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A62269 Paidōn nosēmata· = or Childrens diseases both outward and inward. From the time of their birth to fourteen years of age. With their natures, causes, signs, presages and cures. In three books: 1. Of external 2. Universal 3. Inward diseases. Also, the resolutions of many profitable questions concerning children, and of nurses, and of nursing children. By J. S. physician. J. S.; Vaughan, William, fl. 1664, engraver. 1664 (1664) Wing S79; ESTC R219790 64,761 200

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putrifies it doth resemble the nature of Choler not that it is true pure Choler because it cannot be imagin'd how heat before the Disease or in it can make the most hot humour as Choler is in the head that is moist and almost water nor pure Phlegme because it is cold and moist and the humidities of Children are hot therefore old men waxe gray because they abound with Phlegme Children not because they abound not with Phlegme that is cold and moist The External causes are a very hot Air blows falls Milk that is very hot by the Nursés using hot drinks Milk hath the power of making one drunk and one observes well tender Kids of Goats are made mad with Milk and there is no doubt but the tender Brain of Children are much offended by the Milk of Nurses The Signs are the Hole and cavity of the Anterior part of the head because the heat of the Inflammation dries the Brain which being drye the Skull is deprest and sunk with its own weight and makes a hollownesse of the eyes by the same cause is a heat of the whole body and dryness continual Feaver palenesse of Countenance weaknesse losse of Appetite want of sleep and a loosness of the Belly Prog. This Disease is very dangerous in Children because they are more easily extenuated by their heat it is wont to kill in three days afterwards there is hopes the Disease declines and the strength increases The Cure is in 1. Dyet let the Nurse drink only water and use such Meats which greatly cool as Ptisan and Barly Broth with the Emulsions of the Seeds of Poppy-Broths with Lettice and Endive the Nurse and Child are to be kept in a cold Air in great quiet of mind and body Purges are unprofitable or hurtful but if the Child be costive his belly may be loosned with a common Suppository or this Clyster Take of Barly water Three Ounces of Whey Five Ounces red Sugar half an Ounce mingle them Outwardly use two Ounces of the Oyl of Roses with the Yelk of an Egge it mitigates pain concocts and dissolves the humour the Juice of Lettice Pomkins and Melons the flesh whereof may be pounded and the Juyce prest out and the Leaves of Lettice steep'd in it and laid upon the head or a Cloth dipp'd in the Juice These Medicaments are often to be changed lest by staying too long on the head they heat and dry and hurt as much as help and in the Winter they are to be laid on lukewarm in the Summer cold Nor is it safe to exceed these cold remedies and use the coldest lest the temper of the Brain is destroyed When the Inflamation is appeased then leave the use of the cooling remedies and use discussive ones and first such as are gentle the yelk of an Egge of Oyl of Cammomile two Ounces mingle them afterwards a stronger discutient Take the Flowers of Cammomile the Leaves of Penny-royal and Dill Bran tyed in a Cloth half a Pugill boyl them according to Art then take half a pint of the said Decoction the Oyl of Cammomile and Anniseed of each an Ounce shake them well together and apply them warm to the Head CHAP. VII Of the running at the Nose Cough and difficult Breathing THe running at the Nose Cough and difficult Breathing in Children are the effects and issue of a Distillation which as some observe is the mother of all Evill and is a desluxion of a petuitous humour into the parts subjected if the matter flowes to the Nose it is called the Pose and running at the Nose if it descends to the breast and is expelled by the Spirit that goes out it 's called a Cough but if the same matter falls upon the Lungs and stops the ways of the Spirit and oppresses the body of the Lungs it produces a difficulty in breathing this matter seldome makes hoarsness in Children because sucking Children by their daily use of Milk cleanses the Phlegme that it doth not stick about the Jawes in those that are elder hoarsnesse is seldome because they are hot about the Jawes which dryes up the Phlegme These Distempers are Symptomes and effects of a very moist Brain sometimes cold because Infants draw Air more cold then they were used to which cools the Brain and it is sometimes hot by its natural temper which is very hot by Air that is hot Fire Smoake too hot cloathing of the head and the gluttony and intemperance of the Nurse The Signs are manifest of the Cough Poze and difficulty of Breathing if they come from a hot cause the Child sneezes often the colour of the countenance of the Child is florid and red the Jawes are red and whilest the Child sucks the Breasts are heated that the Nurse perceives the heat If from