if in places more distant either upward or downward a continual tertian is produced which every third day is intended and remitted but intermits not because the putrid matter is contained within the great Veines and not out of them Lastly if a melancholly humour putrefie there every fourth day it hath its remissions and exacerbations The external causes are like those of an unputrid Synochus but stronger the internal are obstructions either in the greater Veines or in the skin or in the small Veines of the Liver or habit of the body which hindring perspiration the Native heat is extinguisht and hence putrefaction the parent of this Feaver The sigâ—es are taken from the mordent heat urine and pulse the urine is crasse red turbid faetid and without sediment the pulse not only great vehement and quick but unequal and inordinate A Crisis does usually happen in all Diseases one of these six wayes viz. by bleeding at the Nose or by Vomiting or by looseness or by sweats or by urine or by parotides in malignant and pestilential Feavers if by chance Nature attempt a Crisis on the sixth day although signes of coction appeared in the urine on the fourth yet it is dubious and fore-tells a relapse but if with signes of coction the Crisis be with fainting or any other grievous Symptomes it portends death or if a looseness seize at the beginnig and the Feaver continue in the same state with signes of crudity it presages death because Nature is overwhelmed with the plenty of matter on the other side if the Feaver be abated by the looseness the sick well enduring it and breathing freely hee shall escape if spots appear the fourth day either black or livid death is at hand for they denote some malignant quality which had they been red only and the Patient strong with signes of coction there were good hopes this Feaver is most gentle in the morne The Cure consists in evacuation and alteration evacuation is to be made by bleeding and that at the beginning for feare of suffocation or swounings but if the Patient sweat or have the Haemorrhoids or a Haemorrage or the Courses appearing then the whole business is to be committed to Nature but if they flow but sparingly and the Feaver be not mitigated bleed notwithstanding the second part of the Cure consists in alteration of the Humours by cooling and opening without any manifest heat and restraining putrefaction as with the fore-mentioned apozem besides use this cordial powder Take of red Corral and the fragments of the five precious Stones finely powdered each a scruple the bone of the heart of an Hart or of an Oxe for they are both of the same vertue half a dram of Pearl a dram sugar of Roses a sufficient quantity and four leaves of Gold let it be dissolved in broth or ptissan or in the decoction of Sorrel roots Take of the powder of Balm and Saffron each a scruple Water-Lilly-flowers red Roses and Grana Tinctorum each two scruples powder of Diamargaritum frigidum four scruples red Wine two ounces Scabious Bugloss and Purslane-water each five ounces apply it to the region of the heart with a thick red cloth Take of the Conserve of Burrage and Marigold flowers each an ounce confection of Alchermes a dram spread them on a searlet cloth and apply it after the Epithem Take of the Cerot of Saunders and oyntment of Roses by measure each an ounce oyl of Roses an ounce then wash them often with Rose-water adding half a scruple of Camphore bath the part with a Linnen cloth let it be cold in Summer luke-warme in Winter with three ounces of the white oyntment of Galen and half a scruple of Camphore anoynt the reines and loynes once an hour CHAP. XI Of a Burning-Feaver and continual Tertian THese Feavers differ not in matter nor cure but in their name and seat both are caused by a cholerick bloud putrefied in the great Veines the Viscera being well that in the Veines nearer to the heart as in the ascending trunk of the Vena cava and in the arterial Veine and coronal of the heart this likewise in the great Veines but more distant from the arme-pits to the groine A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency because it is so great a fire in the heart This Burning-feaver as also a continual Tertian is two-fold exquisite and not exquisite the exquisite is from cholerick bloud putrefied as afore the non-exquisite is when besides choller salt flegm or ichors are putrefied with it and this causus happens two wayes the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid as we being destitute of good food make use of worse the other way is when ichors and other humours are cast from some strong part upon a weaker and not ventilated doe putrefie thus likewise a continual tertian is two-fold the exquisite from cholerick bloud the non-exquisite from the admission of flegme melancholly or ichors The external causes are the hot air inspiration of putrid vapours a cholerick distemper drunkenness sadness by calling the heat from the circumference to the center c. The internal are either antecedent as obstructions