cow-dung outwardly applied does Wonders Lastly when the Suppressions proceeds from Pus things that cleanse and incide must be used such chiefly as were proposed for an Ulcer of the Reins and Bladder CHAP. XCIV Of a Dysury or Heat of Vrine THe next and immediate Cause of rendring Urine with Pain is a Solution of the Continuum in the Sphincter Muscle or Channel of the Bladder and therefore whatsoever causes Solution of the Continuum in those Parts occasions also a Dysury or Heat of Urine Among these Causes the chief and most frequent is an Acrimony of the Urine sometimes simple without the Mixture of other Humours which a hot Intemperies of the Bowels or of the whole Body or the use of acrid and hot Meats occasions it But it is most commonly from a Mixture of acrid Humours sometimes Matter flowing from the Reins or Bladder ulcerated occasion such an Acrimony in the Urine and sometimes a white and Milky Matter that is emitted plentifully with the Urine occasions the Heat of it also a Stone in the Bladder or Gravel produces the same Lastly An Inflammation as in a Gonorrhea as long as the Prostratae are Inflamed the Heat of Urine continues The Signs of the Causes may be thus distinguished If it proceeds from an Acrimony the Urine is thin and high coloured or there will be a Mixture of Purulent Matter and an Intemperies of the Bowels went before or hot and acrid Aliments the Heat of the Air or the like heating causes preceded Lastly Stones and Inflammations of these parts may be known by their proper Signs As to the Prognostick This Disease is not of it self dangerous but is very troublesome to the Patient and is sometimes difficultly cured especially in old Men who if they are decrepid have it as long as they live and if it continue long in any Age it ulcerates the Neck of the Bladder The Cure is first to be directed to the taking off the Cause and therefore if it arise from the Stone an Inflammation or from an Ulcer of the Bladder or the Neck of it the Cure must be taken from the Chapters of these Diseases but those things which are mentioned below may much abate the Symptom But that which proceeds from an Acrimony of Urine and from hot Humours mixed with it must be cured with the following Remedies And first To qualifie the Intemperies of the Parts frequent Bleeding is necessary and it must be often repeated if there be a great quantity of Blood or danger of an Inflammation Purges are also convenient in this Disease but they must be lenitive and cooling for otherwise they mightily exasperate the Heat of Urine wherefore some do not dare to give any thing besides a simple Bolus of Cassia and this is certainly to be preferred before all other things Yet it may be made more cooling if Tamarinds are added to it or a Decoction of Lettice Purslain and the Tops of Mallows with Cassia may be taken for many Days that the acrid Humours flowing to the Urinary parts may be by degrees turned upon the Bowels but yet if a large quantity of ill Humours requires more Purging we may use the following Potion Take of the Leaves of Lettice Purslain Plantane and the Tops of Mallows each half an ounce of Tamarinds half a dram of yellow Mirobalans one dram boil them to six ounces in the strained Liquor dissolve one ounce of Cassia fresh drawn strain them again and afterwards add the Infusion of one dram and an half of Rubarb in Lettice water with yellow Sanders of Manna and of Syrup of Roses each one ounce make a Potion Vomiting also with gentle Remedies is excellent for it makes Revulsion from the Part affected and does not occasion those Disorders that Purging does and therefore such as can bear Vomiting well may take a gentle Vomit once or twice a Week Glisters also frequently injected do good Take of the Roots of Marsh-mallows one ounce of the Leaves of Mallows Violets and Lettice each one handful of the flowers of Water-lillies and of Barley cleansed each one Pugil boil them to a Pint in the strained Liquor dissolve an ounce of Cassia newly extracted one whole Egg and two ounces of Oyl of Violets make a Glister The Mucilages of the Seeds of Marsh mallows Quinces Fenugreek may be mixed with Glisters to ease the Pain But to qualifie the Heat and to ease the Pain Glisters of Milk by it self or mixed with the foregoing things are usually so effectual that I have known some eased of long Pains with this Remedy only and by the Bath which shall be mentioned by and by But many things may be given inwardly to asswage the Pain and to correct the Intemperies of the Parts affected Take of the Waters of Purslain Lettice and Water-lillies each one ounce of the Syrup of Violets and of Water-lillies each six drams Sal-prunella one dram mingle them make a Julep to be repeated often Emulsions may be also used though they are diuretick because they cool and gently cleanse the Urinary Passages Take of the four greater cold Seeds and of White Poppies each three drams of Sweet Almonds blanched and infused in cold water half an ounce bruise them in a Marble Mortar and pour upon them gently a pint and an half of the Decoction of Barly of Liquorish and the Tops of Mallows make an Emulsion for
three Doses adding to each one ounce of Syrup of Violets and a dram of Sal-prunella if the Pain be very violent some Syrup of Poppies may be added to it and a dram of Gum Arabick powdered Broths may be also prepared in the following manner Take of the Roots of Marshmallows half an ounce of Mallows one handful of Liquorish half an ounce of the Seeds of Quinces one dram boil them with Chicken Broth and let it be taken for several Days together The Whey of Goats Milk is also very good a large draught of it being taken at a time and if there be no Feaver milk it self is more effectual especially Asses Milk If the Disease is inveterate Epsom and Tunbridge-waters are very proper Forestus cured himself of a violent Dysury by only using a Decoction of Mallows sweetned with Syrup of Violets a Conserve of Mallows has also done much good an ounce of it having been taken Morning and Evening and three ounces of Mallow-Water being drank presently after the Conserve of the Flowers of Marshmallows is as good or rather better some Practitioners commend the Troches of Alkakengi a dram of them being taken at a Time in some proper Liquor When the Pain is very violent the dipping the Yard in Milk whilst the Urine is rendring or in a Decoction of Mallows and the Seeds of white Poppies does much good in this case A small decoction of Mallows sweetned with Syrup of Violets or with Conserve of Roses is very proper for the ordinary Drink And to ease the Pain Injections may be made for the Passage of the Bladder of Milk an Emulsion of the cold Seeds of Plantane and Whey whereunto may be added the White of an Egg well beaten and a Scruple of the Troches of Alkakengi External Remedies do also much good to qualifie the Heat of Urine as Baths and Fomentations applied to the Pubis and Perinaeum made of a Decoction of cooling Herbs also Liniments made of Oyls of Roses of white-lillies and of Oyntment of Roses and of the white Oyntment with Camphor CHAP. XCV Of a Chlorosis or the Green-Sickness THe Green-Sickness is a vitious Habit of the Body proceeding from Obstructions it is accompanied most commonly with a Palpitation of the Heart Difficulty of Breathing and a longing for absurd things and with an Unfitness for Motion and other Symptoms The Diagnostick manifestly appears by the following Series of Symptoms First The Face and whole Body is pale and sometimes of a leaden livid and green Colour Secondly An Inflation and as it were a Swelling appears upon the Eye-lids the Legs also swell especially about the Ankles Thirdly There is a Dulness and Unwillingness for Motion Fourthly There is a Difficulty of Breathing especially when they move much or go up Stairs Fifthly There is a Palpitation of the Heart upon Motion Sixthly There is a heavy and often a lasting pain of the Head Seventhly The Pulse is quick Eighthly The Sick are drowsie and incline to Sleep Ninthly There is a great Aversion for wholesome Food Lastly The Disease increasing and the Obstructions being multiplied a Suppression of the Courses at length follows which shews the Disease is confirmed As to the Prognostick This Disease most commonly is noâ— dangerous but if it be neglected too much it occasions great Diseases as a Scirrhus Tumours a Dropsie and other grietvous Diseases which at length kill the Patient When the Disease is small and chiefly arises from Obstructions of the Veins of the Womb it is easily cured by Marriage in Young Virgins Women that have had this Disease a long while are either barren or bring forth Children that are Sickly and short liv'd There is great Hopes of Cure when the Courses keep their exact Periods and flow in a due Quantity and Quality The Cure of this Disease is performed by opening Obstructions by purging off the vitious Humours by Correcting the Intemperies of the Bowels and by Strengthning them First therefore A gentle Purging Medicine must be given that is agreeable to the Constitution that the first Region may be only emptied and if the Belly be bound a Glister must be given first of all Afterwards Bleeding must be ordered unless the Disease is very inveterate and the Maid be inclined to a Cachexy But a Vein in the Arm must be opened though the Courses are stopped for at that Time if you should bleed in the Foot the Obstructions of the Veins and of the Womb would be increased That quantity of Blood being taken away that is necessary proper Purges must be used viz. Take of the Pill Coch Major two Scruples of Castor powdered two grains of Peruvian Balsam four Drops make four Pills let her take them at five in the Morning and let her sleep after them Let these Pills be repeated twice or thrice every Morning or every other Morning according to the Strength of the Sick and their Operation After the purging Pills let her take the following Take of the Filings of Steel grains eight with a sufficient quantity of Extract of Wormwood make two Pills to be taken in the Morning and they must be repeated at five in the Afternoon She must continue this Course for thirty Days drinking presently after the Pills a Draught of Wormwood Wine If a Bolus be more pleasing Take of the Conserve of Roman-Wormwood and of the Conserve of the yellow Peel of Oranges each one ounce of candied Angelica and Nutmegs candied and of Venice Treacle each half an ounce of Ginger candied two drams with a sufficient quantity of Syrup of Oranges Make an Electuary Take of this Electuary one dram and an half of the Filings of Steel well powdered eight grains with a sufficient quantity of Syrup of Oranges make a Bolus to be taken in the Morning and at five in the afternoon drinking upon it a draught of Wormwood-wine Take of choice Mirrh and of Galbanum each one dram and an half of Castor sixteen grains with a sufficient quantity of Peruvian Balsam make twelve Pills of each dram Let her take three every Night at Bed time drinking upon them three or four Spoonfuls of compound Briony water through the whole Course But if these Pills should purge then the following must be used instead of them Take of Castor one dram of Volatile Salt of Ambar half a dram with a sufficient quantity of Extract of Rue make five and twenty small Pills Let her take three every Night at Bed-time CAHP. XCVI Of the Suppression of the Courses THere is said to be a Suppression of the Courses when in Women of a mature Age that neither give suck nor are with Child the Evacuation of Blood by the Womb which naturally is wont to be monthly seldom or sparingly proceeds or is wholly stopt The Cause of this Suppression is to be referred either to the Womb or to the Vessels of it or to the Blood which flows or ought to flow through them Various Diseases of the Womb may occasion this Suppression namely a
things to draw downwards they bring the Blood also to the Fundament and if you use astringent things to it they by reason of the Nearness of the Parts repel what should be brought to the Womb so that the only Way of Cure is to apply such things to the Womb as may allure the Blood thither after you have used such things as draw the Blood downwards But the most frequent Obstruction of all is that which proceeds from an Obstruction of the Veins of the Womb the Cure whereof is in a manner the same with that of the Green Sickness But the Eruption of them must be helpt by opening a Vein in the Foot about the time they used to flow when the Patient was well as also by Cupping-glasses applied to the Hips and Legs instead of Bleeding with or without Scarification by Frictions of those Parts and by painful Ligatures Take of the Roots of round Birthwort half a dram of the leaves of dried Savin one dram and an half of Dittany of Crete and of Troches of Mirrh without Assa-Faetida each one dram of choice Cinnamon two drams of white Sugar two ounces make a Powder whereof let her take two drams every Morning for some days with the Broth of red Vetches wherein two drams of Cinnamon and half a dram of Saffron have been boiled Take of Roots of Briony of Lillies Cyperus Valerian Angelica Asarabacca Orris and Parsley each one ounce of the Leaves of Mugwort Bays Rue Savin Thym Rosemary Penny-royal Nep Mallows Mercury each one handful of the Flowers of Elder of Wall-flowers and of Camomil each two Pugils of the grains of Juniper two ounces boil them in Water and Whitewine with the strained Liquor foment the Belly and Thighs with a Spunge With the same Decoction the quantity being increased a Bath may be made wherein the Sick may sit up to the Navel and the boiled Herbs being put in a Bag may be applied to her Belly but you must take care that she does not sweat for that rather stops the Courses Take of the Leaves of Mercury bruised one handful of the Powder of Hiera Picra and of Benedictum Laxativum each two drams of the Powder of long Birthwort one dram with a sufficient quantity of Honey or the Juice of Mercury make a Pessary Injections are also wont to be made for the Womb which are called uterine Glisters for they cleanse it from Filth sticking to the Sides and they open the inner Orifices of the Vessels They may be prepared with a Decoction for the Fomentation above described the acrid things being left out or of fat Figs with Mugwort Penny-royal Mercury or only of the Juice of Mercury clarified wherein a little Benedictum Laxativum has been dissolved for you must not use acrid things lest they should occasion an Inflammation And after the use of these things which must be retained only an hour it is convenient to inject a Decoction of Mallows Barley and Violets or a little Hydromel diluted with the Whey of Goats Milk When the Disease is inveterate Issues in the Leg do much good In the use of the forementioned Medicines some things are to be observed First You must never use Remedies to force the Courses unless general Evacuations went before Secondly You must begin with gentle Means and proceed by degrees to stronger Thirdly Medicines that are given to move the Courses must be taken in a large quantity Fourthly Pessaries and uterine Glisters must be prescribed only for married Women But for Virgins Fomentations Baths and the following Fume may be ordered Take of Cloves Cinnamon and Mace each two drams of Juniper-berries half an ounce of the Seeds of Nigella one dram of Storax Calamit two drams make a gross Powder which must be cast upon Coals and the Fume must be received through a Tunnel Lastly In Cholerick and Melancholly Constitution the hottest Medicines must be avoided and only such as are gentle must be used and things that are opening moistening and mollifying must be mixed with them CHAP. XCV Of an immoderate Flux of the Courses AN immoderate flux of the Courses invades either in Child-bed or at other Times As to the first that afflicts Women most on the first Days after a difficult Labour and is accompanied with a long train of Hysterick Symptoms and as it happens only on the first days so usually does not last long for if a thickning Diet be ordered it soon abates The following Drink may be also used Take of Plantain Water and red Wine each one pint boil them till a third part is consumed Sweeten it with a sufficient quantity of white Sugar and let her take half a pint of it twice or thrice a day and in the mean while some gentle Hysterick Julep may be used and the following Nodulus may be often held to the Nostrils Take of Galbanum and Assa Foetida each two drachms of Castor one Drachm and an half of volatile Salt of Amber half a drachm mingle them make a Nodulus Or two drachms of spirit of Sal Armoniack may be often held to the Nose But as to the Flux which happens out of Child-Bed though it befals Women at any Time yet most commonly it invades a little before the Time they leave them viz. when they are about forty five Years of Age if they had them very young and about fifty if it was late before they began to have them And by reason of the great quantity of Blood which is continually evacuated they are almost continually seized with Hysterick Fits and though in this Case Hystericks both inward and outward may be used by the by but you must forbear the strongest lest they should further the Flux yet the Cure must be managed by such things as stop the Flux You must bleed in the Arm and eight Ounces of Blood must be taken away The next Morning the following Purge must be given Take of Tamarinds half an ounce of Sâ—na two drachms of Rhubarb one drachm and an half infuse them in a sufficient quantity of Fountain Water In three ounces of the strained Liquor dissolve of Manna and syrup of Roses solutive each one ounce make a purging Potion which is to be repeated every third day for twice every night at bed-time through the whole course of the Disease let an Anodyn be given of an ounce of Diacodium Take of the conserve of dryed Roses two ounces of the Troches of Lemnian Earth one drachm and an half of Pomgranate peel and of red Coral prepared each two scruples of Blood-stone of Dragon's-blood and of Bole-Armenick each two scruples with a sufficient quantity of simple Syrup of Coral make an Electuary whereof let her take the quantity of a large nutmeg in the morning and at five in the afternoon drinking upon it six spoonfuls of the following Julep Take of the waters of Oak-buds and of Plantain each three ounces of Cinnamon-water hordeated and of Syrup of dried Roses each one ounce of Spirit of Vitrial a
