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
say they is known by discoursing with him after the fit For the cure if it be caused of blood Curatio Venae-sectio you must begin with blood-letting and in women cut the inward vein in the anckle anointing the head with unguents or oyles that be cold and moyst to procure sleep And purge if you see cause with a cooling clyster Vomitus If it be caused of choller purge or vomit with such things as purge choller if the fits be violent and strong take this powder following Pulvit ℞ Take Brimstone Gunpowder Hypericon Mugwort Vervine powder of peony roots of each a like quantity in powder mixe them altogether cast a little on coles and hold his head over it CHAP. XII CATALEPSIS 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or conglation is a certain sudden detension both of the mind and of the body with the which whosoever is taken doth retain the same figure of the parts of the body which he had when he was taken whether he were sitting or lying from whence it is called of some Stupor vigilans because the sick is become sencelesse and altogether without motion This disease doth agree with the Apoplexy in this that as in the Apoplexy so in this disease the patient doth lose both sence and motion but herein it differeth because here the spirits themselves are affected and congealed and do remain as it were still and quiet and in whatsoever part of the body they are taken the parts do remain cold stiffe and hard but contrary in the Apoplexy The eyes of those that are Apoplectick are closed up The cause of this disease Causa is an exceeding cold and drie distemper of the brain by which it happeneth as well the brain as the animal spirits to be both congealed and dried this disease if it be not speedily cured it killeth the patient For the cure of this most grievous evil Curatio we must administer those things that do moderately heat and moysten and first a clyster which you shall find to be excellent it is made as followeth ℞ Floru camomeli meliloti ana M.ij. Clyster Mercurialis M. i.ss salviae Thimi pulegii Epithymi ana M.j. polypodii quer senae alex. an ʒ 5. Ellebori nigri ʒ.j coquantur in aqua q. s ad lib. j. colaturae addantur confect hamech ʒ.iij hieralogodiiʒ 6.ss mellis Ros ol com ana.ʒ.ij. salis com ʒ i. ss misce f. Enema Afterwards we use great clamors and noyse with painful bindings and rubbings of the extream parts the better to excite and stirre up the sick Sternutamentum Venae sectio for that purpose we administer also sneesings If this disease proceed from abundance of blood open a vein then afterwards use such oyntments and oyles as resolve such as be Ol. Anethi ol camomeli ol liliorum ana ℥ i.ss coquantur in iis cum hyssopi thimi Vnguentum postea addatur colatura castorei ℈ i. ss fiat ung s A. with which anoynt the cataleptick parts as the hinder part of the head or the like those oyles you use to bathe withall let them be oyle of Castoreum or Euphorbium Ol. Castor Euphorb and the like be sure to keep the body solluble in the cure then afterwards we give such things as are comfortable and have a property to comfort the brain and heart as followeth ℞ Electuarijum Theriacaeʒ j Diamusci dul laetificiantis Gal. ana ʒ ij ss Conservae Buglos anthos an ℥ ss Syrupi buglossati q. s ad Electuarii mollis Consistentiam Which must be given every morning the quantity of a Walnut curnell fasting also Dianthon Dianthon in the composition aforesaid will be very proper and thus thus briefly at this time I end this most dangerous disease called Catalepsis Concerning which if any one desire to be further satisfied Zacutus Lusitanus Theophra-Perdulcis let him read Zacutus Lusitanus Tom. 2. lib. 1. de curatione morb pag. 175. Tom. 1. lib. 1. pag. 81. Theophrastus lib. 1. pag. 25. Perdulcis lib. 13. cap. 12 CHAP. XIII ANGINA 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is an Inflamation of the larinx or weasand and of the rest of the parts of the throat which doth hinder both breathing and swallowing this disease is very dangerous if not looked to in time because he can hardly draw breath nor receive nourishment The cause for the most part is of blood Causa flowing from the jugular veines in which there is great store or else from a bilous or cholerick blood Angina notha or else from some defluxion of a cold humour and then it is called Angina notha or bastard squinsie For the signes Signa if it proceed of blood there is a full pulse and great difficulty of swallowing and breathing rednesse in the tongue and face with a troublesome fever if it proceed of a chollerick blood then there is a very sharp and acute fever with intolerable burnings and with bitternesse of the mouth if it proceed from a cold humour then there is much moysture little or no fever the pain is lesse and the tumor more lax We must at the first open a vein under the tongue because there is need of present help Curati◠Venae-sectio but if it hath gone past three dayes do not open a vein without the concurrance of some other learned man give all cooling things and make a Gargarisme with strawbury leaves Gargarismas woodbind and fivefinger of each alike boyle them in fair water and in the latter end of the boyling put in a little Allum and honey gargarise the throat often