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 Medicineâ— 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
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 fâ—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
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 prâ—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
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 â—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 resiâ—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 Camâ—â—â—â— half a Dram. Volaâ—â—â— Salt of Hartshorn twelve 〈◊〉 Volatil Salt of Amber six Grains Syrup of Scor 〈…〉 Ounce Make a â—oâ—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
to one side In which posture one of the Eyes cannot be duly shut neither can the Person pronounce the Letter O with a full Mouth or Spit but at one side of the Mouth If it be a Palsy the part affected is loose soft and follows the Motion of the sound Muscles and the under Eyelid falls down whereas if it be a Cramp or Convulsion the part is hard painful and draws the sound Muscles to it As for the Causes of Convulsions and Palsies they are accounted for elsewhere This Contorsion is a fatal Symptom in acute continual Feavers or after an universal Apoplexy or Epilepsy The Cure is accomplish'd by Purgative Medicines volatil and aromatic Sudorifics decoctions of Woods Castor given inwardly or its Essence apylied outwardly or its Extract roll'd in the Mouth Or Take of Nutmegs two Drams Roots of Pellitory of Spain and of Angelica Seeds of Staves-acre Mustard-seeds of each a Dram Cumin-seeds and Cubebs of each half a Dram Pepper half a Scruple Mastic a Dram and a half with Wax make Tablets to be roll'd in the Mouth The Mouth may be wash'd with Spirit of Wine in which Castor is dissolv'd or the Decoction of Pellitory-roots with Rocket-seeds Platerus was wont to cure the Convulsive distortion of the Mouth by Opiats mix'd with Aromatics as Mithridat Syrup of Poppies c. If the Case be Paralytic Blistering Plaisters may be applied to the Ear or Nap of the Neck As for the Disorders of the Jaw bones If they are disjoynted by external Violence Yauning or Gaping they are easily set right by a Cuff under the Chin. If they are incumbred by Tumors or Inflammations in the Throat if their motion be cramp'd by the swelling of the Glandules behind the Ears or the settlement of a tartarine thick Humour upon the conjunction with the Bones of the Temples the regular motion is retriev'd by the respective Cure of those Causes If the Antagonist Muscles that bring up and pull down the under Jaw-bone be reciprocally contracted thro' Cold Worms c. there insues a gnashing of the Teeth Which in Feavers and adult Persons is an unlucky Symptom and is cur'd by the external Application of Balsam of Peru and the removal of its Causes CHAP. II. Of the Loss Corruption Blackness Looseness Numness and Chilness of the Teeth THE Teeth are nourish'd not only by the Arteries and Veins inserted into their Roots but likewise by the Gums When they are uncapable thro' Age or otherwise to receive Nourishment they fall out or are ground away by continual use The Causes which promote this their decay are the abuse of Stupifying or Narotic over cold or over hot Medicines or of Viscous and Corruptible things which stick to the sides of the Teeth and corrupt their Nourishment such as Sugar Sweet-meats Figs Cheese Milk c. The Scurvy Salivation handling of Mercury external Violence c. The Cure consists in removing the Causes If Mercury be the cause Leaves of Gold or Solar Preparations are very proper Sometimes the Teeth are corrupted thro' the acidity of their own direct Nourishment or of that receiv'd sideways from the Gums External Injuries are apt to produce the same Effect At first there appears a black Spot in the Tooth then it becomes a Hole and the Tooth grows hollow the corrupted Matter lodg'd within corodes the Tooth causes pain and sometimes reaches the Gums and Jaw-bone creating Ulcers which degenerate into Fistula's Sometimes the corrupted Matter degenerates into Worms Sometimes the Teeth stink and infect the Breath by reason of corrupted Meat sticking in their Chinks or in the hollow Tooth If the Corruption be confirm'd it cannot be Cur'd without drawing the Tooth The Juice of Sun-spurge mix'd with Sal-armoniac and Flour and put into the Hollow-Tooth will render the Operation easy the Juice of Celandin the greater or a bruis'd Grashopper are proper for the same purpose Or Take of Gum-ammoniac Henbane-seeds Juice of Henbane of each a Dram and a half with the fat of Green Frogs and Wax make an Ointment to be applied to the Tooth before 't is drawn If the Corruption be not too far advanc'd a stop may be put to its further progress by applying an actual Cautery and afterwardsfilling the Tooth with Gold-leaf beat up with Myrrh and Wax or with Turpentine or with the Decoction of Ginger in Oxymel or with Coral and Camphyr Or Take of prepar'd red Coral bone of a Cuttle and burnt Hartshorn of each two Scruples choice Myrrh half a Dram Camphyr five or six Grains with the mucilage of Tragacanth make Pills to be put into the Hollow-Tooth Some choose potential Cautery's instead of actual ones as Aqua-Fortis or the Spirit of Salt If the Teeth stink let 'em be wash'd with Water in which Sal-armoniac is dissolv'd If they are infested with Worms wash 'em with the Decoction of Savin in Wine or apply the Spirit of Sulphur with Cotton or let the fumes of burnt Henbane-seed be receiv'd at the Mouth Sometimes if the Gums be flaccid loose or otherwise disorder'd the lateral Nourishment they afford to the Teeth is viciated and sticks like an Excrement upon their surface and either grows hard like a friable Stone or blackens and disorders the Teeth Hence we see that whatever affects the Gums as the Scurvy Mercurial Salivation c. is follow'd by a blackness and sordid colour of the Teeth If this Symptom be recent and not confirm'd let the Teeth and Gums be rub'd with the following Powder Take of burnt Hartshorn three Ounces Coral a Dram and a half Roots of Florentine Orris two Scruples burnt Allum and Salt of Tartar of each a Scruple make a Powder to be sprinkled with Spirit of Scurvy-grass adding some drops of the distill'd Oyl of Cloves If the Excrement be stiff and confirm'd let Spirit of Salt mix'd with Honey be applied to the Gums and Teeth Or Take a Polypody-root and soak it for the space of four and twenty Hours in Wine sharpen'd with Spirit of Sulphur Then dry it for a Powder for the Teeth Let the Teeth and Gums be wash'd every Morning with Human Urine and after eating with Plantan and Houseleek-water in which Sal-armoniac and Salt of Tartar are dissolv'd The Powders of hard stones such as Flint Pumice-stone c. are not so convenient unless it be in a very inveterat case because they consume the Gums As touching the looseness of the Teeth 't is occasion'd either by their own intrinsic fault of which above or the relaxation of the Fibres of the Gums which frequently proceeds from the sharpness of the Saliva or Serum as appears by the aptness of the Scurvy Tooth-ach and Mercurial Salivation to cause it Opiats also us'd for the Tooth-ach sometimes cause a looseness of the Teeth by relaxating the Fibres of the Gums If it be inveterat it may run to that height that the Gums are exulcerated corrupted and dispos'd to a Gangrene Sometimes if the Texture of the Gums is very solid and
Juniper berries in Ale taken in order to sweat For Preservatives against the Influence of the Air we may anoint the Nostrils with the Distill'd Oyls of Anis Amber and Mace and snuff up the Powder of black Hellebor mix'd with Sugar and Oyl of Cloves 2. If an accidental dry Cough by continuance become moist and void slimy matter let a Vomit be first exhibited and then Opiats follow'd by Pectoral Vulnerary Prescriptions if the matter be lodg'd in the Breast and Stomachical Arematics if it lye in the Stomac The Pectoral Ingredients are Ground-Ivy Chervil Speedwell Scabions Elecampane Roots Coltsfoot and Sassafras The Stomachical are Mint Zedoary Elixyr Proprietatis c. 3. A wet Pectoral Cough is formally cur'd by Attenuating and Expectorating Ingredients interlac'd with Vomits or moderat Purges and follow'd by Vulnerary Medicines for healing the corroded parts The Attenuating Ingredients are Cuckowpint Roots the fresh Juice of Radishes given with Sugar the Decoction of Horehound or of Elecampane Gum Ammoniac Ground Ivy Hyssop Ginger Syrup of Tobacco Oxymel of Squills Hedg Mustard Spirit of Sal-armoniac Aniseeds and the Carminative Spirit de tribus given to forty drops thrice a day Take of Hyssop Water two ounces Speedwell Water an ounce Asthmatical Water half an ounce Spirit of Sal-armoniac a dram Syrup of Tobacco an ounce Mix c. The Vulnerary Ingredients are the flowers of Sulphur the Balsam of Sulphur Anisated given to fifteen drops in the yelk of an Egg twice a day Benzoin Poterius's Antihectic Diaphoretic Antimony and the Vulnerary Plants Take of Crabs Eyes and Flowers of Sulphur of each a Scruple Laudanum Opiatum a Grain Distill'd Oyl of Anis a drop make a Powder Take of the Herbs Speedwell Ground Ivy and Scabious of each a handful Chervil a handful and a half Shavings of Sassafras an ounce Boyl them in Water adding at last Bruis'd Corants two ounces Liquorice Roots an ounce And after 't is taken off the fire three drams of Cinnamon hung in a Bag. 4. A wet Stomachical Cough proceeding from a viscid matter in the Stomac is cur'd by exhibiting first Vomits then Purges mix'd with attenuating Ingredients As Take of the Pills of Hiera with Agaric fifteen Grains Gum Ammoniac dissolv'd in Vinegar half a scruple Extract of Troches Alhandal two Grains Distill'd Oyl of Anis two drops With Essence of Gum Ammoniac make Pills Sweet Mercury may also be added After Purgation it will be requisite to prepare the matter for Expectoration by attenuating Compositions and towards the end when the viscid matter is in good measure evacuated we may add the Syrup of Poppies As Take of Ouckowpint Roots a dram and a half Gum Ammoniac dissolv'd in Vinegar Mastic of each a Scruple Tartar Vitriolated half a dram With Sugar dissolv'd in Mint Water make Tablets Take of Hyssop and Mint Water of each an ounce Asthmatical Water six drams Cinnamon and Oxymel of Squills of each an ounce Gum Ammoniac dissolv'd in Vinegar of Squills two drams Dulcify'd Spirit of Salt as much as sufficieth Mix. Dose a spoonful now and then After the use of attenuating Medicines 't will be proper to strengthen the Stomac by Elixyr Proprietatis Essence of Elecampane Decoction of Zedoary Spirit of Sal-armoniac Essence of Saffron and Chocolat which is useful against all Coughs As Sage and Water Germander Leaves Flowers of Sulphur and Laudanum Opiatum mix'd with the Syrup Diacodium in the form of an Electuary are very convenient against all wet Coughs 5. Dry Nocturnal Coughs proceeding from the acidity and saltness of the Lymph are cur'd by Volatil Sudorifics mix'd with Opiats a Vomit being premis'd if it be needful The Volatil sudorifies are the Spirit of Sal-armoniac or the Spirit of Hartshorn succinated mix'd with the Essence of Opium Amber Myrrh Sylvius's Pills of Storax to which we may subjoyn the Incrassating Pectorals such as the Flowers of Sulphur given to a scruple in a Potch'd Egg Benzoin Sperma Ceti the Distill'd Oyl of Anis and Fennel the Syrup of Jujubes the Decoction of Rapes a very successful Medicine the Juice of Liquorice Purg'd from its Adulterating Ingredients by a Dissolution in Hyssop Water Gum Arabic Marshmallow Roots c. For Example Take of the Spirit of Sal-armoniac Succinated Tincture of Sulphur of each a dram Essence of Opium half a dram Mix. Dose forty drops to be taken two hours before Supper Take of prepar'd Amber half a scruple choice Myrrh and Volatil salt of Amber of each five Grains Extract of Saffron two or four Grains Laudanum Opiatum one or two Grains With the Essence of Sassafras make Pills to be taken two hours before Supper Take of the flowers of Sulphur Benzoin Prepar'd Amber of each half a dram Frankincense and Gum Arabic of each a scruple Extract of Saffron half a scruple Laudanum Opiatum three Grains With Sugar dissolv'd in Fennel Water make Tablets to be sprinkled with the Distill'd Oyl of Anis Take of Sperma Ceti a dram Flowers of Benzoin a scruple Myrrh and Volatil salt of Amber of each half a scruple Laudanum Opiatum four Grains Make a Powder for four Doses Take of the conserve of red Roses two ounces Poterius's Antihectic a dram and a half the flowers of sulphur and Powder Diaireos of each two scruples With Diacodium Make an Electuary Take of white Henbane seeds white Poppy seeds of each half a dram Frankincense and Myrrh of each a scruple Saffron half a scruple thicken'd Juice of Liquorice a dram Sugar of Marshmallows Prepar'd with the mucilage of Marshmallows half an ounce Gum Tragacanth dissolv'd in Rose Water a dram Laudanum Opiatum a few Grains Make small Tablets to be melted gradually in the mouth Take of the Conserve of Rosemary flowers Conserve of Betony flowers Conserve of Marygold flowers of each three drams Prepar'd Amber two drams Myrrh two scruples Benzoin and Frankincense of each a scruple With sugar dissolv'd in the Water of Wild Thyme Make Tablets and Spinkle 'em with the Distill'd Oyl of Amber Take of the Roots of Florentin Orris two drams Flowers of sulphur a dram Distill'd Oyl of Anis half a dram Distill'd Oyl of Fennel fifteen drops White Sugar three drams Make a Powder of which exhibit a dram twice a day Take of the Extract of sulphur Pulveris'd twelve Grains Extract of Saffron two Grains Choice Myrrh four Grains Laudanum Opiatum a Grain With the Essence of Amber Make Pills Take of Storax Extract of Liquorice Olibanum Myrrh and Laudanum Opiatum of each half a dram Oriental Saffron a scruple With the Syrup of white Poppies Make Pills This is the Composition of Sylvius's Pills of Storax which are of Excellent use in Nocturnal Coughs The Juice of Liquorice is frequently adulterated and do's more harm then good To prevent this Inconvenience 't will be requisit to prescribe always the Juice of Spanish Liquorice or at least to dissolve the ordinary Juice of Liquorice in Hyssop Water and Strain it before it be thicken'd that so the impure
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-â—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
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
