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A57358 The practice of physick in seventeen several books wherein is plainly set forth the nature, cause, differences, and several sorts of signs : together with the cure of all diseases in the body of man / by Nicholas Culpeper ... Abdiah Cole ... and William Rowland ; being chiefly a translation of the works of that learned and renowned doctor, Lazarus Riverius ...; Praxis medica. English. 1655 Rivière, Lazare, 1589-1655.; Culpeper, Nicholas, 1616-1654.; Cole, Abdiah, ca. 1610-ca. 1670.; Rowland, William. 1655 (1655) Wing R1559; ESTC R31176 898,409 596

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Vein opened an hour after the blood will continue pure Hors-dung dissolved in Carduus Water and strained doth powerfully disperse the pain and the humor in the Pleurisie White Hen-dung given in a dram of the same Water doth as much These Dungs have much Volotile Salt which is very piercing and discussing You may make a Potion of them both thus Take of Hemp seed one ounce bruise them then put to them of the white Dung of a Hen and of Horse Dung of each half an ounce dissolve them in five ounces of Carduus Water strain them and drink it The Blood of a wild Goat given to ten drops with the aforesaid Water doth powerfully discuss the Pleurisie In the want thereof you may give the blood of a tame Goat But because the strength of him is little you may give thereof to the quantity of one dram You must prepare it thus Hang up the Goat by the Horns and bend his hinder Legs backward to his Horns then cut out his Stones and take the Blood in a broad Vessel dry it in the Sun in Summer or at other times upon an Oven It is far different from the Goats Blood in the Shops The Soot of a Chimney given to a dram is very good but much rather the spirit of Soot described by Hartman in his Practice of Physick In an Epidemical Pleurisie Sudoroficks are to be given such as are prescribed in malignant Feavers which also ought to be made as proper for this Disease as may be A Diarrhoea coming upon a Pleurisie is dangerous therfore you must give Syrup of Myrtles which doth stay the Diarrhoea and also expectorate and this is to be mixed with other Syrups Let me Belly and Reins be anointed with astringents as useth to be done in all Diarrhoea's Give Clysters made of Barley Water which as Galen saith doth cool and astringe if it be boyled with red Roses and also Yolks of Eggs be dissolved in it Chap. 3. Of Peripneumonia or Inflamation of the Lungs PEripneumonia hath the same essence with a Pleurisie and is distinguished only by the part affected because that is the inflamation of the Lungs and this of the Membrane that compasseth the Ribs They differ somwhat in the matter for a Pleurisie comes often of Choller but a Peripneumonia of Flegm although all humors as we said of a Pleurisie may produce this disease I mean humors which are like blood and make up the mass of it For as thick humors do hardly penetrate the thick Membrane called Pleura but thin and Chollerick easily so on the other side thick flegmatick humors do easily go to the soft and thin substance of the Lungs and stick close thereto but thin and Chollerick humors do easily pass by But this hindereth not but the Chollerick blood may somtimes cause the Inflamation of the Lungs as Hippocrates 1. de morbis describeth the Erysipelas or Chollerick tumor of the Lungs which comes from Chollerick blood thrown into the Lungs from the right Ventricle of the Heart by the Arterial Vein But an oedematous Inflamation comes from flegmatick blood falling upon the Lungs by way of defluxion from the Head But only excrementitious flegm falling as a Catarrh from the Brain can make a Peripneumonia because it putrifieth in the Lungs and attracteth blood by the mixture whereof there is an Inflamation and this often happeneth in old folk Mesue saith that this Peripneumonia comes rather of Choller because the Lungs are nourished with Chollerick blood which cometh in great plenty to them by the Arterial Vein To whom we answer that fresh thin and steeming blood made in the right Ventricle of the Heart is carried into the Lungs which by reason of its purity is easily governed by Nature and is sent by the Venal Artery to the left Ventricle of the Heart and it seldom is altered from its Natural condition which useth to make a Peripneumonia But contrarily a defluxion from the Head cutting through the large passages into the Bronchia of the Lungs if it there putrifie will draw blood unto it and make a Peripneumonia This Peripneumonia is