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B22610 Etmullerus abridg'd: or, A compleat system of the theory and practice of physic. Being a description of all diseases incident to men, women and children. With an account of their causes, symptoms, and most approved methods of cure, physical and chirurgical. To which is prefix'd a short view of the animal and vital functions; and the several vertues and classes of med'cines. Translated from the last edition of the works of Michael Etmullerus, late professor of physic in the University of Leiptsich; Opera omnia: nempe, instutionis medicinæ. Abridgments. Ettmüller, Michael, 1644-1683. 1699 (1699) Wing E3385A 488,676 677

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Medicines The Jesuit's Bark is commonly join'd to the vegetable train of specifics The ways of using it are as follows Take of the Jesuit's Powder from a Dram to two Drams Infuse them for the space of a Night in two or six Ounces of Rhenish or Spanish Wine in the Morning shake them together and let the Person drink it warm before the accession of the Fit Take of the Jesuit's Powder six or eight Drams Gentian Roots three Drams Flowers of lesser Centory four little handfuls long Pepper a Dram Salt of Tartar half an Ounce Mix for a Powder Take of the Jesuit's Powder six Drams Gentian roots and filings of Steel of each three Drams Cloves a Dram and half Mix c. Take of the Powder of Kinkina a scruple prepar'd Crab's Eyes a scruple Cardamoms and Cubebs of each three grains Mix and give it before the Paroxysm Take of the Powder of Kinkina six Drams Guajacum two or three Drams tops of lesser Contory a handful Cinnamom two Drams Cloves and Crab's Eyes of each a Dram Salt of Tartar three Drams make a Bag to be infus'd in Rhenish or Wormwood Wine Of which let a Draught be exhibited after the appearance of the signs of Concoction some Hours before the Paroxysm But 't is a fallacious Remedy and ought not to be exhibited 'till after the general Evacuations and if the Body be not purged after the discussion of the Disease by this Medicine 't will relapse after some time 'T is true 't is an effectual Remedy in Tertian and Quartan Feavers but since 't is an exotic Plant our domestic Gentian may supply its want If two or three drams of the Powder of Gentian or a dram of its thicken'd Juice be given in Wine about an hour before the Fit it equals the efficacy of the Jesuit's Powder Myrrh and Castor are noted specifics in Quartan and Scorbutic Feavers They are given from a Scruple to half a Dram in Wine before the Fit Some give forty or fifty drops of the Bezoardic Tincture in Wormwood Wine together with chalybeat diaphoretic Antimony or Timaeus's pearl'd Powder immediately before the Fit Shells calcin'd and burrnt Hearts-horn are exhibited in like manner with good success Or Take of Nutmegs Nitre and Allum of each a Dram. Make a Powder for three Doses Of which let the Patient take one before every Fit being prepar'd to sweat Take of prepar'd Red Coral half a Dram sugar of Lead twelve or fifteen grains Laudanum Opiatum one grain Mix and exhibit in the decoction of Carduus Benedictus before the Fit and continue the use till the Feaver be discuss'd The congeal'd Spirits of Salt and Vitriol Fulminatory Gold and Salt of Antimony are much approv'd The Salt of Antimony may be thus prepar'd Take diaphoretic Antimony and digest it in Vinegar sharpen'd with Spirit of Vitriol in a moderat heat Then strain and evaporat the Sugar and ye will find a Salt or Vitriol which may be further subtilis'd by dissolving it in Spirit of Wine and evaporating If ye mix this Salt with Flowers of Antimony it proves an incomparable Medicin against Feavers But we ought to remark that all these six'd Specifics are offensive to the Stomac and Appetit and Enemies to the digestive faculty and if unseasonably administred are follow'd by Relapses or Scirrhus's in the Bowels wherefore the passages ought to be well cleans'd before we attempt to prescribe 'em and when we do they ought to be mix'd with other sudorifics As Take of Carduus Benedictus Water two Ounces Strobelbergerus's specific Powder half a Dram volatil Salt of Harts-horn six grains Laudanum Opiatum one grain Mix and exhibit before the Fit For a Hysteric Tertian after the common premises I 've prescrib'd the following Powder with very good success Take of prepar'd Harts-horn half a Dram Salt of Wormwood a scruple prepar'd red Coral twelve grains Extract of Castor five grains Laudanum Opiatum two grains Make a Powder for two Doses To be frequently repeated and taken before the Fit After the Feaver is discuss'd by these Specifics 't is expedient to purge the Body thus Take of Quercetanus's Pills of Ammoniac twelve grains Extract of Wormwood six or eight grains Extract of Troches Alhandal two grains Make Pills If a relapse happen give Sal-Armoniac mix'd with Poterius's Antihectic Powder or prepar'd Coral before the invasion of the Paroxysm Some commend Vitriol as a good specific But above all the fix'd Salts are best which are preferable to any other preparation of the vegetable Specifics Brimstone or Gunpowder given from half a dram to a whole one in Vinegar or sharp Wine is much approv'd Or Take of six'd Nitre half a Dram Flowers of Sulphur three Drams Flowers of Sal-Armoniac one dram Powder of Red Sanders six drams white Sugar two drams Dose a dram and a half to be taken before the Fit Opium is of noted vertue in intermitting Feavers upon which account Galen and his Followers were wont to prescribe Venice Treacle with juice of Wormwood But it ought not to be exhibited before the Concoction be in some measure advanc'd In case of a prevailing Heat it may be exhibited in Vinegar XXVII Having thus accounted for the direct Cure of intermitting Feavers it remains to take a view of their Consequences Quartan or Chronical Feavers are oft-times follow'd by a schirrus of the Spleen or Mesentery or a tendency to the Hypochondriac illness Now to prevent this inconvenience 't will be needful to join chalybeat or splenetic Medicines to the common specifics The Extract of Steel prepar'd with juice of Apples or its liquid Essence mixd with Spirit of Scurvy-grass or the tincture of Vitriol of Steel are proper for this purpose Besides internal Medicins some are wont to make use of external helps The symptom of Heat may be abated by an Epithema of Rose-Vinegar Juice of House-leek and Nitre or a Cataplasm of Yest Salt and Vinegar applied to the Feet The material cause of the Feaver is in some measure evacuated by the application of Blistering or Corrosive Ingredients some apply cataplasms of Garlic Onyons Saffron Vinegar and white Pepper just before the Fit to the Wrists Some mix bruis'd Sage-leaves with Soot and the yelk of an Egg others Salt Hopps and Raisms for the same purpose Some put a dram or two of Camphir in a Bag and fasten it to the pit of the Breast 'till it be exhal'd Others apply the following Plaister to the Stomac Take of Hony two Ounces Mastic and Turpentin of each half an Ounce boil the Hony to a due consistency then mix it with the other Ingredients for a Plaister Or Take of Shining Soot an Ounce and a half Turpentin six drams Spider's Webbs an Ounce Camphyr two scruples with Oyl of Scorpions make a Plaister to be applied to the Wrists Oyl of Spiders living Spiders and all their preparations are much in use In malignant and Quartan Feavers the following Plaister is very successful Take of Venice Turpentin an
not so easily diluted as otherwise This Salt is of an Alcalin nature contrary to that which causes immoderat Hunger The privative cause is the Defect of Saliva whose Office 't is to water those parts and dilute the Salts The remote external Causes are Purging Medicines Pepper Salt Spices Arsenic sublimat Mercury talking loud sleeping with the Mouth open c. The internal remote Causes are the prevalency of a bitter Oyl in the Choler depraving the Lymph an Oyly sharpness in the Saliva occasion'd by Catarrhs extravasation of Serum or Scorbutic glutinous Lymph the Deficiency Glutinosity and Saltish sharpness of the Saliva as in Feavers Phthisicks Hectics c. To which we may add the disorder diversion or paucity of the Spirits which hinder the due secretion of the Spittle as in the Instances of Weakness Fatigue Anger Pain c. The heat of the Blood in the Lungs and dejection of the Appetit in the Stomac have likewise a great hand in causing Thirst Sometimes Thirst is attended by a Feaverish heat at other times it is quite free of it as in Scorbutic Hydropic and Catarrhous cases In general a sudden Thirst without any visible cause prognosticates some Disease or other If the Tongue be dry the Mouth beset with a tough Phlegm and the Body oppress'd with heat and yet the Person be insensible of Thirst 't is an Argument of a Delirium or great disorder among the Animal Spirits or of the stupidity of the Tongue and adjacent parts and is justly look'd upon as a malignant Symtom If in drinking the Liquor makes a noise as it falls into the Stomac it is an Argument of the Disorder of the Stomac In Feavers it disappears together with them But in Chronical Distempers 't is not so easily shaken off As for the method of Cure the irritating Cause must be first remov'd by Medicines vary'd according to its Nature Such are partly austere Acids partly temperat Medicine● which correct the sharp or urinous or oyly or saline Particles The Acids are Wood-sorrel Prunes Citrons Quinces Oranges Pomgranates Rasberries Barberries Corants Cherries and all their Juices and especially Tamarinds which not only abate the Thirst but open the Body The Juice of Houseleek Vinegar Strawberry-water Tinctures of Roses of Viclets and of Dasies Cream of Tartar Spirits of Vitriol of Sulphur of Salt or the Spirit distill'd from equal Quantities of Sulphur Antimony and Vitriol drop'd into the ordinary Drink The temperate Remedies are Milk Whey clarify'd with Citrons Emulsions of Seeds Raisins Liquorice e. The second Indication of Cure is to augment the quantity of Serum and Spittle by exhibiting Liquids alter'd with Wine or Cinnamom or mix'd with acid Spirits Simple cold Water tho' commonly us'd is very noxious Besides 't is not convenient to throw in too large quantities of Liquors for fear of loading the Stomac therefore Gargles and Mucilages applied to the Tongue and Throat will not be improper As for the Forms of Recipe's these following will suffice Take of the Decoction of the Leaves and Roots of Wood-sorrel one Pound fresh Juice of Wood-sorrel three Ounces Syrup of Bay-berries and Pomgranats of each six Drams Mix them Take of the Decoction of Barly one Pound Juices of Citrons and of Quinces of each two Ounces Tinctures of the Flowers of Dasies and Roses of each two Drams Syrup of the Juice of Citrons an Ounce and a half Spirit of Salt as much as sufficeth Make a Julep Take of the Flowers of Dasies six Drams sprinkle 'em with Spirit of Sulphur and infuse 'em in two Pound of Barly-water till it extract a Tincture strain the Liquor and add three Ounces of the Syrup of Rasberries Take of Tamarinds two Ounces bruis'd small Raisins an Ounce and a half boil them in Water and infuse in the strain'd Liquor while 't is yet hot an Ounce of fresh Citron-peel When 't is cold strain it out and add half an Ounce of the Tincture of Roses Make a Julep Take of Barly-water a Pound and a half Cinnamom-water an Ounce purify'd Nitre or Nitrum Antimoniatum from a Dram to a Dram and a half Mix them for a Potion This and all Nitrous Potions are proper for such as do not agree with Acids In Scorbutic Phthysical and Hydropic Cases the Saltness of the Lymph and Spittle is admirably corrected by Whey mix'd with Juice of Citrons or with the Juices of Scurvy-grass and Wood-sorrel Spirits of Salt and of Nitre are likewise very proper Emulsions prepar'd from the cooling and milky Seeds and the Decoction of China with Raisins and Liquorice are likewise conducive to the same purpose Acids in this case are improper But Liquorice and Fennel-Seeds boil'd are much approv'd As Take of Barly a handful small Raisins bruis'd an ounce and a half Anniseeds Fennel seeds of each a Dram and a half Liquorice-roots six Drams Boyl them in fair Water till the fourth part be consum'd adding towards the end a Dram and a half of Cinnamon Strain out the Liquor of which the Patient may drink at pleasure Gargles of Water Small-beer or Water impregnated with Nitre or the Juice of Houseleek or Mucilages of Quince-seeds Fleawort-seeds c. extracted with Rose-water or Phlegm of Vitriol and mix'd with the Juice of Houseleek applied to the Tongue and held in the Mouth are very useful especially when the Tongue is black dry and rough Some healthy Persons are molested with Thirst every Morning for whom Wormwood-wine is very proper Others are thirsty thro' Labour Fatigue and Exercise for whom the Spirit of Wine is very convenient SECT III. Of the Diseases relating to the Chewing Faculty HAVING dispatch'd the Disorders of the Appetit which is the first Spring of Nourishment I am now arriv'd at the manner of receiving Food It is first receiv'd by the Mouth Chew'd and impregnated with Spittle which being of a fermentative Nature not unlike that of the ferment in the Stomach predisposes and prepares it for Digestion Now if the Power of Chewing be deficient or disorder'd 't is neither impregnated with Spittle nor cut small so as to be fit for Digestion The Disorders of this Nature are such as respect either the Muscles imploy'd in that Motion the Jaw-bones or the Teeth Of these in order CHAP. I. Of the Contorsion of the Muscles of the Mouth or a Dog Cramp THE Temporal Muscles and those common to the Cheeks and Lips are the Instruments which move the under Jaw-bone in order to joyn it with the upper in the Act of Chewing If they are seiz'd with Convulsions or Cramps the under Jaw-bone is inseparably united to the upper if they be Paralytic it falls down by its own weight and they are not able to fetch it up But these Cramps and Palsies never happen but when the whole Body is equally affected and then they yield to the general Cure If one part or side of these Muscles be seiz'd with Convulsions or Palsy while the other is sound the Mouth stands awry inclining
to a Viscous Pituitous Matter 't is not so violent If follow'd by Convulsions 't is much suspected as also if it accompany Acute Feavers The cure is perform'd by removing the offending cause and abating the Pain If it depend upon another Disease it yeilds to its cure If it be Essential or accompany Feavers there 's nothing equals Antimonial Vomits which prevent an Infinity of dismal circumstances After Vomiting Purges are proper But by reason of their offensiveness to the Stomae let 'em be mix'd with Opiats a useful contrivance fot such as are liable to Gripings or over-purgations or stuff'd with sharp Scorbutic Hypocondriac Humors Take of Tartar vitriolated fifteen Grains Scammony sulphurated two or three Grains Laudanum Opiatum one or two Grains Extract of Troches Alhandal one Grain Distilled Oyl of Caraways two Drops Make a Pouder Take of Quercetanus's Pills of Ammoniac twelve Grains Magistery of Jalap five Grains Scammony sulphurated and Laudanum Opiatum of each a Grain with Essence of Castor make Pills Four or five Grains of Fulminatory Gold may be added Take of Aloes half an Ounce Myrrh two Drams Mastic a Dram Oriental Saffron half a Dram Rectify'd Flowers of Antimony a Dram with solutive Syrup of Roses make a Mass Dose from fifteen to twenty four Grains This is the composition of Poterius his Catholic Pills If it be caus'd by Wind or the Steams of the Choler and Pancreatic Juice fermenting in the Duodenum let Carminative Clysters be injected As Take of Leaves of Mint Wild Marjoram and Penny Royal of each a handful Chamomil Flowers half a handful Angelica Roots half an Ounce Bayberries three Drams Seeds of Anis Carrets and Fennel of each a Dram. Boyl them in Water and Man's Urine To Eight or Nine Ounces of the strain'd Liquor add of Lenitive Electuary and Electuary of Bayberries four or six Drams Distill'd Oyls of Anniseeds and Fennelseeds of each half a Scruple Yelks of Eggs in number one Make a Clyster to be injected warm 'T is proper to add Salt of Tartar by reason that at once it whets the Clyster and attenuats the viscid humors Blood-letting is inconvenient excepting the case of a Plaethora or some notable suppression of Blood The second Indication is satisfied by Opiats as thus Take of Chamomil water three Ounces Cinnamom-water one Ounce Elixir of Mint or of Citrons or of Oranges six Drams Distill'd Oyl of Chamomil six Drops Laudanum Opiatum from three to six Grains Syrup of Hysop six Drams Syrup of Canel an Ounce Mix them Dose two or three spoonfuls 'T is a Catholic Mixture for all Pains of the Stomac The Spirits of Salarmoniac Anniseeds Hartshorn Tincture of Tartar Carminative Spirit de tribus or if the Pain be attended by a burning heat dulcify'd Spirit of Nitre may be conveniently added The Remaining Specifics are vary'd according to the Causes If Wind be deem'd for the Cause Chamomil is a noted Specific by reason of its Anodyn and Aromatic Vertues It s Water its Essence extracted with a Carminative Spirit of Wine its Decoction its Oyl drunk with Wine or applied outwardly with Oyl of Nutmegs are all of excellent vse Next are the Decoctions of Sassafras Hyssop Dill Rosemary and Mullein Flowers The Tincture and Distill'd Oyl of Orange or Citron Peel Spirit and Distill'd Oyl of Anniseeds Spirit of Salarmoniac Elixir of Mint c. If it be attended by a Notable Heat to these Aromatic Ingredients we may add Acids as the Juices and Syrups of Quinces Citrons and Pomegranats Spirit of Nitre dulcify'd with a triple quantity of the Spirit of Anniseeds If the Anxiety or Pain proceed from Acid sharp Humors or green rusty Choler Absorbent Pouders are proper as Take of Prepar'd Red Coral Cinnabar of Antimony Chalybeat Diaphoretic Antimony of each Eight Grains Laudanum Opiatum a Grain Distill'd Oyl of Cloves one Drop Make a Pouder to be exhibited in Chamomil-water mix'd with Essence of Castor If it arise from a Viscous Mucilage Cream of Tartar and Gum Ammoniac are proper Ingredients If it be caus'd by Sublimat Mercury let Milk mix'd with Oyl of Sweet Almonds or Oyl of Tartar per deliquium be exhibited Let Prepar'd Chrystal Venice Treacle and Fresh Butter be dissolv'd in Barley-water and given to drink and the Stomac fomented with the Decoction of Henbane Leaves in Red Wine Some recommend seal'd Earth with Syrup of Comfrey for internal use Pins Pieces of Glass and such like sharp things swallow'd and pricking the Stomac are remov'd by drinking Oyl of Sweet Almonds and Broth or eating a thick Pultise of Rice and Milletseeds If the Pain be occasion'd by Worms give Elixir Proprietatis without the Acid and Spirit of Sal Armoniac or Tartaris'd Essence of Wormwood As for Old Persons who are frequently troubled with a Pain of the Stomac attended by a notable Weakness and Propensity to swoon the following Pills are of wonderful Efficacy Viz. Take of Ambergrise two or three Grains Mosch and Oriental Saffron of each a Grain or two Opium four Grains Make Pills As touching External Applications Ointments are compos'd after this manner Viz. Take of the Distill'd Oyl of Chamomil a Dram Oyls of Mace and of Cloves of each fifteen Drops Balsam of Peru half a Dram. With Expressed Oyl of Nutmegs make a Liniment and anoint the Breast and Stomac applying afterwards a hot Brick Plaisters are very useful especially such as are made of Tacamahac or Gum Caran with Venice Treacle or Balsam of Peru and Distill'd Oyl of Amber The Stomac may be likewise fomented with the Decoction of Wormwood Mint Hyssop Marjoram Chamomil Flowers Fennel seeds and Juniper Berries in Wine or Vinegar and Water or a Bag quilted with the same Ingredients and Spices and sprinkled with the Oyls of Amber and Mint may be applied hot to the Stomac Anodyn Cataplasms are also very useful especially in Scorbutic Cases as Take of the Leaves of Henbane and Mallows roasted under Ashes of each three Ounces Meal of Barly and Vetches reduc'd to a due consistence with the Decoction of Vetches of each two ounces the Mucilages of Tragacanth of Fleawortseeds and of Quinces of each two ounces Make a Cataplasm Womens Pains of the Stomac arising from the Faults of the Matrix are frequently cur'd by the application of Pomatum and Goats Tallow As those which proceed from Wind by applying a Bag of Bran tosted Milletseeds and common Salt The Disease which we call the Heat of the Stomac is near akin to those last describ'd 'T is seated in the Left Orifice of the Stomac and is only a sense of Heat and Sulphureous Fumes passing thro the Gullet caus'd by the Fermentation of an Acid with a Fat Oyly Alkali in the Stomac The Remote Causes are over-acid or over-fat Victuals Choler abounding in the Stomac or forc'd thither by Anger or such like occasions or an Hypocondriac Acidity prevailing in the Stomac The Burning or Heat is frequently accompany'd by bitter and musty Belchings and if it come without
Spanish VVine and Oyl of Chamomil For a Flatulent Colic Take of Bay Leaves a handful Chamomil flowers a handful and a half Angelica or Lovage Roots six Drams The four lesser hot Seeds of each two Drams Boyl them in fair Water To ten Ounces of the strain'd Liquor add Electuary of Bayberries six Drams Venice Treacle one or two Drams Distill'd Oyls of Angelica Caraways Cumminseed and Bayberries of each three or four drops With the Yelk of one Egg Make two Clysters to be injected at two several times by reason of the wind disturbing the Injection Or Take of the Carminative Decoction six Ounces Man's Urine four Ounces Yest a Dram Common Salt a Scruple Hony of Roses an Ounce Make a Clyster in flatulent Colics In the beginning of the Disease Gentle Emollient Anodyn Clysters are not improper in any Colic As take of Henbane Leaves a handful Boyl them in Milk To ten Ounces of the Decoction add an Ounce of the Honey of Roses Mix for a Clyster Afterwards when we have discover'd that vicious matter or hard Excrements are Lodg'd in the great Guts we may pres●● be Emollient Clysters sharpen'd with Sal Gem and if these prove ineffectual add sharp Purgatives as above If the Anus be much retracted and threaten an Iliac let Clysters be sparingly us'd as likewise in all true Convulsive Colics 2. If the Intestines are much Contracted either by foreign Convulsions or vicious matter within proper Purgatires ought to be avoided for they promote the Contraction and Lock up the Excrements closer In this case Whey or an Ounce of the Oyl of sweet Almonds with Spanish Wine and Sperma Caeti are more effectual than the strongest Purgatives If the Guts be inflamed all Laxatives whatsoever are Pernicious If the Colic proceed from a tenacious viscid humor and be attended by a heavy Boring pain Purgatives mix'd with attenuating Ingredients are allowable tho rather after the Fit has made some progress and the Symptoms are a little abated than just in the beginning especially if the Pain be very Violent The safer way is to begin with Emollient Abstergent Prescriptions such as that of the Oyl of Almonds and Wine and Sperma Caeti and then after some time prescribe thus Take of Mint Water an ounce and a half Cinnamon Water half an ounce Gum Ammoniac dissolv'd in Vinegar half a dram Tartar Vitriolated fifteen Grains Scammony Sulphurated and Troches Alhandal of each two Grains Solutive Syrup of Roses or of Apples half an ounce Make a Potion for a Colic proceeding from a tenacious acid humor in the Guts In the Declension of the Fit 't is expedient to exhibit sweet Mercury with the Pills of Hera with Agaric for dissolving and washing off the remains of the viscous Acid. Or if in the beginning of the Fit it be safe or convenient to Purge let Laudanum Opiatum be added As Take of Gum Ammoniac dissolv'd in Vinegar a dram Diagrydium six Grains Laudanum Opiatum four or five Grains Mix c. Fulminatory Gold is likewise a proper Ingredient After the Paroxysm is over Sudorifics and Purgatives mix'd together are not improper 3. If the Stomac and upper Guts are stuff'd with peccant matter Vomits are very useful If the pain bear downwards they are very Pernicious 4. Narcotics especially Hysteric Laudanum are very useful in Convulsive Colics and such as proceed from a thin fiery humor They are given in the beginning and during the increase of the fit while the Patient has yet strength sufficient In case of a viscous acid humor they are not so proper till the Guts be cleans'd by Purgatives unless the Violence of Symptoms require ' em The better way is to mix 'em with the Purgatives and exhibit 'em also after Purgation Or to give 'em before Purging so as that they have not finish'd their office till the succeeding Purge joyn ' em 5. The Stomac and Feet ought to be well Arm'd against Cold and all Cold Liquors avoided for sometimes they cause a Colic and in that case a large draught of Juniper Water is a Sovereign Remedy 'T is true there are some Instances of Colics cur'd by drinking Cold Water which perhaps relaxats the contracted Guts But 't is an accidental case and ought not to be look'd upon as a precedent 6. When the Belly is open'd if the Symptoms do not disappear let Aromatic Ingredients be us'd as being admirably fitted for tempering the acid attenuating the viscid matter discussing Wind and fortifying the Nerves against Convulsions Such are Male Speedwell Chamomil its Decoction in Water or its Oyl taken inwardly Clary Orange Peel Zedoary Garlic Gentian Elecampane Wormwood the four large hot-seeds Castor Sulphur Horse Dung and Stones Spirit of Sal-armoniac Spirit of Treacle Camphoris'd Spirit of Tartar Spirit of Hartshorn the Carminative Spirit de tribus c. Some commend the Decoction of Wormwood Elecampane Roots and Orange Peel with mithridat Take of Chamomil and Elder flowers Leaves of Mint and dry'd Rue of each three handfuls fresh Juniper berries two ounces and a half Bay berries Peel'd six drams Cummin Seeds an ounce Anis and Fennel Seed of each half an ounce Aromatic Calamus an ounce and a half The yellow part of Orange Peel three ounces Cinnamon six drams Zedoary three drams Pound them well and sprinkle 'em with six drams of rectify'd Spirit of Wine Infuse them in a sufficient Quantiy of Spirit of Wine not over-rectify'd for the space of twelve hours over a gentle heat of Sand then Distil slowly Dose a spoonful or two Take of the Waters of Anised and Chamomil flowers of each two ounces Cinnamon Water an ounce Spirit of Zedoary half an ounce Dulcify'd Spirit of Nitre two drams Distill'd Oyl of Anis six drops Laudanum Opiatum two Grains Syrup of Orange Peel an ounce Make a Potion to be taken by spoonfuls in Bilious Colics Take of the Waters of Chamomil flowers Mint and Penny Royal of each an ounce Essence of Castor two or three drams Spirit of Hartshorn Succinated or Spirit of Sal-armoniac a dram and a half Laudanum Opiatum three Grains Syrup of Mugwort an ounce Mix for two or three Doses in Convulsive Colics Take of Chamomil Water two drams Mint Water an ounce Essence of Opium half a dram Jaw bone of a Pike a dram Volatil Salt of Hartshorn fifteen Grains Syrup of Fennel three drams Mix and give a spoonful now and then in Convulsive Colics Take of the flowers of Sulphur two drams Jaw bone of a Pike a dram Distill'd Oyls of Caraways Cummin seed and Fennel seed of each four drops Laudanum Opiatum four Grains Make a Powder for three four or five Doses in the Colics that proceed from humors In Nephritic Colics Pills of Turpentin are very proper If the Gripings are attended by a burning heat the dulcify'd Spirit of Nitre If by a Coldness the fix'd salts and absorbent Powders are useful Take of the shavings of Ivory two scruples Prepar'd red Coral and Crabs Eyes of each
Take of the Leaves of Hyssop and white Horehound of each two handfuls Elecampane Roots two Ounces Fennel seeds half an Ounce Anis seed two drams Terra foliata Tartari three drams Common Water three Pound Scum'd Hony half a Pound Boyl them in a close Vessel Scum the Liquor and add three drams of Cinnamon and a dram of Oriental Saffron Strain it for use Let the Patient take a draught twice or thrice a day Take of Hyssop and Speedwell Water of each an ounce and a half Cinnamon Water an ounce Essence of Zedoary half an ounce Gum Ammoniac dissolv'd in Vinegar and a dram and a half Oxymel of Sqills an ounce Mix for two or three Doses Take of Hyssop Poppy flower and Asthmatical Waters an ounce and a half Asthmatical Spirit Prepar'd f●om Gum Ammoniac Verdigris and Brimstone an ounce and a half Oxymel of Squills or Syrup of Tobacco an ounce Take of the Tincture of Tartar half an ounce Spirit of Sal-armoniac two drams Mix and take thirty or forty drops in a warm Vehicle Take of the Roots of Fennel of Asarabacca and of Florentin Orris of each three drams Liquorice two drams Boyl them in Water till the third part be consum'd To eight ounces of the strain'd Liquor add Gum Ammoniac a dram Oxymel of Squills an ounce Syrup of Horehound an ounce or two Mix. This is Brunnerus his Potion Note Sugar and Sweet things ought to be Cautiously us'd in this Disease They are offensive to the Stomac and Lungs and favour a Phthisic Take of Rape flower Water four ounces strong Cinnamon Water half an ounce Syrup of Tobacco an ounce Spirit of Sulphur as much as sufficeth for a Grateful Acidity Mix c. A dram of Gum Ammoniac may be added Take of Cinnamon Water two ounces Sperma Caeti two drams Oxymel of Squills an ounce Mix c. Take of the Wine and Infusion of Woodlice eight ounces Extract of Elecampane Roots two drams Extract of Saffron half a dram Syrup of Hyssop and Syrup of white Horehound of each two drams Mix and take a draught twice a day As for the Convulsive dry Asthma's they are cur'd by premising a Vomit excepting the case of Hysterical Symptoms exhibiting Antiepileptic Medicines such as the Volatil Salt of Amber the Spirits of Tartar Amber Harts-horn Sulphur and Sal-armoniac especially the Essence of Castor whose Oyly salt conquers the Acid most effectually the Spirit of Putrify'd Earthworms and the Distill'd Oyls of Amber Anis and Turpentin mix'd with Narcotics Externally we apply the Oyl of sweet Almonds with Saffron to the Breast and Blistering Plaisters to the Shoulder-Blades and Arms. ART II. Of a Hiccough THE Hickets are a Convulsive motion of the Diaphragm bending it downward distending the Belly and provoking it to accelerat and interrupt Inspiration The Ancients refer'd it to the Stomac but its influence over the Belly its necessary dependence upon Inspiration its ready Obedience to the Command of our Will its being cur'd by continu'd Inspiration Sneesing Mirth and Violent Passions argue that 't is Seated in the Middriff 'T is true the Irritating Cause is frequently lodg'd in the upper Orifice of the Stomac from whence it has a short influence upon the Middriff thro' which the Orifice Passes Thus sharp acid Cold Liquors and Victuals or an acid Viscous Phlegm in the Stomac such as Children are Obnoxious to are frequently the Authors of this Disease As also the Convulsive motions of any other Membran that Corresponds with the Middriff Violent Purgatives Disjoynting of the Ribs Inflammations of the Liver Ruptures and whatever injures the Guts or Adjacent Membrans If a Hiccough proceed from the assumption of sharp Liquors or External things 't is not so dangerous as when it follows the Inflammations of the Liver Costiveness Colics or Feavers especially towards their height The Cure consists in abating the Convulsive sense of the Middriff and removing the material cause The former end is compass'd by Narcotics mix'd with Specifics Now the Specifics are Cinnamon Mastic Galangal Ginger Aniseed Burnt Hartshorn or Ivory Spirit of Sal-armoniac and especially Castor Take of Venice Treacle half a dram Laudanum Opiatum two Grains Aniseed half a Scruple Distill'd Oyl of Mace two drops With the Juice of Quinces Make a Bolus If the Evil be Inveterat 't will be necessary to Vomit Or at least to Purge with Pills of Aloe and Sweet Mercury mix'd with Laudanum After their Operation is over exhibit the following Mixture Take of Wine Impregnated with Quinces and the Tincture of Roses of each an ounce Extract of Zedoary fifteen Grains Laudanum Opiatum two Grains Distill'd Oyl of Orange Peel four drops Syrup of Quinces half an ounce Mix c. If the Stomac be distended with Wind add the Dulcify'd Spirit of Nitre If the Person be molested with Hysterical Symptoms add the Extract of Castor Externally we apply to the Stomac Cataplasms of yest Aromatic Powders and Oyl of Castor Or hot Bread soak'd in Spanish Wine or in Vinegar in which Pepper Castor and Mustard seeds are Boyl'd If a Hiccough proceed from Crudities in the Stomac besides the General method of Vomiting and Purging with Aloe 't will be requisit to exhibit Stomachical Mixtures of the Essence of Zedoary Spirit of Mastic Elixyr Proprietatis prepar'd with Spirit of Sal-armoniac Essence of Wormwood c. If it be occasion'd by sharp Corrosive rusty humors 't will be needful to joyn the above mention'd Specifics with Absorbent Powders such as Seal'd Earth Crabs Eyes Coral Solar Earth and especially the Inner skin of a Hen's Breast If it take its Root from Poyson or be Accompany'd by Malignity let Alexipharmacal Ingredients be added In Feavers Antimonial Nitre given to a dram is of Noted Efficacy If sudden Cold or Drinking of Cold Liquors immediatly after heat gave being to the Disease 't will be proper to Bathe in the Decoction of Nervous Plants ART III. Of the Night Mare THE Night-Mare is either Accidental or Habitual The former is occasion'd by the Distention of the Stomac with Wind or Crudities and prevails when Persons are asleep and lye upon their Backs For then the Stomac dilated presses the Middriff and Muscles of the Bread most and so incumbers the descent of the one and dilatation of the other which are necessary for Inspiration Thus the Blood stagnats in the Lungs and the Person is not able to speak or breathe freely but fancies himself press'd by some particular Object The Habitual is occasion'd by some Acid Lymph that disorders the Spirits and Creates a Paralytic or Convulsive Disposition of the Nerves of the Middriff and Muscles of the Breast which by consent Cramp those of the Wind Pipe whose Contraction raises a sense of strangling and abolishes the Power of an Articulat Voice Hypochondiac and Scorbutic Persons are most subject to this habitual sort which is frequently attended by red spots in the skin and seems to be near a-kin to an Epilepsy Sometimes 't is the effect of Worms
lesser Centory of each eight Grains Make a Powder for two Doses Take of Salt of Wormwood fifteen grains Diaphoretic Antimony half a Scruple prepar'd red Coral twelve grains distill'd Oyl of Sassafras or of Mace two Drops-Mix c. If the form of Potions be more acceptable take of Water of Carduus Benedictus one Ounce Salt of Wormwood a Scruple Salt of lesser Centory half a Scruple Julep of Roses three Drams Mix for one Dose Take of Water of lesser Centory an Ounce or two Salt of Wormwood fifteen or twenty Grains prepar'd Crabs Eyes ten or fifteen grains Syrup of Carduus Benedictus half an Ounce Make a Potion to be given before the Paroxysm adding two Drops of distill'd Oyl of Cloves Take of Parsley Water two Ounces Fennel Water one Ounce Spirit of Venice Triacle a Dram and a half Volatil salt of Amber a scruple Syrup of Carduus Benedictus an Ounce Mix and exhibit a Spoonful now and then Take of the Water of Carduus Benedictus two Ounces Triacle Water two Drams Salt of Wormwoood half a Dram Spirit of Sal-armoniac a scruple Syrup of red Poppies three Drams Mix for a Potion XII The fix'd Salts consisting of an Alcali and an Acid such as Arcanum Duplicatum Sal Hypochondriacum digestivum c. are proper to be us'd in the beginning of the Disease before Evacuations and likewise on the intermitting and Fit-Days As Take of Hypochondriac Salt half a scruple Salt of Wormwood five grains Mix for a Powder Take of purify'd Sal-●rmoniac a Dram Antimoniall Nitie a scruple Make a Powder for two Doses one to be taken in a hot Vehicle in the Morning and the other in a cold Vehicle at Night Take of Arcanum duplicatum fifteen or twenty grains Diaphoretic Antimony half a scruple Mix. Let it be taken before the Invasion of the Fit and twice on the intermitting Day Take of Arcanum duplicatum fifteen grains prepar'd Crabs Eyes twelve grains distill'd Oyl of Juniper Berries two drops Mix and make a Powder to be us'd as above Take of Arcanum duplicatum fifteen grains Salt of Wormwood prepar'd red Coral of each half a scruple Laudanum Opiatum one grain Make a Powder Take of prepar'd Crabs Eyes Areanum duplicatum Salt of Wormwood of each half a Dram Volatil Salt of Amber twelve grains Laudanum Opiatum three Grains Make a Powder for three Doses One to be taken immediatly before the Fit and two on the intermitting Day Take Ivory prepar'd without Fire Arcanum duplicatum of each twelve grains fulminatory Gold six Grains Or Take of Cream of Tartar a Dram Tartar vitriolated half a Dram Spirit of Sulphur three or four Drops Make a Powder for two Doses Riverius recommends Crollius's specific Potion to be taken before the Paroxysm viz. Take of Cichory Water one two or three Ounces Spirit of Sulphur or Spirit of Vitriol fifteen or twenty Drops Salt of Wormwood half a Dram. Mix for a Potion XIII When the hot Fit is very violent and the cold one short and inconsiderable nitrous Salts are very proper Dulcify'd Spirit of Nitre effectually allays the Feaver after the height of the Paroxysm Antimonial Nitre or Nitre vitriolated is a sovereign Remedy in scorbutic Feavers Take of Antimonial Nitre fifteen grains Sal-armoniac six grains Make a Powder to be administred before the Paroxysm Take of Antimonial Nitre half a scruple Arcanum duplicatum twenty or thirty grains Poterius's Antihectic Powder nine or twelve grains Mix for three Doses Take of Antimonial Nitre two scruples Harts-horn prepar'd without Fire a scruple Diaphoretic Antimony eight grains Mix for two Doses Take of Arcanum duplicatum fifteen or twenty grains volatil Salt of Amber six or ten grains Make a Powder XIV Acids are not very proper in intermitting Feavers If the Feaver approach to a continual or be attended by an immoderat burning Heat insufferable Thirst and a difficulty of sweating they may be exhibited but never before the height of the Fit As Take of the Water of Carduus Benedictus two Ounces Mint Water one Ounce Diaphoretic Antimony half a Dram Laudanum Opiatum a grain or two Syrup of Carduus Benedictus six drams Dulcify'd Spirit of Nitre as much as sufficeth to render it grateful Mix and give it by spoonfuls in the declination of the Paroxysm Take of Rasberry Water three ounces Juice of Rasberries three or six drams Diaphoretic Antimony half a dram or a dram Syrup of the Juice of Citrons half an ounce or a whole ounce Dulcify'd Spirit of Nitre as much as sufficeth for a grateful acidity mix Take a spoonful now and then It quenches thirst allays the heat and promotes sweating Take of the Water of red Poppy Flowers four ounces Diaphoretic Antimony two or three scruples Syrup of red Poppies half an ounce Dulcify'd Spirit of Nitre as much as sufficeth c. Sometimes Crabs Eyes mix'd with Vinegar are useful in the Fit as take of the Water of Carduus Benedictus Cichory Water of each an ounce and a half Wine Vinegar six drams simple Spirit of Triacle three or four drams Powder of Crabs Eyes half a dram Syrup of the five opening Roots an ounce mix and exhibit a spoonful now and then Or Take of Sorrel Water Fumitory Water Mint Water of each an ounce Rasberry or Elder Vinegar six drams simple Spirit of Triacle a dram and a half or two drams prepar'd Crabs Eyes two or three scruples Syrup of Orange Peel three drams Mix and use as above 'T is useful against straitness of the Breast Gripings Wind and Hypochondriac symptoms of the Belly Take of the Water of Carduus Benedictus Endive Water and House-leek Water of each an ounce Vinegar six drams Dulcify'd Spirit of Nitre a scruple prepar'd Crabs Eyes half a dram Diaphoretic Antimony fifteen grains Syrup of the Juice of Citrons six drams Mix as above Take of Chervil Water four ounces Wine Vinegar six drams prepar'd red Coral prepar'd Crabs Eyes of each a dram Laudanum Opiatum two grains Syrup of Ground Ivy half an ounce Mix c. XV. Opiats are of Extraordinary use But if unseasonbly administred are very pernicious Digestive and Evacuating Medicines must always precede the use of Opium After them it mitigates the cold and shivering and effectually removes such Paroxysms as return more by Custom than the force of the morbific matter It must always be joyn'd to proper specifics As Take of Mynsicthius's Arcanum Duplicatum a scruple Salt of Wormwood half a scruple Laudanum Opiatum two Grains Make a Powder to be taken in Wormwood Wine before the invasion of the Fir. Take of the Febril Elixyr two drams Essence of Opium half a dram Dose forty or fifty drops XVI If the Paroxysm do's not end in sweating Head-aches follow it For which Sympt in let the Head be fomented with some hot camphoris'd Liquor XVII In Chronical Feavers Blistering Plasters applied to the Wrists or Pit of the Neck are very serviceable Mercurial Salivations somtimes remove inveterat Quartans but the Cure is worse
than the Disease Aguish Persons are very apt to salivate by taking but a few grains of sweet Mercury which inconvenience ought to be prevented by Purgation or forcible sweating XVIII Chronical Feavers thicken the Blood and Lymph and are apt to degenerat into slow Hectic Feavers which are best prevented by the use of Sal-armoniac a Vomit being premis'd or the following Powder viz. Take of Arcanum Duplicatum twelve or fifteen grains Ivory prepar'd without fire half a scruple mix and exhibit two hours before the Fit Inappetency succeeding to such Feavers is cur'd by the continued use of Wormwood or lesser Centory XIX Chronical Feavers and such as are cur'd by repeated Doses of absorbent Powders are frequently follow'd by Colics Dropsies swellings of the Feet c. Such Symptoms are obviated or remov'd by the internal use of the Decoction Essence Juice or extract of Wormwood and the external application of Celandin the greater XX. In the Declination of an Intermitting Feaver or after their removal or on the intermitting Days 't is not improper to obviat the Cachectic indispositions that generally follow 'em by the use of the following Vegetable Febrifuga's which sharpen the Bile enervat the Acid and fortify the Stomac Take of Essence of Wormwood or of lesser Centory or of Gentian or of Myrrh half an ounce Spirit of Sal-armoniac two drams Mix. Dose thirty or forty drops twice a Day Take of Michael's Febril Elixyr and Elixyr Proprietatis of each a dram and a half Mix. Dose forty or fifty drops Take of the sharpest Tincture of Tartar three drams Elixyr Proprietatis prepar'd without an Acid two drams Mix c. Take of the sharpest Tincture of Tartar three drams Quintessence of Wormwood one dram Mix c. Take of the sharpest Tincture of Tartar three drams of the Carminative Spirit a dram Mix. Dose forty or fifty drops twice a Day XXI During the cold Fit the sick Person must abstain from Eating or Drinking After the height of the Fit when the Sweat begins to breath forth and the Heat is violent he may drink plentifully Warm Wormwood Wine or Wormwood Ale is not improper if there be any apprehension of a scorbutic Feaver the Wine may be Tinctur'd with Antiscorbutics But in Quartan Paroxysms 't is adviseable to drink little or none at all or at least to drop forty drops of Spirit of Sal-armoniac into the Liquor which must always be warm Let the ordinary Drink be Water or small Beer mix'd with Wormwood Wine or clarify'd Whey with a few drops of the juice of Citrons Refrigerating Juleps are improper barring the case of immoderat Heat for which warm Drink with Nitre or Spirit of Vitriol is very proper As Take of the Flowers of red Poppies Flowers of Roses of each half a Handful Infuse them in a Pound and a half of Poppy Flower Water or Clarify'd Whey and sharpen it with Spirit of Sulphur per Campanam Let them stand in a warm place till the Tincture be Extracted Then add of Syrup of Jujubes two ounces Syrup of Violets an ounce Make a Julep Take of the Conserve of Wood Sorrel Conserve of Roses Conserve of Clove Gilly-flowers of each an ounce dissolve 'em in a sufficient Quantity of the decoction of Vipers-grass or Boyl them gently in a close Vessel Strain the Liquor and reserve it for use Take of the Roots of Woodsorrel and Tamarinds of each an ounce Boyl them in Water To four pound of the strain'd Liquor add three Handfuls of red Roses sprinkl'd with dulcify'd Spirit of Vitrol Set them in a warm place till the Tincture be extracted Then strain it and add the Syrup of red Corants and Syrup of Rasberries of each three ounces Mix and reserve for use Take of Spring Water half a pound Cinnamom Water half an ounce fresh Juice of Citrons an ounce and a half Spirit of Vitriol as much as sufficeth for a grateful Acidity Mix c. XXII In Tertians let not Sweat be artificially promoted before the fourth Fit and if it comes naturally in the declensions of the Fits let the Person be lightly Cover'd In Quartans Sudorifics are improper till the signs of Concoction appear but if sweat break forth of its own accord before that time it must not be suppress'd XXIII The chilness shivering shaking c. attending the cold Fits are admirably accounted for by applying Aromatic Oyls to the Stomac Breast Back-bone Loins and Soles of the Feet As Take of Balsam of Peru a dram the distill'd Oyls of Cloves of Mace and of Amber of each half a scruple Mix and Anoint the above mentioned Parts Take of express'd Oyl of Nutmegs a dram distill'd Oyl of Cloves distill'd Oyl of Cinnamom of each fifteen grains Mix c. Take of the distill'd Oyl of Juniper-Berries and Rosemary a scruple distill'd Oyl of Cloves half a scruple Inwardly the same symptoms are mitigated by exhibiting the fixed Salts Aromatic extracts and distill'd Aromatic Oyls But they are peculiarly calculated for such Feavers where the cold Symptoms are more violent than the hot The forms of prescribing are such as these Take of the Salt of Wormwood a scruple prepar'd Oyster-shells and white Pepper in Powder of each six or seven grains Take of Sal-Armoniac fifteen grains Cloves and white Pepper of each five grains Make a Powder for two Doses To be taken before the invasion of the Fit Take of prepar'd Pearl half a scruple Salt of Wormwood fifteen grains distill'd Oyl of Cloves two drops Make a Powder Take of the Salt of Wormwood fifteen grains Diaphoretic Antimony half a scruple Laudanum Opiatum one grain distill'd Oyl of Cloves two drops Make a Powder to be taken two or three Hours before the Fit Take of Crollius's specific against Feavers a dram Salts of Wormwood and of lesser Centory of each half a scruple distill'd Oyl of Cloves three drops Make a Powder for two Doses Take of Carduus Benedictus Water an ounce Cinnamom Water a dram extract of Gentian half a dram Spirit of Sal-Armoniac half a dram Syrup of Carduus Benedictus two drams Make a draught to be exhibited two Hours before the Fit In Quartans when the cold Symptoms prevail most the Dose of the Extract may be augmented but in Tertians when the Heat obtains the ascendant the Quantity of the Spirit of Sal-Armoniac ought to be inlarg'd Take of the Extracts of Wormwood Carduus Benedictus lesser Centory and Triacle of each from five to six Grains distill'd Oil of Cloves three Drops Make Pills to be given before the Fit when cold and its Appendants prevail and little or no heat insues For Oil of Cloves is an incomparable Antidote against shivering Laudanum Opiatum and Extract of Troches Alhandal are proper Ingredients for the same purpose XXIV If the heat and its Consequences be more troublesome than the coldness Sal Armoniac or its urinous Spirit is the only proper Medicine As Take of Sal Armoniac a Scruple Poterius's Antihectic Ponder half a Scruple Mix and make a Pouder