're remov'd the Blisters kept open with the Plaister of Melilot cover'd with the Powder of Cantharides But if the Bladder be inflam'd or the Urine hot if the Patient be very weak or with Child or look for her Terms they are improper 8. Blood-letting is always pernicious 9. In the beginning of the Disease Vomits are very useful They ought to be mix'd with Sudorifics Purgatives and Clysters are not safe 10. If the Patient be molested with a vomiting so that Sudorifics cannot be retain'd in the Stomac let Sweat be forc'd by applying a hot Loaf as above and covering up the Body and Face The Specifics that are us'd in this Disease are Camphyr given in substance or its Oyl mix'd with Oyl of Amber and that of Citron Peel called Heinsius's Oyl Ivy-Berries given to a Dram in Vinegar and Wine Juniper and Elder Berries and the Rob of either given in Vinegar Garlic Heads bruis'd and exhibited in Vinegar the Blood of a Stork or its volatil Salt the Spirit of Harts-horn sharpned with its own volatil Salt and given to a Dram the volatil Salt of Vipers above all sprinkl'd with Oyl of Amber and mix'd with Camphyr Man 's Ordure applied externally to Bubo's and given internally with the Patient 's own Urine Sulphur or its Flowers given to a Dram in an acid Vehicle or rather the fix'd Sulphurs of Antimony which in this case surpasses all other Medicines the Oyl and volatil Salt of Amber and Diascordium given to two drams in Aromatic Vinegar Take of the Flowers of Sulphur half a dram Cinnabar of Antimony fifteen Grains Camphry six Grains Make a Powder The volatil Salt of Vipers or that of Harts-horn or prepar'd Amber may be added by turns Take of the Rob of Juniper three ounces Diascordium and Mithridat of each an ounce and a half Venice Treacle half an ounce Flowers of Sulphur two or three ounces Myrrh three drams Frankincense six drams Camphyr two drams Saffron half a dram Juice of Citrons half an ounce Make an Electuary Dose a dram and a half in a convenient Vehicle Take of the Water Carduus Benedictus an Ounce and a half Vinegar of Wine six drams Diascordium a dram and a half Camphyr six grains Syrup of the Juice of Citrons half an Ounce Make a Potion for one or two Doses Take of hot Verdigrease a Pound sprinkle it with three Ounces of distill'd Vinegar distill through a Retort in Sand with an intense heat then add to the Spirit thus distill'd a double quantity of rectifi'd Spirit of Tartar and half a dram of Camphyr and a little Opium for every Ounce of the compound Spirit and let all stand for digestion This is call'd Elixyr Antiloimicum and is of excellent use Besides the universal Cure of the Plague it is requisite also to have a peculiar regard to its incident Symptoms As for Bubo's or swellings of Glandules they require the application of attracting ripening and cleansing Ingredients If they be black and livid and threaten a Gangrene they ought to be cut up with a Launce without waiting for maturation otherwise 't were proper to endeavour their maturation and attract the Poison by applying roasted Onyons mix'd with Mustard-seeds Or in case of great Pain the Juice of Onyons mix'd with Venice Treacle and Soot Man's Ordure or a Melisot Plaister mix'd with the Powder of dry'd Toads and that of Amber from which Spirit of Wine has been thrice evaporated are much approv'd for the same use But of all Plaisters Sala's Magneticum Arsenicale is the best 'T is prepar'd thus Take of crude Antimony yellow Sulphur and white Arsenic of each two Ounces Set them in hot Sand in a Phiol 'till they melt and become a dusky Mass Then take of this Mass Gum sagapanum Gum Ammoniac and Galbanum of each three Drams Turpentin and Wax of each half an Ounce distill'd Oyl of Amber two Drams dulcifi'd Spirit of Vitriol a Dram. Dissolve the Gums in Vinegar then strain 'em through a Linnen Cloth and thicken 'em again Melt the Turpentin and Wax apart then add the Gums and make a Plaister according to Art This Plaister will raise a malignant Crust which ought to be taken off by applying the Ointment of Basilicon mix'd with Venice Treacle If the Skin be thick and the swelling lie so low that the Plaister cannot reach it let a sharp blistering Plaister be first applied or if that be ineffectual a Cautery of quick Lime and Spanish Soap that so the Plaister may operat more freely If it cause an Inflammation let foft'ning Cataplasms be applied above the Plaister 'till the Crust come off After the swelling is open'd it ought to be cleans'd by the Infusion of Birth-wort Myrrh Aloe and Saffron in Spirit of Wine Tartaris'd Or Balsam of Peru and Balsam of Sulphur mix'd with Treacle and applying emplastrum Album mix'd with Oyl of Tobacco After 't is sufficiently cleans'd apply Rulandus's Plaister Diasulphuris for consolidation In all Compositions relating to pestilent glandulous Swellings Mercury Vinegar Opium and Lead ought to be avoided Carbuncles are the beginning of a Mortification which displays it self with a purple Colour surrounded with a red or livid Circumference incroaching gradually upon the adjacent parts 'till the mortifi'd part fall off In order to prevent their spreading let a Circle be drawn round 'em with an Emerald stone 'till the part become livid then touch the point or top with Butter of Antimony and when the Crust appears apply Sala's Plaister call'd Magneticum Arsenicale Some chuse to open it first with an actual Cautery and then apply either this Plaister or attracting and emollient Cataplasms of Garlic Water Germander Marsh-mallows Meal of Lentils Berries of the Herb Paris Pigeon's Dung Black Soap and Hony or in case of great pain the Plaister of Hounds Tongue But after all be sure to avoid fat things After the Matter is evacuated apply a Cataplasm of Comfrey Roots boil'd or the Ointment of Basilicon with Balsam of Sulphur and Treacle or a Cataplasm of Comfrey Roots boil'd The symptom of Heat is but seldom violent in Malignant Feavers or at least ought not to be much restrain'd for fear of repressing the cuticular eruptions If necessity require that it should be moderated Antimonial Nitre and all nitrous Medicines taken inwardly and applied outwardly with Juice of House-leek and Rose-water to the Wrists Fore-head and Temples will answer the Design Head-aches Watchings and Deliriums are frequently the Companions of pestilential Feavers If they happen in the beginning they require a Cure but if their first appearance be put off 'till towards the time of the Crisis 't is not safe to oppose ' em If the hinder part of the Head be particularly affected it signifies a peculiar disorder of the Head and Animal Spirits independent of the Feaver If the Head-ache seize chiefly the fore part or be attended by anxiety of the Breast and unquietness it proceeds from the Stomac and ought to be prevented by Vomits and sometimes
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. Anâ— 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
preparations from Antimony fix'd with Tin and Steel To these we join other Balmy Ingredients viz. Amber Aloes Myrrh especially when the Phthisic is not far advanc'd nor the Hectic very troublesome Together with the pectoral specifics viz. Tragacanth Elecampane Roots Sperma Ceti given to half a dram in a Potch'd Egg Orris Roots the Conserve of Roses Bole-armenic seal'd Earth Blood-stone and the Mushroom of a Willow given to half a dram in the Conserve of Ground Ivy all which are very useful for tempering the acrimony of the Blood and Chyle But before we commence the use of Specifics a Vomit ought to be exhibited for cleansing the first Passages The Decoctions of Woods especially China and Sassafras together with Elecampane Liquorice Raisins and Vulnerary Ingredients are of singular efficacy in this Case Their Rosinous Sulphureous substance is at once qualify'd for tempering the sharpness of the Humors evacuating the corrupt Matter and cleansing the Ulcer But whoever would reap benefit by these Decoctions must resolve to Drink nothing else Narcotics especially the Pills of Storax are of good use for promoting the Maturation and Concoction of the matter in the Lungs curbing the dry Night Coughs and preventing Night-sweats Phthisical Persons admit of large Doses and persist long in the use of 'em without detriment Towards the height of the Disease when Respiration is difficult and a great deal of Viscous matter lyes ready for expectoration 't is convevient to discontinue their use In regard of the ulcerated Bowel the vulnerary Specifics and the baling Ingredients above-mention'd are calculated for its relief Ground Ivy Chervil Scabious and male Speedwel especially the first or its Juice ought never to be omitted Some commend Indian Cresses and Rosasolis In Scorbutic Cases 't is proper to add Antiscorbutic Ingredients If the Hectic do not Prohibit the use of Balsams we may add the Balsam of Sulphur Balsam of Peru Turpentin dissolv'd with the yelk of an Egg Myrrh c. Some recommend the Decoction of Penny-Royal Others the volatil Salt of Harts-horn and its Spirit tinctur'd with Balsam of Sulphur the Spirit of Ants the Spirit and volatil Salt of Man's Urine and the like but if the Disease be inveterat and the Lungs ulcerated they are very improper Perhaps after chronical Diseases or when the Chyle is not distributed thro' the Body they may be of some use The dry tickling Cough and Night-sweats that usually molest Phthisical Persons are abated by incrassating Medicines mix'd with Opiats But Treacle and hot Compositions ought to be avoided For cleansing the Ulcer in the Lungs and bringing up the viscous Matter the Syrup of Tobacco ought to be mix'd with the other expectorating Ingredients And if the Matter stink or if the Person spit very much let Myrrh and Hony be always added But if a Feaver or melting Looseness accompany a Phthisic let Hony be avoided and absorbent earthy Powders exhibited The Food of Phthisical Persons ought to be such as yields a substantial glutinous Juice such as Eggs Raisins Oysters River Crabs and Milk They ought to avoid drinking much and what they Drink may be impregnated with Fumes of Sulphur Of Wines the sweetest are the best As for Air those that are emaciated and wither'd require a thick Sulphureous Air whereas those that are otherwise find their account in breathing in a clear dry Air. It remains now to subjoin a few Receipts in order to exemplify the complication of the above-mention'd Ingredients Take of Sal-Armoniac and Nitre purify'd of each half an ounce the Powders of the Roots of Liquorice and Florentine Orris of each an ounce Mix and Exhibit as much as will lye upon the point of a Knife Morning and Evening remembring still the Cautions above-mention'd with respect to Acids Take of the Roots of Cuckow-pint four ounces Roots of Florentin Orris three Ounces Flowers of Benzoin an ounce and a half Flowers of Sulphur an ounce Poterius's Antihectic two ounces with a sufficient quantity of Sugar make a Powder to be given to a dram before Supper and at Bed time in the Decoction of China Roots for tempering the Acrimony of the Humors Take of the Kernel of the Pine Apple half an ounce white Poppy Seeds two drams with Scabious and Colts-foot Water make an Emulsion to which add of Ivory prepar'd without fire half a dram prepar'd Crabs Eyes and Mother of Pearls of each a scruple and sweeten it with Pearled Sugar Take of Diaphoretic Antimony a dram and half Flowers of Sulphur half a dram the Powder Diaireos and Diatragacanthon Frigidae and prepar'd white Amber of each a dram extract of Elecampane half a dram Balsam of Sulphur Anisated half a dram Sugar dissolv'd in Fennel Water four Ounces Make Tablets of which take eight thrice a Day follow'd by a Draught of the Decoction of Ground Ivy and Chervil Take of the Conserve of Ground Ivy an ounce Crabs Eyes and Poterius's Antihectic of each half a dram prepar'd Amber two scruples Benzoin a scruple with Willis's Syrup Diasulphuris make an Electuary and add some grains of Laudanum Opiatum if it be Convenient Take of Guajacum Wood three ounces Guajacum Roots and China Roots of each an ounce Elecampane and Burdock Roots of each two ounces Juniper Berries three drams Leaves of Speedwel two handfuls Ground Ivy a handful Infuse 'em for twenty four Hours in twelve pound of fair Water Then Boyl the half away and add towards the end Anis and Fennel Seeds of each an ounce and a half Liquorice Roots an ounce Strain the Liquor and exhibit a Draught every Morning adding twelve drops of the Turpentine Balsam of Sulphur or forty of that prepar'd with Oyl of sweet Almonds Take of Ground Ivy Chervil and Male Speedwel of each a handful Elecampane Roots an ounce and a half Roots of Florentine Orris an ounce Anis-seeds three drams Fennel-seed two drams Figs four in Number Corrants an ounce and a half Liquorice Roots six drams boyl them in Water for a vulnerary Decoction to be sweeten'd with the Syrup of Ground Ivy. And add to every Draught forty drops of Elixyr Proprietatis or half a dram of Sperma Coeti or some drops of the Essence of Gum Ammoniac mix'd with the Tincture of Sulphur Take of Poterius's Antihectic a Scruple Sugar of Lead half a scruple Extract of Saffron four or five grains Laudanum Opiatum two or four grains With Balsam of Peru make Pills for two Doses to be taken at Night to prevent Coughing and Sweating in the Night time Take of prepar'd Amber half a scruple choice Myrrh and valatil Salt of Amber of each five grains Laudanum Opiatum a grain or two With the Essence of Myrrh make Pills Take of the Conserve of Ground Ivy Conserve of Scabious of each an ounce and a half fresh Pine Apples half an ounce Ivory prepar'd without fire a dram Poterius's Antihectic and Flowers of Sulphur of each two scruples With Syrup of Tobacco make an Electuary for attenuating and expectorating Viscid
