secondary essence of this difease is radicated in the natural constitution and also in the vital which are both vitiated in this affect The secondary essence hath a dependency upon the primary The secondary essence of this disease is likewise in the animal constitution which is that affection of the body consisting in the generation and due motion of the animal spirits by which is understood the excursion of them from the brain through the nerves like lightening and again their recourse back to the brain whereby they declare unto it what is perceived by the organs of the outward senses Now by reason the animal spirits have their passage through the first affected parts namely through the spinal marrow without the skull through the nerves from thence proceeding and through the parts into which those nerves are distributed and seeing that all these parts in this affect do labour with a cold distemper with a paucity and dulnesse of inherent spirits the animal constitution must needs be vitiated and the activity of the spirits in some degrees retarded and yet the sence is not vitiated for almost the gentlest motion of the nerves is sufficient for sence but not for motion because the latter requireth a greater strength and vigour of the nerves The parents may be troubled with Cachexia Causae Febris alba the dropsie the green-sicknesse which some call the white fever The scurvy French pox and the jaundies which corrupt the blood that cannot be changed into laudable and fruitful seed so that infants may borrow a disposedness from their parents to this affect But it cannot be comprehended under the species of an hereditary disease properly so called for that consisteth in the formation This disease according to its primary essence is a similary disease as before demonstrated 1. Yet in many children this disease doth fall under a second species of an hereditary disease improperly so called as when the parents are troubled with the diseases aforesaid There is also many times in the parents penury of natural spirits as happeneth after large evacuation in fluxes which wasteth the strength and is not repaired before coition especially a consumption or hectick fever a Gonorrhaea or a cold or a moist distemper of the genitall parts and womb or excessive sleepiness of the woman with child or slothfulness and ease may be the cause of this disease 2. A cold and moyst ayr doth powerfully contribute to this disease which easily happen to such children as are born near great Rivers Ponds or Meers So doth an extream hot and subtil ayr for that allureth forth and consumes the inherent spirits Also a plentiful diet may be the cause 3. Likewise a stupidity and sluggishnesse of the first affected parts a defect of motion and want of exercise immoderate sleep and on the contrary inordinate watching may be the cause Also things preternaturally retained as if choler abound and luxuriate in the body for it dissipates the natural spirits Likewise terrene dregs of the belly a sour humour and also flegm may be the cause immoderate sweating doth much dissipate the spirits Precedent diseases may be the cause as a phlegmatick Cachocymi Hepaticus fluxus A Cachexia a dropsie immoderate vomiting Lyentery Dysentery the Hepatical flux Diabetes excessive sweating a feeble appetite of the ventricle an obstruction or scirrhus of the mesentery sweet-bread spleen or liver also an opoplex palsie or lethargy It is possible for this disease to happen to those of full growth being conjoyned with another which is the primary cause although it seldom cometh to passe because of their continual exercise The magnitude of the head the leannesse of the joints the crookednesse of the shank bone or the elbow the inflexions of the joints and the sharpnesse of the brest do not accompany this disease presently but in process of time they bewray themselves there is a consumption of the parts which is onely a symptome and not a disease Some are so gently affected with this disease as you would scarce suppose them to be sick they ear they drink and sleep like those that are healthful only they play with more unchearfulnesse and shew forth some slight signs of sickness and yet by the only benefit of nature without any assistance of art they recover The Rachites degenerate often into a consumption a Hectick or into a slow putrid fever The usual companions of this malady are Hydrocephalus the fault of breeding teeth an Asthma Pthisis Hectica febris a slow and erratical fever and Ascites c. yet these may happen although the Rachites have not preceded Lastly such as have little or no dependance upon this affect are a malignant fever the French pox the scurvie and the strumatical affect which