it may be inconvenient for Women that are accustom'd to a slothful and delicate way of living for they may be injur'd by Motion especially at the beginning yet 't is very proper for Men and soonest recovers their Health One of our Right Reverend Bishops famous for Prudence and Learning having studied too hard a long while fell at length into an hypochondriac Disease which afflicting him a long Time vitiated all the Ferments of the Body and wholly subverted the Concoctions he had passed through long Courses of Steel more than once and had tried almost all mineral Waters with Purging often repeated and antiscorbuticks of all kinds and very many testaceous Powders which are reckoned proper to sweeten the Blood and so being in a manner quite worn out partly by the Disease and partly by Physick used continually for so many Years he was at length seized with a colliquative Loosness which is wont to be the forerunner of Death in Consumptions and other chronical Diseases when the Digestions are wholly destroy'd At length he advised with me I presently considered that there was no more room for Medicine he having taken so many already without any Relief for which reason I persuaded him to ride on Horse-back and that first he should take such a small Journey as was agreeable to his weak condition Had he not been a very judicious Man and one that weighed things well he would not have been persuaded so much as to have tryed such a kind of Exercise I intreated him to persist in it daily till in his own Opinion he was well going daily furthur and further till at length he went so many miles in a Day as prudent and moderate Travellers that go a long Journey upon Business use to do without any regard to Meat Drink or the Weather But that he should take every thing as it happened To be short he continued this Method increasing his Journies by degrees till at length he rode twenty or thirty miles daily and when he found himself much better in few Days being encouraged with such wonderful Success he continued this course a pretty many Months in which Time as he told me he rode many thousand Miles till at length he did not only recover but also gained a strong and brisk habit of Body This is the general way of Curing this Disease which is applied to the original Cause viz. the weak Crasis of the Blood and so is to be used only when the fit is off Therefore as often as the Fit invades joined with any one of the foresaid Symptoms if the Disease be such or so great an one that it will not bear a Truce till it may be cured by Medicines that corroborate the Blood and Spirits we must presently make use of hysterick Remedies which by their strong and offensive Smell recal the exorbitant and deserting Spirits to their proper Stations whether they are taken inwardly or smell'd to or outwardly applied Such are Assa Foetida Galbanum Castor Spirit of Sal Armoniack and lastly whatever has a very ungrateful and offensive smell In the next place you must take notice that if some intollerable Pain accompanies the Fit in whatever part it is or violent Vomiting or a Loosness than besides the Hystericks above-mentioned Laudanum must be used which only is able to restrain these Symptoms But in quieting the Pains which Vomiting occasions we must take great care that they are not mitigated either by Laudanum or any other Paregorick before due Evacuations have been made unless they almost exceed all human Patience First because sometimes there is so great a quantity of Blood and Humours heap'd up especially in sanguine Women and in Men of a proper Habit that is able to withstand the Operation of the most effectual Narcotick though it be often repeated and therefore in such Blood must necessarily be evacuated from the Veins of the Arm and a Purge must be given before we come to use Laudanum for when these things are duly performed that which before given in a large Dose would do no good does now perform the Business in a moderate Dose and then because I have found by frequent Experience that when the Sick has been accustomed by little and little to Laudanum and has not been duly evacuated before she was forced by reason of the return of the Pain presently after the Vertue of the Medicine vanished to take a Paregorick again and so daily for some Years the Dose being sometimes by degrees increased so that at last they can by no means abstain from Laudanum though thereby all the Digestions are vitiated and the natural Functions weakned though I do not think that the use of Laudanum does immediately hurt the Brain or Nerves or the animal Faculties Therefore I judge and speak what I have found That Evacuation ought to go before Anodynes viz. in Virago's and in Women that abound with Blood a Vein must be opened and the Body purged especially if they have been lately seized with the Fit But if weak Women and those of a quite contrary Constitution labour with such a Fit and Pain and have been not long ago afflicted with it it will be sufficient to cleanse their Stomachs with a gallon of Posset-drink more or less taken in and ejected by Vomit and then to give a large Dose of Venice Treacle and a few Spoonfuls of some Spirituous Liquor that is pleasing to the taste with a few Drops of Liquid Laudanum to be taken presently after it But if the Sick has vomited a great while before the Physician was called and there is danger lest by further Provocation by Emeticks the Spirits should be put in a rage and the Sick too much weakned In this case you must give Laudanum without delay and such a Dose that is not only suitable to the Violence and Duration of the Symptom but such an one as is sufficient to vanquish it But here two things are to be chiefly noted First That when you have once begun to use Laudanum after due and necessary Evacuations it must be taken in that Dose and often repeated till the Symptom is quite conquered only such a space must be betwixt each Dose that we may know what the former has done before we give another And then when we treat the Disease with Laudanum we must do nothing else and nothing must be evacuated for the gentlest Glister of Milk and Sugar is sufficient to spoil whatever has been repaired by the Paregoric and to occasion the return of the Vomiting and Pain But though the Pains above-mentioned as we have said are apt to overcome the Vertue of the Anodyne yet violent Vomiting indicates the largest Dose of it and that it should be very often repeated for by the inverted peristaltick Motion of the Stomach by which that which is contained in it ought to be carried downwards the Paregorick is ejected through the Oesophagus before it can do any good unless after every time the Sick vomits the
quantity of them being increased or diminished as there seems occasion In the mean time if the Belly be hard it must be loosened by things that purge gently and cooling Glisters frequently injected do much good in qualifying the Inflammation the Womb lying upon the right Gut But the quantity of them must be very small that they may be the longer retained Take of the Roots of Marsh-mallows one ounce of the leaves of Mallows Violets and Lettice each one handful of Night-shade half an handful of the flowers of Violets and red Roses each one pugil of acid Prunes number ten boyl them in Barly-water to six ounces of the strained Liquor add three ounces of Oyl of Roses make a Glister If the pain be very violent to the foresaid Glister may be added yolks of Eggs Hens grease Woman's milk the mucilages of the Seeds of Fenugreek Flax oâ— Mallows and a little Opium and a little Saffron Injections may be also made for the Womb of Goats or Sheeps milk with Opium or Saffron each Grains three or four with a little Rose-water Or to the Pessaries may be added a moderate quantity of Opium with a little Saffron yolks of Eggs and Oyl of Roses or Pessaries may be made of Philonium Romanum with Cotton or an anodyne Fomentation may be prepared in the following manner Take of Marsh-mallows with the roots of Mallows and Violets each one handful of Camomile Melilot and Roses each one pugil boil them for a fomentation The Disease decreasing Purging must be repeated with gentle Catharticks but if it tend to resolution which may be known by a remission of the Symptoms and by a lesser weight in the part Discutients must be added in larger a quantity to the foresaid Remedies or make the following Cataplasm Take of the Powder of the roots of Marsh-mallows one ounce of the flowers of Melilot and Camomile each two drachms of the leaves of Mugwort powder'd of the Meal of Barly and Beans each half an ounce boil them a little in rough Wine add to them of fresh Lard of the Oils of Camomile and of white Lillies each one ounce make a Cataplasm A dissolving fomentation or bath is here also of use If the Tumor cannot be dissolved but tends to supparation it must be furthered by the following Cataplasm Take of the powder of the roots of Marsh-mallows of the flowers of Camomile and Melilot of the Meal of Linseeds Fenugreek-seeds each one ounce of fat Figs number eight boil them to the consistence of a Cataplasm then add of the yolks of Eggs number four of Saffron ten grains of Oil of Lillies and fresh Butter each one ounce make a Cataplasm The Pus being made which may be known by the remission of the heat and pain and by its â—loating when it is touched the breaking of the abscess must be endeavoured by the motion of the Body Sneazing Coughing by applying Cupping-glasses by cleansing and attenuating Injections or by Pessaries that have a faculty of breaking Tumors For instance Take of Goose-fat half an ounce of Turpentine two drachms of the powder of the seeds of Rue and of Orris-root each half a drachm mix them and make a Pessary The Abscess being broken we must endeavour to cleanse and heal the Ulcer as shall be shewed in the following Chapter CHAP XCIX Of an Vlcer in the Womb. AN Ulcer follows an Inflammation of the Womb suppurated it also proceeds from other causes viz. from whatever corrodes the Womb. Therefore the causes of it are an Abscess broken acrid Humours flowing to the Womb acrid and corrâ—ding Medicines injected or taken inwardly as Cantharides The antecedent causes are all those things that occasion an Inflammation as hard Labour violent and ungovernable Copulation acrid and long Whites Wounds Falls Contusions but especially a virulent Gonorrhaea and the French Pox the Contagion whereof is easily communicated to the Womb and the neck of it The differences are to be sought for from the Place Magnitude Figure and Complication with other Diseases The diagnostick Signs are a Pain and Gnawing and the evacuation of purulent Matter The cure of the Ulcer must be performed by stoping the defluxion of acrid Humours and by cleansing and conglutinating the Ulcer And first if the Body be Plethorick or if the Ulcer be accompanied with an Inflammation a Vein must be opened in the Arm and bleeding must be repeated as often as there is danger of a new fluxion especially at the time of the Courses to lessen them which are wont to increase the matter of the Ulcer and to promote the flux of other Humours to the Womb. Purging is also very necessary to cleanse the Body from ill Humours but it ought to consist of gentle Catharticks as of Sena Rhubarb Tamarinds Myrabolanes and the like which must be often repeated that the vitious Humours may be diverted and this is of so great moment that Forestus says That a noble Matron was cured of an Ulcer of the Womb by taking every fourth day five ounces of the decoction of Sena Dodder of Thym red Roses Indian Myrabolanes sweetned with Sugar and by injecting a cleansing decoction into the Womb. For common use a magisterial Syrup may be made in the following manner Take of the roots of Comfry and of fresh Polypody of the Oak each one ounce of the Bark of dried Citron six drachms of the leaves of Plantain Periwinkle Sanicle Sorrel and Maiden-hair each one handful of Liquorish rasped and of Raisins of the Sun stoned each one ounce of Sena cleansed six drachms of the seeds of Bastard-saffron bruised two ounces of Agarick fresh trochiscated and tyed up in a Rag ten drachms of the seeds of Anise and Melon each three drachms of the Cordial Flowers of Rosemary and of Dodder each one pugil make a decoction of all in a part of which infuse half an ounce of choice Rhubarb and one drachm of Cinnamon in a pint and an half of the strained Liquor dissolve three ounces of Syrup of Roses solutive and a sufficient quantity of Sugar boil them well and make a Syrup whereof let her take two or three ounces twice or thrice in a month with a decoction of Agrimony and Plantain or with an infusion of Rhubarb in Endive water If the sick vomits easily a Vomit is most useful for it makes a revulsion of the Humours from the Womb and the days the sick does not purge a vulnerary decoction must be used a long while made in the following manner Take of the leaves of Agrimony Knot-grass Burnet and Plantain each half a handful of the roots of China three drachms of Coriander-seed one drachm of Raisins half an ounce of red Sanders one scruple boil them in Chicken Broath strain it Let the sick take of it morning and evening Or Take of the leaves of Mugwort Plantain Yarrow each one handful Rhaponticum half an ounce of the seeds of Nettles one drachm boil them in a measure of white Wine and sweeten it with Sugar let
Apozems Juleps Broath Milk Whey cold mineral Waters and the like which are commonly prescribed for any Cancer But Purging most especially must be repeated that the antecedent Cause of the Cancer may be diverted Topicks must also be applied which moderately bind and cool without Sharpness they must especially be used in form of Liniments Take of Oyl of Myrtles and of Roses each two ounces of the Juice of Night-shade and of Housleek each one ounce stir them all about in a leaden Mortar with a leaden Pestle till they grow black then add of Litharge and Cerus washed in Scabious Water each three ounces of Tutty prepared two drachms of Camphor ten grains make a Liniment wherewith anoint the Part three or four times in a day Or Take of the Oils of the Yolks of Eggs and of Roses each one ounce and an half of Sacharum Saturni one drachm stir them about in a leaden Mortar till they change colour The following is better than the rest and with it Tumors of the Paps which are counted cancerous may be perfectly cured Take of the Oil of Yolks of Eggs two ounces of the Juice of Night-shade and Speedwel or of Housleek each half an ounce of crude Mercury two drachms stir them about in a leaden Mortar with a leaden Pestle till they acquire the consistence of a Liniment The foresaid Liniments are to be put into the Womb with a long Tent or with a Wax-Candle wrapt round with a Rag But Injections may be much easier used Take of Barly-Water half a pint of the Waters of Night-shade and Plantain each two ounces of the Water of Speedwel one ounce of the white Troches of Rhasis two drachms of Sacharum Saturni one drachm Make an injection If the Pain be very violent add to four ounces of the Injection one ounce of the Syrup of Popies Foment the part affected with the Waters of Plantain and Night-shade or with the decoction of them whereunto may be added the Leaves of Water-lillies white Poppies and red Roses and Camphor which Decoction may be also frequently injected into the Womb and it will be much more effectual if it be stirr'd about in a leaden Mortar or if Sacharum Saturni be mixed with it Among Specificks are commended Frogs wash'd and boil'd and apply'd instead of a Cataplasm or a decoction of them injected also the decoction or juice of River-crabs injected into the Womb or Herb-Robert taken inwardly or apply'd If the Cancer be ulcerated the Dose of the Minerals to be added to the foresaid Linimenss must be increas'd and the Ashes of River-Crabs may be conveniently added to them but with the Injections may be mixt the white Troches of Rhasis and Barly-water If the Pain be very violent Fomentations of Mallows Marsh-mallows Water-lillies Poppies Henbane green Coriander Dill of the seed of Psyllium Milk Saffron and the like may be used by Intervals or a Cataplasm made of them may be apply'd with which also Decoctions Injections and Baths may be also prepar'd But all these things are not sometimes sufficient to appease the violent Pain which sometimes will not suffer the sick to sleep or rest so that we are forced sometimes to use Narcoticks and indeed they are not injurious in this Disease I knew a Woman that was afflicted with a Cancer in her Breast who took every Night for four Months two or three Grains of Laudanum and was much reliev'd by it If much Blood flow from a Cancer ulcerated as it often happens inject into the Womb the juice of Plantain with a little Frankincense CHAP. CII Of a Gangrene and Mortification of the Womb. A Gangrene is an incipient Mortification this Disease is easily generated in a Womans Privities because those Parts are very moist and soft and easily receive the Excrements of the whole Body it often succeeds an Inflammation Absess or Ulcer ill cured when the vital heat of the part is suffocated and destroy'd it is suffocated in great Inflammations when more Blood flows in than the innate heat of the part can digest 't is destroy'd either by a cold Intemperies that extinguishes it or by an hot that dissipates and resolves it An incipient Gangrene is known by an unusual heat that is perceiv'd in the part a shaking and shivering also invades with a languid and frequent Pulse and with Fainting and because most commonly this Disease is chiefly seated on the Neck of the Womb and so the part affected may be seen that appears soft livid black and cadaverous and may be prick'd and cut without feeling and sends forth a fetid and cadaverous Stink As to the prognostick this Disease is very dangerous and most commonly deadly But it has been observed by many Authors that the Womb having been corrupted or gangren'd has fallen off of its own accord or has been cut off and the Woman has done well The Cure is to be perform'd by the same Remedies wherewith the Gangrenes of the other parts us'd to be cur'd if the Gangrene be in the neck of the Womb or tend towards the external parts Scarification must be us'd and a decoction of Wormwood Myrrh and the like also Unguentum Aegyptiacum and a Cataplasm made of the three Meals Take of the Meals of Barly Beans and Orobus each two ounces of Oxymell one pint boil them to the consistenee of a Cataplasm but it will be more effectual if you add the Meal of Lupines Myrrh Aloes and Wormwood But if it be wholly corrupted it must be cut off or in a falling of the Womb it must be bound by degrees harder and harder till at length it falls off of which Operations Schenkius has collected many Observations In the whole course of the Cure Corroboratives must be us'd and emollient cleansing and cooling Glisters must be frequently injected CHAP CIII Of a Dropsie and Inflation of the Womb. THE Inflation and Dropsie are confounded by almost all Authors but they are to be distinguish'd for there is a certain Inflation of the Womb which ought not to be call'd a Dropsie viz. when the Womb is inflated and stretch'd suddenly by Wind rushing in upon which account a violent pain is occasioned as it happens in the Cholick and therefore if this Inflation does not last long it does not deserve the name of a Dropsie such an one is often in hysterick Diseases Wherefore a Dropsie of the Womb is twofold one from Wind which is like a Timpany another from a watry Humour which is like the Dropsie of the Belly Some add a third from Phlegm And first of Wind contain'd in the cavity of the Womb. Sennertus mentions an observation in a Woman That when she thought she was with Child and about to be deliver'd evacuated a great quantity of Wind and her Belly presently asswag'd He also mentions Observations of great quantities of Water contain'd in the cavity of the Womb. But Authors testifie That Water is sometimes contain'd in Bladders and excluded in them and sometimes a Dropsie of
be sustain'd by the weak neck As to the Prognostick of this Disease most commonly 't is not deadly but sometimes the Symptoms growing to a heighth it degenerates into a Consumption Hectic Fever Dropsie of the Lungs or an Ascitis and so at last is deadly but the Prognostick may be easier instituted by the following Rules First if this Disease invades before the Birth or presently after 't is very dangerous and most commonly deadly Secondly the sooner it comes the worse ' t is Thirdly the more violent the Symptoms are viz. if the Parts are very much disproportion'd and much wasted the Cure is the more difficult Fourthly if this Disease is accompanied with the foresaid Diseases it can scarce ever be cur'd Fifthly those that are not cured before they are five years of Age are ever after sickly Sixthly an Itch coming upon this Disease much conduces to the Cure Seventhly in those the Symptoms are not increased but rather lessened the Cure need not be doubted As to the Cure we must begin with Purging because most commonly there is abundance of slegmatick Humors heapt up in the Belly and the Bowels are frequently affected with scrophulous Tumors but Purging is to be instituted by Glisters Vomits and lenitive Catharticks The use and forms of some Glisters If the Belly be bound or the Bowels are troubl'd with Wind or Gripes Glisters must be us'd frequently which must not be only solutive but sometimes alterative and corroborative For instance Take of the leaves of Mallows one handful of the flowers of Melilot Camomile and Elder each one pugil of the seeds of Annise and Fennel bruis'd each half a drachm boil them in a sufficient quantity of new Goat's Milk to four five or six ounces of the strain'd Liquor add of red Sugar and of syrup of Violets and Roses each one ounce Make a Glister inject it warm a good while after Eating Take of the roots of Marshmallows bruis'd half an ounce of the leaves of Mallows and Pellitory each half an handful of the flowers of Camomil and Elder each one pugil of the Carminative seeds two drachms boil them in a sufficient quantity of Posset-drink to 5 or 6 ounces of the strained Liquor add of Lenitive Electuary or of Diacassia half an ounce of fresh Butter six drachms mingle them to be injected warm Corroborative Glisters may be made in the following manner Take of fresh Stone-Horse dung one ounce and an half of the flowers of Rosemary and Sage each one pugil of Juniper-berries two drachms of the seeds of Annise Fennel each half a drachm infuse them close and warm in a sufficient quantity of Whey in four ounces of the strained Liquor dissolve one ounce of brown Sugar and six drachms of fresh Butter mingle them make a Glister There may also be added if it seem convenient six drachms of Manna Take of Millepides washed number 20 or 30 bruise them and pour upon them 4 or 5 ounces of Posset-drink made of white Wine in the strained Liquor dissolve an ounce of brown Sugar and a drachm of Venice-Turpentine dissolved in the yolk of an Egg mingle them make a Glister to be injected warm The use of Vomits and Forms of them If the Stomach be burthened with vitious Humors and they tend upwards Vomits must be given but in the prescription of them respect must be had to the tender Age and they should consist rather of Salt of Vitriol and the Wine of Squills than of stibiat Medicines for it is not so safe to give these to Infants for fear of Convulsions though sometimes they may be of use Take of Wine or Oxymel of Squills half an ounce or an ounce which being taken give half an hour after a great quantity of Posset-drink and provoke Vomiting with the Finger and let it be repeated now and then Or Take of Oxymel of Squills half an ounce or an ounce if it does not vomit in half an hour give of Salt of Vitriol half a scruple or fifteen grains in a draught of Posset-drink If the Strength will bear stronger Vomits let them be used As Take of the Infusion of Crocus Metallorum well clarified by standing one or two drachms according to the Age and Strength of Oxymel of Squills three drachms or half an ounce of simple Walnut-water or of the water of the lesser Centaury six drachms mingle them make a Vomit Forms of Catharticks Some days after Vomiting or if Vomiting be not to be used gentle Purging must be instituted and repeated by Intervals As Take of the Augustan syrup or of syrup of Succory with Rhubarb six drachms or an ounce of Cream of Tartar ten or fifteen Grains mingle them let them be taken early in a morning either by themselves or in a draught of Posset-drink Or Take of Calabrian Manna half an ounce or an ounce of Tartar vitriolated five or ten grains mingle them let them be taken in a morning in broath or in Posset-drink Take of the roots of Polypody of the Oak and of sharp pointed Dock each six drachms of the bark of the roots of Elder and of Dwarf-elder each half an ounce of the roots of flowering Fern male Fern and Succory each half an ounce of the herbs Agrimony Liverwort Speedwel Hartstongue and Spleenwort each half a handful boil them in three pints of Fountain-water to the consumption of a third part strain the Liquor into a matrass and put to it two ounces of Senna one ounce of Rhubarb of Dodder of Thyme and yellow Sanders each two drachms of the seeds of Annise and Fennel each one drachm of salt of Wormwood one drachm and an half infuse them hot in a close Vessel 12 hours To the Liquor cleared by standing add an equal weight of Sugar and by gentle boiling make a syrup The dose is one two or three spoonfuls either by themselves or in some proper Liquor Or to the above-mentioned purging Infusion add of Cassia and Tamarinds extracted with part of the same Infusion of Manna strained and of the best Sugar each one ounce and an half evaporate them over a gentle heat to the consistence of an Electuary The Dose is the quantity of a Nutmeg more or less as it works Take of the Species hiera picra simple one drachm of the best Rhubarb powder'd half a drachm of Tartar vitriolated ten grains of Gum Ammonieum dissolved in Vinegar fifteen grains with a sufficient quantity of Elixir Proprietatis of Paracelsus make a mass for Pills of which half a scruple or a scruple may be made into Pills and taken at Bed-time A Bochet made of Rhubarb and yellow Sanders in convenient distilled Waters may be used If the Sick be affected with Worms or the King 's Evil or if there be any suspicion of the King 's Evil the following Bolus may be given by Intervals Take of Mercurius Dulcis from six to ten grains Rosin of Jalap or of Scammony two or four grains of the chymical Oil of Juniper one drop make a