from crasse and viscid humours which hinder perspiration by which means even good humors putrefie or a plenitude either quoad vasa which distends the Vessels or ad vires which cannot bee concocted and governed by nature Or continent as the putrid humour it self which inquinates the pure bloud of the heart not the whole mass at once but that which is next it and so by order of succession The cause of a not exquisite continual tertian is the mixture of salt flegme or ichors putrefying in the Veines of the Midriffe which proceed from the ascending Trunk of the Vena cava or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta and make the stomachical coronary or else it flowes from the hungry Gut or the simous part of the Liver the signes of both legitimate and illegitimate are almost alike The pathognomonical are taken from the burning heat which choller produces and the unspeakable thirst the acrimony of the humour continually molesting the heart and stomach unless by chance a thin humor fall from the braine and moysten the tongue Signes assident or concurring are the driness blacknness and roughness of the tongue from the adustion of the humour paine of the stomach Dreams delirations difficult breathing the Lungs or Midriffe being inflamed c. sometimes it begins with a gentle rigour sometimes with Vomiting sometimes with sleepiness if it be exquisite sometimes with horrour if it bee spurious by reason of the mixture of choller and flegme at the beginning the urine is crasse and turbid the pulâ—e small and unequal The signes of an exquisite
You see his Shadow and his outward Looks Such was his face which yet is but the rind To know him better you must read his Books You 'l wonder at his gifts and noble mind THE Expert Phisician Learnedly treating of all AGVES and FEAVERS Whether Simple or Compound Shewing their different Nature Causes Signes and Cure viz. A Feaverish Heat The differences of Feavers A Diary Feaver A Burning Feaver A continual Putrid A continual Tertian A continual Quotidian A continual Quartan An intermitting Quartan Feavers annexed to Quartans A Semitertian Feaver An Hectick Feaver Confused Erratick Feavers Malignant pestilent Feavers c. Written originally by that famous Doctor in Phisick Bricius Bauderon and Translated into English by B. W. Licentiate in Physick by the University of Oxford Published for the general good of this Nation and may be put in practice with facility and safety Printed at London by R. I. for John Hancock and are to bee sold at the first shop in Popes-head Alley near the Exchange 1657. The Epistle to the Reader Courteous Reader THere are no Diseases more frequent in this Nation none more difficult of Cure than Agues and Feavers so that they are Proverbially called The Scandal of Phisicians Fernelius who was thought to have writ best against them was himself destroyed by one neither hath there yet been publisht any remedy so saving as their fiery darts are killing Accept then of this Balsome gathered from the choyse Gardens of the Greeks Latines Arabians by the hands of that incomparable Dr. Bricius Bauderon whose age and experience works more on my faith than the unfathomed Arcana of the moderne Febrifuga hee was eighty years aged when he writ this Tract and had fifty years confirmed by his Practise what in one moneths time thou mayest now be master of his painful long-teeming Birth wants nothing but thy embraces to cherish it it hath been for many years cloystered up in the French and Latine tongue though desired by ambitious heads as a choyse purchase few private Studies could boast of its possession which encouraged me to set it forth in this English Garb in which it is entire though not so splendid more profitable though not so beauteous Such emunct nostrils as shall snuffe at it are like those my Author speaks of that wil swound at the smel of a Rose suburban wits that breath best in the worst Air or like some unclean Creatures that thrive best in standing Pools but I leave them and commend the ingenious to the Work it self methodical facil and perspicuous enough to benefit the meanest capacity yet satisfie the highest read and be convinced Thine B. W. The Contents of every Chapter Chapter 1. TReateth of a Feaverish heat Chap. 2. Of the differences of Feavers Chap. 3. Of the Division of Feavers Chap. 4. Of the Circuit of Feavers Chap. 5. Of the Constitution of Feavers Chap. 6. Of the Four times of Diseases in special Chap. 7. Certaine Physical Rules for practise Chap. 8. Of a Diary Feaver Chap. 9. Of an unputrid Synochus Chap. 10. Of a continual putrid Feaver Chap. 11. Of a Burning-feaver and continual Tertian Chap. 12. Of the Cure of these Feavers Chap. 13. Of a continual Quotidian Feaver Chap. 14. Of a continual Quartan Chap. 15. Of an intermitting Tertian Chap. 16. Of the Cure of a spurious intermitting Tertian Chap. 17. Of an intermitting Quotidian Chap. 18. Of a Quotidian Feaver from salt Flegme Chap. 19. Of an intermitting Quartan Chap. 20. Of Feavers annexed to Quartans Chap. 