do sometimes associate this evil and yet they are all distinct from this The dogmatical signs relating to the animal actions are these Signa the looseness and softness of the parts the debility and languidness and finally the slothfulness and stupefaction 1. First a certain laxity and softness if not a flacciditie of all the first affected parts is usually observed in this affect the skin is soft and smooth to the touch the joynts are easily flexible and many times unable to sustein the body for the most part they speak before they walk if they be infested with it the first year which among us is held to be a bad Omen 2. But if they be afflicted with this disease after they have begun to walk by degrees they stand more feeble upon their legs they stagger and stumble at every small occasion and cover sitting 3. Upon a vehement increase of this disease they totally lose the use of their feet being not able to sit with an erected posture and the weak and feeble neck doth scarce or not at all sustain the burthen of the head 4. A kind of slothfulness and numbness doth invade the joynts and presently after the beginning of the disease and by little and little is increased The younger that are carried in the nurses arms do not laugh heartily when they are delighted and pleased with any thing neither do they kick or cry so fiercely when they are angred when they are committed to their feet and the disease prevaileth they are averse from all motion of their limbs 5. They are moderate in sleeping and waking ingenious not stupid but for the most part of forward wits unless some other impediments arise Their countenance is more composed and severe then their age requireth as if they were ruminating upon some serious matters these signs being taken do constitute a sufficient Pathogonomonical Syndrom or concourse of symptomes of the first kind which relate to the animal actions 1. Of how great moment the Alogotrophy or unequall nourishment of the parts in this affect we have already demonstrated 2. Secondly there appeareth the unusual bignes of the head and the fulnesse and lively complection of the face compared with the other parts of the body
blood Venae sectio a vein may be opened alwayes providing that you keep accustomed evacuations And to use moderate exercise after the taking of this loch in mornings or before meales is good â„ž Conserv Rosa Rub. â„¥ .j. pul Ireos Lohoch sulphur liquiritiae anaÊ’ j. Anisi Ê’ j. Tussilag q s fi lohoch Which must be taken the quantity of a Walnut curnel last at night and first in the morning and in the day time between meales Wormwood here is also very profitable and to eat three figs every morning Matthiolus Ficuum EmplastruÌ„ madufied in Aqua vitae Matthiolus doth much commend it lastly to apply to the brest a plaster of figs barly meal having rosin honey and wax commixed with it and to anoint the brest with oyles of Ireos Dill and Rew. Oleum For the cure of that which is like a botch hath need of medicines to atenuate and drie It must be cured with aromatick things Theriaca Methridatum Theriaca c. Diamber Aromaticum Rosarum Diamargariton callidum and many such other like remembring you keep accustomed evacuations and moderate exercise For the cure of the green sicknesse Curatio Victus ratio Febris virginea the first intention is to prescribe a fit and convenient diet such as is Rabbets Chickens Veale rost reare-egges or the like and if you will take a right course some kind of women must be stented of their meat and drink or else they cannot be cured that beer they do drink should be of the best beer and they must beware of meats that are scorched and must leave at meales with an appetite they must eat no trash as milk roots fish green fruit and no salt things and drinking after supper to bedward or fasting a mornings is not good the second intention is to take a vomit with Alsaron Vomitus Venae-sectio the third to bleed of the foot and to take of this drink following a quarter of a pint at a time ExercitiuÌ„ every morning fasting and to use exercise after it either to work or play is very profitable Take new beere three pintes when it is in the fat wrought ready to tunne boyle in it herb-grace Decoctio and unset hysop of either a handfull red Currants a quarter of a pound untill half be wasted then strain it and adde a little saffron The fourth intention is to take this Electuary following â„ž Electâ—ariuÌ„ Cons Rosarum Rub. â„¥ i. ss confect Gariophil Ê’.ij Ireos-Chalybs ana Ê’.iij spec Arom Rosat pul cinemomi anaÊ’ ss syr de Hyssopo q. s.f Elect. Molle Take of this every morning fasting Lozenge Vinum absynthium the quantity of a Walnut curnel and eat a piece of Lozenge after it and drink