somtimes alone without another disease somtimes it followeth other diseases as Squinzy or Pleurisie Galen in Com. 11. Sect. 7. Aphor. teacheth that a Peripneumonia doth follow a Pleurisie two waies Either when a Pleurisie is turned into a Peripneumonia or when an inflamation of the Lungs followeth a Pleurisie This transmutation is when the former disease ceaseth and the other comes but it comes upon it when it is white the former remaineth Therefore the immediate internal cause of a Peripneumonia is blood often flegmatick seldom chollerick and most seldom melanchollick Which either comes from the whol body being plethorick or cachochymical that is full or of evil habit or from some part which is replete or distempered The External Causes of Peripneumonia and Pleurisie are the same namely whatsoever defluxion can come to those parts the chief whereof are First great exercise and violent motion of the Body especially after long rest and high feeding For then the humors abounding from high diet and kept in by long rest by exercise are dispersed attenuated and heated and are after sent to the weaker parts most fit to receive them among which the Breast and Lungs are chief because by strong exercise there is caused great and often breathing and so they become wearied and the substance of the Lungs being soft and loose can easily receive the humors coming to them Secondly Among the external Causes the cold and Northernly Air is reckoned when it comes suddenly after a Southern and warm for the pores are opened by warm Air and the humors are more fluid which by the cold Air coming after are compressed and the humors sent to the weak parts Lastly From Hipp. lib. of Air Places and Waters the drinking of standing Pools and Lakes begets the Peripneumonia for saith the Divine old man we observe diseases of the Lungs to be most in Marshy Countries Also the Signs of a Peripnumonia do agree with the signs of a Pleurisie Two are the same as a sharp Feaver and a Cough which somtimes is dry somtimes moist or with more Flegmatick spittle coloured with Choller or Blood and in the progress of time the spittle becomes Mattery when the matter of the Disease grows ripe and concocted by heat which somtimes comes to pass when the substance of the Lungs is not hurt for if they ulcerate a Consumption wil sollow So we may observe That in sore Eyes that are Mattery the humors are converted into Matter when the substance of the Eye is neither suppurated nor ulcerated The other signs differ in respect of the part affected the difficulty of Breathing is greater than in a Pleurisie by reason of the narrowness of the part inflamed so that the Patient seems to be choaked and cannot breath but with the head upright For the part cannot be compressed by reason of the extention and repletion nor be more dilated
5. A Suppuration on both sides of the Thorax is more dangerous than in one also that on the l●f● side is more dangerous than on the right by reason of the left Ventricle of the heart which is more greivously affected with the matter gathered on that side Whosoever are Burnt or Cut for a Suppuration if the Matter cometh forth pure and white they escape but if it be bloody foul and stinking they die Aphor. 44. Sect. 7. If the Matter flow plentifully by Stool and Urine and the Patient continue strong it is a sign o● Recovery although this Evacuation is very seldom yet is it spoken of by Galen Aetius and Paulus As also the way declared by Galen through which it passeth 3. de loc affect cap. 4. and com in aphor 30. sect 3. In the first place he speaks thus This question doth not a little disturbe th● followers of Erasistratus who think that there is nothing but spirits in the Arteries But we find no difficulty in it because we know that the smooth Artery in the Lungs so much Pus as it received from an Imposthume broken can carry the same into the left Ventricle of the heart which after goe● to the Re●ns by the great Artery In the last place he saith That the matter contained in the Lung● doth first come to the Ventricles of the Heart and then to the great Artery or by the hollow Vei● to the outside of the Liver from thence to the inside and so to the Guts From which you may easily see the way by which an Empyema may be purged by stool and urine If the Patient grow better and be almost clensed and then again raiseth stinking Spittle he dieth of that which remaineth and returneth Hipp. in Coac For the Cure of this Disease First if you cannot hinder the Suppuration of the matter in the Thorax you must further it by convenient Cataplasms