21. Of confused compounded and erratick Feavers Chap. 22. Of a Semitertian Feaver Chap. 23. Of a Hectick Feaver Chap. 24. Of Malignant and pestilent Feavers Chap. 25. Of the Cardiacal Feaver Chap. 26. Of the Feaver from Crudity Special observations for the Readers more easie apprehension REader for thy better understanding of the quantity of Weights used in this and other Physick Books in Compounding of Medicines observe this brief direction That A Graine is the quantity of a Barley Corn A Scruple is twenty Barley Cornes Three Scruples containe a Dram. Eight Drams containe an Ounce The expert Phisician Learnedly treating of all Agues and Feavers whether Simple or Compound CHAP. I. Of a Feaverish heat A Feaver is so called from the Latine word Forveo because it is a Fervor or Heat affecting the Body the Grâ—eks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is to be inflamed or taken with a Feaver sometimes it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a fiery habit or fiery disposition of the Body and by Hippocrates in the first Book Epidem Commen 3. text 18. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is fire it self It is a praeternatural heat kindled in the heart as in its proper subject primarily and per se hurting our actions which heat by the mediation of bloud and spirits through the Veines and Arteries is diffused through the whole body Now all heat is either Natural or ascititious the Natural is either implanted and fixt or elementary and fluid and a Feaver cannot consist in either of these because the implanted is fomented by the primogenious moysture whose original is heavenly and once depeculated or wasted cannot be repaired nor in the elementary because this by its temper doth help and cherish the implanted and further it in concocting and assimilating the nourishment which is to bee converted into our substance this heat Phisicians call influent because with the spirits and bloud from the heart it is carried by the Veines and Arteries to all parts of the body a feaverish heat then is in the ascititious saith Galen Comment on the sixth book Epidem Hippo. text the 28. An ascititious heat is Three-fold the first in respect of the other is said to be simple that is a bare exuperancy of heat which is thus ingendred the Elementary or fluent heat by a daily increase receding from its temper and mediocrity becomes excessive so that that which was natural by degrees becomes unnatural and therefore vitious and offensive to nature doth hurt her operations and in this ascitious heat are your Ephemerae or Diary Feavers and unputred Synochus The second heat different from the former is acrid and mordent arising from putrified matter which though it be not very burning hot yet favouring of the condition of the matter from whence it proceeds is praeternatural and burdensome to the implanted heat and in this are putrid Feavers both continual and intermitting compound erratick and confused The third ascitititious heat is wholly malignant and pernicious caused from some venenate or pestilent matter not from the exuperancy of its quality as the first nor from putrefaction as the second but is substantially different and inimicous to the vital and implanted heat CHAP. II. Of the differences of Feavers SEeing that all Feavers are caused by an ascititious heat and not by a natural as was said
before it is necessary we take their differences first from the essence of heat then from the subject in which the Feaver is or from the manner of the motion of heat or from the cause of the Disease or from the matter or symptomes The first difference then is from the essence of the praeternatural heat by which some action is alwaies hurt because there is a recession from the natural state and by how much the greater and more vehement this heat is by so much the greater ought the Feaver to bee accounted as for example a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Burning feaver may be said to bee greater than any other Feaver because its heat being more intense it appears more acrid and mordent than any other humoral Feaver but on the contrary if you compare it with an Hectick it is less than that because this possesses the very substance of the heart but that the Humours near unto it Another difference may bee taken from the subject wherein the Feaver is as for example by how much the nobler the part affected is by so much the more vehement the Feaver as that Feaver which proceeds from a Phrensie peripneumony or inflammation of the Lungs or from a Plurisie by reason of the parts affected shall bee farre more dangerous than that which follows an inflammation of the Reins Spleen or Foot besides the Feaver is proportionate or improportionate in relation to the subject and thence shall be esteemed greater or less as a Burning feaver is proportionate in a Body hot and dry of youthful age at Midsummer or in a hot and dry region and consequently less dangerous than the improportionate which should happen to an aged body cold and moyst in the Winter season and in a cold and moyst Country as Hippocrates doth excellently note it Aphor. 