three or four spoonfulls of Worm-wood wine and exercise by degrees Some have been helped by this ♃ Take two penniworth of nutmegs Pulvis as much mace and as much saffron powder them fine and adde a quarter of a pound of sugar and three penniworth of prepared steel mix them probatum est CHAP. XXVI SYNCOPE 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a sudden and swift fayling of the strength and it is a terrible symptom because it is the image of death for both natural animal and vital chiefly do fail from hence it happeneth that there is no pulse nor respiration sence and motion is abolished The face is wan and pale the extream parts are chill and moyst with a faint sweat For the cause Causa it may come by immoderate watchings anger sorrow great cares suddain fears intollerable pain acute fevers immoderate emptinesse famine sweats labours vomitings exceeding fluxes losse of blood a soddain emptying of water as in the dropsie oftentimes it proceedeth from abundance of grosse cruid rotten sharp and biting humours which do daily check and as it were fill the mouth of the stomack in such sort that the passages of the spirits are obstructed that their motion is intercepted even as it is when respiration is let and hindred as it is when abundance of humours are concluded in the passages of the lungs that the sick cannot draw in ayre to serve for the cooling of the heart For the cure Curatio Vinum Galenus it is according to the diversity of causes Galen in every swounding doth commend wine which otherwise in burning fevers is dangerous nevertheless it may be used sparingly in time of intermissions so it be diluted with Buglosse Borage and such like Odors and sweet smells do comfort very much except choaking of the mother be the cause then sweet odors must be received underneath and to the nostrils apply things that be foetid and stinking as Castoreum Assafoetida and burnt haire besides we cause sternutation Sternutamentum which if the patient cannot do it is a most manifest sign of death If it proceeds from poyson if we know the venim we administer the proper antidote if not we give treakle or methridate If Cardialgia Cardial stomachica Medicamentum and Stomachica do follow the syncope then we take a toste of bread moystened in wine and scatter on it the powder of Nutmegs and Cloves and so apply it to the stomach but not upon the heart and this is to be observed that nothing repaires the spirits so soon as wine because it is vaporous and hath a great affinity with the the spirits but some will say why do they sprinkle cold water on the face I answer because that the heat and the spirits flying outwards may be driven and turned back from their circumference unto their Center yet cold water must not be used in the syncope of a flux Theriaâ—a Galenus for thereby the flux will be increased but rather use new Treakle for Galen affirmeth it stayeth all super-purgations and fluxes if it hapneth through immoderate sweats then we sprinkle the face with Rose-water campherated Olâ—râ—sâ—â—um and rub the body with cold linnen and anoint it with oyle of Roses If it cometh through inanition or emptiness as immoderate watching much venery famin and two much exercise or violent motion then sprinkle the face with wine and let them smell to mint-water and administer some cordial Electuary Electuarium cord as you shall think proper remembring you put in new Treakle or Methridate If it be caused through vomiting use frictions below if through a flux use frictions above and wine is most proper in the syncope coming of emptinesse Ranzovius Ranzovius doth much commend this water following affirming that by the continual use of it one lived to the age of 129. yeares â„ž Cinnamomi electi cubebarum galangae Aqua vitae caryophyllorum nucis moschatae zingiberis ana â„¥ .iij. Salviae lb.j. â„¥ .ij Haec omnia macera in duabus lb. â„¥ .4 aquae vitae cpt circulatae distilla I have oftentimes given a quarter of a spoonfull of this cordial following to such as
delivered give her 2 or 3 spoonfulls of oyle of sweet almonds Ol amigdal dulcium extracted without fire or cullises or gellies 2. Let the secundine be presently drawne away before the neck of the womb be closed according to the former directions 3. Then must the navel-string be tyed with a double thred an inch from the belly let not the knot be two hard lest that part of the navel-string without the knot should fall away sooner then it ought neither too slack or loose lest that an exceeding and mortal flux of blood should follow after it is cut off when the knot is made the navel-string must be cut in sunder the breadth of two fingers beneath it with a sharp knife upon the section you must apply a