As Take of Marsh-mallow Roots three ounces fat Figs ten Raisons stoned one ounce Chamomel and Melilot flowers of each one pugil Boyl them all well then beat them and strain them then ad the flower of Line Foenugreek seed and Wheat of each one ounce Oyl of Lillies sweet Almonds and fresh Butter and Turpentine of each one ounce Make a Cataplasm Also to help Concoction and maturation within you may give this following Apozeme Take of Marsh-mallow Roots and of the greater Comphry of each one ounce Agrimony Colt●foot Scabious and Maiden-hair of each one handful the four great cold seeds of each one ounc● Annis seeds one dram Liquoris and Raisons of the Sun stoned of each one ounce the three Cordial Flowers and Chamomel of each one pugil Make a Decoction to one pint and an half dissolve in the straining Syrup of Colts-foot Liquoris and Sugar-candy of each two ounces Ma●● an Apozeme perfumed with the Pouder of Flower deluce Root one dram for five mornings draughts This following Eclegma is good for the same purpose Take of the pulp of fat Figs one ounce fresh Butter two ounces Oyl of sweet Almonds newly drawn without fire one ounce Sugar candy two ounces Starch two drams Make a Lohoch Venice Turpentine washed with Barley Water given to the quantity of three drams with the pouder of Liquoris doth much profit for Maturation Discussion and Clensing But if the Empyema will not be spit up as somtimes it will not you must come to opening of it which you must do between the fourth and fifth Ribs beginning to count from below with many Cautions which are elegantly set down by many Chyrurgions especially by Hierom● Fabricius ab Aquapendente in his Book of Manual Operations But it is more profitable to open the Imposthume which comes from a Pleurisie before it break and the Pus flow into the Cavity of the Breast which is known by the Tumor which is against the place of Suppuration and by other signs of an Empyema And then you must not open it below and between the fourth and fifth Rib because if you make an orifice far from the imposthume there wil no matter come forth but you must open it in the middle of the Tumor first applying a Caustick But if no Tumor appear it is hard to open it before the Imposthume be broken But if any will t●y he must find out the place in which the Patient finds weight pain and heat And it must be made between two Ribs upon the higher part of the Rib because there is a Vein and Artery neer the Inferior which you must observe in the opening of every Empyema While the matter is taken forth by degrees let the Patient take a Wound Drink twice a day which will purge the blood clense the Ulcer and hinder putrefaction As Take of Sanicle Bugle Scabious Bettony St. Johns wort Carduus Mousear Burnet Perewinkle Agrimony Plantane of each one handful the seeds of St. Johns wort and Carduus benedictus of each half a dram Cordial Flowers one pugil Boyl them in Hydromel to a pint and an half Take six ounces every time With this same Decoction Injections may be made into the Cavity of the Breast For his Drink let him take Hydromel or Barley Water or Spring Water with Sugar If after the Breast is opened the matter do not flow freely you must draw it forth with the following Plaister which doth powerfully draw from all Imposthumes Take of Rozin of the Pine-tree that is fresh cleer and sweet half a pound Oyl of Bayes and ●urpentine of each one ounce Gum Elemi two ounces First let the Rozin and the Gum be ●elted and mixed then ad the Turpentine and the Oyls and let them boyl a little then strain ●●em Make a Plaister thereof for the part change it once a day in Winter and twice in Sum●er cut it in two or three places that the matter may pass through Chap. 5. Of the Dropsie in the Breast THe Dropsie in the Breast is like to Empyema which comes from a serous humor contained in the Cavity of the Breast The common Practitioners do not describe this Disease although Hippocrates doth it excellently 2. Lib. of Diseases called dropsies in the Lungs thus There is a Feaver and a Cough quick breathing the feet swell the Nails are contracted and they suffer as ●●ey do in an Empyema but not so violently and longer and if you powr any thing in or apply a ●omentation or fumigation the matter doth not follow and by this you may know that it is not ●atter but water that is within and if you try a long time to discover it by your Ear laid to his ●●de it boyls inward like Vinegar after that it goes into the belly and then he seems to be recovered But in progress of time the belly is inslamed and that endureth the same or more some swell in the ●elly cods and face Thus Hippocrates This Disease seldom happeneth it is more often than it is discovered for it is not ordinarily ●nown Many relations of it are given