to be given before the Fit If a raging heat succeeding to the cold Fit be attended by a notable prostration of Strength short Breathing a quick frequent and small Pulse Spirit of Sal Armoniac mix'd with Vinegar and Crabs-eyes will readily give relief If attended by Heart-burnings gnawings of the Stomac Unquietness anxiety of the Breast imminent Suffocation as it frequently occurs in Hypocondriac Hysteric and Scorbutic Constitutions the same Spirit of Sal Armoniac is proper to be given after premising Vomits or Clysters according to the Circumstances of the Patient and in the mean while 't is not amiss to apply a Plaister of Tacamahac mix'd with Oil of Amber or Balsam of Peru to the region of the Stomac XXV In Chronical Quartans let the Physician inquire if there be any schirrous Swelling in the Bowels or hardness in the Hypocondria if Wind molest the Guts or scorbutic Symptoms beset the Body for these Symptoms must be particularly accounted for before the Feaver can be cur'd which generally in this case ends in the eruption of the Itch or Scab XXVI In stubborn Quartans the Spaw-waters are convenient provided the Stomac and Bowels be regular and in good order Otherwise Chalybeat Medicines are more proper As Take of the Essence of Wormwood half a Dram solution of Steel in the Juice of Apples a Dram. Mix them to be given before the Fit Steel and its Productions are of excellent use in all Hysteric Hypocondriac splenetic and scorbutic Constitutions It not only removes the obstructing Acid in the Bowels which the Jesuits Powder would six and settle but mitigats the impetuosity of the Fit which Anodyns do only palliat and soment XXVII Tho Chronical Agues may seem to be discuss'd by reason of the disappearance of the Fit yet 't is advisable not to desist for some time from a spare and cautious Diet and the use of the more noted Febrifuga's such as Sal Armoniac Salt of Hartshorn volatil Salt of Amber volatil Salt of Vipers c. for that ofttimes they relapse after the discontinuation of several Weeks If these Remarks be heedfully minded the Cure of Agues will prove easy and safe and many fatal Symptoms which insue an untimely suppression of the Fits or any other disorderly part of Cure will be effectually prevented As for the Scorbutic Feavers that I 've so frequently mention'd 't is to be remark'd that if the Scurvy be not directly taken care of 't will be impossible to compass the Cure of the Feaver For which purpose the Spirit of Scurvy-grass and Mynsicthius's Arcanum Duplicatum are noted specifics they may be mix'd with other Ingredients as follows Take of Quercetanus's Antiscorbutic Water an Ounce Spirit of Sal Armoniac half a Dram Spirit of Scurvy-grass a Scruple Laudanum Opiatum one or two Grains Forestus's Antiscorbutical Syrup two Drams Mix them to be exhibited before the Fit after the universal Evacuations are premis'd Take of the Water of Carduus Benedictus and Elderflowe-water of each two Ounces Spirit of Scurvy-grass two Drams Spirit of Sal Armoniac a Dram Mynsicthius his Arcanum Duplicatum a Scruple prepar'd red Coral fifteen Grains Forestus his Antiscorbutical Syrup an Ounce Mix as above Take of Mint Water Fennel Water Fumitory Water and Carminative Water of each an Ounce Spirit of Scurvy-grass Spirit of Venice Treacle of each a Dram dulcify'd Spirit of Nitre twelve Drops prepar'd Crabs-eyes half a Dram Laudanum Opiatum a Grain and a half Syrup of Orange Peel six Drams Mix and give a spoonful now and then in the very time of the Fit It is of wonderful use in scorbutic Feavers attended by extream heat straitness of the Breast Wind violent pains in the Joints c. Poterius's Antihectic Powder with magistery of Coral prepar'd with Juice of Citrons is a sovereign Medicine in S●●●butic Quartans that threaten a Phthisie It may be giv●● in a convenient Vehicle both before and in the Fit Whey of Goats-milk impregnated with the virtue of Antiscorbutic Herbs is a proper Liquor both for restaining the heat and conquering the Scurvy or it may be mix'd with gentle Laxatives by reason that Scorbutic Feavers are attended by a constipation of the Belly As Take of Tamarinds half an ounce Boyl them in Whey Then strain the Whey and add of the Ti●cture of the flowers of Dazies two drams with Solutive Syrup of Roses Make a Julep to be given during the Violence of the not Fit Take of the Decoction of Corants in clarify'd Whey a pound and half Juice of Scurvy-grass clarify'd by standing three ounces fresh juice of Citrons an ounce Make a Julep as above Milk mix'd with Sugar or Spirit of Sal-armoniac is very proper before and after the Paroxysm From what has been said upon the whole matter we may gather the general method of curing intermitting Feavers into this form First the Stomac must be prepar'd with a Digestive Powder or two then a Vomit must be exhibited before the Fit or a Laxative administred on the intermitting Day Afterwards volatil Alteratives or chalybeat Medicines given during the time of intermission according as the Symptoms require and in the time of the Fit the precipitating Alcali's both volatil and fix'd of which Class are the bitter Herbs partaking something of an aromatic Virtue such as Wormwood lesser Centory Fumitory Carduus Benedictus Chamomil Celandin Gentian Zedoary c. They are us'd by way of Powder Decoction express'd Juice Extract or in the form of a fix'd Salt In Powder some give a Dram of the Flowers of lesser Centory or of Carduus Benedictus c. As for Decoctions those of a few Ingredients are infinitely the best As Take of the Leaves of Carduus Benedictus a handful or two of Asarabecca roots an Ounce infuse them for the space of a Night in four Pints of Water then boil away the third part Let the Patient take three or four Ounces of this Decoction w●rm in Bed six Hours before the Fit and 't will procure a plentiful sweat The Juice of Wormwood exhibited in Wormwood-wine some Hours before the Paroxysm is much approv'd The Extracts of these bitter Herbs are likewise frequently given both during the time of intermission and a few Hours before the Fit Or an Essence may be prepar'd thus Take of the tops of lesser Centory and Wormwood of each three handfuls of the Leaves of Mouse-Ear and Asarabecca of each two handfuls of the Herbs Cinquefoil Hore-hound Rue Carduus Benedictus of Water Germander of each a handful tops of St. John's Wort half an Ounce Roots of Celandin Dandelion Angelica Zedoary Gentian Master-wort white Dittany Devil's-bit Fearn and round-rooted Birth-wort of each an Ounce Cloves and Ounce long Pepper six Drams Ginger half an Ounce Extract the Essence with Spirits of Wormwood Carduus Benedictus and lesser Centory Dose forty or fifty drops to be given on the intermitting day But the Vegetable Salts prepar'd from these Herbs together with Spirit of Sal-Armoniac are much beyond any other
grains or Laudanum Opiatum a grain or two Syrup of Carduus Benedictus an ounce Mix for two Doses in order to Sweat This is to be given in the beginning or increase of the Disease after the general Premises As likewise these following Take of Rue Water and that of Vipers-grass Roots of each an ounce of the Mixtura Simplex a dram rectify'd Spirit of Soot half a dram Syrup of Water Germander half an ounce Mix for two Doses Take of the Cordial Saxony Water an ounce Cinnamom Water half an ounce Spirit of Venice Triacle camphoris'd two drams volatil Salt of Harts-horn a scruple volatil Salt of Amber half a scruple Syrup of Clove Gilly Flowers half an ounce Mix and give a spoonful frequently when Delirium's are threaten'd Take of the Water of Carduus Benedictus Water of Goat Rue and that of Elder Flowers of each six drams Spirit of Venice Triacle camphoris'd a dram and a half volatil Salt of Vipers a scruple Diascordium two drams Syrup of Carduus Benedictus six drams Mix for two Doses Take of the Water of Vipers-grass Roots and that of Water Germander and Vinegar of Wine of each an ounce Venice Triacle two drams Diaphoretic Antimony two scruples Camphyr six grains Syrup of Rasberries an ounce Mix for two or three Doses If the Heat be violent exchange the Triacle for Diascordium Take of the Water of Carduus Benedictus and that of Water Germander of each an ounce and a half fresh Juice of Citrons six drams Venice Triacle a dram and a half mineral Bezoar half a dram Laudanum Opiatum a grain and a half Syrup of Mint dulcify'd Spirit of Nitre a sufficient quantity Mix for two Doses Take of the Conserve of Citrons and Conserve of Roses vitriolated of each an ounce and a half Rob of Juniper half an ounce Diascordium two drams Camphyr a scruple With Syrup of Citrons make an Electuary Take of Venice Triacle a dram Diaphoretic Antimony fifteen grains Salt of Wormwood half a scruple Mix for a Dose or two to be taken in Vinegar of Wine This is to be given in case of great Malignity When the Disease is further advanc'd towards the height volatil Sulphureous Medicines must be cautiously us'd As take of Fumitory Water three ounces Harts-horn prepar'd without Fire two scruples mineral Bezoar a scruple extract of Treacle six grains Syrup of Orange Peel three drams Mix for three Doses Myrrh may also be added Take of the simple Mixture six drams the Spirit de tribus distill'd from Antimony Sulphur and Nitre two drams Flowers of Sulphur a scruple Fumitory Water two drams Syrup of the Juice of Citrons an ounce Make a Potion for one Dose Take of Diaphoretic Antimony Cinnabar of Antimony of each half a scruple volatil Salt of Harts-horn four or five grains volatil Salt of Amber two or three grains Camphyr two grains Make a Powder I have seen the good effects of this Powder in the case of Delirium's and imminent Convulsions Take of Harts-horn prepar'd without Fire a dram mineral Bezoar two scruples seal'd Earth and mineral Unicorn of each fifteen grains laudanum Opiatum prepar'd by fermentation four grains Make a Powder for four Doses Nitrum Antimoniatum Poterius's Diaphoretic Gold solar and Jovial Bezoar volatil Salt of Vipers and Myrrh are proper Ingredients for the same purpose Take of Sennertus's Bezoardic Powder prepar'd Unicorn's Horn of each a scruple solar and Jovial Bezoar of each six grains Mix for two Doses Take of the red Powder of Pannonia fifteen grains Nitrum Antimoniatum twelve grains Poterius's Diaphoretic Gold five grains Make a Powder During the use of these or suchlike Alexipharmacal Prescriptions let Acid Mixtures be exhibited for quenching the Thirst and comforting the Spirits after sweating As Take two fresh Citrons slice ' em Add of white Sugar three ounces Vipers-grass Roots two or three drams Spring Water six pound Boyl them till two parts of three be evaporated and strain it for use Take of Mynsicthius his Decoction of Citrons a pound and a half Gelly of Harts-horn an ounce and a half Syrup of Cherries and Syrup of Rasberries of each an ounce with a sufficient quantity of the Juice of Citrons make a Julep Take of the Decoction of Harts-horn with the Roots of Vipers-grass one pound Tincture of Columbine Flowers and that of Piony Flowers of each a dram Syrup of the Juice of Citrons an ounce and a half Syrup of Rasberries six drams with a sufficient quantity of the Spirit of Nitre make a Julep The Syrup of Poppies in case of violent Heat is added with good success Take of the shavings of Sassafras six drams boyl them in Water to a pound and a half of the strain'd Liquor add two ounces of the Juice of Citrons an ounce and a half of the Syrup of Citrons and a sufficient quantity of the Spirit of Nitre to render it grateful Take of the Decoction of Tamarinds with Raisins a Pound Syrup of the Juice of Citrons Syrup of Rasberries of each an ounce with a little of the Spirit of Nitre make a Potion Sometimes the Confection Alkermes or Diascordium or Diaphoretic Antimony is dissolv'd in these acid mixtures During the time of Swearing some apply a little Loaf hot from the Oven the under Crust being par'd off and the Heart excavated and fill'd with Triacle and Wine thus they apply it to the Navel to attract the Malignity If the Patient bleed at Nose which is a fatal Symptom apply a dry Toad to the Arm-pits or take of Vervain Water three ounces Spirit of Wine Comphoris'd an ounce Opium five grains Make an Epithema for the Forehead which is also of use to prevent Head-achs and Delirium's If the Stomac be much disorder'd apply to it a Plaister of Tacamphac Balsam of Peru and Venice Triacle If the Throat and Palat be dry without a slimy Crust make a Gargle of fair Water Spirit of Wine rectify'd and Hony If a Looseness attend a malignant Feaver exhibit two scruples of the red Powder of Pannonia or Venice Triacle mix'd with Opium and fix'd Sudorifics Prepar'd Harts-horn Bole Armenic seal'd Earth mineral Unicorn are also proper to be added to Alexipharmacal Ingredients If a malignant Feaver be attended by Heartburnings and gnawings of the Stomac violent Head-achs Watchings Deliriums and a grievous Prunella 't is call'd the Hungarian or Camp Feaver and is highly Contagious Vomits commence its Cure which ought be follow'd by Acid Juleps and fix'd or meagre Sudorifics The Hungarians are wont to Cure it by rubbing the Body with a Root of Garlic soak'd in Spirit of Wine and bruis'd and then covering up the Person in order to Sweat The Prunella is accounted for by washing the Mouth with a mixture of House-leek Water Juice of House-leek and Sal-Armoniac Some malignant Feavers are accompany'd by Spots in the Skin resembling Flea-bitings These Spots are also compatible to some Tertian and Scorbutic Feavers that are not tinctur'd with Malignity When they attend malign Feavers they
Clysters in the beginning of the Disease However for mitigating these Symptoms let Cataplasms of Rue-leaves Raddish-roots Salt Pigeons Dung and Elder Vinegar be applied to the soles of the Feet and palms of the Hands or the Temples and Forehead fomented with the dissolution of Nitre in some convenient Water or anointed with the Ointment of Alabaster and express'd Oyl of Poppies but so as to have a care of stopping the Pores and hindering transpiration Inwardly exhibit the emulsions of the Cold Seeds Poppy Seeds c. An● add Opium to the other Specifics after the first two or three Days are elaps'd If a Drousiness and inclination to sleep attend the Pest let Opium Treacle and all Compositions partaking of it be avoided let Tincture of Caster and Vinegar be frequently taken inwardly and applied to the Nose or Frankincense Bayberries and Pepper beaten up with the Yelk of an Egg be applied to the Fore-head A symptomatical bleeding at Nose is cur'd by applying a Toad under the Arm-pits washing the Hands and Feet with Vinegar applying to the Forehead Neck and Temples Cataplasms of Chalk and Potters Clay beat up with Vinegar and giving inwardly large quantities of Nitre Spirit of Vitriol Spirit of Salt and Opiats mix'd with astringent Juleps After the Bleeeding is stop'd a gentle laxative may be exhibited if other Circumstances allow of it Thirst is also abated by Nitre especially Nitrum Antimoniatum or clarify'd Whey with Juice of Citrons mix'd with the Spirit of Salt and Gelly of Hartshorn A gnawing at Heart and vomiting is cur'd by the following Electuary Take of the Conserve of Mint vitriolated Conserve of the Pulp of Citrons of each an ounce and a half preserv'd Citron-peel and Diascordium of each six drams Confection Alkermes two drams Salt of Wormwood a dram with the Juice of Quinces Make an Electuary In the mean while foment the Stomac with a mixture of the Spirit of Wine Apoplectic-water Venice Treacle and Camphyr or anoint it with express'd Oil of Nutmegs and the distill'd Oyls of Wormwood and Mace and apply afterwards the Plaister of Caranna or that of Tacamahac mix'd with Venice Treacle and Balsam of Peru. A Looseness or griping of the Guts attending a Plague are accounted for by exhibiting Diascordium Opium absorbent Powders Extract of Treacle or that of Tormentil Camphyr Vinegar and dulcifi'd Spirit of Salt A suppression of Urine happening about the Crisis is a token of critical sweats If it assault the Patient at any other time let the Pubes be anointed with Oyl of Scorpions and Ointment of Marshmallows and all blistering Plaisters omitted Swooning palpitation of the Heart and anxiety proceeding from the Stomac are alleviated by absorbent Powders If they proceed from clotted Blood or the convulsive motion of the Spirits let the Confection Alkermes Castor Spirit of Harts-horn and that of Sal-Armoniac be exhibited externally sprinkle the Face and Temples with cephalic mixtures join'd to Castor and Vinegar of Roses A Prunella or Quinsey is mitigated by applying outwardly to the Neck a Bag quilted with Elder-flowers and Safron sprinkl'd with Spirit of Sal-Armoniac or gargling the Mouth with the Decoction of Germander Self-heal and red Roses in Barley-water mix'd with Nitre and Sal-Armoniac As for the Spots resembling Flea-bitings which frequently appear in the Back Arms and Legs the above mention'd Sudorifics especially Myrrh Castor Camphyr and the volatil Salts are most proper All manner of Cold must be carefully avoided and the Body rub'd all over every Day with a Bag of hot Salt or salt Petre and cupping-glasses frequently applyed to the Back Arms and Legs and frequently taken off SECT XVI Of Disorders relating to the motion of the Blood from the Heart to the Extreme Parts HAving thus dispatch'd the Disorders relating to the Fermentation or intestin motion of the Blood we come now in order to consider those of its circular progress The Blood receiving new Life in the Lungs throws it self with fresh vigour into the left Ventricle of the Heart inlarges its Capacity and distends its Fibres This distention or irritation of the Fibres of the Heart occasions an unwonted crowd of Spirits which repair thither from the Brain contract the whole Heart straiten its Cavity and impetuously squeeze out the Blood into the great Artery In like manner the distention of the Artery caus'd by the eruption of the Blood solicits the Spirits to sally out and contract their offended Fibres and drive the blood forwards 'till it arrive at the Veins thro' which it steers an easie Course to the Heart moving without offence or irritation from narrow Passages into broader Channels so that the Veins whose Tunicles are soft and not over-touchy are in no danger of being provok'd to Contractions by a languid impoverish'd Mass This successive contraction and dilatation of the Heart and Arteries call'd by the Ancients Systole and Diastole the former occasion'd by the Spirits repairing to them and the latter by the violent irruption of Blood are what we call the Pulse This we generally inquire after where the Arteries are most accessible viz. About the Wrists Temples and Ancles in order to discover the state of the Blood And if we find the Artery much dilated by turgid Blood we call it a large Pulse if the if the Blood move forcibly and impetuously we term it strong if the Arteries yield to the touch and do not seem to resist or rebound we stile it a Soft Pulse If the Blood move swiftly the Pulse is Frequent and if the Heart and Arteries be suddenly and much irritated 't is Quick Now Small Weak Hard unfrequent and flow Pulses are the direct reverse of these Circulation is of use to renew the strength of the Blood in the Lungs and supply all the Parts of the Body with Nourishment For 't is the united Mass of Blood and Chyle that furnishes the spermatic parts with Chyle or milky imperfect Blood and those that are sanguin with finish'd Blood according to the natural Demand of the respective Parts CHAP. I. Of the Palpitation and trembling of the Heart WHEN the Blood circulats thro' the Heart it occasions a regular Systole and Diastole But a palpitation of the Heart is a disorderly convulsive unequal vehement Contraction and sometimes scarce perceivable in the Arteries tho' at other times exalted to that pitch that it makes an audible noise A trembling of the Heart is a weak imperfect Contraction Both are equally owing to the irritation of the Heart but with this difference that a palpitation is attended by a violent and resisting strength and a trembling by a yielding weakness This irritation is sometimes the effect of the sharpness or over-bearing quantity of Serum or of Worms in the Heart-purse or of little Wheals or Excrescences within and about the Heart or great Arteries sometimes it proceeds from little Clotts of Blood left by the vicious Mass in the Heart or from a provoking Acid prevailing in the Mass of Blood as it passes along or
ought always to be dissolv'd in a watry Vehicle that so its Rosin may be separated Sometimes we mix Laxatives with Specific Alteratives and continue their use for some time And whet 'em if there be occasion with Coloquintida or Troches Alhandal Raisins Prunes Tamarinds and ripe sweet Apples or their express'd Juice are of great efficacy against Costiveness But Sugar and other sweet things ought to be carefully avoided Rhubarb or Cream of Tartar sharpen'd with Powder of Jalap are recommended to such as are of a juicy Constitution As for the forms of Receipts they are as follows Take of Quercetanus's Pills call'd Melanagogae a Dram and a half Extract of Senna Leaves half a Dram Rosin of Jalap a dram and six grains Tartar vitriolated thirteen grains volatil salt of Amber a scruple the Seeds of Mustard Scurvy-grass and Garden Cresses of each half a dram With some Antiscorbutic Water make Pills This is the Composition of Timaeus his Antiscorbutic Pills of which a scruple or half a dram is a Dose Take of the Pills of Hiera with Agaric twelve grains Gum Ammoniac dissolv'd in Vinegar half a scruple Scammony sulphurated two grains With the Essence of Steel make Pills Take of Quercetanus's Pills of Ammoniac a scruple sweet Mercury fifteen grains Extract of Troches Alhandal two grains the distill'd Oyl of Caraways two drops With the Essence of Gum Ammoniac make Pills The Vitriol of Steel calcin'd white and the Extract of Steel prepar'd with Juice of Apples may be added by Turns The Extract of black Hellebor is also a proper Basis for Pills Take of the Aperitive Crocus of Steel a scruple Scammony sulphurated and Salt of Tartar of each five grains Make a Powder Take of the fresh Leaves of Scurvy-grass Garden Cresses and Rose-mary of each a handful fresh Horse Radish Roots an ounce and a half pick'd Senna Leaves an ounce choice Rhubarb half an ounce Crude black Hellebor three drams Juniper Berries six drams Cinnamon and Galangal of each a dram and a half Salt of Tartar three drams Tye 'em in a Bag to be infus'd in Wormwood Wine of which let the Patient take a draught Morning and Evening Take of Wormwood three handfuls lesser Centory two handfuls black Hellebor Roots three ounces Polypody of the Oak an ounce and a half Bark of the Ash-tree and white Tartar of each half an ounce filings of Steel three drams Sprinkle 'em with nine Drops of the dulcify'd Spirit of Nitre and tye 'em in a Bag to be infus'd in Wine Take of pick'd Senna Leaves two drams Polypody Roots three drams black Hellebor Roots two scruples Ginger half a scruple Salt of Tartar a scruple infuse 'em for the space of a Day in Whey then boyl 'em gently To three ounces of the strain'd Liquor add of the Spirit of Scurvy-grass a scruple Syrup of Apples three drams Mix for one Dose Take of Corants two ounces Bruise and boyl them in Water adding while the Water is yet hot pickt Senna Leaves three drams Violet Flowers three little handfuls Cream of Tartar a dram Let 'em stand for some time in a hot place then strain the Liquor for use Take of the Pulp of Corants three ounces Arcanum Duplicatum a dram purify'd Sal-Armoniac and the Powder call'd Diatrion Pipereon of each two Scruples With the Syrup of Apples make an Electuary for nine or twelve Doses After Purgatives we subjoyn Emollient abstergent Clysters especially those of Carminative Ingredients boyl'd in Childs Urine against Hypochondriac pains in the Belly those of Milk and Turpentine against Nephritic pains and those of Whey or rather of Milk injected every other Day in a confirm'd Scurvy As Take of Cows Milk nine ounces Lenitive Electuary an ounce Electuary of Bay-Berries half an ounce With the yelk of one Egg make a Clyster to be injected at Bed-time and retain'd all Night Some inject the Decoction of Elder Flowers and Henbane Leaves in Milk against Scorbutical Pains The Patient's Body being thus prepar'd we advance to Alteratives Such are Steel and all fix'd Salts or whatever subdues an Acid. To these we joyn either the Aperients Diuretics and bitter Stomachical Aromatics or the Spirituous volatil Salts Thus the filings of Steel all its Aperitive Crocus's the vitriol of Steel calcin'd the solar Liquor of Steel the natural Spaws consisting of Steel dissolv'd in Sulphur the Tincture of the vitriol of Steel the solution of Steel prepar'd with the juice of sweet Apples and mix'd with the Spirit of Scurvy-grass Chalybeat Diaphoretic Antimony Chalybeat Bezoar the Bezoar Stone c. These I say are all of good use But when the Bowels are stuff'd or threaten'd with hard swellings they are improper Besides while Spaw Waters are drunk 't will be requisite to defend the Stomac by some Stomachical Ointment or Plaister Next to Steel are the bitter Plants dedicated to the Stomac and Spleen such are Fumitory lesser Centory Juniper Barries Wormwood Agrimony Cuckow-pint and Elecampane Their Decoctions Essences and above all their fix'd Salts and the Salt taken from the Caput Mortuum of the Spirit of Sal-Armoniac Mynsichtius's Arcanum Duplicatum is of excellent use especially when the Person is lyable to flushings and sudden Inflammations Elixyr Proprietatis prepar'd without an Acid and mix'd with the Spirit of Scurvy-grass and that of Sal-Armoniac is also proper The volatil Salt and Spirit of Tartar the Tincture of Tartar mix'd with the Spirit of Sal-Armoniac and given to forty Drops the Garminative Spirit prepar'd from Tartar Nitre and Spirit of Wine the Spirit distill'd from a Mixture of Quick-lime Spirit of Sal-Armoniac and Spirit of Wine impregnated with Aromatics the Spirit of Sal-Armoniac mix'd with Antiscorbutic Spirits and espepecially the Liquor of the Terra Foliata of Tartar mix'd with Spirit of Sal-Armoniac are very much approv'd both in the Hypocondriac and Scorbutical Distemper especially when the Person is lyable to Heats and Flushings and apt to be offended by the Oily Aromatic Ingredients In which case purify'd or Antimonial Nitre is also useful Nay some are very diffuse in their Encomium's upon a mixture of Nitre and the Powder Diacumini The forms of Alterative Recipe's are such as these following Take of the Conserve of Fumitory an ounce and a half Confection Alchermes a dram and a half Crude Steel pulveris'd three drams Magistery of Coral prepar'd with the Juice of Citrons a dram With the Syrup of Apples make an Electuary Take of the Essence of Gum Ammoniac half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Sassafras two drams Dose fifty drops Take of Elixyr Proprietatis prepar'd without an Acid half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Cloves two drams Spirit of Scurvy-grass a dram and a half Dose forty drops thrice a Day Take of Fumitory Water two ounces Borrage and Bugloss Waters of each an ounce Carminative Spirit de tribus two drams prepar'd red Coral a dram Syrup of red Poppies half an ounce Mix and exhibit a spoonful now and then in
into an Ulcer Clysters indeed are very Convenient when the Belly is Costive 3. Of all Medicines Sudorifics are the best especially for pleurisies In the beginning we exhibit volatil Salts and Opiats notwithstanding the violent Heat of the Disease and towards the height fix'd Diaphoretics especially Diaphoretic Antimony 4. Expectorating Remedies ought not to be administred till towards the height of the Disease when the matter begins to Concoct If they are given sooner they promote Coughing and consequently the frustraneous and painful concussion of the inflam'd Parts not to speak of their attempting to evacuat crude Matter However when their season comes we ought to beware of mixing 'em with Sugar Hony or sweet Acids 5. Opiats are only useful during the increase of the Disease they allay the pain and promote the Concoction of the Matter but in the height when the Matter is already prepar'd they hinder its due evacuation 6. There 's nothing more pernicious than cold Drink It hurts the Lungs increases the Inflammation provokes the Cough hinders Concoction and thwarts evacuation Therefore let their ordinary Drink be always warm and such as the Decoction of Barly and Liquorice mix'd with the Tincture of Poppy Flowers Now as for the Specifics that dissolve stagnating Blood those for a Pleurisie are of the same use in all Inflammations of the Breast Such are red Poppies Carduus Benedictus and Carduus Mariae especially their seeds Chervil-water the Decoction or Powder of Burdoc-roots the Juice of Dandelyon the Soot of Wood-fire given to a dram in Elder Vinegar the Pizzle of a Whale or Hart given in Powder to a dram or by way of Decoction the Powders of Boars-teeth Pike Bones Pearch and Carp-stones given to two scruples the volatil Salt of the Jawbone of a Pike the Blood of a Goat or of a Hare strangled after Hunting dry'd and given in Powder to a dram the Infusion or Juice of Horse or Sheeps Dung the Powder of Pigeons Dung Sperma Ceti given to a dram with Castor the Spirit of Nitre dulcify'd with the Spirit of Wine impregnated by Cohobation with Antipleuritical Ingredients given to two drams the Bezoardic Tincture given to a dram the Flowers of Sulphur or Gunpowder given to a dram and Antimony calcin'd by the heat of the Sun The forms of prescription are as follows Take of the Seeds of Carduus Benedictus and Carduus Mariae of each two drams white Poppy Seeds a dram with Chervil-water make an Emulsion To which add of the Jawbone of a Pike half a dram Diaphoretic Antimony a scruple sweeten it for a draught in order to Sweat Take of the Waters of Carduus Benedictus and Chervil of each an ounce and a half of Treacle Water six drams clarify'd Juice of Dandelyon an ounce and a half prepar'd Crabs Eyes a dram and a half Syrup of red Poppies an ounce and a half Mix and exhibit two Spoonfuls every quarter of an Hour Take of the Extracts of red Poppy Flowers Holy-hocks and Misletoe of the Oak of each a dram and a half shavings of Boars-teeth and an Unicorn's Horn of each two drams Jawbone of a Pike a dram and a half the inner Rinds of Filberts a dram Antimonial Nitre half a dram Magistery of Coral a dram and a half with the thicken'd Juice of Scabious make a Mass of which a scruple is a Dose to be given in Poppy Flower Water Take of the Waters of Carduus Mariae Chervil and red Poppies of each an ounce the spirit of Venice Treacle Camphoris'd three drams Diaphoretic Antimony and Jaw-bone of a Pike of each half a dram volatil Salt of the Jawbones of a Pike twelve grains Laudanum Opiatum three grains Syrup of red Poppies an ounce Mix and give a Spoonful now and then Take of the Blood of a Goat a scruple Mineral Bezoar half a scruple Laudanum Opiatum a grain Make a Powder for two Doses Take of the spirit of Venice Treacle Camphoris'd three drams Essence of Saffron a dram Mix. Dose fifty or sixty Drops If these dissolving Medicines cannot discuss the Inflammation by Sweating we must indeavour to promote the Concoction and Evacuation of the Matter by Spitting For this end we first use thickening Ingredients and after Concoction those of an attenuating force Of the former sort are the Decoctions of Barly Liquorice Elecampane Scabious Jujubes Raisins Speedwell red Poppies c. An Apple excavated stuff'd with a dram of Frankincense or Mastic and half a dram of the Flowers of Sulphur and so roasted and ●●hibited with Carduus Benedictus Water the spirit of Sal-Armoniac the Conserve of Violets the Syrup of Poppies with the Flowers of Benzoin and above all the fresh Oyl of Linseed given to three ounces in a convenient Vehicle or in want of that the express'd Oyl of sweet Almonds As for the latter Indication viz. Attenuating and Expectorating concocted Matter 't is compass'd by adding to the Decoction of these Ingredients in Mead the Syrups of Hissop Hedgmustard or Tobacco and especially the fresh Juice of Radishes and dulcify'd spirit of Nitre As for external Application 't is proper to allay the pain by fomenting the Part with the Decoction of Emollient and Anodyn Ingredients or applying Frogs-spawn with Burdock Roots or an Ointment of the Juice of Coleworts and Powder of Cummin seed or of the Fat of a Country Mouse or Hen's Dung with Oyl of Chamomil Or Thus Take of the Ointment of Marsh-mallows an ounce Oyl of sweet Almonds half an ounce distill'd Oyl of Cummin a scruple Camphyr nine grains Mix and anoint the part every three hours applying afterwards the Plaister of Melilot mix'd with the Plaister call'd Filii Zachariae and soften'd with the Oyl of Mullein Every thing must be applyed hot and the part kept very Warm If the Inflammation can neither be discuss'd nor dissolv'd by Expectoration 't will be needful to promote its suppuration by giving inwardly Preparations from Tobacco Ground Ivy Chervil and Scabious and applying outwardly Cataplasms of Holy-hocks boyl'd in Milk or the Plaister Filii Zachariae After 't is sufficiently Ripe we must provide for opening it by Vomiting Sneezing or administring the Decoction and smoak of Tobacco which is of Excellent use especially when the Imposthume is seated in the Lungs Otherwise we may discover the part where it lyes by the Heat Pain Swelling c. and open a direct Passage into it betwixt two of the Ribs When the Imposthume opens of it self its Matter do's not always run into the Cavity of the Breast as many imagine but is oft-times gather'd within the dilated Membran that surrounds the Pleura in which Case a Paracentesis or opening in the usual place for an Empyema is of no use After opening the Imposthume the next thing is to cleanse it by exhibiting the Decoctions of Chervil or rather the Syrup or Juice of ground Ivy and Syrup of Tobacco with the Balsam of Sulphur Balsam of Peru and the Spirit and Oyl of Turpentin Having dispatch'd the
qualities of the morbific matter These you may expect in the separat and particular description of every disease and the method of its Cure SECT III. Of Acid Alcalin Pituitous and Sercus Cacochymies or Corruptions of the Juices in the Body IF the Indisposition be owing to a prevailing Acid it ought to be Corrected by Alcali's These may be divided into the Vegetable Animal and Mineral Classes The Vegetable furnishes us with the Vrinous and Ashy Salts of Wormwood Centaury c. Which destroy the Acid and transform it into another concrete With Spices Aromatic herbs such as Mint Fennel c. And Oyly Sulphureous medicines that take off the edge of the Acid Parts Some of these are prepared by Distillation and some by Expression but the former are more effectual such as Spirit of Wine Water-Cresses Scurvy-Grass c. And the Distill'd Oyls of Mace Cloves c. Camphyr and its Productions belong to this Family In the Animal Class we have the Spirits and Volatil Salts extracted from the parts of Animals Such as the Spirits of Hartshorn Vrine Sal armoniac c. Which are of great use in all Acid Constitutions The hard and friable Parts of Animals are likewise very proper As Crabs Eyes Burnt Hartshorn c. The Mineral Province affords us very Powerful Medicines not Inferior to those of the other two Such as are Diaphoretic Antimony and the fix'd Sulphurs of other Minerals Earths Stones and Mettals as Chalk seal'd Earth and several Metallic Productions Whatever partakes of Gold or Silver is of noted excellency in subduing the inveterat Acids that proceed from Wine and are peculiar to Gouty Constitutions Lead and its Salt call'd Saccharum Saturni have that property of assuming a sweet taste when they meet with Acids and are thereupon Intitled to the Character of Alkali's But above all Steel may justly claim a preference And all remedies that have it for their Basis are certianly the most Sovereign Conquerors of Acids These are the remedies we use for Correcting Acids in General which may be prescrib'd after this or the like manner Take of prepar'd Crabs Eyes Red Coral prepar'd burnt Hartshorn of each a scruple Salt of Tartar and Wormwood of each fifteen Grains distill'd Oyl of Cloves and Cumin of each twelve drops and four or five Grains of Laudanum Opiatum Prepar'd by fermentation Mix all together It will make a Powder for six or seven Doses Or Take of Crabs Eyes prepar'd a Dram and a half Vnicorn Mineral Red Coral prepar'd and burnt Hartshorn of each half a Dram. Salt of Wormwood a Dram. Powder of Nutmegs two scruples Mix all and use it as the former Powder Or Take of Prepar'd Crabs Eyes a Dram Cuttle-bone half a Dram red Coral Prepar'd and Chalk of each a scruple Salt of Wormwood two Scruples Nutmegs half a Dram. Make a Powder to be us'd as before Or Take of burnt Hartshorn or pr●par'd Spodium half a Dram Red Coral Salt Prunel and seal'd Earth or Salt of Wormwood of each half a scruple make a Powder as before These are to be us'd before Evacuation in order to qualify and prepare the peccant Acid. Take Salt of Wormwood and Crabs Eyes prepar'd of each half a Dram. Make a Powder for two Doses Take of Carduus Benedictus and Fennel Water of each an Ounce and a half Spirit of Sal armoniac a Dram and a half Crabs Eyes and Red Coral prepar'd of each fifteen Grains Salt of Fumitory twelve Grains distill'd Oyl of Cloves Six drops Syrrup of Mint one Ounce Mix them for a draught These are the common forms of Recipe's against Acids in General but steel is a peculiar specific for subduing an Acid in the first Passages Sometimes we meet with an Austere Hypochondriac or Hysteric Acid which requires Volatil remedies They may be prescrib'd in this or the like form Take Marjoram Water Mint or Rosemary Water of each an Ounce and a half or two Ounces Aquae Vita Matthioli from three to six Drams Essence of Castor a Dram and a half Spirit of Sal armoniac or instead of it Spirit of Hartshorn with Amber from half a Dram to a Dram Syrup of Fumitory from half an Ounce to six Drams Mix all together and give a spoonful often Sometimes we add fifteen or twenty four Grains of Red Coral and Crabs Eyes or three or six drops of the distill'd Oyl of Cloves An Alcalin Depravation must be cur'd by Acids The vegetable Acids are Vinegar Juice of Citrons Berberis Quenches c. The Acid Spirits are commonly extracted from Minerals as the Spirit of Salt Vitriol and Nitre which last if dulcify'd with Spirit of Wine is of excellent use in a redundancy of Choler It allays the Saline sharpness and fixes that Volatil mobility which occasions preternatural Commotions Mineral and Metalline Sulphurs mix'd with Nitre are very proper on the same occasion Such as are Antimony Diaphoretic and Bezoar Mineral which qualifie the sharp and curb the inflammable Particles They are likewise Pacific and Evacuate the Particles thus fix'd and corrected by the pores of the skin Neither are the Composing Medicines that partake of Opium to be neglected in this case 'T is true their cure is but Palliative but the service they do in Composing the Spirits and Quelling all irregular motions do sufficiently justify their use All Acid remedies augment the quantity of Acids in the Body The Aromatic and Spirituous Liquors the Volatil Salts as well sharp as Oyly and the bitter Ingredients which we generally exhibit in Intermitting Feavers are all effectual restorers of the Volatil Oyly Salt in the blood and consequently of the Choler which it produces If a sharp Volatil and Choleric Salt Reign in the Body it commonly produces Thirst Choleric Loosenesses and such like symptoms that attend burning Feavers The following prescriptions are usual in that case Take of Tartar Vitriolated one Dram the Salt call'd Arcanum Duplicatum half a Dram or two Scruples Bezoar Mineral one Scruple Make a Powder for three Doses Or Take of Nitre Prepar'd with Antimony or Arcanum Duplicatum half a Dram Bezoar Mineral one Scruple Mix them for two Doses Or Take of Nitre Prepar'd with Antimony half a Dram Arcanum Duplicatum Fifteen Crains or one Scruple Mix for a Powder Take Powder of Ivory and Liverwort of each half a Dram. Mix them for two Doses Take Powder of Liverwort two Scruples Crabs Eyes Prepar'd one Scruple Make a Powder to be divided into three Parts These Prescriptions are very useful before Evacuation where an Oyly Volatil Salt prevails Take Sorrel and Rasberry Water of each an Ounce and a half fresh Juice of Citrons or Quinces one Ounce Diaphoretic Antimony from one Scruple to one Dram. Bezoar Mineral from half a Scruple to a whole one Syrup of Rasberries six Drams or one Ounce With a convenient quantity of the Spirit of Nitre dulcified make a Julep Dose two spoonfuls Take of Rasberry Water three Ounces Juice of Rasberries three Drams Diaphoretic Antimony
others In this Preparation the Antimony is strip'd of its External Acid Sulphur And contains only some Vitriolic Particles which cause an Evacuation by provoking the Fibres of the Stomach to a Contraction and an Internal fix'd Sulphur which Composes the Irregular motions of the Spirits and Corroborates Nature Upon this Account it may justly claim the Privilege of being prefer'd to all other Preparations which rather cause than remove disorders It must be exhibited in infusion with Rhenish Wine or in the form of a Syrup In substance 't is both fallacious and hurtful In adjusting the Doses of the Infusion we must have a particular regard to the quantity of the Wine and not to the Powder infus'd For twenty Grains infus'd in three Ounces of Wine are no stronger than the infusion of five Grains in the like quantity Rhenish Wine is the best for infusing it in by reason of its Acidity and the easy Admission it vouchsafes to the Antimonial Particles The same remarks are to be observ'd in the use of Crocus Metallorum and Mercurius Vitae As for Example Take of Vitrum of Antimony or Crocus Metallorum or Mercurius Vitae four five six or eight Grains infuse them in a sufficient quantity of Rhenish Wine Let them stand in a warm place all Night In the Morning strain the Wine through a Paper and exhibit one Ounce or at most an Ounce and a half for a draught If ye please ye may add two Drams of Cinnamom Water 'T is a pretty enough Contrivance that some have of an Antimonial Cup into which they pour the Wine and let it stand in some warm place for the space of a Day Then strain it off and exhibit as above If a Syrup be more agreeable Take of Crocus Metallorum two Drams and two Scruples Infuse it for three Days in ten Drams of Wine Vinegar Let it stand in some hot place and shake the Vessel frequently Then strain it off and add ten Drams of Loaf Sugar Stop the Glass well and clap it into hot Water and the Sugar will dissolve Some add a Dram of the Essence of Red Poppy Flowers Or Take four or five Drams of Vitrum Antimonii infuse it in pure Wine Vinegar Let them stand in digestion for some Days and shake the Vessel now and then After some time strain it and add an equal quantity of Loaf Sugar Make a Syrup Dose three or four Drams and to those that are very robust six Drams Or thus Take Glass of Antimony in Powder half an Ounce or an Ounce Infuse it in half a Pound or a Pound of juice of Citrons that has stood till it grew in some measure clear Set them in a warm place for digestion and shake the Glass frequently Strain the Liquor and with a sufficient quantity of Sugar boyl it into a Syrup which may be prescrib'd thus Take of Mint Water six Drams or an Ounce Cinnamom Water two Drams This Emetic Syrup half an Ounce Syrup of Tobacco two Drams Mix for a Draught The Dose of the Emetic Syrup must be vary'd according to its Preparation Some exhibit these Antimonial Emetics in the form of a Conserve or Bolus As Take of Vitrum Antimonii in Powder one Ounce infuse it in a Pint of New Wine or Juice of Quinces Let 'em stand for digestion for some Days then strain it nicely through a Linnen Cloth or Paper and set the strained Liquor over a gentle fire to evaporate to the consistence of Honey or a soft Conserve Ye may give about the bigness of a Pease or two These are the safest and most usual Vomits next to them is Emetic Tartar which is an Antimonial Preparation but may safely be given in Powder 'T is true the general Maxim is that all Antimonial Vomits ought to be given in infusion but solid Emetic Tartar is in a manner the same with the infusion of Antimony in Wine For Tartar being the Natural Production of Wine is impregnated with the same Acid that equally rejects the Grosser and Noxious Parts of the Antimony as well in a solid as a liquid form The best Preparation of Emetic Tartar is made from Vitrum Antimonii thus Take Glass of Antimony two Ounces beat it up together with an equal quantity of Cream of Tartar boyl them in a sufficient quantity of Common Water and strain the liquor while 't is hot then expose it to the Cold Air and 't will run into Crystals Thus ye have Emetic Tartar both in a liquid and solid form The common Dose is two or three Grains or five to robuster Persons In Madness and Melancholly distempers we are oblig'd to augment the Dose The common form of Prescription is as follows Take of Emetic Tartar two three four or five Grains Sugar refin'd six or ten Grains Mix and make a Powder Ye may add two drops of distill'd Oyl of Mint Or if ye desire it should move the Belly two or three Grains of Scammony prepar'd with Sulphur thus Take two Grains of Emetic Tartar two or three Grains of Scammony prepar'd with Sulphur and four or five Grains of white Sugar Mix and make a Powder Which may be taken in a spoonful or two of Chicken Broth. The Sugar is added to give the Medicine a Body lest so small a quantity as two or three Grains should be lost or escape the view of the Patient If a Bolus be more Acceptable Take Conserve of Mint one Dram Emetic Tartar two Grains with a small quantity of Syrup of Cinnamom make a Bolus Or take Rob of Juniper half a Dram Emetic Tartar two Grains Scammony prepar'd with Sulphur one Grain With a sufficient quantity of the Syrup of Orange Peel make a Bolus The Sulphur of Antimony call'd Auratum is likewise an Excellent Vomit if it be well prepar'd as thus Take of Antimony Tartar and Nitre of each equal quantities Melt the Antimony in a Crucible then throw the Tartar and Nitre into it Let the Sulphureous and Mercurial parts be separated by Detonation and afterwards separate the Regular or refined part from the Dross Dissolve the Dross in Common Water and precipitate the Sulphur with a solution of Tartar The Precipitation is best perform'd by Tartar by reason that it Mitigates the Acidity The Dose of this Sulphur is from five to six Grains As Take Cream of Tartar half a Scruple Sulphur of Antimony right prepar'd six Grains prepar'd Scammony two Grains mix and make a Powder These are the safest and mildest Vomits which may suffice for a Thousand Cases But sometimes when we meet with obstinat and inveterat distempers we have recourse to Mercurial Emer●●s Pure Mercury is a Metallin Alcali which is easily fix'd by the addition of Acids and set at liberty by Alkali's But all Acids are not equally capable to fix it The Spirits of Nitre and Vitriol render it very fix'd whereas Spirit of Salt leaves it more Volatil Thus Mercury prepar'd with the former is not so readily sublimated as when joyn'd
with the latter If ye dissolve Quicksilver in Spirit of Nitre the Acid of the Spirit fixes the Mercurial Alcali so that it remains at the bottom when ye draw off the Spirit But if ye throw common salt into it the Mercury precipitates which by separation and sublimation yields a Powerful Corrosive But after all 't is certain that liquid Mercury cannot be Coagulated but by Acids For Alcali's and Urinous salts restore it to its Natural freedom Cinnabar is a mixture of Mercury with an Acid Sulphur that fixes it Now if ye add salt of Tartar Urine or the like it disengages the Mercury and brings it to life again The Common Mercury of the Shops is not this Genuin Alcali that I 've thus describ'd but Adulterated with Sulphur It being liquid is apt to mix with an Acid so that we never find it pure This Acid Sulphur is the hidden cause of Salivation it attenuates and dissolves the viscid stubborn humors and evacuates them by the Salivary Glandules While the Mercurial Alcali absorbs the most fix'd Acids in the Body that wou'd not yield to any other Medicine Crude Mercury is a mild enough Medicine at least its sharpness is so insensible that it seldom procures either Stool or Salivation at first I prescrib'd Crude Mercury to a Woman subject to the Iliac Passions that had been constipated for a long time I order'd her three Ounces to be drunk with her other liquors and continu'd the use of it ●ill she had four and twenty Ounces in her Body It produc'd no sensible effect till the fourth Day that she began to spit and the viscid humors that the Mercury had attenuated were Copiously voided by stool Thus Crude Mercury is inoffensive with regard to the solid parts It does not irritate either the Stomach or Guts to contract themselves and cast out what they contain But only attenuates the viscid humors that block up the Passages and prepares 'em for a spontaneous Evacuation To return to Mercurial Vomits Mercury being of it self uncapable to provoke the Stomach must be mix'd with an Acid in order to become Emetic The more it partakes of the Acid the more fiercely it operates If the Acid Spirit in which 't is dissolv'd be drawn off with a gentle fire and but once 't is a dangerous Medicine and scarce fit to be us'd But if the Acid be sufficiently taken off either by a greater force of fire or reiterated Destillations it becomes milder The mixture of the Acid and the Mercurial Alcali make a Vitriol-like Concrete which provokes Vomiting and moves the Belly for all Cathartic Medicines taste like Vitriol The best Emeric of all the Mercurial Family is Turbith Mineral There are two ways of preparing it The first was invented by Crollius and 't is this Take half a Pound of Mercury and Infuse it in a Pound of Rectify'd Spirit of Sulphur Draw off the Spirit with a strong fire and repeat the Destillation thrice The fourth time add a little fresh Spirit and continue to draw it off till the bottom of the Retort and the Sand become Red hot Then take out the white Mass or Caput Mortuum and infuse it in Rain Water or some Distill'd Water Let it stand and digest till it sweeten that is till all the sharpness of the Water be gone Thus the white precipitat becomes yellow Put this yellow precipitat into a Glass with a long Neck and let it stand for digestion over a fire of Ashes for eight Days that so the resi●ue of the Mercury if any there be that is not fix'd by the Acid may be sublimated in the Head of the Glass Then take the Powder that lies at the bottom and kindle fresh Spirit of Wine thrice upon it Here the Spirit of Sulphur is prefer'd to that of Vitriol which generally retains some of its Mineral Particles and by Vertue of their motions if it stand any considerable space of time grows muddy and hot Spirit of Salt and Nitre are two extremes from which that of Sulphur seems to be equally remov'd Therefore Crollius prefer'd it to all other Acids He chose Distill'd Waters for sweetening the Precipitate because Common Water is already Loaden with Salt and therefore unfit to charge it self with Foreign Salts This Turbith Mineral ought not to be given in Powder lest it offend the Gums and Palate Bolus's and Pills are Convenient forms Take of Crollius's Turbith Mineral five Grains Venice Triacle as much as sufficeth to make a Bolus Or Take the same quantity of Turbith Mineral and with Juice of Spanish Liquorice reduce it to the consistence of Pills The other preparation of Turbith Mineral was first Communicated to the World by Mynsichtius 'T is as follows Take Corrosive Sublimat Mercury and dissolve it in Common Water then precipitate with the Oyl of Tartar per deliquium Take this precipitat and sweeten it often with a Distill'd Water or not Common Water and kindle Spirit of Wine upon it several times The Dose is from five Grains to six It is a very Powerful Medicine in all inveterat Distempers arising from an Acid. It absorbs the Acid Particles attenuates and evacuates the viscid humors Salt of Vitriol is a Nauseous Medicine and hurtful to the Stomac It s Emetic Vertue seems to proceed from the oar of Copper of which it partakes The Spirit of Sulphur and Chalybeat Minerals which are its other Ingredients are known to be no Vomits Vomiting ought to be avoided by those who are Subject to a Rupture by Child-bearing Women and such as are troubl'd with a down-falling of the Womb. CHAP. II. Of Purging Medicines THE Humors evacuated by stool are Convey'd to the Guts by the Passage of the Choler or that of the Pancreatic Juice or through the miliar Glandules inserted into the Coats of the Guts The Mesaraic Veins cannot cast forth any serum by reason that all secretion must needs be perform'd by Glandules Our Purging Medicines are all prejudicial to the Stomac except Aloe and Rhubarb They are endow'd with a certain Virulency that offends our Constitutions and do equally assault both the Noxious and Nourishing Juices If they do not meet with Corrupt Humors they make a prey of the good ones Accordingly we see that they weaken the Body disorder the Spirits and sometimes produce very dismal effects Which obliges us to add Correcters to qualify and cicurate their Malignant Qualities The Animal Family produces no Purgatives The Vegetable Boasts of a great many which are all endow'd with a sharp Volatil Salt mix'd with a viscid Oyl Fix'd Salts are the most proper Correcters of Vegetable Purgatives by reason that they open the resinous Textures and remove the offending viscidity Sometimes Fermentation produces the same effect The Mineral Purging Medicines consist of a sharp Vitriolic Sulphur which is admirably Corrected by adding Nitre They all compass their end by twitching and vellicating the Coats of the Guts or the Orifices of the Choleric and Pancreatic Passages or by