we ought to observe nicely where the Impediment lies If the Stagnation and Viscidity of the Humors about the Breast retard the work let a Vomit be exhibited If want of strength and Spirits let the sudorific Decoctions be Administred The Salivation being obtain'd must be continu'd till the Saliva become foetid and viscous and apt to fall to the bottom in a Vessel full of Water or stick to its sides If the Salivation exceed its due bounds let Opiats Clysters and Purgatives be us'd as also Gold both held in the Mouth and given inwardly After the Salivation is over it will be requisit to shift the Bed-Cloaths and wearing Cloaths and to continue the use of the Decoctions of Woods Which if the Salivation was imperfect may recal the Nocturnal Pains by driving the remaining Acid dissolv'd by the Mercury into the external Parts but their continu'd use with that of Mercury will overcome ' em Purgation is also proper after the Salivation Before the Commencement of the Cure as well by a Salivation as by Sweating it is not amiss to cleanse the first Passages by Vomits and Purges that so the humors may be more pliable and the troublesom Symptoms of the Breast prevented If the Pox be inveterat or if the virulent Matter be fix'd in the external Parts one or two Purges will suffice since we ought to be cautious of recalling the humors to the Center When the Matter is joyn'd to the fluid Juices repeated Purgation is of use For which end Coloquyntida and sweet Mercury are the topping Ingredients As Take of the extract of Black Hellebor and sweet Mercury of each fifteen Grains Scammony Sulphurat and extract of Troches Alhandal of each two grains With Essence of Fumitory or that of Woods Make Pills Take of the Conserve of Fumitory a dram Rosin of Jalap Sulphurat Scammony of each six grains Turbith Mineral four grains Make a Bolus Some add Purgatives to the Sudorific Woods as likewise volatil Salts urinous Spirits and Cinnabar of Antimony together with the extracts and distill'd Oyls of Woods As Take of the shavings of Guajacum four scruples Diaphoretic Sulphur of Antimony a sctuple volatil Salt of Vipers twelve grains Make a Powder for two Doses Or Take of Matthiolus his Quintessence half an ounce Spirit of Venice Treacle a dram Clyssus of Antimony half a dram Spirit of Guajacum two drams Mix for a Dose to be pour'd into each draught of the Sudorific Decoction Before we take leave of this Subject it will be requisit to consider the Symptoms and account for their particular Cures The first that offers it self is the Clap or virulent running of the Reins This Symptom appears frequently by it self without the Pox but if it be not speedily cur'd degenerats into it The cause of it is some sharp Miasma's proceeding from Ulcers in the Womb which in the time of Coition insinuat themselves thro' the Urethra and inlarged Pores of the Yard into the Prostatae and by fermenting corrupt their watery Juice which in time becomes Corrosive Ulcerats the Glandules and Excoriats the Urethra and Prepuce Hence the Symptoms of a Clap are a violent pain about the Root of the Yard where these Glandules are seated a continual Efflux of discolour'd matter as being first yellow then green and blue the Inflammation and oft-times Ulceration of the Nut of the Yard the Corrosion of the Urethra follow'd by Caruncles an insufferable Heat of Urine and a squeezing Pain girding the Yard especially in the Night-time or when it attempts Erection If a Clap continue long it Excoriats and Wasts the Glandules and sometimes the malign ferment reaches the Stones and causes their Swellings and Bubo's The first step towards the Cure is to cleanse the Body by purging with Coloquintida the extract of black Hellebor and sweet Mercury or rather the green precipitat prepar'd with Quick-lime which tho' it may seem at first to exasperat the Symptoms yet it lays the Foundation of the Cure After Evacuation we proceed to Balmy cleansing and healing Ingredients in regard of the Ulcer of the Prostratae Such are the distill'd Oyl of Turpentine the Turpentine Balsam of Sulphur joyn'd to Quercetanus's Clap Water the Juice of Lemons mix'd with Spirit of Turpentine and Camphyr the Balsam prepar'd of Sugar of Lead and Oyl of Turpentine Oyl of Juniper extract of Tormentil Rosin of Guajacum prepar'd with Tincture of Tartar the Decoction of Quick-silver in Water the Balsam of Peru and above all that call'd Capaivi or its Essence prepar'd with Tartaris'd Spirit of Wine Some commend the infusion of Cantharides in Wine To these we may add the Bone of a Cuttle Diaphoretic Antimony Chalybeat Bezoar and whatever subdues a prevailing Acid. If the Infection have already reach'd the Blood it will be needful to administer Decoctions of Woods and the above mention'd sudorifics mix'd with the Essences of Woods and Tincture of Coral Take of Turbith mineral six or eight grains With Conserve of Roses make a Bolus Take of Extractum Catholicum fifteen grains the green precipitat Mercury six grains extract of Troches Alhandal two grains with the Essence of Woods or distill'd Oyl of Amber make Pills Take of the extract of Tormentil an ounce Sugar of Lead half an ounce Camphyr two drams With distill'd Oyl of Turpentine Make Pills Take of the Balsam of Sulphur prepar'd with Oyl of Turpentine two drams Balsam of Capaivi a dram Mix Dose fifteen drops twice a Day Externally for cleansing the Ulcers we inject Quick-lime Water in which Aloe Myrrh Honey of Roses Sugar of Lead and sweet Mercury are dissolv'd If the Ulcers tend to a Cancer we add Vnguentum Aegyptiacum or if an Ulcer appear in the Nut of the Yard we wash it with a solution of sublimat Mercury in the same Water If the Testicles are inflam'd we apply Cataplasms of the Meal of Beans and Cuminseeds boyl'd in Vinegar and Water and mix'd with Litharge or anoint 'em with a Liniment of the Balsam of Sulphur Oyl of Cummin and Ointment of Marsh-mallows and if any hardness remain discuss it with a Plaister of Gum Ammoniac and the Plaister of Hemlock The Plaister de Ranis with Mercury is of excellent use for other places but for the Testicles 't is not so proper for fear the Mercury should extinguish their ferment If the Prepuce be inflam'd foment it with the Phlegm of Vitriol or Dissolution of Sugar of Lead in Lime Water A Clap in Women is cur'd after the same manner and attended by Symptoms of the same Nature The next Symptom we take notice of is that of Bubo's or Glandulous swellings occasion'd by the Sâ—agnation of viscid Lymph Their suppuration ought to be promoted by applying Sala's Magnetic Plaister or Toads soak'd in Vinegar or the Plaister de Ranis with Mercury soften'd with Oyl of Guajacum or foetid Oyl of Tartar or the Plaister of Hemlock mix'd with Soap When the Bubo's are sufficiently soften'd let 'em be open'd with a Caustic or a
straiten'd they are always Costive and Laxatives operate better in them than proper Purgatives If an Artificial or Natural Vomiting happen they throw up Acid Matter which stupifies the Teeth and corrodes a Copper Vessel so as to render it rusty After eating they are oft-times seiz'd with a gnawing pain in the Stomach reaching along the Back from the lower part to the Neck of the Gullet which some miscall Nephritic Pains as also by sudden flushings in the Face wringing pains in the Guts palpitations of the Heart perturbation of Mind and a difficulty of breathing occasion'd either by viscous Crudities distending the Stomac or Convulsions of the Midriff and Muscles of the Breast or Wind in the Abdomen hindring the descent of the Midriff In process of time hard Tumors sometimes infest the Intrals and the convulsive Contractions of the Fibres of the Branches of the Arteria Caeliaca cause beatings about the Loins While their Stomac is empty they are apt to be giddy and dull they 're liable to Head-aches loss of Memory Fear Grief aukward Dreams and vain Imaginations Their Pulse is very inconstant and all their Symptoms lyable to periodical Exasperations Frequently they are sensible as it were of Fumes rising upward from the Belly and the Paroxysm resembles a Hysterical Fit In the Paroxysm the Colour and Consistence of their Urine is inconstant but when 't is over returns to a natural Order These are the Symptoms of Hypochondriac Persons but all of 'em are rarely to be seen in one Person The most certain Symptoms that always attend are Gripings and Wind in the Guts a weak Stomac Costiveness and perturbation of the Head The Symptoms being thus premis'd let us now enquire after their Cause The first Cause is a vicious Acid in the Stomac enlarging the Appetit but unfit for Digestion Hence ensues an Acid Crudity in the first Passages which depraves the Crasis of the Blood prevents the due separation of volatil Spirits upon which the Lymph becomes Acid and the Bile inactive These are the sources of all the preceding Symptoms since Wind Noise griping in the Guts and costiveness are the natural result of a viscous Acid in the first Passages as flushings in the Face arise from its effervescence with the Bile The Convulsions of the nervous Membranes in several parts of the Body are the effect of its irritation its Crudity impairs the due fermentation of the Blood and causes a palpitation of the Heart and difficulty of breathing it depraves the Nutritious Juice of the Bowels which settles into hard Swellings and occasions a degeneracy and austerity in the Spirits hence Fear Melancholy irregular Thoughts and uncooth emotions ensue The remore causes that promote Crudities are acid Liquors or salt Victuals or such as are dryed in Smoak since both partake of the Acid Spirit of Salt or Soot Want of motion to promote Digestion and the speedy assimilation of Chyle nocturnal Study or Care exhausting the Spirits impoverishing the Blood and rendering the Lymph Acid So much for the Symptoms and Causes of the Hypocondriac Disease When this depravation deriv'd from Acid Crudities in the Stomac is carried so high that the Blood Lymph and all the Juices of the Body are notably perverted and the vicious Acid becomes volatil malignant and apt to multiply its influence by Contagion or Hereditary Succession it is stil'd the Scurvy and is generally attended by such a numberless train of various Symptoms that 't is customary to charge it with every uncommon Symptom even of other Diseases The peculiar Qualities of this scorbutical Ferment are these 1. An aptness to attack the Glandules and pervert their Lymph 2. A mortal Enmity to the nervous Systeme as appears by the following enumeration of its Symptoms Scorbutical Persons are troubled with a weariness weakness sense of weight and a dull obscure pain in the Limbs Their Appetit is either too fierce or quite dejected Their Gums are liable to Excrescences Swellings and Ulcers and when rub'd void either a saltish bloody or serous humour their Teeth are loose and corroded their Mouth stinks their Spittle is very salt and sometimes plainly Acid especially in a Morning they are oft-times molested with Nocturnal Sweats and Red Yellow or Black Spots upon the Arms and Legs sometimes as small as Flea-bites sometimes as large as a Crown-piece and sometimes the Limbs are beset with rough scaly Swellings like Measles their Skin oft-times itches and when 't is scratched becomes red or tends to a sordid Ulcer Their Urin is high colour'd or precipitats a red sandy fleshcolour'd sediment or fastens red friable Sand upon the sides and bottom of the Urinal a fat Crust or Skin swims on the top and if look'd upon side-ways appears parti-colour'd like a Peacock's Tail after the Urine is thrown out the Urinal retains a blueish Colour which is not easily wash'd off They are infested with a difficulty of Breathing and wandring Pains gird the Loins and Back and wring nay sometimes distend and harden the Belly and are oft-times follow'd by red Pimples in the Skin which disappear suddenly Sometimes they are seiz'd with nocturnal Pains in their Limbs shifting from the Arms to the Feet and è contra After violent wringing Pains their external parts frequently become paralytic Sometimes Convulsions and Hysterical Symptoms seize ' em Sometimes setled fix'd pains invade the Head and Limbs especially in the Night-time and resemble those of the French Pox. Sometimes their Legs are infested by hard stony Concretions that are void of pain unless they walk The Stomac is frequently provok'd to vomiting and their Guts to bloody Stools which are voided without gripings and after the other Excrements and so are easily distinguish'd from the Bloody-flux or the Piles They are also liable to frequent effusions of blue or greenish Blood from other parts of the Body and to a St. Anthony's Fire in their Legs which if indiscreetly manag'd becomes a Gangrene or a malign Ulcer Their Pulse is unequal frequently very small and oft-times intermits When the Disease is inveterat they 're subject to Catarrhs Defluxions Excoriations Ulcers and Consumptions From these premises we draw this Conclusion that the immediat cause of the Scurvy is a volatil saline Acid which irritats the Nerves and Membranes sharpens the Lymph Debauches the innate Spirits of the parts and perverts the equal temperature of the Blood The remote Causes are the Sea-Air impregnated with salin Acid Vapors salt and viscous Food Laziness Weakness of Digestion Infection a hereditary Conveyance and the influence of Chronical Diseases Charleton distinguishes a hot Scurvy proceeding from a Sulphur and a fix'd Salt from that which is Cold and springs from an Acid as likewise Willis who refers the cause of hot and cold Scurvy's to the prevalency of Sulphur or Salt But all these differences proceed only from the various Constitutions of Patients thwarting or promoting the efforts of the scorbutical Cause A Scurvy frequently joins it self to other Distempers in so much