Powder which may be made into a Bolus with the pap of a roasted Apple or a drachm of the Conserve of Violets let it be taken early in the morning Or Take of Mercurius Dulcis six or ten grains of the Conserve of flowers of Succory half a drachm mix them make a Bolus Let it be taken early in the morning drinking presently upon it a sufficient dose of the purging Infusion or Syrup Chyrurgical Remedies After gentle Purging if the Sick be of a sanguine Constitution Blood-letting is of use Our Empericks use to draw a small quantity of Blood by scarifying the lobe of the Ear which operation they rather perform with a blunt Knife than with a sharp Lancet and they repeat it twice or thrice intermitting about the space of 7 days Altho' Practitioners greatly praise this way by Scarification I do not know but Leeches may be more effectual Neither do I think it is to be fear'd that the sucking of Leeches should cause a greater afflux of Blood to the Head For whatever Blood is drawn to the part by their Sucking is also evacuated by it and as to the greater afflux of Blood by reason of the emptying of the Vessels the same happens in bleeding by the Lancet Issues are also very effectual in this Disease especially an Issue made between the first and second Vertebrae of the Neck The usefulness of Issues consists in that they are very effectual to evacuate the superfluous ferosity of the Brain and also to lessen the irregular form of it and likewise to dry up the too great moisture of the spinal Marrow and consequently to strengthen the Nerves that arise from thence A Seton may be put in the place of an Issue As to Vesicatories it is not to be doubted but that they give ease being applied upon the Vertebres of the Neck or behind the Ears But their Strength is soon gone and the use of them seems to be both troublesom and painful to Children Moreover Cupping-glasses without Scarification apply'd along the Back-bone are very effectual to correct the moist and cold Temperies of the spinal Marrow and to remove the dulness of the Nerves And I think also that they may be applyed upon the upper Vertebres of the Neck with a light Scarification Besides Purging and Chyrurgical Remedies Specifick altering Medicines are to be used to which sometimes Diureticks and Diaphoreticks are to be added of which we shall add some Examples The specifick Remedies that are found most effectual to cure this Distemper are either simple or compound among Simples the following are most approved Wood of Guiacum and its bark Sassafras Lentiskwood Rosemary the knotty parts of Firr the roots of China of Sarsaparilla the three Sanders the roots of Osmund-royal or rather the Cloves of the roots the roots of Sea-fern or rather the buds of them Grass-roots the roots of Asparagus Eryngo Succory Burdock the barks of the roots of Cappers the capillary Herbs and chiefly Trichomanes Ceterach Wall-rue Harts-tongue Liverwort Male-speedwell Agrimony Brook-lime Water-cresses the leaves and flowers of Sage of Rosemary Betony dead Nettle and of Tamarisk also Steel prepared or its Salt or Vitriol Tartar Castor flowers of Sulphur Earthworms Millepides prepared and the like Of which Compositions may be made after this manner Take of the Cloves of the roots of Osmund-royal or the roots of Sea-fern or the Twigs of the roots of it scarcely sprung above Ground onehandful boil them in a pint of Milk or Spring-water to the consumption of a third part Let the strained Liquor sweetened with Sugar be drunk twice or thrice a day Take of the leaves of Tea one drachm of the flowers of Sage Betony each half a drachm put them in a convenient Vessel and pour upon them a pint of boiling Water let them stand close and warm about an hour Sweeten the strained Liquor with Sugar and let it be drunk in the same manner as the former Take of the Cloves of the roots of Osmund-royal of the roots of Burdock Grass succory each one ounce of the herbs Male-speedwel Agrimony Hartstongue Liverwort Maiden-hair each half an handful of the raspings of Ivory and Hartshorn each an ounce of Raisins of the Sun stoned one ounce boil them in two quarts of Fountain-water to the consumption of a third part add of White-wine or Rhenish-wine half a pint strain it presently and then add to it of the leaves of Water-cresses and Brooklime and of the tops of Fir each half an handful of Juniper-berries half an ounce make a warm Infusion in a close Vessel for about two hours keep the strained Liquor in a Glass well stopt and sweeten it at pleasure The dose is two or three ounces at nine in the morning at three in the afternoon and six in the evening Take of Lignum Lentiscinum Rosemary of the roots of Sarsaparilla flowering Fern or of male Fern each three ounces of the herbs Agrimony Maiden-hair Speedwel Hartstongue Sage Bettony each two handfuls of the teps of Fern and Tamarisk each 2 handfuls boil them in four Gallons of Ale till one is consumed when it has done working in the Vessel put into a bag 200 Millepides washed in Whitewine and gently bruised of Juniper-berries two ounces of Nutmegs cut number two hang the bag in the Vessel and put a piece of Steel into it to make it sink If there be any suspicion of the Scurvy you may add of Water-cresses and Brooklime each two handfuls after a fortnight let it be drunk for the ordinary drink But the Medicine which is most approved of in this Disease is ens veneris five or six grains of it may be taken every night at bed time in half a spoonful of syrup of Gillyflowers If the Lungs are stuffed with viscid Humors as happens often and the Mesentery with scropholous Glandules Balsam of Sulphur may be given three or four drops being mixed with Sugar-candy powdered and taken morning and evening Sometimes the use of Steel agrees but it must not be used in Coughs Pleurisies a stoppage of the Lungs and hectick Fever and the like To the foresaid Remedies are sometimes added Diaphoreticks as a decoction of Guaiacum or the like which must be taken in Bed and Sweat must be promoted according to the strength The Bath-water also is very proper and is excellent to take off the swelling of the Belly The following artificial Bath is much commended Place the Sick in a large Vessel and put round him warm Barly fermented which has been a while infused in boiled Water as is usually done for making Beer cover him well and let him abide in it to provoke sweat Of the Symptoms Regard must be had to the Symptoms coming upon this Disease the most frequent whereof is a Loosness for the Cure whereof gentle Catharticks as an infusion of Rhubarb and Tamarinds and of Sanders or a Bolus made of them is of use But sometimes Astringents and gentle Opiats may be used but Purging and sometimes Vomiting
it seizes sometimes in a manner resembling a violent stretching or tearing those Ligaments sometimes the gnawing of a Dog and sometimes a Pressure Moreover the part affected has such a quick and exquisit pain that 't is not able to bear the weight of the Cloaths upon it nor hard walking in the Chamber and the night is not only pass'd over in pain upon this account but also by reason of the restless turning hither and thither till two or three a clock in the morning viz. a night and a day being spent from the first approach of the Fit at which time the Sick has suddenly ease and now being in a breathing sweat he falls asleep when he wakes he finds the pain much abated and the part affected swell'd the next day and perhaps two or three days after if the Matter apt to degenerate the Gout is copious the part affected will be in pain but 't will be eased about the Cock's crowing within a few days the other Foot will be in pain as the former was and if the former has left off aking the weakness which render'd it infirm will presently vanish After it has vext the Feet the Fits that follow are irregular both as to the time of invasion and duration yet the pain always returns in the Evening and is less in the Morning and of a series of these small Fits consists that which is call'd a Fit of the Gout But when the Gout is disturb'd by improper Methods or by the obstinate continuance of the Disease the very substance of the Body being as it were perverted to the nourishment of the Disease and Nature unable to eliminate the same by its wonted method then the Phaenomina are much different for whereas the pain was hitherto only troublesom to the Feet which are the genuine seat of the peccant Matter and if it possesses any other parts 't is most certain that either the method of the Disease has been alter'd or that the vigour of the Body is by little and little diminish'd now it possesses the Hands Wrists the Arms the Knees and other Regions tormenting these as much as it us'd to do the Feet for sometimes distorting one or more of the Fingers it makes them like a bunch of Parships taking away the motion by degrees and at length it generates stony Concretions about the Ligaments of the Joints sometimes the Matter occasioning the Disease thrust upon the Arms causes a whitish swelling almost as big as an Egg which is by degrees inflam'd sometimes falling upon the Thigh it feels as if there were a great weight hanging upon it yet without any considerable pain but passing to the Knee it handles that more severely And whereas the Gout before did not use to invade before the latter end of Winter and was wont to go off after two or three Months now it continues upon the Sick a whole year excepting only two or three of the hot Months The Sick is also afflicted with many other Symptoms as with a pain of the Hemorrhoidal Veins and with unsavory Belchings and upon Yawning especially in the morning the Ligaments of the Bones of the Metatarsus are violently pull'd and sometimes when Yawning does not go before the Sick just dropping asleep suddenly feels a blow as it were of a Club breaking in pieces the Metatarsus Women are very seldom troubled with the Gout and if they are not till they are old or unless they are of a masculine habit of Body As to the Cure Bleeding Purging and Sweating are not indicated but the Intention of curing is to be directed to the helping Concoction Whatsoever therefore assists Nature in duly performing her Offices whether in comforting the Stomach that it may rightly concoct the nourishment or the Blood that it may well assimulate the Chile brought into it or the solid Parts that they may the better convert it to their proper substance the Juices designed for their nourishment and increase Lastly whatever preserves the various Organs of Excretion and the Emunctories of the Body in such a state as that they may be able to discharge duly and orderly the Excrements of each part This and such like conduce to the answering this intention and are properly called Digestives whether they are Medicines or a course of Diet or Exercise or any other of those things which are called the six Non-naturals Medicines of this kind are those in general which moderately heat and are bitter or gently bite the Tongue for they are very agreeable to the Stomach they purify the Blood and comfort all the Parts The Remedy which I use is made in the following manner Take of the roots of Angelica sweet-smelling Flag Master-wort Elecampane leaves of common Wormwood the lesser Centaury white Horehound Germander Groundpine Scordium Calaminth meadow Saxifrage S. John's-wort golden Rod Feverfew Thyme Mint Sage Rue Carduus Benedictus Penny-royal Southern-wood of the flowers of Camomil Tansie Lilly of the Vallies English Saffron of the seeds of Treacle Mustard Garden scurvy-grass Carraways Juniper-berries each a sufficient quantity let the herbs and flowers and roots be gathered when they have most vertue in them let them be dried and kept in Paper-bags till they may be finely powdered To six ounces of each well mixed add a sufficient quantity of purified Hony and Canary-wine to make an Electuary Take two drachms morning and evening Or for want of this use the following Take of conserve of Garden-scurvygrass an ounce and an half of Roman Wormwood and of the yellow rind of Oranges each one ounce of candied Angelica and of Nutmegs candied each half an ounce of Venice Treacle three drachms of compound Powder of Wake robin two drachms make an Electuary with a sufficient quantity of syrup of Oranges let him take two drachms twice a day drinking upon it five or six spoonfuls of the following water Take of the roots of Horse-radish sliced three ounces of Garden-scurvygrass twelve handfuls of Water-cresses Brooklime Sage and Mint each four handfuls the peels of six Oranges two Nutmegs bruised of Brunswick Mum six quarts distil them in a common Still and draw only six pints of Water for use Among the Medicines commonly known Venice-Treacle is the best but because it contains a great many Species that heat too much and besides a great deal of Opium the Electuary above-mentioned may be more commodiously prepared of the chief heating Vegetables but we must take care to chuse such Simples as are pleasant to the taste for the Sick must take it a long while viz. almost as long as he lives Among the Simples the Peruvian-bark is the best for it strengthens the Blood and renders it vigorous if some Grains of it are taken morning and evening A Mediocrity is to be observed in Meat and Drink so that neither more nourishment be taken in than the Stomach can concoct Nor on the contrary must the Parts by too much Abstinence be defrauded of that proportion whereby their Strength and Vigour
ought to be sustained Morever as to the quality of the Meat though things of easy digestion considered by themselves are to be preferred before things of hard digestion yet regard must be had to the Patient's Palat for we must take notice That that which the Stomach earnestly craves for though of difficult digestion is sooner concocted by Nature than that which is accounted to be of easier digestion if it be offensive to the Stomach but those things that are reckoned of hard digestion are therefore to be eaten more sparingly And I suppose the Patient ought to feed upon one sort of Meat at a meal for various sorts of Flesh eaten at once disturb the Stomach more than one sort eaten in the same quantity as to other things besides Flesh let him eat at pleasure if they are not sharp nor salted nor spiced As to the times of eating a Dinner is only necessary for the Bed being most proper to digest the Humors that time ought not to be wasted about concocting the Meat therefore they that are subject to the Gout should not eat Suppers yet they may allow themselves a large draught of small Beer for such are inclinable to breed the Stone in the Kidnies the concretion whereof is much hindred by such kind of Liquor drunk at this time the Reins being cooled and cleansed thereby The drinking of Milk or a Milk-diet either crude or boiled without any thing else except perhaps a piece of Bread with it once a day has been much used this 20 years and it has done more good to many than any other sort of Remedy for this Disease as long as they kept to it but as soon as they return to common Diet though of easy digestion the Gout returned more violently than before and held them longer therefore he that intends to betake himself to this method ought first to consider seriously whether he can persist in the use of it all his Life long which perhaps is not in his power how resolved soever he may be For I knew a Noble Man who after he had been dieted with Milk only a whole year with pleasure all which time he went to Stool daily once or oftner was forced to leave it off by reason he was suddenly bound in Body and the temper of his Body altered and because at length his Stomach nauseated Milk tho' the inclination of his Mind still continued but some Hypochondriacal People of a gross habit of Body or who otherwise have accustomed themselves much and a long while to spirituous Liquors can by no means bear a Milk-diet As to Liquors those in my opinion are best that are neither as strong as Wine nor as weak as Water of which sort is our London small Beer either with or without Hops for extreams on either hand are hurtful But now though it may be sufficient for him that has the Gout but little and at sometimes only to use small Beer and diluted Wine the degree of his Disease not requiring more severe usage yet when the whole substance of the Body is as it were degenerated into the Gout he will be less able to conquer the Disease who does not wholly abstain from any sort of fermented Liquors though small and mild therefore a dietetick Drink must be prescribed for his ordinary Drink The following pleases me best Take of Sarsaparilla six ounces of Sassafras China and the shavings of Hartshorn each two ounces of Liquorish one ounce 〈◊〉 them in two gallons of Fountain-water for half an hour afterwards let them stand covered in hot ashes 12 hours afterwards boil them to the consumption of a third part As soon as it is taken from the fire infuse in it half an ounce of Anniseeds after two hours strain it and let it stand till it is clear keep the clear Liquor in Glass-bottles for use This Liquor is most conveniently us'd at first when the Patient recovers of the Fit and he must persevere in the use of it all the rest of his Life as well when he has the Fits as at other times at the same time the foresaid Electuary must be us'd daily as well in the Fits as when they are off Yet if the Sick by reason of a long and too great use of intoxicating Liquors or by reason of old Age or Weakness cannot concoct his Meat without Wine or some other fermented Liquor he cannot leave it off suddenly without great danger the doing whereof has been fatal to very many therefore in my Opinion he shou'd not use the dietetick Apozem at all The Sick must go to bed early for besides Bleeding and Purging nothing does so much destroy the strength of Nature as watching a-nights Moreover Tranquility of Mind must by all means be obtain'd but the exercise of the Body is more profitable than all other things that are us'd to hinder the indigestion of the Humors and to corroborate the Blood and to restore strength to the parts but unless 't is used daily 't will do no good yet it must not be violent As to the kind of Exercise riding on Horseback when old Age and the Stone do not hinder is much to be preferrâ—d before the rest if this cannot be used riding in a Coach does almost as well And on this account at least it is well with gouty People for their Riches which enticed them to Luxury whereby the Disease was bred can provide them a Coach which kind of exercise they may use when they cannot the other But it is to be observed that it is best to use exercise in a good Air viz. in the Country and not in the City where the Air is filled with Vapors exhaling from the Shops of various Artificers and thickned by the closeness of the Buildings as it is here in London which is generally supposed to be the largest City in the whole World As to Venery old and gouty People must not indulge themselves in it But notwithstanding what has been said of the utility of exercise in the Fits of the Gout if the Sick by reason of the violence of the Fit is as it were overwhelmed presently by the first assault of it which happens to those for the most part in whom the Gout has now come to its height nor is yet grown gentle by a course of many years In this case if the Sick is confined to a Chamber it will also be convenient that he keep his bed for some of the first days till the violence of the pain is abated for the bed does somewhat supply the want of Exercise For the continual use of it does more powerfully digest the morbisick Matter in a few days than keeping up in many especially at the beginning of the Disease if the Sick can abstain from Flesh without fainting or other ill Symptoms and can be contented only with Barly-broath small Beer and the like But you must take notice that if the Gout is inveterate and inclines the Sick to Fainting Gripes and Loosness
