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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
B04331 A treatise of consumptions. ... By E. Maynwaringe, Dr. in Physick. Maynwaringe, Everard, 1628-1699? 1668 (1668) Wing M1516; ESTC R180494 64,197 186

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Cough provoked by a sharp rheumatick matter 6ly The Spittle viscous tough or brought up in gobs 7ly Short and weak breathing 8ly The habit of the body not so plump firm and hard fleshy but unwonted softness flaccidity and looseness of the flesh upon the Arms Thighs or Legs 9ly The complexion not so good that person which before was fresh and clear is become more pale brown or ill coloured may conclude the limpid vital streams are defiled impure and muddied 10ly The ●…lse weak and slow or weak labouring and quick 11ly Weariness w●…ness and indisposition to as●…n the spirits not so lively brisk a● before but sluggish and dull given to much sleep the vigor and strength of the body begins to abate when the Blood the treasury of vital spirits begins to be alienated and changed from its wonted purity such as the Blood is such are the spirits from thence extracted the purer the blood is the more vegete and lively is that person but when the blood is changed dispirited flat and sowre the man that before was active merry and lightsome is now clouded dull and indisposed to mirth or action 12ly If the transpirations and breathing sweats of your body which before were not unsavory are now of a stronger scent and unpleasant odour argues the humors of the body to be degenerate soul and putrid Some of these signs are sufficient to give notice of a Consumption approaching and the degenerate inclination of your body thereto which being timely lookt after and consulted may more easily be prevented Aegrius ejicitur quàm non admittitur hostis but being neglected proceeds and gains strength grows more incorrigible and dangerous not to be reduced commonly but by an extraordinary prudent course of an expert Physician and the best of Medicines the signs are these 1. Pain in the Breast 2. A sharp vehement Cough 3. Spitting of purulent matter 4. A faetid cadaverous scent of the Breath with difficult and short breathing 5. Fainty Sweats 6. A continued Looseness 7. A putrid Fever 8. Debility and weakness of all the faculties Some of which do properly belong to Consumptions of the Lungs the rest are common to Consumptions that arise from other parts Be careful in the observance of diaetetick Rules as the judgment of your Physician shall appoint you concerning the air meat and drink sleeping exercise evacuations and passions of mind and herein diaetetick observation is of great concernment for alteration and reduction of the Constitution to a good state which for the most part hath degenerated by irregularities and enormities in the same Now every Consumptive person is to be regulated in the fix non-naturals rehearsed peculiarly and properly pro re nata upon the relation and account given of the Sick which as the case requires will be different and therefore I shall be brief in my prescripts herein Generally a clear sweet dry air in high and gravelly grounds is best especially when the Lungs decay by an over-moist spongious flaccid and soft disposition but if of a hot dry withering condition a moister air and the Valley is more agreeable but if you be forced to live in a place injurious for the air that promotes your Disease and consumptive inclination you must correct that by Art and help your self with proper fumes and evaporations in the house as the case requires but concerning the air in relation to health and sickness read in my Tutela Sanitatis where you may receive farther satisfaction In the choice of meats eat such as are of light digestion good nutriment and grateful to your Stomach not over salted spiced or dryed no sayed or broiled meats no Pie-crust or bread crust But for general rules in the choice of meats and drinks my Tutela Sanitatis is large whither I refer you that I need not repeat here from thence you may collect what is most agreeing to your case being here informed of the nature of your Disease and how procured Tutela Sanitat page 22 23 c. Also in my hygyastick precautions to a cholerick constitution that precept for the most part will agree with phthisical Consumptions page 45. Milk when the body is cleansed is proper food to nourish and for at temperating the heat and acrimony of the Blood but the body being foul and when abstersion is more required the whey of it is better the coagulating and unctuous parts being separated Jellies and restau●…tive Broths-before the use of good Medicines do but clog the body and increase the foulness but after a due course of Medicines are profitable for such whose stomachs do agree with and desire them therefore the practice of such are to be condemned who presently upon the name of a Consumption f●ll to ●reat nourishers high and plentiful feeding Be moderate in sleeping and go to bed seasonably the spirits are thereby refreshed and the acrimony of the blood allayed but watching tires the spirits heats the body and exasperates sharp humors In the beginning of your Disease use gentle exercise but when it is confirmed and strength much abated take your ease and forbear all violent motion which fires the spirits and is very injurious Avoid all passions and disturbance of minde the greatest enemy to a consumptive person but endeavour chearfulness tranquillity and a sedate spirit a great preservative from a consumptive inclination and a necessary remedy in the cure but concerning passions of the minde and their several effects upon the body the fore-mentioned Tutela Sanitatis will inform you that I forbear to enlarge here Concerning the smoking of Tobacco I must caution you as a promoter of Consumptions Tobacco of late years is become as common as eating and drinking and some there are who had rather refrain a meals-meat men th●… Pipe but since the use of it Consumptions abound and are much more frequent then formerly I shall wave many circumstances concerning the custom of taking it and only tell you the nature and effects of it Tobacco is of a virulent nature as those that first use it do find by the symptomes and effects to be very like those that have taken some venomous thing as Giddiness Vomiting Fainting but the frequent use of it reconciles the great disgust that nature hath against it as it is recorded by Historians that Mithridates King of Pontus accustoming himself to eat poison could not be poisoned when he desired it so Tobacco though abhorred by Nature yet Custom makes it so familiar that the ill effects of it do not appear presently that nature is not so provoked and sensibly moved by it which puts the cheat upon all thinking it then friendly and amicable but by time does much alter the hate and condition of our Bodies The fume of it is Narcotick seising the spirits and alienating their purity It is acrid and biting ingrateful to the tender Lungs drawing away the dulcid moisture and leaving the remainder more fretting and acrimonious Many take it to prevent Rheumes but