of Spirits From whence ensues the variety of the animal or sensitive Phaenomena's 2. That the Brain and Spirits have a peculiar dependance upon the Moon and upon that account the Diseases of the Head encrease or diminish in proportion to its Age. The Spirits when disorder'd are more sensible of this Influence than in their natural State 'T is true the Sun has some Ascendant over our Bodies but that properly relates to the vegetable and vital Functions the Animal Province being more peculiarly allotted to the Moon 3. That there is an admirable Sympathy betwixt the Brain and the Bowels especially the Stomac An ungrateful Imagination disturbs the Stomac and Vomiting and Giddiness do equally give rise to one another The Disorders of the Stomac and lower Belly have a visible Influence upon the Fancy as in the case of Hysteric or Hypocondriac Fits and the ridiculous Appetites of Women Helmont was very happy in this Observation and the practical Inferences he deduc'd from it but his Theoretic Conjectures are frivolous The reason why the Spirits and the Stomac do so sensibly affect one another seems to be this That the Mouth of the Stomac is the first part of all the Body that receives any sensible Impression in the Womb for so much as all Alterations in the Embryo must be produc'd by the Nourishment convey'd to the Stomac This establishes an early Correspondence betwixt it and the Spirits and lays the lasting Foundation of their future Intimacy 4. That the Spirits are liable to the same material Alterations with the Blood CHAP. I. Of immoderate Watchings WE are said to wake when the Spirits are distributed through the Organs of Sense and extend their Fibres On the contrary Sleep unbends the Fibres and imprisons the Spirits The Privation of which causes Disorders in the Body The immediate Cause of Watchfulness is a continued or violent Incursion of Spirits into the Organs of Sense The remote Cause barring some external Object must either be the Disorder of the animal Spirits or some defect in the Brain The Spirits are oft-times too nimble and moveable as in young People and such as feed high and drink generous Liquors The Heat of Summer or travelling in a hot Climat eating of Venison immoderat Care Study and the Passions of the Mind the accession of foreign heterogeneous Particles from malignant Distempers or drinking Tee and Cossee are the natural Causes of the Mobility and Disorder of the Spirits and consequently of Watchfulness As for the Brain Watchings will insue upon the Openness of its Pores occasion'd by a Dryness or want of Moisture to fill up the Intervals This may happen through Fasting or eating of sharp volatil Meats immoderat Venery Sweating smoaking Tobacco which tho it be an Opiat exhausts the Moisture of the Brain an unseasonable Use of purging Medicines or a Deficiency in the first Digestion which not only affects the Spirits by Consent but robs the Brain of its wonted Recruits in neglecting the regular distribution of the Chyle This Disease is manifest of it self As for Prognostics It infers a Weakness and Feebleness 'T is more sufferable in Youth than in a State of Manhood and among Men than among the Female Sex It portends ill in acute Distempers But in Chronical Diseases may be longer endur'd tho 't is oft-times follow'd by Phrensies Folly or Stupidity The Cure is perform'd by taking off the remote Causes If it be caus'd by the Inflammation and Impetuosity of the Blood a Vein must be open'd If the Blood be sharp and oppress'd with heterogeneous Particles Purgation and Sweating take place If it spring from the Disorder of the animal Spirits they must be reduc'd to Order by the use of pacific Medicines such as Opium or Laudanum opiatum or their Compounds Bartholetus commends the Essence of Opium prepar'd with Spirit of Vitriol or Spirit of Cockle Ens Veneris which consists of Vitriol and Salt Armoniac and likewise the Anodvn Sulphur of Vitriol are proper in this case But in using Opium we ought to observe these Causions Not to exhibit it when the Watchings are owing to the Efforts of Nature endeavouring a Solution of a Disease or when attended with a straitness in the Breast or difficulty of Breathing or when they proceed from the deficiency and want of Spirits as in old Men c. The mildest Opiats are the safest Let them be given in small Quantities and repeated often As Take of the Conserve of wild Poppy Flowers one Dram Venice Treacle or Diascordium half a Dram Laudanum Opiatum one Grain Make a Bolus Or Take of native Cinnabar fifteen Grains Saccharum Saturni eight Grains Laudanum Opiatum one or two Grains with the Extract of Saffron make Pills to be taken in the Evening about an hour before Supper The Seed of Thorn Apple is of excellent use in this case As for the Watchings which arise from the Dryness and Openness of the Brain moist and cooling Medicines are most proper such as Emulsions and other oily temperat Compositions Take of the four greater cold Seeds of each half an Ounce Garden Poppy Seeds two Drams sweet Almonds from two Drams to half an Ounce with a sufficient quantity of the Water of Water Lillies make an Emulsion Add of Cinnamom Water half an Ounce and sweeten it with Syrup of Poppies Or the Emulsion may be accommodated to whatever acute Distemper accompanies the Watchings as in a malignant Fever Take of sweet Almonds and Garden Poppy Seeds of each two Drams of the four greater cold Seeds of each a Dram With Viper Grass Water make an Emulsion sweeten it with pearl'd Sugar and add half an Ounce of Ciâ—namom Water and a Scruple of Bezoar Mineral It pacifies the Spirits and obviats the Malignity of the Distemper The Decoction of Barley with Poppies and Liquorice is much applauded And in general all moist nourishing milky chilous Medicines are very conducive in this caseâ— especially the Seed of Thorn Apple of the Fruit we make Pills thus Take of Thorn Apples six Pound bruise and boil them in twelve Pints of Lettice Water to eight Pints express the Decoction and digest it in the Sun sprinkle it with Spirit of Wine and set it to dry To an Ounce of the Juice thus thicken'd and dry'd add half an Ounce of Saffron and two Scruples of the Oil of Citron Peel Make a Mass for Pills Dose a Grain or two It procures Sleep and stops all Fluxes In the Watchings of old Men or such as proceed from a scarcity of Spirits or a frigid Crudity in the Stomac Opiats are inconvenient Comforting and aromatic Medicines are only proper Some give Opiat Clysters or Suppositories to procure Sleep but 't is a dangerous Method unless the Watchings be accompany'd with a Loosness or Pains in the Guts Besides the internal Use of moistening and quieting Medicines some apply them outwardly to the Forehead Temples Feet and Hands They foment and bathe the extreme Parts with the Decoctions of Anodyn and
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 Cinâ—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
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
Pellitory of Spain Euphorbium and Oil of Amber When the Tumors are thus ripen'd we open 'em with a Launce and apply a Caustic of the Ointment Aegyptiacum the dulcify'd Earth of Vitriol and Salt for extirpating the Membrans But if the Excrescence be hard and stubborn 't will be needful to set aside all discussing or suppurating Ingredients and cut up the skin cross-ways so as not to touch the Membran then separat the one from the other and cut out the Membran with the inclosed Tumor by the Root and after all stop the bleeding and cleanse the Ulcer as in other cases Sometimes when the nervous Fibres in the Skin are tore or corroded they throw out their nutritious Juice which settles into Warts and in the Toes of the Feet where the nutritious Juice of the Bones is squeez'd out into hard Corns Some of these Warts and Corns are fix'd so deep into the Tendons that they cannot be extirpated without incurring the danger of Inflammations Convulsions or Gangrenes But others are only superficial and easily remov'd Warts are extirpated by applying the Juice of Celandine or the Ashes of Briony mix'd with its Juice or the Juice of Spurge scarifying the part gently before Application Some commend an Ointment of Hony with the Spirit of Sulphur and the Solution of Sal Armoniac in Water or the Juice that Snails cast forth when rub'd with Salt but the best method of rooting them out is to touch 'em with Butter of Antimony or Aqua fortis or rather to burn them out with a hot Iron If they are pendulous and hang by a small Root a thread of Silk ty'd about the Root will cut off their nourishment and make 'em fall off As for the venereal Warts that generally invade the Genitals we apply the Solution of sublimat Mercury and Allum in Plantain-water As for Corns we order the Feet to be wash'd and the thick Skin to be scrap'd off then we apply Galbanum or Gum Ammoniac or the Plaister of Hemlock with Mercury soften'd in the Oil of Bricks Some recommend pieces of raw Beef or Onions mix'd with Soap in the form of a Cataplasm If these prove successless we apply Aqua fortis or Butter of Antimony mix'd with Hony taking care to defend the neighbouring parts and take off the Eschara with the Plaister Diachylon with Gums But if the Corns lie deep and be fix'd in the Tendons 't is dangerous to apply Caustics or to cut them with a Knife tho in other Cases such Operations may succeed Sometimes we meet with spungy Swellings about the Joints that proceed from the nutritious Juice of the Membrans mix'd with the glutinous Matter that bedews the Joints The best way of curing 'em if so be they admit of a Cure is to throw astringent Pouders upon 'em such as the Sugar of Lead Vitriol Calaminar Stone and sometimes precipitat Mercury Stronger Caustics or Emollient Ointments or manual Section are for the most part very dangerous by reason of their tendency to Cancers 4. The fourth Class was allotted for the Tumours of the Blood-Vessels which are of two sorts 1. Those of the Arteries call'd Aneurisma's 2. Those of the Veins call'd Varix's The former are occasion'd by cutting the Artery in Blood-letting or relaxating its Coats by violent Motion Crying c. or by the Corrosion of some internal Cause all which are apt to occasion a Collection of Blood about the injur'd part of the Artery and consequently a Tumor The Signs are a Swelling rising gradually according to the Pulsation of the Artery if the Artery lie near the Skin its Color is reddish when the Swelling is press'd by ones Finger it sinks and disappears without it be inveterate 'T is cur'd by opening a Vein in the opposite part of the Body avoiding all oily fat things and applying Bole Armenic Frankincense Earth of Vitriol Dragon's Blood and Laudanum Opiatum with a Plate of Lead and a strong Ligature In France they follow a new Method as for example in the Arm they squeeze the superiour part of the Artery so close that no Pulse is perceiv'd then they open the Tumor with a Launce and remove the congeal'd Blood Having discover'd the Wound of the Artery they apply to it a little ball of Vitriol wrap'd up in Cotton and the Pouders of Sarcocol Frankincense and Pine-tree-Rosin with Tow and above all Bolsters cover'd with the common Digestive and ty'd down with a strong Ligature The upper Bolsters are renew'd every day but the Ball of Vitriol which is no bigger than a Pea and which is insensibly dissolv'd by the Blood that soaks thro the Cotton is suffer'd to continue till it fall off The immediate Cause of a Varix is the Relaxation and Distention of the softer Fibres of the Veins The remote Causes are the thickness of the Blood or the Compression of corresponding Veins as when the Iliac Vessels being straiten'd by big Bellies occasion a Varix in the Veins of the Legs The Diagnostics are the Turgidity and blewish Blackness of the Veins It seldom requires a Cure unless it be painful or threaten a Rupture Ulcer or Gangrene If it be very painful we apply the Ointment Populeum with Mucilages of Flea-wort and Fenugrec-seeds the Oil of Chamomil and Flower of Beans If they are ulcerated apply the Plaister of Frog's Spawn with Hartshorn Frankincense and sweet Mercury If the Tumor be very high and apt to break open it with a golden or silver Needle and apply a Plate of Lead or foment with a Spunge soak'd in the Decoction of Allum Salt and the Fruit of Acacia in Vinegar or apply a Cataplasm of the Flower of Lupins dry'd Goat's Dung and Vinegar in which a hot Iron has been five times extinguish'd remembring still to tie a strong Ligature about the part If the Varix is open and bleeds excessively apply the Pouder of Hog's Dung or Clouts dip'd in the Solution of Steel and Allum In the mean while we ought to take care that the Ligatures do not hinder the Circulation of the Blood and exhibit inwardly attenuating Sudorific Decoctions CHAP. II. Of Wounds THE Nourishment of wounded parts and the Blood which flows from 'em being corrupted by the external Air become acid corrode the nervous Fibres extinguish the innate Spirit and produce all the tragical Consequents of Wounds The Wounds of internal parts are discover'd by the lame performance of their respective Offices or by the alteration of Excrements voided by ' em Wounds of sanguine parts ought to be carefully distinguish'd from those of the Nerves or Membrans as also the Curable from the Incurable some of which are mortal some not The mortal are said to be such either when an internal Bowel essential to Life is disabled or when the Blood Spirits or Vital Juices are too copiously evacuated or thrown upon some Cavity from which they cannot be retriev'd Thus the Wounds of the Heart are not always mortal without they reach into the Cavities especially the left
Diaphoretic Antimony Hartshorn not burnt and Salt of Carduus Benedictus of each twelve Grains Mix and make a Powder which is to be taken in the Morning fasting in a warm Vehicle Or Take of Simple or Chalybeat Diaphoretic Antimony one Scruple Salt of Carduus Benedictus half a Scruple Laudanum Opiatum one or two Grains Distill'd Oyl of Cloves two drops Make a Powder for one Dose Or Take of Hartshorn not burnt fifteen Grains Cinnabar of Antimony half a Scruple Of the Golden Antidot call'd Bezoardicum Solare four Grains Mix and use as above Or Take of unburnt Hartshorn Nitre Prepar'd with Antimony of each fifteen Grains Make a Powder as above For a Bolus Take of Conserve of Elder or Conserve of Juniper from a Dram to two Drams Hartshorn not burnt from a Scruple to half a Dram. Diaphoretic Antimony half a Scruple Syrup of Rasberries as much as sufficeth to make a Bolus Or Take of Conserve of Elder one Dram. Diaphoretic Antimony one Scruple Extract of Carduus Benedictus six Grains With a sufficient quantity of the Syrup of Fumitory Make a Bolus If the Patient desire Pills Take of Extract of Carduus Benedictus half a Scruple Laudanum Opiatum one or two Grains Distill'd Oyl of Aniseeds or Rectify'd Oyl of Tartar as much as sufficeth to make a Mass for Pills Or Take of Extract of Carduus Benedictus from half a Scruple to a Scruple Extract of Triacle five Grains With a sufficient quantity of the Oyl of Amber make Pills Or thus Take of the Extract of Woods fifteen Grains Extract of Saffron three Grains With stinking Oyl of Tartar rectify'd Make a Mass for Pills So much for the separat Prescription of fix'd Sudorific's But sometimes we joyn both the fix'd and Volatil together As Take of Chalybeat Diaphoretic Antimony one Scruple Volatil Salt of Vipers five Grains And if the Patient be Restless add a Grain or two of Laudanum Opiatum Mix and make a Powder If a Potion be more acceptable Take of Scabious-Water Elderflower-Water Meadsweet-Water of each an Ounce The Cold Saxon Cordial-Water six Drams Spirit of Triacle Prepar'd with Camphyr three Drams Diaphoretic Antimony a Dram and a half Hartshorn not burnt one Scruple Volatil Salt of Hartshorn half a Scruple Camphyr three Grains Syrup of Scordium one Ounce or an Ounce and a half Mix for a Potion Or Take of Elderflower-Water one Ounce Hartshorn not burnt half a Dram. Volatil Salt of Hartshorn five Grains Syrup of Clove-Gilliflowers two Drams Mix for a draught Or Take of Elderflower-Water one Ounce Triacle of Andromachus or Fracastorius's Diascordium one Dram. Volatil Salt of Vipers six Grains Camphyr one Grain Syrup of Rasberries half an Ounce Mix for a draught Or Take of Carduus Benedictus Water two Ounces Quintessence of Urine two Drams Fracastorius's Diascordium one Dram. Syrup of Carduus Benedictus half an Ounce Mix and make a draught Thus I have run over the Classes of the Medicines that â—estore the due Fermentation of the Blood and Correct the â—uices of the Body This may suffice for the Vital Faculty SECT IV. Of the Animal Faculty THE Animal Faculty