and such kind of Symptoms he will scarce avoid being destroyed by one of the Fits if he do not use Exercise in a free and open Air for a great many gouty People perish by these Symptoms whereunto they have been obnoxious by being confin'd to their Chambers and especially to their Beds whereas had they bore the fatigue of riding in a Coach the greatest part of the day they had not died so soon But as to the Symptoms of the Gout we must apply our selves to those whereby the Life of the Patient is endangered viz. the debility and faintness of the Stomach with Gripes of the Belly for the Sickness and faintness a small draught of Canary Wine is very good But if any great Symptom scarce bearing a truce comes suddenly by reason of striking in of the gouty Matter and threatens Death we must neither trust to the Wine nor to the Exercise above commended but in this case if it does not fall upon the Head but upon the natural or vital Parts we must presently fly to Laudanum viz. give 20 drops of liquid Laudanum mixed with a small draught of Epidemick Water and let the Patient compose himself to rest in his Bed But if the Matter occasioning the Gout produces a Loosness because it is not yet cast upon the Limbs if it be not the crisis of a particular Fit and if notwithstanding the Laudanum above commended and Exercise of all sorts for these must be first used for the cure of the Diarrhaea the Loosness continues accompanied with Sickness and Gripes there is only one Remedy that I know of viz. to provoke Sweat by a method and Medicines designed for this use which if it be done two or three days Morning and Evening for two or three hours at a time it most commonly stops the Loosness and forces the Disease upon the Limbs There is another Symptom not so frequent though I have seen it divers times viz. a translation of the peccant Matter upon the lobes of the Lungs when a Winter-cough by reason of cold taken in the time of the Fit has by degrees drawn the Matter upon the Lungs In this one case the curative Indication is not to be directed to the Gout but this Symptom is to be treated as a true Peripneumonia by Bleeding repeated and cooling and thickning Remedies and Diet. Moreover the Sick must be purged betwixt the Bleedings but Sweating does hurt in this case Moreover it is to be noted That almost all gouty People when they have been conflicted a long while with this Disease are subjected to the Stone in the Kidnies most commonly at the declination of a general Fit In this case setting aside all other Medicines let him presently take a Gallon of Posset-drink wherein two ounces of the roots of Marshmallows have been boiled and let the following Glister be injected Take of the roots of Marshmallows and Lillies each one ounce of the leaves of Mallows Pellitory of the Wall Bears-breech and of the flowers of Camomil each one handful of Flax and Fenugreek-seeds each half an handful boil them in a sufficient quantity of Water dissolve in the strained Liquor of brown Sugar and syrup of Marshmallows each two ounces mingle them and make a Glister As soon as he has rendred all the Posset-drink by Vomiting and has ejected the Glister let him take a large dose of liquid Laudanum viz. 25 drops or 15 grains of Mathew's Pill If any one inquires for external Remedies to ease the pain of the Gout I have hitherto known none excepting things meerly cooling and repelling which are very dangerous and I confidently affirm That the greatest part of those who have perished in the Gout have not so properly been killed by the Disease as by an improper use of Medicines therefore if the pain be very violent it will be better for the Sick to keep himself a bed till the pain is a little abated than to use external Anodynes But it will not be amiss to take a little Laudanum in the Evening if the pain is intollerable otherwise it will be better to omit it CHAP. CXVI Of a Rheumatism THIS Disease comes at any time but especially in the Autumn and it chiefly seizes those that are in the flower of their Age and it begins most commonly upon the following occasion viz. the Sick catches Cold after having been much heated with violent Exercise or any other way It begins with Shaking and Shivering and Heat Restlessness Thirst and the other unhappy train of Symptoms which accompany Fevers follow after a day or two and sometimes sooner the Sick is seized with a violent pain sometimes in one Limb sometimes in another in the Wrists Shoulders Knees especially which changing place seizes them by turns redness and swelling remaining in the part which was last affected There is another sort of this Disease though it is commonly thought of another kind it may be properly called Lumbago Rheumatica viz. a violent and fixed pain about the region of the Loins which sometimes reaching to the Os sacrum resembles the Stone in the Kidnies only the Sick does not vomit This violent pain unless it be removed in the same manner the former is lasts as long and is full as painful Having seriously considered that this Disease arises from an Inflammation I thought it was probable it might be cured by a simple cooling Diet moderately nourishing as well as by Bleeding repeated and a Whey-diet I found did as well as Bleeding Mr. Malthus an Apothecary an honest and ingenious Man was seized violently with a Rheumatism and because he was of a weakly and dry habit of Body I was afraid he would not be able to bear large Bleeding and therefore I ordered That he should be dieted with Whey alone for four days Afterwards besides the Whey I allowed him white Bread for Dinner being contented with this Diet he continued it for 18 days only at last he eat Bread for Supper also He drank daily four quarts of Whey afterwards when he went abroad he eat Chicken and other things of easy digestion but every third day he was dieted with Whey only till he was quite well But how well soever a Whey-diet may agree with young People and with those that live temperately it is not safe to treat old People so or such as have too much addicted themselves a long while to Wine and other spirituous Liquors for in such it will weaken the Stomach and chill the Blood and so cause a Dropsie In this case therefore it is necessary to bleed twice or thrice and after the second or at most after the third Bleeding to purge very often till all the Symptoms quite cease with Lenitives as with Tamarinds Sena Rhubarb Manna and syrup of Roses solutive and you must give every night after Purging one ounce of Diacodium somewhat earlier than is usual But here we must take notice of a Symptom like a Rheumatism which also sometimes resembles a nephritick pain
but it proceeds from an Ague and must be cur'd as that is There is also another sort of Rheumatism which comes near the Scurvy and requires in a manner the same Cure and therefore I call it a scorbutick Rheumatism the pain seizes sometimes this sometimes that part but seldom swells nor is it accompanied with a Fever nor is it so fixt but is of a more wandering and uncertain disposition and accompanied with irregular Symptoms Sometimes it seizes this or that Member and then presently it affects only the inner Parts and occasions Sickness which goes off again when the pain of the external Parts returns and so afflicts the Patient by turns and continues a long while like those Diseases that are accounted most Chronical it chiefly seizes Women and Men of a weakly nature They who for a long while have us'd the Peruvian-bark are subject to this Disease which by the by is the only inconvenience I â—ver knew follow upon the use of this Remedy but however it be whether the Disease take its rise on this occasion or from any other cause 't is very easily cur'd by the following Remedies which should have been kept secret if I had a greater regard to my private Advantage than to the publick Good for by these alone I have cured many Afflicted after the manner I have described Take of fresh Conserve of Garden scurvy-grass two ounces of Wood-sorrel one ounce of the compound Powder of Wake-robin six drachms make an Electuary with a sufficient quantity of syrup of Oranges The dose is two drachms to be taken thrice a day for a month drinking upon it three ounces of the following Water Take of Garden scurvy-grass eight handfuls of Water-cresses Brook-lime Sage and Mint each four handfuls of the peels of six Oranges of Nutmegs bruised half an ounce infuse them in six quarts of Brunswick-mum and distil them in a common Still and draw off three quarts for use The precise dose of the compound Powder of Wake-robin must be observed or at least it must not be lessened CHAP. CXVII Of the Pestilential Fever and of the Plague of the years 1665 and 1666. THE Plague rarely rages violently in England oftener than once in the space of 30 or 40 years The last dreadful Plague destroyed 8000 in the space of a Week notwithstanding that two thirds at least of the Citizens of London fled into the Country for fear of the Infection Its first approach was always accompanied with shaking and shivering like the Fits of an Ague presently violent Vomitings a pain about the region of the Heart as if it were pressed a burning Fever with the usual concourse of Symptoms perpetually molest the Sick till either Death it self or a happy eruption of a Bubo or Parotis discharges the morbifick Matter and so frees them from that deplorable condition It does indeed now and then happen but it is seldom that it comes without any sense of a Fever before and suddenly destroys Men the Purple-spots which are the Fore-runners of present Death breaking out as they are about their Business It sometimes also happens That Tumors appear when neither a Fever nor any other grievous Symptom went before As to the Cure if a Tumour has not broke out I bleed moderately with respect to the strength and temperament of the Sick and afterwards a Sweat is easily and soon raised whereas otherwise it is not only very difficulty procured but there is also danger lest the Inflammation should be heightned by it and so the Tokens forced out and the benefit of the Sweat immediately following abundantly compensates the loss of Blood which how little soever it be would otherwise be very injurious After Bleeding which must be performed in Bed when all things are in a readiness to promote Sweat without any manner of delay I order the Patient to be covered quite over with Cloaths and that a piece of Flannel be bound to the forepart of his Head and indeed this covering of the Head conduces more to the procuring Sweat than any one would easily imagine afterwards if the Patient does not vomit I give these and the like Sudorificks Take of Venice Treacle two drachms of the Electuary of the Egg one scruple of compound Powder of Crabs Eyes twelve grains of Cochinel eight grains of Saffron four grains with a sufficient quantity of the juice of Kermes make a Bolus which let him take every sixth hour drinking after it six spoonfuls of the following Julep Take of Carduus water compound Scordium water each three ounces of Treacle water two ounces mingle them make a Julep But if the Patient be troubled with Vomiting as he is very frequently in the Plague and other pestilential Fevers I defer the giving of Sudorificks so long as till he begins to Sweat by means of the covering only excepting that sometimes I put part of the Sheet over the Face to collect the Vapors for which is indeed very well worth Observation when the Rays of the morbifick Matter extend themselves to the circumference of the Body the Loosness and Vomiting that were occasioned by their being inwardly reflected and cast upon the Stomach and Bowels cease presently of their own accord so that how great soever the preceding subversion of the Stomach was the Medicines that are taken afterwards are easily retained and procure Sweat as well as can be wished I order That the Sweat should be continued for the space of a natural day by Sage-posset-drink or Mace-ale now and then taken and I strictly forbid That the Patient should be any way cleansed neither indeed do I permit that the Shirt how moist and foul soever it be should be changed within the space of 24 hours from the end of the Sweat which I would have observed with the greatest caution But if the Sweat be circumscribed in a narrower compass of time the violence of the Symptoms soon returns and the health of the Patient is very uncertain which a longer continuance of the Sweat would have put out of danger If any defection be perceived towards the latter end I permit the Sick to take a little Chicken-broath the yolk of an Egg or the like which with Cordials and Draughts commonly used to keep up the Sweat abundantly repair the Strength I admonish that Cold be carefully avoided that their Cloaths dry on their Body of their own accâ—â—d and that all Drinks are taken somewhat hot and that the use of Sage-posset-drink be continued for the space of 24 hours after the Sweat The next morning I give a common Purge viz. of the infusion of Tamarinds of the leaves of Sena of Rhubarb Manna and syrup of Roses solutive and with this method the next year after the Plague I recovered very many that were seized with the Pestilential Fever so that not one died of this Disease that was under my care after I began the use of the same But where the Tumor has been out already I have not hitherto ventured to bleed
Disease from the Heart This method above others has been most successful in my practice viz. That the Patient be kept in his Bed only two or three days after the Eruption that the blood may gently breath out according to its own genius through the Pores of the Skin the inflamed Particles which offend it and that he have no more Cloaths nor Fire than he is wont to have when he is well I forbid all Flesh and allow him Oatmeal and Barly-broaths and the like and sometimes a rosted Apple his Drink must be either small Beer or Milk boil'd with treble the quantity of Water I oftentimes mitigated the Cough which almost continually accompanies this Disease with a draught of some pectoral Decoction or with a Linctus fitted for the purpose but above all the rest I took care to give Diacodium every night through the whole course of this Disease For Example Take of the pectoral Decoction one pint and an half of syrup of Violets and Maiden-hair each one ounce and an half mingle them and make an Apozem take three or four ounces three or four times a day Take of Oil of sweet Almonds two ounces of syrup of Violets and Maiden-hair each one ounce of white Sugercandy a sufficient quantity mingle them and make a Linctus of which let the Sick lick often especially when his Cough troubles him Take of black Cherry-water three ounces of Diacodium one ounce mingle them for a draught to be taken every night But if the Patient be an Infant the dose of the Pectorals and of the Narcotick is to be lessened with respect to the Age. But if by means of too hot Cordials and too hot a Regimen the Patient be in danger of his Life after the Measles go off which is very frequent by the violence of the Fever and the difficulty of breathing and other Accidents that use to afflict those that have a Peripneumonia I have bled the smallest Infants in the Arm and have taken away that quantity of Blood which their Age and Strength indicated with very great success and sometimes when the Disease has been obstinate I have repeated bleeding The Loosness also which follows the Measles is also cur'd by bleeding What we have now said of the Cure of those symptoms that come upon the going off of the Measles may be sometimes also of use when they are at their height if they are occasioned by a false and artificial heat I was called to visit a Maid-servant that had this Disease together with a Fever difficulty of Breathing and purple spots all over her Body with very many other dangerous symptoms all which I attributed to the hot Regimen and hot Medicines which were too much used I ordered her to be bled in the Arm and I prescribed a cooling pectoral Ptisan to be taken often by the help of which and a temperate Regimen the purple Spots and all the other symptoms vanished by degrees CHAP. CXX Of a continual Fever FIRST I observe That the inordinate commotion of the Blood the Cause or Companion of this Fever is stirred up by Nature either that some heterogenious Matter contained in it and inimical to it should be excluded or that the Blood should be changed into some new disposition I reckon that the true and natural Indications that arise in this Disease shew That the commotion of the Blood must be kept to that degree which is agreeable to Nature's purpose that it does not rise too high on the one hand from whence great symptoms flow nor be depressed too low on the other by which means the protrusion of the morbisick Matter may be hindred or the endeavours of the Blood affecting a new Condition frustrated so that whither the Fever takes its rise from heterogeneous Matter provoking it or from the Blood affecting a new State in either case the Indication is the same These things being premised I institute the method of Cure in the following manner When I am called to Patients whose Blood of it self is weak as it is most times in Children or when it wants Spirits as in old Age and in young Men weakned by long Diseases I forbear bleeding for if I should bleed such their Blood being already too weak it would be rendred altogether unfit to perform the business of Despumation But when I have to do with those whose Blood is of a contrary Nature such as is wont to be in young Men of a robust Constitution and sanguine Complexion I order Bleeding in the first place which cannot be omitted here without hazard beside in some other cases to be mentioned hereafter for otherwise not only Phrensies Pleurisies and such-like Inflammations may be feared but also by reason of the superfluity a Stagnation of the whole Mass As to the quantity I only take away so much Blood as I conceive will free the Sick from such dangers he is obnoxious to by the immoderate commotion of the same furthermore I regulate the Estuation by repeating Bleeding or omitting it by using or forbidding the use of hot Cordials and lastly by keeping the Body loose or stopping it as I perceive the commotion is high or low After Bleeding if it be necessary according to the cases above-mentioned I diligently enquire whether the Patient was enclined to Nauseousness at the beginning of the Fever and if so I presently prescribe a Vomit unless the tender Age or some great Weakness of the sick forbid it Truly a Vomit is so necessary when an inclination to Vomiting has preceded that unless that Humour be expelled it will occasion many difficult Symptoms that will hinder the Physician in performing the Cure and will very much endanger the Patient a Loosness is the chief and most usual of these which most commonly follows in the declination of the Fever as often as Vomits are Indicated The Vomit I frequently use is this following Take of the infusion of Crocus Mettalorum six Drachms of Oxymel of Squills and compound Syrup of Scabious each half an ounce mingle them make a Vomit which I order to be taken in the Afternoon two hours after a light Dinner And that the Vomit may succeed the better I appoint six or eight pints of Posset-drink to be provided for these Medicines are dangerous if they are not washed off and therefore as often as the Patient Vomits or goes to Stool he must presently take a draught of it by which means the Gripes will be prevented and he will vomit easier It is to be Noted that if the condition of the Patient requires Bleeding and Vomiting it is safest to bleed first for otherwise whilst the Vessels are distened with Blood there is great danger lest by violent straining to Vomit the Vessels of the Lungs should be broken and the Brain hurt and so the Patient may die Apoplectick of which I could produce some Examples if I thought it convenient let it suffice that I warn you to use great caution in this case If any one should ask