two or three Ounces Restharrow or Winter Cherry-Water one Ounce Elixyr of Juniper Berries from similitude of taste call'd Malvaticum six Drams or one Ounce or an Ounce and a half Spirit of putrified Earthworms three-Drams Volatil Spirit of Tartar from half an Ounce to six Drams Syrup of Ground Ivy or Syrup of Fennel from three to six Drams Mix and make a Potion Of which exhibit a spoonful at a time Or Take of Ground Ivy-Water Restharrow-Water and Parsley-Water of each an Ounce Elixyr of Juniper call'd Malvaticum an Ounce and a half Rectify'd Spirit of putrify'd Earthworms three Drams Spirit of Sal-armoniac a Dram and a half Syrup of Ground Ivy one Ounce Mix and make a Potion Dose two three or four Spoonfuls Or add three or four drops of distill'd Oyl of Turpentin or six drops of Oyl of Juniper in the Room of Spirit of Sal-armoniac Or Take of Strawberry-Water two Ounces Tincture of Tartar two Drams Syrup of Ground Ivy half an Ounce Mix and make a Potion Ye may add Essential Salt of Tartar or dulcify'd Spirit of Salt or Quintessence of Urine Amelungius's Nephritic Tincture is a Powerful Diuretic 'T is made of Nitre Tartar Hungarian Antimony and a sort of Flint Stones that are speckl'd with yellow spots The Nitre is first dissolv'd in Simple Water then the other Ingredients are added and after Digestion the Liquor is drawn off by Distillation Michael's Carminative Spirit is likewise an excellent Medicine for this purpose which is drawn from Nitre Tartar and Spirit of Wine Tartaris'd But above all Amber with its Volatil Salt and Distill'd Oyl All the Aromatic Herbs but especially fleabane are good Diuretics Camphyr Turpentin Juniper Human Urine Earthworms and their various Preparations are likewise of the same Family The Juice of the Birch-Tree provokes Urine more effectually than any other Medicine It ferments like Wine and becomes sowr like Vinegar and is an incomparable Medicine for Nephritic Pains Next to it is the Infusion of Spanish flies which I prepare thus Take of the Powder of Spanish flies one Scruple Infuse them in three or four Ounces of the best Rhenish Wine Let them stand in a warm place for several Days and Nights Then strain it out through Paper The Dose ten fifteen or twenty drops to be exhibited in a draught of warm Broth. Sometimes this Medicine causes Ulcers in the Bladder and a Pissing of Blood but a large draught of Milk with a little Salt of Tartar will quickly remove these Symptoms For a Diuretic Decoction Prescribe thus Take of the Leaves of Strawberries and Pellitory of the Wall of each a handful and a half Of the five opening Roots ten Drams Winter Cherries and Juniper-Berries of each six Drams The Seeds of the Ash-Tree and Red Vetches of each three Drams Cream of Tartar two Drams Boyl them in Parsley and Winter-Cherry-Water Strain out a pint and a half in which dissolve Rob of Juniper two Ounces Fernelius's Syrup of Marshmallows one Ounce Spirit of Salt dulcify'd with the Spirit of Straw-Berries as much as sufficeth to give it a grateful sharpness So much for Volatil Diuretics The fix'd Medicines that provoke Urine are all the fix'd Salts of Herbs and the Artificial Compound Salts as Tartar Prepar'd with Vitriol and the Salt call'd Digestivum Hypochondriacum Which is the Caput Mortuum remaining after the Destillation of Salarmoniac with Salt of Tartar Gromwell-Seeds Violet-Seeds and the Emulsions Prepar'd from them belong to this Class The forms of Prescription are these Take of Tartar Prepar'd with Vitriol a Dram and a half Salts of Bean stalks broom and Pigeons dung of each half a Dram. Mix and make a Powder for several Doses to be taken in Wine Ye may add the Distill'd Oyl of Turpentin or of Juniper Berries As Take of the Salt call'd Arcanum Duplicatum half a Dram. Salt of Broom or Pigeons Dung a Scruple Distil'd Oyl of Juniper Berries or of Turpentin four drops Mix and make a Powder for two Doses Cream of Tartar or Crabs Eyes or Nitre or Vitriol of Steel or Volatil Salt of Amber may be added by turns The Natural Spaw Waters provoke Urine plentifully as also the Spirit of Salt and Dulcify'd Spirit of Nitre If the form of a Bolus be desir'd prescribe thus Take Rob of Juniper one Dram. Crabs Eyes Prepar'd fifteen Grains Tartar Prepar'd with Vitriol half a Scruple Mix and make a Bolus Or if an Electuary be more acceptable Take of Conserve of Violets one Ounce Rob of Juniper half an Ounce Crabs Eyes Prepar'd two Drams Arcanum Duplicatum one Dram. With a sufficient quantity of Syrup of Ground Ivy make an Electuary Which sprinkle with a few drops of the Spirit of Salt CHAP. IV. Of the Medicines that procure Sweat THE dissolution of the Blood and its swifter Circulation cause the separation of the serum which is evacuated by the Glandules in the skin The Medicines of this fourth Class are such as produce these effects Some of which are Volatil and others fix'd Of the first sort are the Spirits and Volatil Salts Extracted from Animal and Vegetable Productions such as Spirit of Hartshorn Urine Vipers Human Blood c. And the Spirits Prepar'd from Vegetables by Putrefaction The Distill'd Oyls of Amber Tartar Guajacum and such as are drawn from the Bones and other Parts of Animals All Resinous Aromatic bitter and Attenuating Vegetables and their various Compositions as Venice Triacle Mithridate Diascordium c. They are prescrib'd in these or the like forms Take of Volatil Salarmoniac fifteen Grains Camphyr two Grains Mix and make a Powder Or Take of Fumitory Water one Ounce Spirit of Harts-horn together with its Volatil Salt one Dram. Syrup of Carduus Benedictus two Drams Mix for a Potion Or Take of Elder Flower Water one Ounce Spirit of Elder-Berries one Dram. Spirit of Sal-armoniac from half a Dram to a whole one Camphyr two Grains Syrup of Carduus Benedictus half an Ounce Make a Potion for one Dose Or Take of Carduus Benedictus Water an Ounce and a half Spirit of Sal-armoniac a Dram. Or Volatil Sal-armoniac a Scruple Distill'd Oyl of Cloves two drops Syrup of Fennel or Orange Peel half an Ounce Mix for a daught Take of Viper Grass Water one Ounce Cinnamom-Wated half a Dram. Spirit of Triacle Prepar'd with Cam●●●● half a Dram. Vola●●● Salt of Hartshorn twelve 〈◊〉 Volatil Salt of Amber six Grains Syrup of Scor 〈…〉 Ounce Make a ●o●ion As for the fix'd Medicines that procure sweat such are all Lixivial Salts well alkalis'd and the fix'd sulphurs of Metals and Minerals Antimony Steel and Nitre joyn'd together make a Powerful Sudorific or the Sulphur of Antimony and Steel The Bezoar stone is an ineffectual Medicine by reason that there is not one of a Thousand that is Genuin The stone cut out of Human Bodies is infinitely better and a Sovereign Antidot in all Pestilential Diseases We prescribe such Medicines in these or the like forms Take of
Calamint and Wormwood of each a handful Elecampane-roots Acorus-Roots of each an Ounce Galangal three Drams Cinnamom three Drams Mace one Dram 't is very oyly and therefore a small Quantity will suffice Anniseeds three or six Drams Cut bruise and tie them in a Bag to be infus'd in Rhenish Wine in a warm place for twelve Hours Let the Patient take a Draught of the Infusion before Eating adding to every Draught fifteen drops of dulcify'd Spirit of Salt The Rob of Juniper-Berries with Ginger Mace and Sugar may be us'd by way of Electuary Sal-armoniac given in Wormwood-wine Arcanum Duplicatum or essential Salt of Tartar mix'd with Aromatic Powders the Infusion of Aron and Elecampane roots in Wine Chocolat and Thea are all of excellent use As for musty Crudities Vomits and gentle Purges of Rhubarb and Tamarinds are proper Then precipitating Earthy Powders follow'd by Acid Juleps As Take of Arcanum Duplicatum two Scruples prepar'd Cuttle-bone a Scruple Powder of Nutmegs six Grains Mix for two or three Doses Take of Mint-water an Ounce and a half Cinnamom-Water two Drams Juice of Quinces six Drams Syrup of the Juice of Quinces half a Dram. Mix for a Potion Dulcify'd Spirit of Salt Spirit of Mastic Elixir Proprietatis Ivory Coral Cream of Tartar Quinces c. are all proper Ingredients Acid Crudities are remov'd by absorbent Powders and volatil Aromatics such as Scurvygrass lesser Centory Wormwood Rhubarb and especially Ginger volatil Spirits of Mint Sage Scurvygrass that of Sal-armoniac mix'd with Vegetable Spirits Spirit of Tartar Hartshorn c. Elixir Proprietatis prepar'd without an Acid together with the fixed Salts of Wormwood Carduus Benedictus c. the digestive Hypocondriac Salt Hartshorn Ivory Crabs-Eyes c. Above all River-Crabs together with the Shells are much approv'd All Acids must be avoided and after the Acid is vanquish'd Purgatives administred Besides internal Medicines external Applications are proper for promoting Chylification As Take of the Oyl of Mint prepar'd by Infusion and boyling two Drams express'd Oyl of Nutmegs a Dram distill'd Oyls of Mint of Mace and of Cloves of each half a Scruple Mix and anoint the Region of the Stomach Balsam of Peru is very proper for the same purpose Take of Tacamahac three parts Gum-Caran one part soften 'em with Balsam of Peru or distill'd Oyl of Mint and make a Plaister to be applied to the Stomac A Spunge dip'd in Wine impregnated with the Vehicle of Stomachic Simples and applied hot to the Stomac is also much approv'd CHAP. II. Of Wind in the Stomach and Guts WHEN the Work of Chylification is disturb'd Wind oft times molests and distends the Stomach which if it break upwards with a noise is call'd Belching if it be discharg'd both upwards and downwards 't is call'd a dry Cholera Wind is somewhat different from Vapors and Exhalations either of which is resolv'd by heat and thicken'd by cold whereas it undergoes no such alteration Nay 't is neither heat nor cold that is directly concern'd in giving it a Being 't is only the vicious fermentation of a Preternatural Acid within a thick viscous Body Thus we see that Spirit of Nitre pour'd upon a Metallin soluble Body boyls up into Wind and Noise The like will happen in the distillation of Tartar or the effusion of Vinegar or Juice of Citrons upon Corals or Crabs-Eyes In like manner Bread or new Wine if fermented will rise up with a windy noise but if fermentation be neglected no other process of boyling macerating distilling c. is able to produce that effect And once more if Apples be expos'd to the Sun so as to undergo a fermentation by vertue of the heat their Skin will chop and break to give way to the Wind and no other management whatsoever can compass that end Thus 't is made to appear that Wind is not pre-existent in the Liquors or Humors themselves but newly created by vertue of the imprisonment of acid and urinous Salts within a viscous Body which they endeavour to attenuate and break through when dissolv'd and put into motion by the addition of a ferment Now that the Vehicle is viscid is sufficiently made out by the tenacious gross Humors that are voided upwards by Vomiting The Part affected is the Cavity of the Stomach and its upper Orifice The immediate Cause is already explain'd To which we may add a violent compression which obliges the Wind in pursuit of a larger space to move in to break forth and forsake its narrow Habitation just as Air condensated displays its Elastic force and seeks to enlarge its Bounds driving before it the contiguous interfering Bodies with a notable noise The remote Causes are the eating of viscous Food and retention of acid Crudities Flatulent Meats may be very apt to encourage a Windy noise but without the fermentatation of an inclosed Acid they cannot of themselves produce it Therefore 't is that the same Meats will occasion such disturbances in acid Constitutions that are digested by other Persons without any disorder Some flatulent Distentions are natural produc'd by the oyly Bile and acid Mucus of the Stomac and Guts when their Cavities are Empty and projected by Nature to keep their walls from joyning and continue the openness of their Pores As to the Differences of Belchings some are Acid as in Hypocondriac cases and after long fasting some musty of which above some answerable to the natural quality of Food receiv'd as those caus'd by eating Onyons Radishes c. some quite insipid and lastly tho very rarely some are attended by a prodigious stink Now the cause of flatulent stinks must be fetch'd from the Chymical Experiment of dissolving fat Sulphureous Substances with Alcali's and precipitating with Acids As Antimony calcin'd with Nitre and Tartar in the Preparation of Crocus Metallorum then dissolv'd in Water and precipitated with Vinegar yields a most noysom Smell so the oyly Salts of the Bile first resolv'd and then precipitated by Acids are indow'd with the like Quality The Signs are these If the Wind cannot force its passage the Breast or Belly is distended and perplex'd if touch'd it rebounds as it were the respiration is very difficult especially when the Persons lie on their Backs they are molested with violent Pains and tossing from side to side they perceive a sort of flatulent noise within Just before the Wind breaks forth they complain of a vast Perplexity in their Breasts but when it gains its Passage are benefited by it Sometimes these flatulent Distentions reach the Neck and Back and occasion a Swelling about the Mouth of the Stomac which prevents the breaking of Wind downwards and reaps no advantage by those which pass upwards And Eating augments this Distention As for Prognostics They are usually the Symptoms of a Hypocondriac Illness and if they happen upon the recovery of a Disease portend its relapse If they continue long they threaten Dropsies If they stink horridly they are very malignant and
contagious The Cure is perform'd by attenuating and discharging the viscid Matter discussing the Wind and moderating its force In the first place let Antimonial Emerics be exhibited and next to them the Stomachical Purgatives prescrib'd in the last Chapter After the first Passages are clear'd the oyly volatil salin Simples are equally proper for tempering the Acid and attenuating the viscous Humour As for Example Take of Fennel and Mint-water of each an Ounce and a half Carminative-water prepar'd with Wine an Ounce Spirit of Anis Essence of Orange-peel of each three Drams distill'd Oyl of Mace five drops Syrup of Orange-peel six Drams Make a Potion to be taken by Spoonfuls Chamomil with the four hot Seeds both larger and lesser boyl'd in Wine or their distill'd Oyls or their Spirits mix'd with that of Sal-armoniac Castor or its Essence prepar'd with Spirit of Sal-armoniac Myrrh Treacle Orange-peel Amber-grise Cinnamom and all Oyly Volat-Salts are proper for the same purpose As for Example Take of Coriander-seeds half an Ounce Anniseeds Fennel-seeds of each two Drams Zedoary Ginger Galangal and Sal-armoniac of each a Dram ●owder of Diatrion Pipereon a Dram and half aromatic Oyl of Sugar two Drams Make a Coarse Powder Balsam of Sulphur is of very good use as likewise the aromatic compound Waters of the above mention'd Simples but above all the Carminative Spirit de Tribus that is the Spirit distill'd from Tartar and Nitre mix'd with Spirit of Wine tartaris'd and rectify'd Take of Mint-water two Ounces Roman Chamomil water an Ounce Zedoary-water half an Ounce Carminative Spirit de Tribus a Dram and a half Essence of Opium a Scruple Syrup of Orange-peel an Ounce Mix for a Draught Take of Elixir proprietatis prepar'd without Acids three Drams Essence of Castor two Drams Essence of Opium a Dram. Mix. Dose forty drops If Wind be accompanied with Flushings in the Face and a notable heat there is nothing comparable to the Spirit of Nitre dulcify'd with Spirit of Wine and impregnated with the vertue of Carminative-Simples after Sylvius's Method Sylvius's extemporary mixture is very serviceable in this case viz. Take of Fennel and Mint-water of each two Ounces rectify'd Spirit of Wine or Matthiolus's Aqua Vitae or Sylvius's Carminative Spirit an Ounce Spirit of Nitre twenty drops distill'd Oyl of Mace six drops Laudanum Opiatum three Grains Syrup of Mint an Ounce and a half Mix. Dose two Spoonfuls As for inveterat acid Belchings five or six Pepper-corns taken every Morning fasting are very useful as likewise absorbent Earthy Powders mix'd with Aromatics Essence or Juice of Wormwood taken at Meals and the Powder of Coral Cuttle-bone and Ostiocolla mix'd with Spirit of Wine impregnated with Juniper If the Wind proceed from a thick stubborn Mucilage exhibit the Asthmatical Syrup mix'd with a double quantity of Michael's Elixir for the Stomac Externally let the place affected be fomented with the Oyls of Chamomil and of the Carminative-seeds or with a mixture of Anis-water Spirit of Wine camphoris'd and Treacle or cover'd with a Plaister of Tacamahac Balsam of Peru and Treacle 'T is also proper to inject Clysters of Man's Urin in which the Carminative Ingredients have been boyl'd SECT VI. Of the Diseases that hinder the Retention of Food in the Stomac CHAP. I. Of Vomiting and Loathing of Meat HAVING thus accompany'd the Food from its first entry into the Mouth till its arrival in the Stomac we are now to view the Causes that disturb its Repose That Sense which with respect to external parts is call'd Pain is Christen'd Irritation among the Internal Membranes as the upper Orifice of the Stomach is said to be irritated when any Object grates upon or displeases it Now the natural result of Irritation is that Crowds of Spirits are summon'd in by the angry part and upon their arrival it contracts it self Thus the Mouth of the Stomac being extremely sensible contracts it self upon the least Irritation the natural consequence of which is a loathing of Meat or denying admission to it when swallow'd or if it happen to force its passage the imprison'd Wind belches out at the new open'd Gate But if this contraction be continu'd to the Pylorus or lower Orifice of the Stomac its Fibres being stronger than those of the upper throw up the Contents with force sufficient to master the Passage and hence insues a direct Vomiting So that Loathing and Vomiting differ in this point That the one is a contraction of the upper the other of the lower Orifice of the Stomac Vomiting is said to be Essential when the Irritating cause is lodg'd within the Stomach Such Causes are a Wound Inflammation Ulcer Gangren or Schirrus of the Stomac or Pylorus sharp Scorbutic Salts convey'd thither in company with the Spittle or deposited by the Arteries the vicious effervescency or recoyling of the Gall and Pancreatic Juice clotted Blood corrupt Matter or any Humor dislodg'd of its proper Habitation and hurry'd into the Stomac the Assumption of sharp Irritating Medicines Vomits Purges Poyson c. or of fat things which relaxat the Fibres of the upper Orifice and struggle with the acid ferment Crudities Worms c. If the Cause be seated elsewhere the Vomiting is caus'd by consent by reason either of the Stomac's being one continu'd piece with the affected part or of their mutual commerce maintain'd by the Nerves Thus the Disorders of the Bowels Guts Midriff Head Kidneys Womb Liver and Spleen are frequently the causes of Vomiting A Schirrus or corruption of the Sweetbread stagnation of the Seminal Juice in Widows and stale Maids and in a word whatever disturbs or inflames the Animal Spirits will produce the same effect Vomiting is usher'd in by Anxiety and Trouble in the Breast Swiming of the Head trembling of the Under-Lip plentiful evacuations of Spittle and Convulsive Motions of the Stomac An Essential Vomiting ought to be carefully distinguish'd from that which is Sympathical If when the Stomac is empty'd by Vomiting there remains still a propensity to Vomit if the Stomac continue heavy and blown up and nauseat Food if acid or musty Belchings insue we take it for an essential Vomiting If it be incorrigible and obstinat usher'd in at first by a pain in the Breast and after a Day or two a Loathing in a word if no fault can be fasten'd on the contain'd Humours it proceeds from a Callosity Schirrus or such like default in the Stomac If it come in a surprizing manner without the precedent Si●ns of Trouble in the Breast Loathing weak Stomac c. 'T is a shrewd Argument that it proceeds by consent from the disorder of some other part that is not yet come to light If it be caus'd by a viscid Humor 't is hard to cure it If the Chyle and Food be frequently thrown up with a feaverish heat 't is an ill circumstance Long and continual Vomiting in Malignant Feavers especially if the Matter be livid blackish or fetid is very dangerous In benign Feavers
vomiting in the beginning or height is good If it follow Wounds or Bruises of the Head 't is frequently mortal The Periodical Vomitings of Hypochondriac Scorbutic and Splenetic Persons are of a good Character If the Matter vomited be a mixture of Choler and Pituita 't is a Friendly Symptom but either of them apart is more noxious The vomiting of Worms Excrements of the Belly Clysters c. is much suspected Before we launch into the method of Cure 't will not be improper to take Notice of the following Cautions 1. That Critical Vomits or those which happen in the beginning of Benign Diseases or those of Women with Child in their first Months ought not to be stopp'd unless they exceed measure 2. That in Scorbutic Cases absorbent mitigating Ingredients are more proper than hot sharp Aromatics 3. That a Vomiting of Blood ought to be curb'd betimes for fear of exhausting the Spirits 4. In case of Worms it ought to be incourag'd and the Body kept soluble 5. That in all Vomitings 't is convenient to keep the belly open by gentle Purges and Clysters But withal the quantity of the Liquor for Clysters must be small lest the Colon being distended it should press or irritate the incumbent bottom of the Stomac 6. By all means let Sleep be promoted 7. All Vomitings occasion'd by assumption of Poyson ought to be encourag'd and continu'd till the Poyson be rooted out For which end fat and tempering Liquors are very Proper for that all Vegetable and Mineral Poysons are endu'd with an excessive Acrimony As touching Animal Poysons indeed the case is alter'd 8. That Inappetency Loathing and such like Infirmities of the Stomac ought to be obviated betimes by Vomits lest delay remove the opportunity The General Indications of Cure are these The Remote Causes must be remov'd the exquisite sense of the Stomac and fierceness of the Spirits abated by Opiats the Stomac gratify'd with agreeable Aromatics and fortify'd by Astringents The first Indication must be satisfied according to the variety of the Causes Gentle Vomits and Purges are convenient if vicious Humors in the Stomach or Poyson are blam'd as the Cause For the second Indication Laudanum Opiatum is an incomparable and universal Remedy Mithridat Venice Treacle and especially Diascordium are entitled to the same Character As for Example Take of Treacle half a Dram Laudanum Opiatum a Grain distill'd Oyl of Mace two Drops with Juice of Quinces make a Bolus The third Indication is answer'd by sweet-scented Aromatic Stomachic Remedies Such as are Quinces Mint Wormwood Baum Zedoary Orange Peel Mastic Camphir Cloves Nutmegs and especially Cinamom their Waters Spirits Essences Extracts and distill'd Oyls The Astringent Ingredients are Quercetanus's Syrup of Coral Syrup of dry Roses Juice of Pomgranats Vinegar with Zedoary infus'd Elixir of Vitriol and especially the Spirit of Vitriol of Steel and Juice of Quinces Seal'd Earth beat into a Pultise with Spirit of Vitriol or of Nitre hardens into a Stone which if powder'd and put into a moist place melts into a Styptic Liquor of admirable use for all Astringent Indications Take of Mint-Water two or three Ounces Cinnamom-Water six Drams Juice of Quinces an Ounce rectify'd Spirit of Vitriol five or six Drops Distill'd Oyl of Cinnamom three Drops mix Take a spoonful now and then adding sometimes one two or three Grains of Laudanum Opiatum or if the Person be very weak a Scruple of the Essence of Ambergrise or in a case of Extremity four or five Grains of Allum Venice Treacle mixt with Vinegar or form'd into a Bolus with Spirit of Vitriol is much approv'd In malignant Feavers Salt of Wormwood with Juice of Limons when the Stomach is stuff'd with thick Humors Spirit of Salt or of Nitre with Treacle and when the Stomach is inflam'd or corroded the Muci●age of Fleawort and Quince-seeds with solutive Syrup of Roses are very convenient Externally Let Aromatic and Corroborating Ingredients be boyl'd in Vinegar and the warm Decoction applied with a Spunge to the Stomach or let toasted bread soak'd in Vinegar and cover'd with Aromatic Pouders be applied to the Region of the Stomach Spirit of Wine Camphoris'd is very effectual in Fomentations A Bag may be quilted with Mint Nutmegs Cloves Mace and Cinnamom sprinkl'd with Triacl'd Spirit of Wine and Distill'd Oyl of Mint and applied Some commend the application of a bag of Saffron Liniments are compos'd of Venice Treacle Balsam of Peru or Oyls of Mastic Wormwood Quinces c. Or Take of Express'd Oyl of Nutmegs two Drams Distill'd Oyls of Mint Cloves and Mace of each half a Scruple Distill'd Oyl of Cinnamom five Drops make a Liniment and anoint the Stomach and Breast Plaisters may be made of Tacamahac and Gum Caran with Aromatic Oyls after the Example of Crato's Cataplasms are likewise proper as Take of the sharpest Yest four Ounces Pouder of Mint an Ounce of Zedoary six Drams Nutmegs three in number Mace Cloves and Cinnamom of each two Drams Aniseeds Cuminseeds and Fennelseeds of each three Drams With a little vinegar of Roses make a Cataplasm to be applied to the Stomach When the Irritating Cause is transfer'd from other parts to the Stomach Purging Bleeding and such like Diversions are very proper As Women with Child are sometimes cur'd of vomiting by Blood-letting When we are oblig'd to stop an Artificial vomiting 't is convenient to exhibit Milk boyled with Bread or Bread soak'd in Generous Wine Inject Clysters of Milk with Treacle administer Opiats and apply outwardly as above If the Assumption of an harsh Purge dispose one to vomit there 's nothing better than to chew fresh Citron Peel or smell to toasted Bread dipp'd in vinegar and cover it with Pouder of Cloves CHAP. II. Of a Vomiting of Blood THis Symptom may be caus'd by the suppression of the Piles or Terms in Maids or Women with Child Opening of a Vein or Artery as that of the Vas breve thro the Obstruction of the Spleen which emptys its Blood into the Stomac or any of the Pancreatic Veins occasion'd by the sharpness of its Juice which Veins deposit their Blood into the Duodenum and then it is voided both upwards and downwards Sometimes the healing up of a sordid Ulcer may occasion it by reason partly that the Blood was formerly evacuated in the form of corrupt Matter and partly that the Ferment of the Ulcer may have corroded the Vessels in the Lungs It succeeds frequently to Amputations the Blood being then crouded into Fewer Channels The Signs are these Arterious Blood is fluid and reddish If the vomited matter be of an obscure colour and clotted resembling the Liver it comes from the Veins If it incline to a black colour be voided with a biting pain and tended by an austere taste 't is not Blood but an acid corrupt humor or Atra Bilis If it proceed from the rupture of the Vas breve 't is usher'd in by a beating pain in the left side of the
a manifest Cause portends a Chronical Distemper The Specifics that compass its Cure are Absorbent Pouders such as Chalk and Cream of Tartar the Pouder of Burnt Bricks Bole Armenic c. Nutmegs are possess'd of a temperat Oyl fit for moderating the Acrimony of the Humours The Conserve of the Fruit of the common Briar Syrup and Conserve of Oak-Buds Juice of House-leek and Nitre dissolv'd in Elder-flower-water are much approv'd Take of Prepared Chalk two Drams Nutmegs burnt Ivory of each a Dram Mineral Unicorn Red Coral and Crabs Eyes of each two Scruples With four or six Ounces of Sugar dissolv'd in Purslain-water make Tablets Take of the Conserve of Oak-Buds an Ounce Prepared Chalk two Drams Nutmegs one Dram. Make an Electuary If the Evacuations be needful Tamarinds are most proper When a stronger Purgation is desir'd Rhubarb Pills of Ammoniac and Elixir Proprietatis are likewise convenient In an Inveterat case we have recourse to Vomits SECT VIII Of Disorders hindring the due Separation of the Chyle from the Excrements in the Guts THE Victuals having made a sufficient stay in the Stomac repair to the Guts under the form of Chyle which wants to be further prepar'd by being rid of its Curd or gross Excrements before it enter the Vasa Lactea This separation of the good and bad is perform'd by the Gall and Pancreatic Juice The former is an Oyly sulphureous Body which tinctures the Chyle and predisposes it for being converted into Blood It defends it from Corruption destroys any remains of Acidity and ferments with the Pancreatic Juice which is a temperat Acid. Thus they joyntly attack the Chyle attinuat its parts and precipitat the Coarser in order to expulsion while the more refin'd are receiv'd by the Milky Vessels and convey'd to the Blood If this fermentation and separation be irregularly perform'd the Body is expos'd to an infinity of Diseases In a word all Chronical Distempers are owing to the lameness of this performance and that of the first Digestion From these two Juices viz. the Gall and Pancreatic Juice together with the Pituita compos'd of the Saliva and remains of the Chyle in the Stomac Sylvius fetch'd the Causes of a great many Diseases not only Agues but all Chronical Distempers and Symptoms of the lower Belly For the least disorder in that Triumvirat obstructs the due purification and conveyance of the Chyle which cannot but produce many Inconveniencies in the Body Now each of these Juices is accountable for its own faults If the Gall be too copious it renders the Chyle too Oyly and ought to be purg'd out If too sharp or saline it ought to be temper'd by dulcify'd Acids If too fat or oyly it ought to be sharpen'd with volatil Aromatic Salts If it be lazy or do not flow into the Duodenum it ought to be stir'd up and a passage open'd to it by spirituous volatil Medicines As for the Juice of the Sweet-bread if it be too rank it ought to be carry'd off If too acid or austere its austerity causes Constipation of the Belly Gripings and Suffocations of the Womb it ought to be temper'd by Alcali's both fix'd and volatil as fix'd Salts Earths Chalybeat and Antimonial Medicines Castor Galangal Ginger distill'd aromatic Oyls and Spirits c. If it be too flat or deficient it ought to be retriev'd by dulcify'd mineral acid Spirits Juice of Quinces c. If the Chyle it self be deprav'd in the first Digestion it s softer coarse parts that stick to the Guts viz. the mucus that defends them from the sharpness of these two Juices is likewise disorder'd and ought to be put to rights If it be too copious purge it off with Coloquintida If too viscid attenuat it with volatil Salts if deficient repair it with viscous Food But for so much at 't is a difficult Task to trace the peculiar faults of every Juice apart we shall touch at such Medicines as are equally calculated for redressing all their Disorders Those are the temperat salin Ingredients as Arcanum Duplicatum the Carminative Spirit Spirit of Nitre dulcify'd with a triple quantity of the Spirit of Aniseeds together with Opiats As for Example Take of Carduus Benedictus Endive and Mint Waters of each an Ounce Sal Armoniac six drams dulcify'd Spirit of Mint a scruple prepar'd Crabs Eyes a dram Diaphoretic Antimony a scruple Laudanum Opiatum three grains Syrup of Orange-peel half an ounce Mix and give a spoonful now and then SECT IX Of Disorders relating to the Expulsion of the Excrements by Stool THE Chyle having drop'd its Excrements in the Guts pursues its Journey to the Blood These Excrements ought to be voided in due time The hindrances of their regular Evacuation are such as either impair enlarge or deprave it CHAP. I. Of the Diseases which impair the Evacuation by Stool ARTIC I. Of Costiveness THE Causes of Costiveness respect either the Excrements or the Guts Of the former sort are the paucity of Excrements for want of Victuals Their hardness and dryness occasion'd by neglect of drinking excessive sleep and rest swallowing Cherry-stones or Gooseberryskins eating Chesnuts Eggs boyl'd hard Crust of Bread and Medlars Their viscidity and glutinosity caus'd by viscous Victuals or an acid austere Constitution of Body and want of Exercise Their Condensation and Coagulation caus'd by the austere acidity of the Pancreatic Juice and defect of the oyly bilious Alcali all which makes 'em unfit for observing the Peristaltic Motion of the Guts and dispose 'em to stagnat The Causes relating to the Guts are Obstructions or fleshy Excrescences in the Guts their Compression as in Women with Child their Inflammation or Gangrene their growing together after the Corrosion of a Dysentery the Paralytic Relaxation of their Fibres which in Apoplexies eludes Clysters Their Convulsive Contractions occasion'd by Colic or Nephritic Pains which are frequently augmented by strong irritating Purgatives but remov'd by smooth Laxatives Now all these Causes hinder the Guts to perform their wonted Office of forwarding the Excrements by their Peristaltic Motion Sometimes a Costiveness is follow'd by a loathing vomiting gnawing shooting Pains in the Belly uneasiness watchings giddiness and Head-ach If it be inveterat it may occasion a bleeding at Nose If the Excrements be lodg'd in the Colon they creat an uneasiness resembling the splenetic Illness which frequently imposes upon Physitians The disorders of the Head and Hypocondriac Symptoms are inlarg'd by Costiveness which to young Persons threaten an Epilepsie If attended by an Iliac Passion Colic Pains or a Palsie of the Guts 't is very dangerous To Childbearing Women it renders Delivery difficult The Cure consists in softening watering and attenuating the Excrements or in removing the Causes which straiten the Capacity of the Guts reviving their Sense and appeasing their Irritations For the former purposes Oyl of sweet Almonds with solutive Syrup of Roses Salt of the tendrels of Vines mix'd with Spirit of Salt soft potch'd Eggs with Butter drinking
may be useful for strengthning the Fibres of the Guts But to what Purpose should the Irritating and Floating Humors be bound up 'T is better they should take their Course than be thrown upon a Nobler Part. 'T is true Tormentil seal'd Earth Sugar of Lead and such like things are very useful but 't is not upon the account of their Adstringent but Absorbing and Correcting Vertue 7. 'T is the Ridiculous Humor of some to avoid Wine Whereas nothing is more Friendly to the Stomac or more proper against a Looseness Of All the Medicines us'd against Loosenesses Opium is the Head 'T is a Powerful Controuler of all Tumultuous Motions 'T is exhibited in Vinegar Or rather Recent Diascordium may supply its Room being given from a Dram to two Drams Some extoll the use of two Eggs boyl'd very hard sprinkled with Rose-Vinegar and Pouder of Mace and Nutmegs Others recommend a Quince fill'd with Wax and Roasted Goats Tallow melted and mix'd with Flower Extract of Tormentil dissolv'd in Cinnamon or Mint Water together with a Grain or two of Laudanum the Juice of Austere Fruits such as Medlars and Quinces mix'd with the Juice of Arsmart The Rob made from the Juice of unripe sorbe Apples the Conserve of Quinces mix'd with Distill'd Oyl of Cinnamon and Laudanum Opiatum The Decoction of Masticwood or in the Room of it that of Mastic it self with Mace and Cinnamon mix'd with Gelley of Hartshorn for Ordinary Drink or Water impregnated with the fumes of Mastic The Decoction of Juniper-berries or that of Hartshorn and Stag's Pizzle or the Decoction of Gum Arabic and Sugar in Ale The Golden Earth found in Gold Mines dissolv'd with the Spirit of the Vitriol of Steel Whey or Vinegar impregnated with Steel Crocus of Stee● Dulcify'd Gaput Mortuum of Vitriol exhibited in an Acid Vehicle Coral Crystal mix'd with Hysteric Laudanum and Chalybeat Bezoar against a Bilious Looseness Blood Stone Sugar of Lead Plantan Purslain Tormentil and Columbin-Waters and the Juices of Quinces and Pomgranats These are all specifics in this Disease Take of Plantan-Water three Ounces Cinnamom-Water an Ounce Fracastorius's Diascordium two Drams Prepar'd Red Coral two Scruples seal'd Earth a Scruple Syrup of Myrtles an Ounce Make a Potion Give a spoonful now and then Vinegar of Wine or of Roses and Diaphoretic Antimony may be added Take of Mint-water two Ounces Cinnamom-water two Drams Extract of Tormentil eight Grains Astringent Crocus of Steel and Hysteric Laudanum of each six Grains Syrup of Quinces half an Ounce Mix for one Dose Dulcify'd Spirit of Nitre may be added Or to temper the sharpness of the humors an Emulsion may be made from sweet Almonds and White Poppy Seeds with the Decoction of Hartshorn and mix'd with absorbent Powders Take of Vitriolated Conserve of Mint an Ounce and a half Diascordium half an Ounce Seal'd Earth a Dram Chalybeat Diaphoretic Antimony and Extract of Tormentil Roots of each half a Dram. With Syrup of Masterwort make an Electuary Dose two Drams twice or thrice aday When a Looseness is attended by Gripings black excrements thirst and inappetency give what follows Take Conserve of Mint and Diascordium of each two Ounces Rhubarb a Dram Red Coral two Scruples With Syrup of Coral make an Electuary Of which let the Patient take a Convenient quantity frequently In malignant Epidemical Loosenesses Alexipharmacal sudorifics ought to be mix'd with proper specifics as Spirit of Venice Treacle with Spirit of Mastic Seal'd Earth and Volatil Salt of Vipers c. Or thus Take of Seal'd Earth and Diaphoretic Antimony of each fifteen Grains Powder of Mace four Grains Volatil Salt of Vipers six Grains Mix for one Dose Take of Mint and Scordium Waters of each an Ounce and a half Cinnamon Water three Drams Vinegar of Wine six Drams Venice Treacle a Dram and a half Mineral Bezoar half a Dram Syrup of Quinces three Drams Mix for a Potion In the mean while let the Stomac be fortify'd by the Juice of Quinces Dulcify'd Spirit of Salt or a Draught of Generous Wine In case of a Tenesmus inject Milk-Clysters frequently If a Looseness be caus'd by Poyson give twelve Grains of Emerald with Conserve of Quinces The External Remedies against Loosenesses are Venice Treacle mix'd with Balsam of Peru and the Distill'd Oyl of Mastic sprinkl'd with the Distill'd Oyl of Mace and Applied to the Belly or the Crust of Tosted Bread soak'd in Vinegar and Cover'd with Cloves and Nutmegs in Powder or a Cataplasm of yest Powder of Mint Leaves Zedoary Cloves Galangal Ginger and Rose Vinegar applied to the Navel Fomentations of the same place with Decoctions of Aromatic Ingredients or Inunctions with Distill'd Aromatic Oyls incorporated with Express'd Oyl of Nutmegs applying after Inunction a hot Brick are also proper If there be a necessity of cleansing the Intestines either in the Beginning or Declension of the Disease give half a Dram of Rhubarb with eight Grains of Nutmegs and three Grains of Hysteric Laudanum Or give the Decoction of Tamarinds But these things are most proper in the Declination of the Disease or if in the beginning it must be when the humours are hurry'd into the Guts from other Parts or the first Passages are very foul as when a Looseness proceeds from Summer Fruits If the Great Intestines are the Seat of the Evil Clysters of Milk are proper as also when the Person goes frequently to stool and voids but little which is a sign of the Acrimony of the humor In that case Emollient Clysters of Chalybeat Milk Yelks of Eggs Turpentin and Hony of Roses are very useful If the Anus be excoriated foment with Milk in which Emollient-Herbs are Boyl'd If a Looseness be occasion'd by over violent Purgation let Laudanum Opiatum Wormwood Rue Essence of Venice Treacle mix'd with Anodyns and Diaphoretic Powders such as Seal'd Earth Sugar of Lead Blood stone Diaphoretic Antimony c. Be exhibited Let Venice Treacle be applied to the Navel or the Belly be fomented with Wine in which Wormwood Mint and Spices are Boyl'd If the Person be Grip'd or Molested with a perpetual Itch of going to stool inject a Clyster of warm Milk in which Venice Treacle is dissolv'd If a Looseness proceed from an Error in the use of External things as Summer Fruits c. It ought not to be stopped unless it overbear or cause an inappetency and weak Concoction in which case we exhibit the absorbent Powders with Opiats in the same method as above If a Looseness proceed from the transferring of the morbific matter to which Catarrhous Persons are obnoxious in the Night-time and which the Ancients fancy'd to flow from the Brain it is cur'd by aversion and derivation by Issues and Blistering Plaisters If a Looseness be caus'd by the spontaneous course of humors 't is cur'd as a common Looseness or by Chalybeat Medicines and Bathing But these last sorts of Loosenesses require no Cure unless they prove exorbitant ART II. Of the
those from an internal Cause from others externally occasion'd 2. Notwithstanding the Clamors of some Authors Narcotics are very proper especially in the beginning but they ought to be mixt with convenient Specifics and given in very large Doses for Persons under this Disease can bear Opium wonderfully 3. In malignant Dysenteries laxative Medicines are very nocive but in benign ones they 're approv'd in the beginning if the Constitution of the Patient be Cacochymical or if the Dysentery proceed from Summer Fruits Rhubarb and Whey are fittest for this purpose but Narcotics ought to be mix'd with 'em and likewise exhibited by themselves both the preceding and following Nights 4. Vomits are very dangerous yet if the Chyle be corrupted and the Stomac much oppress'd if the Person vomit easily and have sufficient Strength to undergo the Tryal they may be ventur'd on But withal in a malignant Dysentery they are absolutely noxious unless an over-violent Purge or Poyson have occasion'd it 5. Sudorifics are always proper in Epidemical Dysenteries and ought never to be omitted They are much preferable to Purgatives or any other Medicines whatsoever 6. Astringents are very offensive at first After the use of gentle abstergent Laxatives in benign and that of Alexipharmacal Sudorifics in malignant Dysenteries they may be given in the declension of the Disease but not before 7. Blood-letting is to no purpose in most cases Nay even in the case of a suppression of the Terms it ought to be cautiously attempted if the Dysentery be malignant 8. All Clysters whatsoever tho never so softening irritat the Guts in some measure and promote a Tenesmus upon which account they ought to be very cautiously and sparingly us'd They are most proper in the declination of the Disease when the great Intestines are affected or stuff'd with sharp Humors and when the Dysentery is benign 9. A peculiar regard must be always had to the Stomac whose good or bad Condition alone stamps a hopeful or desperat Character on a Dysentery Warm Wine moderatly us'd is proper for this purpose 10. The Feet and external parts ought to be kept warm for the least Cold or the drinking of any cold Liquor revives and exasperats the Disease 11. There 's nothing so conducive as Rest and Quiet They ought not to stir from their Beds nor move when they are in ' em 12. Venery is oft-times a Sovereign Cure for a Dysentery From what is premis'd we may infer the Indications for Cure viz. To put a stop to the Irritation of the Intestins and repair the loss they 've sustain'd to purify the Blood and separat the preternatural ferment As for the particular Medicines answering these ends we shall first run over the Specifics peculiar to this Disease In which Class the Pizzle of a Whale leads the Van next is a Staggs Pizzle They are never pounded but only shav'd As Take of the shavings of a Stags Pizzle two drams Hysteric Laudanum nine Grains make a Powder for two Doses Take of the Decoction of a Whale's Pizzle a Pound and a half Cinnamom-water an ounce Syrup of Coral two or three ounces Make a Julep of which let the Patient take a Draught over Night They may be mix'd either in Powder or Decoction with other specific and common Ingredients of which more anon The next Specific is Hartshorn Its Decoction with Burnet is commended by Riverius for ordinary drinking It s Gelly may be mix'd with the Gelly of Stags Pizzle and dissolv'd in any Liquor Or thus Take of the Decoction of the shavings of a Stag's Pizzle a Pound Gelly of Hartshorn six drams Cinnamom-water six drams Syrup of Comfrey an ounce Make a Julep Next in order are the shavings of the Scull of a Man that dies a violent death given to a dram the Moss of the Scull given to a scruple the Powder of a Sea-horse Tooth or Unicorn's Horn given to a dram Oak Berries Misselto of the Oak The Powder prepar'd from Elder-berries call'd Tragaea Granorum Actes baken up anew with Hairs-blood and Stag's Pizzle and fresh Juice of the Berries the blood of a Hare kill'd by Dogs given in Powder to a dram or by way of Infusion a Clour soak'd in it being infus'd in Ale or ordinary Drink the Blood of a Lamb Kill'd after frighting us'd after the same method the dry'd Livers of Serpents and Vipers given to a Scruple Crystal the Livers of Green Frogs an Apple excavated and fill'd with Wax and Gum Arabic and so Roasted or rather a Quince with the same Ingredients Roasted the Dung of a Dog fed with Bones given to a Dram in Steeled Goats Milk the Pouder of Horse-hoof given to a Dram Satyrium Roots by way of Infusion the Decoction or Pouder of Cork Wallnut-Catkins given to a Dram in Pouder Tormentil Rob of Sorbe Apples Mineral Unicorn Dulcify'd Earth of Vitriol taken from the Vitriol of Steel Sulphur and its Flowers Ashwood given to a Dram in warm Wine and Allum of which Four or Five Grains are given with Cinnamom very successfully Thus far the most Noted Specifics The Common Ingredients which we usually joyn to them are the Astringent Styptic absorbent and fat Oily Medicines recommended against Vomiting Loosenesses and the Cholera Goats Milk in the beginning of the Disease is a good Abstergent and towards the end Cows Milk Consolidats and Heals Chalybeat Milk with Comfrey and Tormentil Roots or the shavings of Stag's Pizzle or Rice or Yelks of Eggs and Juice of Ivy boyl'd in it is of excellent use The Essence and Syrup of Comfrey the Extract of Venice Treacle or that of Tormentil given with Laudanum Opiatum at Night in Pills The Spirit of Venice Treacle Camphoris'd The Tincture of Coral Prepar'd with Spirit of Sassafras The Tincture of the Sulphur of Vitriol The Styptic Liquor Prepar'd from Seal'd Earth and Spirit of Nitre call'd Liquor Aureus The Tincture of Blood-stone Myrrh and its Essence Amber and its Troches Sugar of Lead a Noted Specific The Tincture Extracted from the Earth of Gold Mines by Spirit of Salt These I say are all Common Ingredients A few Receipts shall serve for Examples In a Benign Dysentery if it be Convenient either in the Beginning or Declension to Purge of which we must be very cautious Let Laudanum Opiatum be exhibited over Night then in the Morning take of Diascordium a Dram Rhubarb two Scruples Laudanum Opiatum two Grains With Syrup of Quinces make a Bolus to be Reiterated Or Take of Plantan Water an Ounce Powder of Rhubarb a Dram Laudanum Opiatum a Grain With Syrup of Quinces make a Potion In a Malignant Dysentery let Laxatives be omitted and prescribe thus Take of Hartshorn Prepar'd without fire a Scruple Diaphoretic Antimony half a Scruple Volatil Salt of Vipers five Grains Laudanum Opiatum one Grain Mix. Take of Mint Water an Ounce Spirit of Venice Treacle Camphoris'd two Drams Diaphoretic Antimony a Scruple Human Bones calcin'd half a Scruple Extract of Venice Treacle five Grains