lyes under the influence of the Animal Spirits and Nerves The Nerves are immediately nourish'd and supplyed by the Chyle which if it be Faulty or Acid Communicates a noxious quality to them Their structure consists of delicate fine fibres some of which are distributed into small Branches and some gather'd into a Body as the Brain the Membranes Tendons c. All motion depends upon the due Stretching of these fibres and regular incursions of the Animal Spirits The Spirits are disorder'd by any accident that either impairs their stock or irritates them beyond their wonted pace This may be occasion'd either by an External Cold or a Vicious Acid Reigning within The Oyly Volatil Medicines are at once qualify'd to subdue this prevailing Acid and Retrieve the Spirits Such are the Herbs commonly call'd Cephalic as Rosemary Mint Sage Marjoram Lavender c. Likewise the Sulphurs of Metals Spirits and Distill'd Oyls especially such as are drawn from Amber and the Parts of Animals The Artificial Sal Volatile Oleosum is admirably conducive to the Nerves But Sylvius who first discover'd it was not so generous as to gratify the World with the Secret Tho' after all 't is no difficult matter to Prepare it The best is from Soot 'T is easily drawn from Amber thus Take of Quick Lime and Sal-armoniac of each equal quantities add to them a third Part of Amber Mix them and pour upon 'em a few drops of Tartaris'd Spirit of Wine Distill thro' a Glass Retort in Sand. Separat the Spirit that comes over from the Oyl and Rectify it again 'T is a Noble Medicine for the Indispositions of the Nerves Or ye may make it with other Distill'd Oyls As Take Cinnamom or Cloves and pour upon 'em Tartaris'd Spirit of Wine Let 'em stand for Digestion and the Spirit of Wine becomes Red. Then take the Spirit thus Tinctur'd and Pour it upon equal quantities of Quick Lime and Salarmoniae Distil thro' a Retort as above and iâ— yields a Urinous Spirit ting'd with a Golden or Bloody 〈…〉 The Spirit of Hartshorn succinated is very proper 〈…〉 purpose 't is Prepar'd thus Take Volatil Salt 〈…〉 Volatil Salt of Amber of each equal quantitie 〈…〉 Salt of Amber be depurated by repeated 〈…〉 ter or Extractions with Spirit of Wine Mix those 〈◊〉 Salts with rectify'd Spirit of Hartshorn and in order to procure a stricter Union distil several times If ye be oblig'd to an Extemporary Prescription use the following Take of Mint Fennel and Baum Waters of each one Ounce Essence of Castor three Ounces Succinated Spirit of Hartshorn two Drams Spirit of Sal-armoniac one Dram. Laudanum Opiatum two or three Grains Syrup of the rindes of Oranges or of Cinnamom six Drams Mix and make a Potion Dose a spoonful at a time In exhibiting Sharp and Volatil Medicines we ought to have a special regard to the delicacy of the Nerves Especially those in the Mouth of the Stomach which lye more open and expos'd to the injuries of a fierce Medicine Therefore we see that Persons Obnoxious to Anxieties Swooning and such like disorders of the Spirits complain most of their Breast or Stomac And Women or Children whose Nerves are more delicate and fine than those of Men are apt to receive more sensible Impressions in the Stomac from an Active Medicine Besides If the Stomac be offended the other Parts will share in the Injury by reason of the sympathy maintain'd among 'em by means of the Nerves Sometimes one and the same Nerve Visits several Parts and Causes a mutual consent as the under Lip and the Mouth of the Stomach Sometimes when two Nerves are Contiguous the one influences t'other as when a Stone in the Bladder provokes the Intestinum Rectum Sometimes the Parts are Connected by Nervous Ligaments and so are render'd sensible of one another's Circumstances
as the Head and the Stomac the Stomac and Kidneys c. These Nerves are the source of motion They serve to Convey the Animal Spirits to all the Parts of the Body in order to their Reciprocal Contraction and Relaxation When the motion of any Member is irregular it proceeds from one of these three Causes 1. Either the Animal Spirits are scanty and deficient or Lazy and Inactive In this case we use the Oyly Volatil Salts and all Cordial Cephalic and Aromatic Medicines Or 2. The Nerves are relaxated and render'd flaccid by a prevailing lymph whether sharp or acid This yields to the same Remedies with the former 3. The Neighbouring fibres are over-charg'd and forc'd to Enormous motions by the impetuous incursions of the Spirits In this Case Pacific Medicines are very proper But they are generally suspected unless very well Prepar'd Opium is the Head of 'em all and may be Prepar'd either by Fermentation or Digestion with fix'd Salts Helmont Prepar'd it with Juice of Quinces repeating the Fermentation thrice and then dissolv'd it in Spirit of Wine Some set it to ferment with the Juice of Apples or any other Stomachic Langelot Mix'd it with Juice of Quinces and set them in a moderat heat to ferment By this process says he the stinking Sulphur is carried off and the Gross Earthy Parts fall to the bottom while the light and frothy Parts are mounted higher And betwixt these two we find a Transparent Liquor a little Reddish which we separat and reduce to the Consistence of an Extract and then Circulate it for a Month or two with Rectify'd Spirit of Wine He extolls it for a Noble Medicine but I never could see any extraordinary effects produc'd by it The second and better way of Correcting Opium is Digestion with Salt of Tartar and Spirit of Turpentin 'T is a Powerful Medicine reserv'd by some for a Nostrum Some Prepare it thus Take of Opium Salt of Tartar or Oyl of Tartar per Deliquium of each an Ounce Let 'em stand for Digestion Then pour upon 'em two or three Ounces of Spirit of Wine It yields an excellent Tincture which is to be strain'd and reserv'd for use Conerdingius Prepar'd his Hysteric Laudanum thus Take of Laudanum Opiatum Prepar'd by fermentation two Drams Extract of Zedoary one Dram. Extract of Castor fifteen Grains Of the Powder call'd Diacalaminthes one Scruple Saffron half a Dram. Eastern and Western Bezoar Stone of each half a Scruple With Distill'd Oyl of Amber make Pills Dose six Grains to be taken with Sugar After this method ye may give an Extemporary Prescription Thus Take of Extract of Zedoary twelve Grains Extract of Castor fix Grains Laudanum Prepar'd by Fermentation four Grains With a sufficient quantity of Distill'd Oyl of Amber Make six Pills for three Doses SECT V. Of the Choice of Practical Authors IN pursuing my design of gathering the whole Practice of Physic unto one Body I have propos'd Sylvius and Willis for my Pattern Both of 'em joyn'd together are a fit Subject of imitation Tho' if consider'd separatly either of 'em is lyable to Censure The former 't is true had a happy way of referring all the Corruptions of the Humors to the vicious effervescencies of Acids and Alkali's But he stretch'd the Notion too far in imagining a strife betwixt the Descending Lymph and ascending Bile in the right Ventricle of the Heart and in ascribing several effects to the conflicts of the Choler and Pancreatic Juice which perhaps were only owing to the fermentation of the Choler alone Moreover he attributes a great many Sypmtoms to the Vapours arising from the Combatant Juices in the first Passages which properly proceed from the mutual Correspondence of the Nerves Upon the other hand Willis has set us in a clearer light with reference to Convulsive Motions and the Contractions of the Muscles but his Elastic Power will never be regarded while the Convulsions and Cramps of the Nerves are so probably accounted for by assigning the prevalency of an Acid or some such grating substance for their Cause These two Authors joyn'd together are the flower of our Modern Writers and as such I recommend 'em to young Students As for Ancient Writers Senertus may justly claim the precedency or in Room of him Forestus Helmont is an Author that ought to be read by all serious Practitioners Since Paracelsus we have none that surpasses him But whoever would profit by reading his Writings must arm himself with â—atience and Deliberatly weigh every Period as he proceeds In the next place he must be equip'd with a Competent Knowledge of Chymistry and Anatomy else he does but grope in the dark And besides what he Reads he ought to retain as a Paradox And not yield his assent till maturer thoughts and succeeding Experience have vouch'd for its Certainty The Authors that have wrote Practical Observations are Borellus Salmuth Tulpius Rhodius Bartholinus c. They ought to be read with Judgment and Attention Every Minute Circumstance of the Patient ought to be nicely consider'd in order to find out the true cause of the Distemper and determine the precise case in which any particular Medicine is Crown'd with success AN ABRIDGEMENT OF ETMVLLERVS's Practice of Physic BOOK I. SECT I. Of the Animal Appetit and the Disorders 't is Obnoxious to THE most Natural method of describing the Diseases Incident to Men Is to follow the order of the Functions in the Body Among which those relating to Nourishment do justly lead the Van. The first function is to receive Solid Nourishment and Distribute it thro' the Body This reception we are prompted to by Appetit Which is a desire of Solid Food caus'd by the gnawing of a Volatil Acid in the Mouth of the Stomac and encourag'd by such Medicines as promote it This Acid is vary'd according to the different Constitutions of Men and accordingly directs the Appetit to different Objects It is likewise influenc'd by the remains of preceding Food and so sways the Appetit to customary Meats In like manner the Mother's Imagination will Tincture the Acid in the Child 's Stomac with an invincible Aversion to some things The least Apprehension or Natural Sense turns it The Infant 's uneasiness from the Curdling of the Nurses Milk when she is with Child in the time of suckling will revive upon the sight of Cheese and oblige him to avoid it for ever So insensibly is the Acid sway'd that without the direction of thought it Naturally abhors it This Appetit or desire of eating is liable to these disorders 1. It is either impair'd and extinguish'd or 2. Deprav'd and apt to covet improper Food Or 3. Encreas'd to an Unnatural Degree Of these in order CHAP. I. Of the Loss of Appetit THE place affected is the Mouth of the Stomac The General Cause is the Cessation of the uneasiness which the Acid ferment was wont to produce by Vellicating the Stomac The special Causes are Various If the Nerves
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
Boyl them and express the Liquor to which add a handful of the Leaves of Toad-flax then express again and add the yelks of two Eggs. Make a Liniment and anoint the part or add to it express'd Oyl of Henbane-seeds and Sugar or Lead in case of an Inflammation The Oyl of the Berries of the Herb Paris for Women with Child or Oyl of Stag-flies Oyl of Wood-lice and that of Box-wood are very much recommended for Inunctions Take of the Mucilages of Fleawort-seeds of Quince-seeds and Linseeds prepar'd with Rose-water of each an ounce fresh Butter an ounce with the yelks of two Eggs and Oyl of Roses beat them in a leaden Mortar till they become livid and make a Liniment of excellent use against Inflammations of the Piles The Oyl of Eggs Spirit of Wine camphoris'd and Sugar of Lead may be added The Balsam of Sulphur prepar'd with express'd Oyl of Poppy-seeds or mix'd with Camphyr and Sugar of Lead or with the Oyl of Eggs and that of Bricks is of very good use in External Applications Some put Venice Treacle mix'd with Sugar of Lead and the Oyl of the Balsam-Apple upon a Clout and thrust it into the Fundament Figwort Orpine and Pilewort are three famous Specifics they are given inwardly by way of Infusion in Ale or Wine Their Roots are given also in Powder Figwort-roots mix'd with fresh Butter and kept in a Cellar for fifteen days yield a noble Liniment The Juice of Pilewort externally applied is also of excellent use Take of the Roots of Figwort and Pilewort of each half an ounce with Oyl of Mullen make a Liniment If they become Chronical let an Issue be cut in the Thigh If they are ulcerated let fulminatory Gold mix'd with Oyl of sweet Almonds be applied Upon the whole 't will not be improper to take notice of Wedelius's Caution viz. That Ointments are not always the most convenient forms by reason that they inlarge the Capacity of the Veins stop the Transpiration and augment the Heat SECT X. Of Worms in the Guts HAving discours'd of the Expulsion of the Excrements we come next to consider what preternatural things the Guts may contain viz. Worms They are either long or broad or very small call'd Ascarides and confin'd to the Intestinum Rectum The immediat Cause is the seed of Worms convey'd into our Bodies The remote cause is putrify'd Crudities in the Stomac and Guts and the deficiency or weakness of the Bile which is the true scare-crow of Worms The Symptoms are an acid smell in the Mouth stinking Spittle copiously voided and with some squeamishness the Excrements in Colour resembling Cows-dung the yellowness of the white of the Eye or a Jaundice Sometimes a biting pain seizes and distends the Belly especially in a Morning and the Person is troubl'd with night fears gnashing of Teeth trembling Convulsions corrosion of the Gums Consumption of the Body the Face is red and pale by turns the Appetit voracious and fierce the Symptoms are exasperated by acid bitter Victuals and mitigated by Milk and sweet things The Person is molested with a dry Cough and thirst when his Belly is empty Broad Worms have this peculiar Symptom that little things like Gourd-seeds are interspers'd with the Excrements The Ascarides observe the Motions of the Moon By day they are generally quiet but from ten a Clock at night till Morning they rage Sometimes they 'll corrode the Buttocks and Thighs and creat Ulcers in the Anus and Intestinum Rectum The broad sort are expell'd with the greatest difficulty Worms frequently introduce troublesom Diseases If in the beginning of a Disease they throw themselves out 't is a sign of great malignity within In the Declension or after Concoction 't is look'd upon as a good sign In the Diseases of Children Worms are always suspected All sorts of Worms ought to be attack'd during the wane of the Moon Jalap Rhubarb and sweet Mercury are proper Purges The Specifics are Horse-Radishes Water-Cresses Centory Wormwood Peach-flowers Turnsil Flowers of St. John's-wort Savin Water-Germander Gentian Zedoary Onyons Garlic Leeks Myrrh Aloes Spirit of Hartshorn the Decoction of Quicksilver in Onyon or Garlick-water or Quicksilver beat up with Sugar to a Powder of