double linnen cloth dipped in oyle of roses or sweet almonds to mitigate the pain for so within a few dayes after that which is beneath the knot will fall away being destitute of life and nourishment By reason the umbilical vein and artery are tyed so close that no life nor nourishment can come into it commonly midwifes do let it lye unto the bare belly of the infant whereof cometh grievous pain and griping by reason of its coldnesse being destitute of heat but it were better to roule it in soft cotton or lint untill it be mortified and so fall away 4. Then the child must be wiped and cleansed from all filth with oyle of roses or myrtills being first washed with warm water and wine wherein is boyled the leaves of roses red and myrtils adding thereto a little salt is excellent some use this lotion 5 or 6 dayes together with very good success for it washeth away all the filthy matter 5. If there be any passages stopped or covered with a membrane as often happeneth to the eares nostrils mouth yard womb and fundament It must be cut and tents put in to keep it open 6. And if the ligamental membrane under the tongue be short and stiffer then it ought it must be amended by an expert Chyrurgion 7. If there be a chalky substance both in colour and consistence that sticketh on the inner side of the mouth which the French-men call the white Cancer cleanse it with a linnen cloath bound to a little stick and dipped in a medicine made with oyle of sweet Almonds Medicamentum honey and sugar This cancer will not permit the child to suck 8. Also give the child a spoonful of oyle of sweet Almonds extracted without fire and rub the inner side of the mouth therewith 9. If the child be troubled with fretting in the guts apply moyst or sweaty wool macerated in oyle of cammomel 10. Children ought not to be weaned before their teeth appear 11. Those that are scabby all over the heads face or body voyding many excrements are like to be strong and sound of body 12. Those that are faire of body gather the matter of many diseases in their bodies which in time will appear Certainly by the sudden falling of such matter into the back bone many become crook-backt 1. The belly of the woman must be bound about with a ligature made of indifferent breadth and length to keep out cold which bringeth hysterical suffocations painful frettings in the guts and a fever with other mortal diseases and to presse out the blood 2. Then give her some capon broath or caudle with saffron and to keep the belly from wrinkling 3. VnguentuÌ„ â„ž Spermatis ceti â„¥ .ij. olei amygdal dulcium hypericon ana â„¥ i. ss sevi hircini â„¥ j. olei myrtillorum ana â„¥ i. ss cerae novae quantum sufficit f. unguentum anoynt her body therewith 4. For fretting in her guts â„ž Pulvis Anisi conditiÊ’ ij nucis moschatae cornu cervi usti anaÊ’ i.ss ligni aloes rad consolidae major anaÊ’ i. ss ambrae graec gr iv f. pulvis Give her a dram at a time in white wine if she have a fever in capon broath 5. If the woman cannot nurse then to repel the milk that it may be expelled through the womb â„ž LinimentuÌ„ Olei ros myrtini ana â„¥ .iij. aceti rosat â„¥ .j. Incorporate them and therewith anoynt and besprinkle them with the powder of myrtyls and then this emplaster following is good â„ž Emplastâ—uÌ„ Pul. mastichini nucis moschatae anÊ’ ij nucis cupressiÊ’ iij. balaust myrtil an Ê’.i ss Ireos florent â„¥ ss olei myrtini â„¥ iij. terebinth venetae â„¥ ij cerae novae q. s f. emplast Or take the leaves of sage smallage rue and Thervil Cataplas cut them very small and incorporate them in vinegar and oyle of roses and so apply them to her brest and renew it thrice every day CHAP. XXX IS CHIAS in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The barbarous sort call it Sciatica It is a grievous pain which chanceth about the joynt which the Greeks call Ischion the Latins Coxa in English the Hucklebone 1. A plentiful phlegmatick humour Causa that is cold gross and viscid flowes down into this joynt 2. The pain not only troubles the leg but entring very deep is extended to the muscles of the buttocks the groines knees and very ends of the toes yea oftentimes it vexeth the Patient with a sense of pain in the very Vertebra of the loynes 3. The cause of such wandring pain is to be referred to the manifold distribution of the nerves which come to the joynt from the loyns and holy-bone 4. Continual rawness and unmeasurable using of venereous acts do not a little help Also neglect of exercises and a slux suddenly stopped may be the cause sometimes there is a flatulency mixed with the humour that runneth into the cavity of this joynt There is a bitter and violent pain in the Hucklebone Signa some have pain about