at what time of the Fever I would give a Vomit I say at the very beginning if I had my choice for by this means the Sick may be defended from those horrid symptoms that take their rise from the filth of those Humours that lurk in the Stomach and Neighbouring Parts and perhaps we may crush the Disease in its beginning But if we are called in late as we are often so that we cannot assist the Patient at the beginning of the Fever by prescribing a Vomit yet I have thought it proper to order one at any time of the Disease provided the Patient has strength enough to bear the operation of it I have given a Vomit on the twelfth day and I should not doubt to prescribe one later unless the weakness of the Patient forbids The Evening after taking the Vomit I always endeavour to quiet the tumult raised in the Humours by the Vomit and therefore I prescribe an Anodyne to be taken at Bed-time for Instance Take of Erratick Poppy two Ounces of Aqua-Mirabilis two drachms of Syrup of white and red Poppies each half an ounce mingle them make a Draught But if there be no fear of raising the ebullition for the future either by reason of a great loss of Blood or by frequent Vomiting and Stools or by a present apurexy or debility of the Fever or its declining State I boldly order a large Dose of Diascordium either by it self or mixed with some Cordial-water instead of the Anodyne above-described and it is indeed an excellent Medicine if it be given in a due quantity And now before I leave off discoursing of Vomits I must acquaint you that it is by no means safe at least in this Fever to give Vomits of the infusion of Crocus Metallorum to Children or to any under Fourteen no not in the least quantity The Fatigue of Vomiting being over I further consider with my self whether notwithstanding the preceding Evacuations the Blood continues yet to rage so much that it is still necessary to restrain its effervescence or whether it be so very languid that it wants to be heightened or lastly whether the Fermentation being reduced to a due degree may be left to it self without danger to the Patient First therefore if the Blood ferments so violently that we may reasonably suspect that the Patient is either obnoxious to a Phrensie or any other troublesome Symptom proceeding from too great an ebullition of the Blood the day after taking of the Vomit I prescribe a Glister For Instance Take of the common Decoction for a Glister one pint of Syrup of Violets and Brown Sugar each two ounces mingle them make a Glister And I order it should be repeated upon occasion by which it often happens that the Blood being somewhat ventilated and cooled its effervescence is sufficiently bridled But sometimes it is necessary to repeat Bleeding once and again viz. In those of a very Sanguine Complexion and in the flower of their Age or in others who have imprinted on their Blood a certain inflammatory disposition by the too frequent use of Wine But for the most part there is no need of so great a remedy as is repeated Bleeding and except in the cases above-mention'd the effervescence may be sufficiently suppressed by the help of Glisters wherefore if the Blood ferment too much I order a Glister to be injected every day or every other day as the case requires and that it he done to the tenth day of the Disease or thereabouts but if much Blood has been taken away or the Patient is Aged I order no Glisters at that time though the Blood be very hot for in these cases as there is no fear that by the omission of Glisters the ebullition begun should proceed so far as that there should be eminent danger from some violent Symptom so it is most certain that by the use of them the Strength and as I may say the Tone of the Blood is so much relaxed that especially in old Men for Glisters are not used with so good Success in old Men as in young Nature is obstructed in her business But whether Bleeding has been used or omitted if the effervescence be too languid and wants to be stirred up in this case we must wholly abstain from the use of Glisters even before the tenth day and much rather if it be past for to what purpose should we endeavour to suppress the fermentation that is too weak already As to Cordials I have found by experience that the too early use of them has been very injurious viz. Bleeding having not been first used there is danger lest the crude Matter should fall upon the Membranes of the Brain or the like or on the Pleura and therefore I always take care that Cordials be not given when no Blood or but very little has been taken away and there has been no other considerable Evacuation or when the Patient has not passed the flower of his Age. But if the Patient be weakned by profuse Evacuations I use to give Cordials even at the beginning of the Fever but on the twelfth day of the Disease things then tending to Secretion I suppose we ought freely to indulge the use of hotter Medicines and indeed a little sooner if there be no danger of driving the febrile Matter upon the principal Parts If the Fermentation proceed well the Despumation will be finished about the Fourteenth day But if you use Coolers too late and so by their means suppress the effervescence it is not strange if the Fever continue to the Twenty first day and much longer in feeble Bodies ill managed The Cordials I prescribe are such as those which I will mention by and by those that are more moderate I use at the beginning of the Disease when the heat is very violent always proceeding gradually to the use of hotter according to the progress of the Disease and the degrees of ebullition always remembring that it is lawful if much Blood has been taken away or if the Patient be Aged to administer stronger Cordials than when bleeding has not preceded or when the Patint was in the flower of his Age. Those Cordials I call Moderate are made of Distilled Waters For instance of Borrage Citron Strawberries Treacle compound Scordium-water mingled with the Syrup of Baum of Fernelius of Gilliflowers of juice of Citron and the like but the Stronger of Gascoin's Powder Bezoar Confection of Hyacinth Venice Treacle and the like These which follow are frequently used Take of the Waters of Borrage Citron compound Scordium Black-cherries each two ounces Cinamon-wawater hordeated one ounce Pearls prepared two drachms of Christaline Sugar a sufficient quantity mingle them take four spoonfuls often in a day Take of the Waters of the whole Citron and of Strawberries each three ounces of the cold Cordial-water of Saxony one ounce of Treacle-water and of the Syrups of Baulm of Fernelius of Gilliflowers and of the juice of Citron each half an ounce mingle
Prescriptions Take of the compound Powder of Crab's Claws and of Pearl prepared each one drachm mingle them make a Powder to be divided into six equal parts Or Take of Oriental Bezoar prepared Pearl and Crab's Eyes prepared each half a drachm of the species of the confection of Hyacinth one scruple make a Powder to be divided as before Or Take of the simple Powder of Crab's Claws one drachm of Crab's Eyes prepared two scruples of Cochinel six grains mix them make a fine Powder to be divided into six Papers let one be taken as soon as may be and another two hours after and afterwards let one be taken every fourth hour for the first two days unless the Child be asleep But let the Powders be taken in a spoonful of the following Julep and give a spoonful presently after Take of the Aqua lactis alexiteria four ounces of black Cherry-water two ounces of compound Peony and epidemick Water each two drachms of pearled Sugar half an ounce mingle them make a Julep Or Take of Pennyroyal-water and Aqua lactis alexiteria each three ounces of syrup of Gillyflowers 6 drachms mingle them Or Take of sweet Almonds blanched number ten beat them in a marble Mortar and pour upon them gently half a pint of Barley-water or of Aqua lactis alexiteria strain it and add six drachms of small Cinnamon-water half an ounce of white Sugar mingle them make a Julep Sometimes I am wont to use other things being omitted a Julep that hath much Pearl in it but I order that the Glass should be well shook before it be poured out Take of black Cherry-water four ounces of all the Citron two ounces of Aqua mirabilis and prepared Pearls each two drachms of white Sugar half an ounce mingle them make a Pearl-julep give three spoonfuls at a time But if the Child be troubled with the Cough give half a spoonful of some pectoral Mixture or Linctus and let him take less of the Powders above-prescribed Take of the Powder of Coralline and simple Crab's-claws each one drachm and an half of the syrups of Maiden-hair and Marshmallows each one ounce of balsam of Tolu half an ounce of red Poppy-water half an ounce mingle them Bole Armenick is often properly mixed with such things to good purpose it powerfully stops Catarrhs flowing upon the Lungs the juice of Pennyroyal heated and sweetned with Sugarcandy is also better than most other Remedies Oil of sweet Almonds is also very good if Children can take it so is Brimstone and the Flowers of it The foresaid Powders are to be repeated seldom or often according to the degree of the Symptoms but it is here to be noted that the Gripes Restlessness and the Watchings of Children are as easily appeased by testaceous Powders as pains and watchings by Narcoticks in grown People The third day unless the small Pox Measles or a Scarlet Fever appear I order a Child of one year old to be purged in the following manner Take of syrup of Succory with Rhubarb two drachms of choice Rhubarb powdered fifteen grains or a scruple of the Aqua lactis alexiteria one drachm of small Cinnamon-water thirty drops mingle them Or Take of syrup of Buckthorn one drachm and an half or two drachms of the Powder called Diasenna eight grains mingle them Take of the Earl of Warwick's Powder which is also called Pulvis Cornachinus described in the last Edition of the London Dispensatory six grains let it be taken in a spoonful of black Cherry-water sweetned with a little Sugar Take of sweet Almonds blanched number three beat them in a marble Mortar and pour upon them gently an ounce or an ounce and an half of Barley-water or any other simple Water in the strained Liquor dissolve three drachms or half an ounce of the best Manna mingle them make a purging Emulsion Take of Lenitive Electuary two or three drachms and dissolve it in an ounce of the Aqua lactis alexiteria Sometimes I order this or the like Plaister to be applied to the region of the Navel especially if they are troubled with Worms Take of Succotrine Aloes one drachm of the Powder of the leaves of Savin of the tops of the lesser Centaury and of the flowers of Camomil each one scruple with a sufficient quantity of Venice-turpentine make a Plaister let the margin of it be spread with the Plaister of Cummin to make it stick the better and sometimes it may be convenient to add to the other Ingredients a scruple of Coloquintida There is no purging Medicine more proper for Children and more innocent than Rhubarb it gently and safely evacuates the Matter occasioning their Fever and it gently purges off the Humors that burden the Stomach and whole Body and it strengthens wherefore it is very proper for Infants Children big-bellied Women old Men and such as have been weakened by Diseases After the Purge hath done working some Powder like the former must be given in the Evening and afterwards must be repeated three or four times in a day at fit times for two days and on the third day Purging must be used and it must be dosed according to the operation of the former These things being performed the worst Symptoms most commonly cease or at least are much abated It is to be noted That the first Purge we give to Children that have Fevers must not be only Lenitive but the Dose of it must be less than otherwise it ought to be and the night before Purging a gentle Glister made of four ounces of Cow's Milk Sugar and a little Salt must be injected if the Belly be bound Moreover to quicken the Purge a scruple or two of Cream of Tartar may be dissolved in some spoonfuls of Water-grewel or the like and so given As to bleeding of Children tho' it may be used when the febrile Matter is cast upon the Lungs or in a hooping Cough yet it is plain that it is a Remedy not agreeable to their Nature A Child about three years and an half old was seized with a small Fever that was continual and accompanied with Exacerbations that were very irregular she complained of a great pain in the Head especially and sometimes of the Belly she nauseated all Meat and was very sleepy so that the Standers by thought she would have the small Pox there was a twitching of the Nerves in sleep and she had sometimes a dry Cough I prescribed the following things Take of the Aqua lactis alexiteria six ounces of Epidemick water half an ounce of prepared Pearl one drachm of the simple Powder of Crab's Claws two drachms of Cristaline Sugar half an ounce mingle them make a Julep whereof let her take three spoonfuls every fourth hour shaking the Glass well before using it Take of Succotrine Aloes one drachm of the tops of the lesser Centaury of the leaves of Savin dried each half a drachm of Burgundy-pitch one drachm of Venice-Turpentine a sufficient quantity make a
Plaister to be applied to the Navel The next day she persisted in the use of the Julep and a blistering Plaister was applied to the Neck a Glister made of six ounces of Milk with Sugar and Salt was injected because the Belly was bound Take of Aethiops mineralis and of Mercurius dulcis each six grains of Marmalade of Quinces two scruples make a Bolus to be taken at Bed-time The next Morning she took the following Cathartick syrup Take of syrup of Buckthorn two drachms of the Earl of Warwick's Powder six grains of choice Rhubarb powdered twelve grains of Tincture of Saffron twenty drops of black Cherry-water one drachm mingle them Half a drachm of Cream of Tartar was given in a draught of Posset-drink to quicken the Purge the same night at Bed-time four spoonfuls of the foresaid Julep were given On the fourth and fifth days the following mixture was given by spoonfuls Take of Coraline two drachms of the leaves of Mint dried and powdered one scruple of the simple Powder of Crab's Claws one drachm of balsamick syrup and of the syrup of Marshmallows each one ounce of Orange-water half an ounce mingle them The Evening preceding the sixth day the Bolus before-prescribed was repeated and the Morning following the purging Syrup by the vertue whereof the Child vomited up a Worm a span long and soon â—â—â—erwards was well CHAP. CXXIII Of Agues AS to the Cure I have for many years taken notice how dangerous it is to endeavour to cure by Sudorificks in Tertians and Quotidians when they are new and have not yet formed themselves being at present like continual Fevers For though it is well known that upon Sweating the restlesness and other symptoms presently vanish yet if Sweat be forced too much the Fever will be made continual and the Life of the Sick will be endangered Having therefore considered how ineffectual this method is and the inconveniency of other Evacuations by Bleeding and Purging I suppose the Peruvian Bark would do best and I can truly affirm notwithstanding the prejudice of the common People and of a few Learned Men I never perceived any injury by the use of it nor can imagin any only they that have used it a long while sometimes fall into a scorbutick Rheumatism but this seldom happens upon this occasion and when it does it is easily cured by the Remedies proposed for it in the Chapter of a Rheumatism Being called to a Patient of a Quartan Ague for instance on a Monday I do nothing if the Fit be to come that day only I give the Sick hopes that he may be freed from the next Fit and therefore on the two well days namely Tuesday and Wednesday I give the Bark in the following manner Take of the Peruvian Bark finely powdered one ounce with a sufficient quantity of Syrup of Gilliflowers or of dried Roses make ad Electuary to be divided into twelve parts whereof let him take one every fourth hour beginning presently after the Fit drinking upon it a draught of some Wine Or if he likes Pills better Take of the Peruvian Bark finely powdered one ounce with a sufficient quantity of the Syrup of Gilliflowers make Pills of a moderate bigness whereof let him take six every fourth Hour But an ounce of the Powder may be easier taken and as successfully mixed with a quart of Claret-wine eight or nine spoonfuls of it being taken every fourth hour On Friday when the Fit is feared I give nothing for most commonly no Fit comes but lest the Disease should return eight days exactly after the last Dose I give the same quantity of Powder viz. One Ounce divided into twelve parts according to the method above-mentioned But though most commonly by giving the Powder after this manner the Disease is commonly Cured yet to secure the Patient from a relapse it is safe to repeat it three or four times at the same intervals especially when the Blood has been weakened by foregoing Evacuations or by catching Cold. But though this remedy has no purging quality yet by reason of the peculiar Constitution of some Bodies it often happens that the Sick is violently purged by it in this case it is necessary to give Laudanum with the Powder wherefore I give ten drops of Laudanum in Wine after every other Dose if the Loosness continues I use the same method for Tertians and Quotidians but Tertians and Quotidians often are almost continual and there is only a remission of those days they should intermit especially when the Sick has been confined to his Bed and has used too hot a Regimen and Medicines In this case I give the Powder as soon as I perceive any remission But there are some that cannot bear the Bark neither in the form of a Powder nor of an Electuary nor of Pills for these I infuse in the cold two Ounces of the Bark grossly powdered in a quart of Rhenish-wine and four Ounces of the Infusion standing some days seem to contain the vertue of one Drachm of the Powder and because it is neither unpleasant nor oppresses the Stomach it may be taken as often again as any other form of this Remedy Sometimes it happens that before this Disease is come to a regular Type the Sick cannot retain the Bark in any form by reason of continual Vomiting in this case the Vomiting must be first stopp'd before the Bark can be given to which end I order that six or eight times in the space of two hours one spoonful of the fresh juice of Limons be taken with a scruple of Salt of Wormwood afterwards I give sixteen drops of liquid Laudanum in a spoonful of strong Cinamon-water and soon after if the Vomitting stop the Jesuits Powder For Infants whose tender Age would scarce bear the taking of this remedy in another form at least so much of it as would cure the Disease I use to prescribe the following Julep Take of Black-cherry-water and of Rhenish-wine each two ounces of the Peruvian Bark finely powdered three drachms of the Syrup of Gilliflowers one ounce mingle them make a Julep let one or two spoonfuls of it be taken according to the age every fourth hour till the Ague is cured If there be a Loosness you must give a drop or two of liquid Laudanum with every other Dose As to the Diet the Sick may eat any thing that agrees with his Stomach only he must avoid cold Liquors and Summer Fruits and let him use Wine moderately for his ordinary drink by which alone I have cured some Patients that could not be cured with the Jesuits Powder The Disease being taken off the Sick must carefully avoid all evacuations for the gentlest Purge yea only a Glister of Milk and Sugar will be apt to cause a Relapse CHAP. CXXIV Of the various Forms and Shapes of intermitting Fevers THese Fevers often resemble most other Diseases and such as are most acute yet they yield to the Peruvian Bark and if the Bark is not given they