Diseases But the Heart hath a Natural Faculty to contract and dilate it self therefo●e a Palpitation cannot be without its motion And they do in vain muster up Galens Reasons so thought by them to prove that the Palpitation of the Heart comes not by Nature but by a Di●ease or cause of a Disease For Galen in all those places speaks of no other Palpitation than that which is in the Skin and other external parts and not of the palpitation of the Heart which is of another Nature and Galen 2. de sympt caus cap. 2. saith that the Palpitation of the Heart and Arteries is different from that of the other parts Therefore the Palpitation of the Heart is an immoderate and preternatural shaking of the part with a great Diastole or Dilatation and a vehement Systole or contraction which somtimes is so great that as Fernelius observes it hath often broken the Ribs adjoyning somtimes displaced them which are over the Paps and somtimes it hath so dilated an Artery forth into an Aneurism as big as ones fist in which you might both see and feel the pulsation This immoderate shaking of the Heart comes from the Pulsative Faculty provoked But here may be objected That in Feavers all these things are found for this is an immoderat● Systole and Diastole by the provocation of the Faculty through some troublesom matter or by encrease of heat in the Heart To this we answer That the motion of the Heart in Feavers is distinguished from Palpitation only by its degrees and the depraved motion of the Heart when it is vehement is called Palpitation but if it be not vehement it is called a quick great and swift Pulse and is referred to the difference● of Pulses Now the Efficient Causes of this Palpitation may be referred to Three Heads Either it is somwhat which troubleth and pricketh or necessity of Refrigeration or defect of Spirits which two latter may be referred to the encrease of Custom The Molesting Cause is most usual so that many Authors knew no other the other are rare and that is either a vapor or wind which troubleth the Heart either in quantity or quality or both The quality is either manifest or occult A vapor troublesom in a manifest quality is either in the Heart and its parts adjoyning or it is sent from other parts and this suddenly getting to the inmost parts of the Heart doth stir up the Expul●ive Faculty which being Naturally very strong ariseth powerfully with all its force to expel the enemy In the Heart and thereabout especially in the Pericardium are gathered somtimes cold and thick Humors which send up vapors to the Ventricles of the Heart which cause Palpitation But from more remote parts vapors and wind are sent to the Ventricles of the Heart as from the Stomach Spleen Mother and the other parts of the lower Belly Many times a Vapor that troubles the Heart by an occult quality ariseth in malignant Feavers Plague and after Poyson and somtimes from Worms putrified and the terms stopped from corrupt feed or other putrid matter which do much stir up the Expulsive Faculty thereof Divers Humors do molest the Heart either with their quantity or quality so too much Blood oppres●ing the Veins Arteries and Ventricles of the Heart so that they cannot move freely makes a Palpitation by hindering motion which that the Faculty may oppose it moveth more violently So Water in the Pericardium being in great quantity doth compre●s the substance of the Heart and its Ventricle so that they cannot freely dilate themselves The same do Humors flowing in abundance to the Heart as it happens somtimes in Wounds Fear and Terror Humors offending in quality hurt the Heart if they be venemous putrid corrupt sharp or too hot especially burnt Choller coming to the Heart and provoking its Expulsion Also Tumors though seldom cause this Disease as Inflamation of the Heart Imposthumes or Swelling in the Arteries of the Lungs neer the Heart which Galen saith befel Antipater the Physitian 4. de loc aff by which after an unequal Pulse he fell into a Palpitation and an Asthma and so died so Dodonaeus reports that he found a Callus in the great Artery next to the Heart which caused a Palpitation for many yeers Also Tumors in the Pericardium whether they be without humors and scirrhus or with humors in them as the Hydatides or watery Pustles and little stones bones and pieces of flesh are somtimes growing in the Heart which cause Palpitation So