34. Sect. 2. The Third is from the manner of the motion and motions here is nothing else but a swift or slow transition from one subject to another the swift motion is as often as the heat passeth from a crasse thick subject to a tenuous one as for example as oft as an intermitting Feaver doth pass into a continual or other putrid one and on the contrary the slow motion is as often as an Ephemera or putrid feaver degenerates into a Hectick for the Spirits are easier set a fire than the Humours and these easier than the solid parts of heart and body likewise an unputrid Synochus being neglected doth easily pass into a putrid one and so of other sorts of Feavers The Fourth is from the efficient cause which is three-fold the one evident the other internal the third occult the evident is drawn from those Six non-natural things as from the air inanition or repletion c. the internal from fluxions on the stomack or lungs obstruction crudities or putrefaction of humours c. The occult cause may be double external and internal the external as the contact of a Torpedo impure copulation the use of malign and venenate medicaments c. from whence are Feavers epidemical endemical sporadical and pestilential saith Hippocrates and Galen the internal cause is hard to bee discovered because besides the putrefaction there is a certain venenate air or breath which is for the most part unknown to us whether it depend on the element of Stars and therefore is called by Hippocrates Quid divinum as was that sweating sickness in Brittaine which did not only depopulate England but Germany and France The Fifth difference is from the matter which consists either in the spirits or the humours or the solid parts and these three Hippocrates in the sixth of his Epidem last Section text 19. calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is containing contained and impetuous bodies The containing are the solid parts in which are caused Hectick Feavers both universal and particular they first invade the substance of the heart then equally the other parts these primarily and per se possess the substance of some private part from whence they are communicated to the heart and to the rest of the solid parts as to the Lungs Midrist Stomach or Liver c. The contained are the four Humours which offend either in quantity or quality in quantity as often as these Humours are more or less enflamed in the heart without putrefaction and hence are the Epacmastical Acmastical and Paracmastical Feavers in quality in relation either to touch sight or taste according to Hippocrates as by the touch of the Pulse some are judged mordent others milde and temperate in comparison with others others appear moyst as bilious Feavers such as are your continual tertians or burning Feavers all which are mordent especially about the state of the Disease and before the Crisis the mâ—lde ones are such as the true Diary Feaver which ends with a sweat or moystness and your unputred Synochus and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is moyst of which Galen makes mention against Lycus for these in respect of other Feavers are called milde and temperate To the sight are referred the red ones as the unputred Synochus which is from a more fervid bloud the white ones as Quotidians the livid as Quartans Syncopal or Pestilential Feavers others are arid and horrid to the eye as the colliquating Hectick and that of the second or third degree In relation to taste some are said to be sweet as those from natural Flegme and many bloudy ones which even after putrefaction retaine some sweetness others are bitter as the bilious others salt as those from salt flegme and the hybernal causes or winter burning Feaver The impetuous are the vital animal and natural spirits in the vital spirits is caused a Diary of one day if the spirits be tenuous of more daies If they be crasse but more of this in its proper place Some Feavers are long others short some diurnal others nocturnal some ordinate others inordinate some periodical others erratical according to the condition of the Sick the quality of the morbous matter or its quantity and motion The Sixt difference of Feavers is taken from their Symptomes as often as a part is possest with an inflammation and these Feavers are always continuall whether bloud choller or flegme superabound if bloud the Feaver is called Phlegmonodes if choller Erysipelatodes and Typhodes or burning and they have another name or appellation from the part affected as from the Liver Hepatica from the Spleen Splenica from the Bladder Cystica from the Throat Cynanchica from the Head Phrenitica Lethargica Comatosa from the Lungs Pneumonica from the Side Pleuritica from the Midriff Diaphragmatica from the Wombe Hysterica from the Stomach Stomachica c. CHAP. III. Of the division of Feavers ALL Feavers of what sort soever are either Essential or Symptomatical the Essential is either simple compound confuse erratick pestilent or of malignant nature The