a scruple Seal'd Earth twelve Grains the Distill'd Oyl of Orange Peel the Distill'd Oyls of Anis Caraways Fennel and Zedoary of each a drop Make a Powder for two Doses Take of Castor half a scruple Volatil Salt of Amber five Grains Laudanum Opiatum a Grain or two Make a Powder for Convulsive Colics Or Take of the Tincture of Tartar half an ounce Essence of Gum Ammoniac three drams Essence of Myrrh Tartaris'd a dram and a half Mix c. Dose fifty drops Elixyr Proprietatis Essence of Castor or that of Opium may be added by turns Pills of the Extract of Castor and that of Venice Treacle mix'd with some convenient Oyl are very proper The Decoction Essence Powder and Oyl of Orange Peel especially in a strangury and all Preparations from Clary are of Sovereign use in all Colics The flowers of sulphur are of unknown Vertue if mix'd with Myrrh or Distill'd Oyls Spirit of Nitre well rectify'd with Spirit of Wine distill'd from aromatic Ingredients is an incomparable thing in all hot Colics 'T is given with the Decoction of Elecampane Roots for a Vehicle The Oyl or Spirit of Turpentin digested with Juniper Berries and Flowers of St. Johns wort which by the way are possess'd of a rich Oyl is given against the Colics caus'd by humors in the Guts to a scruple with wonderful success The Carminative Spirit made of Nitre Tartar and Spirit of Urine given to half a dram in some warm Vehicle is likewise much applauded The Powder of Horse's Stones given to a dram in Lilly Convally Water with a little Saffron the shavings of a Bull 's Pizzle given to a scruple in Spanish Wine the Powder of Soot mix'd with Vinegar or its Spirit are all approv'd Remedies Sugar of Lead is excellent where acidity prevails As the juice of Horse Dung or that of other Beasts mix'd with warm Ale is inferior to no Medicine in that Case After taking any of these Medicines the Patient ought to be very quiet and make account to sweat If a Colic tend to a Palsy of the Guts let sharp Clysters be injected and Volatil Salts exhibited such as that of Urine Spirit of Hartshorn or of Sal-armoniac and especially the Volatil Spirit of Tartar or which is yet more Volatil the Spirit Distill'd from the Dregs of Wine In a scorbutic Colic let Volatil Salts and Antiscorbutic Ingredients be added In a Colic caus'd by any External error Laxatives mix'd With Absorbents are proper If cold or Drinking occasion it give Pepper and Spirit of Wine As for External Applications against Colic● Let the Belly and Navel be well fomented with Li●●●ents of express'd Oyls mix'd with those that are Distill●● and afterwards cover it with a hot Brick The fot of a Wild Cat and Zivet is much approv'd for this use As also Galbanum melted and mix'd with the Distill'd Oyls of Spike and Amber Plaisters made of Tacamahac Balsam of Peru or that of Bay berries with that of Tobacco Cataplasms of Horse Dung with Oyl of Rue And Quilted Bags of Milletseeds or of Anodyn and Aromatic Ingredients are likewise applied to the belly with good success Take of the Oyls of Bays of Dill and of Chamomil of each half an ounce Galbanum a dram Distill'd Oyl of Amber half a dram Distill'd Oyls of Caraways Cummin and Fennel of each half a scruple Make a Liniment The Oyl of Orange Peel the Distill'd Oyl of Angelica and the Oyl of Castor or Powders of Castor are also proper Ingredients The Oyl of Soap and white Rock Oyl are of excellent use Externally in all Convulsive Colics Take of the tops of Henbane and Elder Flowers of each two handfuls Chamomil flowers three or four handfuls fresh Juniper berries two ounces Make a Quilted Bag to be infus'd in hot Wine or boyl'd in Goats Milk and applied to the Belly and frequently reiterated especially in Scorbutic Colics Take of the Leaves of Bays and Rue of each three handfuls Tops of Dill and lesser Centory flowers of Roman Chamomil Elder flowers of each half a handful Angelica and Lovage Roots of each two ounces Bay berries an ounce Juniper berries half an ounce the four greater hot seeds of each two drams Boyl them in Wine for a Bag. Some choose to apply Bags of Oats Juniper berries and Coriander seeds Others apply a little Puppy to the Belly So much for the cure of a Colic fit After the fit is over let Diuretic and Garminative Medicines be us'd The solution of Steel with the juice of Apples the Spirit of Sal-armoniac and to robust Constitutions the Solar Liquor of Steel are then very useful SECT XII Of the Vicious Postures of the Guts CHAP. I. Of Ruptures THE Caul and Guts are wrap'd into the Peritonaeum If this Membran be relaxated or broke they fall out upon the Infirm Part either separately or both together The Guts which are liable to this Eruption are the Jejunum and Ileum The great Guts are secure from that danger as being more firmly fastned This Relaxation of the Peritonaeum happens for the most part in one of its two Processes the one surrounding the Umbilical the other the Spermatic Vessels The Bursting at the Navel is sometimes caus'd by hard Labour in Child-birth Vomiting Jumping crying aloud carrying of heavy Burthens Coughing Sneezing violent Purgations or whatever divides or stretches the Membran of the Peritonaeum are the General Causes of all Ruptures Children whose Membrans are tender and most expos'd to Violence are very obnoxious to this Disease Sometimes the Infirmity is Hereditary or produc'd by Internal Causes but withal very rarely If the Process of the Peritonaeum surrounding the Spermatic Vessels be dilated either the Caul or the Guts or both fall down either upon the Groyn or into the Cod. If the Membran be quite broke they stop about the Muscles of the Groyn But if it be only dilated they trace its Progress to the Cod. Sometimes but very rarely this bursting falls out upon the sides of the belly or upon the Loyns or thro a Breach in the Womb. And Surgeons ought to be very cautious that they be not impos'd upon by it under the appearance of an Ulcer in those unwonted Places The Stones sometimes are drawn into the Groyn and Resemble a Rupture and are oft times taken either for that or an Imposthume A Rupture therefore is a soft Tumor sometimes decreasing sometimes increasing If it be Recent it disappears when the Patient lies on his Back and returns when he stands upright For the most part 't is Painless and easy to put up unless the Gut be inflam'd or molested with Wind or harden'd Excrements And besides it increases if the Patient cough By these Signs it is distinguish'd from Bubo's or the Testicle sticking in the Passage If the Gut be irritated either externally by Cold Bruises c. Or Internally by Wind hard Excrements c. Iliac or Colic Pains insue and are very fatal as likewise Inflammations or Gangrenes or Suppuration of
Scars following the Corrosion of a Dysentery or Looseness or interrupted by its own viscidity or slime squeez'd into its Vessels from the Guts and afterwards congeal'd of which we have a plain Instance in the Case of drinking cold Liquors after a violent hot Exercise for as much as the heat melts the slime and the motion drives it into the Vessels and the sudden arrival of cold Liquor cuts off its retreat by causing its Coagulation so that it either stagnats or proceeds with the Chyle to the Blood and depraves its Crasis This viscidity or crudity of the Chyle or of the Humor its Companion is the true cause of all Chronical Distempers falsly imputed by the Ancients to Obstructions or contrary Qualities of the Bowels That there are Obstructions I do not deny Some in the Blood Vessels causing Inflammations Others in the Lymphatic or perhaps those of the Chyle causing the rupture of the Vessels and effusion of the Lymph upon the Cavities of the Body And others again in the Bowels appearing in the form of Imposthumes and Schirrus's But these are rather the effect than cause of Chronical Diseases That stagnation of the Liquors in their respective Vessels is occasion'd by their viscidity The viscidity is caus'd by acid Crudities attending the Chyle and debauching the Blood and Lymph Moreover the proneness of Imposthumes to suppurate and that of Schirrus's to become Ganeers are solid proofs of their being caus'd by a viscous acid And as to the Antipathy of the Bowels 't is inconsistent with the Laws of Circulation The Blood and Spirits are equally the cause of heat all over the Body if all the parts be equally 〈◊〉 pos'd for their Reception 'T is true indeed a partic●●●● Bowel or external part may be occasionally weak●●● and suffer a Relaxation of its Fibres or by vertue of acid pointed Particles darted into its Bosom like that of a Thorn into the Finger may be disturb'● with Heat and Inflammation while the others retain their cooler Temperature But it plainly appears that these effects are not owing to any Radical Antipathy in the Qualities of the Bowels but the occasional unequal Distribution of the viscous acid Particles It remains therefore to be concluded upon that the acid Crudity of the Chyle impress'd upon it in the first Passages is the natural and obvious cause of Chronical Distempers and that Obstructions may be effected by the long duration of these Distempers but cannot claim the priviledge of being their Causes This Hypothesis will be set in a clearer light by surveying the Symptoms and the Method of Curing these Chronical Distempers The former are acid Belchings Wind loss of Appetit Gripings and noise in the Guts incident heat and Inflammation Looseness c. the natural Progeny of an acid Crudity And as touching the latter the whole Circle of Specifics is generally made to center in an aperient Vertue Now the Preparations of Steel and Lead do justly lead the Van of this numberless Catalogue And how these astringent Medicines should be intitled to an opening Vertue all the Posse of Writers is at a loss to explain Whereas 't is an obvious Solution that these metallin Particles suck up and incounter the acid Crudity and transform it into a vitriolic Concrete which is afterwards evacuated under the form of black Excrements So that it opens or unlocks the Passages only indirectly by subduing the hostil Intruder Antiscorbutic volatil salin Medicines and Gums are likewise us'd Now they attinuat the viscous Humor precipitat the rank acid fortifie the Stomac the original source of the Evil and whet the Bile And here by the way 't will not be improper to take notice that the Essences commonly prepar'd from volatil Antiscorbutic Herbs as the Essence of Scurvygrass c. fall short of the original vertue of their Herbs as containing only the volatil Salt strip'd of the fix'd Salt which withal is very useful Upon which account I prefer the Quintessences made of the Oyl and both the Spirits one prepar'd by Fermentation and the other by Putrefaction These two being mix'd with the distill'd Oyl by long Digestion and frequent Cohobation And besides all Antiscorbutic Spirits prepared by Fermentation ought to be frequently cohobated in order to extract the fixed Alcalin Salt Tartar also is a great Specific in these Cases But its Cream is too acid Let it be mix'd with half the quantity of Salt of Tartar dissolv'd in warm water after Fermentation filtrated and set to evaporat Thus its Acidity is conquer'd It s volatil Spirit or rather that drawn from the Dregs of Wine or the Carminative Spirit prepar'd from Nitre Tartar and Spirit of Wine and all volatil Preparations of Tartar are of wonderful efficacy in clearing the first Passages correcting the Digestive Ferment and conquering the acid of Wine that we in these Countries are so obnoxious to In the Animal Province Man's Urine given to drink and all urinous Spirits and Salts especially the Spirit of Salarmoniac prepar'd with Quick-lime are noted antiacids in all Chronical Distempers The Spirit of Ants and that of Earth-worms are famous Anti-scorbutics Of the Mineral Family Steel is the Head It ought not to be much impregnated with an acid otherwise it will not dissolve in the Body The best way of giving it is either in crude Powder or by way of extract taken from its Infusion in the Juice of Apples Quinces or of Tamarinds or a Tincture taken from the same with Spirit of Scurvygrass The Tincture of Steel prepar'd with Spirit of Bread is likewise a proper form It s Crocus is best prepar'd by sprinkling it with Juice of Cichory and exposing it to the Sun Next to Steel is Lead especially its Sugar and the Antiphthisical Tincture prepar'd from it and vitriol of Steel with Spirit of Wine From these Premises we infer that the Cause of all Chronical Distempers is a viscous acid Crudity either bred in the Stomac or caus'd by the vicious Effervescencies of the Gall and the Juice of the Pancreas in the Guts Upon which Account all Stomachical attenuating anti-acid Medicines are the true Antidote of these Diseases And whoever attempts to cure 'em without a special regard to the Stomac and first Passages shoots short of his Mark The forms of Recipe's shall be inserted in the particular Description of the respective Diseases SECT XIV Of Diseases relating to the Lungs and Organs of Respiration THUS far we have consider'd the Chyle in its separat State It remains now to survey its state of Complication with the Blood The mix'd Mass of Blood and Chyle is carried from the Axillary Vein to the descending Trunc of the Vena Cava from thence 't is convey'd to the right Ventricle of the Heart and before its entry into the left Ventricle is thrown into the Lungs by the Vena Arteriosa The Lungs are a heap of little Bladders joyn'd by a simple Membran endow'd with moving Fibres and require to be dilated before the Blood
with Nerves and upon this Account we frequently observe that these Convulsive Asthma's are attended by disorderly Smptoms in the lower Belly Besides if we consider the Variety and Multitude of the Muscles imploy'd in Respiration and the various Motions and Contrary Offices they are obliged to perform we shall not be at a loss to Imagin what a sensible Influence any sort of Convulsions may have upon Breathing This Convulsive sort of Asthma's may likewise be caus'd by the Dryness and Flaccidity of the Lungs following the Depravation of their Nutritious Juice smoaking of Tobacco Mineral steams frequently irritating the Fibres of the Lungs c. The like may insue upon the striking in of a Scab or the unseasonable healing of an Ulcer the Blood being thereby render'd sharp and irritating and its Texture prone to irregular fermentations An Asthma is of its self manifest But the Symptoms ought to be heedfully regarded in order to distinguish the various Causes Those which proceed from a Vicious form of the Breast or from serum or slime covering the Lungs or from the Depravation of their own Nutritive Juice are continual Whereas the other sorts are Periodical All Asthma's agree in this Symptom that they are Exasperated at Night and when the Patient moves the Body or Changes the Air. Moist Asthma's are attended by a Cough snoring and comfortable Expectoration of matter in and after the Paroxysm If the snoring make a deep hollow sound the matter lodges in the Bronchia If it lodge within the substance of the Lungs the sound is flatter and the matter is not so Copiously brought up Dry Asthma's come suddenly and disappear in like manner without any visible cause or discovery of Noxious matter They are not attended by Snoring Coughing or Spitting unless it be towards the end of the Fit and even then very sparingly For the matter thus expectorated is not the cause of the Disease as in the moist kind but only squeez'd out by the Perplexity of the Muscles and Agitation of the Lungs Neither are they so greedy of Inspiration as of Exspiration which is contrary to the method of moist Asthma's If the cause of the Convulsive kind come Originally from the Head the fit is usher'd in by Head-aches and Swimming of the Head If from the Belly by a murmuring Noise in the Guts If the Midriff be chiefly affected Pain Girds that Part where 't is joyn'd to the short Ribs If the Muscles of the Breast the whole Breast seems to be squeez'd If those of the Throat and Wind Pipe they are as it were strangled If the Lungs themselves They can give no other account but that they cannot Breathe An Asthma in malignant Cases or Acute Feavers is a fatal Symptom The Convulsive sort is more common than the moist and of the moist ones that from the Stomac is more frequently met with If an Asthma be Inveterat it seldom admits of a Radical Cure and is oft-times follow'd by Cachexies Swellings of the Feet Dropsies and then Death it self If an Asthma be only a Symptom of other Diseases it yields to their Cure If it be of the moist kind the viscous matter ought to be attenuated and carried off and the Stomac or Lungs fortify'd The Convulsive kind is cur'd by appeasing the Spirits strengthening the Nerves and Diverting their Cause by Blistering Plaisters and Issues In order to obtain these ends the following Cautions will assist us 1. In the moist Asthma's there 's no Medicine equals a Vomit It equally clears both the Stomac and Lungs and may be given in the very height of the Fit without the least fear of stiffling In a dry Asthma proceeding from the lower Belly it may be exhited after the Paroxysm Antimonial Preparations or the Water or Syrup of Tobacco or the Juice of the flower de luce are proper on this occasion Some exhibit the Infusion of white Hellebor in Rhenish Wine Some mix Emetic Ingredients with attenuating Medicines but in so small Doses that they only Expectorat others premise attenuating Medicines by themselves and then exhibit a Vomit 2. Cause a Vein to be speedily open'd in any Asthma whatsoever and exhibit convenient Medicines for dissolving Congeal'd Blood Correcting its Cachexy and curbing its Turgescence 3. During the Fit let all manner of Purgatives be avoided After the Fit is over they are useful but ought always to be mix'd with Gum Ammoniac As Take of the Pills of Ammoniac fifteen Grains Sweet Mercury a scruple Extract of Troches Alhandal two Grains Distill'd Oyl of Anis two drops Make Pills Some use Quercetanus's Oxymel of Tobacco Others the Decoctions of Aromatic Herbs and Senna which evacuat Gradually 4. If the Disease proceed from serum it ought to be carried off by Sweat Urine Blistering Plaisters and Issues Sudorifics especially of the Decoction of Guajacum and Sassafras are always useful in dry Convulsive Asthma's They expectorat also and attenuat and therefore are not improper for the moist sort If the Stomac be faulty the Acid Crudity must be Corrected and Expell'd 5. Narcotics are of Sovereign use both in and before the Paroxysm of a dry Asthma In the moist kind If the Symptoms are very fierce they are not improper 6. If it proceed from a Particular cause it requires a Particular Cure As if it be caus'd by the retreat of a Scab or Itch let volatil sudorifics such as the Decoctions of Furmitory Elecampane Fennel Extract of Venice Treacle and the fixed Salts be used for recalling the Itch and if nothing prove effectual put the Patient to Bed with those that are Scabby If it proceed from Metallin Fumes as Mercury let Solar-Bezoar and Diaphoretic Antimony be exhibited If from sudden Cold or Drinking of Cold Water exhibit the Juice of Dasies in Wine The specifics commonly us'd for moist Asthma's or such as flow from a viscid matter whether in the Lungs or Stomac are the Roots of Cuckowpint Hyssop Horehound Rosemary and its Flowers Saffron Speedwell Zedoary especially its Spirit the Juice of Briony Elecampane Roots The Syrup or Volatil Salt of Tobacco for old Persons Essence of Saffron Essence of Sassafras the Juice of Radishes Oxymel of Squills mix'd with Cinnamon Water Gum Ammoniac above all dissolv'd in Vinegar Compound Spirit of Verdigrise mix'd with the thicken'd Juice of Coltsfoot Dulcify'd Spirit of Nitre Elixyr Proprietatis Sulphur or its Spirit per Campanam The Water of Turneps Sperma Caeti Turpentin dissolv'd with the yelk of an Egg in a Convenient Vehicle Balsam of Sulphur Prepar'd with Oyl of Anis Juice of Woodlice with Wine an incomparable Medicine and the Carminative Spirit if the Stomac be disorder'd A Mercurial Salivation or washes for the feet in some Cases are very effectual Take of the Roots of Cuckow-Pint four Scruples Roots of Florentin Orris and Cinnabar of Antimony of each two Scruples Flowers of Sulphur and Benzoin in Powder of each a Scruple Make a Powder Note the Faecula's of Cuckowpint Briony c. are good for nothing
Ounce melt it in a Copper Kettle then throw in twenty or thirty living Spiders stir them about with a wooden Spatula 'till the Spiders be cover'd Then add of the Powder of Toad's-flesh dry'd Powder of red Land-Toads dry'd of each an Ounce crude Tartar an Ounce Savin two or six drams With Oyl of Scorpions make a Plaister If we suspect any swelling of the Spleen or Bowels 't is proper to apply to the region thereof the Plaister of Hemlock or of Tobacco or Vigo's Plaister with Mercury mix'd with Gum Ammoniac The thicken'd juice or extract of Tobacco is conducive to this purpose as also Sylvius's Carminative Plaister If the region of the Spleen or Belly be molested with pains apply what follows Take of the Extract of Tobacco prepar'd by decoction three Ounces Opium dissolv'd in Wine and reduc'd to the consistence of an Extract one Ounce Wax half a pound With Turpentine and Oil of Tobacco make a Plaister Having thus dispatch'd the regular cure of Feavers 't will not be improper to propose some method of relief for those who by an unseasonable and unskilful suppression of the Feaver are liable to frequent relapses convulsive pains in the Belly Head-aches Asthma's weariness of the Body c. In this case let the Body be render'd soluble by the Decoction of Raisins and such like laxative and emollient Ingredients Then exhibit some pacific mixture as Take of Mint-water an Ounce and a half Spirit of Sal-Armoniac half a Dram Hysteric Laudanum two or three grains Syrup of Orange-peel three or six drams Mix for a Draught and continue the use for some time If any swelling or violent pain continue in the Hypogastria apply the Plaister of Gum-Ammoniac and of Galbanum with Oyl of Bricks After the symptoms are gone 't is advisable to continue for some time the use of Wormwood or such Remedies as partake of it SECT IV. Of continual Feavers ART 1. Of Day-Feavers OFt-times the abuse of the six no● natural things disturbs the natural fermentation of the Blood accelerats the Pulse and in some measure disorders the functions which symptoms disappear in a days time either of their own accord or by using some gentle sudorific This Feaver is call'd Continual by reason that it does not intermit from beginning to ending If the Blood be vitiated it is apt to degenerat into a Synoehus or a Fever that lasts above one day In order to prevent which give the following Julep Take of the decoction of Harts-horn with Vipers-grass one pound juice of Citrons juice of Quinces of each half an ounce tincture of Columbine-flowers and of Dazies of each a dram and a half Syrup of Rasberries two Ounces Spirit of Vitriol as much as sufficeth for a grateful acidity Make a Julep or instead of the Julep make a decoction of the like Ingredients together with gentle laxatives If the Belly be swell'd and the Body very hot take of Fennel Water an ounce and a half carminative Water six Drams dulcifi'd Spirit of Nitre three drams Syrup of Orange-peel half an Ounce Mix and make a Julep ART 2. Of the Principal acute Feavers THE continual Feavers that last above one day are either primary or symptomatical The former are a Disease subsisting by it self which if its period be short and its Symptoms grievous is call'd Acute if it be slow-pac'd and advance without any notable disturbance 't is call'd a Slow Feaver Both of which are call'd Compounds or periodical continual Feavers if they admit of any remission or exacerbation in their continued progress But if their vehemence be still the same they are call'd simple Synochus's If Acute Feavers come without the inflammation of any particular part they are call'd Solitary And if dismal Symptoms happen beyond the apparent reach of the Feaver 't is stil'd Malignant But if otherwise Benignity is its Character The primary simple continual solitary hot benign Feavers are caus'd by the prevalency of a volatil oyly bilious Salt in the Mass of Blood that hotly encounters the acid Particles creates a violent motion and Heat accelerates the Pulse tinctures the Urine and while the Victory is undetermin'd renders it thin and crude but when these volatil parts are subdu'd and precipitated by the Acid the Urine deposits a sediment and affords the true signs of Concoction The remote cause for the most part is the depravation of the Chyle occasion'd by the defect of the Choler or a faulty digestion in the Stomac for the stomachic digestion is the Mother and source of all the fermentations of the other Juices in the Body Now the vicious heterogeneous Particles convey'd in the Chyle to the Blood disturb its natural fermentation and provoke its constituent parts to rise up in order to expel the Hostile Intruders Thus we see that those whose Blood is well stock'd with bilious Particles whose Constitution is foul corpulent and plethoric who feed high and drink strong Liquors are most liable to this preternatural fermentation In like manner whatever stops the insensible transpiration accumulats oily Particles in the Blood and exalts the Spirits does pr●●●ispose the Blood for receiving a feaverish impression The Cause of acute compound periodical Feavers is some vicious acid juice proceeding from the Stomac returning by intervals while the volatil oily Ferment continues its course without intermission They are as it were compounded of a Continual Acute Feaver and an Intermitting one which is always a Tertian for Quotidian and Quartan continued periodical Feavers if any such there be are rather slow than acute This Compound sort of Acute Feavers is oft-times attended by a notable heat without any shivering If an insufferable thirst driness of the Tongue Head-aches Deliriums a high tincture and muddiness of Urine attend a continual Feaver 't is call'd a Causus or Burning Feaver The cause of these Symptoms is the hot ingagement of a sharp volatil Acid with the volatil oily Particles Besides the stomachic ferment being vitiated and unqualifi'd for its wonted Office the contents of the Stomac degenerat into an alcalin oily texture which sticks to its Pleats irritats the Membranes of the Gullet and by consent the Tongue it self And moreover when it joins the Blood impregnats the Lymph which waters the Throat and is voided by way of Spittle with a volatil only Salt And if this vicious Saliva stick to the Tongue and Throat it becomes troublesome and inflaming causing in these parts a redness hear and pain known by the name of Prunella Continual Acute Feavers are styl'd Lipyria's when the superficial parts of the Body are molested with a sense of Cold while those within are beset with a violent Heat They proceed for the most part from the in●ammation of some very sensible Membranous internal part and upon that account are referable to the symptomatical Class If there be any such thing as a primary Lipyria the sense of external Cold must proceed from the irritation of the nervous membranous parts and that of inward heat
know how to anticipat the Crisis by evacuating the morbific matter betimes and curbing the imperuous Motion he ought to do it But in many cases we are at a loss how to compass it and therefore are oblig'd to trace Nature's steps and patiently wait her Critical Hour especially in Benign Feavers where Nature indeavours to throw out the offensive particles and purify the Blood Now to thwart her in so good a Work is dangerous So that all that a Physician can do is to keep Nature upon its Legs and moderat its efforts This indication is answer'd by cleansing the first Passages tempering the urinous sharp Salt in the Blood assisting Nature in its design'd Evacuation and mitigating the occasional Symptoms Now in order to a happy attainment of these ends 't will be needful to subjoyn the following Remarks I. That a malignant Feaver in the beginning imitats the Symptoms of a Causus and therefore the safest way is to commence the Cure of the same by Alexipharmacal Medicines and after the fear of the latent Malignity is over to return to the usual method of Cure II. That these Alexipharmacal Medicines ought to be mix'd with precipitating Ingredients as in the Bezoardic Tincture in order to promote a gentle transpiration but we must not by any means attempt to force sweating III. That if the sick Persons be thirsty and hot we must not deny 'em drink only let it be warm and all of one sort and rather drunk of frequently than much of it taken down at once for fear of weakning the Stomac If the thirst be violent and the Patient free of a looseness clarify'd Whey with Juice of Citrons is a proper Liquor Barly Water is commonly given but I do not approve of it for that it feeds windy Crudities in the Stomac Spirit of Sulphur drop'd into Water is very good as likewise Water mix'd with a sixth part of Wine and Juice of Citrons or Quinces and Gelly of Harts-horn IV. In the beginning and progress of the Disease if the Breast and Belly be oppress'd the Body costive● if the Blood boyl high and the humors move towards the Head inject Clysters or exhibit gentle laxative Decoctions If the Symptoms advance in a precipitant forward way let this be done before Bleeding V. Vomits are proper in the beginning and if the strength of the Patient admit in the progress of the Disease They Mitigat all the Symptoms which are oft-times caus'd or at least heighten'd by the vicious humors lodg'd in the first Passages They must be given in moderat Doses by reason that the humors are floating and movable in continual acute Feavers tho' in the intermitting sort they are extream fix'd If the Patient was in the beginning molested with a propensity to Vomit or a Squeamishness a bitter tast in the Mouth or bitter Belchings Heart-burnings anxieties of the Breast Swooning c. Vomiting is highly Convenient VI. Purgatives properly so call'd are prejudicial in continual Feavers except in the Declination when the Febrile matter is not totally evacuated by Urine and Stool 'T is true in Benign Feavers we ought to keep the Body soluble and free the Stomac from the overflowing Choler by mild Lenitives But proper Purgatives exhibited before Concoction of the matter are doubtless very offensive For if they do not operat they occasion Gripes swimmings of the Head Swoonings and an infinity of disorders in the Body without any evacuation if they happen to work well they infeeble the Body melt down the humors and prolong the Disease The Decoction of Tamarinds in Whey is a proper and safe Laxative or if in the beginning you desire to cleanse the first Passages take what follows Take of the Pulp of Tamarinds a dram Powder of Rhubarb a scruple prepar'd Scammony two or three Grains Make a Bolus Or Take of choice Rhubarb a dram and a half pick'd Senna Leaves a dram infuse them in Whey all Night in the Morning let them Boyl gently and add to the strain'd Liquor two drams of Solutive Syrup of Roses VII If the Pulse be large and strong if the constitution of the Patient be Plethoric and full if the Blood boyl high or any notable suppression went before 't is necessary to Bleed in the Beginning of the Feaver without any regard to Morning or Evening or any set time After the third or fourth Day 't is too late If the Feaver remit let the Blood be drawn forth during the time of the Remission and before the Administration of a Vomit Some are wont in a Prunella to open a vein under the Tongue and if the Blood run briskly 't is accounted a good sign if it only squeez out by drops 't is Ominous But if these foregoing Symptoms be not visible let Blood-letting be quite omitted and a Vomit supply its room Frequent experience teaches us that repeated Blood-letting exalts the Feaver especially in these Northern Climats and renders Men liable to relapses The Feaver it self exhausts and dries up the Blood in the Veins according to Spigelius and Argenterius's observations upon which account we ought to be very cautious in lessening its quantity VIII We ought to encourage a breathing Sweat during the whole course of the Disease by exhibiting the Salts of Wormwood Carduus Benedictus c. Coral seal'd Earth Mineral Bezoar Harts-horn c. To which we may add precipitating Ingredients in order to correct the febrile Ferment But all Sulphureous Volatil Rosinous things ought to be carefully avoided and before the height of the Disease all forc'd Sweats are improper IX Meat or Food must never be forc'd upon feaverish Persons or if their Appetit require any let it be very thin and watry Above all in the declination take care of eating Meat or cramming the Stomac while the Digestive faculty is yet weak X. In the beginning or height of a Feaver opiats are improper In the increase while the Spirits rage and strength is not quite exhausted they are of use for pacifying the Spirits preventing their Consumption and promoting the Concoction of the matter Let 'em be always mix'd with proper specifics From these observations we may infer that the alterative specifics are such as either respect the Feaver it self and its material Cause or the Symptoms that attend it Of the former sort are Nitre Arcanum Duplicatum and the Sulphurs of Minerals fix'd by Nitre Diaphoretic Antimony Mineral Bezoar Cinnabar of Antimony Chalybeat Mineral Bezoar c. Cooling and aperient Herbs as Cichory Dandelion Borrage Bugloss Fumitory Lettuce Sorrel Purslain Roses c. Temperat Oily Seeds Emulsions c. Harts-horn Coral seal'd Earth Ivory c. To which we may add Alexipharmacal Medicines Volatil Salts of Animals as of Harts-horn c. Of the latter sort are the Vegetable and Mineral Acid Spirits especially the last of which the Spirit of Sulphur and Nitre are the best but they ought to be dulcify'd by Spirit of Wine for temperat things are most agreeable to Nature Spirit of
Vitriol contains in it some metallin Parts that are very offensive In the vegetable Province the clarify'd Juices of Acid Fruits are very proper and much preferable to the Syrpus such are the Juices of Citrons of Quinces of Barberries of red Corants c. The Juices of House-leek Purslain Plantain c. are likewise very useful Tamarinds are much approv'd by reason of their Laxative and Cooling quality As for the forms of Receipts prescribe as follows If there be any suspicion of a latent malignity let forty or sixty drops of the Bezoardic Tincture be exhibited in the beginning of the Disease Then Take of the Decoction of Harts-horn with the roots of Vipers-grass a pound fresh juice of Citrons two ounces Syrup of Water Lilly-flowers Syrup of white Poppies of each six drams dulcify'd Spirit of Nitre as much as sufficeth for a grateful Acidity Make a Julep Or Take of the Decoction of Harts-horn with the roots of Vipers-grass one Pound Juice of Barberries Juice of red Corans of each an ounce and a half Tincture of Roses Tincture of Violets of each a dram Syrup of the Juice of Citrons an ounce and a half Spirit of Sulphur as much as sufficeth for a grateful Acidity Mix for a Julep Or Take of Common Water a Convenient Quantity with a little Wine and as much of the Juice of Quinces as sufficeth for a grateful Acidity Mix c. Take of Borrage Water Bugloss Water and Water of Rasberries of each an ounce Cinnamom Water three drams fresh Juice of Citrons six or eight drams Confection Alkermes a dram and a half Syrup of Rasberries half an ounce Mix c. Take of the Conserves of Wood-sorrel of the Pulp of Citrons and of Clove Gilly-flowers of each an ounce Rob of red Corants six drams Confection Alkermes two drams with a sufficient quantity of the Syrup of Rasberries Make an Electuary The Decoction of the Roots and Leaves of Wood-sorrel mix'd with the Juice of red Corants and Syrup of Rasberries is a very palatable Liquor for quenching Thirst Extemporary Tinctures may be drawn from the Flowers of Dazies Poppies Roses Clove Gillyflowers Violets Golumbines c. with common Water or the Decoction of Harts-horn and Vipers-grass or red Poppy Water c. The Flowers being first sprinkl'd with Spirit of Sulphur or of Vitriol These Tinctures are of a pleasant red Colour for all blue Flowers when mix'd with an Acid Spirit yield a rutilant Tincture These Tinctures may be sweeten'd with Syrup of Rasberries or of Violets or of Iujubes and are sometimes joyn'd to the dulcify'd Acid Spirits and drop'd into the Patient's ordinary Drink Instead of Juleps or Tinctures some use the Decoction of Tamarinds as take of the Pulp of Tanmarinds from two to three ounces Boyl them in a sufficient quantity of Whey To two pound of the strain'd Liquor add Juice of Citrons six or eight drams Tincture of Dazy Flowers three drams Syrup of the Juice of Citrons an ounce and a half Mix and Exhibit for ordinary Drinking Whey is an admirable Drink for Feaverish Persons if purify'd by Juice of Citrons or Pulp of Tamarinds As Take of Whey two pound fresh Juice of Citrons three drams Flowers of Dazies and of red Poppies of each a handful and a half Let 'em boyl in a close Vessel till the Whey be impregnated with the Tincture Strain the Liquor and sweeten it with Syrup of Poppies or of Rasberries Next to the foregoing Medicines is Nitre which is universally approv'd by all Practitioners the preparation of it with Sulphur call'd Sal-Prunellae is of no efficacy but if the Crude Nitre be purified by some sharp Lye it proves an admirable Remedy Nitrum Antimoniatum which is a complication of Nitre with the Sulphur of Antimony may be given to a dram in their ordinary Drink three or four times a Day or in Powder together with Antihecticum Poterii Diaphoretic Antimony Mineral Bezoar or that call'd Joviale or Saturninum together with Harts-horn prepar'd without fire and the above mention'd absorbent Earths are all proper for mitigating the fermentation and promoting a gentle breathing Heat As Take of Rasberry Water two ounces Water of Vipers-grass and fresh Juice of Quinces of each an ounce Bezoardicum Joviale a scruple Syrup of white Poppies an ounce dulcify'd Spirit of Nitre as much as sufficeth Take a spoonful now and then Take of the Water of the Flowers of the Sloe-tree Water of Elder-Flowers and Dandelion Water of each an ounce Gelly of Harts-horn an ounce and a half Harts-horn prepar'd without fire a scruple Poterius's Antihectic and Diaphoretic Antimony of each twelve grains Syrup of Poppies six drams Mix and use as above In a Solid form they are prescrib'd thus Take of purify'd Nitre sixteen grains Poterius Antihectic Powder half a scruple Sugar of Lead five grains If a Delirium be fear'd or Malignity suspected add a grain or two of Camphyr Take of Nitrum Antimoniatum two scruples Chalybeat Diaphoretic Antimony half a dram Laudanum Opiatum a grain or two Mix for two Doses to betaken at Night in a convenient Vehicle Depurated Nitre or Nitrum Antimoniatum may be dissolv'd in their ordinary Drink after the rate of half an ounce in twenty four Hours Emulsions are next in order They are very proper for tempering the Bilious Salt and qualifying the acrimony of the Blood But they ought not to be too frequently or copiously us'd for that they weaken the Stomac and clog the Appetit Let 'em be mix'd with fix'd Powders Thus Take of sweet Almonds two drams Seeds of white Poppies a dram of the four cold Seeds of each a dram with Water of Wood-sorrel make an Emulsion To which add Diaphoretic Antimony and Mineral Bezoar of each half a dram Sweeten it with pearl'd Sugar and exhibit a spoonful now and then So much for Internal Remedies Externally some are wont to apply Cataplasms to the Palms of the Hands and soles of the Feet as in the case of Watchings Deliriums Pains c. Take of fresh Rue Leaves two or three handfuls Radish Roots slic'd in number two or three Salt a handful of the strongest Yest two ounces with Rue Vinegar make a Cataplasm to be applied as above The Juice of River Crabs may be applied in like manner or by way of Epithema to the fore-head When the Mouth and Head are much affected 't is not improper to open the Vein under the Tongue or the Vein in the Fore-head or to apply Leeches behind the Ears The application of convenient Liquids to the Fore-head and Temples is also not improper As Take of the Water of Dill or of Roses or of Elder Flowers or of Vervain two ounces Apoplectic Water half an ounce Philonium Romanum or Requi●s Nicolai or Triacle a dram Mix and apply it warm to the Fore-head and Temples with a Linnen Cloath Take of white Poppy Seeds two or three drams Henbane Seeds half a dram Water of Frogs spawn three ounces House-leek Water Night-shade Water and
to evacuat it by convenient Passages The first is accounted for by Opiats the second by Volatil Alcalin Salts absorbent temperat and thickening Medicins as the fix'd preparations of Antimony Poterius's Antihectic Flowers of Sulphur prepar'd Amber Oyl of Amber Spirit of Mother of Thyme Decoction of Sassafras Myrrh Camphyr volatil Salt of Harts-horn Spirit and volatil Salt of Human Blood c. The third Design is compass'd by diaphoretic diuretic and expectorating and when the Lymph is well concocted by sneezing and chewing Medicins Take of Fennel-Water and Water of red Poppy-flowers of each an Ounce and a half Spirit of Harts-horn impregnated with Amber a Dram and a half Essence of Opium Jaw-bone of a Pike of each half a Dram Syrup of the Flowers of red Poppies half an Ounce or six Drams Mix them for a Julep of which exhibit a spoonful every Hour towards Evening Take of the Spirit of Sal-Armoniac annisated or of the Essence of Amber two Drams Essence of Opium half a Dram. Mix 'em and exhibit forty or fifty drops some Hours before the periodical exasperation and reiterate the same Dose at Night Take of prepar'd Amber half a Scruple choice Myrrh five grains volatil Salt of Amber four grains Extract of Saffron two grains Laudanum Opiatum one grain distill'd Oyl of Amber one drop Mix for a Powder to be exhibited in like manner If the Lymph be saltish Liquorice Figgs Jujubes Barly emulsions of Poppy-Seeds Opiats Pills of Storax and such like are proper If hoarsness and a difficulty of speech prevail give what follows Take of Mint-Water two Ounces Cinnamon-water half an Ounce Spirit of Sal-Armoniac anisated a Dram Laudanum Opiatum three grains Syrup of Raisins six Drams Mix and give a spoonful now and then If the Wind-pipe Gullet and Throat be excoriated Syrup of Diacodium Loh of Raisins and licking Medecins are proper If a dry Cough molest the Patient let thickning and pacific Remedies be us'd As Take of the Water of wild Thyme Water of Carduus Benedictus of each an Ounce Spirit of Treacle camphoris'd Essence of Sassafras of each two Drams Spirit of Harts-horn succinated a Dram Syrup of white Poppies half an Ounce Mix them and administer a spoonful frequently in the Evening This method if insisted on together with the continued use of the Decoction of Sassafras will in time conquer the Feaver After the Feaver is abated and the Spirits reduc'd to order let the Body be loosen'd by Queretanus's Pills of Ammoniac or Crato's Pills of Amber Or Take of Crato's Pills of Amber a scruple volatil Salt of Amber six grains Rosin of Jalap three grains extract of Troches Alhandal one grain distill'd Oyl of Amber two drops with Essence of Sassafras make Pills In order to evacuate the prepar'd Lymph give forty or fifty drops of the Liquor of Terra Foliata Tartari twice a day which is a proper Diuretic or express'd Juice of Radishes with Sugar which attenuats the Phlegm or the following expectorating mixture Take of Hyssop-water two Ounces Asthmatic-water half an Ounce Spirit of purifi'd Gum Ammoniac two Drams Syrup of Tobacco four or six Drams Sala's emetic Syrup a dram Mix c. In the beginning while the Cough is yet dry temperat thickening Medicins are requir'd but afterwards when the Cough brings up large quantities of viscous Matter let cutting expectorating Remedies be us'd If the Phlegm be notably tough and thick let Oyl of Amber be appli'd to the Nostrils or let the Person smell frequently of Spirit of Sal-Armoniac or that of Urine or of Harts-horn In the last extremity let the Powder of black Helebor and white Sugar with distill'd Oyl of Cloves be thrown into the Nostrils If the pain of the Head be violent anoint the Crown with Oyl of Amber or Balsam of Peru or apply the Plaister of Bettony soften'd with Oyl of Amber After the Disease is in good measure subdu'd the following Decoction is of excellent use for purifying the Blood correcting the sharpness of the Lymph fortifying the Lungs and preventing a Phthisic Take of the shavings of red Saunders one Ounce shavings of Sassafras half an Ounce steep them in seven pound of Water for the space of twelve Hours then boil them till a pound and a half be consum'd and add of the Leaves of Ground Ivy Leaves of Speed-well Flowers of St. John's Wort of each two handfuls Liquorice Roots half an Ounce Fennel-Seeds six drams bruis'd Currans three Ounces Boil the Liquor into four Pounds strain it and exhibit a large draught warm Morning and Evening ART 2. Of Feavers proceeding from the Lymph of Conglomerat Glandules or such as are roll'd into a heap THE conglomerat Glandules deposit their juice into cavities from whence 't is convey'd to the Blood The chief of 'em are the Sweet-bread and those behind the Ears The former waters the Guts the latter the Mouth If their Serum be viscous or over saline it occasions a slow sort of a Feaver All slow Feavers are periodical as being exasperated either in the Evening after the method of Quotidians or after eating in the form of Hectic Feavers Those which are independent of any other Disease are call'd Primary And those which follow the Corruption of any inward part or the mismanagement of a preceding Disease are stil'd Symptomatical Tho' the last approach very near to the primary form Of independent slow Feavers They are usher'd in by a gentle shivering which continues for some time and is follow'd by a mild Heat somewhat sharper in the extream parts The Appetit is dejected and after eating the Stomach and Guts are distended and opprest with a heavy pain Towards the Evening or after Meals they increase their force at which time the Pulse is frequent and not very large If the Spittle be notably viscous the Mouth and Throat are cover'd with slime and the Person molested with Thirst If the Juice of the Sweet-bread be likewise over viscid or saline anxiety invades the Breast and griping shooting pains beset the Belly the Pulse is frequent and swift and in some measure weak and small The Urine at first is high colour'd afterwards it becomes muddy and drops a sediment The Joints are seiz'd with a weariness and shooting pains and sometimes the Head with a dull heavy ache If the Lymph be simply saline the symptoms are fiercer if it be likewise viscid and tough they are weaker but continue longer The slow Feavers differ from acute ones in this that the cause of the latter is a volatil sharp Acid which in the former is invelop'd with a viscous tenacious Vehicle The Original cause is a vicious Digestion rendring the Chyle viscid or tending to a sort of acid saline taste If the Evening Paroxysms are long the Strength and Appetit much impair'd 't is a dangerous circumstance The most favourable sort if not cautiously taken care of terminates in Cachexies or Hectic Feavers These Feavers are cur'd by retrieving the lost Digestion in the Stomac
correcting the viscidity or sharpness of the Lymph especially the saliva and pancreatic juice evacuating the crude Phlegm and Lymph thus prepar'd and mitigating the Symptoms If the Breast be oppress'd let a gentle Vomit be exhibited or a mild purgative As Take Mynsicht's emetic Tartar two or three grains purifi'd Sal-Armoniac eight grains Or Take of Ruffius's Pills de tribus fifteen grains fulminatory Gold three grains prepar'd Scammony Treches Alhandal of each a grain With compound Tincture of Tartar make Pills In the next place attenuating Diuretic Remedies are proper as dulcifi'd Spirit of Salt of excellent use against a Hectic dulcifi'd Spirit of Nitre essential Salt of Tartar Sal-Armoniac Nitrum Antimoniatum Tartar vitriolated Terra foliata Tartari or its Liquor Tincture of Tartar Essence of Myrrh tartaris'd carminative Spirit Spirit of Sal-Armoniac anisated Poterius's Antihectic c. Take of purifi'd Sal-Armoniac half a dram Poterius's Antihectic a scruple make a Powder for two Doses one in the Morning and the other at Night before the Fit Nitrum Antimoniatum mix'd with an equal quantity of Sal-Armoniac or Arcanum duplicatum mix'd with diaphoretic Antimony or Sal-Armoniac mix'd with Galangal and Ginger are successfully us'd after the same method Take of Mint-Water and Fennel-Water of each an ounce and a half Spirit of Treacle two or three Drams dulcifi'd Spirit of Salt half a dram or a whole dram Poterius's Antihectic a scruple Syrup of Hyssop six or eight drams Mix for two Doses Let the Mouth be gargaris'd with small Beer and Hony of Roses or with Water Vinegar and purifi'd Nitre or the infusion of Holyhoc-flowers in Water with a little Spirit of Salt and a convenient Syrup The Feaver call'd Epiala in which the inward parts are oppress'd with heat while the external are cold is by some referr'd to this Head But 't is only a combination or rencounter of either a Continual and Intermitting or two Intermitting Feavers The Swoonings that sometimes attend both this and other sorts of Feavers are caus'd either by some viscious slime irritating the Mouth of the Stomac or some sharp rusty Humour lodg'd in it In the last case Unicorn's Horn or the Decoction of Tamarinds in Water are much approv'd But if a viscid windy Matter arise to them volatil spiritous Remedies are proper Tho' after all 't is worthy our consideration what Ballonius remarks upon this matter viz. That many Physicians are faulty in giving strong Cordials against swooning where purging were more proper Of Symptomatical slow Feavers These Feavers are frequently occasion'd by a preposterous use of Absorbents in Intermitting and Continual Feavers which fix the heterogeneous Particles and render the Chyle and Lymph viscid or by over-feeding in the declination of other Feavers while the digestive faculty is weak by which means the Chyle is loaded with Crudities They may likewise follow other Diseases proceeding from a viscous Acid. Their Symptoms are the same as above to which we may add that sometimes they are accompanied by a looseness or voiding of liquid pituitous Matter The Cure consists in tempering the saltish Acid attenuating the viscid Matter and procuring to it an egress by vomiting stool urine or sweat They sometimes proceed from Ulcers especially of the internal parts retention of the After-birth a dead Child in the Womb chronical Pains and are cur'd by removing the respective Cause by Medecins alotted to that purpose In general gentle Vomits and Purges are proper and in a word the whole series of Medicins prescrib'd for the independent Slow Feavers Sometimes such Feavers follow an unseasonable use of sudorific Decoctions against the Pox before the Body be evacuated and are cur'd by vomiting and the repeated use of Sal-Armoniac Of Hectic Feavers A Hectic is a Slow Feaver advancing insensibly If it be a principal independent Disease it proceeds from the Corruption of undigested Food in the Stomac immoderate fatigue sorrow watchings want over-liberal evacuations excessive Bathings c. Oft-times 'tis only a symptom of other Diseases and follows the irregular Cure of Continual and Intermitting Feavers Inflamations of the Bowels Lungs Mesentery Womb and Kidneys the French-Pox c. The Part affected is not the habit of the Body as the Ancients fancy'd but the mass of Blood and Lymph Hence the greatest heat is perceiv'd about the Arteries As for the independent Principal sort of Hectics the Stomac and digestive Faculty are the original seat of their cause The immediat cause is the indisposition and unequal texture of the Blood caus'd by the saltish sharpness of the Lymph in the conglobat Glandules and the viscosity of that in the Conglomerat From whence insue a deprav'd and diminish'd fermentation weakness weariness deficiency of Spirits and the whole train of Hectic Symptoms The salin and viscid Blood is render'd unfit for nourishing the parts and after eating when the thin readier part of the fresh Chyle dilutes the Blood and disengages its Salts the Pulse is a little enlarg'd and the Heat augmented and after some time sink again to their ordinary pitch And the coarse remains of the Chyle are frequently voided by Night-Sweats as having receiv'd a vicious Tincture in the Stomac from the Saliva and being upon that Account equally disagreeable to the Blood and solid parts As for the Remote Causes Fatigue and Labour Watchings and Care exhaust the Spirits and watery Vehicle of the Blood Anger exalts the Bilious Salt which joyning with the Acid acquires a saline Acrimony Grief and Sorrow increase the Acid which joyning to the urinous Salt becomes dull and unactive indigested Crudities in the Stomac or the want of Food occasion a stricter union between the Acid and urinous Salts and their mutual degeneracy into a third sharp saline Body Ulcers both internal and external corrupt the Blood by vertue of their salin sharp Matter continual and intermitting Feavers attended by plentiful Sweats exhaust the dewy watry part of the Blood or the unseasonable use of absorbent earthy Powders administred for their Cure destroys the Ferment of the Stomac and increases the Acrimony of the Blood Thus they all conspire to render the Blood and Lymph saltish or viscous There are three Essential Signs of a Hectic Feaver 1. An obscure insensible Heat increasing after eating 2. The successive Consumption of the Body 3. A swift frequent small weak and oft-times a hard Pulse To which we may add in some cases Night-Sweats the falling off of the Hairs an universal Weariness inward Heat and averseness to sleep in the morning If Ashy belchings precede the appearance of these Symptoms they serve for a confirmation In the beginning of the Disease the Urine resembles that of healthy Persons unless the Stomac be much deprav'd in which case 't is white pale and thick afterwards when the Appetit and Digestion are in a manner quite abolish'd it becomes thin transparent and high Colour'd and when 't is form'd into a perfect Consumption a fat oily Crust resembling Cobwebs swims on the Top. But we ought