a cold cause there is seldome sneezing no change of the Colour of the Countenance no heat perceived in the mouth Prog. These Distempers are not dangerous if they be not neglected otherwise they produce Broken Bellies and other Diseases and often Death The Cure is 1. in Diet let the Air be temperate without Excesse avoid Wine and Meats that are windy and grosse and such as flye to the head as Spice and meats prepared with them If the matter is cold a little Spice and hot meats may be allowed but sparingly for all which fly to the head are apt to attenuate and loosen both the cold and hot matter which causes these Distempers and many others 2. Evacuating and diverting the humour by loosning the Belly of the Child by a Clyster or Suppository or by a Vomit which is very good to evacuate the Phlegme which you may do by dipping your finger in Hony and pressing down the Tongue of the Child also to evacuate the matter Take of the Hony of Violets one Ounce of the Powder of Ocymi one dram mingle it and put it in the Mouth of the Infant and then give him the Breast in a cold cause Mirrh and Hony are commended In a hot cause Take one dram of the Seed of White Poppy of Tragacanthy half a Dram of the Seed of a Goard three Drams bruise them all and with a Decoction of Sobestens make a Liquor or you may powder them and take half a Scruple mingle them with a little hony of Violets and give it the Infant to lick If the Breath be difficult with the Cough use the Syrrup of Hyssop in the place of the Hony of Violets It is also convenient to keep the Breast of the Child easie and not straight that it may dilate wherefore annoint the Breast and Back with the Oyl of sweet Almonds which is also good if it be swallowed and taken inwardly CHAP. VIII Of the pain and humidity of the Ears THe pain of the Ears is reckoned by all Physicians amongst the Diseases of Children It is a grievous sense which vehemently affects the parts about the passage of hearing which is very sharp in regard the inward parts of the
which make Phlegme all which is done by 1. A Convenient Diet let the Air be hot and dry the sleep little exercise moderate avoid much rubing or kembing of the head and bearing weight on the Head avoid all perturbations of the mind except moderate anger and Wine that is strong and thick if you use Wine do it moderately and mixe it with water Let your meat be attenuating and drying as Bread well bak'd and with Anniseeds or Coriander-seeds Let your flesh be of Wild-fowl and rather roasted then boyled avoid Spices as filling the head with vapours and all thick grosse viscid and cold meats as Beef Cheese Milk Eggs fried or hard and the like Hence it is that the Children of poor persons are more troubled with this Disease then the Children of rich men because they eat grosse and ill Diet which makes and ●oments the humour 2. Purging Take of the Leaves of Senna half an Ounce of Polypode two Drams Ginger 15. grains half an Ounce of Raisins stoned Sebestens Pruins of each three in number of the Flowers of Borrage Violets Red Roses and Rosemary of each half a dram boil them in a pint of fountain water until half be consumed Take of the Decoction two Ounces of the hony of Roses two or three Ounces Let the humours be prepaired thus Take of the Leaves of Brownwort Plantain Dry Bettony and Mint of each half an handful boyle it according to Art of the Syrrup of Roses and Oxymel of each half an Ounce mingle them After the humours are prepared purge thus Take 30 or 40. grains of the Pills of Agarick or infuse two Drams of the Trochische of Agarick in three Ounces of the Water of Bettony all night strain it and add 2. or 3. Ounces of the Hony of Roses solutive Observe that most gentle Remedies often used is better then violent and hath often cur'd 3. By the restraining of the moving of the humour into the Part by rubbing Cupping-glasses and Blisters and there is no remedy so effectual and fit for derivation diversion and evacuation of the humour and in all Swellings and Tumours in Children about the Neck as is the exulceration of the Skin of the Head which is best done with Mustard-seed and a Nettle but with prudence and moderation but have a care you use not Cautharides which cause great pain and pissing of blood 4. By discussing the humour in the part if it be moderately thick and viscid which is done by inward Medicaments as by the use of the Trochische of Vipers and Treacle but principally by outward Medicaments first by softning it and then by dissolving it Emollient or softning Medicaments are the Plaister of Diachilon with the Gums or this Ointment Take four Ounces of Diachilon one Ounce of Hyssop four Ounces of the Root of Ireos finely powdred mingle them and with the Oil of Almon●s make an Ointment which use several days until the matter is softned then use Discutients as drye Figs or a Plaister made of Hony or the root of a wild Cucumber bo led in old Oyl to the form of a Plaister is very effectual so is this following which is stronger Take of Stavesacre Nitre of each two Ounces Rocket