the privie members and the bladder being vexed they have difficulty of pissing The whole leg from the haunch to the heel suffereth pain yet oftentimes no swelling rednesse nor distemper manifest to the eye Lastly the ligamentous bodies moystned with this excrementious humor become loose whence succeeds lamenesse and at last a hectick fever First Curatio Venae sectio if there be an inflammation and the Patient full of blood open the Basilica on the grieved side for revulsion and then for evacuation of conjunct matter the Vena Ischiadica on the one side of the Ankle If the pain be most in the inside take the Sapheia on the inside of the Ankle Also acrid clysters are good If there be no ulcers in the guts or Hemorrhoids â„ž Clyster Rad. acor â„¥ .ij. centaur rutae salviae rorism calam origan pulegii an M. ss stoechad arabic flor cham melil aneth an p. 1. scm anisi foenic. ana â„¥ ss agaric Ê’.ij rad polypod â„¥ ss fiat decoctio ad li. j. in colaturâ dissolve Hieraepicrae diaphen an â„¥ ss benedict lax Ê’ ij mellis anthos sacc rub ana â„¥ j.
moderate for too sound sleep drawes back the matter to the center and increaseth the feaver You must neither purge nor draw blood the disease increasing or being at the height unlesse there be a plurisie squinancie c. A gentle clyster is good in the state and increase of the disease Decoctio you must make a sudorifick decoction of figs liquorice husked lentils citron seeds the seeds of fenell and smalledge the roots of grasse raisins dates gold millet marygold flowers and harts-horne at the latter end of the boyling put in some saffron or ℞ Radic gram aspar foenic. an ℥ .iv. liquyr Syrupus ras ℥ ss fol. acetos m. ij fic n. xx flor cord p. j. fiat decoctio In lb.j. diss Syr. acetos simpl vel limon ℥ .iv. sacch parum fiat syr aro capiat serò mane ℥ iv donec tota faecta sit expulsio 1. You must defend the eyes Medicamentum when you first begin to suspect the disease with rosewater or vinegar and a little camphire If the pain and inflammation be great then use Aloes Aliud and Tuttie washed in the water of fennel eye-bright and roses 2. You must defend the nose with a Nodulus Nodulus made with a little vinegar water of roses the powder of sanders and camphire 3. You must defend the jawes throat and throttle and preserve the integrity of the voice Oxycratum by a Gargle of oxycrate 4. The Lungs and respiration must be provided for by syrups of jujubes violets Syrupi white poppies and water-lilies 5. To prevent Pockarrs after they are ripe open them with a golden or silver needle lest the matter contained in them should corrode the flesh that lies under and after the cure leave pock-holes behind it 6. The pus or matter being evacuated Lini◠they shall be dried up with ung rosat adding thereto ceruse Aloes and a little saffron in powder 7. Olcum Being dried up like a scurf or scab anoynt them with oyle of Almonds or Roses or with some creame that they may the sooner fall away 8. Vnguentū If there be any excoriation through scratching then shall you heal it with Vnguentum album camphor adding thereto a little powder of Aloes or Desicativum rubrum 9. To help the unsightly scars of the face Lac virginale Ol. lil Goose Ducks and Capons grease are good and also oyle of lillies and Hares blood newly killed hot Many cry out against bleeding though it be done a little before the pox come out Phlebotomia for my part I have opened a vein ofttentimes with good successe on strong bodies so that the pox have come forth within 24 houres after bleeding without any danger Also Bezoar is excellent to send forth the pox Byzabar But the most familiar thing for children Diascordium is Diascordium Lastly the meazles are cured by resolution only Cons samb and not by suppuration For which purpose conserve of Eldern flowers is especially commended not only to be eaten but also to be rubbed upon the heated parts If there be great faintnesse Cordial take Aqua Mariae syr lujulae of either one ounce give him a little often CHAP. XLVII ELEPHANTIASIS 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Paulus Avicennas Galenus or leprosie according to Paulus is a cancer of the whole body The which as Avicen addes corrupts the complection form and figure of the members or according to Galen This disease is an effusion of troubled or grosse blood into the veines and habit of the whole body 1. The primitive cause is Causa either from the first conformation or comes to them after they are born by the too frequent use of salt spiced acrid and grosse meats Also familiarity copulation and cohabitation with leprous persons Sweat and spittle left on the edges of the pots or cups for there is a certain hidden virulencie in the leprosie