in the Throat then wandring pains begin towards night to affect the Shoulders Arms Legs Head and about this time appear in the Fundament Warts and other kind of Proturbances also about this time Tumours arise in the Breast Arms Legs and become Ulcers that are difficultly Cured The pains growing more fixed Nodes usually arise and continually afflict them but towards night grow more intolerable Co-incident with several of these later degrees are the noise in the Ears Deafness a Polypus Opthalmia the Fisâ—ula Lacrimalis fierce Catarrhs Colick Loosness and Consumption Authors upon the entrance of the Pox into Christendom generally lookt upon it as not only Incurable but also so highly infectious that they ran away from it as much as the Jews did from the Leprosie but later Ages and long experience have made it less formidable yet even to this day it must needs be acknowledged difficult to Cure in consideration of its malign and contagious quality and the ungovernable disposition of the Patients If the habit of the Body be strong the cure of all the species of the Pox whether they be Chancer Pustles Tetters or eating Ulcers or Ulcers in the Throat and Nose are much easier cured than the same are in many other chronick Diseases but to root out the malignity is somewhat more difficult If the Patient has been Clapt formerly it will be more difficult to cure him the second time and worse the third If he has passed through long courses of Mercurial remedies ineffectually his Cure will be difficult and if he has been Salivated by unction and relapsed the Cure will be hard by reason the Mercury is become familiar to him and his Body is for the most part wasted Nodes are more difficultly Cured than any of the Species above mentioned and those whose Bones are corrupted are yet more difficult to cure but if the habit of the Body be strong and the Bowels sound all the Species of this Disease are curable if the Patient keep his Chamber and submit to the rules of Physick and Diet without which submission we can scarce cure the lesser Species If the Bowels be unsound or the Patient hectick the Disease is incurable As to the Cure though Bleeding does not take off the Disease yet in the very beginning of it we usually let Blood to quiet the fermentation of the humours and to dispose them for evacuation and prescribe a Glister before or after If the Disease be of long continuance and they have been let Blood some Months before yet if we design Salivation we do again let them Blood if the Body be not too much wasted for in some of those a Fever has happened in the time of raising the Salivation and in Bodies of a Strong habit I have often seen them to break out in heat all over in the beginning of the Flux so that then I have been necessitated to let them Blood when it was not so proper But when there is a Bubo in the Groin bleeding is not proper But purging is more Universally necessary Of Purges some are only lenitive as Manna with Cream of Tartar in Whey or Posset-Drink Tamarinds Cassia Senna Rhubarb lenitive Electuary and the like Stronger Purges are these that follow Take of the Leavs of Sena four ounces of Gummy Turbith Hermodactiles each two ounces of black Helebore and of the pulp of Coloquintida each six drachms of the raspings of Guiacum and Sassafras each one ounce of the Bark of Guiacum of the Berriei of Juniper of the outward Peel of Citrons each half an ounce of Cinnamon four Drachms infuse them in equal parts of the Water of Baulm Meadow sweet and Carduus Benedictus for forty eight hours then boyl them gently and press them out strongly in the strained Liquor dissolve too ounces and an half of Aloes one ounoe of Diagrydium evaporat them to the form of an extract for use The Dose is half a Drachm or a Drachm Take of Pil. Coch. min. A Scruple or half a Drachm Mercurius Dulcis twenty Grains make six Pills Or Take of the extract above mentioned of Gum Guiacum half a Scruple of Mercurius Dulcis one Scruple with Syrup of Buck-thorn make pills Vomiting is of use in great disorders of the Stomach when the foulness of that requires it or when the Ulcers of some particular part require a sudden revulsion so likewise when after the use of much Mercury outward or inward to Salivate it does not rise kindly they generally give strong Vomits if the party can bear them viz. some preparations of Mercury as Turbith Mineral and the like or Crocus Metallorum But in weaker constitutions such as we may The next thing which offers it self to our consideration is Salivation without which few great Cures are done in this Disease The methods of Salivating are diverse but all by Mercury Inwardly are prescribed various preparations of Mercury When we design Salivation by Mercurius dulcis we give it from twenty to twenty five grains and sometimes to thirty either in a spoonful of white Bread and Milk or in conserve of red Roses or the like when we suspect it may worke by Stool we prescribe it with Diascordium or Venice-Treacle at Bed time If after taking of it four or five Days their Chops do not swell it may be reasonable to move it upward with a few grains of Turbith Mineral according as their Chops swell they will Salivat if their Mouths be much ulcerated and swelled the Salivation may last eighteen or twenty Dayes during which they are to be kept warm especially about their Head Neck and Chops and to drink Chicken Broath or Posset Ale Arcanum Corallinum as it is generaly sold in the Shops may be given from three grains to five one Dose of it prescribed to a Woman Vomited her often and Salivated twenty Days Red Precipitat is also Vomitive but being well washed may be taken as safely as the white Precipitat White Precipitat may be given proportionably as has been said of Mercurius dulcis Turbith Mineral made of Vigo's Precipitat is best twelve or 18 grains of it may be taken at a time but that which is sold in the Shops is a rough Medicine and must be given in a less quantity There is also a way of raising a Salivation by suffumigation the prescription whereof is as follows Take of Cinnabar two ounces of Crude Mercury one ounce of Mastich Frankincense and Sandarach each half an ounce of Storax Calamit and Benzoin each three drachms make a fine powder of all and with Turpentine make Troches each weighing three drachms for use But when the Pox is grown inveterate and affects the most solid parts with Node's and the like Salivation by unction must be used Take of Lard two ounces of Crude Mercury one ounce mix them well You must begin the unction in the following manner the Patient must lodge in a close warm Chamber if the Season be cold the Windows must be covered with
Blankets and the Bed must be placed near the Fire and encompassed with a Skreen if the Chamber be large you ought also to have a strong healthy Nurse such as has been accustomed to the employment that she may know how to wash the Patients Mouth and direct and encourage him in such rules as may be necessary in the time of Salivating The most proper place for unction is a Stove if it may be had and the Patient can bear it if he be weak his Bed must be used otherwise for want of a Stove he must sit encompassed with a Screen by the Fire side but not too near it He must anoint himself begining at the Feet and then the Legs Thighs Hips and so upwards taking in the Arms and Shoulders the Belly must not be anointed and indeed much of the trouble in weak Bodys may be spared for in such the anointing of the Legs and Arms may be sufficient the parts first anointed ought to be covered before you proceed to the next as the Legs with Stockings the Thighs with Trousses and the like at last his Neck must be well wrapp'd with a Napkin tacked up to his Cap round about to his Ears and fastened before to keep his Chops warm after this a warm Bed will be convenient and a Draught of Posset-drink to procure a breathing sweat having reposed himself an hour or two he may rise and provide for his Dinner which must consist of Meat of easie digestion Roast or Boyl'd at his Dinner he may drink Beer or Ale with a Toast the rest of the Day he must be confin'd to Posset-drink You must use a third part of the Ointment at a time and continue dayly to use it for three Days following when the Patient spits you must keep him to Posset-drink or Chicken-Broath also a Cordial must be at Hand to prevent fainting his Mouth must be syringed with Barly-Water and Liquorice and the like New Milk held in his Mouth or Chicken-Broath will ease the pain and digest the Sloughs that rise a rolled Clout ought to be placed between his Teeth to keep his Chops from closing he must be rais'd high in the Bed if his weakness constrain him to it and kept forward that the Rheum may run out of his Mouth and not down his Throat but if he can rise he will spit the better and more plentifully Salivation by unction commonly lasts twenty four or twenty five Days sometimes to the thirtieth Day In the hight of it our work is to keep up the strength and if through Costiveness they Spit little give them a Glister that they may Spit better and attend the washing their Mouths but as the Sloughs begin to separate which will be towards the declension of the Salivation prescribe them a decoction of Sarsa or the like to drink at least thrice a day and before the Slough is quite cast off purge them and as they are able to eat Meat put them into a drying diet and sweat them as shall be shewed in its proper place It happens sometimes in anointing that their Mouths are much Ulcerated and their Breath smells strong yet their Cheeks do not swell nor do they Spit considerably in which case forbear the anointing and consider the cause of it and if the body be strong and plethorick Vomit them with Turbith or infusion of Crocus metallorum But if they are weak or costive administer a Glister and if afterwards it rise not dispose them to Sweat with draughts of warm Posset Ale or bath them for that way it will sometimes arise when with the other it will not But if they have faintness palpitation of the Heart shortness of Breath Fever and the like your best way will be to purge it off with an infusion of Sena and the like with the adition of Syrup of Roses solutive or of Syrup of Buckthorn and keep up their Spirits the while with Cordials and good Broaths if their Lungs be opprest let them Blood and prescribe Lohochs but if there be also a suppression of Urine or if they make but little and high coloured purge them with Barnet or Epsom Water turned into Posset and quicken it with some purging Syrup If by these ways of purging the accidents remit and the Salivation rises it is well but if it does not yet there being a colliquation made you may by well purging strict diet sweating and the like obtain your end While you are removing the abovesaid accidenâ—s you must have a special regard to the Ulcers within their Mouths for it is from the fixing of the Mercury that those malign Ulcers are made which the less sensible they are of them the more corrupt they are Sometimes by raising the Salivation by unction it passes downwards by Stool in which case we prescribe Venice-Treacle Diascordium Laudanum Opiatum and the like which being given at Night will not only strengthen their Bowels but dispose them to rest and incourage them to go on in the anointing a Vomit of Turbith mineral After the unction has been some while used does frequently raise the Salivation and after it is well raised you may heighten or continue it by the application of some of the following Plasters But if after all your endeavours to raise the Salivation it does discharge it self by a loosness with great evacuation you are then to defend the Intestins from the acrimony of the humours by Glister of Chicken-broath lest the bloody Flux follows Inwardly we prescribe large draughts of Chicken-Broath a Decoction of burtnt Hearts-horn and Milk-water boyled with a Stick of Cinnamon After the Flux is stopt you must consider the strength of the Patient and if the Sick be very weak you must not insist upon Fluxing but proceed with Sudorificks and the like not doubting of success in the Cure for such a loosness does for the most part contribute as much to the Cure as if they had Salivated There is yet another way of Fluxing and that is by the application of Mercurial Plasters about the Arms Legs and the like they were first designed I suppose for the more tender and delicate sort of People who would not admit of the unction Take of Diachylon with Orris one pound of Red-Lead Plaster eight ounces of Gum Carranna and Tacamahaca each four ounces of Benzoin Storax Calamit and Ambar each two ounces of Liquid-storax and of Peruvian Balsam each a sufficient quantity mingle them over the Fire and when it is removed from the Fire add eight ounces of Crude Mercury extinguished with Turpentine make a Plaster These being spread upon a Cloath thick and applyed you must then put them into a warm Bed and with a draught of warm Posset-drink sweat them dayly and treat them as has been said in the Salivation by unction If it arise not by the first Plasters you must apply fresh once in four or five days and if there be occasion you may hasten the Salivation by a few grains of Turbith Mineral I have
and the Passions of the Mind As to a Gonorrhea the main of the Cure is performed by Purging but because the Disease is accompanied with an Inflammation and cured by Purging Medicines that are hot cooling Diet must be ordered through the whole Course Take of the mass of the Pill Coch. Major three drachms of Extract of Rudius one drachm of rosin of Julap and Diagridium each half a drachm with a sufficient quantity of Opobalsamum make six Pills of every drachm The Sick must take four of them at four or five a Clock in the Morning and sleep upon them for twelve or fourteen days or more till the heat of Urine and the yellow colour of the Matter be much lessened afterwards every other day for a Fortnight and afterwards twice a Week till the Humour quite stop which will not be done till a long time though it be commonly affirmed that that Ichor that is seen especially in a Morning at the top of the Yard being pressed proceeds only from a loosness of the parts by reason of the long continuance of the running Yet the Sick will find it otherwise if he neglect Purging before it is quite gone For upon any small occasion as by immoderate Drinking violent Exercise or the like the Gonorrhea will return But if the Gonorrhea does not yield to such kind of Purging it will be proper instead of Pills especially if the Sick are difficultly Purged to give betwixt whiles some more powerful Medicines as is the following Purge Take of Tamarinds half an ounce of the leaves of Sena two drachms of Rhubarb one drachm and an haâ—f boyl them in a sufficient quantity of Water in three ounces of the strained Liquor dissolve of Manna and syrup of Roses solutive each one ounce of syrup of Buckthorn and of Electuary of the juice of Roses each two Drachms mingle them make a Potion If the Cure proceed slowly give eight Grains of Turbith Mineral only twice or thrice and at due distances lest a Flux arises and this Medicine is certainly the best for an obstinate running of the Reâ—ns But sometimes the Sick has such an â—verâ—â—on for Purging often repeated that he cannot so much as see or smell the Medicine and sometimes by a certain Idiosyncrasy there is such an obstinate opposition to Purging that a due quantity of the peccant Humour cannot be evacuated and whilst we waste time to no purpose in endeavouring to purge the Sick the Pox creeps on when the case is so we must use Glisters and on those days the sick does not use them we must give Catharticks by the Mouth I proceed in the following manner I give the foresaid Pills or the like for two or three Mornings following and afterwards I order the following Glister to be injected in the Morning and at five in the Afternoon daily till all the Symptoms cease only once or twice a Week I give a Purge omitting on those days the Glister Take of the Electuary of the juice of Roses six drachms of Venice Turpentine dissolved in the yolk of an Egg an ounce mix them with a pint of Barly-water to the strained liquor add two ounces of Diacatholicon mingle them make a Glister Every night at Bed-time I give twenty five drops of Opobalsamum mixed with Sugar or for want of it Cyprus Turpentine to the quantity of a hazel-Nut I forbid salt Meats and other things of hard digestion as Beef Pork Fish Cheese Roots and Herbs and all Summer Fruits and instead of them I order Veal Mutton Chicken Rabbets and the like and the Sick must eat but sparingly of these He must forbear Wine and all strong and sharp Liquors but he may drink Milk boyled with thrice the quantity of Water and a small quantity of small Beer at Meals and betwixt the Purging he may drink of the following Emulsion frequently to qualifie the heat of Urine and the Inflammation Take of the seeds of Melons and of Pompious each half an ounce of the seeds of white Poppies two drachms of blanched Almonds number eight beat them together in a marble Mortar pouring upon them gently a pint and an half of Barly-water to the strained Liquor add a sufficient quantity of Christaline Sugar and make an Emulsion When the Sick is of a very sanguine Constitution and when the Disease is obstinate after I have Purged him a Month or thereabout I order eight or nine Ounces of Blood to be taken from the Arm. In this disease he that Cleanses well Cures well only Mineral waters must not be used But it is to be noted if the Glans be covered all over with the Prepuce and if by reason of the Inflammation it be swelled hard and callous so that it cannot be drawn back it is in vain to attempt the cure of the Running unless at the same time the Part affected be reduced to its natural State the hardness and swelling being removed therefore the following Medicines must be used Yake of the roots of Marshmallows and of Lillies each one ounce and an half of the leaves of Mallows Mullein Elder and Henbane of the flowers of Camomile and Melilot each one handful of the seeds of Flax and Fenugreek each half an ounce boyl them in a sufficient quantity of Fountain-water make a Fomentation wherewith foment the part half an hour at a time twice or thrice a day After the fomentation I order that the part affected be anointed with the Oyl of Flax-seeds fresh drawn and that a Plaster of the Mucilages be apply'd to the swell'd lips of the Prepuce but if the Ulcer in the Lips of the Prepuce or on the Glans under it hinders it from being drawn back easily besides the fomentation above mention'd I prescribe also the following Liniment Take of Basilicon six drachms of the Ointment of Tobacco two drachms of red precipitat wash'd in Rose-water and well powder'd half a drachm mingle them make a liniment wherewith make Pledgets and apply them to the Chancres after the use of the fomentation But when the Scrotum is the seat of the Disease after the use of the fomentation if the pain and swelling be not abated apply a Cataplasm of Oxycrate and Bean-flower also at the same time I use inwardly Catharticks and cooling Medicines and order the Diet above-mentioned and bleed at any time of the Disease if the swelling in the Scrotum be great and if the pain be violent If a swelling arises in the Groin apply the follow-Plaster to suppurate it Take of Galbanum and Ammoniacum each two ounces of Opopanax and Sagapenum each one ounce of Mustard-seed and Pellitory of Spain each six drachms of common Soap two ounces of Burgundine Pitch four ounces of Oil of Lillies two ounces of Wax a sufficient quantity make a Plaister For Ulcers in the Pallate and Tonsis Take of all the Throatwort three handfuls of Holm Self-heal and Male Speedwell each one handful of red Roses one pugil of red Sanders and the Wood of Juniper
each one ounce make a Decoction in two quarts of Barly-water boil it to the consumption of a third part in the strain'd Liquor dissolve of syrup of dried Roses and Diamoron each three ounces of Hony two ounces make a Lotion With this the Ulcer may be washed daily either by Syringing or Gargling but if the Ulcers be behind or over the Palate the best way to cleanse them will be to pass the Injection up into the Nostrils but the Patient must keep his Mouth full of Water all the while to prevent Coughing If the Ulcers are sordid dress them with the Lac sublimate upon an armed Probe if there be a Caries in the bone of the Palate touch it with Aqua divina Fernelii if the bone be corrupted through 't will be necessary to wear a plate In Ulcers of the Nose the matter usually mixing with the excrementitious humours dryes in the passage and thereby prohibits the discharge and increases the ulceration and also the Caries and therefore you are in the first place to supple and remove that by casting up mucilaginous decoctions Take of cleans'd Barly one ounce of the roots of Marsh-mallows two ounces of the Seeds of Quinces three Drachms of Liquorish two drachms boyl them in a quart of Fountain-water to the strain'd Liquor add three ounces of Oyl of Almonds let it be injected often in a day the mucus being thus removed inject the following Water Take of Sarsaparilla sliced three ounces infuse them twenty four hours in three pints of plantain-water then boyl half away towards the end add of the Leaves of Agrimony Sage and the tops of Brambles each one handful of red Roses and Balaustines each half an handful quench Steel often in the strain'd Liquor and add to it two drachms of Roch Alum and make an Injection This will cleanse the Ulcers and in the mean while you may by Anti-venereals hasten the exfoliation of the Bones and consolidation of the Ulcers For the extirpation of Warts and the like Excrescencies magisterial water of Alum lac Sublimati Spirit of vitriol and the caustick Stone are proper when these will not do the business the Ligature and Knife and actual cautery will but the growing of them again must be prevented by Anti-venereals To cure the fluttering noise in the Ears arising in this Disease Take of the bark of Guiacum one drachm of the bark of Sassafras two drachms of Castor four scruples of the flowers of Lavender one drachm and an half of Cloves half a drachm of Spirit of Wine rectified eight ounces make an Infusion in a glass Vessel twenty four hours upon hot Ashes keep the strain'd Liquor for use Put some of this daily into the Ears warm with Cotton To ease Pains Take of Lard four ounces of Oil of Scorpions two ounces of the Oils of Camomil Rosemary and Sage each half a drachm of Petroleum and Spike Oil each one drachm of London Laudanum one Scruple more or less mingle them and anoint the Part. If Nodes cause the Pain apply the Plaister of Frogs with four times the quantity of Quick-silver CHAP. CXXVII Of the Itch and Spots and Pimples in the Face OFten and constant eating of salt Fish or Flesh and dryed in the Sun also Drinks that are disagreeable and poysonous do commonly cause cutaneous eruptions also the Humour gathered in the cutaneous Glands sometimes by meer Stagnation becomes not only itchy but oftentimes corruptive wherefore not only they that have been long kept in Prison but also they that have liv'd a Sedentary Life and are used to Filth and Stinks are subject to these Diseases As to the cure of the Itch there are two primary Indications First that the glandulous Humour be reduced to a due disposition Secondly that the pores of the Skin be freed from ichorus concretions The preservative Indication respects these two things First that the itchy Humour does not regurgitate upon the Blood and nervous Liquor Secondly that itchy Humour if it be fallen upon the noble Parts be eradicated All these intentions of Healing ought to be complicated or at least provided for by turns by external and internal Remedies You must begin and end with Purging and Bleeding if nothing contra-indicates must be used at the beginning Alteratives must be also used and Liniments and Baths or Topicks of other kinds I will set down some choice forms of Medicines of every kind and first as to Purges a Purge or a Vomit must be given at the beginning and after bleeding if it be used a purging Apozem or Diet-Drink must be taken for seven or eight days Take of the Electuary called Diacarthamum three drachms of the Species called Diaturbith with Rhubarb one drachm of Cream of Tartar and Salt of Wormwood each half a Scruple of the purging Syrup of Apples a sufficient quantity make a Bolus Take of Sulphur of Antimony grains seven of Scammony sulphurated grains eight of Cream of Tartar half a scruple make a Powder Take of the Roots of Polipody of the Oak of sharp-pointed Dock prepared each one ounce of the leaves of Sena ten drachms of Turbith Agarick and Dodder of Thyme each one ounce of the seeds of Carthamus half an ounce of yellow Sanders two drachms of the Seeds of Anise and Caraways each two drachms cut them and beat them and digest them hot in two quarts of White-wine in a Vessel close stopped for twenty four hours pour off the clear Liquor without pressing The Dose is six ounces either by themselves or with a spoonful of the Syrup of Dodder of Thyme Or Take the fore-said Ingredients and boyl them in three quarts of Fountain-water till half is consumed then add a pint of White-wine strain it presently to be taken as before Or Take of the roots of Polypody of the Oak of sharp-pointed Dock each three ounces of the best Sena four ounces of Dodder of Thyme Turbith and Mechoacan each two ounces of yellow Sanders one ounce of Coriander-seeds six drachms prepare them according to Art make a Bag for four Gallons of Ale after five or six days Tap it and take three quarters of a pint more or less every morning for eight or ten days For the ordinary drink provide four gallons of small Ale and hang in a Bag in it the following Ingredients Take of the tops of Tamarisk and Fumitory dryed each four handfuls of the roots of sharp-pointed Dock dryed six ounces of the bark of Woody Night-shade two ounces cut and beat them As to altering Remedies there is little need of others besides the altering drink above prescribed only the Patient must observe a good course of Diet he must forbear salt and peppered Meats Shell-fish and such as are Pickled also Wine Strong-waters and strong Beer As to Ointments the following is commonly used Take of the powder or flower of Brimstone half an ounce of Butter that is not Salted four ounces of Ginger powdered half a drachm make a Liniment The following is neater though not