To cure the squinsie caused of a cold humour as flegme take Sturcus canis album beaten to fine powder and drink it in this gargarisme Calamenthae fiat decoctio dissolve allom with oximel or let the foresaid powder be blown into the throat through a quill Also to gargarise with thin mustard is good and administer a clyster But above all if the body be bound give such a quantity of jallap Jalapium in oximel as you shall think proper which I have found by experience to be excellent good and some have been perfectly cured therewith Also this Ecligma following is good ℞ Piperisʒ ss croci myrrhae ana scrup j. mell Ecligma despumati lb. ss misce ad modum lohoc Rondeletius cui adde stercoris canic ossa rodentis ʒ.ij Rondeletius lib. Lambitium Marquardus secund method curand morb cap. 5. Vel ℞ Lohoch sani experti de pino mithridat an ℥ .j. Syr. de hyssopo ℥ ss misce CHAP. XIV PLVRITIS 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the plurisie is an inward inflammation or apostumation of the upper skin girding the ribs or sides within The cause is an abundance of hot blood Causa flowing unnaturally to that part and this is pluritis vera it taketh its name from the part affected called plura The signe
the stomack offending the brain The brain it self is evill-affected when as a grosse and tough humour is contained in it from whence a vaporous and windy spirit being resolved by weak heat is moved inordinately about the brain The mouth of the stomack doth affect the brain when through corrupt homours being gathered abundantly in it vaporous and windy exhalations are carried up to the brain and so turn about the animal spirits contained in it For the cure the first intention is Curatio to open a vein drawing away a little blood at a time Venae sectio if nothing forbid it then to purge with a dosse of head-pills as Pilularum cochiarum ʒ j f. pill 7. Pilulae when the body is well purged take this sternutament following as much as will lye upon a half-peny piece at a time in a morning fasting snuffe it up into your nostrils many have been perfectly cured with this Receipt onely ℞ Sternutamentum Pulvis Sem. Maioranae Betonicae ana ℥ ss Pyrethri ʒ.ss Hellebori alb ℥ ss Piperis nigri Euphorbii an ℈ .j. fiat pul Also foeniculi dulcis beaten to fine powder and taken in the pap of an apple in a morning fasting and to drink oximel is good If there be inflammation the opening decoction is very profitable Vomitus but if the cause come from the stomack then it must be cured by vomiting and stomack pills Lastly this electuary following is very good to strengthen the head and stomach ℞ Electuarium Hollerius Specierum aromatici rosati triasantali an ʒ.ss sacchari rosati q. s cum syr rosato fiat elect CHAP. IV. PHRENITIS 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a disease wherein the mind is hurt onely and differs from madness which is called in Greek or Latin Melancholia aut Mania for that a fever is joyned with the phrensie and therefore the phrensie may be called a continual madnesse and fury joyned with a sharp fever The cause Cause Galenus as Galen saith is an inflammation of the braine or filmes thereof some Physicians are of opinion that this disease proceedes from a hot impostume of the braine and that it is in vain to undertake the cure and the reason is because it is confirmed in a principal member wherefore the intention of the Physician must be to hinder that it may not happen for having once taken a man it is in vain to enterprise any cure yet I will shew you a way under God to prevent it but first I will let you to know when the patient is inclined to a phrensie The signes of a phrensie to come Signa are the signes of a present Paraphrenisis as continual head-ache rednesse of the face over-much heat rednesse of the eyes with too much appearance of their veines staring thirst drinesse of the tongue unquietnesse different from wonted actions and some Alienation of mind whether these things happen by the force of some acute fever or some other cause by these you shall judge Paraphrenisis and a fear of a phrensie to come For the cure Curatio first consider whether there be fulnesse of the body or no if there be we may open the vein which is common or the vena nigra of the right arme Venae secti◠and draw out five ounces of bloud let this be done in the morning and in the afternoon administer this clyster following ℞ Malvae violarum Mercurialis an M. j. Clyster Bulliant in sufficienti quantitate aquae usque ad consumptionem medietatis strain it and adde olei violati ℥ .iij. Cassiae Nov. ext ℥ ss Sacchar Rub. ℥ .ij. As much salt as will lye on a six-pence and this is to be considered that the oyle of Violets is most requisite in the phrensie because the patient is subject to watchfulness and Violets do procure sleepe but in sleepy diseases it must be avoyded as in Subeth Lethurgies Subeth and such like the next day following we may open the Cephalica veine in the right arm and draw forth the quantity of four ounces of blood which done about four of the clock in the afternoon let him take the foresaid clyster make him barly water Victus ratio nip the juice of Lemonds into his beer ale of chirmd-milk is good but no strong beer the next day which is the third day if the disease groweth worse the hemerodial vein must be opened out of which must be drawne three ounces of blood and if the disease do still remain then we are to doubt of an Impostume ingendred wherefore we must be bold to open the vena Recta of the fore-head and to draw the quantity of three ounces of blood for by this blood-letting all evill affects of the head for the most part are removed then to procure sleep take this Julep that followeth ℞ Julepus Syrupi de papavere err aquae lactucae ana ℥ .ij. If all this will not serve commend the sick to God and so much of the phrensie 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Peripneumonia si supervenerit phrenitis malum Hippocrat lib. 7. Aphor. 