which half a dram is a Dose the Oyls of Hazel and Juniper-woods the acid Spirits mix'd with fair Water such as that of Vitriol of Sulphur c. While the Worms are lodg'd in the small Guts inject Clysters of Milk and the Decoctions of Figs Raisins Liquorice Hony c. to invite 'em to come down If they 're arriv'd at the great Intestins kill 'em with Clysters of the Decoction of Gentian Wormwood Grass-roots c. In the mean while apply to the Belly the Gall of a Bull mix'd with Powder of Coloquintida or a Cataplasm of Myrrh Aloe Vinegar of Roses and Bull 's Gall or Rock Oyl and Oyl of Hazel-wood with Hiera Picra or the Ointment of Soubread with Quicksilver The broad Worms are cur'd by the Juice of Horse-radishes and the Powder of Jalap with Worm-seed The Ascarides require Suppositories of Dutch Cheese or Lard and Hony and Clysters of Coloquintida SECT XI Of Pains in the Guts and particularly of the Colic WHEN the Guts are irritated and suffer wringing Convulsions they are molested with a pain call'd Gripings Sometimes these Pains reach only the small Intestins and then their Station is about the Navel and Center of the Belly and are much more violent than those in the great Guts If they range not beyond the Duodenum or beginning of the Jejunum they are felt in the Loyns bending towards the right Hypochondrium and are oftimes mistaken for Nephritic Pains or those caus'd by the Convulsions of the mesenteric Nerves or the Tumors and Ulcers of the Pancreas The Pains in the great Guts are for the most part felt in the Colon especially that part of it towards the Circumference of the Belly upon the left side where 't is straitned and incurvated and consequently more liable to the shocks of Wind and more apt to stop the Circulation of the Excrements and cause their swelling up into a Tumor sometimes hard sometimes soft This Pain and Tumor is frequently imputed to the Spleen whereas the Spleen is incapable of any shooting pricking pain such as this is it s Membran being almost insensible and besides it lies too low to display its tumor externally Moreover this pain is exasperated by riding immediately after eating and tho it may be compatible to the Jejunum in the left corner from whence it runs to the Center of the Belly yet the Colon is its usual Seat And sometimes it veers about to the right side of the Belly upon the outermost Circumference where the same Colon pursues its Course This last mention'd Pain is a Colic properly so call'd but for somuch as the generality of Writers do comprehend the former under the same Title I shall not depart from the usual Measures of prescribing their Cure without Distinction
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
dregs may be separated Take of the Powder Diaireos a dram flowers of sulphur half a dram Laudanum Opiatum three Grains Make Pills for three Doses If the Nocturnal Feaver be troublesom Take of Scabious Water four ounces Asthmatical Water half a dram Spirit of Hartshorn succinated a dram and a half Diacodium six drams Mix and Exhibit before the Paroxysm in order to sweat Towards the finishing of the cure 't will not be improper to Purge thus Take of Crato's Pills of Amber sixteen Grains Extract of Agarie eight Grains Troches Alhandal and Scammony sulphurated of each two Grains With the Essence of Sassafras Make Pills 6. If a dry Noctural Cough continue so long that it begins to void Corrupt matter and that the Lungs are Ulcerated let a draught of the Decoction of Guajacum and Sassafras or of China and Raisins be exhibited every morning and Opiats at Night And apply an Ointment of Hogs Tallow and Onyon Heads to the Feet in the Evening for three days together 7. The dry Chin Cough arising from the Stomac is cur'd thus First give a Vomit then exhibit twice a day a spoonful of the Decoction of Electampane and Corants in Spanish Wine mix'd with Diacodium The Decoction of Rapes is equally effectual both in this and all other dry Coughs Or Take of the Compound Tincture of Tartar two drams Spirit of Sal-armoniac Anisated a dram Essence of Opium half a dram Dose forty drops thrice a day In General All dry Coughs are treated as Catarrhs and the moist sort as wet Asthma's 8. As for the Convulsive Coughs arising by sympathy from the influence of foreign Membrans they are cur'd as Convulsions by Volatil Salts 9. If the Throat and Palat be excoriated 't is customary to give some thickening licking Medicines for defending the Passage This gave occasion to the Vulgar mistake as if such licking Medicines should drop into the Wind Pipe whereas they only keep the throat easy Such are the Syrups of Jujubes Coltsfoot Liquorice and the Oyl of sugar thus Prepar'd Take of the Spirit and Oyl of Juniper berries of each four ounces White sugar two ounces Kindle the Spirit and the Sugar or Oyl will remain Which mix with the Extract of Saffron to be often lick'd of ART IV. Of a Choaking Catarrh THAT which the Ancients call'd a Choaking Catarrh is a Disease causing difficult Respiration and Threatening Suffocation which seems to be Complicated of an Asthma Cough and Hoarseness The Ancients fancy'd that a Catarrh falls from the Head and overflows the Lungs But Anatomy affords no Passage for such a descent and therefore we shall wave their Opinions For the most part Convulsive Asthma's are miscall'd Catarrhs or whatever symptom of this Nature is different from them may be cast into these four Heads 1. A fear of suffocation may insue when the Lungs are stuff'd and provok'd to Contract their fibres by a viscid Heterogeneous Acid as if sulphureous fumes should stick to 'em like foot to a Chimney they 'd provoke the Lungs to contract and squeese out Lymph with which they joyn in the form of a new Concrete till being concocted together they find a vent by Expectoration Upon which the Contraction and Difficulty of Breathing ceases But the Nutritious Juice of the Lungs is so deprav'd that they retain a Propensity to relapse upon the least occasion The acid that prevails in Children renders them also liable to this symptom 'T is cur'd by Opiats and Thickening Medicines 2. When the Head of the Wind Pipe and Epiglottis are provok'd to Contraction as when a bit of Bread falling into it causes a Coughing Hoarseness difficult breathing and voiding of matter The cause in respect of the Larynx is either External or Internal The former is a viscous thick Lymph falling from the hinder Membrana Pituitaria into the Wind Pipe especially in the Night time and when the Patient lies on his back which Irritats and Tickles the Head of the Wind Pipe provokes the Epiglottis to shut and hinder Respiration occasions a hoarseness snoring and spitting of thin matter which in process of time becomes thick and concocted The latter is a sharp Lymph lodg'd within the Wind Pipe and producing the like effects As for cure if it proceed from the cause that is External or Foreign to the Wind Pipe it requires a Vomit and Attenuating Medicines viz. The Juice of Radishes Syrup of Tobacco Gum Ammoniac c. And in a word the same cure with the Inveterat moist Gough As for Example Take of Hyssop Water Mint Water and the Water of Tobacco of each an ounce The Asthmatical Water six drams Oxymel of Squills half an ounce Syrup of Tobacco six drams or an ounce Mix and make a Potion of which give a spoonful now and then Or Take of Hyssop Water and Scabious Water of each an ounce and a half The Asthmatical Water six drams Gum Ammoniac dissolv'd in Vinegar a dram Syrup of Scabious an ounce Mix and Exhibit as above To these and such like mixtures we may add opiats now and then The Water of Hedge Mustard with Gum Ammoniac dissolv'd in Vinegar the Roots of Cuckowpint and Michael's Asthmatical Spirit Prepared from Verdigris and Gum Ammoniac are also very proper If this Symptom proceeds from an Internal cause 't is cur'd by sudorifics mix'd with Opiats Vomits being premis'd if there be occasion after the same manner as a dry Nocturnal Cough proceeding from a sharp Lymph Take of Mint Water Scabious Water Water of Mother of Thyme of each an ounce Asthmatical Water six drams Spirit of Sal-armoniac Anisated two drams Flowers of sulphur half a dram Syrup of Diacodium an ounce Mix and give a spoonful now and then Or. Take of the Essence against Catarrhs three drams the Spirit of Sal-armoniac Anisated a dram Mix and Exhibit a Convenient quantity frequently Take of Aqua Articularis ad Extra two drams Spirit of black Cherries and of Lilly of the Vally of each a dram Essence of Opium two scruples Mix and apply it with a warm Cloth to the Region of the Larynx especially when the Person is sensible of a tickling or constriction in that part If this Disease return frequently let an Issue be cut in the Arm. Clysters Blood-letting Blistering Plaisters and all the Stratagems of the Ancients Calculated for Defluxions from the Head are of no use 3. The third sort of Suffocation or Catarrhus Suffocativus happens when the Blood stagnats in the Lungs In this Case it is coincident with a Syncope Cardiaca approaches to a Peripneumonia and is attended by the Symptoms of an Apoplexy Nay Apoplectic Persons when Dead have their Lungs stuff'd after the same manner as those who dye of this distemper And therefore Hypocrates Styl'd it a strangling Aph. 13. Sect. 2. The froth that sometimes attends this Paroxysm proceeds from the Imprison'd Blood in the Lungs when Rarify'd by Air Thus if we inject Oyl of Turpentin into a Dogs Veins it congeals the Blood
the Disease In order to solve this difficult knot let us consider in the first place that Nature is forc'd to these Evacuations by the sharpness of the humors which ought to be corrected by temperat Medicines in the next place that if they exceed in quantity they may be safely curb'd or if deficient in quantity may be gently incourag'd If the quality of the matter be faulty that is if such things are evacuated as ought not to be 't is allowable to stop it according to Hipp. Sect. 2. Aph. 2. If both quantity and quality be faultless and the evacuation charg'd with no Crime but that of its being ill tim'd it may nevertheless prove Critical Blood-letting is frequently injoyn'd in Feavers but oft-times it do's more harm than good The general Plea for it is that it ventilats and cools the Blood whereas on the contrary the more space be given to the Blood to boyl in the higher it boyls In intermitting Feavers I positively aver that 't is noxious in malignant Feavers 't is next door to cutting the Patient's Throat And as touching the continual burning Feavers it ought to be very cautiously gone about by reason of a latent malignity that oft-times attends them If the Patient be plethoric young and lusty if a Vomit could not conveniently be exhibited in the beginning of the Feaver if any wonted evacuation of Blood be stop'd and such other circumstances indicate Blood-letting 't is well But however it be 't is never safe after the third or fourth Day As for evacuating Remedies Hippocrates's Aphorism is a standing Rule namely that Concocted not crude humors ought to be evacuated So proper Purgatives are inconvenient till after the height of the distemper Indeed gentle lenitives that do not reach further than the first ways may be mix'd with digestive Salts and exhibited in the beginning or progress avoiding the time of the Crisis Vomits are proper in all kinds of Feavers especially if there be any inclination to Vomit sour Belchings murmuring noise in the Guts Head-ach or Giddiness They ought to be Administred only in the beginning of acute Feavers In the progress of slow Feavers they may likewise be given Clysters are proper for mitigating the Heat and redressing the disorders of the Head and Guts But upon the point of Critical Evacuations or Eruptions they are altogether improper Sweating Medicines are authoris'd by Nature's Example They ought to be frequently repeated and that not only after signs of Concoction but during the whole course of the disease especially if it be malignant Such of 'em as are sharp aromatic rosinous oyly or Hot are to be avoided and those which are temperat as the fix'd absorbents and the thin volatils are only proper for this purpose If sweat do not easily insue add Opiats to them Which are never to be us'd without a sudorific mixture nor about the time of the Crisis nor in the very first beginning of the disease In Feavers Sugar and sweet things ought to be avoided by reason that they promote the Fermentation Thirst generally attends Feavers and proceeds from the deficiency of Spittle and from Alcalin Salts lodg'd in the Palat. 'T is a vulgar Error to derive it from Heat for a few drops of Spirit of Sulphur are more efficatious in quenching it than a whole Gallon of Water or cooling Liquors Wine is likewise of noted efficacy for quenching Thirst corroberating the Stomac and Spirits and promoting Urine But it ought to be of a sharp thin Body for the sweet fat Wines from Spain Florence c. are hurtful Hippocrates was wont to exhibit Wine in all Feavers at least in intermitting and malignant Feavers 't is of soveraign use In continual burning Feavers what disorders it may occasion are presently visible and yield to absorbent Powders for 't is not the hot Spirit but the Acid of the Wine that can do the least harm nor that neither but only in some particular Constitutions Ale or Beer is not agreeable to feaverish Persons because the digestive faculty of the Stomac being languid it corrupts and causes bitter musty Belchings Waters and thin Liquors mix'd with Acids are preferable As Take of the Flowers of red Roses two handfuls extract a Tincture from them with Water sharpen'd with Spirit of Sulphur then add the Syrrup of the Juice of Gitrons or of Barberries or of Rasberries and make a Julep Or Take three Citrons slic'd and throw upon 'em white Sugar Then Boyl them in common Water Take of this Liquor strain'd a Pound and half fresh juice of Citrons three Ounces Flowers of Roses and of red Poppies of each a handful with a small quantity of dulcify'd Spirit of Salt Let them stand in a warm infusion in order to extract a Tincture In continual Feavers let the Patient drink at pleasure But the Liquor must not be cold nor much of it drunk at once In intermitting Feavers these Acid potions ought not to be Administred till after the cold Fit The Spirit of Sulphur with common Water is a proper Liquor both for quenching thirst and promoting sweat Or Take of Whey two Pound Citron Juice three Ounces Dasies and red Poppy Flowers of each an Ounce and a half Boyl in a close Vessel till the Tincture be extracted The Citron Juice depurates the Whey It is useful in all continual Feavers and qualifies Scorbutic or Hypochondriac Salts As for Diet. They ought to avoid Meat Fishes and Summer Fruits In a word let them eat but a little and as their Appetit requires What they eat must be thin and watry but never forc'd upon ' em Broth Panado's a Tost in Wine or at most poach'd Eggs are their proper food Quiet and Rest are good Signs and sleep if it be not preternatural composes the Spirits and procures Sweat CHAP. II. Of Intermitting Feavers A Feaver is styl'd Intermitting when the fermentation and agitation of the Blood and Spirits is interrupted and after a certain interval of time revives again If it return with equal force every Day 't is call'd Quotidian If it return every other Day leaving an interval of one intire Day 't is a Tertian if the interval consist of two Days 't is a Quartan Some return after three Days some after four five c. Some every Week some every Month and some every Year but these are very unfrequent If the fit return twice or thrice in one Day 't is call'd a double or treble Quotidian If two Paroxisms happen every other Day or if the intermitting Days of Tertians have likewise Paroxysms corresponding to one another 't is a double Tertian If two Fits come in the Fir Days and but one in the Intermitting 't is a treble Tertian If the Fits return every Day so as that the first for duration and other Symptoms is parallel to the fourth the second to the fifth third to the sixth c. 't is a treble Quartan If the Feaver intermit only every third Day 't is a double Quartan 'T is