Simple is either in the spirits or humours or solid parts chiefly in the vital spirits then in the animal and natural if there be any such is the true Ephemera which lasts but one day but longer if the spirits be crasse In the Humours are ingendred divers Feavers of which some are continual others intermitting and of the continual some are from the Humours not putrefied others from putrid humours and these either from the humours equally or inequally putrefied Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat which by the greater veines diffused into the habit of the body doth primarily and per se hurt our actions These differ from an Ephemera nominally and in respect of the matter not really nor in way of cure because the one is in the spirits inflamed the other in the bloud unputrefied both may proceed from the same external causes and the same method and remedies serve for the cure of both they are continual and have but one accession although there bee three sorts of them distinguisht by their several names The first is when the heat remains equal and alike to it self through the whole course of the Feaver and how much is inflamed anew so much is presently dissipated and this the Greeks call Homotonos or of equal tenor The second is when the late inflamation is greater than the dissipation and then the heat gathers strength and grows stronger and this is called Epacmastical or increasing The third is when there is more dissipated then is afresh inflamed and it sensibly declines till it end and by the same Greeks is called Paracmastical or declining and this Synochus may last seven days but an Ephemera transcends not the third day unless the spirits be crasse full bodies which abound with bloud and fare deliciously and live idlely and those in hot and moyst or temperate regions are most subject to the unputred Synochus for the most part it ends with sweating or moystness as an Ephemera which wants not its danger if you neglect bleeding Feavers which are in the putred Humours are either from equal or inequal putrefaction if the Humours be equally putrefied in the great Veines the Feavers are continual and are three-fold distinguisht by the same names as the unputred Synochus for the first is Homotonos when the putrefaction remaines equal and alike to it self through the whole course of the Disease and how much putrefies so much is emptied the second Epacmastical when the putrefaction from the beginning to the end increaseth the ast Paracmastical when the morbifical humour is from the beginning to the end by degrees diminisht Theâ—â— three have no remissions or exacerbations apparent at intervalls because the Humours are equally putrefied in the great Vessels as are in those which proceed from the Humours inequally putrefied in the same Vessels of which in their proper place neither have they any intermissions as are in the exquisite intermitting Feavers but last till the whole putrefaction is discussed their signs are like to those of the unputred Synochus but more conspicuous because they are from putred matter but those from the effervescency of heat The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} for every continual Feaver caused from the Humours inequally putrefied in the great Veines to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which signifies the same if you respect the etymology of the word This Synechis or continual Feaver hath divers appellations according to the site of the Humour which doth unequally putrefie if in the great Veines near to the heart a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred but if in the other Veines further off a continual Feaver is caused which hath its denomination from the predominant humour viz. if Natural choler putrefie there will follow a bilious Synechis which every other day shall have its exacerbations and remissions and in the morning especiall shall be most remitted but without intermission from whence is a continual tertian if Natural flegme putrefie in the veines there shall be a continual quotidian which likewise every day at set hours shall have its remissions and exacerbations if a melancholly humour putrefie there shall be a continual quartan which every fourth day shall have its intension and remission but no intermission Amongst those Feavers which are caused from Humours inequally putrid there are some others which differ from the continual both in matter and site and are called intermitting for the matter of continual Feavers is natural but that of intermittings is excrementitious the seat and matter of the continual is in the great Veines but that of the intermitting without them as in the Liver Stomach Spleen Intestines Mesentery and habit of the body so that if excrementitious choler putrefie it is called an intermitting tertian because it recurres every thrid day begins with rigour and sometimes with vomiting if it be exquisite whose fit is twelve hours or less according