12. CHAP. V. EPILEPSIA 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Falling-sicknesse doth shew it self as a convulsion of all the parts of the body but not perpetually and it doth bring with it hurt of mind and sense There are three differences in this disease for either it happeneth when the brain is affected by it self which is when the original springeth from thence or else it springeth through the consent of the stomack being evil-affected from whence vapours arise to the brain or else through the consent of some other subject part from whence venemous vapours do arise and do creep into the brain by hidden passages for some say that they do feel the cause of the evil from that part of the body from whence it springeth as it was a vapour or cold ayr carried into the brain by the continuity of the parts The cause for the most part Causa happeneth from the abundance of a melancholy and flegmatick humour from whence venemous corrupt and virulent vapours do arise from which happen obstructions in the Meatus and passage of the brain As soon as this evill taketh them Signa the sick falleth down and they are plucked up together they snort and sometime they cry out many do tremble and turn round about but the peculiar sign is foming at the mouth For an infant take green pionie roots Curatio slice them length-ways and cut them so as they may be made fit to hang about the childs neck like a bracelet then make this Ecligma following ℞ Cranii humani pulveris paeoniae mellis opt misce omnes quant suf fiat Ecligma Ecligma Oximel is also very profitable anointing the neck behind with oyle of dil and exetor Oleism onely advise a diet for the nurse of meats of good juice Victus ratio if the child be not
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.
olei liliorum â„¥ ij ol rutae â„¥ j. vitell ovor no. salis com Ê’ ij fiat enema Vel. â„ž Potio purgans Diaphoen Ê’.ij elect è succo rosarumÊ’ iij polcath Ê’.j bened laxÊ’ ss vini albi q. s fiat potio Both the clyster and this may serve for the strongest body You may diminish the quantities as you shall see cause If there be inflammation make use of the common decoction instead of the wine Vomitus Also Pilul arthritic is good vomiting is commended and sweating with the decoction of Guaiacum and Sarsaeparilla If heat molest bath first with vinegar and then with oyle of roses For attractives use emplasters of pitch Euphorbium and turpentine Also bathe with oyle of sage Oleum rosemary and ung Aregon and if no inflammation â„ž Cantharid quibus detractae sunt alaeÊ’ ij VesicatoriuÌ„ stavisag Ê’.ij.ss euphorb Ê’ ss sinapiÊ’ i. ss fermenti â„¥ ss incorporentur simul fiat vesicatorium If you please you may adde mel anacardinum or turpentine black sope the whites of egges Hippocr commends actual cauteries Fomentations that ease pain are good and a sheep or cats skin If you want more search the following Chapter CHAP. XXXI ARTHRITIS in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Latin Articularis morbus the joynt sicknesse It is a disease harming the substance of the joynt by the falling downe of a virulent matter indued with a maligne and venenate quality accompanied by four humours There are ten in number 1. Siagonagra of Siagon a jaw 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is when the virulent matter falleth upon the joynt of the Jaw 2. Trachelagra of Trachelos 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is that which affecteth the neck 3. Rhachisagra of Rhachis the spine is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when it troubles the back-bone 4. Omagra of Omos the joynt of the shoulder is when it molests the shoulders 5. Cleisagra of Cleis 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is when it affects the joynts of the collar bones 6. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Pechyagra so called for Pechys which signifieth the elbow 7. Chiragra of Cheir a hand 8. Gonagra of Gony the knee 9. Podagra so called for that the Greeks term the foot Pous this gout is most hard to help 10. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ischias so called for that the Grecks term the Hip Ischion of this gout I have treated of in the former Chapter Abundance of raw humours is the cause of this disease Causa occasioned by immoderate diet and many other causes which is to be found in the other Chapter Those humours that do abound and fasten in the joynts either be sanguine cholerick flegmatick or melancholious and sometimes ingendred of the commixtion of humours The humour causing the gout is different from that which causeth a Phlegmone edema Erysipilas or Scirrhus AetÃus for as Aetius saith it never cometh to suppuration like other tumors The reason I think is because it happeneth in parts destitute of blood As soon as it falleth into the spaces of the joynts Signa it causeth cruel pain one while with heat as if they were burnt another while with extream cold Such as have this disease hereditarily can no more be freed therefrom then those in whom the matter of the disease is become knotty as Ovid saith well Tollere nodosam nescit medicina podagram The matter of the gout is a thin and virulent humour yet not contagious offending rather in quality then in quantity instigating the humours together with flatulent spirits prepared ready for defluction upon the affected parts do there cause extream paines that are intolerable 1. I read of a Gentlewoman that had many terrible fits by reason of a tumour scarce equalling the bignesse of a pease on the out-side of the joynt of the left hip In her fit she did cry and roar and rashly and violently threw her body this way and that way above her nature Thrusting her head between her legs and laid her feet on her shoulders as if she had been possessed with a devill being most violent when the tumor was touched yet all the quarter of an hour the fit held she had her senses and no inflammation no other swelling did appear At last a potential cautery was applyed to the grieved part or tumour and after the fall of the eschar very black and virulent sains flowed out which freed the woman ever after whence you may gather the malignity and venenate quality of the humour 2. The matter of the gout commeth for the most part from the liver or brain If from the brain it is flegmatick thin and clear it passeth out of the muscles skin and Pericranium as also through the large hole by which the spinal marrow the braines substitute is propagated into the spine by the coats and tendons of the nerves into the spaces of the joynts and it is commonly cold 3. That which proceeds from the liver is diffused by the great vein and arteries and participates of the nature of four humours 1. If it floweth from the head there is heaviness and dullnesse of the head with pain the functions of the minde are hurt by the malignity of the humour The musculous skin of the head swells with a certain oedematous tumor 2. If from the liver blood and choler bear the sway the veines are large and swollen the defluction is on a sudden and through crudities it degenerates into flegme and a wheyish humour if it degenerates into melancholy the gout resembles the nature of a Scirrhus but it is rare to be found 1. Melancholy causeth numnesse and a dull pain the gout being of a livid or blackish colour 2. A phlegmatick humour is also known by the colour being white like the neighbouring parts giving place to the finger it is cold and the urine thin and watery and the pain is not very sharp 3. The sanguine gout looks red and the veines are puffed up by it 4. The cholerick fiery or pale the pain is sharp like lancing he is eased by cooling things in the fit a fever taketh him he is thirsty and his urine yellow many many times if the choller be acrid a gangreen ceazeth on the affected part 5. If salt flegme there is itching gnawing and biting 1. A gout healed often leaves a palsie behind it 2. They oft desire venery which is hurtfull because it dissipates the spirits and weakeneth the nervous parts and exasperates the pain 3. The great heat dissolves the seminal matter which flowing to the genitals distends them 1. Curatio Theriaca Avicenna Treakle is commended in all Arthritical affects because it dries and wastes the malignity thereof so saith Avicen in lib. de ther. ad pisonem c. 15. 2. If blood be the cause cut a vein on the opposite part as if the right arm be troubled with a gouty inflammation Venae-sectio open the Sapheia on the right leg this is for
are adjoyning to the ulcer Galenus and maketh an eating ulcer Galen calleth it Dysepulotica that is difficulty to be cicatrized This following medicine is much commended by Galen Guratio Galenus being of certain and approved use for desperate ulcers which many have taken in hand and left as uncurable â„ž Soreas â„¥ .iij. aluminis scissilis calcis vivae an EmplastruÌ„ â„¥ .ij. thuris gallarum an â„¥ iv cerae lb. j. â„¥ iij. sevi vitulini lb. j. â„¥ .vij. olei veteris quantum sufficit fiat Emplastrum To be layed upon the ulcer and apply a defensative above the ulcer Mixturae for fear of inflammation Also take Soldanella half a dragm powdered rhubarb two scruples give the same to drink often with white-wine or syrup of wormwood with wormwood-wine is very good for the same purpose Radices solani cortex herba succus Cacoethe juvant Tagautius lib. 6. Tagautius p. 523. CHA. XLIII PARONYCHIA 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a tumor in the ends of the fingers under the nailes with great inflammation It is caused through a malign Causa and venemous humour which from the bones by the Periosteum is communicated to the tendons and nerves of that part which it affecteth There follow pulsifique pain Signa a seaver and restlesnesse You must begin with purging Curatio Venae-sectio and blood-letting Then make incision in the inner part of the finger even to the bone along the