sorrel one drachm of species Liberans half a scruple with a sufficient quantity of the syrup of the juice of Citron make a Cordial Bolus Take of the compound Powder of Crab's claws half a scruple of Volatile salt of Hart's horn three grains of confection of Hyacinth a sufficient quantity Take of the Cordial magisterial Powder of compound Powder of Crab's claws each twelve grains of the temperate Cordial Species eight grains mingle them make a Cordial-powder for two Doses Take of the compound Powder of Crab's claws and of the Goa-stone each half a drachm mingle them Make a Powder to be divided into three doses Catharticks TAke of Quercetan's pill of Tartar one drachm and an half of the Pil. Coch. major two scruples of chimical Oil of Marjoram three drops mingle them make twelve Pills and let three be taken at Bed-time once in two or three days Take of the fetid Pill and of Troches of Myrrh each one drachm of volatile Salt of sal Armoniack one scruple of peruvian Balsam a sufficient quantity make midling Pills Take of the fetid Pill and of Rudius's extract each half a drachm of salt of VVormwood ten grains of Oil of Cloves two drops with a sufficient quantity of Elixir Proprietatis make twelve Pills Let him take four every third day with Regimen Take of the Pills of Storax ten grains of Aloes Rosat two scruples make eight Pills Let him take them every other night and the next morning an ounce of Manna and a drachm of Cream of Tartar Take of Pil. ex duobus and of Pil. Coch. minor each one scruple of salt of Tartar half a drachm with a sufficient quantity of syrup of Backthorn and four drops of Juniper berries make twelve Pills Let him take six with Regimen Take of the Pill of Hound's-tongue one scruple of Aloes Rosat and of the Pil. Coch. minor each one drachm of salt of Tartar half a drachm with a sufficient quantity of syrup of Violets make eighteen Pills Give six when the cholick pain is violent and let the sick keep his bed six hours and repeat them upon occasion Take of Manna one ounce and an half dissolve it in two ounces and an half of black Cherry-water add one ounce of the purging syrup of Apples of spirit of Sulphur three drops Let the Child take half of this every other day Take of Gerion's decoction of Sena four ounces of syrup of Buckthorn six drachms of spirit of Sulphur six drops of Aqua mirabilis one drachm mingle them make a Potion to be taken in the morning Take of the Powder of Rhubarb twenty five grains of salt of Wormwood eight grains of syrup of Succory with Rhubarb a sufficient quantity mingle them make a Bolus to which add two drops of chimical Oil of Aniseeds Take of Mercurius dulcis and Diagridium each fifteen grains mingle them make a Powder to be taken in the morning Diaphoreticks TAke of Venice-treacle half a drachm of bezoartick Powder one scruple of syrup of the juice of Citron a sufficient quantity Make a Bolus Take of the Powders of the roots of Contrayerva Virginian snakeweed and Butterbur each one drachm of Cochinele and Saffron each half a drachm mingle them make a Powder The dose is half a drachm Take of the compound Powder of Crab's claws half a drachm of conserve of VVoodsorrel one drachm of Mithridate two scruples and an half mingle them Presently after taking it drink a draught of Posset-drink wherein Camomil or Marigold-flowers have been boil'd Take of Venice-treacle one drachm of Laudanum Opiatum one grain and an half of the pulp of Conserve of Roses half a drachm mingle them make a Bolus to be taken at bed-time drinking upon it the following draught Take of Treacle-water one ounce of Carduus-water two ounces of syrup of Cowslips three drachme mingle them make a draught Take of Venice-treacle two scruples of volatile Salt of Amber and Bezoartic mineral each half a drachm of Laudanum opiatum three grains mingle them make a Bolus Take of Salt of Hartshorn two grains of the magisterial Cordial-powder six grains of Camphor and Cochinele each four grains of Venice-treacle one scruple of the Aqua Coelestis a sufficient quantity mingle them make a Bolus Let it be taken at a convenient time and let nine ounces of the following Apozem be taken every third hour Take of the roots of Scorzonera two ounces of Butturbur Angelica and Fennel each one ounce of rasped Hartshorn six drachms of Ivory rasped three drachms of Marigold-flowers one pugil of Vetches half a handful boil them in a sufficient quantity of Barly-water to a quart of the Liquor strain'd add half an ounce of tincture of Saffron of Christalline Sugar one ounce mingle them make an Apozem Diureticks TAke of Sal Prunellae two drachms of Sugar candy one drachm make a Powder to be divided into six parts Let one be taken thrice a day Take of Sal Prunella three drachms of Salt of Amber half a drachm make a Powder The dose is half a drachm thrice a day Take of Compound-water of Horse-radish two ounces of Pellitory-water four ounces of spirit of Salt one scruple fifteen grains of salt of Tartar fifteen grains of syrup of Violets half an ounce mingle them make a Potion Take of the Powder of Bees one scruple of the seeds of Lovage half a scruple mingle them make a Powder Take of the Powder of Egg-shells half a drachm or one drachm give it in a draught of Whitewine Take of the Waters of Arsmart and Wake-robin each six ounces of compound Briony-water and compound Radish-water each two ounces of the syrup of the five opening Roots one ounce and an half of spirit of Salt forty drops mingle them make a Julep Let four or five ounces of it be taken twice a day Eye-Waters TAke of the water of Spawn of Frogs of Plantain and of Roses each one ounce of Tutty-stone prepared two scruples of the white Troches of Rhasis half a scruple mingle them make an Eye-water to be used twice or thrice a day cold Take of red Rose water two ounces of Salt of Vitriol finely powder'd five grains mingle them make a Collyrium Take of Crocus metallorum one drachm of Plantain-water three ounces digest them hot for six hours and then filter them Make a Collyrium to be dropt into the Eyes often in a day Emulsions TAke of blanched Almonds number three of the seeds of Melons Lettice and white Poppies each one drachm of the pulp of Barly three drachms beat them and pour on them a sufficient quantity of Barly-water to eight ounces of the strained Liquor add five drachms of Diacodium mingle them make an Emulsion Take of blanched Almonds twelve of the four greater cold Seeds each one drachm and an half of the seeds of Lettice and white Poppies each half a drachm beat them in a marble Mortar and pour on them gently a sufficient quantity of Poppy-water make an Emulsion for 2 doses
to which add an ounce of syrup of Violets and half a drachm of sal Prunella Take of blanched Almonds infused in Rose-water two ounces of the four greater cold seeds and of Plantain and Purslain each one drachm of seeds of Marsh-mallows and white Poppies each one scruple beat them according to Art and pour on them a sufficient quantity of the decoction of Barly and Liquorice make an Emulsion for two doses To each add of syrup of Water-lillies one ounce of sal Prunella half a drachm Gargarisms TAke of the Waters of Plantain and spawn of Frogs each four ounces of syrup of Mulberries and dried Roses each one ounce of spirit of Vitriol a sufficient quantity to make it pleasantly acid make a Gargarism Take of the middle bark of the Elm two ounces of Barly-water one pint and an half boil it to a pint Add to the strain'd Liquor when 't is clear of Epidemic-water and syrup of Rasberries each two ounces of spirit of Sulphur half a scruple mingle them make a Gargarism Take of the mucilage of the seeds of Quinces made in Rose-water two ounces of syrup of Rasberries one ounce mingle them Let him take one spoonful often and hold it a little upon his Tongue and swallow it by degrees Take of Plantain-water one pint the whites of two Eggs of Sugar a sufficient quantity mingle them make a Gargarism Take of the roots of Marshmallows one ounce of Liquorish rasped three drachms of the middle bark of the Elm and of common Bramble-bush each three drachms of the leaves of Sage and Columbine each half a handful of fat Figs number five of red Roses half a handful of Balaustines half a drachm of Jew's Ears two drachms of Cochinel one scruple boil them in a sufficient quantity of Fountain-water to one pint strain the Liquor and sweeten it with Hony of Roses strain'd make a Gargarism Take of the Waters of red Roses and Plantain each two ounces of Hony of Roses strain'd and of syrup of Mulberries each three drachms of crude Alom pouder'd ten grains mingle them make a Gargarism Glisters TAke of the carminative Decoction ten ounces of mercurial Hony one ounce of brown Sugar two ounces and a half of the Electuary of Laurel-berries half an ounce mingle them make a Glister Take of the common Decoction for a Glister one pint of Lenitive Electuary one ounce and a half of Diacatholicon one ounce of Oil of Camomil half an ounce mingle them make a Glister Take of Cow's milk one pint of yolks of Eggs number two of Venice-treacle half an ounce mingle them make a Glister Take of the carminative Decoction with Lawrel and Juniper-berries ten ounces of the Electuary of Lawrel-berries one ounce of Vinum Benedictum two ounces of brown Sugar three ounces of chimical Oil of Juniper ten drops mingle them make a Glister Take of the common Decoction for a Glister six ounces of the species of Hiera piâ—ra one drachm of Cassia six drachms of mercurial Hony one ounce and a half mingle them make a Glister Take of Cow's Milk with a pugil of red Roses boil'd in it six ounces of Diascordium one drachm mingle them make a Glister Take of the roots of Tormentil of yellow Myrobalans of the seeds of Coriander each three drachms of the Flowers of Camomil half a handful of Balaustines one scruple boil them in a quart of Fountain-water to half a pint of the strain'd Liquor ade one drachm of Mithridate make a Glister Liniments TAke of the red Ophthalmic Ointment of the last Edition save one of the London Dispensatory two drachms of Oil of bitter Almonds twenty drops mingle them make a Liniment wherewith anoint the Eye-lids with a hot Finger Take of pure Sperma ceti two drachms dissolve it in half an ounce of Oil of Almonds fresh drawn add six drachms of Pomatum mingle them make a Liniment for the Face Take of Oils of Scorpions and of sweet Almonds each one drachm of Saffron pouder'd half a scruple mingle them make a Liniment wherewith anoint the region of the Heart with a hot Hand and apply over a Pidgeon cut in the middle and renew it every third hour Take of the Alabastrine Ointment one drachm and a half of Oil of Nutmegs by expression two scruples mingle them anoint the Forehead and Temples and apply over a Rose-cake sprinkled with Vinegar Take of Populneum Ointment half an ounce of Opium one scruple mingle them Take of Ointment of Tobacco one ounce and a half of Flowers of Sulphur half an ounce of Oil of Nutmegs by expression two drachms of sal Armoniac one drachm mingle them Take of the pectoral Ointment and of the Flowers of Oranges each one ounce and a half of the chimical Oil of Camomil-flowers one scruple mingle them make a Liniment wherewith anoint the Breast with a hot Hand Pectorals TAke of Olibanum Spema ceti and of the Powder of Liquorice each one scruple of syrup of Marshmallows a sufficient quantity mingle them make a Bolus Repeat it twice or thrice in a day Take of Storax strain'd Myrrh Balsam of Tolu Juice of Liquorice and Hony each a sufficient quantity make Pills Take a scruple thrice a day upon an empty Stomach drinking upon it two spoonfuls of the following Julep Take of compound Gentian-water and of strong Cinnamon-water and of Oxymel of Squills each three ounces mingle them Take of syrup of Maiden-hair and of Jujubes each three ounces of Oil of Flax fresh drawn two ounces mingle them make a Lohoch Let him take half a spoonful every other hour and when the Cough is violent Take of Aniseeds finely pouder'd and of Liquorice pouder'd each three drachms of flowers of Sulphur one drachm and a half of the best Hony two ounces and a half dissolved in three spoonfuls of Cinnamon-water hordeated make an Electuary to which add fifteen drops of Balsam of Sulphur of Oil of Aniseeds ten drops Let him take two drachms in the morning and at bed time Take of the Lohoch Sanans half an ounce of syrup of Maiden-hair two ounces of Oil of sweet Almonds half an ounce of syrup of Jujubes half an ounce mingle them make a Linctus to be taken when the Cough is violent Take of the Lohoch Sanans three ounces of syrup of Rasberries one ounce mingle them Make a Linctus Plasters THE Head being shaved and washed with equal parts of Canary and compound spirit of Lavender apply a Plaster made of the Cephalic Plaster and a fourth part of Gum Tacama-haca To the Breast and Region of the Stomach apply the Stomach-Plaster with eight drops of Oil of Wormwood Take of the Plaster ad Herniam and of red Lead each a sufficient quantity mingle them make a Plaster to be apply'd to the Vertebrae of the Loins and the Os Sacrum Take of the Plasters of Hemlock with Ammoniacum of compound Melilote and Cummin each equal parts of sal Armoniac half a drachm mingle them make a Plaster for the region of
the Spleen Take of the best Aloes and of the Ointment de Arthanita each one ounce of Turpentine a sufficient quantity mingle them make a Plaster to be apply'd to the Navel Take of the Cephalic Plaster with Euphorbium three parts of Burgundy-pitch one part make a Plaster for the soles of the Feet Pultisses TAke of white Bread baked the day before two ounces of red Sanders pouder'd one drachm and a half of Camphor pouder'd half a drachm mingle them and with a sufficient quantity of cold Fountain-water beat them make a Pultiss to be apply'd to the Eye shut the quantity of a small Wallnut being used at a time twice a day Take of the seeds of Mustard bruised two drachms of Garlic one ounce of black Soap two ounces mingle them make a Cataplasm to be apply'd to the soles of the Feet Take of an Onion and the tops of Savine each half an ounce of Currants and Sea Salt each half a handful beat them and make a Cataplasm to be apply'd to the Wrists Stomach Medicines TAke of the Stomach Pill with Gums of Aloes Rosat each fifteen grains of London Laudanum one grain mingle them make four Pills to be taken at Bed-time the next morning let him take two quarts of Epsom-waters or the like Let the Pills and the Waters be repeated every third day for four times Take of the Tinctura sacra one pint and a half let him take four spoonfuls every third night at Bed-time and the next morning let two quarts of Epsom-water be boiled and turned with Milk and let him drink it then Take of the bitter Decoction a quart in making it put in but half the quantity of Sena and add a drachm of salt of Wormwood To the strain'd Liquor add four ounces of compound gentian Water made with White wine Let four ounces be taken in the morning fasting three hours before Dinner Take of the bitter Tincture without Sena two ounces of Steel-wine one ounce of spirit of Saffron eight drops take it morning and evening for thirteen days Take of Crab's Eyes prepared Pearl red Coral prepared each two scruples of the best Chalk one scruple mingle them make a Pouder to be divided into eight parts let one be taken in a spoonful of syrup of Mint thrice a day Take of the Waters of black Cherries and Baulm each three ounces of Dr. Stephans's water one ounce and a half of spirit of Mint three drachms of Confection of Alkermes two drachms of syrup of Mint a sufficient quantity mingle them make a Julep Let five spoonfuls be taken at a time Take of the tops of the lesser Centaury of the flowers of Camomil and Agrimony each half a handful of common Wormwood half a pugil of the roots of Gentian sliced half a drachm of Zedaary one drachm of the seeds of Carduus Benedictus and of Citrons each one drachm and a half of Filings of Steel two ounces digest them all over a gentle Fire in two pints and a half of Whitewine for four days filter the Liquor and let nine ounces of it be taken every morning and at four in the afternoon Take of Salt of Wormwood one scruple of syrup of Lemons a sufficient quantity to take off the Ebullition Let it be used upon occasion Suppositories TAke of Hiera piera two drachms of Coloquintida and Agarick each half a drachm of Diagridium one scruple of sal Gemma two drachms of Hony boil'd to a due consistence a sufficient quantity make Suppositories Vomits TAke of salt of Vitriol half a drachm of compound Water of Wallnuts two ounces of compound syrup of Scabious half an ounce mingle them make a Vomit Take of Vinum Benedictum six drachms of the Water of Carduus Benedictus one ounce of Oxymel of Squills half an ounce mingle them make a Vomit Take of Oxymel of Squills three ounces of compound syrup of Scabious one ounce let it be taken in an Evening in a draught of clear Posset-drink and let him drink Posset-drink frequently with a spoonful of Oil of Almonds in each draught Take of Mercurius Vitae four grains give it in the pulp of a roasted Apple Take of Turbith Mineral nine grains of conserve of red Roses a sufficient quantity mingle them make a Vomit ADVERTISEMENT EXcellent Purging Pills prepar'd by the Author are to be sold by Mr. Henry Bonwicke at the Red Lyon in St. Paul's Church-yard They cure the Scurvy the most reigning Disease of this Kingdom They purge the Head Breast Stomach and Reins and cleanse the Blood and are a very proper Purge for those that cannot confine themselves when they want Purging but are forc'd to go abroad about their Business The Price of each Box is 1 s. 6 d. with Directions for use BOOKS Printed for Henry Bonwicke at the Red Lyon in St. Paul's Church-yard COllections of Acute Diseases in five Parts I. Of the Small Pox and Measles II. Of the Plague and Pestilential Fevers III. Of Continual Fevers IV. Of Agues a Pleurisie Peripneumonia Quinsie and the Cholera Morbus V. and last of the Bloody-Flux Miscariage of Acute Diseases of Women with Child a Rheumatism Bleeding at Nose Apoplexy Lethargy and several other Diseases Collection of Chronical Diseases viz. The Cholick the Bilious Cholick Histerick Diseases the Gout and the Bloody Urine from the Stone in the Kidnies Promptuarium Praxeos Medicae seu Methodus Medendi Praescriptis Celeberrimorum Medicorum Londinensium Concinnata in Ordinem Alphabeticum digesta The Compleat Herbal of Physical Plants Containing all such English and Foreign Herbs Shrubs and Trees as are used in Physick and Surgery and to the Virtues of those that are now in use is added one Receipt or more of some Learned Physitian The Doses or Quantities of such as are prescribed by the London Physitians and others are proportion'd Also Directions for making Compound-waters Syrups Simple Medicines Moreover the Gums Balsams Oyls Juices and the like which are sold by Apothecaries and Druggists are added to this Herbal and their Virtues and Uses are fully described These four by the Author of this Practice of Physick The General History of the Reformation of the Church written in Latin by John Sleidan faithfully Englished To which is added A Continuation to the End of the Council of Trent by E. Bohun Esq in Folio Pains afflicting Human Bodies Their various differences Causes Parts affected Signals of Danger or Safety shewing the Tendency of Chronick and Acute Diseases for a seasonable prevention of fatal Events With a Tract of Issues and Setons by E. Maynwaring M. D. Octavo A New Description of Paris Containing a Particular Account of All the Churches Palaces Monasteries Colledges Hospitals Libraries Cabinets of Rarities Academies of the Virtuosi Paintings Medals Statues and other Sculptures Monuments and Publick Inscriptions With all other remarkable Matters in that Great and Famous City Translated out of French The Second Edition to which is added a Map of Paris Letters of Religion and Virtue to several Gentlemen and Ladies with some short Reflections on divers subjects Pia Desideria Or Divine Addresses in three parts 1. Sighs of the Penitent Soul 2. Desires of the Religious Soul 3. Extasies of the Enamour'd Soul Illustrated with 47 Cuts Written in Latin by Herm. Hugo Englished by Edmund Arwaker Octavo The Art of Catechising or the compleat Catechist in four parts 1. The Church Catechism resolv'd into easy Questions 2. An Exposition of it in a continued full and plain Discourse 3. The Church Catechism resolv'd into Scripture-proofs 4. The Whole Duty of Man reduced into Questions Fitted for the meanest Capacities the weakest Memories the plainest Teachers and the most uninstructed Learners Country Conversations Being an account of some Discourses that happen'd in a Visit to the Country last Summer on divers Subjects chiefly of the modern Comedies of Drinking of translated Verse of Painting and Painters of Poets and Poetry Golden Remains of Sir George Freeman Knight of the Honourable Order of the Bath Being choice Discourses on select Subjects The Present State of Persia with a faithful Account of the Manners Religion and Government of that People By Monsieur Sanson a Missionary from the French King Adorn'd with Figures Done into English FINIS