strong wines drunkennesse gluttony and a laborious life full of sorrows and cares The suppression of the Hemorrhoids and courses The small pox and meazles Also a Quartan feaver the drying up of old ulcers for that they defile the masse of blood and thus in conclusion the leprosie is caused 2. The antecedent causes are the humours disposed to adustion and corruption into melancholy by the torrid heat 3. The conjunct causes are the melancholy humours which are now pertakers of a venenate and malign quality and spread over the whole habit of the body corrupting and destroying it first by a hot and dry distemper and then by a cold and dry contrary to the beginnings of life which consists in the moderation of heat and moysture 1. The first sign is a falling away of the haires and you may perceive scauls in the head 2. The second is a numerous and manifest circumseription of round and hard pushes or pustules under the eye-browes behind the eares and in several places of the face like hard kernels 3. The third is the more contract and exact roundnesse of the eares 4. The fourth is A Lyon-like wrinkling of the forehead which is the reason that some term this disease Morbus Leoninus 5. The fifth is the exact roundnesse of the eyes and their fixt and immovable steddinesse 6. The sixth is the nostrils are flat outwardly but inwardly strait and contracted 7. The seventh is the lifting up thicknesse and swelling of the lips Also the stinch filthinesse and corrosion of the gummes by acrid vapours rising to the mouth 8. The eighth is the swelling and blacknesse of the tongue and as it were varicous veins lying under it Their face riseth in red bunches or pushes and is overspread with a duskie and obscure rednesse Their eyes are fiery fierce and fixed Some leprous persons have their faces tinctured with a yellowish others with a whitish colour according to the condition of the humour for Physicians affirm that there are three sorts of Leprosies one of a reddish black colour consisting in a melancholy humour another of a yellowish green in a cholerick humour another of a whitish yellow grounded upon adust flegm 9. The ninth sign is a stinking of the breath and also of all the excrements proceeding from leprous bodies 10. The tenth is a hoarsness a shaking harsh and obscure voyce coming as it were out of the nose 11. The eleventh is a morphew or defedation of all the skin with a drie roughnesse and grainie inequality such as appears in the skins of plucked Geese with many tetters on every side a filthy scab and ulcers not casting off only a branlike scurf but also scales and crusts 12. The twelfth is the sense of a certain pricking as it were of needles over all the skinne 13. The thirteenth is a cunsumption and emacination of the muscles which are between the thumb and forefinger Also their shoulders stand out like wings 14. The fourteenth is the diminution of sense or a numbnesse over all
the body by reason that the nerves are obstructed and so the free passage of the animal spirit is hindred 15. The fifteenth is the corruption of the extream parts possessed by putrefaction and a Gangrene 16. The sixteenth is they are troubled with terrible dreams for they seem in their sleep to see Devils Serpents Dungeons Graves Dead bodies and the like 17. The seventeenth is they are subtill crafty and furious and suspicious in all their dealings 18. The eighteenth is they desire venery above their nature 19. The nineteenth is if you wash their thick gross and livid blood you find a sandy matter therein 20. The twentienth is the Languidnesse and weaknesse of the pulse Also the urine is sometimes thick and troubled and oftentimes of a pale and ash-colour Lastly the face and all the skin is unctuous or greasie Cure cannot be promised to such as have a confirmed leprosie Curatio for it is scarce curable at the beginning Therefore care must be taken to free such as are ready to fall into so fearful a disease Such therefore must shun all things in diet and course of life whereby the blood and humours may be too vehemently heated Let them make choice of meats of good juyce Victus ratio Purging bleeding and bathing shall be prescribed by some learned Physician Gelding is much commended in this cause because it deprives them of the faculty of generation and makes them become cold moist which temper is directly contrary to the hot and drie distemper of leperous persons I have oftentimes after purging and bleeding used Vnguentum enulatum with good successe in the beginning of the leprosie â—nguentuÌ„ whilst the body was covered only with a scurf Let them drink the water and syrup of sumitory mixed together Julepus for the space of a whole year â„ž Rad. buglossae