four Ounces with as much Turpentine as is convenient make a Plaister The Ashes of Colworts mixt with Hony is also very good Observe that strong Discutients may not be used lest Feavers are caused and the tender Flesh of the Child hurt If the matter be very viscid and contumacious it is not cur'd but by cutting or burning it which is very dangerous and turns them into Cancers that are mortall as is experienc'd in the using such remedies for the Kings Evill in the Neck Breasts or Grayn CHAP. IV. Of Pustules and little Risings in the Head PUstules or Risings or Swellings for the most part they are in the Head but sometimes in the whole body In the beginning they are small and little afterwards they are sore and make hard white Scabs and Crusts by the driness of the humour In sucking Children they are call'd Crusta in those of elder years they are called Achores they are ulcerous Tubercles or Ulcers with small risings perforating the skin with small holes through which passeth a sanious or filthy matter The cause is as some think a nitrous and salt Phlegme mixt with Choler Others a putrid corrupted and Ichorous blood but I consent to them who think the humour is mix'd partly thick and partly thin waterish salt and nitrous and according to the various mixture of the humours with the salt waterish humours the various colours of the Sores arise being thereby black red white or yellow and those humours are either generated in the womb of the Mother out of the Menstruous blood or after the Child is born by the fault of Milk or Diet nature purifying and purging her self sends them forth into the outward parts of the body The signs are manifest to Sight the Child cries cannot sleep and are watchful the Child Itches and after Itching they are sore a bloody humour passes forth and oftentimes the Child is lowsy If they proceed from blood there is a redness pain and more easie Itch but if from a more sharp humour there is a great Itch. The Presage Pustules sometimes degenerate into great Ulcers and sometimes corrode the Skull by the Malignity and badness of the humour that the Membranes may be seen They many times preserve Children from great and many Diseases as Feavers Falling-sicknesses and others by natures purging her self by the skin They heal frequently of their own accord by Time and Age. The Cure is in 1. A Convenient Diet by avoiding salt sharp hot and sweet things fish and fruit If the Pustules are moist a drye Diet is convenient as the eating of Wild-fowl roasted bread twice bak'd c. which ought to be us'd only by the Nurse if the Child suck 2. Evacuation of the humours by Blood-letting Leeches or Cupping-glasses and purging the Nurse if the Child suck not prepare the humours with Cichory Eudave Fumitory and Agrimony of each an handful boyle them in a pint and an half of Water until half a pint be consumed Take thereof three Ounces and add the Syrrup called Syrrup Byzantius and the Syrrup of Fumitory of each half an Ounce or temper the humour that is faulty with the Syrrups of Borrage and Fumitory The humours being prepared Take of Rhabarb one Dram infuse it all night in three Ounces of Endive-water in the Morning strain it well and add an Ounce and an half of the Syrrup of Roses solutive The Body being purged the part excoriated is to be cur'd by outward Remedies A Bath of common Water in which the Leaves of Scabius Agrimony and Plantane are boyled is very good The Ointments of Litheridge Cerusse or Diapompholiges cures it CHAP. V. Of Chapt Lips in Children THe Lips are made not only for Beauty but also for use for the defence of the Mouth and
or weight of Cloathing encrease the Feaverish heat of the Child and if the tongue waxes black with heat the breathing is short and Swounding is fear'd let some cold water be near the Childs mouth that he may suck the cold Air in Sleep is helpfull but the troubles of the mind especially Fear is to be avoided only a little Anger may be admitted which help the expelling the humour If the Belly be bound a very easie Clyster or Suppository may be used which doth not hinder the motion of nature because they only work in the Guts and the motion of nature is to the Skin and in the Veins besides Clysters do not deject us that they may be fear'd contrary to what some think Avoid fulnesse and emptinesse let the body be kept in quiet and rubb'd a little for it expells the humour let the drink be Barly Water with the Juice of Limmons or Barberies or a Decoction of the roots of Sorrell or a Decoction of Ivory or Hartshorn especially in the beginning and whilest the Feaver is vehement If the Feaver is not very vehement a Decoction of Barly and Figs will be most convenient and commonly with successe hath been used by most eminent Physicians for that effectually expells the humours to the Skin If Wine be permitted it must be but a little and in it steep Lettice Endive or Sorrell Avoid gross meats Spice Salt and Sweet meats for sweet things destroy and so doth bitter things being dry and contrary to the Childs nature which is moist wherefore