Platerus reports that in one who had a long Palpitation and died thereof there was found a bone in his Heart But Schenkius reports that in a Priest who was from his youth to the age of forty two troubled with a Palpitation there was found in the bottom of his Heart an Excrescens of flesh which weighed eight drams and resembled another Heart The Second Cause of Palpitation is necessity of refrigeration which is when there is a pret●●natural heart in the Heart by which the Spirits are inflamed within and therefore the motion of the Heart and Arteries is encreased that what is spent may be restored and the heat cooled and this comes somtimes from an internal cause which is rare but oftener of an external as anger vehement exercise and the like As Platerus observed in a yong man who being hot and angry at Tennis fell into a Palpitation of the Heart and so died The third Cause is the defect of Spirits which comes by hunger watching anger Joy fear shame and great Di●eases and other causes which do suddenly dissipate the Spirits which defect the Heart laboring to repair that it may beget more quick and plentiful and send them into the whol Body sooner it doth enlarge its motion and make it quicker You must observe for conclusion that it is more ordinary to see a Palpitation which comes by consent from other parts than from the Heart it self For it hath a consent with all parts by the Veins and Art●ries by which Vapors Wind and Humors are sent Which all shall be shewed in the Diagnosis following The Diagnosis or knowledg of this Disease is directed either to the Disease or the Causes which produce it The Disease is subject to sence it may be felt with the hands somtimes seen and heard for the Artery may be seen to leap especially in the Jugular And Forestus saith it may be heard by an Example of a yong man that they who passed by might hear it by laying their Ear to the Window Also the Causes are distinguished by their Signs A hot distemper is known by the greatness of the Pulse and swiftness by a Feaver and heat of the Breast by great and often breathing and desire of cold things If the Palpitation come of wind it quickly comes and goes and is presently raised by little motion and the Breath is difficult with trembling somtimes at the knees mists in the Eyes noise in the Ears and somtimes pain of some
of Tragacanth and after put in a Glass otherwise they will grow moist You may continue this Medicine for a month or two not only without hurt but with great profit Fonseca commends these Pils following which he cals Diatartarum for opening Obstructions by degrees and purging Melancholly gently and for allaying it Take of the Pouder of Senna and Salt of Tartar of each one dram Pouder of Cinnamon half a scruple with Syrup of Lemmons make a Mass of which give three Pills made of half a dram one hour before Supper to give him two or three stools for Salt of Tartar hath great Vertue to allay black melanchollick Humors for it draweth to it self by certain propriety sowr things as you may perceive when it is mixed with Vinegar or Spirit of Vitriol whose sowrness it taketh away For we must know that Fonseca by Salt of Tartar meaneth Crystal of Tartar Yet you may as well infuse your Senna with the Salt of Tartar and some drops of Spirit of Vitriol in some convenient Liquor To open the same Obstructions some commend the Decoction of China as we said in the Obstruction of the Spleen which a wise Physitian may do with good success Some commend the Juyce of VVormwood thickened into the form of a Pill given either by its self or with Gum Ammoniacum and after that presently Oxymel made of the Decoction of Asarum Roots and Liquoris Others say That Hypochondriack Melancholly hath been cured with the Decoction or Wine of Wormwood taken thirty or forty daies together The Juyce of Bugloss is excellent not to open Obstructions as Wormwood but to qualifie the Melanchollick Humor Therefore they give two ounces thereof with two drams of Sugar and as much Wine as of both for ten or twelve daies every morning The principal thing for this Cure is to keep the Body alwaies soluble Therfore the Patient must have some familiar Medicines which he may often use before meat somtimes one somtimes another lest he grow weary of them For this he may take the Magisterial Syrup and the aforesaid Pils and those which were pre●cribed for a costive Belly To which he may add out of Montanus Venice Turpentine which he orders to be swallowed in the quantity of an Acron three hours before dinner once twice or thrice in a week for besides that it