either design'd for preservation from imminent danger or removing the present Illness Distill'd Vinegar Camphyr and alexipharmacal Ingredients are proper Preservatives As for the proper Cure of Malignant Feavers 't is perform'd by expelling the poysonous ferment and fortifying the Spirits and Humours in order to promote the expulsion To this purpose Sulphur absorbent Antimonial Powders Camphyr Vinegar and Acid Juices precipitating Powders such as the friable parts of Animals mix'd with alexipharmacal Ingredients such as Zedoary Ivy-Berries Juniper and Bay-berries Myrrh Angelica Gentian and Saffron with Opium and Sudorifics are very proper But in order to a regular use of 'em let us mind the following Cautions 1. Vomits especially the Infusion of Vitrum Antimonii are of admirable efficacy in the very beginning of Malignant Feavers especially when they 're attended by Anxieties in the Breast or proceed from an internal corruption of the Humors But the Season of exhibiting them must be nicely weigh'd for if Nature be already endeavouring any other evacuation especially through the Skin they are out of season 2. Sudorifics are justly look'd upon as the basis of the Cure but they ought to be proportion'd to the malignity of the Disease and strength of the Patient If the Malignity be of a moderat Character 't is advisable to begin with absorbents at first Indeed a violent malignity requires powerful Sudorifics but care must be taken that the Patient be not stifl'd with weight of Cloaths And those of the sweating Tribe that are Aromatic and Oily are only proper in the beginning or during the increase Towards the height or when the Heat is violent 't is not amiss to exchange 'em with fix'd Powders or at least to qualifie 'em with Acids such as the Spirits of Nitre the vegetable Acid Juices c. Camphyr is a Sudorific never to be omitted unless it be prohibited by a peculiar Antipathy as in some Women and studious Men. 3. During the time of sweating or immediatly after it let Acid mixtures of the Juice of Citrons and especially Spirit of Nitre c. be exhibited They retrieve the exhausted Spirits and procure a due consistence to the dissolv'd Blood and ought always to be imploy'd for a Vehicle to Venice Treacle and such like hot Compositions 4. Opiats are of admirable use for promoting Sweat which is frequently hinder'd by anxiety and unquietness Let 'em be mix'd both with Sudorifics and with the Acid mixtures exhibited after sweating but their proper Season is during the Increase for towards the Crisis they ought to be avoided 5. The Cure of malignant Feavers varies according to their respective Causes If they proceed from external Contagion fierce Sudorifics are requir'd If from the internal corruption of the Humours they ought to be more temperat and rather absorbent If the Animal Spirits are the principal seat of the Malignity subtil volatil penetrating Ingredients mix'd with Narcotics are proper If the Blood claim that Character they ought to be temper'd with Acid Vehicles The malignity of the Blood is for the most part attended by eruptions of Humours at one part or other that of the Spirits by Deliriums Watchings Convulsions c. and a tolerable Pulse 6. Malignant Feavers are frequently complicated continual Burning ones in which case regard must be had to the boiling heat of the Blood by insisting most on moder at Acids and fix'd absorbents especially those of Antimony and qualifying the volatil oily Specifics 7. The above mention'd Symptoms relating to the Tongue Hands and Tendons ought always to be inquir'd after as also the condition of the Eyes for if they are rutilant and fiery or fierce they threaten Deliriums 8 There is nothing more fatal than a Looseness and all Artificial Purgations are pernicious especially if the Disease came by Contagion or if Nature endeavour Cutaneous Fruptions or if the force of malignity surpass that of the febrile effervescency If the first Passages be stuff'd let temperat Clysters be injected and even those but very cautiously In the Declension of the Disease a gentle Laxative is not amiss 9. Blood-letting is highly Pernicious especially if the Disease came by Contagion or tend to cutaneal Eruptions Sometimes if the malignity be weak and the Blood boyl high in a Plethoric young Person accustom'd to Bleeding it may be allow'd but with a great deal of Caution and Judgment 10. Blistering Plaisters are very useful They 're applied to the Legs and Arms and in case of sleepy Symptoms to the Nap of the Neck If the Animal Spirits are much afflicted or if the Eruptions design'd by nature advance but slowly or retire afterwards they are of singular use Stephanus advises us not to be over hasty in applying 'em till Nature have discover'd her design and then if she be weak to interpose their help The increase or rather beginning of the Height is a proper time to apply ' em 11. The Diet must be thin neither are Victuals to be offer'd unless the appetit require ' em For Drink let Water be boyl'd with a third part of Rhenish Wine and mix'd with the Juice of Citrons and Gelly of Harts-horn Or let Whey be sharpen'd with the Juice of Citrons or Spirit of Nitre Having premis'd these Cautions we shall next touch at the Specifics some of which are volatil some fix'd The volatil are either lean and thin such as the Spirit of Sal-Armoniac the Spirits and volatil Salts of Harts-horn of Vipers of Tartar of Urine of Amber c. Or Oily and Aromatic such as Camphyr Elecampane Birthwort Rue Galangal Mary-gold Orange Peel Germander Castor Vipers Baum Zedoary lesser Centory Rob of Juniper and Elder-berries the distill'd Oyls of Amber Camphyr Harts-horn and Tartar Essence of Triacle Spirit of Triacle Camphoris'd and the Essences of Aromatic Herbs The fix'd are Diaphoretic Antimony Diaphoretic Gold native Cinnabar or that of Antimony above all the fix'd Sulphur of Antimony mineral Bezoar both simple and Compound the Bezoar Stone given to half a dram or in the room of it the Stone cut out of a Man's Bladder seal'd Earth Coral Harts-horn Sulphur and the preparations of Nitre c. Some are of a temperat nature neither properly volatil nor fix'd such are the Gelly of Harts-horn the expelling Seeds viz. Those of Carduus Benedictus Columbines Cresses Citrons c. To which we may add Myrrh which is a baumy Medicine of excellent use for covering the Spirits from the shocks of the malign ferment From these Simples are prepar'd an infinity of compound Medicines such as Venice Triacle or Diascordium which is better Mithridat Species of Hyacinth the Powder call'd Saxonicus c. As for Venice Triacle and such like hot Compositions the best way is to exhibit em in Acid Vehicles and mix 'em with fix'd Specifics Take of Rasberry Water and that of Water Germander of each an ounce and a half Diaphoretic Antimony half a dram Cinnabar of Antimony fifteen grains volatil Salt of Harts-horn twelve grains Camphyr two or three
from its irregular and unequal turgescence Upon which account the suppression of the Terms the Scurvy and Hypocondriac Sickness are frequently follow'd by palpitations of the Heart Sometimes it takes its rise from the slow and stagnating condition of the Blood and by consequence from whatever crosses or thwarts the circular progress But of all its Causes the most frequent is the occasional disorder of the Nerves and Animal Spirits occasion'd either by Fear Anger strong Smells c. Or by hysteric and hypocondriac Passions and the indisposition of the Spleen For the Nerves of the Heart and those of the lower Belly especially of the Spleen entertain a mutual Commerce by vertue of which the contraction of these Nerves is continued to the Heart and in its progress resembles the ascent of Fumes or Steams from the Spleen and Intestins The facility of this communication is much inhanc'd by the scorbutic or acid Constitution of the Blood which is equally dispos'd to provoke both the Nerves of the Heart and those of the Bowels As for Diagnostics A palpitation of the Heart is discover'd by laying one's Hand upon the Breast If it proceed from a Dropsy of the Pericardium or Obstructions in and about the Heart the Pulse is small and slow respiration difficult and the Body inclining to a Consumption and Hectic Feaver If it proceed from Worms in the Heart-Purse it returns without manifest cause the Breast is molested with gnawing pricking corroding pains the Patient is frequently troubl'd with a pale Countenance intermitting Pulse and a prodigious unquietness and sometimes sudden swoonings or epileptic Fits If it take its rise from the hypocondriac Disease it is frequently interrupted and when it comes is usher'd in by a murmuring noise in the Belly or attended by disorderly Symptoms in the Abdomen and a sense of constriction of the Heart as if it were squeez'd betwixt two Hands If it flow from a scorbutic Original it does not invade when the Person lies quietly in Bed but upon the least motion of Hand or Foot displays it self and is frequently accompany'd by swoonings A trembling of the Heart is attended by a prostration of strength and an unequal weak languishing Pulse The Remission or intermission of the Pulse following a Palpitation of the Heart prognosticates Swoonings If a Palpitation proceed from a scorbutic cause or accompany malignant Symptoms 't is very dangerous If it be occasion'd by Worms in the Pericardium or Excrescences in the Heart or adjacent parts 't is incurable If it happen in one's Youth it prevents Old Age. The Indications for Cure are to remove the irritating cause Opium impairs only the sense of irritation but has no influence upon the cause it self wherefore it ought to be very cautiously us'd especially considering that a Palpitation or trembling is frequently attended by a notable weakness In hypocondriac or Scorbutic cases perhaps it may not be improper Blood-letting is also dangerous yet if the stagnation of the Blood give rise to the Disease or if the Patient be young and the Blood boil high 't is in some measure allowable as when a Palpitation is caus'd by Fear suppressing of wonted evacuations or a violent commotion of the Body Of all Palpitations of the Heart those of a convulsive Character that spring from Scorbutic or Hypochondriac causes or in a word from prevailing Acid are the most frequent and require a particular regard Earthy Ingredients Steel and volatil Salts are Medicins most in use against these and all other sorts of Palpitations The Tincture of Coral prepar'd with a Menstruum of May-Dew or Snow and mix'd with some cordial Liquor is an universal Specific Now of the Cordial Ingredients Baum is the Head Its Spirit or primum Ens or the Essence of Amber-grise extracted with it is an admirable support for decaying Nature The Leaves of Baum and those of Borrage sprinkled with Rose-water and Vinegar are applied outwardly to the Heart with good success Next to Baum are Cloves Citrons Orange-peel Rosemary Zedoary Elecampane Dill and their various productions The Essence of Saffron given inwardly and a Bag of Saffron and Camphyr hung over the pit of the Breast are of good use The Essence of Ambergrise and Mosch are celebrated Medicins but Ambergrise injoys a stupifying quality which may be extinguish'd by putting it into fermentation as in the preparation of Spiritus Rosarum Ambratus Besides there are some studious Men and hysteric Women that are easily offended by this and all other oily volatil Salts in the room of which we may substitute the meagre thin Salts such as the Spirit of Sal-Armoniac and dulcifi'd Spirit of Nitre The Essence of Juniper-berries prepar'd with their own Spirit the carminative spirit de tribus the volatil Salt of Vipers the spirit and volatil salt of Harts-horn the spirit volatil Salt and distill'd Oyl of Amber the Essence of Castor mix'd with Camphyr the Oyl of Cinnamon the Syrup of the filings of Steel Whey and all anti-hypocondriac Ingredients are much approv'd Externally in a Hysteric or Splenetic Palpitation we apply the same things as are proper against the Causes Take of prepar'd red Coral native Cinnabar and chalybeat diaphoretic Antimony half a scruple volatil salt of Harts-horn three grains distill'd Oyl of Cloves a drop Make a Powder Take of the Tincture of Coral prepar'd with the spirit of Stags-heart two drams the spirit of Roses impregnated with Ambergrise a dram Dose thirty or sorty drops in Cinnamon-water Take of Cinnamon-water impregnated with Quinces an ounce the Cordial-water of Saxony an Ounce Essence of Juniper Berries two drams Essence of Saffron half an ounce Spirit of Venice Treacle camphoris'd a dram distill'd Oyl of Cinnamon for Men or of Amber for Women four drops shake and mix them Dose a spoonful or two Oft-times not only the Heart but the Arteries especially that leading to the Spleen and that of the Temples are seiz'd with a palpitation The cause is an inflammation of the Place or stagnation of the Blood or Convulsions of the Spleen and adjacent parts affecting the Tunicles of the Artery The first two are remov'd by Sudorifics and the last by Steel and anti-hypochondriac Medicines CHAP. II. Of Swoonings THere are three kinds or rather degrees of Swooning viz. Lipothymia Syncope and Asphyxia In a Lipothymia beside that the Pulse is weaker and less the Senses both internal and external are eclips'd and animal Motion both voluntary and natural does in a manner fail all which symptoms go easily off again and the Patient is restor'd to health In a Syncope the symptoms are more tragical the Pulse Sense and bodily Motion are quite extinguish'd Respiration is scarce perceivable the Heart is much oppress'd a cold clammy Sweat and Paleness covers the Body and sometimes the Excrements come away of their own accord In an Asphyxia all things are yet worse so that the Patient lies as one dead without any Pulse or sign of Life Now in order to discover the cause of
The most common sort of Dropsie is that call'd Ascites which begins at the Feet and in a short time reaches the Belly and Scrotum This Serum whose Extravasation causes a Dropsie for the most part is deposited into the respective Cavities by the Blood circulating in the Arteries 'T is true the Rupture and Obstruction of the lymphatic and milky Vessels may cause a Stagnation or Extravasation but that happens by accident Whereas the standing and direct source of Dropsies is the vicious Crasis of the Blood as being unqualified for digesting and assimilating its Serum and its languid Motion giving the Serum an opportunity of squeezing through the Vessels especially about the Capillary Arteries where the influence of the Heart the primum mobile is but very small and more easily communicable to the thick resisting Blood than to the weak yielding Serum Now that the slow motion of the Blood will occasion a Transmission of the Serum is plainly made out by Dr. Louer 's Experiment of tying a Ligature about the Vena Cava under the Heart and that the vicious Crasis or Crudity of the Blood occasions an imperfect Turgescence and a weak Propulsion from the Heart is too evident to need a proof I grant that there are some melting Dropsies that proceed from the Colliquation of the Humours originally contain'd in the part without the assistance of foreign Serum as in Hectic Feavers and after hot acute Diseases but these are not proper Dropsies as being only Symptoms of a Colliquation According to this Hypothesis we need not be at a loss to scan the Influence of remote Causes 'T is an obvious Conjecture that whatever weakens Digestion accumulats Crudities enfeebles the natural Functions and in a word all Chachectic Disorders are apt to degenerat into Dropsies The suppression of Urine and that of insensible transpiration are either the Causes or inseparable Companions of a Dropsie Nay I doubt much if an universal Ascites can ever take place unless the Kidneys be disorder'd And 't is a notorious observation to this purpose that whoever drinks much and does not piss proportionably may justly make account to encounter a Dropsie e're he dies and that whoever attempts the Cure of a Dropsie without Diuretic Medicines is but lamely equip'd for his Office The drinking of Brandy and Sulphureous Liquors that melt down the Humors sharpen the Lymph and relaxat the Stomac the inconsiderat use of cold Water immediatly after violent Heat the suppression of any wonted Evacuation and excess of any Flux whether of Blood or other Humors the attenuation of the Serum by the use of Mercury the Jaundice and inactivity of the Bile Chronical Agues mismanag'd Asthma's Phthisics and Spitting of Blood and in fine whatever weakens Nature renders the Blood uncapable to assimilat the Chyle or retards its circular Motion and disturbs its due Targescence these I say are the natural Authors of a Dtopsie The tumors of the Mesentery Liver and other Bowels do generally accompany this Disease but oft-times are rather effects than Causes The Symptoms of a Dropsie display themselves after this method The Feet at first begin to swell and receive Pits by the pressing of one's Finger in the Night time the swelling abates but regains new force the succeeding Day By degrees it reaches to the Abdomen and Scrotum and frequently affects the Prepuce and Testicles The Water thus inclos'd in the Belly sometimes possesses one side sometimes both and as the Person turns in his Bed it rolls with a noise and sometimes visibly from one side to the other in the mean while the Breast Neck and upper Parts waste and decay The Face and Hands sometimes swell An itching and oft-times a scab molests the Skin and spots or wheals beset the Legs A slow Feaver pursues him and increases towards the Evening The Pulse is small frequent and a little hard An unquenchable Thirst loss of Appetit straitness of the Breast shortness of Breath especially in the Night time and a dry Cough oft-times usher in a Dropsie Big belly'd Women are oft-times apt to suspect a Dropsie without occasion The signs which serve to undeceive 'em are these In a Dropsie the Face is pale and Livid the Eyes are rob'd of their sparkling Vigor the Water contain'd in the Belly Floats to and again falls as the Woman turns her self and is very weighty The swelling is soft equal and bends downward it do's not impair the Flux of the Terms but diminishes the quantity of Urine and gives it a high Tincture and causes a violent Thirst all which Symptoms are contrary to those of Being with Child The Hydro●ic Water is not always of the same Colour as being either Green Yellow or Blackish c. But 't is generally salin and sharp apt to corrode the Bowels and to cause Ulcers on the Legs or to cast a Froth like Lather when mix'd with other Water nay the distention and stiffness of the Membrans inwrapping it seems to argue that it ferments within and provokes them to Contractions As for Prognostics If a Dropsie follow Chronical Diseases or indiscreet Purgation or invade those whose strength is decay'd if it be attended by unspeakable Thirst Coughing Schirrus of the Bowels difficult Respiration scarcity and redness of Urine hardness of the Belly extreme inappetency or a melting Feaver Ulcers or livid Spots in the Legs Black Excrements when the Person do's not use Steel These I say are dismal Circumstances whereas the Reverse of 'em are look'd upon as hopeful Signs Convulsions and Apoplexies succeeding a Dropsie are very fatal The Cure turns upon two indications 1. To remove the stagnating Serum 2. To prevent its further increase by retrieving the due Crasis of the Blood and fortifying the Stomac in order to a regular Chylification The first is answer'd by Evacuations and abstaining from Drink Of evacuating Medicines Purgatives are the first especially the Roots of the Common Flower-de-luce and Elaterium or the Juice of the wild Cucumber The former do's not only evacuat but enjoys also an alterative Vertue and is given to three drams in Infusion or its Juice express'd to half an ounce with a scruple of the Powder of Soldanella Elaterium or its Extract prepar'd with Spirit of Wine Tartaris'd given to fifteen grains is fitly joyn'd with sweet Mercury The Infusion or Decoction of half an ounce of Bryony with Salt of Tartar is of excellent use against Dropsies of the Womb. When the Serum is mix'd with viscous Humors Coloquintida or the extract of Troches Alhandal ought to be added The lunar Pills made of the Crystals of well refin'd Silver prepar'd with Spirit of Nitre or Aquafortis or Mercurius Vitae render'd Laxative by mixing it with sweet Mercury are also noted Purges against Dropsies To which we may add the Rosin of Jalap the Infusion of a handful of the Flowers of Acacia in Whey the Syrup and Conserve of Peach Flowers Gutta Gamba given in Powder to sixteen grains or its Rosin given to twelve
scalds a sharp corroding Matter issues from the Yard inflames the Prepuce and besets it with Pushes which in tract of time degenerat into Ulcers Bubo's or hard swellings appear in the Groin Red yellowish Spots are observ'd in the Belly Breast Back and Privities which when press'd assume a whitish Colour but quickly retrieve the former In process of time the Wheals or Ulcers spread over the Body especially the Forehead Face and Palat their Colour is livid inclining to a Yellow sometimes they are dry scaly and of an unequal surface at other times they void sharp corrupt Matter which frequently corrodes the spungy Bones of the Nose and Palat. The Bones are cover'd with hard stony Concretions and the Limbs tortur'd with violent Night-pains but so as that the Joints are free and in inveterat cases become corrupt and rotten Little Swellings call'd Condylomata cover the Breech and crusty Warts invade many parts of the Body The Palms of the Hands and Soles of the Feet are chopp'd and molested with a burning Heat the Hairs fall off from the Head Eye-lids c. the Palat of the Throat being relaxated or corroded alters the Voice the Ears tingle and in fine the whole Body becomes mangy and sordid and by degrees moulders away The Symptoms of Women differ not from those of Men excepting what regards the form of their Genitals The material cause of the Pox is a corrosive acid Ferment joyn'd to a viscid Vehicle which affects chiefly the glandulous and nervous parts it depraves the Lymph and Serum the nutritious Juice of the Bones and the dewy Liquors of the whole Body it corrodes the solid parts twitches the Membrans and is every way qualify'd for being the Bane of Life and Ruin of Mankind 'T is very infectious and oft-times propagats it self among Bed-fellows by Sweat or Matter issuing from the Ulcers by kissing when the Lips are ulcerated by hereditary Succession and many other ways besides that of perfect Enjoyment If it be inveterat or hereditary or return after Salivation if attended by the Scurvy or obstructions of the Bowels or troublesome Catarrhs and if the Bones of the Head are corroded it is not easily cur'd Dry hot Constitutions are more in danger than those whose Bodies are moist and open The forwardness and Suppuration of the Bubo's facilitats the Cure If the Blood drawn forth become florid and free of those livid blewish Spots that use to appear in its surface and withal be not over serous 't is a testimony of a perfect Cure The Cure of the French Pox which consists in attenuating the viscid Humors correcting and extinguishing the Acid and evacuating both is obtain'd either by sudorific Decoctions or mercurial Salivations The former are calculated for a recent Pox and bilious scorbutic or melancholic Constitutions to whom Mercury is so pernicious and ought to be preceded by Purgatives The most noted Ingredients are Guajacum and Sassaperilla The Dose of the former ought to be inlarg'd for cold Constitutions and that of the latter for such as are hot To these two I choose to add Juniper-wood The other Specifics are Burdock Roots Soap-wort Sassafras Box wood Mastic wood Oak wood Arsmart c. The common Vehicle for sudorific Decoctions is Water but when the Stomac is weak we may add Wine towards the end of the Decoction For emaciated Persons some boyl 'em in Whey When these Sudorifics are first us'd we ought not to be too hasty in forcing the Patient to sweat but to wait some days 'till the Humors are gradually prepar'd and the Body incline to it Besides if they happen to operat more by Urine than by Stool 't is not proper to recall the Humors that move that way nay on the contrary we ought to add Diuretics and endeavour to discharge the virulent matter by the Passage to which Nature directs When the Humors are sufficiently prepar'd and dispos'd for sweating the Patient may be moderatly cover'd up and the Vertue of the Sudorific promoted by drinking warm Broth the Decoction it self being also drunk warm or kindling Spirit of Wine and while he continues thus to sweat daily let a Purge be exhibited every seventh day Take of the shavings of Guajacum six ounces the rinds of Guajacum two ounces Sassaperilla roots two ounces shavings of Sassafras an ounce quick Silver purify'd by the addition of an Alcali and Antimony in coarse Powder both ty'd in a Bag of each a Pound Macerat them in common Water for forty eight Hours then boyl them till two thirds be evaporated Some add Soap-wort Hyssop Speedwell Liquorice Roots Raisins Burdock Roots Fennel Seeds c. The Dose of such a Decoction is from four to eight ounces according to the circumstances of the Patient To be taken only in the Morning for two or three days without sweating But after these preparatory Days are over let the Patient be put into a dry or wet Bagnio according as his Constitution is moist or dry about an hour after taking a Dose And after an Hour 's sweating let him retire to a Bed where the Sweat may finish its progress of its own accord But in the mean while the Sweat must be carefully rub'd off and the Sheets or Cloaths shifted after sweating and well wash'd and air'd before they be us'd again This method must be persisted in for four or six Weeks till all the Symptoms disappear and the Disease be totally rooted out In the Interim let the Diet be thin and dry A second Decoction of the same Ingredients may be given for ordinary drinking and Raisins or some such light thing for Supper If the Disease be inveterat it will be needful to raise a Salivation by the use of Mercury since sudorific Decoctions cannot of themselves reach the Cure tho' they may still be useful during the progress of the Salivation for attenuating and preparing the Humors But they must be so order'd that they do not procure Sweat The best preparation of Mercury for internal use in order to salivat is the red Precipitat from Quick-silver dissolv'd in the Spirit of Nitre and Allum given to four grains and repeated twice or thrice Sweet Mercury is rather a Laxative unless it be fix'd by frequent Sublimation and mix'd with Yelks of Eggs. But the most effectual way of procuring a Salivation is that of inunction with mercurial Ointments As Take of Quick-silver purify'd six ounces Hogs Fat not salted a pound Mix them exactly and add of the Gelly of Ox Feet half on ounce Turpentine three ounces distill'd Oyl of Turpentine an ounce make an Ointment With which anoint the Soles of the Feet Palms of the Hands Wrists Ancles Elbows Knees and Backbone from the Shoulders down to the Os sacrum twice a Day for three successive Days Two ounces of the Ointment will suffice for each inunction and about the fourth Day if the Salivation advance one inunction more will serve If it do not we must continue to anoint and if all prove ineffectual
that without a particular regard to it they cannot be cur'd The Signs that argue for the presence of it are these 1. The Heat and tickling of the Gums and effusion of salt watry or stinking Blood 2. A purple Half-Moon under the Eyes 3. Little red Spots like Flea-bites on the Thighs and Legs 4. The weakness of the Knees 5. The stinking of the Mouth especially when the Stomac is empty 6. Sudden and unaccountable Flushings all over the Body 7 The flame-Colour of the Urine without a Feaver or red friable Sand sticking to the bottom or sides of the Urinal If the Scurvy be recent it admits of a Cure If Inveterat it requires a continued Use of proper Medicines for a long time and frequently terminates in fatal Dropsies Cachexies Obstructions of the Bowels or Consumptions If a difficulty of breathing attend it 't is very dangerous and frequently finishes the Tragedy in a Swoon Costiveness and suppression of the Piles or wonted Evacuations are bad Omens A weak and unequal Pulse is less to be fear'd than in other Diseases Black Urine without a Feaver is well look'd upon as being a sign of the solution of the Disease Red Spots are a good Sign But Black Livid or Blue ones and Ulcers are very bad Night-sweats with florid eruptions frequently give relief The Symptoms of a Scurvy are oft-times mutually exchang'd Thus wandring pains are shifted for a fix'd Head-Ache the Colick and Convulsions for a Palsy or inconstant Swellings grievous pains for a Lethargy c. A hot Scurvy or such as proceeds from bad Diet and has fix'd Symptoms is not easily Cur'd A Looseness attending a Scurvy is an unlucky Companion In fine all Prognostics relating to a Scurvy are very uncertain for sometimes dismal Symptoms disappear on a sudden and meeker Signs are surpriz'd by Death The Cure of Hypocondriac and Scorbutical Diseases consists in Correcting and Evacuating the Crudities of the first Passages fortifying the Stomac retrieving the due Crasis of the Blood and restoring all wonted Evacuations to their former Course In order to compass these ends let the following Rules be heedfully minded 1. Blood-letting and Issues are of no direct use Sometimes indeed indirectly a Scorbutical Catarrh may reap Benefit from the latter as the Head-ache and fix'd Pains in the Legs may justifie the former 2. Diuretics are always proper and a plentiful evacuation of Urine was ever observ'd to give relief In the beginning of the Disease gentle Diuretics are best for fear of draining the Morbifical cause out of the first Passages into the Vessels Such are the volatil and fix'd Alcali's viz. Arcanum Duplicatum Spirit of Earth Worms Tincture of Tartar Spirit of Sal-Armoniac c. 3. Dry Vomits given in large Doses usher'd in by Digestives and in case of Costiveness proper Clysters are the Basis of the Cure of the Hypocondriac Disease In a form'd Scurvy they are improper as being apt to stir up and exasperate the sharp scorbutical Juices 4. Purgatives waken the Symptoms of the Belly and upon that account are justly avoided But Laxatives are very useful 5. Attenuating Gums and other such Ingredients are always useful for cutting the viscous Humours that give Being to the Hypocondriac Diseases 6. The Belly ought to be always kept open 7. When Aperients by opening and unlocking the Obstructions of the Bowels cause a Flux or Dysentery let the Guts be corroborated by Elixir Proprietatis Tincture of Coral c. 8. Chalybeats and dry Absorbents are not always of equal use in the Hypocondriac Disease for if the Bowels are molested with hard Swellings moist liquid Aperients are preferable 9. Antiscorbutics are useful against the Hypocondriac Disease as well as against the Scurvy 10. Bilious Constitutions or such as are rul'd by a Volatil sharp Alcali are oft-times offended by volatil Anti-scorbutics and oily Aromatics Wherefore 't is advisable in that case to qualifie the former with Spirit of Nitre or Whey and shift the latter for meagre thin Salts and Chalybeat Absorbent Powders 11. Vinegar is pernicious But the acid Juices of Fruits are allowable 12. Volatil sharp Antiscorbutics ought always to be usher'd in and sometimes interlac'd with chalybeat Powders or alcalin Salts 13. When the scorbutical Acid is corrected and the Stomac able to digest Milk mix'd with Spirit of Sal-Armoniac or that of Scurvy-grass is of excellent use it tempers the Acid qualifies the sharp Salt and bedews the nervous parts For Hypocondriac Persons 't is not so proper as Whey 14. Sweet Mercury is fitly mix'd with Laxatives for Hypocondriacal Persons but 't is pernicious to such as are Scorbutical tho' Antimony be very useful Having premis'd these cautionary Rules we proceed to the Method of Cure In which digestive Preparatives lead the van Such are Cetrach Hyssop lesser Centory Sassafras Myrrh China-root and the fix'd Salts of Plants Crabs-Eyes Castor Amber Coral Steel and Absorbent Chalybeat Powders excepting the Powders of Stones partaking of Steel such as Blood-stone the Load-stone c. since the number of their astringent earthy parts surmounts that of the Chalybeat and joins with the Acid in the first Passages into a styptic Body causing Costiveness From the above mention'd Ingredients we draw several Preparations such as the Extract of Steel the tinctures of the Vitriol of Steel of Tartar and of the dross of the Regulus of Antimony The Hypocondriac Digestive Salt viz. the Caput mortuum of the Spirit of Sal-Armoniac Tartar vitriolated the Terra Foliata of Tartar prepar'd by impregnating Salt of Tartar with Vinegar then dissolving it in spirit of Wine and drawing off the Spirit Poterius's Antihectic Chalybeat Bezoar Elixir-Proprietatis prepar'd without an Acid and especially Arcanum duplicatum For Example Take of Fennel and Mint-water of each an Ounce and a half the solution of Steel with the Juice of Apples half an Ounce Magistery of Coral prepar'd with the Juice of Citrons a dram Syrup of Orange-peel six drams Mix and exhibit two or three spoonfuls Morning and Evening for correcting a Hypocondriac Acid. Take of the aperient Crocus of Steel half a dram Arcanum duplicatum a scruple Salt of Wormwood half a scruple Make a Powder for three Doses Take of the aperitive Tincture of Steel two drams Spirit of Scurvy-grass a dram Spirit of Sal-Armoniac half a dram Mix. Dose fifty drops After these preparatives are us'd for a Week or two 't is time to administer a Vomit of the Infusion of Crocus Metallorum mix'd with the Spirit of Scurvy-grass Or thus Take of Dorncrellius's Anti-scorbutic Water two Ounces spirit of Scurvy-grass half a dram emetic Tartar three or four grains Extract of Steel half a scruple Mix c. Next in order are gentle Laxatives especially in a hot Scurvy such are the Pills of Ammoniac or those of Tartar mix'd with sweet Mercury which is of excellent use against Costiveness For Resinous Purgatives ought to be avoided as being endow'd with an astringent quality Wherefore Aloes whose Gummy part is of good use
Salt remain at bottom Now take of this Salt three drams of the Gum Lac two drams Cyprus Vitriol six Grains Rosemary and Sage-waters of each an ounce and a half Mix and dissolve with a gentle heat As for Powders Take of Snake-weed and Tormentil Roots and the Rinds of Pomegranats of each a dram Blood-stone Frankincense Burnt-allum and Sal-Armoniac of each half a dram make a Powder for rotten Gums Or sprinkle it with the distill'd Oyl of Cloves and Spirit of Scurvy-grass Note all stony or tartarin things are pernicious to the Gums If the Mouth or Gums are beset with Ulcers apply the following Liniment Take of crude Allum a dram and a half Sage-leaves three drams Roots of Florentin Orris a dram and a half Myrrh half a dram With Hony make a Liniment Borellus recommends Allum with the Oyl of Sulphur and Conserve of Roses If the Ulcers are malignant and stinking apply the Ointment of Columbines with the Juice of Sage and Spirit of Salt or the Ointment Aegyptiacum diluted with Hony or Platerus's green Waters Note the Spirit of Vitriol always makes the Teeth black II. Scorbutical Tooth-aches are cur'd by applying the Decoction of Pine-tree Leaves with Spirit of Scurvy-grass or the Juices of lesser House-leek and Scurvy-grass with the Decoction of Henbane Rosemary Rue Plantane Sage Snakeweed and Fearn If the Pain reach the Temples and Face foment 'em with the weaker Spirit of Scurvy-grass mix'd with the Spirit of Earth-worms III. The spots on the Skin ought to be promoted by exhibiting inwardly the volatil Specifics mix'd with absorbent Powders and the Tincture of Columbine Flowers or Emulsions of its Seed or the Antiscorbutical Tincture of Coral If the Spots be red we add acid Juices if blew or livid Scurvy-grass and volatil Ingredients Externally if they disorder the Skin and are apt to excoriat apply after sweating a Liniment of Mustard-seeds mix'd with Vinegar or if that be too sharp with the Oyl of sweet Almonds and fresh Juice of Citrons The Ointment of the Roots of Florentin Orris and white Hellebor mix'd with the Oyl of sweet Almonds is look'd upon by some as infallible for this purpose If the Skin itch and be molested with little miliar Eruptions exhibit the Decoction of Pine-tree Buds and let the Hands and Feet be lick'd by a Dog IV. The fix'd pains in the Legs are remov'd by bleeding in the Arm applying Blistering Plaisters near the affected part exhibiting Sudorifics especially the Decoctions of Woods and Pine-tree Buds the Essence of Sassafras Spirit of Scurvy-grass Spirit of Venice Treacle camphoris'd and Spirit of Elder-berries mix'd with the Essence of Opium and Laudanum Opiatum and by fomenting the part with the Spirit of Juniper-beries camphoris'd Spirit of Earth-worms and Aqua Articularis or by soaking it in Tanner's Lye mix'd with Man's Urine or in hot fermenting Wine or in the Decoction of Ants the Person being put to a warm Bed immediately after Some recommend the Decoction of Sage Chamomil and Elder-flowers Water-cresses and Henbane-leaves in Milk or Whey for a fomentation or the Rob of Juniper mix'd with the thicken'd Juices of Water-cresses Camomil and Elder Flowers in the form of a Cataplasm or hot dry Bags of Millet-Seeds Salt Bran Wormwood-tops and Chamomil Flowers to be applied to the Parts however if all prove ineffectual we must have recourse to the natural Hot Baths or Artificial ones of Sulphur and Quick-lime V. The Colick Pains or those resembling the Nephritic as proceeding from the Cramp and Convulsion of the Guts and the Mesentery which is seated in the Loins are Cur'd by cleansing the Guts and appeasing the tumultuous motions The first design is compass'd by Raisins Goats-Whey Oyl of sweet Almonds and the Decoction of Marsh-mallows Pugatives are very pernicious But if the Pain be recent and not very violent we may venture to exhibit a gentle Purge mix'd with Opium the Body being first prepar'd by Digestives If the irritating matter be hot and sharp Whey in which China-Roots Borrage-Flowers and Clove-Gilli-flowers are boil'd the Emulsions of cold Seeds Sugar of Lead or the Antiphthisical Tincture and earthy absorbent Powders are proper but if the Urine be laden with a sandy Tartar all Lenitives are in vain 'till that be remov'd by meek Diuretics such as Turpentin the Syrup of Marsh-mallows c. In other cases we exhibit the Volatil oily Salts mix'd with Opiats especially the Spirit of Nitre dulcifi'd with the Spirit of Scurvy-grass the carminative Spirit de tribus and the Spirit of Earth-Worms Or thus Take of Dorncrellius his Carminative Water and the Antiscorbutic Water of each two Ounces the Spirit of Scurvy-grass and the carminative Spirit de tribus of each a dram the Essence of Opium half a dram Syrup of Orange-peel an Ounce Emollient Anodyn Clysters are also very proper I mean such as are usually prescrib'd against Colic and Nephritic Pains especially those of the Decoction of River-Crabs But if they do not quickly give relief 't is advisable to set 'em aside for fear of inflaming the Guts and to foment the Belly with the Decoctions design'd for ' em 'T is also usual to anoint the Navel with the Oyl distill'd from Galbanum and Turpentin and then apply either a hot Brick or the Plaister of Galbanum mix'd with the Balsam of Peru. P●terius's Plaister Diasulphuris applied to the Loins is of good use as also Fomentations or Cataplasms for the Belly of Chamomil and Elder-flowers Juniper Berries Henbane-leaves Cresses c. boil'd in Milk If the Clysters prove successful let 'em be still continu'd and sharpen'd with purgative Ingredients after the Paroxism exhibit the Decoction of Pine-Apples and Juniper Berries and other Antiscorbutics VI. The wandring gouty Pains that follow the Scurvy are owing to the Convulsive influence of the scorbutical Salt upon the nervous Parts especially the Membranes that cover the Bones They are distinguish'd from a proper Gout by these Symptoms They are very inconstant and apt to shift the place of their Abode and return again on a sudden Thus rubbing with a warm Cloth will occasion their removal and appearance in another Part. They never rise up in hard stubborn Swellings Their solution is frequently accomplish'd by Sweat and Urine and by cuticular Eruptions with an unsufferable itching The Cure consists in allaying the impeutosity of the Spirits and Humors evacuating the Scorbutic Salt by Sweat and Urine and removing the radical cause after the Paroxysm is over First of all it ought to commence by bleeding in the opposite side to the part affected then Clysters and Vomits follow'd by absorbent Powders and fix'd Salts especially Arcanum Duplicatum diaphoretic Antimony and Cinnabar of Antimony to which if the Spirits be very irregular we add Narcotics Oft-times a gentle Laxative is very necessary If the Spirits be low and flaggy we may exhibit the Essence of Woods or Venice Treacle with Osteocal mix'd with Opium After these Preparations we proceed to the use of volatil Specifics of
Whey sharpen'd with the Juice of Citrons is much approv'd as also Milk mix'd with the Spirit of Sal-Armoniac when the Stomac is able to digest it and the Feaverish Paroxysm is over The Symptom of Thirst is admirably accounted for by exhibiting the Decoction of China-roots and Liquorice XIV In scorbutical Dropsies strong Purgatives are noxious gentle Diuretics mix'd with Antiscorbutics being the Basis of the Cure Such are the Infusion of Wood-lice in Wine the Spirit of Sal-Armoniac and Tincture of Tartar mix'd with the Spirit of Scurvy-Grass XV. St. Antony's Fire happening to scorbutical Persons is cur'd by taking inwardly absorbent diaphoretic Powders mix'd with the Spirit or Syrup of Elder-Flowers and Spirit of Scurvy-grass and applying outwardly the Decoction of Litharge Elder-Flowers Olibanum Myrrh and Mastic in Lime-water and Vinegar with a little Camphyr XVI Ulcers accompanying the Scurvy and threatning a Gangrene ought to be wash'd with Lime-Water or the Decoction of lesser House-leek mix'd with the Spirit of Vitriol and anointed with the Ointment of Tobacco and Sugar of Lead or cover'd with the Powders of Myrrh and Frankincense Crocus of Steel and Sugar of Lead Inwardly let the Essence of Woods Essence of Fumitory and the Antiscorbutical Tincture of Coral be frequently administred As for the hard Swellings that frequently molest the Legs let Cataplasms of Bryony and Comfrey-Roots and Chamomil Flowers be applied to ' em Or let the thicken'd Juices of Comfrey and Brook-lime mix'd with Mynsichtius his Diaphoretic Plaister and the Distill'd Oil of Chamomil be us'd in like manner ART 6. Of breakings-out in the Skin UNder the Head of Deprav'd Nutrition we allot an Article for Cuticular Eruptions and first for the Scab which proceeds from the depravation of the nutritive Juice of the Parts under the Skin occasion'd by a preternatural Acid. This Acid takes its rise from sudden Cold succeeding to Heat and shutting up the steams of the Body within the straiten'd Pores from the contagion of an external Ferment and sometimes but very rarely from internal Causes such as the Scurvy French-Pox c. But for the most part the Blood and Internal Parts are not at all tainted it being only the nutritive Serum about the surface of the Body that is depraved tho' 't is true that by continuance it may at last infect the Blood If the nutritious Juice be very serous and apt to corrupt the Breakings-out run much if the Juice be Balmy and impregnated with a volatil oily Salt they are crusty and dry As for the Cure of a Scab we administer inwardly Purgatives and Sudorifics The Purgatives are the Extract of Black Hellebor or Scammony sulphurated mix'd with sweet Mercury and the purging Mercurius vitae or Turbith Mineral in an inveterat case If the Blood be tainted we administer the Decoctions of bitter and scorbutical Plants and Spices mix'd with purging Ingredients in Wine Whey or Water and continue their use for some time The Sudorifics are the Decoctions of Woods the volatil Salt of Vipers Harts-horn Ivory the fix'd Salts the Sulphur and Cinnabar of Antimony diaphoretick Antimony and the Syrup of Elder Flowers As Take of Elder-Flower Water an ounce the Spirit of Venice Treacle camphoris'd half a Dram Diaphoretic Antimony fifteen Grains the volatil Salt of Vipers half a Scruple Syrup of Orange-peel half an ounce Mix for a Draught Or Take of the Rob of Elder a dram the Powder of Snakes calcin'd a scruple Sal-Armoniac half a scruple With the Syrup of Orange-peel make a Bolus The distill'd Oyl of Turpentin given to six Drops every Morning the Essence of Vipers to forty the Tincture of Antimony or Tincture of Coral given to fifty Drops are also very proper And when all proves ineffectual a Mercurial Salivation may not be amiss Outwardly we apply Ointments of Sulphur Mercury especially that precipitated with the Spirit of Nitre and Sugar of Lead but we ought to take care that the Pores be kept open for fear the Scab should strike in Upon which account let Salt of Tartar be always added As Take of Vnguentum Enulatum and Album Camphoratum of each half an ounce Flowers of Brimstone three drams sweet Mercury a dram Salt of Tartar or Oyl of Tartar per deliquium a dram and a half with the Oyl of Tobacco or of St. John's wort Make an Ointment to which add of the Balsam of Peru half a sc●●ple Oyl of Rose-wood six drops Mix and anoint the Limbs especially the Joints at Night going to Bed and in the Morning wash off the Ointment with the Persons own Urine Take of the Decoction of Quick-lime a pound and a half sweet Mercury three drams Spirit of Venice Treacle camphoris'd an ounce Mix and wash the external Parts for taking off the Scab and the red Scars that remain after it The Distill'd Water of Man's Ordure is an admirable Wash and reserv'd by some as a Secret Some use Girdles of Quick-silver others fumigate with Cinnabar but the Body ought to be well cleans'd beforehand and arm'd against Cold. In a critical Scab we ought not to use repellents But Baths of the Decoctions of the sharp pointed Dock Tobacco-Leaves Scabious Elecampane and Briony Roots Brimstone and Quick-lime are allowable After sweating by internal Sudorifics the scabby Person may bath in them and rub down his Body and after bathing anoint with the above-mention'd Ointment The Itch is near ally'd to the Scab and proceeds from the sharp Particles of the Serum repairing to the surface in small quantities 't is cur'd internally by purging and sweating as above and externally by applying the following Ointment Take of the Roots of the sharp pointed Dock and Elecampane of each an ounce Boil them in Vinegar 'till they become soft then beat 'em thro' a Sive and add of the Oyl of Orris three Ounces common Salt an Ounce Myrrh three Drams Litharge an ounce and a half With Wax make a Liniment A Leprosie proceeds from a saline corrosive Acid reigning in the Serum as being a sort of exalted Scurvy It is oft-times the hereditary Infirmity of a Family or follows a bad Dyet Chronical Diseases and the suppression of wonted Evacuations The Signs which accompany it are either internal or external The internal are Acid or musty Belchings Costiveness Thirst a stinking Sweat thick Urine insomuch that the Powder of Lead will swim upon it an extreme propensity to Venery the thickness viscosity and unctuosity of the Blood when drawn forth and little Clotts of Sand sticking to the Cloth thro' which 't is strain'd the frequency and weakness of the Pulse difficult respiration stinking Breath a weariness of the Limbs Chillness stupidity and a hoarse Voice as if it came thro' the Nose The External Symptoms are these The Skin appears Livid Black or Yellow it Wrinkles when expos'd to the Cold it is notably rough and oily insomuch that Water will not stick to it it is cover'd with a Purple or White Dandriff little moveable painless Knots and