to the quantity of choler producing it and is terminated with Sweats then ends in an apyrexy or perfect infebricitation and the fuel of this Disease is principally in the Liver likewise if excrementitious flegme putrefie out of the great Vessels is caused an intermitting quotidian whose fit is eighteen hours by reason of its coldness crassness and clamminess and it begins with a coldness of the Nose Eares Hands and Feet and is terminated with a moysture and not with sweat as a tertian the fountain of this is the Stomach if glassie flegme putrefie in the same place there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is milde and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea because as that at first seems smooth to the Marriner and by and by is tost with most horrid Tempests so this Feaver at first invasion is gentle and so takes root and a little while after precipitates the sick into most desperate dangers or as Aegineta would have it it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is gently and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} heateth to this kinde may bee referred those from Rheume and that which accompanies the Green Sickness but of them in their place If a melancholly excrementitious Humour putrifie there it begins with horrour and sometimes with vomiting as a tertian and the fit is twelve hours or more or less according to the quantity of the Humour and recurres every fourth day and therefore is called a quartan which is the longest of all Feavers and hath its seat in the Spleen and so much for Feavers in the Humours inequally putrified whether continual or intermitting and though Hippocrates and Galen make mention of a
and the Diary proceed from cold with hony of Violets Roses or Mercury and oyle of Water-Lillies each an ounce and half and give the Glister after this if the sick be plethorick or full of bloud and young or the Haemorrhoids or Courses bee suppressed draw six or eight ounces from the right axillary veine as strength shall allow but if the Patient refuse a Glister then in the declination of the Feaver give this following potion Take of Melon-seeds pilled one dram of Tamarinds two drams Cassia nexly drawn one ounce and a half infuse them in the common purging decoction all night over warme embers streine it and dissolve with it Sirup of Violets or Roses of nine infusions one ounce and give this potion betime in the morne Or instead of this you may give an ounce and a halfe of Manna of Calabria dissolved in a little fresh broth It the Diary flow from the thickness of the skin or the use of Alume-baths then this following Bath made of Paregorical and Diaphoretical things will be good Take of Mallows Violets Saponarie Succory wilde Endive and Lettice each six handfuls new Roses if it be spring or dried if summer four handfuls of Wormwood and Centaury the greater each two handfuls Marsh-mallow roots sliced or bruised a pound of Fenugreek-seed and Salt-nitre each two ounces boyle them in a hundred pints of water for a Bath into which let the sick enter at the declination of his Feaver and drying his body let him goe to bed and there sweat an hour or two after CHAP. IX Of an unputrid Synochus AN unputrid Synochus hath no small Analogy with an Ephemera for both are without putrefaction and have but one Fit until their end but they differ thus an Ephemera is essentiated in a preternatural heat inflaming the vital spirits and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction is is differenced from a Hectick because this it in the solid parts from a putrid Feaver by its putrefaction The heat of a Synochus if compared with that of an Ephemera is acrid if with that of the putrid gentle because the bloud is of a temperate nature the conclusion then may be that a Synochus is a continual Feaver proceeding from redundancy of bloud heated beyond measure by a preternatural heat but without putrefaction hurting our actions The causes are not unlike those of an Ephemera but more vehement the principal are the denseness of the skin or filth obstructing the pores and incarcerating fuliginous excrements c. which prohibiting the eventilation of the bloud doe so inflame it or the suppression of some evacuation as of the Courses Haemorrhoids or from excesse and fury thus the vital spirits are first inflamed by reason of their tenuity then the bloud which inflammation the Greeks call a Phlogosis but under the name of bloud you are to understand the four Humours contained in the greater Veines which as often as they are inflamed without putrefaction they cause this Synochus full bodies that fare well and live idely are most subject to it c. This Feaver for the most part lasts till the seventh day begins with a coldness and ends with sweat with a red urine the pulse strong and swift there is no danger in it unless some errour bee committed and then it degenerates into a putrid Synechis whence follows death unless prevented by large bleeding the whole body but especially the face is dyed