they would be easily excluded by things that Evacuate and Cleanse and by Carminative Medicines but most commonly they are fixed in the very Tunicks of the Intestines upon which account it is difficult to remove them and so they occasion an obstinate Disease The Gross Flegmatick and Melancholly Humours flow by little and little through the Veins of the Intestines and so do not presently cause Pain till there is a quantity sufficient to irritate Nature for their Expulsion and then being moved cause Pain or Wind occasioned by them and included in the Coats of the Intestines distends them and not easily getting out occasions a lasting Pain also Choler after the same manner poured through the Veins of the Intestines upon their Coats and imbibed by them causes violent Pains which are wont to be long and obstinate because it is difficultly removed from their substance There is another Species of a bilious Chollick which degenerates into a Palsie scarce known unto the Ancients which proceeds from a bilious Humour not poured as the former upon the Colon but upon the Membranes of the Abdomen which is transferred thither either from the Gall-Bladder or from the Mesentery in the Crisis of long Feavers or by reason of violent Anger or some other external Cause when because of Obstructions it cannot be carried to the common Passages but by a Preposterous Motion is put off suddenly upon the foresaid Membranes of the Abdomen And hence great Pain arises like the Chollick which yields neither to Glisters nor Fomentations nor any other Remedy but continues for many Months by which the Body wasts and the Sick is vexed with a sort of intermitting Feaver and often with a slow continual Feaver at length the Pain remitting a Palsie succeeds that Humour leasurely creeping through the Membranes of the Abdomen to the Spine of the Back but this Palsie chiefly possesses the upper parts yet there is most commonly a Pain in the Thighs and Legs and in some few the use of them is wholly taken away and sometimes it breaks in upon the â—raâ— and causes the Falling-sickness from whence Death generally follows There are other causes of the Chollick but less frequent viz. Stones growing in the Guts Worms wound up in a bottom and obstructing the Intestines a Compression of the Guts by a Tumour of the neighbouring parts and the narrowness of them by reason of an Inflammation and other Tumours of the Guts or a twisting of them occasioned by Wind which is next to an Iliack Passion and sometimes the Matter which causes a Chollick is Venomous and Malignant Lastly All hard Bodies by obstructing the Guts or distending them may occasion a Chollick as stones generated in the Guts a great quantity of Cherry-stones hard Cheese and the like As Platerus relates of a certain Governour a long while troubled with the Chollick and Convulsions who after the use of Glisters evacuated a great quantity of hard Cheese by Stool The External Causes are a cold Constitution of the Air pressing and hardning the Belly or a hot Constitution which does likewise harden the Excrements the use of Meat and Drink unfit for the Mans Constitution of crudâ— and harsh Roots and of gross Meats of hard Digestion too much rest immoderate Sleep unseasonable Exercise immoderate Venery and other External Causes which may injure the Concoction of the Stomach The Diagnosticks of this Disease are plain for first the Pain is violent sometimes afflicting grievously this part sometimes that sometimes it possesses the Region of the Spleen sometimes of the Stomach or Liver or of the Reins sometimes it is above sometimes below the Navel and oftentimes it is most violent in the left side the Patient often Vomits the Pain is increased after Eating the Belly is most commonly bound The Signs of the Causes are distinguished in the following manner If the Pain proceed from Flegm it is not violent unless it be accompanied with Wind the Sick is eased by hot things and injured by cold things a course of Diet before apt to increase Flegm preceded If the Chollick is occasioned by Wind there is a stretching Pain and a certain Inflation of the Belly the Sick perceive a great deal of Wind and a rumbling in the Belly they are much eased by breaking Wind a course of Diet fit to breed Wind was used before as unseasonably drinking cold Water the frequent use of Pulse Turneps and Chesnuts Herbs and Fruits and the like and if the the Wind be contained in the Cavity of the Intestins the Pain is wandring and not fixed to one part and is renewed by Intervals But if it be kept in within the Coats of the Guts the Pain is fixed and is continual and obstinate because it cannot find Vent If the Chollick proceeds from an acrid and Cholerick Humour it is most sharp there is a twitching and pricking Heat Drouth and for the most part a Feaver the Disease is increased by hot Medicines and Diet and is mitigated by cold By the following Signs the Chollick and Nephritick Pain may be distinguished if they are accurately examined First The Nephritick Pain is fixed in the Kidney and stretches it self from that to the Testes according to the length of the Ureter but the Chollick is wandring and painfully girds the lower Belly Secondly The Chollick increases after eating by reason of the pressure upon the Gut by a full Stomach but the Nephritick Pain is not at all increased after eating but rather lessened because some of the Nutritious Juice is carried to the Veins which somewhat asswages the Pain Thirdly In the Chollick Vomiting is more severe and the Belly is more bound because the Colon lies near the Bottom of the Stomach and the Intestines being full or violently provoked contract themselves that they may expel the common Enemy but either of the Symptoms is common to either of the Diseases so that the Intention or Remission of them has a difficult Diagnostick For the Nephritick Pain being intense may occasion greater Vomiting and bind the Belly more than a remiss Chollick Fourthly In the Chollick the Patient is more eased by Vomiting and going to Stool than in Nephirtick Pains Fifthly In the Nephritick Pain the Urine is first clear and thin afterwards something settles to the Bottom and at length Sand or Gravel is evacuated buâ— in the Chollick the Urine is thicker from the beginning The Cure of this Disease must be varied according to the Variety of the Causes And first There is the same Way of Cure for a Windy and Flegmatick Chollick you must begin with an emollient Glister and afterwards you must give a Carminative and discutient Glister which must be repeated twice thrice or four times in a day till the Pain be gone but if after the use of one or two Glisters the Sick does not go to Stool as sometimes it happens the Belly must be irritated by a sharp Suppository but it is convenient to add to one of the Glisters four
ounces of the Aqua-benedicta or two or three drams of Coloquintida may be boiled in an emolient and Carminative Glister If Glisters do not give ease you must not obstinately persist in the use of them for it has been observed that when a Sick Person has taken without any Success twenty Glisters another Physician having given only an ounce and an half of Manna with two ounces of Oyl of Almonds in fat Broth has cured the Patient But in that Pain which proceeds from thick Flegm stronger Medicines must be given Afterwards Fomentations Oyntments Baths Plaisters and other Remedies are useful to which must be added some Specificks Boil simple Water and when it is boiling hot add a fourth part of common Oyl and some grains of pepper grosly beaten Let the Sick take three or four Spoonfuls as hot as he can bear it the pain will be gone as it were in a Moment Take of the best Aloes one dram of Laudanum Opiatum grains four mingle them make six Pills gild them let the Sick take them at a convenient time they give ease in an hours Time and afterwards purge off the noxious Humours Instead of the Pills a Potion may be taken made of half an ounce of Diaphaenicon and two Scruples of Philonium Romanum in the Water or Decoction of Camomil Take of the Oyl of Almonds or of some other Oyl for poor People four ounces of generous Wine one ounce of Syrup of Poppies one ounce mingle ehem make a Potion Oyl of sweet Almonds also taken with Manna in fat Broth asswages the Pain and evacuates the Peccant Matter If the Disease is lasting it may be successfully treated with a Decoction of Guajacum continued for many Days purging now and then with Elixir Salutis and injecting Glisters frequently But if the Chollick proceed from Flegm boil the Guajacum with Wine A Bilious Cholick is cured by emolient Glisters and with such things as attemperate the Acrimony of the Humours Give Juleps of the Waters of Erratick Poppy of Lettice and Sorrel with the Syrups of Violets Apples and Lemons If the Pain is very violent we must use Narcoticks the Pain being somewhat mitigated An Infusion of Rubarb in Succory-water is to be given with Syrup of Roses and to be repeated often till the Stock of Matter is evacuated If gentle Purging be not sufficient to eradicate the Disease we must use Mercurius Dulcis which being given sometimes with purging Medicines that have Diagridium in them perfects the Cure They that dislike Diagridium may give Mercurius Dulcis alone made into Pills with Conserve of Roses drinking upon them an Infusion of Rubarb and Senna with Manna and Syrup of Roses added to it Afterwards it will be convenient to use Tunbridge or such like Waters When the Pain is violent you must fly to Laudanum with which Catharticks may be sometimes given but in a large Dose because they are much blunted by Laudanum Bleeding is sometimes proper in this sort of Chollick when there is danger least the Violence of the Heat should occasion a Feaver if there be a Feaver already it is presently to be used When there is a great Drouth cold Water must be given according to Galens Instruction And Amatus Lusitanus says he wonderfully cured of a sudden such a Pain by the use of it and Septalius declares in two Observations that he used it inwardly and outwardly with great Success For the Cure of a Chollick that degenerates into a Pâ—lsie put the Patient into a warm Bath made of a Decoction of emollient things the Belly being loosned with various Glisters and the first Passages opened by Catharticks the Patient must be bathed twice or thrice or four or five times in a day that the Acrimony of the Humours may be attemperated and that the Pores of the Membranes may be opened The next day let the Humour be purged with some proper Cathartick and then the Bath must be repeated and so you must do every other day if the Patient be able to bear it till the Humours being purged off and the pain quieted he is recovered In the mean time you must continue the use of Glisters but those made with Milk are best to asswage the Pain to which may be added Cassia Oyl of Violets and Oyl of Lillies Let the Belly be frequently anointed with Oyl of Camomil of Dill sweet Almonds Lillies and with Butter Lastly Use Whey and Tunbridge-waters or the like and if the Disease continues a long while those things may be used which are proper to cure Hypochondriack Melancholly and Bleeding is to be used at the beginning of the Disease and before Purging and to be often repeated if the Blood seem to be bad or if something of a Rheumatism seems to be joyned wtih it Lastly All those Remedies which are proposed for the Cure of a Bilious Chollick may be used in this Case and if these things do no good some Physicians prescribe the following Potion which though it be loathsome and will not go down with the delicate yet they say it presently mitigates the Pain Take of Horse-dung one ounce crumble it in small Pieces and infuse it in a Pint of Erratick Poppy-water to which add eight or ten drops of Spirit of Wine Strain it gently and divide it into three Doses to be taken when the Pain is most violent But if the Disease degenerates into a Palsie you must use to the Spine of the Back and the paralitick Parts some resolving Balsam and such an one as strengthens the Nerves if there be a Feaver but if there be no Feaver you may apply Wooll dipt in Oyl or Ointment to the Paralitick Parts taking great Care that the Patient does not catch Cold for by that means the Humour will be more fixt upon the parts and the Perspiration of it will be hindred CHAP. LXXI Of the Bilious Chollick of the Years 1670 71 72. IN all these Years the Blood was much inclined to put off upon the Bowels hot and Cholerick Humours upon which Account this Chollick was more frequent than is usual The same Febrile Symptoms preceded this Disease as used to go before the Dysentery that reigned in those times and sometimes this Disease followed the Dysentery when it had a long while afflicted the Patient and was just about to leave him but when it did not follow a long Dysentery it generally took its Rise from a Feaver which after some Hours was wont to end in this Disease it chiefly seised Young People of a hot and Cholerick Constitution especially in the Summer the Pain of the Bowels was extreamly violent and more intollerable than any other that afflicts poor Mortals it sometimes binds as it were the Guts and sometimes being contracted to a Point it bores like an Auger the Pain now and then remits and presently the Fit approaches again which as soon as the Patient perceives he looks sadly and bemoans himself as if it were actually upon him At the beginning of this Disease
The Narcoticks which I am wont to use are either London Laudanum from one Grain to one Grain and an half or the following Take of Cowslip-flowers one handful boil them in a sufficient quantity of black Cherry-water mix half an ounce of Diacodium and half a spoonful of the juice of Lemons with three ounces of the strained Liquor Or Take of black Cherry-water one ounce and an half epidemick Water two drachms liquid Laudanum sixteen drops syrup of Gillyflowers one drachm mingle them I will only add this which I think worth observation to wit That if this symptom will grant a Truce so long and the Fever continues a long space so that the Patient may be safely purged before the taking of the Anodyne it will prove more effectual wherefore I used to order two scruples of the Pill Coch. Major dissolved in Bettony-water ten or twelve hours before the taking of the Narcotick nor is there any danger from the Tumult which that hot Pill would otherwise occasion for the vertue of the following Narcotick will appease these Commotions and establish most gentle and sweet Peace But if the Watchings continue after the Fever is gone off all the other symptoms being likewise ceased I have observed that a Rag dipt in Rose-water and applied cold to the forepart of the Head and Temples is more beneficial than any Narcotick whatever It often happens that the Sick is vexed with a Cough through the whole course of the Disease it is first dry because the Matter being yet thin frustrates the expulsive Faculty but it soon grows thick and is difficulty expectorated because by degrees it is baked by the febrile heat and hence it comes to pass that the Patient is discouraged by fear of choaking because he wants Strength to cough off this viscid Matter In this case I rarely use any other Medicine than Oil of sweet Almonds fresh drawn unless it happens and sometimes it is so that the Patient has wholly an aversion to Oil and then we must use the common Pectorals But I think Oil of Almonds if the Patient can bear it is to be preferred before other Pectorals for this Reason chiefly for that is necessary they are given in a larger quantity if we would do any thing to the purpose and by this means we overcharge the Stomach which was too weak before and inclined to be nauseous and sometimes also we are hindred upon the same account so that we cannot mind those things which are to be dispatched at the same time Nor can I understand nor learn by experience why we should abstain from the use of this Oil which we have now mentioned in Fevers because it is inflammable and therefore to be feared lest it should increase the Fever for suppose it naturally hot yet certainly its heat is not so great but that the advantage of it on another account may compensate for it for it is manifestly more pectoral than other things and opens and lubricates the Passages and promotes Expectoration by which especially if it happens to be large the Blood is both freed from a troublesome Humour now conveniently evacuated and also somewhat cooled and therefore I am not much concerned when I perceive this Symptom But the Oil must be given frequently a little at a time Sometimes the Hickops happen but most commonly to old Men after large Evacuations either by Loosness or especially by Vomiting In this case a large dose of Diascordium viz. two drachms has done the business when I could do no good with the seeds of Dill and other things that are cried up as Specificks If in the course of this Disease a Loosness arise which uses to happen when a Vomit was indicated at the beginning of the Disease and was not taken In this case a Vomit may be given at any time of the Disease if the Strength does not contraindicate tho' the inclination to Vomiting be long since past But if a Loosness comes tho' a Vomit has been given I have found the following Glister more beneficial than any other Astringent whatever Take of the bark of Pomgranats half an ounce of red Roses two pugils boil them in a sufficient quantity of Cows Milk dissolve half an ounce of Diascordium in half a pound of the strained Liquor mingle them make a Glister I would not advise that a Glister should be injected in a greater quantity for tho' it may be naturally Astringent yet there is danger lest it should weary the Intestines by its bâ—â—â— and so provoke the Flux more CHAP. CXXI Of the Scarlet Fever THE Scarlet Fever tho' it may happen at any time yet most commonly it comes at the latter end of Summer and seizes whole Families especially Children They shake and shiver at the beginning as in other Fevers but they are not very sick afterwards the Skin is covered with smali red Spots but they are more and much bigger and redder and not so uniform as in the Measles These Spots continue two or three days when they vanish and go off Scales of Skin like Bran cover the whole Body This Disease seems to me to be nothing else than a moderate Effervescence of the Blood occasioned by the foregoing Summer or something else and therefore I do nothing that the Blood may not be hindred in its despumation and injecting the peccant Matter through the pores of the Skin only I order That the Sick should abstain wholly from Flesh and from all spirituous Liquors and that he should not go out nor contine himself perpetually to his Bed But after all the Scales are fallen and the Symptoms cease I think it is proper to purge the Sick with some gentle Medicine agreeable to his Age and Strength and by this simple and natural method this name of a Disease for it is scarce any thing else is easily removed without trouble or danger whereas on the contrary if we are over officious by confining the sick to his Bed continually and by giving Cordials and other Medicines unnecessarly the Disease is increased and the Patient killed secundum artem CHAP. CXXII Of Childrens Fevers THE first Indication in curing Childrens Fevers is to prepare well the acid that it may be the easier ejected But this preparation must not be endeavoured by Sudorificks properly so called that is such as heat the Body which are by no means to be used for Infants or Children but such things as absorbe the acid and gently restrain the Ebullition are to be used the chief of these are Crab's Eyes and Claws Oister-shells Cuttle-bone Egg-shells Coral Chalk Coralline Pearl Mother of Pearl both the Bezoar stones Hartshorn burnt burnt Ivory the bone of a Stag's heart shavings of Hartshorn Bole-armenick sealed Earth Blood-stone and the like and among Compounds compound Powder of Crab's Claws the Goa-stone and Confection of Hyacinth Being called to an Infant of a year old troubled with a Fever or the Gripes as they frequently are I used to relieve them with the following