first joynt thereof This must be done before it come to maturation suffer it to bleed well then let him dip his finger in strong and warm vinegar in which some treakle hath been dissolved and then appease the pain with Vnguentum populneum or the like And take this oyntment following â„ž VnguentuÌ„ Sacchari rosati â„¥ ss axungiae gallinae Ê’ iij vitellorum ovorum n.j. butyri recentis parum fiat unguentum in mortario absque igne If a Gangrene and Sphacel happen the Chyrurgeon must make use of his cutting mullets to save the rest of the body If you please you may read Forestus lib. Forestus 5. de tumoribus praeternaturam Observatio 16. pag. 162. CHAP. XLIV EXOMPHALVS or swelling of the navel 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 It is caused by the Peritonaeum either relaxed or broken by which occasion oft-times the Guts or Kall fall into the seat of the navel and sometimes superfluous flesh is there generated sometimes this tumour is an Aneurisma Sometimes it is caused by a flatulent and sometimes by a waterish humour If the fall be the cause Signa the colour is like the skin soft and almost without pain But if the tumor proceed from superfluous flesh it is hard and immoveable If from wind it sounds when you press it If by a waterish humour it is easily known If from the effusion of blood it is of a livid colour but if the effused blood be arterial then there are signes of a Aneurisma If it be caused by the falling down of the guts there is heard a noyse when you press it If the tumor ptoceed from the Kall and Guts you must force them into their due place Curatio Then may the skin be taken up and thrust through with a needle and double twined strong thred next let the sides be scarified then thrust it through with a needle three or four times and twich it strongly with a thred that the skin with the ligature may fall off But you may cut off the skin so distended even to the ligatures and then cicatrize it In a watery tumor a small incision must be made and the wound kept open untill the water be emptied CHAP. XLV GANGRAENA 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a Gangrene is a certain disposition and way to the mortification of the part which it seizeth upon dying by little and little When there is a perfect mortification 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it is called by the Greeks Sphacelos and by the Latines Syderatio which according to Fallopius Fallopius Fabricius and Fabricius is an affect of a part already utterly mortified and therefore not to be cured but by amputation that the whole body come not to corruption thereby Or it is a perfect and total privation of sense being a mortification not only of the fleshy parts but also of the nervous parts even unto the bone and sometimes of the bone it self The cause of a Gangrene may be an exceeding effusion of blood and spirits Causa or a distemper of the four humours Also extream erosion or corrosion of caustick medicines or corrosive humours A venemous and poysoned blood great burnings and scaldings or overmuch hunger and thirst may be the cause Also a Gangrene may happen by the pricking of a nerve by a feaver precedent by a frost and also by extream cold by the biting of venemous beasts or mad dogs or through great incised wounds but especially confuted wounds and by unreasonable stripes Finally from all intercepons intersections or interruptions of spirits what or wheresoever mayproduce a Gangrene The signes of a Gangrene are these Signa an extinction of the lively colour which was in the precedent phlegmon Grievous pain and continual pulsation in the diseased part apparent by the arteries being at first very sensible but afterwards declining their due force The part agrieved seeming for the most part in colour to be blackish blewish or of a duskie or livid colour yea sometimes putrid and being opened a filthy Ichor of an unsavory smell proceeds from it If there be sence there is life and hope Curatio 1. First empty out abundantly the corrupt blood which is stuffed in the affected member Venae-sectio For this purpose some apply horse-leeches others cut the fullest vein about the affected member also deep scarifications are good 2. When you have drawn out blood abundantly by deep slashes or cuts the place must be splashed with salt-water then lay on a medicine appointed for corrupted sores or wash it with hot vinegar or Mulsum twice a day 3. Vnguent Aegyptiacum When the fury of the evill is somewhat slaked minister Vnguentum Aegyptiacum whose wonderful affects have been often tried It is made after this manner â„ž Floris aeris aluminis roch mellis com an â„¥ .iij. VnguentuÌ„ aceti acerrimi â„¥ v. salis com â„¥ .j. vitriâ—li rom â„¥ ss sublimati pul Ê’.ij bulliant omnia simul ad ignem fiat unguentum When you have put in the Aegyptiacum apply this cataplasme â„ž Farin fabar hordei orobi lent lupin an Cataplas l. ss Seal com mellis rosat an â„¥ .iv. succi absynth marrub an â„¥ .ij. ss aloes mastiches myrrhae aquae vit an â„¥ .ij. oximelitis simpl quantum sufficit fiat Cataplasma molle secundum artem Somewhat higher then the part affected apply this following astringent defensitive â„ž Medicamentum Olei rosati myrtill an â„¥ iv succi plantag
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