with bloud weariness possesses the limbes the veines are turgid the temples beat the head akes and often a deep sleep surprises with difficulty of breathing the skin is soft perfused with moysture and a gentle heat The cure is taken from the essence of the Feaver and cause of the Disease the essence being hot and dry indicates contrary remedies and the cause its removal First then let the diet be thin cooling and moystning Hippoc. Aphoris 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies especially for Children and those accustomed to such dyet as Cock broth or of Lambe or Veal alterd with cooling Herbs and Barley waters c. or some acid sirrups as of Limons Citrons Pomegranats c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open otherwise to premise this Glister Take of the leaves of Violets Burrage Lettice Purslaine each a handful Prunes sixteen of the four greater cold Seeds each two drams boyl them in water to ten ounces the dissolue of simple Diaprunum and Sugar each six drams Hony of Violets and Oyle of Water-Lillies each an ounce and half and make a Glister it cools moystens purges and prevents a putrid Feaver then let bloud for the Veines being emptied that attract much cold art to avoyd a vacuum into the roome of the bloud by which the rest of the bloud is cooled and reduced to its ancient state the fire extinguished and the putrefaction inhibited because both the Natural and preternatural heat are seated in the bloud and spirits then use this Apozeme Take the Roots of Sorrel Grasse Butchers Broom Asparagus each an ounce these rootes resist putrefaction and by their tenuity of parts open obstructions without any manifest heat of both Succories Lettice Burrage Purslane or Liverwort each a handful Prunes sixteen Endive seeds half an ounce of the four greater cold Seeds each two drams of Violet and Water-Lilly-flowers each a small handful boyl them in three pintes of Water to a pinte and half streine it and adde of the compound sirrup of Endive or of Oxysaccharum simple four ounces and Aromatize it with white n for four or five days After the seventh day you may give this Purge Cinnamon a scruple Rhubarb four scruples Try pherae Persicae three drams Cassia newly drawn an ounce infuse them one night in part of the Apozem over warme embers then streine it and adde of sirrup of Violets of nine infusions an ounce and half CHAP. X. Of a continual putrid Feaver A Synechis or a continual putrid Feaver is two-fold the one where the Humours are equally putrefied in the great Veines the other when inequally from those equally putrefied arise three sorts of Feavers as did in a Synochus unputrid viz. the Homotonous Epacmastical and Paracmastical and these have no manifest intermissions as intdrmitting Feavers nor remissions and exacerbations as those which proceed from the Humours unequally putrefied in the great Veines When the Natural Humours doe unequally putrefie in the great Veines it is either natural flegme which is nothing else but the cruder part of the bloud which as often as it putrefies it causeth a continual Feaver which is every day at set hours intended and remitted from whence it hath its name of a continual quotidian If natural choller putrefie in the Veines near to the heart it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or Burning-feaver
and so of other parts Take of Sorrel Grasse Butchers Broome and Asparagus roots each one ounce of both Succories Fumitory and the Capillary Plants each a handful Liquorish six drams Prunes twenty Figgs twelve Endive-seed three drams Anise two drams Elder and Burrage flowers each a small handful Time half a handful boyle them to a pinte and adde honey of Roses and Oxysaccharum simple each two ounces clarifie it and aromatize it with powder of Diarrodon Abbatis In the declination provoke sweat and urine the Disease being contumacious is exasperated by strong Purgers and yeelds not to gentle but by meane ones often repeated is overcome bleed if the Sick bee plethorick young and strength give leave c. Other Compound Feavers being caused from putrid matter are cured by the same method and the same remedies as bastard intermittings are the confused Feavers if from putrid matter in the greater Veines are cured as continual Feavers if not as intermittings the Erratick as bastard intermittings quotidian tertian or quartan CHAP. XXIII Of a Hectick Feaver {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is a Hectick is taken for every Feaver that is hard to be removed whether it be from flegme or melancholly and is opposed to the Schetick Feaver which is easily removed it hath its name from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} which is a habit because it is stable and permanent For a Hectick Feaver is a preternatural heat kindled in the solid parts which first occupies the substance of the heart and then diffuses it self into the rest of the solid parts of the body through the Veines and Arteries This Feaver is continual and hath but one fit from the