the meat must be easie to concoct cooling as Barly Broth or Broth in which cooling Hearbs are boyled and when the danger is over you may feed them with Broth and Yelks of Egs put into it with some Juice of Limon or Vineger A dried Fig is good meat for it expells the humour to the skin 2. Emptying of the blood before the Eruption and breaking forth of the Small Pox or Meazles If the Feaver is great and there be a fulnesse of blood then it may be admitted unlesse the Age is very tender or something else hinders it It may not be used upon Children that are weake and forbeare the emptying of blood in Children before they are 10. Months old though the Arabians appoint at five months The lessenning of blood ought to be upon the first visit of the Physician because of the beginning of the Ebullition of the blood which is commonly then the Fervour whereof ought to be abated and nature eased so that one ought not to stay until the fourth day but it may be done when one will before that time and not after The lessening of blood is done several ways as by letting blood which ought to be very seldome Cupping-glasses or Leeches the latter is most easie and one or two may suffice in the place of Cupping-glasses or opening a Vein 3. Medicaments All Physicians agree vehement remedies are not to be used but some think gentle means may be used in the beginning of this Disease but I conceive that Medicaments may not be used in the beginning because the operation of it will trouble nature in her work which is critical the Physician being called when the blood is boyling and it is a rule there is nothing to be done unlesse nature act imperfectly which cannot be known in the beginning but a Clyster may be then and at any time used for that works only on the Guts as is said a little before Take a pint of Barly-water 4 Ounces of the Syrrup of Violets three Ounces of Butter and an Ounce of red and course Sugar mingle them for a Clyster the quantity is to be altered as the capacity of the Child is A dried Fig is a convenient Suppository and one made of hony Where the humour moves forth and the whole matter comes forth there no evacuation must be used for there the Child and all things are quiet But if the Child is troubled the trouble may be taken away with a Lenitive Take of Tamarinds half an Ounce Sebestens 15. of Barly two drams of the Flowers of Borrage Violets and Roses of each a Dram boyl them in a pint of water to half a pint Take 4. Ounces of this Decoction and an Ounce of Manna or more as the Child is Some think a gentle purge before the eruption breaking out and appearance of the Pox and Meazles if the Child abound with ill humours and the Feaver rage may be used for it lessens the ill humours that thereby nature doth expel more cheerfully but if the Small Pox begins to break forth then a Purge is pernicious and mortall The rest of the Cure is in helping nature in expulsion wherefore if Nature doth not expell readily and strongly but slowly use such a remedy as cools binds and opens Take of Lents one Ounce of Figs 10. Maidenhair two Drams Smalledge roots half an Ounce Sorrell half a handful boil them in a pint and an half of water to a pint use it morning and Evening from four Ounces to six as the Child is If nature expels strongly omit the opening things in regard of the Feaver which is great and the openings are not then to be used but when nature expels slowly which is known by the fewnesse and slownesse of their coming forth This expels Take of Lents two drams of Figs fifteen of Barly one dram of Lettice and Sorrell of each an handful boyl them in a pint and an half of water to a pint use 6 7 or 8. Ounces of it Morning and Evening as the Child is Note that Lents boyled alone loosens the Belly from whence are mortal Fluxes nor it is not to be used alone for a remedy because of its thickness and binding qualities Take of French Barly one Pugil slic'd Liquorish half a dram red Cicers one dram of the greater Cold seeds of each half a dram Cordial Flowers of each one Pugill three Figs boyl them well in water to 6 Ounces after it is strained dissolve in it half an Ounce of the Syrrup of Granat which is to be taken at twice it is very good it mitigates and tempers the Feaver These that follow are also good to expell as Confection of Hyacynth Alkermes Contraherva Harts-horn or Scabius boyled so is Antimonium Diaphoreticum Bezar-stone and the Bezardical Minerall some use to bath with Luke-warm water to promote expulsion by relaxing the Skin Observe that Medicaments that are Cordials and expelling are to be used from the appearing and first coming forth of the Small Pox to the Eleventh day which some call the increase and state of Eruption of the Ebullition If the Scabs dry not of themselves and have matter in them and are ripe they are not to be opened unlesse they be malignant for if they be ripe and white their heat and fervour and eating of the flesh is gone and they will dry and fall of themselves and so there is no danger of its putrefying and leaving holes and marks If the