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
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 costiveâ— 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 Requiâ—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
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
exhibit forty or fifty drops a day towards the height of the Disease or when the Pusnes are well advanc'd and the Symptoms mitigateâ— After a sufficient eruption we ought to promote their suppuration and prevent Pits in the Skin by exhibiting a Compound Powder of Crabs-Eyes Harts-horn Myrrh and Salt of Carduus Benedictus Besides the direct indications of the small Pox and Measles we ought likewise to obviat their incident Symptoms as unquietness and inolination to vomit if it be proper to stop it by the Spirit of Harts-horn succinated and Extract of Treacle mix'd with Laudanum Opiatum a looseness towards the height accompany'd with a murmuring noise in the Belly and frothy Excrements by seal'd Earth or Laudanum Opiatum and Diascordium mix'd with other specifics Watchings Deliriums and Convulsions attended with a hardness of the Belly by exhibiting the Cinnabar of Antimony or Spirit of Harts-horn succinated or injecting Clysters anointing the Navel and pit of the Stomac with distill'd Oyl of Amber and in the beginning of the Disease injecting Clysters A bleeding at Nose ought to be promoted if needs be by squeezing or pricking the Nostrils or if it exceed measure restrain'd by applying dry'd Toads to the Arm-pits or mixing Narcotics with Absorbents and avoiding all volatil Ingredients A Cough or any disorder of the Breast ought to be repress'd by Scabious Water mix'd with Spirit of Sal-Armoniac anisated and Laudanum Opiatum adding before the eruption incrassating Syrrups such as those of Colts-foot Jujubes c. and after the eruption attenuating ones such as those of Tobacco Mint Hyssop c. A weakness and prostration of strength ought to be repair'd by exhibiting the Tincture of Coral mix'd with the Spirit of Stag's Heart or a Toast soak'd in Rhenish Wine These Symptoms last mention'd precede the Eruption Those which follow the Eruption are likewise to be accounted for As if the Pox or Measles retire unseasonably and fall upon the nervous System causing Deliriums and Convulsions apply blistering Plaisters to the Soles of the Feet and exhibit the Ashes of Scarlet Cloth in Wine If the sharpness of the Humour threaten Pits in the Face exhibit Crabs Eyes and Myrrh inwardly and apply outwardly with a Feather the Spirit of Wine tinctur'd with Myrrh or Rose-water in which Sugar of Lead is dissolv'd or the Plaister of Frogs Spawn with Sugar of Lead But all external applications before maturation are much suspected for fear of repressing the Matter Lime-water in which Sulphur is boil'd being mix'd with Rose-water or a Cataplasm of the Meal of Beans and that of Lupines and Ox Urine are of use for taking off the Scarrs If a Salivation succeed to the Eruption let the Patient drink plentifully of Barly Water or small Beer and likewise gargle his Mouth with it If the small Pox or Measles threaten Injury to the Eyes either by settling in the Apple of the Eye or distending the Eye-Lid let the Eye be wash'd with the infusion of the Glass of Antimony in Plantan and Rose-Water with Tutty and Sugar of Lead If the Eyes be red and itch apply a piece of raw Beef to the Eye renewing it every quarter of an Hour for some time Or let a healthy Woman chew Garlic and breath upon the Eye or wash the Eye with the juice of Chervil or Rue mix'd with Fennel Water or make a Collyrium of Plantan Night-shade and Rose Water in which Sumac and Plantan Seeds are boil'd or the Rinds of Pomgranats infus'd The mucilage of Marsh-mallows extracted with Fennel Water or the infusion of white Vitriol and Tutty in Eye-bright Water or Plantan-Water mix'd with Frogs Spawn and Sugar of Lead are also very proper Or Take of Plantan-Water an Ounce Eye-bright and Rose Water of each half an ounce prepar'd Emerald twelve grains prepar'd Pearls six grains Camphyr three grains Saffron four grains Mix and drop it into the Eye Some choose to drop into the Eye a drop or two of the Fat of Vipers If the Eye-lids are beset with the Pox and inflam'd notwithstanding all these Precautions apply the Decoction of Line-seed Fenugrec-seed and Mallows or that of Melilot-Flowers and Quince-seeds Some apply Milk but I cannot approve their Practice since 't is apt to become Acid. If after all the Eyes be injur'd and remain so after recovery of the Pox 't is proper to use Rulandus's Opthalmic Water and apply Blistering-Plaisters to the Nape of the Neck and when that Blister ceases to run apply two behind the Ears mixing one part of the Blistering Plaister with five or six parts of the Plaister of Frogs-spawn to keep the Blister open If the Pox injure the Nose or Ears the former is reliev'd by applying Vinegar of Roses impregnated with Camphyr and anointing the Crusts within the Nostrils if there be any such with fresh Butter wash'd in Rose-water The latter viz. The Ears are restor'd by putting into the Ears the Essence of Castor with Cotton or fumigating it with the Decoction of Castor Myrrh Coloquintida Fennel-seed and a little Saffron in Wine and applying Blistering Plaisters behind them The Throat is frequently infested by the small Pox and consequently respiration disturb'd To prevent this inconvenience let the Mouth and Throat be wash'd with Goats Milk and Plantan Water or the Tincture of Poppy-Flowers or with the common Gargles mix'd with Horse's Dung or the Juice of River Crabs and Nitre After the Wheals are open 't will not be improper to add Allum and Honey of Roses Plantan is also a noted Specific both against this Symptom and that of pissing Blood If the Tongue be ulcerated apply Honey of Roses sharpen'd with Spirit of Salt or the following Liniment viz. Take of the Flowers of Holyhocks half an Ounce Pomgranat Flowers two drams choice Myrrh a Dram Allum half a dram with Hony make a Liniment or Electuary If the Lips be much in trouble anoint 'em with the mucilage of the Seeds of Quinces Sometimes the small Pox leave most obstinate Ulcers in the Head Breasts and other parts which elude all common methods and yield only to Mercurial Salivations The Scarlet Feaver is generally referr'd to the Measles It invades for the most part Children and is occasion'd by an Ebullition of the Lymph and attended by the Symptoms of a Catarrh It is in some measure acute and after three or four Days from its beginning breaks out in the Neck Shoulders and Breast either in the form of an equal redness resembling a Rose or that of dispers'd red Spots which fall off about the seventh Day like Scales It is cur'd as the Measles or small Pox but has this peculiar property that 't is follow'd by soft swellings in the Face and Legs that last for eight Days after its disappearance CHAP. VII Of the Plague and Pestilential Feavers THE Plague is an exalted pitch of Malignity compatible with any Disease whatsoever In this place we take it for an epidemical catching and highly malignant Disease proceeding from poisonous Miasma's
in the Air and attended by fiery Botches Bubo's Carbuncles or malignant Spots This Miasm is volatil and spirituous and fir for encountering Mens Spirits and defiling the vital Spirit of the Air. Perhaps it approaches near to the nature of Arsenic The Passions of the Mind Fear and Apprehension subterranean Damps let loose by Earth-quakes Famine corruption of dead Bodies and such like are its remote causes When this poisonous Miasm afflicts Mankind it joins to the Human Spirits and disperses it self where these meet with the readiest reception upon which account Relations are liable to the Contagion tho' in distant places and the Beasts are secure when Mankind falls an universal Sacrifice The Plague is not always accompany'd by a Feaver When Nature is weak it yields to the oppression and makes no Feaverish resistance The Symptoms are the same as those of Malignant Feavers rais'd to the highest pitch to which we may add swellings in the Arm-pits Groin behind the Ears or in any glandulous place with a pricking shooting pain in the middle Botches and Carbuncles in the Fingers Nostrils Eyes and Lips sometimes fatal Black-spors or malignant Ulcers all over the Body a sudden prostration of strength violent pains of the Head without any cause or following the passion of fear c. the degeneracy of the Pulse from being large and swift to a small languid intermitting unequal state and a burning heat within but moderat on the external surface of the Body An imminent Plague is foretold from unwonted swarms of Insects resorting to a Country The Prognostics of a Plague are very fallacious 'T is an acute Disease ending sometimes in Twenty four Hours sometimes in two three or seven Days in general those who are scabby or Pocky are in least danger as being defended by their peccant Acid. Preceding Fatigue or Fear are bad Omens Black livid Spots are a worse Symptom than Carbuncles and these worse than Bubo's Scars or Marks of mortification are always fatal Many and large Bubo's are a good sign as also copious Sweats But cold Sweats or many Carbuncles coldness of the extream Parts especially the Nose a livid circumference surrounding the swellings Carbuncles growing upon Bubo's in places full of Tendons the imperfect eruption or retreat of the Tumors a Hiccough succeeding to the eruption the white blue or livid Colour of Carbuncles while the Feaver is not abated Pains of the Throat and difficulty of swallowing attending Bubo's in the Neck or behind the Ears are all fatal Symptoms If blistering Plaisters raise no Blisters 't is an infallible sign of Death in all Diseases If a Cautery applied raise a white Crust after the application or if the place be dry or not cover'd with Pushes and the Botch continue to spread further or if Issues dry up of a sudden 't is a desperat case Carbuncles in the Stomac Guts Bladder Eyes and Nostrils are plain indications of Death Anxiety of the Breast without a Feaver frequent sneezing a Looseness Hiccough Vomiting Convulsions Hoarseness a flux of Blood by Urine or Salivation and in short all the dismal circumstances of malignant Feavers related above are the Companions of fatal Plagues A continual Costiveness and numerous Pushes fill'd with laudable Matter appearing after the Application of a Cautery to any part are look'd upon as hopeful Signs The Cure divides it self into two Branches The first is that of preserving from imminent danger the second rescues from actual Oppression Preservatives regard either the Air the common Vehicle of Contagion or the Bodies of People As for the former the Air is purifi'd by the shooting of Cannon by burning Gun-powder or Nitre and Sulphur with Amber Myrrh Camphyr Pitch Benzoin and Juniper Berries by throwing the Mineral acid Spirits or Vinegar in which Vitriol and Verdigrease are infus'd together with Camphyr upon hot Bricks by burning of Goats Horns and filling the Air with ungrateful Smells such as that of a House of Office of Hogs Dung c. The other sort of Preservatives arm the Body and Spirits against the assaults of the contagious Miasms For this end we ought to avoid fasting or going abroad before eating Butter and Rue Leaves and a draught of good generous Wine upon which Camphyr has been kindled are fit to be taken in a Morning as also the Mineral acid Spirits and the acid Juices of Fruits but above all Vinegar impregnated with the Vertue of Camphyr Myrrh Juniper-Berries Zedoary and other aromatic Simples Next to Vinegar are the sulphureous balmy Ingredients especially Sulphur Myrrh and Amber which cover the Spirits from the attacks of the morbific Matter and ought to be taken in acid Vehicles To these we may add Opium and Diascordium Venice Treacle and such like hot Compositions ought to be cautiously us'd and always dissolv'd in Vinegar Sugar of Lead also given with Camphyr from four to ten grains is of excellent use but 't is very volatil and if indiscreetly us'd may accelerat the Disease Externally there is nothing equals the cutting of Issues A Spunge wet with Aromatic Vinegar impregnated with Myrrh and Camphyr may frequently be applied to the Nostrils Let Ginger and Zedoary or Troches made of Myrrh and Camphyr and Tragacanth dissolv'd in Vinegar be often chew'd and held in the Mouth Let the Temples Wrists and Breasts be anointed with the Apopâ—ectic Balsam mix'd with Camphyr let Sala's magnes Arsenicalis mix'd with Benzoin dissolv'd in Spirit of Wine be form'd into Tablets and hung in a scarlet Cloth-Bag upon the Breast If the Contagion proceed from subrerranean Damps let dry'd Toads be hung over the Breast If it proceed from the Air let Spiders stand in their room Some recommend crude Mercury calcin'd by the fumes of Lead for the same purpose The direct Cure of the Plague consists in expelling the poisonous Miasma's by Alexipharmacal Medicines For the regular performance of which the following Cautions will be of use 1. Let Sudorisics be repeated every eight Hours even after the eruption of Bubo's or Carbuncles and after sweating exhibit a Cordial Draught mix'd with acid Spirits for thickning the Blood and rallying the dispers'd Spirits 2. Avoid sleep in time of sweating and for that end apply Vinegar mix'd with Camphyr or Castor to the Nostrils 3. If the Sudorific cannot procure Sweat let a hot Loaf of Bread be excavated and fill'd with Venice Treacle and Spirit of Wine camphoris'd and applied to the Stomac or Navel the under Crust being taken off 4. If obstinat Watchings threaten Deliriums and prevent Sweaâ— let Laudanum Opiatum be added to Sudorifics in order to procure sleep after sweating 5. If the fermentation be faint and low Venice Treacle and Mithridat are proper But if the Feaver be high and attended by a violent heat they are fitly exchang'd with Antimonial Powders and lixivious Salts 6. Acids mix'd with Sudorifics are always proper 7. Blistering Plaisters are appli'd with extraordinary success to the Neck Legs and Arms. They ought to be very sharp and after they