looseneth the belly it also clenseth the Stomach opens Obstructions provokes Urine warms the Stomach and doth not heat the Liver but doth it good by opening and clensing it For his ordinary Drink let him use Water wherein Gold hath been quenched or the infusion of Tamarisk Agrimony Burnet in thin Wine either alone or made Physical in Vintage time with the Roots of Bugloss Borrage with a little white Sanders and Rosemary Flowers The Decoction of the Sweet Bryar Root is commended for ordinary Drink for it openeth and strengtheneth all natural parts The Decoction of Lignum Nephriticum doth open the Obstructions of the Bowels without any manifest alteration But steeled Water is more usual All which Waters and Decoctions you may also mix with Wine While in the internal Medicines mentioned or any of them are used you must apply External as Fomentations and Oyntments to the Hypochondria such as are prescribed for the Obstructions of the Liver and Spleen making Choice of the Coolest You must also apply strengthners to the Stomach because that part doth alwaies suffer in this Disease therefore you may use those Fomentations Oyntments and Emplaisters mentioned in the Diseases of the Stomach Also those Internal which wil not inflame the Liver and especially the Digestive Pouder to be taken after meat in a Fit when the Vapors arising from the Hypochondria do trouble the Heart Brain and other parts and produce great Symptomes as Swoonings Palpitations Tremblings Convulsions Head-ach and the like you may use those things which are given in Swooning or the Mother but among the rest Laudanum used wisely doth wonders Chap. 6. Of the Scurvy THe Scurvy is usual in the North in most places thereof Common but almost unknown in the South so that al Writers that have Practiced in these Parts have never mentioned it and we may wel leave it out because in our Preface to this Book we promised to meddle only with the usual Diseases of the Spleen but Experience hath taught us That our Country is not altogether without it for though it be not in every Symptom the same with that of the North yet it hath enough to confirm it to be the same for the aforesaid Authors say that one Symptome is sufficient to discover it we have seen many Symptomes of it in many people but because it is not familiar here and al our Physitians say we have it not we would not absolutely cal it a Scurvy but we thought it better to cal it a Scorbutical Disease such an one as comes next to it though it be not a true Scurvy For the Scurvy is nothing else but an Hypochondriack Disease having a peculiar degree of Malignity from which more Symptomes arise than in the Hypochondriack Disease this malignity comes from the putrefaction of Melancholly not of every kind of melancholly for it is often corrupted from which other Diseases arise and not the Scurvy as a Quartan Ague ●● Imposthume in the Mesentery and other parts but of a peculiar and proper Melancholly which is a●●●●able to that Malignity This is known by the Infection which is found in this Disease because author● hold it to be infectious And because al the degrees of malignity which lie in the Humors and produce divers Diseases are unknown unto us and 〈◊〉 therefore is this of the Scurvy obscure 〈◊〉 hidden and it is wonderful that so many Diseases should arise from the variety of malignity which is in the Humors as malignant Pestilential Feavers 〈◊〉 〈◊〉 〈◊〉 Measels Cancers and Elephantiasis the Pox and many others And especially Elephantiasis comes from a peculiar malignity in a Melanchollick Humor and so doth the Scurvy and yet these two Diseares differ so much that none can tel their divers degrees of malignity Divers Symptomes common to both do shew a great likeness of the Scurvy and Hypochondriack Melancholly for al they which were mentioned in the former Chapter are found in this Disease as crudities and want of Concoction in the stomach often spitting flegmatick sharp and stinking vomitings noise in the Hypochondria belchings breaking of Wind downwards vomiting of blood and purging of blood pains from wind under the ribs and in the stomach somtimes Costiveness and somtimes Looseness heat in the Hypochondria beating of the Left side Urine now thin than thick heart beating thirst drought of the mouth short breath head-ach noise in the ears dimness of sight giddiness sorrow and sadness and divers dolings convulsions falling-sicknes numbness coma watchings troubled sleep and terrible dreams The Reasons of al which were shewed in the Chapter above and they may agree with this of the Scurvy But if any