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A26839 The expert phisician learnedly treating of all agues and feavers, whether simple or compound, shewing their different nature, causes, signes, and cure ... / 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 ...; Pharmacopée. English Bauderon, Brice, ca. 1540-1623.; Welles, Benjamin, 1615 or 16-1678. 1657 (1657) Wing B1163; ESTC R19503 59,853 176

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not so in preparation or alteration before purging and by this distinction the Greeks and Avicen may bee made friends Others give other Reasons against Avicen thus The first Natural action is Attraction to which thin Humours are most obedient and most readily follow the medicament the second is a kind of violent expulsion by which also thin Humours are most easily driven forth therefore they are not to be incrassated There are three sorts of purging Medicines some purge by Traction such as Hippocrates and the ancient Greeks used as Euphorbium Lathiris Elaterium Scammonium Colocynthis Helleborus c. which wee use not now unless in great Diseases or in small quantity mixt with other things and corrected and on rustick bodies whom gentler Medicines will little or nothing move and not in continual Feavers sprung from a hot cause Others purge by smoothing or suppling as Manna Cal. Cassia Egypt Sena Polypody Sirrup of Violets c. Others purge with astriction as Rhubarb all the Myrobalans juyce and Sirrup of Roses which we use when the parts are to be strengthened and there is no obstruction which they may prejudice he that is to take a Purge in them morne let him not take Sirrop of Poppies over night or dissolve Treacle or new Mithridate in it because the cold quality they have from Opium doth hinder purging according to the experience and authority of Galen in his twelfth Book De Theria to Piso In the state of the Disease abstaine from purging that Nature be not called from her work but commit the whole business to her because then all Symptomes are most violent otherwise you add evil to evil especially if a Crisis be near Hippoc Aphor. 29. Sect 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the height is is best to be quiet and in the next Aphoris {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. at the state of Diseases all things are most vehement and therefore abstaine from medicaments or any way to move or irritate Nature c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe and no more is to be done but if there be any thing left it is to be removed by Medicine for fear of a relapse Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement does usually cause a return of the Disease upon a critical day if there appear no signes of coction but of crudity though there be an excretion even in the state of the Disease it is not to be trusted to neither ought we to fear those evil accidents which happen not according to reason but the noxious humour is to be emptied that the Disease returne not Aphoris 27. Sect. 2. if any light thing happen besides reason in acute Diseases we are not to trust to it nor to be diffident if a greater business happen not according to reason for such things are very uncertaine and of no long continuance the whole matter of a Disease then cannot be rooted out unless concoct and after the state when those preter-rational Symptomes are abated and Nature is assisting to us on the contrary if there appear signes of a vasal plenitude or of crudity we must abstaine from purging and neither provoke sweat nor urine lest the vitious humours so moved be carried into the greater Veines and exasperate the Feaver and make it more contumacious by what remedies urine and sweat are to be moved I have taught in my Enchiridion in the first second and third Chapters of the Second part These are the chief and general Canons to be observed in curing of Feavers whether continual or intermitting other rules wee shall set downe in their proper place now for their cure in special CHAP. VIII Of a Diary Feaver THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is flatuous and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} because it continues but a day rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals about the end of the nineteenth Chapter but the Latines call it a Diary which sometimes is extended to more daies when the spirits inflamed are crasse which if not resolved it degenerates sometimes into a putrid Feaver sometimes into a Hectick● or malignant Feaver saith Galen The causes of this Feaver are either external or internal the external are taken from the Six Non-natural things as from the Air too hot and dry in the Summer or the heat of the Country or the hot and dry temperament of the Patient as the Picrocholous or cholerick natures whose spirits are easily inflamed from whence is an Ephemera sometimes by the cold air or use of aluminous Bathes the skin is condensed so that the fuliginous exhalations which should be excerned through the skin are repressed and so the spirits are easily inflamed sometimes it is from drinking of Wine Drunkenness long Sleepes or continual Watchings over-much labour hard riding idleness or want of exercise from the motions of body or mind as from Anger Fury Hunger and thirst Suppression of some hot humour as of the Courses or Hemorrhoids from the contract of some Feaverish body from an actual or potential cautery applied to a cholerick or plethorick body from hot meats acrid Medicaments salt things and the like The internal causes are obstructions whether caused from without or within from an external cause as from the thickeness of the skin from within as when a sharp distillation from the braine falls upon the heart through the Arterial veines which inflames the vital spirit whence is a Diary Feaver Sometimes other viscera are obstructed as the Messentery Liver Spleen Reins Bladder Wombe and when these are obstructed first of all the Natural spirits not being ventilated grow hot and by their power alter the spirits of the heart and increasing their heat beyond the bounds of Nature cause a Feaver Another internal cause is the inflammation or swelling of the Glandules which makes a Diary Hippocrates Aphoris 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} c. that is all Feavers from swellings are bad except the Diary and he saith the same Epid. 2. Sect. 3. The Signes are taken from the efficient causes whether they be originated from things external or internal if it proceed from an external cause you may know from the relation of the sick if from the internal causes by the heat pulse and urine Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc chap. 2. and 9. and 10th Method of Curing chap. 4. for if it be exquisite the heat is milde and gentle to the touch which ends with a madidness or sweat the pulse is swift and frequent but equal and temperate in case it be not joyned with a putrid or Hectick Feaver except in that which proceeds from anger sadness hunger crudity thickness of the skin caused by cold for then the diastole
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 m●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