reduce a preternatural heat applying remedies à posteriori to the producted heat labouring to quench that not discerning à priori whence it does arise and the occasional procuring causes which being not understood and found out at least neglected in curation they labour in vain opposing qualities with qualities by a long and tedious contest knowing not that natura est morborum factrix medicatrix as Helmont speaks and therefore he that will cure must cure radically and substantially applying to the fundamental principles which are disorderd and irregular and removing morbifick causes not qualitatively superficially and à posteriori to the products in satisfaction therefore to this point I shall lay down this conclusion That febrile distempered heat in mans body ex Archaeo irato surgens being the aestuation of the Archaeus or vital spirit manifesting its disturbance and insurrection at some peccant matter does require sedation and allay not by opposing the consequential heat with coolers chiefly but by removing the morbific cause which is hostile and injurious to this vital principle provoking it nisu expulsivo to be in fury ut ign●scere videatur from whence preternatural febrile heat does arise which if so as 't is true and rational then the common course of curing Fevers by Juleps Emulsions and other cooling Medicines aiming at an allay and suppression of this heat is erroneous for if heat whether natural or preternatural does emanare proceed from this vital principle as a distinguishing character of its state and condition as certainly it doth then the application of a medicine to check this is a levelling at the vital principle not at all aiming at the morbific cause and in so doing is violence offered to Nature damping and suppressing its fortitude and courage in resistance instead of exterminating the hostile and injurious matter mir●… a or f●mes morbi which is the cause of this reluctance perturbation and strugling of the Archaeus and therefore this intention only or chiefly by refrigeration is a retention of the Fever which is not nuda caloris tempestas sed materia occasionalis fixing the febrile matter that it is not so fit nor easily proscribed by transpiration or otherwise and protracts the disease Yet I would not be mistaken herein but do allow such refreshing coolers as the Patients inclination does crave and finds benefit by yet not to lay the stress of the Cure upon the contest of heat and cold Having laid open briefly what a Hectick Fever is the causes and declarative signs both proper gradual and distinguishing from other Fevers it will be expected I should say something more of curation and preservation for the benefit of those that are hectically inclined as also such as are macerated and wasted thereby so far as a general discourse will admit allowing peculiar cases and proprieties of individual constitutions some variation In chronick diseases the diaetetick part rightly observed is of great advantage but in a Hectick Fever is specially to be regarded A sweet cleer air is of great advantage it refresheth the vital spirits promotes transpiration of putrid vapours and is very helpful in the Cure therefore it much concerns the Consumptive person what place he lives in and that he be advised by a Physitian in this particular At hot seasons of the year be not abroad in the heat of the day but then keep in cool places parching heat is very injurious by drying the body and lassating the spirits both which your disease procures Use little or no exercise except at the beginning of your disease or when it is in the first degree your strength will then allow it but after the spirits are fretted tyred and enfeebled by their constant agitation and inquietude motion or exercise provokes and aggravates Motus omnis calefacit corpora quies vero refrigerat but refresh them with rest and ease which will cool and abate their aestuation and distempered motion Cherish sleep although in the day time that will humect and moisten the body and restore the lassated spirits but lye not long in the morning which retains excrements beyond their due time for evacuation and heats the body Watching and setting up late dries and heats the body by keeping the spirits so long upon their duty and is very injurious to Consumptive persons Avoid passions of the mind which disturb and waste the spirits exsiccate and dry the body but endeavour a placid quiet mind which refresheth and pacifies the spirits and mitigates their febrile heat and aestuation but cherish mirth and recreate your self abroad with pleasant company and it will be of great advantage to you in regaining your health and lost strength Bathing is good to cool and refresh the spirits that are grown hot and fiery to concenter them and give them rest that are tired by their continual aestuation to restrain their efflux and emission where transpiration is too great but this is to be understood of a cold Bath only which does repell and drive in Concerning drink take this Caution That you load not your self with sma●l Beer Barley-water and such slops thinking thereby to quench your thirst and cool your body for thereby you overthrow your stomach which must carefully be preserved and abate nothing 〈◊〉 your heat but be moderate in drinking yet drink to satisfaction and refreshment●… let it be indifferent strong and sometimes a glass of Wine which will not injure you in respect of heat but revive and cheer the drooping spirits and give strength to the languishing faculties but it is the common opinion and practice of Physitians severely in Hecticks and most Fevers to forbid all strong drink and wine as a great aggravater of their disease and not to be permitted But this ariseth from some of their false principles in Physick and a wrong notion of Fevers which would take up too much room in this place to discuss I shall therefore refer that to another opportunity I remember a story related by a learned Physician in his own works of a Nobleman that was long sick of a Fever and strictly forbidden wine by hi● Physicians though much desired by him yet did forbear in obedience to them and observed all their rules notwithstanding continued lingring in his disease It hapned that a servant of this Lords being in drink ●ame into the chamber his Lord asked him what he had been drinking that made him so drunk he answered Claret-wine such as he had in his Cellar and withal desired his Lord that he would drink but one draught and it would recover him he was sure or let him be hang'd if his Lordship was the worse for it This Lord being something cheered at the merry talk of his servant commanded him to give him a glass of wine when he had drank that was so well pleased and refreshed with it that he called for a second and drank it and then a third after which his spirits were drowsie and he lay down to sleep that night he slept