beginning to the end without any intermission or remission unless it be joyned with a putrid Feaver every Hectick is Smple or Compound that is either universal or particular the universal is that which first seazes on the substance of the heart then on the other parts and this is seldome a particular one is that which first invades the substance of some private part and at last the heart and this is frequent as of the Lungs in a Ptissick of the Midriffe Liver c. A Compound one is that which hath a putrid Feaver joyned with it a Simple Feaver is further divided into three degrees the first is when the body of the heart and the other solid parts are newly inflamed and this degree lasts as long as the substantifical and radical moysture doth conglutinate the terrene parts and is sufficient to nourish and foment the fiery heat as Oyle doth the flame of the Cotton in a Lamp and this is hard to be known but easie to be cured The third and worst sort is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it hath adjoyned a hot and dry Consumption and is then when the humour is wholly wasted and all the solid parts are as it were burnt and turned into ashes as the Cotton of the Lamp is for want of the affusion of more Oyle for thus the substantifical moysture being quite spent the native heat is extinguished and cannot bee restaurated by Euchymous aliments and this degree as it cannot be hid so it cannot bee cured The second degree is of a middle nature between them and how much the nigher or further to the first or last is by so much the easier or harder to cure they all differ only gradually The causes external are from the Six Non-natural things as the hot Air long Hunger Watchings suppression of Excrements c. the internal are from a bilious temperament a continual Feaver ill cured as a causus and continual tertian and not from a quotidian or intermitting tertian from a Prisick lientery or such Diseases in which the nourishment being incoct or ill concoct doth not humectate the solid parts which being destitute of their aliment and conceiving a more acrid and feaverish heat grow hot and dried The first degree may be known by the preter-natural heat if at first touch of the Artery it be acrid and mordent if after drink or meat a heat presently flushes in the face from the sublation of vapours this heat is at first so gentle that the Sick deny themselves to be feaverish for things done by degrees cause no paine saith Hippocrates as Plants at their first sprouting are easily pulled up but are hardly known unless by the skilful Herbarist so this degree is easily cured but hardly discovered unless by the learned Phisician The signes of the second kinde are not only from the mordent heat of the pulse being felt but in the soles of the feet and palmes of the hand besides the pulse is harder and dryer than in the former because the feaverish heat works not only on the rorid substance of the heart but on its primogenious humidity whence nourishment failing the Sick necessarily falls away the urine is higher coloured by reason of the intense heat depopulating not only the heart but habit of the whole body but less high than if a putrid were joyned with it this degree hath a great latitude and so is accordingly known or cured Signes of the last degree are a weak pulse small and frequent and hard from driness the urine hath some fatty substance swimming in it like to Cobwebs which denotes a quolliquation of the similar parts the eyes are hollow their humours being wasted the temples fallen the substantifical humour of the muscles being consumed the forehead dryed the nayls crookt the eye-lids scarce moveable the Hypochondria distended the skin hard and dry cleaving to the bones the fleshy substance being wasted A Hectick seldome possesses Children often young cholerick bodies and old men that are of a hot and dry temper and those that are long necked and narrow breasted c. those that have a Hippocratical face are past cure and such as have a looseness The cure of the first degree differs little from that of a Diary for it proceeds from the same manifest causes but more vehement which are inherent in the habit of the body and therefore requires stronger remedies let the diet bee euchymous liquid cold and moyst and incrassating to hinder dissipation as Broths altered with Lettice Purslane Marigolds Violets Burrage Wood-sorrel Spinage c. let the drink be ptissan or water boyled with sitrup of Maiden-hair or the Alexandrine Julep with a little Vinegar if it proceed from an Ephemera old age may be allowed a little small Wine at meals Take of the leaves of Mallows Violets Burrage Lettice each a handful Prunes twelve the four great cold Seeds each three drams Water-Lilly-flowers and Violets each a small handful boyle them in water and in a pint of the colature dissolve of simple Diaprunes and Cassia with sugar each six drams honey of Violets and oyle of Water-Lillies each an ounce and half make a Glister if you would have it nourishing too then boyle them in