glycyrrhizae an â„¥ j. Potio purgans polypodii â„¥ ji passularum â„¥ ss prunorum sebesten ana num xx senae â„¥ .iij. thymi epithymi cuscutae an â„¥ ij anisi â„¥ ss florum borrag buglossae violarum an p. j. fiat decoctio de qua accipe â„¥ iij. quibus adde confect hamech Ê’ iij Syrupi ros lax â„¥ ij misce fiat potio Capiat mane For the poorer sort you may make use of Cassia Diasena Diaprunum Diacatholicon c. When he is extream thirsty Aq. sperm ranar. he may drink Aqua sperm ranarum with a little sugar or syrup of fumitorie I am perswaded it is an excellent water to kill the virulencie of this disease because it is extream cold and moyst for surely if it be so effectual in an ulcerated cancer it must needs be effectual in the leprosie Gesner saith that the dung of a Fox pounded with vinegar by anoyntment cureth the leprosie speedily Remember to keep accustomed evacuations which you may with this Bolus following â„ž Diaphoen Ê’.ij confect hamechÊ’ iij cumÊ’ j Bolus pul diasenae sacch fiat bolus vel cum decocto senae polypod fumiter borag bugloss Forestus epithymo prunis Lastly â„ž Rad. Serpentar VnguentuÌ„ utriusque Asphodeli vel liliorum enulae campanae betae croci sativi ana lib. j. pistentur optimè oleo rosaceo omphacino adde unguenti citrini lib. ss axungiae Serpentis â„¥ .iij. Terebinth â„¥ ss Platerus olei de frumento vel vitellis ovorum â„¥ i.ss ol de tartaro â„¥ ij Sulphuris vivi nitri an Ê’ iij. Litharg vel cerusae â„¥ ss borag ustaeÊ’ vj. mus s lini â„¥ ij succ lapatii fumariae limonum an â„¥ .iij. Tutiae prae sarocoll nutrit thur an Ê’.ij agitentur invicem in formam nutriti ungantur partes scabrae ulcerosae pustmlosae CHAP. XLVIII APOSTEMA HEPATIS The Apostume of the liver should have been placed amongst the distempers of the liver in the first book yet I think it better to place this Chapter here then to leave it out The cause is two-fold Causa external as a fall bruise or by going too narrow giâ—t c. Internal as gluttony indigestion of the stomack weaknesse of the vertue digestive of the liver Also humours gathered together in the liver and sometimes it happeneth through imperfect cleansing of the Gall Spleen Raines and Intestines Also through cold There is pain in the right side Signa tending upwards towards the ribs and shoulder blade as it were the plurisie He can hardly lye upon his sides and especially on the right side his face is very black he hath no appetite his urine is blood-red especially if the impostume be hot he hath a cough and also the hick-cough parbreaking short oreath retention of urine and great thirst If cold be the cause there is heavinesse and oppression â—uratio â—â—uae-sectio In a hot cause first the liver vein must be opened next you may open the Salvatella Venae sectio Victus ratio Then gentle clysters must be administred his diet must be of a cooling quality and â„ž Aquar ros solatri sempervivi plantag Epithema ana â„¥ .ij. aceti ros â„¥ ss camphor ℈ ss santal citrin vel rub Ê’.ij omnia bene invicem misceantur fiatque epithema hepatis The third day after the impostume is known take barly meal stewed figs Cataplas and dates beaten to pap and tempered altogether with oyle of roses and vinegar and apply it Inwardly let him â„ž Herbarum endiviae cichoreae Decoctio fumiterrae agrimoniae ana m. j. Rad. foeniculi apii petroselini ana â„¥ ss polypodii quercini â„¥ .ij. sem anisi foeni culi anaÊ’ i. ss passularum â„¥ ss aquae fontis quant sufficit fiat decoctio s a. â„ž decoct colati â„¥ ij.ss syrup Haustus de quinque Radicibus â„¥ ss misce fiat haustus In a cold cause take heed of bleeding Clyster Administer a clyster made with wormwood centaury field-mints seeds of anise and cummin decocted with a little coloquint And anoynt the place with oyle of spike Boyle in his broth Agrimony Germander the roots of Smallage Parsly and Fennel You may know when the impostume breaketh by the Patients shivering quaking swouning and vomiting and by his voiding of blood through the stoole and urine This plaster following is good to ripen Emplastrâ— asswage paine and strengthen the liver take barly meal and fenegreek meal of each one ounce Linseed meal three dragmes mill-dust roots of elecampane smalledge and wormwood of each five dragmes Cammomell melilot violets and roses of each three dragmes White lilly roots Pigeons dung Spica Romana of each one dragme Oyle of cammomel and violets as much as will suffice to make a plaster Afterwards cleanse him with Mellicraton Mellioraton or with the decoction of barly and figs. This Cataplasme following is good to help ripen the Apostume of the liver â„ž Cataplas Rad. althae ae mundatae â„¥ .ij. farinae hordeiÊ’ ij farinae faenugr sem lini pinguedinis anseris porci anae