Swellings beset the Forehead Chin and Joints a dry Ringworm and Pushes cover the whole Body and affect not only the Skin but the Muscles an eternal Itch like the gnawing of Worms or pricking with Needles molest● 'em when they scratch any part it turns dry and scaly but voids no Matter the Hair of their Heads and Eye-Brows falls off their Forehead is furrow'd with Wrinkles their Ears stretched and swell'd the Eyebrows callous and rais'd their Eyes round red sparkling infested with little hard swellings in the corners and apt to water the upper part of their Nose contracted while the inferior is inlarg'd troubled with frequent Sneezing and infested with a Polypus and Cancious corrosive Ulcers the Face and Lips are pale hard livid and chop'd their Tongue and Mouth lyable to hard Swellings Chops and Corrosion the Gums rough and swoln the Spittle viscous the Breasts hard and their Veins swoln the Joints wither'd and beset with callous indolent Ulcers that are apt to bleed upon the slightest touch the Muscles of their Hands especially those of the Thumb and first Finger are much consum'd the Fingers and Toes benum'd the Joints distorted and knotty and the Nails black bow'd and chop'd The Cure of a Leprosie is the same as that of a Scab If what was recommended upon that Head prove successless we must have recourse to the following Medicine viz. Take four quarts of Lye and a pound of white Arsenic Boyl them for an hour or two till the Lye be almost consum'd then add fresh Lye and boyl again till the Arsenic be dissolv'd Then pour off the Liquor by inlination into a clean Vessel and add two pound of Ceruss dissolv'd in Vinegar and filtrated This will yield a precipitat which ought to be dulcify'd and given for eight days together from three to ten Grains The Disease call'd by the Arabians Elephantiasis does not spread so universally over the Body as a Leprosie as being only a red livid or black swelling in the Feet attended by Ulcers in the Veins that void a sharp clear Serum It generally happens to old People that have drank much Wine and is frequently Critical Upon which account we ought to be cautious of applying repellent Medicines Internally we administer Purges as in a Scab and the Decoctions of Woods and sudorific Ingredients for tempering the sharpness of the Serum Externally we apply the Plaister of the Calaminar Stone or Meibomius's Plaister of the Oyl of Olives Castle-soap Ceruss red Lead and Camphyr In the mean while we roll up the Legs from the Ancles to the Knees in a Swathe A Tetter and Ring-worm are near a-kin to a Scab as being only a Crust or hot Pushes on the Skin causing heat redness itching and roughness They are cur'd by Purging as in a Scab and administring Sudorifics with Sugar of Lead or the Antipththisical Tincture In desperat cases by Issues or a Salivation Externally we apply Castle-soap mix'd with Spirit of Wine and Sugar of Lead and in a word the same things that were recommended for the Scab In desperat Cases we use Lime-water or the Ointment of Roses mix'd with sublimat Mercury or with Mercury precipitated with Spirit of Nitre The little hot Pimples call'd Phlyctenes that frequently appear about the Wrists and Fingers are cur'd internally as a Scab externally by applying at first the Mucilages of Quinces and Linseed extracted with the water of Frogs-spawn and afterwards Lime-water and the Ointment of Litharge or Diapompholygos mix'd with Vinegar of Lead The lesser Pimples call'd Sudamina are cur'd internally by Purging and Sweating and externally by washing in Milk or Lime-water mix'd with Camphyr and shifting their Linnen often The Pushes that have little Worms in 'em are cur'd internally by joyning the Essence of Myrrh Elixyr Proprietatis Spirit of Harts-horn c. to the abovemention'd Purgatives and Sudorifics and externally by washing in the Decoctions of bitter Plants and applying Plaisters of their Juices mix'd with Mercury or picking out the Worms with a Needle The little hard callous swellings in the Face and Neck call'd Vari are for the most part red and whitish at the top They seem to proceed from the depravation of the Genital Liquor and mostly attack such as are ripe for Venery The internal Cure is the same as above Externally we apply Cataplasms of the Oyl of Bays Ointment of Roses sweet Mercury and Oyl of Tartar or a mixture of the Waters of Cows-dung Elder-flowers and Frogs-spawn with the Oyl of Tartar per Deliquium Flowers of Sulphur Borace Ceruss Camphyr c. Some commend the Precipitat from Lead call'd Lac Virginis Some recommend fumigation of the Face with Spirit of Wine spit out of the Person 's Mouth upon a hot Plate of Iron and follow'd by a fresh fumigation of Myrrh thrown upon the same Plate This they say will also take off Wrinkles and make old Women look young Freckles are little yellowish Spots in the Face Neck Breast and Hands The Cause is the stagnation of the Serum between the Skin and Cuticle occasion'd by the heat of the Sun or otherwise Internally Elixyr Proprietatis and Laxatives are proper Externally we wash the parts with the Water of Cows-dung or Bean-flowers mix'd with the whites of Eggs or anoint it with a Liniment of Frankincense Ceruss Myrrh Brimstone Camphyr and Hen's Fat applying afterwards Man's Fat to take off the roughness and scales that such Liniments occasion The Oyls of Eggs Tartar Guajacum Wax and Soap the Powder of the Roots of Briony and Florentin Orris sweet Mercury the Magistery of Lead Lac Virginis and the corrosive Liquor call'd Liquor Mercurij Saccharatus are also used by turns The little brown Spots call'd Ephelides do generally appear upon big-belly'd Women or those whose terms are stop'd as proceeding from the sharpness of the Serum For Cure we rub the part with a Citron or sower Apple cut up and wash it with the Emulsion of Hempseed or anoint with a Liniment of Bay-berries and Hony There are also Spots of a sad yellow Colour and about a Hands breadth call'd Maculae Epaticae that suddenly appear and disappear and render the Skin rough and somewhat scaly They proceed from the same Cause as Freckles The internal Cure is accomplish'd by the Decoctions of bitter and Antiscorbutical Plants mix'd with Purgatives The external by the Cosmetics above mention'd or in a difficult case by applying a Cataplasm of Mustard-seed beaten with Vinegar Salt and the yolks of Eggs. The red Pimples and Wheals in the Face and Nose that mostly follow hard drinking proceed from the volatil Acid of Wine incorporated with the Lymph corroding the Skin Their internal Cure is compass'd by Bleeding and exhibiting the Decoctions of bitter Herbs mix'd with Purgatives and the administration of Absorbent Powders Externally we apply the Sugar of Lead dissolv'd in distill'd Vinegar and mix'd with Camphry and Oyl of Roses or with the Juices of House-leek and Plantane or the Oyl of Tartar per Deliquium
especially Crabs Eyes mix'd with Vinegar Tho' Vinegar be an acid yet when joyn'd to Crabs Eyes and absorbent Powders it ferments and assumes a lixivious Urinous form which is of admirable efficacy for dissolving clotted Blood To these we ought always to add Sperma Ceti and the Decoctions or Waters of Vulnerary Plants as being inrich'd with a plentiful Alcali The dulcify'd Spirit of Nitre and all the Preparations of Nitre are also of excellent use especially if the Feaver be high As for external applications I refer the Reader to the sixth Book and shall only now take notice of two Particulars 1. The mistake of those who apply repelling Astringents in order to straiten the Vessels and hinder the Corruption of Blood Whereas the Doctrine of Circulation teaches us that the Blood convey'd thither by the Arteries cannot be beat back or return any other way than by the Veins Now to straiten the Vessels that are already straitned by the swelling is the ready way to hinder the Bloods access to the Veins and augment the Inflammation 2. If the tumor cannot be discuss'd we must bring it to a Head by ripening Applications and when the Ulcer is open see it throughly cleans'd before we attempt to consolidat The general Cure of Inflammations being thus accounted for we proceed to Particular Inflammations ART 1. Of a Quinsey Thrush and falling of the Vvula or Palat of the Mouth THE Inflammation of the Muscles of the Neck especially those of the Windpipe and Gullet is stil'd a Quinsy under which we comprehend all Inflammations relating to the Chops If the Internal Muscles of the Throat or Head of the Gullet are inflam'd 't is call'd Synanche if the External Parasynanche if the Internal Muscles of the Head of the Windpipe Cynanche if the External Paracynanche If a Quinsey proceed from the simple Stagnation of pure Blood 't is accounted Genuin if the Viscidity of the Lymph be the first Author of the Swelling and so accompany or rather cause the Stagnation 't is a spurious or white Quinsey The causes of a Quinsey are the unseasonable suppression of a Flux of Blood malignant Miasma's in the Air irritating the Throat and Windpipe the assumption of Corrosive Liquors which provoke the Muscles to contractions cold Air Bones Pieces of Glass or whatever happens to disturb the repose of those Parts or thicken the Blood or Lymph The viscidity or sharpness of the Lymph has a peculiar tendency to the Inflammation of the Tonsillae or Glandules in the Throat which causes 'em to throw out large Quantities of glutinous Lymph upon the Tongue and Jaws An Imminent Quinsey is usher'd in by a difficulty of Breathing swallowing and moving the Neck and a notable Heat in the Throat The Symptoms that accompany it are a difficulty of Breathing especially in a Cynanche the tumor pain and redness of the Neck and Tongue a viscous Film or Crust proceeding from the Tonsillae and covering the Tongue a difficulty of swallowing especially in a Synanche A genuine Quinsey is also attended by an acute Feaver and a distending Convulsive Pulse like that in a Peripneumonia But a spurious one by a slow Feaver and meeker Symptoms If this Inflammation be not quickly discuss'd it either choaks the Patient or becomes an Ulcer which sometimes distils a purulent matter into the Lungs and occasions tragical Symptoms If the swelling and redness display themselves visibly upon the external Muscles 't is a good Circumstance If the internal swelling and difficulty of breathing increase without an apparent Tumor and be attended by Froth in the Mouth If the Feaver observe the period of a continual Tertian if the Vein under the Tongue when open'd do not bleed these I say are bad Omens If the Swelling disappear of a sudden without the Signs of Concoction in the Spittle or diminution of the anxiety of the Breast or if the Head Pleura or other parts are seiz'd with Pain and inflammation by vertue of the Translation of the morbifical Matter we look for Death The Cure is either internal or external The former is the same with that of Inflammations in general providing a due regard be had to the peculiar constitution of the Parts as appears by the following Rules 1. The volatil Salts and absorbent Powders above mention'd join'd to the dulcifi'd Spirit of Nitre and Laudannm are given with good success in order to sweat Especially Horse-Dung and the Dung of Birds as being plentifully impregnated with a Volatil nitrous Salt Nitre dissolv'd in the ordinary Drink is also much approv'd 2. Amber Myrrh Spirit of Harts-horn and all Medicines recommended for Catarrhs are very proper in Quinseys by reason that the Lymph is always faulty as well as the Blood 3. In the beginning of the Disease we first open a Vein in the Leg then in the Arm and towards the height under the Tongue Before the Invasion of a Quinsey if the Patient be not Plethorick nor the Blood very high we may order Blood-letting under the Tongue but in no other case before the height If the Piles or Terms are suppressed we must always let Blood in the Leg. In desperate cases we apply Scarify'd Cupping-Glasses to the Neck Shoulders and Chin. In fine the Constitution of the Patient and other incident Circumstances must be our Directory for regulating the Measures of Bleeding 4. Epidemical Quinseys or such as proceed from the malignity of the Air must be treated as malignant Diseases without Bleeding or Purging And the Physician ought to avoid their Breath as being very catching 5. Antimonial Vomits are of singular use in the beginning of the Disease especially if it be epidemical or if the Patient be molested with a bitter rusty taste in the Mouth a tickling heat in the Gullet and a loathing of Meat They are improper at any other time besides the very height of the Disease when the suppuration is in some measure advanced and the Swelling cannot be laid open Then indeed a Vomit is the last Refuge If the Person cannot swallow any Liquor let the Throat be tick'ld with Mercurius Vitae with Hony upon a Feather 6. Purgatives are improper as being apt to augment Inflammations Perhaps in the beginning 't will not be improper to cleanse the first Passages with a Laxative But Clysters ought to be injected every Day during the whole progress of the Disease 7. Blistering Plaisters applied to the Neck after the first Blood-letting are not improper 8. If the Inflammation of the Tonsillae arising from viscid Lymph be apt to relapse frequently let an Issue be cut in the Arm. 9. We must be very nice in distinguishing a Quinsey from a Prunella which generally follows Feavers and requires the application of Medicines improper for a Quinsey See the Chap. of Acute Feavers The external part of the Cure of a Quinsey is perform'd 1. By Gargarisms Ointments Cataplasms and Plaisters of discussing Ingredients such as Chamomil and Elder-Flowers Mint Penny-Royal Wild Marjoram Sage Hyssop the
Seeds of Dill Rapes Mustard and Cummin Saffron Camphyr Swallow-wort the Dung of Animals the Juice of River-Crabs the Persons own Urine the Spirit of Wine Sal-Armoniac and Juice of House-leek The common Practitioners generally add astringent Ingredients whereas they are very pernicious and augment the Inflammation by hindring the Bloods access to the Veins upon which account we only use attenuating volatil Ingredients as for a Gargarism the Decoction of Rapes mix'd with Sal-Armoniac Or Take of Lovage-Roots six drams Smallage-Roots three drams Elder-flowers a handful and a half Mallows leaves a handful Boil them in Barley-water and add to the strain'd Decoction Hony of Mercury an ounce Spirit of Venice Treacle six drams spirit of Sal-Armoniac a dram Make a Gargarism After the beginning of the Disease Gargarisms are improper as requiring a motion prejudicial and painful to the inflam'd Parts Upon which Account we order the Patient only to let the Liquor lie in the Mouth for some time As for Discussing Cataplasms those of bruis'd Wormwood-leaves mix'd with Hoggs-Fat or of a Swallow's Nest boil'd in Wine apply'd to the Swelling are of excellent use For a Plaister we apply that of Melilot soften'd with distill'd Oyl of Amber For an Ointment the Oyl of sweet Almonds mix'd with Sal-Armoniac as also the following Oyl Take of Brimstone pulveris'd and Salt of Tartar of each a Dram. Melt 'em and let 'em stand 'till they grow cold Then pulverise the Mass and add of the Oyl of sweet Almonds three ounces Oyl of Camphyr half a Dram. Mix and set 'em to digest for three Days 2. If the Tumor be not quickly discuss'd we must set aside all sharp provoking Ingredients and endeavour to bring it to maturity by soft temperat ripening Medicines Such are the Decoctions of the Herbs Mallows and Melilot Marsh-mallows-Roots and Figs in Whey or Milk and sweeten'd with Hony for a Gargarism or the Oyl of sweet Almonds and Ointment of Marshmallows with which we anoint the outward Parts and then apply the following Cataplasm Take a Swallows-nest with the Dung three roasted Onyons and two or three handfuls of Elder-flowers Boil 'em in Milk Beat the Pulp thro' a Sive and add half an Ounce of Album Graecum half a dram of the distill'd Oyl of Chamomil and a sufficient quantity of the Oyl of White Lillies in order to make a Cataplasm 3. The Tumor being thus ripen'd we must endeavour to open it by anointing the Jaws with Hony mix'd with Dog's Dung Or if that be successless by a Gargarism of Mustard-Seed boil'd in Mead or of the Oyl of Vitriol mix'd with White-Wine and ordering the Patient to Cough and Hauk and in the last extremity administring a Vomit or opening the Larynx 4. When the Ulcer is open'd it ought to be cleans'd by the Decoction of Barly or Speedwell mix'd with Hony of Roses or Black-smith's Water for a Gargarism If it prove very sordid we may add the rectifi'd Spirit of Salt or Spirit of Vitriol and in desperate cases touch the Ulcer with Vnguentum Aegyptiacum or Platerus's green Water mix'd with Hony After 't is sufficiently cleans'd touch it with an Ointment of Myrrh Florentin Orris-Roots Burnt-Allum and Hony of Roses and gargle the Mouth with vulnerary astringent mixtures As for the Thrush or excoriation of the Mouth it frequently attends Feavers when the Stomac is stuff'd with green rusty Humours and the Physician neglects to cleanse it and then it reaches from the Stomac to the Tongue In other cases it proceeds from the sharpness of Spittle If the Crust is black livid green flat and continues long dry it portends a tedious Disease The Cure consists in moistening and softening the affected Part. For which end let the Juice of Rapes or mucilage of Quinces with Nitre or fresh Butter and Sugar be applied to the Tongue If it degenerat into Ulcers gargle the Mouth with the Decoction of Speedwell mix'd with Hony or wash the Ulcers with the Phlegm of Vitriol and Plantan-Water In Scorbutical Cases add the spirit of Salt and that of Vitriol and for Venereal cases Platerus's green Water The falling of the Vvula is cur'd by applying to it Sal-Armoniac and Pepper gargling the Mouth with the Decoction of Self-heal mix'd with Sal-Armoniac and crude Allum or the Decoction of Hemp-seed in Vinegar and Water and applying to the Crown of the Head a mixture of Yest Spirit of Wine Mastic and Amber ART 2. Of Inflammations of the Stomac Guts and Fundament THE Causes of an Inflmamation of the Stomac are the same as those of other Inflammations The Symptoms are an Acute Feaver a Tumor a Pain and sense of Heat under the short Ribs an unquenchable Thirst unquietness and Watchings The profundity of the Pain the comparative invisibility of the Tumour and the acuteness of its Symptoms distinguish it from the Inflammation of the Liver or of the Muscles of the Belly Sometimes the Inflammation suppurates and then if the purrulent Matter fall inward upon the Guts there is not so much danger as if it were discharg'd into the external Cavity As for the Cure Purgatives during the increase are improper Bleeding ought to be cautiously manag'd by reason of the Swoonings and Convulsive Symptoms that attend this Diste●per Clysters are very convenient But the Sudorifics recommended above for Inflammations in general are the Basis of the Cure Especially Antimonial Nitre or the dulcifi'd spirit of Nitre mix'd with the Decoction of Liquorice for ordinary Drinking The Sugar of Lead mix'd with Poterius's Antihectic Pulp of Tamarinds Mineral Bezoar and Tartar vitriolated Externally foment with the Decoction of Chamomil and red Roses in Wine and apply discussing Cataplasms of Aromatick Plants boil'd in Wine If the Tumor incline to suppurat apply the following Cataplasm Take of Fenugree Seeds three Ounces Pigeon's Dung two Ounces Yest and Hony of each an Ounce Oyl of Chamomil an ounce and a half Mix c. As for internal Administrations In case of Suppuration exhibit Turpentin dissolv'd with the Yelk of an Egg in Scabious Water or the rectifi'd Spirit of Tartar and the Juice of Syrup of Scabious If the Tumour is open administer the Decoction of Hyssop mix'd with Hony or Chalybeat Milk or the Decoction of China-Roots and Scabious Leaves with absorbent Powders Balsam of Peru Balsam of Sulphur and the Oyl or Extract of the Flowers of St. John's Wort If the Stomac be ulcerated by the corrosion of sharp Liquors administer first a Vomit and then the Mucilages of Fleawort and Quince-seeds mix'd with Tragacanth and Syrup of Roses The Inflammation of the Guts is caus'd by Dysenteries Ruptures Iliac Pains c. The Symptoms are a Tumor Heat and beating Pain a Lipyria Feaver in which the external Parts are cold while the internal are unsufferably hot Costiveness Retraction of the Anus and suppression of Urine If the small Guts are the seat of the Inflammation it appears about the Navel and is attended by a difficulty of Breathing and Vomiting If the
great Guts are only affected the Swelling appears in the sides of the Belly the Loins are infested with a weighty Pain the Symptoms are more remiss and bear downward If the Pain attending the Iflammation be suddenly extinguish'd it notifies a Gangrene For Cure let Clysters of Milk Hony and purifi'd Nitre be speedily injected let a Vein be open'd in the Arm oftner than once if there be occasion let a Caul of a Sheep kill'd in the very Room with the Patient be laid upon the Belly and if the Pain do not cease let it be shifted for fresh ones twice or thrice let the dis●ill'd Oyl of Lead with Oyl of Roses be applied at other times and let the dulcifi'd Spirit of Nitre with Laudanum Opiatum Sugar and Oyl of Lead and proper Sudorifics be internally administted The Inflammations of the Anus are caus'd by the suppression of the Piles excessive riding and such like external Causes The Symptoms are the same as those of Inflammations in general For Cure open a Vein in the Arm inject Clysters of emollient Ingredients boil'd in Milk or if these be insufficient of Lin-seed and Rape-seed Oyl and if the Excrements be harden'd add a dram of Sal Gem. If the Inflammation be so great that Clysters cannot be injected administer Raisins or such like gentle Laxatives for opening the Belly and gentle Sudorifics for promoting Sweat Externally apply the Decoction of Mint and Agrimony in Wine or Lime-Water or that of Mullein Flowers and Henbane Leaves in Whey or the mucilage of Quinces extracted with Houseleek-Water and mix'd with Sugar of Lead If the Inflammation was caus'd by the Contact of any sharp thing such as Paper cover'd with Pepper or Vitriol foment with the Decoctions of emollient Ingredients in Milk mix'd with the Whites of Eggs. If it cannot be discuss'd apply Rulandus's Balsam of Sulphur made of Sugar and the Oyl of Poppies and inject Clysters of Chalybeat Milk mix'd with Turpentine and Hony of Roses After ulceration apply Fulminatory Gold mix'd with the Oyl of Sweet-Almonds and exhibit internally vulnerary Decoctions ART 3. Of Inflammations of the Mesentery Sweet-bread and Caul THE Inflammations of the Mesentery proceed from the same Causes as all other Inflammations particularly from the critical translation of morbifical Matter into their Glandules from the unseasonable suppression of a Dysentery or from a rupture haling it out of its natural Seat The Signs are very obscure and uncertain by reason of the Mesentery's distance from the external surface and its open correspondence with the Nerves of other Parts which frequently obtrude the effect upon us under the notion of the principal Cause However the following Symptoms will give us some light into the matter viz. A sense of weight in the Belly especially when the Person turns himself in his Bed a gentle Heat towards the Navel a small Pain and a sort of distention and Heat under the Stomac and the serosity of the Excrements or their mixture with Chyle when the Stomac is not disorder'd 'T is distinguish'd from the Inflammations that the Navel is liable to by the remissness and dulfless of its Pain and invisibility of the Tumor or absence of apparent hardness If the remote Parts of the Mesentery are only inflam'd the Feaver that accompanies is but slow but if the Parts adjacent to the Guts be seiz'd the Feaver is acute the Symptoms much higher and the Guts share in the Inflammation When the Tumor suppurats the Feaver and other Symptoms are exalted and when it is ready to break a shivering and sometimes a shaking seizes the Person which are sometimes follow'd by the evacuation of purulent Matter by Stool or Urine These Inflammations are but slow-pac'd and require a long time before they come to maturity Their Symptoms are so obscure that they do not much trouble the Patient at first tho' by degenerating into Schirrus's or Ulcers throwing purulent Matter upon the Entrails they frequently cause Hectics Cachexies Gangrenes c. If the purulent Matter be cast into the Guts and voided by Stool It is distinguish'd from that of Imposthumes in the Guts by this difference viz. That from the Mesentery comes in a body mix'd with some Blood and without Pain whereas the other is squeez'd out by drops with violent Gripings and an Acute Feaver As for the Cure Since the Feaver and Symptoms are not Acute Bleeding is improper or if any be allow'd that of the Hemorhoid Veins is only convenient Purgatives are hurtful but emollient Clysters are of excellent use The better part of the Cure depends upon Discussing Sudorifics especially the Tincture and Spirit of Tartar the carminative Spirit the Essence of Steel the Essences of bitter Herbs such as Wormwood Centory Fumitory c. The Essence of Gum Ammoniac and Chalybeat Diaphoretics Externally we apply the Plaister of Gum Ammoniac with that of Hemlock providing it do not exasperate the Pain If it do we conclude that the Inflammation is become an Imposthume and the Plaister ought to be remov'd When the Imposthume breaks and the purulent Matter is voided by Urine it runs first plentifully and afterwards intermits nay oft-times the Urine it self is very plentiful and seems to precipitat a laudable Sediment to the bottom which is nothing else but the melting of the Humors of the Body and is justly look'd upon as a very bad Sign Now when we are appehensive of an Imposthume 't will be requisite to give Diuretics and Abstergents especially Turpentin dissolv'd with the Yelk of an Egg and mix'd with Chalybeats the Balsam of Peru Rhubarb the Decoctions of Sassafras China Liquorice and Jujubes and the Decoction of Agrimony St. John's Wort Cichory c. in Whey The Inflammations and subsequent Schirrus's and Imposthumes of the Sweet-bread are of the same nature as those of the Mesentery and equally apt to disguise themselves under the cover of Chronical Diseases that in effect owe their Birth to them The like may be said of those of the Caul Both the one and the other are Cur'd as those of the Mesentery or other Inflammations ART 4. Of Inflammations of the Internal Parts of the Breast and particularly of a Pleurisie and Peripneumonia THE Blood being expos'd to the influence of Air in the Lungs is apt to cause Inflammations in the adjacent Parts When the Lungs or both their sides are inflam'd we call it a Peripneumonia if the Pleura and only one side of the Lungs are affected 't is a Pleurisie Sometimes the Mediastinum Midriff and the backpart of the Breast or the Membranes of the Shoulders and Neck share of the Inflammation by turns The cause of such Inflammations is a vicious Acid which both provokes the Parts to Contractions and disposes the Blood for Curdling The remote Causes are cold Air or cold Drink after great Heats violent Motion excessive drinking of spirituous Liquors the suppression of the Terms or of a Dysentery which do's not radically differ from a Pleurisie a Malignant Constitution of
Cure of a G●●uin Pleurisie it remains to touch briefly at the four Spurious kinds above mention'd The first of which is treated as other external Inflammations in general The second proceeding from a sharp Acid Lymph stagnating in the Pleura requires volatil Salts such as the spirit of Sal-Armoniac c. mix'd with Antipleuritical Specifics and during the increase of the Disease with Opiats If the Urine be muddy and Precipitat a Sediment 't is proper to add Diuretics in order to discharge the Matter by Urine according to Nature's Direction Externally Oily fat things wo' not be so convenient as dry hot Bags or Frictions with a hot Cloth and a Plaister of the volatil Salt of Urine and Turpentin The third sort is also cur'd by volatil Salts and Diaphoretics mix'd with Opiats to which in scorbutical Cases we add Adtiscorbutics And Lastly the spurious Pleurisies that proceed from Worms are admirably accounted for by exhibiting Carduus Benedictus Waterin which Quick-silver is boyl'd and the spirit of Sulphur or dulcify'd Spirit of Vitriol ART 5. Of Inflammations and Vlcers of the Liver and Spleen INflammations of the Liver are frequenty caus'd by the external application of hot Plaisters and Cupping-glasses not to speak of the common Causes of other Inflammations As for Diagnostics 't is needful to observe that when the convex Part of the Liver is inflam'd they 're attended mostly by the Symptoms of a Genuin Pleurisie and when the Concave is chiefly troubled the Symptoms of the Stomac and Guts such as Vomiting Looseness Inappetency Loathing Sighing Hickcup c. are most notorious The Pain of an Inflam'd Liver is always obscure heavy and distending for the shooting Pains that sometimes infest the right Hypocondrium are justly charg'd to the Colon The Feaver heat and such like Symptoms are not so Acute as in other Cases by reason that the Liver enjoys only a small quantity of arterious Blood Oft-times the Midriff shares the Inflammation with the Liver by means of the Ligament which annexes the one to the other and then the Person is sensible of Pain in the Throat as if it were pull'd downward when he breaths he is troubled with a dry ineffectual Cough difficulty of Breathing and a quick unequal Pulse and chooses rather to lye on his Back than on either side Thus the Inflammation of the Liver is distinguish'd from a Pleurisie in the Right-side by the remissness of its Symptoms the absence of a stitch or shooting Pain the dryness and meekness of the Cough the largeness and openness of the Pulse the sense as it were of a weight hanging upon the Right-side of the Thorax and the easiness of Respiration in respect of Inspiration 'T is distinguish'd from the Colic by the Feaver Cough and difficulty of Breathing that the Colic is a stranger to as also from the Inflammation of the Muscles of the Belly by the anxiety of the Breast Comparative invisibility of the Tumor intenseness of its Symptoms and the absence of a beating Pain Sometimes a reddish black line appears in the right Hypocondrium and by its pain discovers the Inflammation of the Liver Sometimes the Liver reaches to the very middle of the Belly and discovers its Tumor in the Centre As touching the Prognostic the Inflammation of the Concave part is more dangerous than that of the Convex especially if attended by a Hiccough if the Feaver be very acute the Belly swoln and the external Parts cold while the Internal burn within or if black greenish Matter be Vomited 't is a desperat Case If the Inflammation and Feaver continue above twenty Days it degenerats into an Ulcer or Schirrus and the purulent Matter is voided mostly by Stool or Urine or at least but very rarely by Vomiting or Spitting If a Copious evacuation of Urine follow the use of Nitre 't is a good Omen The internal Cure is compass'd by Antipleuritical Medicines such as the Sugar of Lead or rather the Crystals of Lead with Spirit of Nitre Antimonial Nitre Diaphoretic Antimony volatil Salt of Vipers and the common Sudorifics mix'd with Laudanum Opiatum and bitter Apperients Externally we apply the spirit of Wine Camphoris'd with Plantan Water or Nitre with Vinegar of Roses and the Juice of Houseleek or what follows Take of the Ointment of Marsh-mallows half an ounce Oyl of Wormwood two drams distill'd Oyl of Dill a scruple Camphyr nine grains Make a Liniment and anoint the Part. Or Take of the Waters of Henbane Plantan and Water Lillies of each an ounce purify'd Nitre half a dram Camphyr dissolv'd in spirit of Wine fifteen grains make an Epithema to be applied Warm Sometimes the Inflammation of the Liver proceeds from excessive Venery and 't is cur'd thus Take a living black Cock and cut out his Liver which bruise in four ounces of Vinegar of Roses till it be quite dissolv'd Then strain the Vinegar and exhibit it warm for a Draught in the mean while let the Patient take every Morning a Draught of the Decoction of Liquorice Cichory Rhubarb Lesser Centory Liverwort and the inner Rinds of Elder adding to Every Draught a scruple of Sperma Ceti If notwithstanding these Precautions the Inflammation come to a head which will appear by the Feaver Heat and Shiverings that attend it and their abatement when 't is over in that Case we exhibit inwardly the Decoction of China Roots Liquorice and Raisins And apply Emollient Cataplasms with Saffron and Wormwood Tops If the swelling be seated in the Convex part it may be open'd with a Knife or a Potential Caustic If it lye in the Concave side we must endeavour by all means to break it and when 't is broken follow the conduct of Nature in promoting the evacuation of the purulent Matter As if it be emptied into the Guts we exhibit Mead for tempering its sharpness and inject Clysters if it be dischar'd by Urine we administer Oxymel with the Decoctions of Smallage Parssey Juniper-berries c. in Mead. If it recoyl into the Stomac and cause Vomiting we forward it with fat Broth Oyl of sweet Almonds c. If it corrode the Membran and cast it self into the Cavity of the Abdomen 't is a very dangerous case in which some choose to open the Abdomen and give vent to it in the mean while we exhibit inwardly the Decoctions of China Sarsaparilla and the Vulnerary Ingredients to which we add Turpentin dissolv'd in the yelk of an Egg or the Balsam of Sulphur prepar'd with Oyl of Turpentin The Inflammations of the Spleen ought to be nicely distinguish'd from those of the adjacent right Kidney as being attended by a beating Pain towards the fore-side of the Abdomen difficulty of Breathing a moderat continual Feaver whereas the Inflammations of the Kidney display themselves mostly in the Back and their Feaver is very high without any sensible Pulsation In Inflammations of the Spleen Bleeding at the left Nostril Fluxes of the Piles a Looseness and Pleutiful evacuations of Urine
attended by the signs of Concoction are good Omens Their Cure is the same as that of other Inflammations internally all preparations of Lead mix'd with Diaphoretics and externally the Plaister of Hemlock with the Oyl of Camphyr and the Syrup of Elder with Sugar of Lead are of excellent use ART 6. Of Inflammations and Vlcers of the Kidneys THE Inflammations of the Kidneys may proceed from Riding Falls Jumping Stones in the Kidneys excessive Venery c. Their Symptoms are a heat of Urine and Strangury a sense of heat and pain in the Loyns which by the Correspondence of the Membrans frequently reaches upwards to the short Ribs and along the back so that the Person cannot bow his Body and besides is frequently molested with Vomiting and likewise downwards towards the Ureter Bladder Huckle-bone and Thigh causing a numness in the Legs Sometimes when one Kidney is inflam'd the other is either by Sympathy seiz'd with Spasmodical Contractions or so oppress'd with the Quantity of Blood that 't is unfit for secretion and causes a Dysuria To these Symptoms we add Costiveness and Chilness of external Parts Sometimes a simple Stone in the Kidneys apes the Symptoms of an Inflammation but the continual Duration and Pulsation of the Pain the acute continual Feaver the heat and difficulty in making Water that attend the latter and are strangers to the former will point out the Distinction If an Inflammation of the Reins happen to weak puny Persons or be attended by doating or if it become an Ulcer 't is very dangerous The Flux of the Emrods is a good sign but white purulent Urine with the abatement of the Feaver and extenuation of the Legs and Thighs is a certain forerunner of Death As for the Cure the external Remedies are the same as those prescrib'd for a Quinsey and the internal are the Specifics for a Pleurisie especially Nitre Sugar of Lead and the Juice of River Crabs given with the Decoction of Prunes or the Emulsions of cold Seeds Purgations are noxious unless crudities disturb the Stomac in which Case the gentlest Laxatives are only allowable Emollient Clysters or those of Milk Turpentin and the yelk of Eggs are proper Diuretics in the Beginning increase the Inflammation but when the matter is concocted the more temperat sort of 'em is useful especially Winter Cherries Liquorice Turpentin c. Or Take of the Waters of Winter Cherries Broom and St. John's wort of each an ounce distill'd Vinegar six drams dulcify'd spirit of Nitre half a dram Tartar Vitriolated fifteen grains Syrup of Ground Ivy half an ounce Mix. Dose a spoonful or two Externally we first Blood 'em in the Arm then in the Ancle and apply the juice of House-leek with the juice of River Crabs and Camphyr to which we sometimes add the Oyl of Henbane or express'd Oyl of Poppies Langius recommends an Ointment of Crude Allum mix'd with the whites of Eggs. If by these means the Inflammation cannot be discuss'd we must promote its suppuration inwardly by the Decoction of Liquorice Barly Pellitory of the Wall c. And outwardly by Cataplasms of Emollient Ingredients boyl'd in Milk Ulcers of the Reins are sometimes the effect of Inflammations and sometimes of the Corrosion of a Stone The former are less dangerous and are attended by a whitish Urine which by standing precipitats a white Purulent Sediment whereas in the latter Case the Sediment is Ashy colour'd and the pain in the Loyns more biting and gnawing In either case fetid Stools are a good sign For Cure we first exhibit a Vomit in order to cleanse the Ulcer then Pills of sweet Mercury with Turpentin or Balsam Capivi the Decoction of Woods Parsley Chervil Chicles and Agrimony and above all the Troches of Winter Cherries and the Powder of dry'd river Crabs Or the following Decoction Take of Agrimony and Flowers of St. John's wort of each a handful Mastic-wood an ounce and a half Comfrey Roots half an ounce Seeds of St. John's wort three drams Boyl them in Water c. The Spaw Waters and absorbent Powders are also not improper If the Ulcer be seated in the out-side of the Reins and seize the Muscles of the Back it ought to be laid open ART 7. Of Inflammations and Vlcers of the Bladder THE Bladder having only a few small Blood Vessels is seldom or never inflam'd by internal Causes but mostly by external injuries or the assumption of Spanish Flies or the cutting of the Stone The Symptoms are a Distention Heat Hardness Tumor and unsufferable Pain in the Pubes a suppression of Urine Tenesmus Costiveness acute Feaver and sometimes Doating It is a dangerous Disease as being very apt to degenerat into a Gangreen unless it be seated in the muscular Neck of the Bladder in which Case it oft-times suppurats and becomes a troublesome Ulcer The suppuration is discover'd by the Remission of the Symptoms and when the Ulcer breaks by the evacuation of Purulent Matter with the Urine without it break into the Cavity of the Abdomen and then it frequently gains a Passage by Imposthumes in the Groyn For Cure we treat these Inflammations after the same manner as those of the Kidneys in order to discuss ' em As for Injections of Cooling Liquors they 're altogether useless partly because they do not reach the Part and partly because supposing their entrance into the Bladder they cannot conveniently be voided again The Ulcers of the Bladders ought to be carefully distinguish'd from those of the Urethra which frequently void purulent matter without the Urine and cause a violent pain in making Water which is not found in Ulcers of the Bladder unless they be seated just in its Neck Ulcers are cur'd by dulcifying the humors of the Body and consequently the Urine cleansing and consolidating the Ulcer and mitigating the Pain The Ingredients that are proper for these Purposes are frequently mention'd above The forms of Recipe's are as follows Take of the Herbs Agrimony Plantan and Horse-tail of each half an handful Liquorice Roots two drams Boyl them in Plantan and Betony Water till the third Part be Consum'd To half a pound of the strain'd Liquor add Hony of Roses an ounce and a half Mix and exhibit a Draught twice a day for mitigating the sharp humors for which end the Decoction of Ground-pine in Milk is also very useful Take of Turpentin six drams Hony an ounce with the yelk of one Egg dissolve 'em in four ounces of Spanish Wine Mix. Dose six drams for the abovemention'd use and for cleansing the Ulcer Take of the Shavings of Lignum Sanctum three ounces Roots of Sarsaparilla Liquorice and Eryngo of each an ounce of the Herbs Agrimony Speedwell and Ground Ivy of each half a handful Flowers of Roses and Violets of each three little handfuls Raisins an ounce and a half Boyl them in Water and exhibit a Draught of the strain'd Decoction frequently for consolidating the Ulcer Take of Liquorice Roots two ounces red Vetches a little
Prognostic of Empyema's those of the Brain attended by Vomiting are Mortal nay oft-times the Patient dies before the clotted Blood come to a Head Those of the Abdomen are frequently discharg'd by Imposthumes in the Groyn Those of the Breast if they be not cur'd betimes are apt to cause Phthisics and Consumptions If white smooth Purulent Matter be voided by Stool or Urine or copiously expectorated in an Empyema of the Breast and if the Thirst Inappetency Feaver and difficulty of Breathing relent 't is a good Omen But the reverse of these Circumstances is fatal The Cure consists in dissolving and evacuating the clotted Blood or promoting its suppuration evacuating the Pus and restoring the injur'd part to its due strength As for the evacuating Indication the efforts of Nature must be our Directory as if it incline to void the Matter by Urine Sweat or Stool it must be accordingly assisted If the clotted Blood be lodg'd in the Abdomen we give it Vent by a Paracentesis if in the Breast by opening the interval between the fifth and sixth Ribs reckoning downwards if in the Brain by a Trepanation All these Operations are both proper and safe if they be perform'd betimes and not put off till the Patient's strength be exhausted or the Matter be alter'd and render'd unfit for evacuation If it come by a prick we inlarge the Orifice of the Wound If the Person be Plethoric and the Blood be apt to boyl high or if the Evil was occasion'd by a Fall or Bruise Bleeding will be requisit especially that for Revulsion according to the Circumstances of the part As for internal Medicines The first in order are those which dissolve and disengage clotty Blood Such are the Decoction of Madder in Wine the Tincture of the lesser Dasies the Decoction of the Roots Leaves and Flowers of Arnic in Ale the Juice of the Herb Robert Sperma Ceti given to a dram Castor the Blood of Goats given to a dram Sparrow's Dung dissolv'd in Vinegar Man's fat melted given to half an ounce the Herbs Savin Ground Ivy Hyssop Chervil Wormwood St. John's-wort c. The Roots of Angelica Swallow-wort Birth-wort c. The Seeds of Carduus Benedictus Chervil and St. John's-wort the vulnerary Tinctures Bezoar Stone Diaphoretic Antimony and in a word all absorbent Powders especially Crabs dissolv'd in Vinegar These Ingredients ought always to be mix'd with evacuating Medicines that so the Blood when dissolv'd may be readily voided Thus if it be lodg'd in the Abdomen or if nature incline to void it by Stool we add Rhubarb and Laxatives if in the Breast we add Diuretics and Diaphoretics according to Nature's Motions In general Diuretics are the most proper The forms of Receipts are as follow Take of the Decoction of Ground Ivy a pound while 't is yet warm infuse in it over Night Rhubarb one ounce pick'd Senna Leaves half an ounce Salt of Tartar half a dram In the Morning strain the Liquor and add of the Powder of Crabs Eyes a dram and a half the Powder against Falls prescrib'd in the Ausberg Dispensatory a dram Sweeten it with the Syrup of Ground Ivy and exhibit a Draught now and then Take of the Powder of Crabs Eyes Sperma Ceti and Blood of Goats of each half a dram Mix for two Doses to be taken in Vinegar Note Vinegar renders the Crabs Eyes very Diuretic Take of Chervil Water three ounces Vinegar of Wine an ounce prepar'd Crabs Eyes a dram Diaphoretic Antimony a scruple Syrup of Ground Ivy six drams Mix for two Doses If the Head be bruis'd or Convulsions be fear'd add half a dram of the Cinnabar of Antimony Myrrh Laudanum Opiatum Spirit of Sal-Armoniac spirit of Treacle Camphoris'd Poppy-flower-water volatil Salt of Amber Essence of St. John's-wort and the vulnerary Essences may be added by turns Having dispatch'd the Cure of clotty Blood which for the most part degenerats into Empyema's we proceed to that of an Empyema it self which consists in evacuating the Purulent Matter qualifying its sharpness and strengthening the Part. The means for evacuation are either Natural or Artificial the latter are mention'd above The former are either Urine Sweat Stool or Spitting Empyema's of the Breast which may serve for a Pattern for all others as to the Cure for the most part empty themselves by Spitting and Urine tho' the Passages thro' which the Matter reaches either the Mouth or the Reins are yet undiscover'd However 't is a Physician 's part when he descry's Purulent Urine to exhibit Diuretics and when the Matter moves upwards and provokes Coughing to administer expectorating Medicines or rather a Vomit which is of wonderful Efficacy supposing still that there be no danger of a Spitting of Blood for in that case it ought to be omitted and shifted for expectorating Medicines temper'd according as the Matter is sharp or thick As for the sharpness of the Matter 't is admirably accounted for by exhibiting the Flowers and Balsam of Sulphur Balsam of Peru Myrrh and fix'd Antimonial Sulphurs such as Diaphoretic Antimony Poterius's Antihectic c. The injuries done to the solid parts by the purulent Matter are repair'd by Goats Milk and by the Decoctions of Woods Scabious Chervil and especially Ground Ivy. But Vulnerary or Balmy Medicines are not to be exhibited without such as evacuate one way or another nor without a particular regard to the Feaver that accompanies this Distemper As for Example Take of Hyssop and Scabious Water of each an ounce and a half the Flowers of Sulphur half a dram Diaphoretic Antimony a scruple Jovial Bezoar half a scruple Syrup of Tobacco an ounce Make a Potion for two Doses To which if the Feaver be high add a few Drops of the dulcify'd spirit of Nitre Take of the Water of red Poppies three ounces Vinegar of Wine six drams prepar'd Crabs Eyes a dram Diaphoretic Antimony half a dram Syrup of red Poppy Flowers six drams Make a Potion to be given by Spoonfuls Take of the Juice of Ground Ivy four ounces the Juice of Hore-hound two ounces With Sugar make a Syrup to which add of Frankincense and choice Myrrh of each a dram Mix. c. The Decoction of China Roots mix'd with Diaphoretic Antimony or that of Guajacum with the Juice of Ground-Ivy or that of Ox-bones with the Gelly of Hartshorn are also very proper The hot Balsams may be mix'd with Sugar of Lead when heat prevails Take of the Shavings of Gujacum an ounce Sassafras half an Ounce boil them in seven Pound of Common Water 'till a Pound and a half be consum'd Then add Ground-Ivy Flowers of St. John's-wort and the Herb Speedwell of each two handfuls Liquorice-Roots half an ounce Fennel-seed six drams Corants bruis'd three Ounces Boil all 'till a Pound and a half more be consum'd Strain the Decoction and exhibit a Draught thrice a Day CHAP. III. Of Bleeding or the Bursting of the Blood Vessels THE stagnation of the Blood in its own Vessels
and its extravasation in the Cavities of the Body being already dispatch'd it remains now to account for its effusion out of the Body The causes of which are either 1. An Anastomosis or spontaneous dis-joining of the Capillary Vessels and especially of the Arteries whose Blood in all natural bleedings runs by drops as depending upon the successive Pulsation of the Artery whereas that of the Veins which for the most part never burst without a violent cause runs with a constant and united Stream 2. A Diaeresis or Breaches violently made in the Vessels by external cutting pricking or bruising Instruments by Coughing Neesing Vomiting or Crying by excessive Joy Grief and vehement Passions of the Mind especially in the flux of the Terms by the Assumption or Inspiration of sharp corrosive things Such as Hellebor violent Purgatives Suppositories c. and lastly by sharp corrosive Humors incorporated with the Blood which both fret the Blood and gnaw its Vessels especially in scorbutical Constitutions the Fibres of whose Vessels are lank and weak Some Authors assign yet a third Cause of Bleeding viz. A 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Transudation of the Blood thro' its Vessels but 't is not accountable that any Liquor so thick as Blood should sweat through the strong touch Coats of the Vessels especially those of the Arteries without a breach or Anastomosis 'T is true the thin Serum may glide thro' sometimes but the Consistence of the Blood robs it of that Priviledge The remote Causes of an Anastomosis are 1. A true Plethora or redundancy of Blood as in the suppression of the Terms c. 2. An apparent Plethora or the Ebullition of the Blood obliging it to distend its Vessels as in Feavers and the Small Pox or when Persons drink much Generous Wine or eat Aromatic Food or imploy themselves in any extraordinary exercise of the Body This ebullition is most apt to cause a bursting of the Vessels in fat Persons by reason that their Vessels are straiten'd by the incumbent Fat 3. The thinness and serosity of the Blood which at once unbends the Fibres and qualifies the Blood for making a Passage thro' ' em In this case the Blood when it runs out appears thin and pale whereas in other cases 't is brisk and florid This serosity of the Blood was by the Ancients charged to the Liver as being tardy in its Office of sanguification but as our later Anatomists have justly imploy'd the Liver for other uses so the imperfect Digestion in the Stomac and fermentation of the Chyle in the Duodenum will naturally account for the want of consistence in the Blood 4. The Convulsive Contractions of the Coats of the Vessels especially the Arteries which by straitening one Branch occasion the extraordinary distention of the next Thus splenetic Persons are liable to vomiting of Blood because the Artery in the Spleen denies a free admission to the Blood and the obstruction of the Blood in the Head is frequently remov'd by bleeding at Nose 5. The Convulsive Contraction of the Parts incompassing the Blood-Vessels which are apt to straiten the Vessels especially the Veins that are least able to resist their force Critical and customary effusions of Blood or such as follow the suppression of a wonted Evacution are not to be stopp'd without they exceed measure When a Bleeding is attended by a sensible pulsation of some adjacent Artery 't is a sign that it proceeds from the Compression or Contraction of that Artery Bleedings at Nose are usher'd in by a giddiness redness of the Eyes involuntary Tears tingling of the Ears itching of the Nose a hard Pulse a violent Pain and sensible pulsation of the Arteries in the Head and Neck A flux of Blood from the Wind-pipe is introduc'd by a Cough and difficult Respiration That from the Womb by the distention weight and heat of the Abdomen and Loins happening about the menstrual period and that from the Haemorrhoid Veins by a Pulsation in the Hypocondria Back and Loins and a Tumor and Pain in the Veins with a Tenesmus As for the Prognostic a Diaeresis is worse than an Anastomosis and Bleedings from external Causes are more favourable than those from internal In Melancholic and Phlegmatic Constitutions especially when the Bleeding renders the Face Limon-colour'd or is follow'd by Convulsions and Swoonings it prognosticates Dropsies Consumptions c. As for Cure The various causes must be remov'd by proper Medicines a Plethora by Bleeding Scarifying and a thin Diet The Ebullition of the Blood by such Medicines as temper a volatil Acid as Vinegar Spirit of Vitriol Nitre dissolv'd in Water the Tincture of the Flowers of Dasies the Sugar of Lead the Antiphthisical Tincture Coral seal'd Earth Purslain Plaintain Opium Camphyr c. The serosity of the Blood by thickening Ingredients and such as evacuate Serum either by Stool Urine or Sweat The Convulsive Contractions of the Blood-Vessels by Chalybeats The sharpness of Blood by temperat Medicines such as Milk Raisins Steel c. The Corrosion of the Vessels by vulnerary Astringents The Laxity of the Parts by corroborating things such as Ass-Dung the Ankle of a Hogg Crollius his Powder Sperniola Opium Steel c. However we ought to observe 1. That Bloodletting is only proper when the Blood abounds or boils too high and 't is better to bleed often for Revulsion Derivation and Aversion than to draw forth much at once Sometimes Ligatures and Cupping-Glasses applied at a convenient distance from the Part are not amiss 2. That Purgatives are only proper when the Blood is too serous and in that case especially if it be accompanyed by a Feaver Diaphoretics mix'd with Opiats are of good use as being apt to thicken the Blood after the Swelling is over tho' in the time of swearing they rather attenuate and dissolve it 3. Opiats are good in all Cases From these Premises we infer that the internal Medicines that are proper against Bleeding are the vulnerary Astringents absorbent Powders especially Steel which is both Astringent and Anti-acid to a notable Degree Diureticks and Purgatives in serous Cases and temperat Ingredients especially Raisins and Milk for mitigating the sharp Humours The Medicines which jointly answer these ends are either of the Vegetable Mineral or Animal Families Those of the Vegetable Province are Plantan Purslain the Syrups of Comfrey Ground-Ivy and Myrtle-berries the Syrup made of the Juice of the Root of Bastard Acorus with Sugar The fresh Juice of the common stinging Nettle given to two or three Ounces the Moss of Man's Skull given to a scruple or half a dram in the Water of Shepherds Purse with the Syrup of Coral Mastic Sarcocol Amber Frankincense Raisins Camphyr Opium and Rhubarb which not only evacuats the Serum but corrects the crasis of the Blood Dragon's Blood if it be Genuin is very proper but since 't is generally adulterated with some noxious stuff we ought to avoid it The Mineral Province presents us with Coral Bole Armenic Nitre
Spirit of Vitriol Sugar of Lead the Powder of Blood-stone mix'd with Vinegar or the Juice of Pomgranats the Vitriol of Steel mix'd with Sugar of Lead Hartman's Astringent Extract of Steel given to nine Grains the Spaw-waters or in want of them the solar Liquor of steel and above all the Tincture of the Sulphur of Vitriol prepar'd thus Take of the Native Genuin Vitriol of Steel that 's void of all Copper and dissolve it in Water if the Vitriol be not genuin put the filings of Steel into the Water and 't will precipitat the Copper and then the strain'd Liquor being thicken'd will yield the genuin Vitriol of Steel when the Vitriol is dissolv'd in Water pour into it the Oyl of Tartar per Deliquium or the Lie of the Salt of Tartar and 't will precipitat an Astringent Crocus of Steel which ought to be frequently dulcifi'd with Water and dry'd then dissolv'd in the Spirit of Nitre and after the Spirit of Nitre is drawn off the Caput Mortuum digested with rectin'd Spirit of Wine gives the Tincture which is of admirable use against all Bleedings Its Dose is thirty or forty Drops in a convenient Vehicle The Animal Province affords us burnt Hartshorn Unicorn's-Horn the Powder of green Frogs the Water of Frogs spawn Crollius's Sperniola given to fifteen Grains the Juice of Asses and Hog's Dung mix'd with the Juice of Nettles or with Sugar in the form of a Syrrup or their Powders with the Powder of the Dung of a Dog that 's wont to gnaw Bones and the Powder of the Blood that comes forth in Bleeding it being dry'd and given to a Dram in some proper Vehicle The Forms of Recipe's are as follows Take of the Extract of Flowers viz. of Red Roses Red Poppies and Dasies infus'd in Water in order to be strain'd or thicken'd for an Extract three drams Ivory and Sea-Horse-Teeth of each half a dram prepar'd red Coral a dram prepar'd Blood-stone two scruples with the Syrup of Red Poppies make an Electuary for allaying the Hea● and Turgescence of the Blood Take of the Pulp of Raisins three ounces choice Rhubarb and prepar'd Red Coral of each a dram and a half Ivory prepar'd without Fire a dram Sea-Horse-Teeth half a Dram Extract of Steel prepar'd with the Juice of Apples three Drams With the Syrup of Red Roses make an Electuary Of which take the quantity of a Nutmeg Morning and Evening for correcting the serosity of the Blood Take of Plantan Water three Ounces Cinnamon-water three Drams Vinegar of Wine half an Ounce Astringent Crocus of Steel half a dram seal'd Earth a scruple Laudanum Opiatum three grains Syrup of Myrtles three drams Mix and exhibit a spoonful or two frequently for correcting the sharpness of the Blood and Humours For the Bleedings in Malignant Feavers we add Alexipharmacal Ingredients If a Bleeding be caus●d by Cantharides we exhibit Milk and the Decoctions of Raisins Isinglass and Misletoe of the Oak with Gum Arabic Tragacanth c. Take of the Juice of Fresh-Asses Dung Syrup of Purslain and that of Myrtle-Berries of each half an Ounce Plantan Water an Ounce Mix for a Draught After the Bleeding is thus stopp'd we exhibit such Medicines as dissolve and evacuat clotted Blood especially if it proceeded from an internal part In the mean while we use likewise external Medicins viz. Such as either cement the Vessels by their gluy Vertue as the Whites of Eggs Mastic Aloe Beans and a living Pigeon or Hen cut up and applied to the Part whose Blood curdles upon the orifice of the Vessels and shuts 'em or such as wring the Vessels by their austerity or imbibe the Blood and stick close to the Orifices of the former sort are Vitriol Vinegar c. Of the latter are Bole Armenic seal'd Earth Allum Potters-Clay mix'd with Vinegar c. In general the French Styptic Liquor which is nothing else but the solution of Allum and half its quantity of the Vitriol of Steel in a proper Vehicle and Tulpius's compound Powder of Bole Armenic Quicklime burnt Vitriol burnt Allum Blood-stone Aloes Dragons Blood Lemnian Earth Crocus of Steel Mummy Mastic and ●rankincense these I say are generally approv'd for external use in all Bleedings ART 1. Of Bleeding at the Nose and Gums THE small Arteries inserted into the Membrane of the Nostrils are liable to frequent Bleedings as being relaxated by prevailing moisture The Symptoms and Causes of this Bleeding are related above If it be very copious and unwonted or unseasonable it prognosticates the Disorders of the Spirits in Acute Diseases especially about the height 't is an ill Omen but in the beginning of the small Pox or when it follows a Deafness after the height of a Feaver 't is not ill In the Disorders of the Liver or Spleen if the Nostril of the same side with the Part aff●cted void Blood 't is well if that of the opposite side 't is a bad Symptom according to Hippocrates In regulating the Method of Cure we must have a particular regard to the various Causes viz. the redundancy turgescence serosity or sharpness of the Blood and single out proper Medicines according to the Directions given for Bleedings in general To which we shall only add this one Observation that in habitual Bleedings at Nose fresh Mint or its Juice taken frequently is of singular use Externally we endeavour to divert and appease the Spirits to curb the turgescence of the Blood and to shut the Orifices of the Vessels For compassing the first Design we use painful Ligatures Frights Caustics appli'd to the remote parts cold things suddenly apply'd to the Scrotum or Breast a dry'd Toad hung under the Armpits or tied to the Forehead or its Powder applied to the Nostrils a Blood-stone or genuin Jasper held in the Hand 'till it become warm Ash-wood applied to the Nostrils c. For the second end we sometimes Bleed by way of Revulsion and Derivation or apply scarifying Cupping-Glasses to the Neck or to the Calf of the Leg those which the Antients order'd for the Liver and Spleen being very dangerous and of no use Cataplasms of Fullers Earth and Vinegar and Epithema's of the Juice of House-leek Vinegar Nitre and Camphyr or of Soot Vinegar and the Whites of Eggs or of Allum Frogs Spawn and Vinegar being applied to the Fore-head Temples Crown of the Head Nape of the Neck Scrotum in Men and the Breasts in Women are of admirable efficacy for appeasing the tumultuous Motions of the Blood As for the third Indication of shutting the Orifices of the Vessels we blow into the Nostrils the Powder of Allum or Vitriol mix'd with Painters Lac or apply it with a Tent dipp'd into the White of an Egg or into the Juice of Hoggs-Dung mix'd with Juice of Plantan The Powder of Hoggs-Dung and that of Toads are very proper for the same use as likewise the Phlegm of Vitriol writing Ink the Tincture of the Sulphur of Vitriol Soot taken from the
causing a greater afflux of pituitous Matter After evacuation we administer the Juice of Radishes the Infusion of Horse Radishes in Wine the Juice of Limons to two or three ounces with Oxymel the dulcify'd spirit of Salt the Philosophical spirit of Vitriol or rather the Acid spirit of Sal-Armoniac with the Decoction of Parsley Roots and red Vetches the Juice of the Pellitory that grows upon the Rubbish of old Walls as being impregnated with the Nitrous Salt of the Lime the Winter Cherry Madder volatil Salt of Amber c. If the Fibres of the Kidneys be flaggy Aromatic and Nervous Medicines are proper especially Turpentin the spirit and Oyl of Juniper-berries Cinnabar of Antimony and above all the volatil Salt of Amber given to twelve grains in a Convenient Vehicle is an admirable Diuretic If the Fibres be contracted we exhibit Narcotics with Cinnabar of Antimony and the volatil Salt of Amber or Mithridat with some diuretic Decoction or in imitation of Gesnerus the Powder of Glass If the ferment of the Kidneys be defective we exhibit the sharp salin Diuretics mix'd with the temperat Oily Ingredients especially the Decoction of Garlic Heads the Seed of Hedge Mustard given to a dram in Wine the Juice of Parsneps the Spirit and Salt of Urine Amelungius's nephritic Tincture prepar'd from Tartar Nitre Antimony and the solar Flint-stones the Carminative Spirit the volatil spirit of Tartar the spirit of Sal-Armoniac the volatil Salt or distill'd Oyl of Amber the Spirit or Juice of Earth-worms the Powder Juice and Infusion of Wood-lice the Infusion of Spanish Flies in Wine or their Diuretic Essence prepar'd with the Tincture of Tartar the Infusion of Horses Dung in Rhenish Wine the Urine of a Goat Crabs Eyes mix'd with Wine or Vinegar the Decoctions of red Vetches Chervil Madder or St. John's-wort the Shells of Hens Eggs or rather those of Estrich Eggs given to a dram or dissolv'd in spirit of Salt the Powder of Snails Shells dissolv'd in like manner the fix'd Salts of Diuretic Plants prepar'd according to Tachenius's Method or so that they be not too much calcin'd and consequently rob'd of their Salin Vertue the Tincture of Tartar prepar'd thus Take of the Salt of Tartar two ounces dissolve 'em in Water then strain and set it upon the Fire while 't is a boyling throw into it by degrees three ounces of the Cream of Tartar in Powder then thicken 'em with a gentle Fire and afterward reduce 'em to Powder from which extract an admirable Diuretic Tincture with the spirit of Wine To these we may add the Juice of the Birch-tree the distill'd Oyl of Turpentin and Emulsions made of violet Seeds and Speedwell Water or of Turpentin and the yelk of an Egg with some Diuretic Water and the Juice of Limons Or Take of the Waters of Parsley and Restharrow of each an ounce Elixyr of Juniper-berries call'd Malvaticum six drams spirit of Putrified Earth-worms two drams volatil spirit of Tartar a dram distill'd Oyl of Turpentin three drops Syrup of Ground Ivy two or three drams Mix and exhibit a Spoonful now and then Take of Tartar vitriolated a dram of the Salt of Bean-stalks and Salt of Pigeons Dung of each fifteen grains volatil Salt of Amber twelve grains Make a Powder for three Doses Externally we anoint with Stone Oyl Oyl of Scorpions and distill'd Oyl of Turpentin mix'd with the Ointment of Marsh-mallows ART 2. Of the Stone in the Kidneys STones in Man's Body are nothing else but a vicious Acid congeal'd with a volatil Alcali This vicious Acid for the most part is bred in the Stomac and being mix'd with the Blood attacks a naked volatil Alcali wherever it meets it with which it conspires to make up a third Concrete or Stone Now the Kidneys being plentifully stock'd with a volatil Alkali are most liable to the shocks of this Acid. 'T is true that in a healthy state the Alcali of the Urine in the Kidneys is naturally qualifi'd with an Acid and then 't is secure from the efforts of the vicious Intruder but for as much as the Urine is oft-times liable to Alteration or Corruption which sets the volatil Salt at liberty much after the same method as when it has been expos'd to the Air in an Urinal and begins to smell therefore the Kidneys are in such cases in danger of being molested with Stones Thus the generation of a Stone supposes two concurring Causes one is a prevailing Acid in the Body occasion'd mostly by imperfect Digestions in the first Passages or by such things as are apt to become Acid viz. Milk Cheese and especially Wine The other is the Putrefaction and liberty of the volatil Alkali of the Urine occasion'd generally by the weakness of the Ferment as by Asparagus and such Diuretics as enfeeble the Ferment and cause a putrid smell in the Urine Now that a volatil Acid engag'd with the volatil Alcali in the Kidneys is apt to become a Stone is made out by the following Remarks 1. Arthritick and Melancholick Persons who are much molested with vicious Acids are very liable to the Stone whereas those of a bilious Constitution are not 2. Those who live near the Danube and ●e wont to drink much Wine are frequently troubled with the Stone by reason of the prevailing Acid in Wine which is apt to congeal with a volatil Alcali as if ye take Nitre very well six'd and mix it with Flint-stones then melt it upon a strong Fire and 't will become like Glass pulverize this Glass and pour Spirit of Wine upon it after some time pour that off and add fresh Spirit of Wine which in a Month's time will become a red Oil containing the Acid of the Nitre exalted with the Spirit of Wine Now if ye put a few Drops of this volatil Acid Oyl into a Glass of Wine 't will gather it into a hard substance 3. The Chymical Analysis of the Stones presents us with a fetil Oyl an Urinous Spirit a volatil Salt and a Caput mortuum like Quick-lime Not to speak of its effervescence with any Alcalin Salt When the Stones thus ingendered of the volatil Acid and Alcali are growing together they sometimes take in a viscid Mucilage being the deprav'd nourishment of the Kidneys which renders the stones white Sometimes they corrode the small Vessels and take in some drops of Blood which makes the stones red Sometimes the pure Salts join together without any other mixture but some earthy Particles caus'd by the Putrefaction of the Urine and then the Stones are yellow But at other times the Membranes and the whole substance of the Kidney make a part of the Concrete A Stone in the Kidneys while it lies quiet and does not stir is attended by few or no Symptoms But when it begins to move or as the Practitioners speak in the Paroxysm it grates upon the Membranes which by means of the immediat Correspondence of their Nerves with all those from the Mesenteric Plexus
Make a square Plaister to be applied to the Loyns Take the expres'd Juice of ten River Crabs boyl'd in Milk and add to it three ounces of the Crum of white Bread three yelks of Eggs an ounce of Butter an ounce of the Oyl of Chamomil and half a scruple of Saffron Mix all for a Cataplasm to be applied to the Loyns for allaying the excessive heat of the Kidneys While these Prescriptions are in use 't will be requisite to look out for internal Med'cines In the beginning gentle Laxatives are useful They ought to be mix'd with the meekest Diuretics As Take of Tartar Vitriolat fifteen grains Salt of Broom three or four grains Scammony prepar'd with the Juice of Roses three grains distill'd Oyl of Turpentin a drop Make a Powder to be exhibited in the beginning of the Paroxysm Or Take of Turpentin a dram Rhubarb in Powder two scruples prepar'd Amber half a dram Cinnamon half a scruple with the Oyl of Turpentin make Pills for a few Doses Note Turpentin is both a Laxative and a Diuretic and upon that account highly useful in this case The Emulsions of Violet-seeds with Speedwell-water mix'd with Crabs Eyes are also very proper for the same purposes The first Passages being clear'd we exhibit such Medicins as mitigat the Pain and allay the sharpness of the Humours with gentle Diuretics Thus the Elixir of Juniper mix'd with the Essence of Opium and exhibited by Spoonfuls The Oyl of sweet Almonds mix'd with Pearch Stones and the Syrup of Mash-mallows And the Emulsions temperat Seeds are very proper In general Narcotics are very serviceable not only by allaying the Pain but by procuring Sleep and so strengthening the Spirits in order to the expulsion of the Stone To these we add the gentle and easie Diuretics As Take of prepar'd Crabs Eyes Sperma Ceti of each a scruple volatil Salt of Amber five grains Laudanum Opiatum two grains Make a Powder Sometimes we add Cinnabar of Antimony for preventing or removing the Convulsion of the internal parts Take twelve living Wood-Lice bruise 'em with two drams of the sharpest Tincture of Tartar then strain it and add a scruple of the Essence of Opium Dose thirty or forty drops The Tincture of the Balsam of Peru or that of Capivi are likewise very proper Take of the extract of Acorus sixteen grains Castor four grains Hysteric Laudanum six grains with the Oyl of Turpentin make Pills to be exhibited when a Vomiting and Hiccough attend the Stone in the Kidneys Take of the Water of Strawberries and Winter Cherries of each an ounce and a half Cinnamon-water three drams Crabs Eyes two scruples Egg-shells calcin'd a scruple purify'd Nitre half a dram Laudanum Opiatum two or three grains Syrup of Marsh-mallows half an ounce Make a Potion Take of prepar'd red Coral and Pearch Stones of each fourteen grains Diaphoretic Gold twelve grains Camphyr three grains Make a Powder for two Doses Take of Marshmallows-roots an ounce Liquorice-roots two drams Mallows one handful Violet-seeds half an ounce Boyl them in Barley-water To two pound of the strain'd Decoction add of the Syrup of Poppies two ounces prepar'd Crab's Eyes a dram Mix c. Sometimes we add Juniper-berries Carrot-seeds St. Johns-wort-seed c. Forestus's diuretic Decoction is much approv'd As also the decoction of Chamomil-flowers or that of Water-lillies In every draught of such Decoctions 't is customary to add a few drops of the Spirit of Nitre or of a mixture of the Spirit of Salt with the volatil Salt of Amber When the Symptoms attending the Fit begin to relent we must have recourse to strong sharp Diuretics such are the Juice of Radishes given to two ounces with Spanish Wine the Roots and Leaves of Horse-radishes infus'd in Wine or a Spirit distill'd from Wine in which Roots or Leaves of Horse-Radishes have been infus'd in a Cellar for fourteen Days together the Essence of Restharrow Burdock-seeds the Infusion of Ground-Ivy dry'd and Garlic Heads in the Spirit of Wine or that of Juniper-berries an Electuary of the Rob of Juniper and St. Johns-wort-seeds which when bruis'd smell like Turpentin and consequently must needs be serviceable both for cleansing the Veins and preserving their ferment by its balmy virtue Carrot-seeds infus'd in fermenting Ale The distill'd Oyl and volatil Salt of Ash-tree-seeds or the following Oyl Take of the inner rindes of Ash-tree-roots two pound fresh Juniper-berries three pound Turpentin a pound and a half Mix 'em with the Turpentin and digest all for the space of three Months in twelve pound of Water Then distill an admirable Diuretic Oyl Dose eight or ten drops in white Wine The Juice of the tendrels of the Birch-tree gather'd in March is of excellent use if drank like Spaw-waters As also the Water distill'd from Arsmart and frequently cohobated the Decoctions of the Indian Nephritic Wood the Gum of the Cherry-tree form'd into Pills or dissolv'd in Wine and the Nephritic Essences or Spirits of Winter Cherries Juniper-berries c. Timaeus recommends the Juice of the wild Tansey gather'd in May before the Sun-rising and that of green Rye mixt with red Wine To these we add the volatil Salt of Amber the Salt of Urine Nitre Spirit of Nitre and all nitrous Salts especially that of Pigeons Dung or the infusion of Pigeons Dung in Vinegar mix'd with Hony or the following Salt Take Nitre well fix'd and expose it to the Air. 'T will melt to the consistence of Pap. Then mix it with an equal quantity of the red Oyl of Vitriol When their Ebullition ceases draw off the Liquor with a strong Fire and 't will leave a white Salt of admirable efficacy against the Stone The Mineral and Animal Stones are likewise recommended in this case especially Nephritic Stones Crabs Eyes Pearch or Carp Stones the shells of Eggs especially Estrich Eggs. They are not directly Diuretic but they drink up the Acid that gathers the Stone and if dissolv'd in the compound Spirit of Salt are converted into a third Concrete that proves an admirable Diuretic The Lye of the calcin'd Eggshells the lixivious Salt of Quick-lime calcin'd with Sal-Armoniac are also much approv'd The decoction of Quick-lime in Water being strain'd and congeal'd yields a fix'd Salt which is either us'd in Powder or infus'd in rectify'd Spirits to which it gives a notable red Tincture that 's much commended Helvetius boyl'd Quick-lime in Vinegar and evaporated the decanted Decoction The remaining Salt he made red hot in a Crucible and extracted a notable nephritic Tincture with Spirit of Wine The Spirit of putrify'd Earth-worms is also a proper Diuretic or the Powder of Scorpions first wash'd then infus'd alive in Spanish Wine for 24 Hours and then bak'd in an Oven in a Pot cover'd with Sage leaves their Dose is four or five grains in a potch'd Egg. If the Wings Head and Feet of Crickets be lop'd off and its Body be macerated in Parsley-water 't will become a milky Liquor that 's very Diuretic
The Essence of Wrens is much applauded as likewise the following Pills Take black Beetles gather'd in May without touching 'em with one's Hand Suffocat 'em in Spirit of Wine then dry 'em cut 'em into pieces and in the middle of their Body ye will find a viscous Liquor which mix with their Powder to the consistence of a Balsam Then take of this Balsam adram distill'd Oyl of Anis and that of Cloves of each three drops Make Pills Of which exhibit two grains once or twice in Elder-flower water in the Morning with a fasting Stomac They will cause a Strangury that shall last for thirty Days If Diuretic Med'cines prove ineffectual we ought to discontinue their use for some time lest the Kidneys be overcharg'd with Crudities The strongest of these Diureticks are by some call'd Lithontriptica or dissolvers of the Stone in the Body but I doubt much if any such Med'cines be yet discover'd 'T is certain that Spirit of Nitre will dissolve a Stone out of the Body but the alteration it undergoes in mixing with the various Humours in the Body cramp its virtue within us And therefore whoever pretends to the knowledge of Lithontriptica's must have found out such a Med'cine as is not liable to be chang'd by the Humours of the Body and besides that is neither an Acid nor an Alcali but consists of both as the Stone it self and is peculiarly calculated for its Pores as Aqua fortis is for Silver Some have exploded all Lithontriptica's as being too corrosive and apt to injure the Stomac Guts c. But they ought to consider that all sharp dissolving Menstruum's are not corrosive to the taste as Arsenic Quick-silver Mercurius Vitae c. whic are altogether insipid And besides some Liquors are qualify'd for dissolving hard Concretes that wo'not pick upon softer Objects as Vinegar dissolves the shells of Eggs while their inner Membran is left intire After the Paroxysm is over and the Stone voided we ought to prevent the generation of new ones by proper preservatives as 1. By keeping the first Passages clean with Laxatives and once in three or four Months a Vomit or a stronger Purge 2. By correcting the Acid in the first Passages with absorbent Powders and the fix'd Salts of Diuretic Plants 3. By cleansing the Reins and evacuating the first Rudiments of the Stone with volatil Diuretics the Spirit and volitil Salt of Tartar the Spirit of Urine that of Sal-Armoniac the Spirit of Worms Elixir Proprietatis Turpentin fat Broth Whey c. Some commend Milk but its Curd disswades us from using it However we ought still to remember that the Diuretics must be of the meeker sort and exhibited only once or twice in a Fortnight or three Weeks and that at some distance from the times of eating but not till the first Passages are clear'd 4. By strengthening the Reins retrieving their ferment and preserving the Urine from corruption with balmy Med'cines such as Turpentin the Balsam of Sulphur Juniper St. John's-wort-seeds c. ART 3. Of a Diabetes or excessive Flux of Vrine A Diabetes is either genuin or spurious The former is a voiding of Liquors by Urine without any stay or alteration in the Body The latter is a voiding of a much larger quantity of Urine than that of Liquids receiv'd into the Body The cause of the former is the laxity and openness of the Passages which lead directly from the first Passages to the Reins 'T is true these Passages are not yet discover'd but the quick Passage of some Liquors and their being voided without any alteration in colour taste or consistence according to the Observations of Galen Bartholin Hildanus c. do sufficiently evince their necessity The cause of the latter is a sharp volatil Salt or Ferment bred in the first Passages that dissolves the fat acid in the Blood Chyle and muscular Flesh unlocking their Texture and melting the ferment of the Reins Thus the balmy and nutritious parts of the Blood being melted down and tinctur'd with a sharp acrimony they stimulat the Kidneys and force their passage This volatil Alcali Salt is not unlike that which sometimes causes melting loosenesses or that of Spanish Flies and Beetles and is frequently the follower of violent Diureticks Perhaps it also sucks in the humidity of the Air in the Body by virtue of which it melts and so increases the quantity of Urine which sometimes exceeds that of all the Juices in the Body The Symptoms of the spurious Diabetes are the crudity thinness and sweet taste of the Urine with a fat Scum swimming upon it a notable weakness leanness dryness of the Mouth thirst a heat and pain in the Loyns a slow Feaver and in short all the Symptoms of a Hectic If it follow immoderat Labour Venery or Chronical Feavers 't is uncurable For Cure of a genuin Diabetes we exhibit Astringents and Aromatics such as we generally prescribe for defending and fortifying the Stomac and Bowels in the use of Spaw Waters Thus the astringent crocus of Steel the Tincture of the Sulphur of Vitriol Bole Armenic seal'd Earth Conserve of Roses vitriolated the decoction of Orange-peel and Plantan bol'd in Chalybeat-water are very proper Some recommend as an Arcanum a Cocks-comb calcin'd and exhibited with ones own Urine As for the Cure of a spurious Diabetes we must endeavour to correct the Acrimony of the Volatil Alcali to prevent the colliquation of the Juices by Narcotics and proper Astringents First of all their Diet must be the same as that of Hectic Persons In the next place vomiting is very proper to which we subjoin the Powder of the natural Blood-stone or of the Artificial one made of the Vitriol of Steel and Sugar of Lead The Antiphthisical Tincture prepar'd from the same Ingredients The Tincture of the Sulphur of Vitriol the astringent Crocus of Steel the Powder or Spirit of Allum Amber and its Troches or those of seal'd Earth taken in an Acid Vehicle the Tincture or Magistery of Coral prepar'd with the Juice of Citrons or their mixture with Vinegar Take of Plantan Water three ounces Distill'd Vinegar six drams red Coral pulveriz'd not prepar'd a dram Laudanum Opiatum two grains Syrup of Purslain an ounce Mix and exhibit a spoonful frequently Quicklime-Water given to four or five ounces thrice a day is of singular use in this Distemper as also Milk especially Chalybeat Milk or that in which hot Irons are frequently extinguish'd Asses or Goats Milk are the Best and next to them Cows Milk The Emulsions of sweet Almonds and white Poppy-seeds are also very proper Externally some apply to the Kidneys the Juice of River-Crabbs or Baggs of Plantan and Oak-Leaves boil'd in Chalybeat Milk ART 4. Of a Pissing of Blood THE Urine is sometimes tinctur'd with Blood and that more or less according to its quantity The Blood springs either from the Kidney Ureters or Yard or from the Contusions of other parts The Causes are the same as those of
Cataplasms of Pellitory and Oyl of Scorpions or anoint the Pubes and Perinaeum with a Liniment of the Oyntment of Marshmallows Oyl of Scorpions and distill'd Oyl of Juniper applying afterwards to the Os sacrum and Pubes the Plaister call'd Nervinum soften'd with the Oyl of Amber If the suppression be very obstinate we order bathing in the Decoctions of emollient and nervous Plants exhibiting at the same time some gentle Diuretic In Malignant Feavers we apply the same Ointments and Decoctions and order the Patient to walk up and down the Room When the Bladder is distended we use the same Method When the Sphincter is contracted we exhibit inwardly the Specifics for Convulsions mix'd with Opiats and anoint with a Liniment of the Ointment of Marsh-mallows mix'd with the Oyls of Poppies Castor and Amber If the Passage be stopp'd by clotted Blood we exhibit Crabbs Eyes with Vinegar the Decoctions of Chervil Sperma ceti c. and foment or bath with the Decoctions of Antipleuritical Ingredients applying likewise Cataplasms of fresh Cows Dung If viscid Humors block up the Passage we give first a gentle Purge then the Juice of Limons with Spirit of Turpentin or Spirit of Salt the Juice of Radishes and Decoctions of aperient and diuretic Ingredients to which Black Garden-Currants are added If the Prostatae be swoll'n we apply Cataplasms of Brook-lime and Chamomil Flowers If purulent Matter stick in the way we exhibit the Oyl of Amber and that of Juniper and clear the Passage with a Cacheter providing the Bladder be not inflam'd If Excrescences beset the Vrethra we eat 'em away with Corrosives applied with a Candle of Wax and Turpentin and then consolidate the Ulcer with Vnguentum Album Camphoratum For all Suppressions of Urine in general we foment the Parts with the Decoction of Pellitory Anis and Parsley-seeds Zedoary and Bay-berries in Wine and apply Cataplasms of Pellitory growing upon the Rubbish of Old-Walls with roasted Onyons Garlick Oyl of Scorpions and Oyl of Juniper or anoint with the same Oyls mix'd with Rock-Oyl ART 2. Of the Stone in the Bladder THE Stone of the Bladder is for the most part first bred in the Reins and introduc'd by Nephritic Pains and when it descends through the Vreters into the Bladder receives a considerable increase from the Mucilage or deprav'd nutritious Juice that sticks to it and becomes hard as it self Thus we find that stones in the Bladder are cover'd like an Onyon with several distinct Coats and have a Kernel in the middle which represents the Stone as it came from the Kidneys The Symptoms are a sudden stopping of Urine in the very time of making it follow'd by a violent and vain Desire of finishing that Evacuation and of going to stool a dull sense of weight about the Perinaeum and Pubes a Pain and itching in the Nut of the Yard and its perpetual Erection occasion'd by the irritation of the inner Membrane When the Person stoops to pull up any thing from the ground he feels a pricking and pain about the Pubes when he jumps he feels it move unless it be grown to the Membrane as when the Bladder is tore in which case it must be search'd with a Cacheter When the Evil is inveterat the nutritious Juice of the injur'd Parts is deprav'd and voided in the form of a Mucilage like white Clay which some are apt to take for the Matter of which the Stone is bred whereas 't is properly its effect The Stone in Women is more easily cur'd than in Men whose Bladder is more inaccessible If it be inclos'd in a peculiar Membrane 't is scarce curable The Internal Cure is the same as that of a Stone in the Kidneys to which we refer the Reader The Blood and Urine of a Goat and the Juice of Wood-lice bruis'd with the Spirit of Juniper-Berries or Tincture of Tartar are particularly recommended as also Pills of the Salts of Ivy-Berries and Water-Cresses mix'd with the Crystals of Nitre and Tartar and with Turpentin If the Stone be in motion and be not very large we may give a Vomit to drive it out Externally we inject proper Liquors for dissolving the Stone for which purpose some commend the warm Blood of a Goat or Fox or the solution of calcin'd Pigeons Dung in Pellitory Water We likewise order Fomentations and Bathing in proper Decoctions and anoint the Pubes and Perinaeum with a Liniment of Rock-oyl and the express'd Oyls of Poppies and Henbane or apply a Cataplasm of white Onyons boil'd in Wine and mix'd with the Oyl of Scorpions As for Clysters their Virtue is sufficiently known When all proves ineffectual the Stone must be cut and if the Inflammation and Gangrene of the Bladder can be prevented there 's no great danger in the operation ART 3. Of the incontinence of Vrine AN Involuntary efflux of Urine is caus'd by the imperfect Constriction of the Sphincter The remote Causes are 1. The Palsey and stupidity of the Sphincter occasion'd by the weakness and deficiency of the Animal Spirits as in Fevers and Apoplexies or by the Obstructions of the Nerves from internal or external causes 2. The Relaxation of the Fibres of the Sphincter occasion'd by a preternatural distention of the Vagina and neck of the Bladder in Child-Birth or the down-falling of the Womb. 3. The cutting or tearing of its Fibres especially in cutting the Stone or in time of Delivery when the Midwives scratch the Caruncula Myrtiformis with their Nails Sometimes the efflux of Urine cannot be properly called involuntary but 't is such that the Person is frequently oblig'd to make Water and cannot retain the Urine so long as naturally one may The immediat Cause is the perpetual Irritation of the Bladder occasion'd by rough Stones or sharp Humours or the Compression of the Bladder caus'd by the distended Womb in Women with Child or by excessive Laughing and Coughing especially in fat Persons or by Inflammations of the Muscles of the Abdomen and adjacent Parts Some Persons are liable to an involuntary voiding of Urine when they 're asleep especially Children and Old Persons whose Spirits are lazy and inactive An incontinence of Urine proceeding from a Palsy or from the default of the Brain or spinal Marrow is very difficult to cure In Old Persons or when it follows Child-birth 't is seldom cur'd In Feavers 't is a fatal Sign In Children 't is overcome by Nature before the Twenty Fifth Year of age or else accompanies 'em to the Grave The Cure in general is perform'd by Astringents especially the Decoction of Calamint Agrimony and Mint in Wine the Powders of Galangal Aloes-Wood Acorus Castor Myrrh Frankincense Gum Arabic and Mastic The most noted Specifics are the Throat of a Cock roasted pounded and given to a dram in Wine the Powder of a burnt or calcin'd Hedge-hog the Powder call'd Medulla Saxorum The inner Tunicle of a Hen's Ventricle which when dry'd becomes hard like Horn the Fish found
in the Belly of a Pike the Powder of a Sow's Womb or for Men of a Boar's Pudendum the Powder of Hogg's Hoofs the Powder of dry'd Mice and the Dung of a She-Goat Externally we order Fomentations and Baths of the Decoctions of Astringent nervous Plants such as Mint Wormwood Pomgranat Flowers Tormentil Roots and especially Comfrey-Roots in Blacksmith's Water For Old Persons there 's nothing so proper as the Natural Hot-Baths After Fomentation or Bathing 't is convenient to anoint the Loins and Pubes with the Oils of Mint Amber Wormwood Mastic Balsam of Peru distill'd Oyl of Juniper Turpentin c. and to apply the Plaister Oxycroceum soften'd with Oyl of Amber After hard Labour in Child-birth some recommend an Ointment of Calaminar stone wash'd in Vinegar and Rose-water and pulveriz'd with Litharge of Silver Ceruss Oyl of Roses Oyl of Chamomil and Goat's Fat Finally the Powder of a Toad taken alive and burnt in a New Pot being hung in a Bag about the Neck is universally approv'd of for curing any incontinency of Urine ART 4. Of a Strangury A Strangury is a making of Water by drops with an unsufferable Pain in the Neck of the Bladder and Vrethra and a violent Itch for pissing and going to stool The Cause is the acidity and sharpness of the Urine which provokes the Bladder to Contraction and when the Sphincter opens to give it vent provokes it likewise to shut the Passage Thus the reciprocal Contractions of the Bladder and Sphincter occasion the voiding of Urine by drops and the sharpness of the Humour causes the excessive Pain which is more violent in the Vrethra than the Bladder by reason that the one is defended by a slimy Matter and the other is not The Remote Cause of the acidity of the Humors is an imperfect digestion in the first Passages and the inactivity of the Bile Thus New Wine or Ale will cause a Strangury as being apt to turn Acid in the Stomach The Strangury which attends the Venereal Disease proceeds from a sharp corrosive Lymph voided by the Prostatae If a Strangury continue long 't is apt to create Ulcers in the Bladder nay sometimes it may proceed from Excoriations or Ulcers of the Bladder In Old Persons whose digesting Faculty is weak 't is almost incurable The Cure consists in tempering the sharpness of the Humors and rectifying the state of the Bladder The latter Indication is accounted for above The First is answer'd by Vomits as being wonderfully useful in all Diseases relating to the Urine Purges of Rhubarb or Jalap and Turpentin are also very proper When the first Passages are clear'd the Essence or rather the distill'd Oyl of Orange-Peel i●s of admirable efficacy for destroying the Acid and whetting the Bile In general we recommend for a Strangury the Decoction of Black Currants and Carret-seed in red Wine the Decoction of Winter Cherres with Raisins the Decoction of Rapes the Emulsions of Hemp-seed and the four cold Seeds the Oyl of sweet Almonds mix'd with the Syrup of Marshmallows and Crabbs Eyes the Juice of River-Crabbs the Infusion of Onyons in some proper Vehicle the dulcify'd Spirit of Nitre the carminative Spirit de tribus the Spirit of Tartar the Spirit of Wine taken every Night going to Bed the Balsam of Sulphur Oyl of Amber Troches of Amber and above all the Balsam Capivi given in Parsley-Water and Borace given to a scruple A Strangury caus'd by new Ale is cur'd by the Powder of Nutmegs If these Medicines prove ineffectual we must have recourse to Aromatic Ingredients such as Galangal Zedoary Orange Peel Elixyr of Juniper Berries and especially Wine in which burning Flint-stones are extinguish'd Externally anoint the Navel which communicats with the Bladder by the Urachus with a mixture of Goats Tallow and the distill'd Oyls of Wax and Orange Peel or sumigat the Parts with the Decoction of Radishes in Wine Inject Chalybeat Milk or Oyl of sweets Almonds into the Bladder and in time of Pissing let the Yard be put into warm Milk Anodyn Emellient Clysters are also proper as likewise Emollient Fomentations and Baths For old Persons there 's nothing so serviceable as the natural Hot Baths ART 5. Of a Dysuria or Heat of Vrine A Dysuria is a voiding of Urine with a great deal of Pain and Heat It differs from a Strangury in this that the Urine is not voided by Drops but in a due quantity that the Pain vanishes after making Water that it causes no vain desire of Pissing or going to Stool and that its Pain is accompany'd with a burning Heat The cause for the most part is the Inflammation Corrosion or Ulceration of the Neck of the Bladder Urethra or adjacent Parts Thus the Stone sometimes galls the parts as it passes and causes a Heat of Urine The Inflammation of the Prostatae or the sharp Corrosive Humor voided by 'em the Inflammation of the Womb Intestinum Rectum or the Emrods will produce the same effect Sometimes but very rarely it proceeds from the sharpness of Urine as being laden with Scorbutical Salts or mix'd with some purulent Matter or impregnated with Cantharides or corrosive Preparations of Mercury When the Bladder and adjacent Parts are thus disorder'd their nutritive Juice is deprav'd and voided with the Urine in the form of a thick milky Mucilage in which case the Disease is dangerous If this Distemper continue long it degenerats into an Ulcer of the Badder or Incontinence of Urine The Cure consists in tempering the sharpness of Urine and rectifying the state of the Bladder and adjacent Parts For which Purposes the same Medicines as were recommended for a Strangury are proper to which we may add the Conserve of Mallows Flowers the Decoction of Sebesten with House-leek Water Whey or Milk in which Blew-bottle or Larks-heel Flowers are boyl'd especially when the Disease is occasion'd by Cantharides Turpentin mix'd with Amber Frankincense Myrrh and the Juice of Liquorice the Bladder a Goat in Powder with the distill●d Oyl of Caraways the Powder of Dates with Sugar and Laudanum Opiatum Note the Spirit and Oyl of Turpentin are too sharp Take of the Conserve of Violets an ounce and a half Rob of Juniper six drams Powder of the Seeds of St. John's-wort three drams prepar'd Crabs Eyes a dram prepar'd Pearch-stones half a scruple Laudanum Opiatum a grain and a half With the Syrup of Scabious make an Electuary Externally we apply Cataplasms of Rue Pellitory and Chervil boyl'd in Milk and mix'd with the Oyl of Scorpions or anoint the Pubes with the Ointments Martiatum and Agrippae mix'd with the Oyl of Bays The Injection of Milk and living Lice the Bathing and Clysters are also very proper If the Bladder be ulcerated we inject first cleansing and then consolidating Decoctions Of which more else where SECT XX. Of Diseases relating to the separation of Lymph in the Glandules and its regular Motion THE Lymph is a Liquor separated by Glandules some of which are gather'd
Epileptic Specifics and Anti-Acids as the Bones and Dung of Animals native Cinnabar Castor Vitriol Amber Misselto of the Hazel-tree Piony Opium Camphyr c. The true Cure of this Disease consists in preservation and preventing the Paroxysm Vomits are the first in order Next are purging Medicines which ought to be strongest in an essential Epilepsy Take of the Extract of black Hellebor sweet Mercury right prepar'd of each fifteen Grains Extract of Troches Alhandal one or two Grains distill'd Oil of Amber two Drops with Essence of Myrrh or of Castor make Pills Or Take of sweet Mercury fifteen Grains Scammony prepar'd with Sulphur four or five Grains Make a Pouder Or Take of the Conserve of Rosemary-flowers a Dram Pouder of Jalap half a Scruple sweet Mercury fifteen Grains with the Syrup of Apples make a Bolus Sweet Mercury and Mercurius vitae well pounded and exactly mix'd prove laxative and are mighty useful in this case The Specifics for this Disease are very numerous I shall briefly recount those that are most universally receiv'd In the vegetable Province Male Piony is a famous Specific if gather'd in its proper season the neglect of which has abridg'd its Reputation It ought to be gather'd at Noonday in July or August or before the Sun rising when both the Sun and Moon are in Aries during the wain of the Moon It is both given inwardly and ty'd about the Neck with good Success Next are the Flowers of Lilly of the Valley They ought to be gather'd before the rising of the Sun while they are wet with the Dew and presently distill'd with Spanish Wine which may be distill'd again several times upon fresh Flowers If you infuse Castor in this Spirit it extracts a noble Essence which may be given from half a Dram to a Dram. Hazelwood yields an excellent Spirit and Oil. The Misselto of this Tree and the Catkins that grow upon it are endow'd with an Anodyn Sulphur and are very successful Specifics against this Disease The Misselto ought to be gather'd in the wain of the Moon in March and may be given from half a Dram to a Dram. Misselto of the Oak is likewise useful But while they are us'd 't is needful to purge now and then lest their fixing Quality should occasion other Diseases In the Spring we gather a Sulphur from the Catkins of Hazel that may be given inwardly from a Scruple to a Dram. The Misselto and Flowers of the Limetree Boxwood Lavender Flowers Flowers of Dill Angelica and Valerian Roots Roots of Swallowort Acorus Briony Seeds of Soapwort and Rue are much esteem'd Black-cherries Assa faetida Camphyr Spirit of Soot Extract and Essence of the Wood of Aloe are likewise Specifics Some commend the Coals dig'd from under Mugwort which Deckers takes to be the antient Roots of Mugwort resembling Coals These are the most noted vegetable Specifics to which we generally add Cephalic and Aromatic Medicines As Take of the Leaves and Flowers of Sage six Ounces Flowers of Lilly of the Valley three Ounces Flowers of sweet Lavender an Ounce Male Piony Roots two Ounces Leaves and Flowers of Marjoram half an Ounce choice Cinnamom two Ounces Cubebs half an Ounce Cloves three Drams Mace two Drams infuse them in fourteen Pound of Rhenish or Spanish Wine Let them macerat for fourteen days then distil in a Balneum Mariae You may add Castor and Spirit of Sal Armoniac In the Animal Province the Spirit Oil and volatil Salt of human Blood taken from a beheaded Criminal are celebrated Specifics The Spirit of a human After-birth putrified given from fifteen to forty Drops is reserv'd by some for a Secret Or the Pouder of it dried in an Oven may be given from half a Dram to a Dram. The Skull of one that dies a violent Death may be given in Pouder from a Scruple to a Dram. It yields a Spirit and volatil Salt of wonderful use and its Oil when rectify'd and applied to the Crown of the Head prevents the Epileptic Fit Oil of Amber distill'd with the Pouder of Man's Soul yields a most penetrating Oil for the same use The human Brain its Spirit and Oil and Bones of Men are likewise much esteem'd The Bones of other Animals especially the Teeth of a Sea-horse the Livers of green Frogs the Liver of a Wolf the Gall of a black Cat the Spirit of Urine the Blood of a hunted Hare Castor together with Spirits and volatil Salts are much in use As Take of volatil Salt of Amber volatil Salt of a human Skull of each a Scruple Castor two Drams Infuse in Spirit of Wine let them digest and circulat and they yield an admirable Tincture against this Disease Peacocks Dung Quails Eggs Spirit of Sal Armoniac prepar'd with Quick-lime Spirit of Tartar Assa faetida Elks Claws Swallows with the Spirits and volatil Salts are common Specifics In the mineral Family The fix'd Sulphurs of Antimony lead the Van. Cinnabar of Antimony sublimated several times and reduc'd to a fine Pouder with some spirituous Water is given in Substance or a Tincture may be extracted from it with some vegetable Spirit that is of sovereign Virtue in this case Or the Cinnabar may be dissolv'd in a Menstruum prepar'd from Nitre and Sal-Gem and precipitated into Crystals which pass by the name of Astrum Mercurii Secretum Native Hungarian Cin●abar is likewise very useful But above all the Sulphur taken from the Dross of the Regulus of Antimony after this manner After you have separated the Sulphur Auratum by a second Precipitation take the same strain'd Liquor and pour on some distill'd Vinegar and Spirit of Urine It precipitates a noble Sulphur of incomparable use against an Epilepsy Three Grains may be given to adult Persons Next to the fix'd Sulphurs of Antimony is Vitriol It s fix'd Anodyn Sulphur and its sulphureous volatil Spirit right prepar'd are mightily applauded by Helmont and Paracelsus The common Spirit of Vitriol is corrosive not volatil but the true volatil Spirit is drawn from Vitriol expos'd to the Air and the preceding Phlegm is chamfer'd The Spirit drawn from Vitriol and human Urine is an excellent Medicine for the Alcali of the Urine dissolves the Metallin Sulphur and the Spirit renders it volatil In like manner any other vegetable Spirit mix'd with Vitriol yields a cephalic Spirit of Vitriol which may be mix'd with Spirit of human Blood and exhibited in an hereditary Epilepsy Amber concludes the mineral Catalogue It yields a Spirit volatil Salt and Oil which may be mix'd with Spirit of Hartshorn or of human Blood Sometimes Camphyr may be added which is a noted Pacific and of singular use together with Opium against the Epilepsies arising from the Womb. The Methods of prescribing these Specifics are as follows Take of Black-cherry-water Lilly Convally-water and Langius's Epileptic Water of each one Ounce Spirit of Hartshorn succinated or rectify'd Spirit of a human Skull a Dram Syrup of Clove Gilly flowers an Ounce Mix.
from the sense of Thirst a proneness to rub and toss the Head and pull up the Hairs When the Inflammation relents it tends to a Gangrene which occasions Convulsions Lethargies and a total inactivity A true Phrensy proceeding from the Inflammation of the Brain is very dangerous If it increase after sleeping if it be serious and fierce if a clammy cold Sweat drop from the Head while the Body is unconcern'd if it be attended by a difficult Respiration immoderat Watching Headaches notable Weakness a ghastly Countenance an invincible Forgetfulness a Hiccough gnashing of the Teeth trembling of the Tongue and Hands and involuntary voiding of Excrements if the Person he speechless apt to gather up or pick the Bed-cloaths or become lethargic if the Nostrils drop and the Urine be not tinctur'd All these Symptoms portend Death A Paraphrenitis proceeding only from the Heat and Effervescency of the Blood and Spirits is more tolerable A Symptornatical Phrensy is a proper Subject of Cure but a Critical one ought not to be meddled with It is follow'd for the most part by bleeding at the Nose and is distinguish'd by the following Symptoms The Urine affords signs of Concoction the Pulse is unequal but strong and large the Eyes sparkle a murmuring Noise disturbs the Ears the Nostrils itch the Face is red and the lower Belly softly distended Sometimes 't is usher'd in by a sudden Headache or the sick Person is young and apt to bleed at the Nose If these Symptoms are wanting the Phrensy is symptomatical and ought to be cur'd by allaying the Heat and Turgency of the Blood and Spirits or removing the Stagnation In the first place let the Physician take care that he be not impos'd upon by drunken Persons whose Phrensies resemble those of Feavers In the next place if the phrentic Person be molested with Head-aches and immoderat Watchings Narcotic Medicines are very proper but ought to be cautiously administred for fear of exalting the Phrensy or converting it into a Lethargy In order to avoid such Consequences let us take notice of the following Cautions 1. That in acute hot Diseases Opiats ought to be prepar'd with Vinegar 2. That they ought not to be administred in the beginning or height of the Distemper but only during its increase 3. That when the Person is very weak they should be omitted 4. They ought still to be mix'd with Bezoardic Diaphoretic Pouders Blood-letting is always convenient unless the Feaver be very malign and ought to be liberally perform'd and in the following manner 1. Let a Vein in the Hams be first open'd then in the Arm and afterwards in the Forehead Incase of a particular Suppression of Blood in the lower Region let the Vein in the Ancle be first open'd Instead of breathing the Vein in the Forehead some recommend the Application of scarify'd Cupping-glasses to the forepart of the Head 2. Let the Surgeon while the Vein is open lay his hand upon the Patient's Head and mind the beating of the Artery in order to adjust the quantity of Blood to be drawn forth and the strength of the Patient 3. Let the Orifice of the Vein be stop'd and open'd by turns by the Surgeon's Finger Thus the stagnating Blood is evacuated without impairing the strength of the Patient in so great a measure as otherwise As for external Applications all strong smelling things except Camphyr ought to be avoided Vinegar must be added but in small quantities because its sharpness hinders sleep A symptomatical Phrensy disappears upon the removal of the principal Disease Cooling and narcotic Medicines are its proper Cure to which Diaphoretic Febrifuga's are join'd according to the Degree and Circumstances of the Feaver Take of the Waters of Male Pimpernel Purslain and white Water-Lillies of each an Ounce and a half Syrup of Water-Lillies and Syrup of Poppies of each six Drams The Acid Mineral Spirits of Vitriol Salt Sulphur dulcify'd Spirit of Nitre and dulcify'd Spirit of Salt are very useful against Phrensies Camphyr has a peculiar pacific Virtue If it be added to Opiats their Dose ought to be proportionably lessen'd As Take of the Conserve of red Poppy-flowers vitriolated half a Dram Langelot's Laudanum Opiatum one Grain Camphyr two Grains Mix c. Sugar of Lead prepar'd with Spirit of Nitre is a powerful Pacific The Decoction of the Flowers of Male Pimpernel in Water whetted with a little Rhenish Wine is of excellent use Take of the four great Cold-seeds of each a Dram and a half white Poppy-seeds three Drams With Purslain-water make an Emulsion To which add human Scull prepar'd without Fire half a Dram Bezoar Mineral a Scruple Syrup of Purslain half an Ounce Mix for use In a malignant Phrensy let the following Pouder be exhibited viz. Take of Cinnabar of Antimony twelve or fifteen Grains Lunar Bezoar six or eight Grains Laudanum Opiatum a Grain Camphyr two Grains Make a Pouder for two Doses to be exhibited in the Emulsion of white Poppy-seeds made with Pimpernel and Purslain Water Or Take of the Cephalic Specific Pouder a Scruple Sugar of Lead six Grains Camphyr two Grains Laudanum Opiatum a Grain and a half Acid Juleps are likewise very proper and if the Belly be constipated Tamarinds may be boil'd in ' em Externally let Cataplasms of Rue Chamomile Vervain Briony-roots and Soap or of Radishes Salt sharp Vinegar and Yest be applied to the soles of the Feet Or Take of the Juice of Houseleek new drawn six Drams sharp Wine Vinegar an Ounce and a half Nitre two Drams Camphyr half a Dram. Mix and apply to the Stones soles of the Feet and forepart of the Head When the Person sleeps it ought to be taken off the Head A Cataplasm of Houseleek Purslain and Roses may be applied to the Temples and Forehead The Pulp of a Gourd applied to the Head shav'd is commended by Bartholet Some set their Feet into an excavated Gourd and find benefit by it The Juice of live River-Crabs newly express'd is applied to the Forehead with wonderful success Or Take of Rose-water ten Ounces Opium a Dram Saffron half a Scruple Mix them and apply with a doubled Linen Cloth to the Forehead Take of the Water of Frogs Spaun six or eight Ounces fresh Juice of River-Crabs two three or four Ounces Opium dissolv'd in Vinegar half a Dram or two Scruples Camphyr and Saffron of each six eight or ten Grains Mix c. Or Take of the Juice of River-Crabs extracted with the Water of Frogs Spawn six Ounces Vinegar of Roses two Ounces Triacle of Andromachus two Drams Camphyr half a Scruple Saffron six Grains Mix and foment the Head and Temples Let the Liquor be lukewarm or somewhat cold Lindanus attributes much to the antient way of applying live Creatures cut up along the middle as a Dove a Cock c. to the Head shav'd But in the first beginning of a Phrensy they rather enforce it Oftimes the phrentic Persons thro inadvertency neglect to void their
Intestinum Duodenum and Bowels under the short Ribs is the cause of the grossness thickness and vitious Acidity of the Blood which is the immediat material Cause of Madness The formal Cause is the Spirits which degenerating from their seminal and friendly Complexion become of a sharp saline and as it were sulphureous acid Quality and consequently being too too movable and less capable to be check'd in their ordinary Motions and withal penetrating every where by virtue of their pointed parts they become the Cause of Restlesness Watchings Fury extraordinary Strength c. This Disease is more incident to the Young than Old to Men than to Women but especially to melancolic Constitutions If it proceed from internal Causes it is an Evil of long continuance and of difficult Cure which tho it remit for some Months or Years yet it often leaves Melancoly behind which being easily exasperated returns with fresh Rage and accompanies the Patient till Strength failing through Watchings Fastings and almost perpetual Movings it kindly shuts up their miserable Life In curing this Disease we must endeavour 1. To mitigat the Fury that the Patient may be the easier manag'd and Medicines exhibited 2. To remove the Distemper of the Blood and Spirits The first is excellently perform'd by strong Vomits and frequent Bleeding Preparations from Steel and Lead joined with Anodine Medicines correct the Blood and other Humors as Remedies from Camphyr and Musk do recreat and restore the Spirits The Foundation therefore of the Cure must be laid by administring strong and generous Vomits not only in the beginning but progress of the Disease For this purpose the Antients us'd white Hellebor-roots with excellent success But it ought not to be given in substance Take of white Hellebor-roots from half a Dram to a Dram boil them in Wine till it become soft infuse the Root thus prepar'd in fresh Wine all night in a hot place strain the Liquor or squeeze more or less according to the measure of its desired strength Dose a Dram. Some instead of this use Infusions of Antimonial Emetics but they prove too weak Morcurius Vitae is good Aurum Vitae Kegleri is much commended also the Leaves of Asarabacca but all these must be given in a greater Dose than ordinary As Take of the Conserve of the Leaves of Asarabacca a Dram Pouder of its Roots two Scruples Mercurius Vitae one Grain make a Bolus The Infusion of human Nails is also a strong Emetic surpassing those of Antimony If in the beginning of this Disease Purging is required you may use what I have above prescrib'd for Melancoly chiefly black Hellebor and its Extract the Extractum Melanogogum Quercetani c. to which Antimony Purgative or Mercurius Vitae Laxative ought still to be added As Take of the Essence of black Hellebor a Dram and a half of that of Pimpernel half a Dram Emetic Syrup of Angelus Sala half an Ounce After strong Purgation copious and frequent Bleeding is proper first in the Ancle then in the Arm and Forehead some have been cur'd by opening an Artery Cauterizing and trepaning of the Skull have been successfully used as hath also Salivation by Mercury But while these things are a doing such Alteratives are to be given as may restrain the boiling and wild Motion of the Blood and Spirits and together with these Opiats and sulphureous Minerals and fix'd Anodines and that in a strong Dose Such altering Remedies as we prescrib'd for Melancoly may be us'd here Particularly those from Tartar Steel Lead c. But withal Nitre and its Preparations are not to be neglected As Take purify'd Nitre half a Dram Camphyr eight Grains Mix 'em and make a Pouder Or Take purified Nitre two Scruples Laudanum Opiatum two Grains Make a Pouder We may also use appropriated Specifics such as the Arterious Blood of an Ass Pimpernel with the red Flowers St. John's-wort Fumitory Water-Lilly Borrage Baum Spleen-wort the Herb True-love Polypody of the Oak to all which Camphyr may be added As Take a clean Linen Rag of a hands length and breadth dip'd in Asses Blood infuse it in a sufficient quantity of Water of St. John's-wort to two Ounces of the strain'd Infusion add Essence of Pimpernel half a Dram Laudanum Opiatum about a Grain Or Take the Leaves of True-love together with the Berries two handfuls Leaves of red flower'd Pimpernel Flowers of St. John's-wort of each an handful Roots of Polypody of the Oak an Ounce small Raisins bruis'd two Ounces boil these in a sufficient quantity of Whey to three pounds of the strain'd Decoction add Essence of Pimpernel an Ounce and a half Mix them Or Take leaves of Baum cut small an handful infuse 'em in four Ounces of Spirit of Wine add half a Dram of prepar'd Pearls Dose two Spoonfuls to be repeated every day The Epitheme prescrib'd for Melancoly may also be us'd here Or Take of Musk twelve Grains Camphyr a Scruple Red-rose-water impregnated with the Tincture of red Saunders fifteen Ounces In this Mixture dip several Folds of Linen Cloth to be apply'd to the shav'd Head and Temples wetting the Cloth as it dries for twenty four hours space or anoint with the following Liniment Take of the Sleep-causing Ointment two Drams distill'd Oil of Camphyr a Scruple Musk half a Scruple Saffron eight Grains Mix ' em Or Take Rose-water or Juice of River-Crabs ten Ounces Opium half a Dram Saffron half a Scruple make an Epitheme for the Forehead and Temples ART IV. Of Deliriums from an external Cause THIS Cause for the most part is the biting of some other Creature enrag'd with Anger or taken with Madness As in the case of a Canina Rabies which is so called because 't is oftenest occasioned by the biting of a mad Dog tho the Infection may be deriv'd from any other Creature For if any Creature chaf'd with Anger bites another 't will cause either Madness or a very malignant and dangerous Wound These things relating to this Disease are most worthy our Observation viz. 1. The manner of Infection which may be by the slightest bite or hurt of the mad Creature or even the least touch of its Spittle 2. A Hydrophobia or the fear of Water and other liquid things accompanies this Distemper 3. The malign Contagion lies hid and as it were asleep in the Body sometimes two three or as some say thirteen or twenty years 4. In the Spittle and Urine of rabid Animals are often seen other small Creatures resembling the Form of the first Authors of their Madness And lastly the infected Creature exactly imitates the Actions and Meen of that which gave the Contagion The Cause of this Disease consists in a certain peculiar Ferment which affecting first the Spirits and then the Blood do's in some sort assimilat 'em to those of the furious Creature This Ferment is carried along with the Saliva into the Wound It is of importance to know whether the Creature by which a Man has been bitten be
Male Sex HAving dispatch'd the Diseases incident to both Sexes I shall now enter into the Consideration of those peculiar to Males SECT I. Of the Diseases which disorder the Genital Liquor in Mens Bodies SOME part of the Chyle accompanying the Blood in the Arteries is convey'd by the Spermatic Vessels to the Stones where 't is in good measure prepar'd by virtue of a particular Ferment for that purpose and afterwards finish'd in the Epididimes which forward it to the seminal Vesicles to be there reserv'd under the Character of the Genital Liquor till the Act of Venery dislodg it 'T is improperly call'd Seed till such time as the Association of the Woman 's Genital Liquor have entitled it to that Character It is enrich'd with a large stock of Spirits especially by the eagerness of the Venereal Encounter and is thereby enabled to reach and impregnat the Womens seminal Eggs. It is likewise cover'd with a soft serous Vehicle prepar'd in the Prostatae that joins it in its Passage and accompanies it thro the Vrethra The manner of its engaging with the seminal Eggs in Women and their Counterpart in the Act of Generation is accounted for elsewhere When the Generation of this Male Genital Liquor is disturb'd it appears in its Deficiency Redundancy or Depravation The two last are referr'd to the Paragraph of Gonorrhaea's the first is the Subject of the following Chapter CHAP. I. Of the Defect or Insufficiency of the Genital Liquor in Men. THE Causes relate either to the Matter it self or the Stones in which 't is prepar'd As touching the former naturally 't is the Chyle or mucilaginous fat milky part of the Blood as appears by its Consistence Color c. Now whatever impairs this must consequently cause a Deficiency of Seed Such are Hunger the Disorders of the digestive Faculty excessive Evacuations Watchings c. Violent Passions of the Mind immoderat Exercise and such like rarify and sharpen the Blood beyond its due pitch and so exhaust the Chyle or seminal Matter Fat and corpulent Persons are liable to the like Inconvenience The milky part of their Blood which should be dispos'd of for seminal Use is diverted and anticipated by its Conversion into Fat. The Causes relating to the Stones proceed either from the defect of the Ferment or the Indisposition of the Stones themselves As for the former questionless 't is a spirituous oily volatil Substance as appears by the notable Changes occasion'd by it in the Mass of the Blood at the time of its Commencement Now whatever fixes the Animal Spirits and strips them of their volatil Capacity must needs weaken the Ferment Such are Spirit of Vitriol Crude Nitre external Cold or exposing the Stones to be wet Application of mercurial things to the Region of the Pubes excessive or unseasonable Venery or an indiscreet abstinence from it Drunkenness Crudities in the Stomac or any Disorder of the first Digestion Dropsies Cachexies c. If the Deficiency of the Ferment be occasion'd by any Cause respecting the Stones themselves it must proceed either from Tumours in 'em or from being gelded 'T is much doubted if there be any natural Eunuchs for many whose Stones are not visible may have 'em hid within the Abdomen and give sufficient proof of their Manhood The Signs are easily distinguish'd If the Ferment be faulty the Person is dull and unactive the venereal Appetit flat and the Seed when cast forth is thin watry and void of heat The Prognostics are more fatal to the Species than to individual Persons If the Person be old or have over-acted in his Youth the Cure is very difficult Sometimes this Deficiency produces not only Effeminacy and Unmanliness but an universal Faintness and Consumption for want of the due Influence of the Ferment upon the Mass of Blood In regulating the Cure a peculiar regard must be had to the Stomac and digestive Faculty for the flatness of this will cause a Deficiency of Seed If the Disease proceed from a Defect in the Stones themselves the following Paragraphs account for its Cure As for the Faults of the Ferment or those respecting the matter of the Genital Liquor the former must be amended by aromatic sharp Incentives such as Ginger Amber Cubebs Cloves Cinnamom Castor Savin-berries Borrace Satyrium Eryngo Mustard-seeds Fennel-seeds Rocket-seeds Pepper Cantharides Spirit of Ants c. The latter by temperat Fat and chylelike Ingredients as Milk the milky Seeds Emulsions Yelks of Eggs with Spanish Wine Oysters Chocolate Dates c. But neither of 'em ought to be us'd separatly but in conjunction with one another As Take of Milk three Ounces Sugar three or four Drams Pepper half a Dram mix for a Draught Take of the Oil of Fistic-nuts one Spoonful the Yelk of one Egg Ambergrise as much as will lie upon the point of a Knife with the triple quantity of Sugar Mix 'em before the Fire and exhibit for one Draught Take of the Water of Magnanimity three Ounces Cinnamom Water prepar'd with Wine Essence of Satyrium of each three Drams Tincture of Coral two Drams Essence of Amber a Dram. Make a Potion Dose a Spoonful now and then Electuaries are very usual in this Case As Take of Indian Chocolat an Ounce and a half Electuary of Satyrium half an Ounce Eryngo-roots candy'd Satyrium-roots candy'd of each six Drams Nutmegs candy'd two Drams candy'd Ginger two or three Drams Shavings of the Pizzle of a Stag kill'd in the act of Venery half an Ounce Cubebs Cardamoms of each a Dram Pouders of Diambra and Diamoschus dulcis of each four Scruples Rocket-seeds Fistic-seeds Nettle-seeds Ash-seeds of each a Dram Ambergrise and Mosch of each ten Grains With Syrup of Canel make an Electuary and when you are about to use it sprinkle it with Spirit of Ants. Dose the bigness of a Walnut Take of the Electuary Diasatyrium a Dram Mynsichtus's provoking Tablets a Scruple Ambergrise Mosch of each two Grains Laudanum Opiatum one Grain Mix for a Bolus Take of the Conserve of Eryngo-roots Conserve of Satyrium of each three Ounces candy'd Citron-peel candy'd Ginger of each half an Ounce Pine-nuts Sweet Almonds and Fistic-nuts of each three or four Drams Pulp of Dates and Nutmegs of each an Ounce Bull 's Pizzle five Drams Rocket-seeds Parsnep-seeds Mustard-seeds of each two Drams Cinnamom Galangal and white Pepper of each a Dram distill'd Oil of Cloves half a Dram With the Brodium of Ginger make an Electuary Some add the Pouder of Cantharides but they are improper for any purpose save that of promoting the Erection of the Yard The Stones of a Cock or the Spirit of a Cock's Blood The Blood or Brains or Pizzle of a Buck or a Bull kill'd in the act of Venery or the shaving of a Bull 's Horn taken at the same time the Tincture of Gold with Oil of Cinnamom the Troches of Vipers or Pullets fed with Vipers Borrace taken in a potch'd Egg c. are all approv'd Remedies for
case Amputation is needful ART IV. Of the Schirrous Swellings of the Stones A Hard painless Swelling free of all Inflammation or Heat is call'd a Schirrus If a pricking Pain attend a hard Swelling it degenerats to a Cancer The Cause is the indiscreet Treatment of a preceding Inflammation which gives the accompanying Acid liberty to settle and thicken the matter Platerus mentions an Instance of little Stones within the Testes causing a Schirrus As for the Cure 't is perform'd by the Application of Gums dissolv'd in Vinegar and discussive Plaisters As Take of Gum Ammoniac dissolv'd in Vinegar six Drams Plaister of Hemlock soften'd with distill'd Oil of Tartar as much as sufficeth for a due Consistence The Balsam of Sulphur or Rulandus's Plaister Diasulphuris or the Ausburg-Plaister of Ammoniac are of good use Baths of Wine and in venereal Cases the Plaister de ranis with Mercury are not improper Timaeus recommends the following Composition Take of the Mucilage of Marshmallow-roots Fenugrec-seeds and fat Figs tosted of each three Ounces Gum Ammoniac Bdellium Galbanum of each an Ounce Goose-fat Hens-fat Goat's Tallow and Turpentin of each six Drams Oil of Lillies and Wax as much as sufficeth for a Plaister If it be attended by pain we ought to proceed very cautiously for fear of a Cancer upon which account Gummy Ingredients are only to be insisted upon If it tend to suppuration it must be open'd or the Stone cut quite off ART V. Of a Sarcocele or fleshy Swelling of the Stones EXternal Blows Falls and such like Accidents do not only cause Inflammations but sometimes tear the Vessels and Membrans of the Stones and so oblige the Blood and nourishing Juice to stagnat and settle into a fleshy Substance sticking to one or both the Stones or to the Membran of the Cod call'd Dartos The Signs are these the Swelling is indolent hard constant and increases by degrees There is a near resemblance between it and the swelling of the Epididimes occasion'd by a Redundancy of Seed or the Stagnation of the Blood caus'd by the Schirrus of the Stones but the preceding Signs if carefully trac'd will discover the difference If it be attended by a shooting it discovers a malignant nature and tendency to a Cancer and ought not to be meddled with As touching its Cure inward Remedies are seldom effectual Let the universal Evacuations be first premis'd then exhibit the Antiscrophulous Specifics as the Pouder or Decoction or Essence of Restharrow-roots and dulcify'd Spirit of Salt Pouder of Comfrey-roots seal'd Earth Rupture-wort and Spunge-stone c. Outwardly foment with a Mixture of Vinegar Nitre and the Ashes of Vine-twigs or apply a Cataplasm of Sulphur Cockle-shells and Vinegar or the following Plaister which is mightily extoll'd Take of Gum Ammoniac an Ounce and a half Bdellium Mustard-seeds Nettle-seeds of each six Drams Spunge-stone one Ounce Pouder of Birthwort-roots Sulphur of each half an Ounce Turpentin an Ounce Spirit of Wine an Ounce and a half Oil of Olives four Ounces Wax six Ounces Make a Plaister Take of the Gums Animi Sagapenum Opoponax and Galbanum of each an Ounce Dissolve 'em in Vinegar of Roses Then thicken it and with a sufficient quantity of Oil of Bricks make a Plaister which is equally fitted for Suppuration or Discussion If it tend to Suppuration after opening apply the Plaister of Gums and black Rosin and afterwards when 't is proper to consolidat a styptic Plaister Vigo's Plaister with Mercury is of incomparable use but the Mercury may deprive the Stones of their prolific Virtue The natural Baths are of very good use If these Medicines prove ineffectual the Excrescence must be cut out either alone or together with the Stone as its Circumstances will admit ART VI. Of a Distention of the Spermatic Veins or Hernia Varicosa WHatever disturbs the Reflux of the Blood by the Spermatic Veins causes an uneven inconstant sort of rising towards the Stone resembling a Cluster of Grapes The Stone drops and hangs loose and the Swelling is painless unless the Guts be molested with Wine or the Feet expos'd to cold Bathing is very proper Let the Plaister of Mucilage mix'd with the Plaister of Ammoniac and Oil of Bricks or the Ointment Basilicum mix'd with the Fat of Animals be applied to the part If it be inveterat it must be committed to the care of a Surgeon CHAP. II. Of the irregular Ejaculation of the Seed THE Ejection of the Genital Liquor is irregular 1. When 't is cast forth without any venereal Provocation 2. When in the act of Venery its Egress is too precipitant and hasty 3. When 't is too slow 4. When 't is not ejected at all ART I. Of a Running or involuntary Emission of the Genital Liquor A Running is either spurious or genuin To begin with the last a simple running is said to be such when the true genuin seminal matter is cast forth without the erection of the Yard or venereal Pleasure The Part affected is the seminal Vesicles 't is attended or follow'd by a weariness of the Limbs Weakness inability to move a pale Countenance hollow Eyes diminution of Sight Inappetency trembling and tendency to a Consumption In a word it robs the body of its balmy Moisture The Causes are threefold 1. The Redundancy or Turgescence of the seminal matter 2. It s sharpness which stimulats and contracts the Fibres of the seminal Vesicles and adjacent Muscles 3. It s tenuity and watriness together with the concurring flaccidity of the Vesicles and the patency of their Passages into the Urethra The remote Causes of the first are high feeding and drinking an intire freedom from Labour and Care abstaining from the wonted Measure of Venery frequent Correspondence with venereal Objects lying upon the Back c. The Remote Causes of the second are a sharp saltish Disposition of the Blood as in scorbutic and hypochondriac Constitutions an immoderat use of sharp aromatic volatil things as Pepper Mustard Rocket-seeds Water-cresses Wine Cantharides and sharp volatil Purgatives Those of the third are excessive Venery especially in ones Youth and manual Violence which not only relaxats the seminal Vesicles but destroys the Ferment in the Stones as appears by the watry inelaborat Consistence of the Seed If a genuin Running be inveterat it degenerats into a Hectic and is not easily cur'd nor is it safe to stop it suddenly lest the Suppression of the wonted Evacuation should cause an Inflammation or Tumour in the Testicles The general Indications of Cure are to lessen the vicious quantity or qualify the sharpness of the matter or to corroborat the Ferment and Texture of the parts For the first of these Purposes acid thin Food short Commons frequent Exercise and Watchings are proper Spirit of Vitriol and Crude Nitre powerfully curb the Ferment of the Testicles But the Juices of Citrons Pomegranats and Lemons are more temperat and universally applauded for stopping all manner of Runnings The Juice of Lemons with
Chalybeat and absorbent Medicines 3. To strengthen the Womb and its Vessels with Astringent and chiefly Martial Remedies Now with regard to these Indications we must observe 1. That a Flux of any considerable standing must not be stop'd of a sudden 2. The Diet must be well order'd the Patient must be kept warm with rest of Body and Mind her Drink must be warm and she ought to abstain from Wine 3. Mild Purgatives and such as leave some astriction behind them may be used before the Flux when a superfluous Serosity abounds as a Dram of Rhubarb mix'd with Conserve of Roses or Syrup of Quinces also Myrobalans Or Take Pouder of choice Rhubarb a Dram Marmalad of Quinces half an Ounce Plantain-water an Ounce Mix for a draught 4. Bleeding increases the Disorder and ought not to be us'd but instead of it if the Blood is waterish you may have recourse to Sudorifics and Diuretics 5. Opiats are of singular use in preventing and curing the Paroxism but special regard must be had to the Patient's Strength Remedies therefore in this Disease are either absorbent or allaying in regard of the Blood or astringent with respect to the Womb. The Oil and Spirit of Vitriol given in Plantane-water do's notably allay the ardour of the Blood also prepar'd Nitre Lapis prunellae and mild acid Astringents As for Astringents which thicken the Blood and correct its fluidity These are Plantane Purslain Shepherds Purse Nettles white flower'd Yarrow and chiefly their Juices the Moss of the wild Plum-tree and that of the Oak given to a Dram twice or thrice in a potch'd Egg Loostrife with a purple Flower the greater Comfrey and its Root the Root of Bistort Nutmegs Rinds of bitter Oranges and their Decoction the Bark of the Root of the Mulberry-tree Rinds of Pomegranates and their Flowers Poppv and Henbane-seeds Pears Services Quinces Medlars Mastic and Wood of the Mastic-tree Misletoe of the Oak Steel and Chalybeat Remedies Coral and its Preparations Allum Bole-Armenic seal'd Earth Amber Dragons Blood the Dung of an Ass Goose or Dog the Yelk of an Egg burnt Hartshorn c. Of these and such like many forms may be prescrib'd As Take red Coral prepar'd yellow Amber Bole-Armenic Dragons Blood of each two Drams Plantain-seed calcin'd Borace of each a Dram Laudanum Opiatum six Grains Hartman's Extract of Saffron a Scruple Make a Pouder which is of excellent use when the Disease proceeds from watry Blood Take Conserve of Roses vitriolated an Ounce burnt Hartshorn prepar'd Blood-stone prepar'd of each a Dram Allum prepar'd with Sugar twelve Grains Laudanum Opiatum two Grains Make an Electuary with the Syrup of acid Pomgranates which is excellent in all bleedings of the Womb. Or Take Water of Frogs Spawn and of Oak-leaves of each six Drams prepar'd Bloodstone two Scruples Moses of human Scull a Scruple Syrup of Myrtles three Drams But it is in vain to multiply Prescriptions which any one may vary at his Pleasure Externals may likewise be us'd Some hang a Jasper about the Neck Some a Toad kill'd and dry'd A Pessary may be made of Asses and Hogs Dung with Juice of Plantane and the Mucilage of Quince-seed Injections for the Womb may be made of the Decoctions of simple Astringents or their Juices with addition of Allum If a grievous Pain and sense of burning molest the Vagina Henbane and Poppy-seeds may be added to Astringents Some order a Woman to put on a Shift that has been for eight days worn by a Man and add that by so doing she runs the risque of never having her Terms again Some commend Cataplasms As Take Carpenters Ruddle Bloodstone and dulcify'd Earth of Vitriol with red Bole of each equal parts Mix them into a Cataplasm with Whites of Eggs and Vinegar to be apply'd to the Belly and particularly the Region of the Groin Natural hot Baths are excellent if the Evil is inveterat Some also have found much good by fomenting the Region of the Groin with a Spunge dip'd in the Decoction of Allum either alone or with the addition of Knotgrass Roots of Bistort and the like CHAP. III. Of the Depravation of the Menstrual Flux WE shall cast into this Head several Accidents and Defaults of this Flux of which we treat in the following Articles ART I. Of the difficulty of the Terms TO Women of an impure and Cacochymic Body it often happens that a day or two before their Courses are upon them and sometimes when they begin to flow they are afflicted with Headaches pricking and grievous Pains of the Stomac beating and shooting Pains of the Loins reaching sometimes to the Groin also Pains in the Belly Palpitations of Heart difficulty of Breathing which Symptoms either cease or at least diminish when the Terms come till these being over those also vanish These Pains proceed from the Vessels of the outer Neck of the Womb which either being too small or stop'd up by the foregoing Flux hinder the discharge of the fermenting Blood Moreover in those of an ill habit of Body Wind coming from the vitiated Bile and pancreatic Juice and passing from the Guts to the Mesentery occasions Spasms and Contractions of the Nerves and Membranes whence insue the racking pains resembling those of the Cholic This Distemper if not timely prevented ends in a total Suppression of the Terms sometimes dismal hysteric and other bad Symptoms ensue In order to adjust the Cure we must endeavour to rectify the vitiated Crasis of the Blood by Chalybeat and aromatic volatil Remedies with the addition of gentle Laxatives In the Paroxysm the Fermentation of the Blood should be promoted by volatil Aromatics the Effervescence of the Bile and pancreatic Juice should be restrain'd by Chalybeat Medicines and fix'd Acids In the Paroxysm let gentle loosening Clysters with Turpentine be injected then exhibit the compound Essence of an Ox's Milt either alone or with the liquid Essence of Steel to which may be added Essence of Saffron also Elixir proprietatis compound Tincture of Tartar distill'd Oil of Aniseed or that of Amber Or Take Penyroyal-water two Ounces Water of Mugwort half an Ounce Essence of Castor a Dram and a half Spirit of Sal Armoniac half a Dram distill'd Oil of Aniseed three Drops Syrup of Mugwort six Drams Mix and make a Potion If eight days before the flowing of the Terms an Alterative and laxative Bag be given in Wine the following hysteric Pills will effect the Cure Take of Aloe three Drams best Myrrh a Scruple Extracts of Calamus Aromaticus and Carduus Benedictus of each half a Scruple of Saffron three Grains of Roots of Gentian round-rooted Birthwort and Dittany of each five Grains With Essence of Myrrh make Pills to be given during the time of the Flux from half a Dram to a whole one for some days Sweet things ought to be avoided but the following Potion to be taken by Spoonfuls is of singular efficacy Take Water of Swallows with Castor an Ounce and a
it is sometimes accompany'd with a desire of Copulation but oftner not In curing this we must begin if need be with mild Laxatives and Sudorifics and if needful allay the Acrimony of the Humour and finish what remains by external Applications The Internals are the Infusions and Decoctions of Fumitory Succory Scabious Baum Penny-royal Roots of Bryony Black Hellebor Polypody c. Mercurius dulcis and Troches Alhandal answer the purgative end as the Essences of Elder the Tincture of Coral and the Spirit of Woods perform the alterative and diaphoretic Office Of Externals the Preparations of Lead and Mercury are the best such as Vinegar wherein calcin'd Lead is dissolv'd If the Evil proves stubborn anoint the Lips of the Privities with an Ointment made up of one part of Oil of Tobacco and two of the Ointment of Tutty or apply Blistering-plaisters or cut Issues in the Thighs Sometimes the acid Humour retain'd corrodes the Lips of the Privities and occasions Wheals Pushes and in fine Scabs which are of a mild Character but very itching but there are others call'd Epinictides yet different from those little painful ones that spring from foul Embraces However both the one and the other are catching and difficultly cur'd For cure we must begin with such Universals as are used against the Scab or Itch especially laxative Bags of the Root of Briony and Spurge and if they are of the malignant kind we must use Mercurial and other Specifics for the Pox. Externally you may apply Oil of Roses mixt with Yelks of Eggs and discolour'd by beating in a leaden Mortar Or Take of the Decoction of Quick-line one pound Sugar of Lead a Dram. Inject one half and foment with the other If you suspect Infection instead of Saccharum Saturni take a Dram of Mercurius dulcis Or Take of Aloe and Myrrh of each the bigness of a small Pease Verdigrice half as much of white Wine Rose and Plantane-water of each an Ounce Mix for Injection and external Washing You may also use Vnguentum Album Camphoratum or de Lithargyrio mixt with Oil of Tartar per Deliquium in the mild sort and with Mercurius dulcis in the malignant ones If the venereal Appetit is exalted to the pitch of a Delirium it is then ca●'d furor Vterinus a Disorder incident as well to Virgins as married Women and Widows Such Persons are talkative and peevish they ramble through the Streets and solicit whoever they meet to Venery and receive a denyal with the highest Indignation sometimes wantonly uncover themselves before Men and interlard their incoherent Discourses with Smut and Bawdry This Distemper at first is easily cur'd but if neglected ends in absolute Madness Wherefore in the beginning 't is proper to exhibit a strong Emetic enjoin a spare Diet and drain the Genital Liquor by extinguishing Specifics such as are the Root of white Water-Lilly Agnus Castus chiefly its Seed Lettuce Rue Purslain Hemlock principally its Seed Willow-leaves the Liquor running from its smaller Branches lopt off in the Spring Hemp and Poppy-seed c. Or Take Hemp-seed two Ounces Seeds of Lettuce and Purslain of each two Drams Make an Emulsion with Purslain-water to be sweetened with Syrup of Water-Lilly If Camphyr or an Opiat be added 't will be more effectual The Effervescence of the Blood and by consequence the Turgescence of the Seminal Liquor must likewise be repress'd by frequent Bleeding and absorbent Acids such as the Juice of Citrons Lemons and Pomegranats Nitre Sugar of Lead Coral c. and also by mild Sudorifics and besides in order to put a stop to the Fury and impetuous Motion of the Animal Spirits 't is convenient to add Poppy-seed Opium and Camphyr Externally we use Cataplasms Baths and Fomentations of Mandrake Nightshade Purslain Rue Hemlock Poppy and such like SECT III. Of the Disorders of the whole Body which are suppos'd to proceed from the Womb. CHAP. I. Of the Green Sickness AS the first arrival of seminal Liquor occasions several notable Alterations in Women so if it is too long retain'd and consequently corrupted and altered it ferments the Mass of Blood Juices and Spirits introducing an Evil disposition of the whole Body called the Green Sickness or white Virgin Feaver in which the Colour of the Skin is pale or somewhat livid and ugly attended by a bluish Circle under the Eyes Anxiety and Sadness without manifest Cause a slow obscure and disorderly Feaver an unequal and inconstant Pulse Vomitings in the day time c. It only invades Virgins and Widows or Women retir'd from Men and is heedfully to be distinguish'd from the Cachexy or evil Disposition of Body that 's common to both Sexes It is difficult to be known however if no error in Diet or the use of the six Nonnaturals no Obstruction of the Courses or other manifest Cause have preceded or if the Patient of a forward brisk Maid is become sad and anxious or is a forlorn Widow who formerly was a healthy Wife we may in such cases conclude this to be the Disease which the older it is has the worst Symptoms following it In curing of it we must endeavour to correct the default of Genital Liquor and remove the vitious Crasis of the Blood and by proper Remedies cure the incident Symptoms For the former Intentions Camphyr is a notable Remedy it not only diminishes the quantity of seminal Liquor and amends its virulency but has a peculiar Virtue of fortifying the Blood and Spirits Amber also Myrrh and its Essence prepar'd with Nitre Castor Spirit of Sal Armoniac and all Remedies prepar'd from them Preparations of Lead and moderat Acids are all proper As Take of the Conserve of Baum an Ounce and a half Conserve of Citron Pulp and of Quinces of each six Drams Essence of Myrrh half an Ounce prepar'd Amber two Drams Crystal Mineral of Lead Pouder of Castor of each a Dram Cloves Mace Zedoary of each a Scruple Camphyr half a Scruple Make an Electuary with Syrup of Pomegranats With these such things as extinguish the Seed may be m●x'd as Agnus Castus Willow Hemp and possibly Turpentine may not be amiss Opiats allay the severity of Symptoms and may be mix'd with other Specifics Bleeding and that often repeated is not improper CHAP. II. Of a Cachexy in Women ANother Fountain of Diseases commonly term'd hysteric is the suppression of the Terms from which a numerous train of Evils proceed especially if it happens on a sudde● by reason both of the quantity and deprav'd quality of the stagnating Blood for when there is too great a quantity of Blood it s due Circulation and fermentative Turgescence being restrain'd it becomes less spirituous and volatil yea gross and viscid and as it were flat and useless And as touching its quality we ought to remember that tho all the Mass of Blood is originally of the same condition and nature yet that which by the monthly Fermentation is measur'd out to be expell'd undergoes a singular Change
Spawn mix'd with Oil of Sweet Almonds and that of Poppies or the Brains of a Hare boil'd to the Consistence of a Liniment with Hony Some recommend the Blood of a Cock's Comb for the same use Externally we anoint the Cheeks with emollient and discussive Oils If the swelling of the Gums begin to appear white in the middle it may be cut with a Knife to make way for the Tooth Sometimes Children are troubled with Swellings upon the Gums that are not caus'd by Teeth and then they cry if the Region of their Ears be touch'd This Symptom is allay'd by anointing the Swellings with the Oil of Sweet Almonds and the Region of the Ears with the fat of Hares A Looseness is frequently caus'd by the defect of Saliva following the breeding of Teeth as also by the thinness or watryness of the Nurse's Milk It ought not to be stop'd at first but if it last above six days or if the Excrements be sharp green or black and the Appetit dejected a speedy Cure must be indeavour'd by absorbent Pouders and the common Specifics against a Looseness Worms in the Guts are frequently the Authors of the Epilepsy Feaver Unquietness c. that molest Children They are discover'd by these Symptoms The Child's Mouth is always full of Saliva especially in a Morning while the Stomac is empty it rubs its Nose and gnashes with its Teeth while asleep It s appetite is uncertain sometimes voracious tho follow'd by leanness and sometimes very low the Belly sometimes sinks and sometimes is much inlarged The Face is liable to frequent Flushings and Alterations of Colour the Belly is for the most part open and much grip'd The Seeds of these Worms are convey'd into the Body in the Child's Food especially in Corn or Bread Sweet Mercury and the Conserve of Peach-flowers interlac'd with the bitter Specifics absorbent Pouders and volatil Alkalies compass the Cure Sometimes a Worm settles its self within the Navel-string and causes a paleness of the Lips wasting of the Body and unquietness 't is kill'd by applying to the Belly the inner Shell of a Walnut fill'd with the Pouder of Venice Glass and that of Saffron and then it ought to be purg'd out Children are frequently troubled with a Cough which proceeds for the most part from the Stomac If it be a wet Cough Vomits are absolutely necessary If dry the Spirit of Hartshorn succinat the Spirit of Sal Armoniac Sperma Ceti the Mucilage of Linseed Figgs soak'd in Spirit of Wine the Juice of Rapes and Pulp of Raisins join'd to gentle Anodynes are noted Specifics If the Cough be convulsive we exhibit the Castor and Spirit of Amber If the matter be very thick the Juice of Horse-Radishes or of Fennel the Syrup of Hyssop or that of Tobacco and Sala's Emetic Syrup are very proper Externally in a dry Cough we wash the Child's Feet in hot Ale and anoint 'em with the Goats Tallow If a plentiful defluction attend the Cough we cover the Head with Cotton fumigated with Amber Frankincense and the Gum of the Juniper-tree If the Child's Nose is stop'd put into it a Clout wet with Marjoram and black Cherry-water impregnated with white Vitriol and anoint the Nostrils with the Oil of sweet Almonds mix'd with a few drops of the Oil of Marjoram The Acidity of the Lymph caus'd by the Crudities in the Stomac frequently occasions an Obstruction and swelling of the Glandules about the Ears Neck and Head and a milky Crust or scaly Eruption in the Head and Face which in process of time if the Acid be very sharp degenerats into Ulcers voiding corrupt matter If this Eruption be unseasonably suppress'd it occasions a Cough Looseness Convulsions and many other bad Symptoms For Cure internally we exhibit Purgatives especially sweet Mercury and absorbent Pouders together with volatil Spirits Externally we anoint the crusty Eruptions with Oil of Tartar per Deliquium and Camphyr and bathe 'em with the Decoction of Dock-roots Marshmallows Soap-wort and Celandine in small Beer or Child's Urine and cover the running Ulcers with the Pouder of the Precipitat from Vitriol of Steel mix'd with Calaminar Stone Chalk Ceruss Salt of Tartar and Myrrh and apply discussive Plaisters to the swell'd Glandules When the Evil is inveterat and the Ulcers are become fetid 't is customary to wash 'em with the Decoction of Tobacco and mix Quick-silver with the Ointments or order a Girdle of Quick-silver kill'd with Hog's Fat But these Applications are not always safe Panarollus's Ointment of Sulphur Juice of Lemons and Hog's Fat or that of the Yelks of Eggs boil'd hard with Myrrh black Hellebor Cuckou-pint and Snake-weed-roots are preferable If the Skull be corroded by the Ulcers we apply Hony of Roses mix'd with Spirit of Wine and the Pouder of Birthwort mix'd with Balsam of Peru. If the Child's Head be lousy apply the Oil of Spike and Pouder of Stavesacre over night or the Juice of Wormwood mix'd with Quick-silver or which is yet safer the precipitat of Mercury prepar'd with Spirit of Nitre washing it next Morning with a Lee of the Decoction of Lavender and Spike This Acidity of the Lymph proceding from curdled Milk in the Stomac is also the Cause of the small Pox and Measles They are usher'd in by a dry Cough a watriness and swelling of the Eyes and itching of the Nose So soon as we can discover their approach we exhibit sweet Mercury with a Grain of the Pouder of Jalap or if the strength be much impair'd and the Heat be violent the Sulphur of Antimony precipitated from the Dross of the Regulus If the Belly be swoln and infested with Noise we inject gentle Clysters After the Ebullition is over we administer the Emulsions of the out-striking Seeds with Castor Myrrh Diaphoretic Antimony Cinnabar of Antimony fix'd Salts absorbent Pouders and the Juice of Horse-Dung If the Malignity of the Humours cause Convulsions we add the volatil Salt of Amber and the succinat Spirit of Harts-horn If the Child be very restless we may venture to give a small quantity of the Syrup of Poppies If a Vomiting attend the beginning of the Disease we ought not to stop it unless it prove excessive and then we give Venice Triacle and Laudanum Opiatum or rather the Spirit of Harts-horn Succinat To prevent a Looseness which in this case is fatal let the Nurse and Child both drink the Decoction of Vipergrass with the Gelly of Hartshorn As for the other Symptoms that generally accompany this Disease see the first Book Ofttimes the Child is emaciated and does not thrive and that chiefly upon three accounts 1. When the Nurse's Milk is stale and sharp In this Case we change the Nurse and bathe the Child in Goats Milk and exhibit the Water distill'd from Ivy or that from Fern. 2. When Worms exhaust the nutritious Juice Besides those in the Guts treated of already there are others like little Hairs that not only exhaust the nourishment
thro a Sieve and add to it of Horse-dung three Ounces Oil of Chamomil an Ounce and a half rosted Onyons two Ounces Make a Cataplasm Common Soap dissolv'd in hot Milk is also very proper Take of the Mucilages of Marshmallow and Fenugrec-seeds extracted with the Decoction of Figs of each an Ounce Goose Fat six Drams Oil of Chamomil and Oil of white Lillies of each half an Ounce Mix and add of the distill'd Oil of Turpentin a Dram stinking Oil of Tartar a Scruple Make a Liniment Take of the Plaister of Henbane two Ounces Gum Ammoniac dissolv'd with a gentle Heat an Ounce Mix and make a Plaister The discussive Ingredients are endow'd with volatil subtil hot parts for subduing the Acid melting down the thicken'd Humour and opening the Pores Such are the Roots of Fennel Elecampane Flower-de-luce Birth-wort Pellitory of Spain and Ginger the Leaves of Dill Chervil Rosemary Marjoram Calamint wild Marjoram Lavender and Hyssop the Flowers of Roman Chamomil Lavender Rosemary and Saffron Juniper and Bay-berries the Seeds of Cumin Anise and Caraways all the Spices Castor Storax the Spirit of Wine camphoris'd the Essences of Aromatic Plants their distill'd Oils c. The Decoctions of such Ingredients are us'd both for Fomentation and Fumigation Cataplasms Liniments and Plaisters are likewise in use but Care is to be taken that no oily Ingredient stop the Pores of the Skin The ripening Ingredients ought to be 1. Moist and juicy for dissolving the two combatant Salts that promote Suppuration 2. Oily and temperate and 3. Indow'd in some measure with a penetrating Virtue in opposition to the fix'd Acid. Such are Marshmallow-roots white Lillies rosted Onyons and Garlic the Emollient Seeds Flowers Oils Ointments Plaisters c. The general Doctrine of Tumours being thus premis'd we proceed to the Description of particular Swellings which we cast into four Heads 1. Those that proceed from the Stagnation of Blood 2. Such as are Critical 3. Such as arise from the Depravation of the Lymph and 4. Those which relate to the Blood-Vessels 1. Under the first Head we comprehend Inflammations Blood-shot and St. Antony's Fire Inflammations are cur'd thus Inwardly we exhibit the same Medicines as we prescrib'd for a Pleurisy to which we add Nitre by reason of the Feaver that accompanies ' em Externally we first bleed and then endeavour to discuss 'em by applying the Decoction of Sulphur in Urine and the Plaister of Sperma Ceti or the Juice of River-Crabs and Horse-dung or the Spirit of Wine camphoriz'd mix'd with gentle Diaphoretics and the Water of Spirma Ceti● or Quick-l●me-water with Sugar of Lead or the Lee of the Ashes of Vine-twigs mix'd with Vinegar Nitre and Salt If these do not succeed we must endeavour to bring the Swelling to a head by applying Milk in which Castle-soap is boil'd But if the Inflammation and Heat be great we must avoid oily fat Ingredients If the Inflammation be spurious that is if a pituitous Humour accompany the stagnating Blood we may add Ripeners of the sharper kind Generally the Plaisters of Melilot and Diachylon softer'd with the Oil of Li●●ies or Ointment of sweet Almonds are very proper After the Swelling is open apply the Balsam of Sulphur and Plaister Diasulphuris or an Ointment of Turpentin Hony of Roses and Balsam of Peru dissolv'd in the Yelk of an Egg. If the Ulcers are deep and hollow inject the Decoction of Tobacco and Plantain mix'd with Myrrh and Aloes or temper'd with Lime-water and the Spirit of Venice Triacle Some are wont to apply Astringent Cataplasms and Plaisters in the beginning of an Inflammation in order as they fancy to hinder the irruption of the Blood but the Rules of Circulation have discover'd their Mistake Blood-shot is the effect of Contusions or the Distortion of the Capillary Vessels It s internal Cure is the same as that of a Pleurisy Externally we apply a slice of raw Beef or Venice Triacle mix'd with the Syrup of Elder Sugar of Lead and Salt of Wormwood If these prove successless we must have recourse to Cataplasms of the Roots of Solomon's Seal and Comfry bruis'd and boil'd in Wine or to the Spirit of Wine camphoris'd and the Spirit of Sal Armoniac If a nervous part be affected by the Contusion we exhibit the Oil of Lavender inwardly and anoint the part with the Balsam of Peru mix'd with Spirit of Wine and Oil of Castor If the Symptom do not disappear after these Applications we must endeavour to suppurat and after Suppuration consolidate as above But when the Part quickly becomes black and threatens a Gangrene or when the Contusion is deep and reaches beyond the Cuticle 't is not safe to stay for Maturation therefore we scarify it and then apply Aromatic Decoctions or Lime-water sharpen'd with the Spirit of Wine and sweet Mercury St. Antony's Fire is an Inflammation incident to Scorbutical Persons and seems to proceed from a subtil volatil Acid that ferments with the volatil Salt of the Blood and causes it to stagnat It is usher'd in by shivering and attended by a notable Heat and Feaver It s Colour is very red when touch'd it becomes white but quickly reassumes its redness It spreads over the neighbouring Parts and is apt to degenerat into sordid Ulcers or Gangrenes When it besets the Arms 't is more troublesome than in the Legs If it strike in or seize the Head Face Mouth or Fundament 't is very dangerous It s internal Cure is accomplish'd by the Water Essence and Syrup of Elder-flowers mix'd with the volatil Salt of Hartshorn or that of Amber Camphyr Sugar of Lead Diaphoretic Antimony Cinnabar of Antimony and absorbent Pouders Purgation before the Declension is absolutely pernicious as also bleeding unless the Disease be occasion'd by a Contusion Fracture or Wound Externally cold astringent oily and fat Ingredients are hurtful the more proper Medicines are the Decoctions of Elder-flowers in which Venice Triacle and Castle-soap are dissolv'd the Spirit of Wine impregnated with Camphyr or Saffron the Decoction of Myrrh and Frankincense in Wine mix'd with Camphyr and Saffron the Water of Sperma Ceti and that of Cow's Dung distill'd in May the bruis'd Leaves of Radishes applyed as Cataplasms Clouts dip'd in Hare's Blood or the first Flood of a Virgin 's Terms the Leaves of Arsemart bruis'd and applied the Pouders of Myrrh Frankincense Chalk Sugar of Lead and Camphyr sprinkl'd upon brown Paper dip'd into the Spirit of Wine impregnated with Saffron To all which we may add Laudanum Opiatum as occasion requires The following Ointment is also much approv'd Take of the Pouder of Elder-flowers three Drams Ceruss a Dram and a half With Salt of Wormwood and Venice Triacle make an Ointment The Ointment of Sugar of Lead and Syrup of Elder is likewise of noted Efficacy If notwithstanding these Precautions the Swelling be ulcerated apply the Water of Quick-lime prepar'd with Elder flowers and mix'd with the Juice of Cresses Sugar of Lead and
Example of a late Instance of that Nature in Paris 5. The Wounds of the Breast In curing of which we ought to mind these Cautions 1. That if the Wound be lower than the seventh Rib it belongs to the Belly and not to the Breast 2. 'T will be needful to use Tents for the Wounds of the Breast but they ought not to be put in during the time of Inspiration lest they be suck'd in and besides they ought to have large Heads to prevent their Ingress 3. Internally Dieuretics are very proper by reason that matter in the Breast has ofttimes a tendency to pass by Urine 4. Antipleuritical Medicines will be also very convenient for preventing the Evils that may insue 6. Wounds of the Head In all which the Belly ought to be kept open If they 're only superficial let a Plaister of Tacamahac and the Plaister of Betony be applied If the Scull be injur'd apply the Pouders of the Flower-de-luce Aloes and Myrrh mix'd with Spirit of Wine or distill'd Oil of Turpentin If the Meninges and Scull be cut quite through we must stop the internal Bleeding by the Pouders of Aloes Frankincense and Bole Armenic mix'd with the Whites of Eggs and put into the Wound Clouts impregnated with the Oil of Turpentin or Balsam Capaivi Some apply the Oil of Roses but that and all fat viscid Ingredients are absolutely pernicious As for Bruises of the Head if they are without Wounds and are not likely to be discuss'd we must promote their Suppuration and open 'em very quickly lest the stagnating matter should injure the Scull If they are accompany'd by Wounds but such as do not injure the Cranium we apply a Digestive of Turpentin Gum Elemi Fat of Beavers and that of Hogs If the Scull be hurt by Bruises they cause either a Fracture or a Fissure or Depression of the Bone of which more anon We shall conclude this Chapter of Wounds with a few of their most remarkable Symptoms 1. Inflammations of Wounds are cur'd by applying Lime-water or the Juice of River-Crabs with Camphyr and Sugar of Lead 2. An Erysipelas by applying Venice Triacle and Salt of Wormwood dissolv'd in Spirit of Wine 3. Luxuriant over-growing Flesh caus'd by the spongyness and flagginess of the Part is remov'd by applying burnt Allum Crocus Metallorum the Ointment Aegyptiacum Platerus's Green Water or rather the Pouder of the Crystals of Silver dissolv'd in Spirit of Nitre 4. The Pain which generally attends Wounds of nervous parts is mitigated by applying a Mixture of the Oil of Earthworms distill'd Oil of Lavender and that of Amber 5. A Synovia or Efflux of the nutritious Juice of the wounded Joints is cur'd by applying Clouts soak'd in the Water distill'd from River-Crabs or in a Virgin 's first Menstrual Blood or a Cataplasm of Hog's Dung boil'd with the Blood of the Wound or the Moss of a dead Man's Scull or Wurzius's brown Ointment or in the room of 'em all the following Pouder viz. Take of the Pouder of Oyster-shells an Ounce Calaminar-stone Cuttle-bones and Jaw-bones of Pikes of each two Drams prepar'd Spodium and seal'd-Earth or Allum of each a Dram and a half Mix and make a Pouder 6. Convulsions of wounded parts are cur'd internally as an Epilepsy and externally by applying the Balsam of Peru with the distill'd Oil of Amber and if a Nerve be prick'd treating it as above or if it be imperfectly cut by cutting it or the Tendon quite through and so saving the Person 's Life tho at the expence of the Sense of that Part. 7. The Feavers that attend Wounds are for the most part usher'd in by extraordinary Heat Redness of the Eyes unwonted pain and frequent Flushing they 're cur'd by Sudorifics such as Crabs-eyes Diaphoretic Antimony Coral and Sal Armoniac mix'd with Nitre and the Juice of Citrons CHAP. III. Of Vlcers ULcers are the Corrosion of the Fibres occasion'd by a sharp acid Ferment flowing from the corrupted Nourishment of the Part or the vicious Blood and Lymph The Acidity of this corrosive Ferment is sufficiently made out by the acid Smell of Plaisters after they 've been applied to Ulcers and the unfitness of Alcalin Caustics to corrode as being more apt to mortify In nervous parts whose nutritious Juice is not laden with such a strong volatil Salt as that of the sanguine and in glandulous places where the Lymph do's naturally incline to Acidity Ulcers are more troublesom and dangerous than elsewhere In Persons whose Blood is degenerat from its volatil State and become acid Ulcers are very obstinat and scarce curable without the Crasis of the Blood be retriev'd If an Ulcer be clos'd before the malignant Ferment be quite drain'd 't will either relapse in the same place or corrupt the adjacent Bones or display its Energy in another part of the Body If they be much exposed to the Air their Lips become hard and callous and sometimes dry If they 're much discolour'd they signify a Gangrene If they continue long they cause Consumptions Feavers and Ulcers of the Lungs If the Matter that issues from 'em be bloody thin sharp yellow or stinking it is not so favourable as when 't is white and thick When Ulcers become dry unaccountably and of a sudden they portend imminent Death Ulcers are cur'd by volatil Acalies and fix'd Absorbents which mortify the prevailing Acid. The external Remedies are of three sorts 1. Digesting 2. Cleansing and 3. Healing Those of a digesting Force are the more temperat Alkalies such as Turpentin Yelks of Eggs Mastic Oil of St. John's-wort Myrrh c. and are us'd for qualifying the sharp bloody matter and working it into a thick Consistence call'd Pus For the prevailing Acid converts the nutritious Juice of the part into a sharp thin matter which ought to be qualify'd by an Alcali in order to become thick but so as not to destroy all the force of the Acid which entitles it to whitish Colour When the matter is thus prepar'd we proceed to cleansing Remedies that is sharper Alkalies that destroy the Acid more powerfully and hinder the Conversion of the nutritious Juice into corrupt matter Their cleansing Virtue is only accidental and less to be regarded than that which directly stifles the Causes Of this Nature are the Decoctions of vulnerary Plants in Lime-water or Cataplasms of the bruis'd Leaves of vulnerary Plants which are infinitely more useful than all the Oils Ointments and Plaisters of the Shops the last being of no use but for defending the Wound from Air and Cold. Take of Tobacco-leaves two Handfuls Wormwood-tops and the Herb Speedwell of each a handful Roots of round-rooted Birthwort an Ounce Juniper-berries half an Ounce Crude Allum from three to six Drams Boil them in Black-Smith's-water strain the Liquor to be injected into the Ulcer adding at every Injection a convenient quantity of the Spirit of Wine Take of Lime-water a Pound Sweet Mercury two Drams Spirit of Venice Triacle camphoris'd an Ounce
Mix c. Take of the Crocus of Steel prepar'd by Precipitation two or three Drams Calaminar Stone or seal'd Earth a Dram Lac Lunae a Dram and a half Mace Myrrh Olibanum and Aloes of each a Dram Camphyr half a Dram. Make a Pouder to be sprinkled with the Spirit of Triacle camphoris'd and applied to obstinat Ulcers A cleansing Ointment may be prepar'd of the Juices of Tobacco Wormwood Betony Hony of Roses Aloes Myrrh Flowers of Sulphur and Turpentin If the Ulcers are rotten or the part much corrupted the Ointment Aegyptiacum or Verdigrise with distill'd Vinegar will be proper When the Wound is cleans'd we apply healing Remedies which retrieve the natural balmy Juice of the part cement the Wound and by a gentle astringent Force strengthen the Fibres and prevent the unseasonable Growth of luxuriant Flesh Such are the Balsam of Sulphur express'd Oil of Filberts Balsam of Pern c. mix'd with the dulcify'd Earth of Vitriol for benign and arsenic or precipitat Mercury for Malignant Ulcers But ofttimes oily Ingredients are improper and therefore we shift 'em for Hony and the Juices of vulnerary Plants and in rebellious Cases add Quick-silver from which the Spirit of Nitre is drawn off If the Ulcer be cover'd with luxuriant Flesh touch it with Crocus Metallorum or the Crystal of Silver dissolv'd in Aqua fortis If the Ulcer become suddenly dry apply an Ointment of Turpentin Hony Juice of Smallage and Flower of Beans or Fenugrec In general the following Plaister is of singular use for consolidating Ulcers Take of Mastic an Ounce Turpentin three Ounces yellow Wax four Ounces Mix and make a Plaister according to Art Or Take a convenient quantity of Quick-lime wash'd twice or thrice and dry'd Mix it with the Oil of Linseed and Bole Armenic for a Plaister In the mean while 't will be requisite to administer vulnerary Decoctions and Essences inwardly especially those of River-Crabs Dog's Dung Ground Ivy and Tops of St. John's-wort To which we add the Decoctions of Sudorific-woods the Tinctures of Antimony the Spirit and volatil Salt of Vipers Myrrh Saffron Chalybeat Diaphoretic Antimony and Coral or Crabs-eyes exhibited with Vinegar and interlac'd with Purgatives of Turbith Mineral or Sweet Mercury with the Extract of Black Hellebor In desperat Cases we must have recourse to a Salivation Having dispatch'd the general Cure of Ulcers we shall now descend to a few Particulars as 1. The Ulcers that are attended by a Caries or Rottenness of the Bones which must be particularly accounted for before the Ulcer can be cur'd When a Caries begins the Bone appears fat oily and yellowish and when it is perfectly rotten becomes black uneven and full of little Holes If the Bone be not expos'd to one's view either by the naked Eye or thro a Microscope its roughness and little Pits are discover'd by a Probe If a Caries approach to the Joints or be surrounded by many nervous parts 't is not easily cur'd However the Method of Cure is first to dilate the Ulcer with Tents of the Roots of Gentian or the Heart of Elder then to apply the rectify'd Spirit of Wine and the Pouder of Euphorbium mix'd with the Root of Florentin Orris Birthwort Aloes or Myrrh The distill'd Oil of Guajacum and that of Cloves are also very proper but all Oils by Expression or Infusion are pernicious Injections of warm Plantain-water in which Sweet Mercury is dissolv'd are of excellent use for cleansing the Bone and fetching off its Scales But if they prove ineffectual we must either scrape the Bone with a Knife till it appear white and solid with the Marks of little Blood-Vessels or apply an Actual Caustic the adjacent parts being carefully defended from its Injury After scraping or burning we apply the Spirit of Wine or distill'd Oil of Cloves 2. Fistulas or winding Ulcers with Callous Sides The Figure and number of their Turnings must be carefully trac'd by a small Candle of Wax and Turpentin If the bottom of the Fistula be a Bone it discovers it self to the Probe and if it be painless signifies that the Periostium is broke If it end in a nervous part the exquisit Pain will lead us to the knowledg of it if in a Blood-Vessel the obscure Colour of the matter will give us to know so much Glandulous places are most liable to 'em and unless the hardness can be remov'd they prove incurable Now in order to remove it and to cleanse the Ulcer we first dilate the Orifice which in Callous Ulcers is always narrow with a Tent of Gentian-roots sprinkl'd with burnt Allum then we inject Lime-water with Spirit of Wine or the Juice of River-Crabs with the Juice of Tobacco and Sweet Mercury or a Mixture of the Hony of Roses Spirit of Wine and Precipitat Mercury In inveterat Cases we apply the green Waters or the following Mixture Take of the Ointment Aegyptiacum half an Ounce Sublimat Mercury a Dram Lye four Ounces Rose-water an Ounce Plantain-water four Ounces Arsenic a Scruple Boil them till the third part be consum'd and apply the Remainder with Tents If the Pain be so violent that these Remedies cannot be applied we must lay open the Fistulas and consume the Callus as above For a Fistula in the Corner of the Eye call'd Fistula Lachrymalis the following Mixture is of noted efficacy Take of prepar'd Tutty a Dram fine Pouder of Lead and Crude Antimony of each half a Dram Ceruss and Litharge of each a Scruple With the Cerecloth Diachalcitidos mix c. 3. Sordid or rotten Ulcers In the former the matter is slimy thick livid or black in the latter it stinks horridly Sometimes Ulcers become fordid thro the indiscreet Application of far Oils and viscous Ointments in which Case Cataplasms of the Dung of Animals with Wine are very successful In general for all fordid Ulcers we prescribe strong Cleansers such as the Juice of Tobacco or Savin Spirit of Wine the Ointment Aegyptiacum Quick lime-water with Sweet Mercury or a Precipitat upon which Spirit of Wine has been frequently distill'd 4. The inveterate Ulcers in the Legs call'd Phagedema which generally are somewhat corrosive and apt to inlarge their Dimensions Let 'em be wash'd with distill'd Water of rotten Apples mix'd with the Extract of Birthwort-roots or with rectify'd Spirit of Wine Sweet Mercury and Sugar of Lead or the Decoction of Tobacco in which Allum is dissolv'd or the Solution of Precipitat Mercury or of the Dross of the Regulus of Antimony in Plantain-water or the Solution of Gunpouder in Wine After washing apply the Ointment Diapompholigos and Sugar of Lead or Precipitat Mercury with Tents And anoint the Circumference or Edges of the Ulcer with the rectify'd stinking Oil of Man's Dung. 5. Cancrous Ulcers Their Causes and Symptoms are accounted for in the Chapter of Tumors As for their Cure let the Dung of a Cat fed with River-Crabs or the Pouder of a Toad and a Lizard calcin'd together in a