inappetency especially an aversion to meat in the Morning an uncooth taste invades the Mouth which by degrees becomes saltish and is attended by a dry tickling Cough in process of time the taste of the Mouth becomes putrid and resembles that of Ashes or rotten Meat the dry Cough prevails towards Night and brings up some thin watery Matter respiration is render'd difficult and the Breast oppress'd especially after eating at which time the whole Body especially the palms of their Hands are molested with Heat The Pulse is always quick frequent and small After some time all these Symptoms increase the Cough angments and copiously brings up a viscous white then yellow green or livid and at length a true purulent Matter whereupon Night-sweats a Hectic Feaver and a gradual decay insue In fine if a Phthisic of the Lungs be not externally occasion'd or depend not upon a preceding Disease such as a Pleurisie or spitting of Blood it always flows from the Stomac From this Induction we may infer that in the beginning of a Phthisic the Cough does not always proceed from the Lungs but from the Stomac Nay sometimes tho' the Lungs be ulcerated if the Matter do not irritate the Bronchia there insues no Cough at all Besides the Matter which is expectorated by coughing is not always bred in the Lungs as being sometimes taken up from other ulcerated Parts by the Blood In which case 't is a difficult matter to trace out the part to which the Ulcer belongs But in general if it lodge in the Abdomen the Symptoms of the Belly do discover it If the Cough bring up no purulent Matter we conclude that the Phthisic is owing to a Schirrus or some such disorder among the Viscera Now the purulency of this Matter is discover'd by its sinking in Water whereas that which is only viscid being porous and dilated with Air swims above To conclude if the Lungs are exulcerated the Cough sounds hollow and deep and if they be much consum'd are voided by pieces If the right side be chiefly affected the sick Person cannot lie but on the right side and eâ—contra A confirm'd Phthisic or Consumption is incurable while 't is yet but growing there are some hopes especially if the Stomac is not much disorder'd If it proceed from hard swellings in the Lungs Schirrus's or Ulcers in the Bowels from the Scurvy the Whites Dropsy or running of the Reins 't is seldom cur'd If the Cough disappear of a sudden 't is a tragical Omen as also if the Hairs fall off and the feet swell or if the expectorated Matter stink when thrown upon burning Coals The Cure is compassed by removing the various Causes mitigating the Symptoms and projecting a method for nourishing the Body For which end let the following Cautions be heedfully minded 1. There 's no Remedy whatsoever that equals Vomits especially in the beginning nor any case in which they are nor convenient except that of a spitting of Blood and extream Weakness 2. Purgation Bleeding and issues are of no use The first is pernicious and augments the Cough or if in the beginning of a Phthisic it be absolutely necessary to cleanse the first Passages Rhubarb is the most proper Ingredient the second is never allowable unless a suppression of Blood require it the third was introduc'd of old in compliance with the exploded Fancy of a Phthisic's being caus'd by a Catarrhâ— distilling from the Brain which now we justly refer to the Stomac 3. Sugar Hony and all sweet Syrups are hurtful They putrify in the Stomac weaken its digestion and proâ—â—ore the corrosion of the affected Bowel 4. A scorbutic Consumption is admirably accounted for by a Milk Dyet especially that of Goats Milk mix'd with vulnerary and anti-scorbutic Syrups 5. Tho' an inveterat Phthisic do not admit of a perfect Cure yet the Life may be drill'd on by a Milk Diet using vulnerary Medicines and changing the Air. Milk is a Sovereign Remedy when the Disease proceeds from a sharpness of the Blood or Lymph it both cleanses with its Whey and heals with its Butter Indeed if it spring from the corruption of a Bowel or default of the Stomac 't is improper as being apt to curdle and putrify in a deprav'd Stomac Goats Milk mix'd with the Spirit of Scurvy-grass or that of Sal-Armoniac is of excellent Use in Scorbutic cases but Woman's Milk suck'd immediately from the Breasts without being exposed to the Air and the Butter made of it are preferable to any other It will not be amiss to add a little Sugar or Conserve of Roses to prevent Curdling And when Persons are confin'd to a Milk Diet they ought to take of it three or four times a Day and use some exercise after taking it in order to promote its quick distribution and in the interim eat nothing else but Raisins or Food of very easie digestion Note before the use of Milk 't is advisable to exhibit a Vomit The Yelks of Eggs dissolv'd in Wine and mix'd with a little Amber-grise are of admirable use in Venereal Consumptions The Decoctions of Elecampane-roots with Raisins and Liquorice and a little Spanish Wine are of noted efficacy against all Phthisics to which we may add Sweet Almonds and Emulsions of Milky Seeds Oysters River-Crabbs mix'd with Butter Cockles and all temperat Ingredients In the beginning of the Disease especially when it proceeds from the Stomac Acids such as the Spirit of Salt Nitrum Antimoniatum Terra foliata Tartari distill'd Vinegar with Crabs-Eyes dissolv'd in it Sal-Armoniac c. are recommended upon the acount of their Stomachical Virtue But after the confirmation of the Disease or an Ulcer in the Lungs both these and all Spaw-Waters ought to be equally avoided And as for the sharpness of the Blood and Lymph which vitiats the Lungs and is generally the Cause of those Phthisics that the Ancients refer to Catarrhs from the Head Sulphur is a proper Remedy It contains both Acid and Balmy Parts the former are pernicious and ought to be carefully separated from the latter Thus the Flowers of Sulphur nicely prepar'd and the Balsam of Sulphur prepar'd with distill'd Oyl of Aniseeds are incomparable Medicines If a Hectic and Night-Sweats prevail perhaps the Balsam of Sulphur prepar'd with distill'd Oyls may prove too hot in which case let it be prepar'd with the Oyl of Sweet-Almonds adding but a few drops of distill'd Oyl of Aniseed which last alone is a noble Pectoral Or the heat of the Balsam may be restrain'd by adding the Sugar of Lead or the Anti-phthisical Tincture of two Parts of Vitriol of Steel and one of Sugar of Lead infus'd in rectifi'd Spirit of Wine or the dewy Phlegm of Vitriol that 's free of Acidity rectifi'd upon its own Caput mortuum The Tincture of Blood-stone or that of the Sulphur of Vitriol are also fir to be added In the room of Common Sulphur some chuse the Mineral fix'd Sulphurs such as Diaphoretic Antimony Poterius's Antihectic and all
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 Disteâ—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
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 â—â—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
Cure of a Gâ—â—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
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 iâ—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 distillâ—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
into a round uniform Globe and are call'd Conglobatae some into a Cluster call'd Conglomeratae The former convey their Juice thro' Lymphatic Vessels into the left axillary Vein where it dilutes and prepares the Chyle for an easie union with the Blood and likewise promotes the fermentation of the Blood in the Heart and Lungs as being of a volatil Spirituous Nature The latter throw their Juice into some noted Cavity as the Spittle into the Mouth the Juice of the Sweat-bread into the Guts c. These Juices as separated or suck'd from the Blood partake of acidity which is temper'd by the Animal Spirits repairing to the Glandules they being condensated and incorporated with the Liquor The Separation of this Liquor is frequently disturb'd by the Obstructions of the Glandules of which else where ART I. Of Catarrhs A Catarrh is a preternatural Defluxion of Lymph from the Conglamerated Glandules into some noted Cavity of the Body especially the Throat Breast and Head where these Glandules are very plentiful and their Lymph is most liable to alterations from the Air. A Catarrh therefore proceeds from the Constriction of the Fibres of the Glandules occasion'd by some provoking Causes These Causes are either External or Internal The former are the malignity of the Air in Epidemical Catarrhs sharp Steams and external Cold contracting the Fibres hindring a free Transpiration and so occasioning the redundancy stagnation and provoking sharpness of the Lymph The internal Causes are the sharpness or Acrimony of the Blood and consequently the Lymph occasion'd by an imperfect Digestion in the Stomac Scorbutical Salts c. Or the occasional Corruption of the Peculiar Nutritious Juice of the Glandules which being deprav'd sticks to their sides and provokes 'em to Contractions This degeneracy of their Juice arises from external injuries or whatever internal Cause is apt to weaken or exhaust their innate Spirit When the Fibres or innate Spirits of the Part are weaken'd the Catarrh is Habitual and apt to relapse in other Cases 't is only Accidental and generally take its rise from external Occasions When a Catarrh begins 't is Thin and Sharp as being the pure Lymph without mixture but afterwards by its continued Flux it depraves the nutritive Juice of the Glandules which mixes with it and renders it Thick and Temperat When the Lymph is very Corosive and Sharp 't is usually call'd a Hot Rheum when 't is Thick and Slimy 't is entitled Cold. There is yet a Spurious sort of Catarrh near ally'd to this above-mention'd viz. The Stagnation of the serous part of the Blood in any parts either before or after its conversion into Lymph as when Nocturnal Cold or the Diminution of the ordinary transpiration causes pain in the Limbs This is not properly a Catarrh but a stagnation of Serum or Lymph caus'd by the Constriction of the Fibres of the part in which 't is lodg'd Thus the Tooth-ach Scorbutic pains in the Limbs Bastard Pleurisies c. are of the same kind The Causes from which they take their rise are much the same as those of the Genuin Catarrh Sometimes the true Catarrh causes Feavers which are particularly accounted for in the Section of Feavers An imminent Catarrh is usher'd in by a weariness of the Joynts heaviness of the Head dullness of the Senses and Froth making a circle in the Urine If the Lymph be thin and sharp 't is mostly voided in the Night time and a slow Feaver increasing towards the Evening accompanies it if it be thick and slimy 't is equally troublesom at all times but the Symptoms are more remiss If a Catarrh recur frequently in the same part or if the part be influenc'd by the alterations of the Weather 't is a sign that the nutritive Juice of the Glandule is deprav'd and its innate Spirit weaken'd If it be caus'd by the Crudites or imperfect Digestion of the Stomac it distinguishes it self by frequent relapses either in the same or different parts by the Person 's propensity to spit and sweat much and the thinness and paleness of the Urine Catarrhs in the Breast or Wind-pipe are apt to cause a Cough or Phthisic In old Persons they 're scarce curable by reason of the weakness of their Digestive faculty the natural Laxity of their Glandules flatness of their Spirits and Acrimony of the Serum A Catarrh in the Glandules of the Brain is apt to cause Palsies Lethargies and such like disorders of the Spirits That from the Nose and Mouth is least dangerous especially if the Matter come quickly to Concoction As to the Cure let the following Cautions be minded 1. The best Evacuaters are Diuretics and volatil Sudorifics When the Stomac is faulty Vomits and Purges are proper but not in other Cases 2. Chronical or Habitual Catarrhs proceeding from the Acrimony of the Serum as in old and Scorbutical Persons are influenc'd by the Moon and therefore Preservatives ought always to exhibited before the new Moon 3. Opiats are of excellent use especially in the beginning of a Catarrh arising from external Causes They ought always to be mix'd with volatil Salts and proper Specifics Towards the height of the Disease or in epidemical and critical Catarrhs they must be cautiously us'd 4. Issues and Blistering Plaisters are of use for draining the Lymph or relieving a particular part but they cannot remove its Cause Therefore in scorbutical Cases or when the Evil is inveterat and scarce curable à Priori we must insist on such a palliative Cure being directed thereto by nature which frequently throws out the Lymph by Ulcers in the Legs 5. Bleeding is not proper But in some particular Cases as when the Body is very Plethoric or Blood suppress'd in the Body or when the Catarrh falls upon a noble part 't is allowable These Cautions being premis'd let 's now Consider the Indications As 1. The Activity of the Cause and sense of the Part ought to be impair'd by Opiats 2. The quantity of the Lymph must be lessen'd its vicious quality corrected and the solid part cleans'd by volatil Sudorifics 3 The Stomac must be strengthen'd its due digestion retriev'd and the solid part fortify'd by balmy Aromatics The specifics proper for these purposes are Mother of Thyme Rose-mary Avens-roots Juniper-berries and all Aromatics Sassafras especially its Tincture prepar'd with the spirit of wild Thyme Amber and all it preductions especially the succinated spirit of Harts-horn Myrrh Sulphur or its Flowers Mastic-wood and Sperma Ceti From such Ingredients we make several Prescriptions such as the Decoctions of Woods the infusion of Aromatic and Stomachical Herbs in Wine an Electuary of the Rob of Juniper-berries mix'd with Spices c. The Cure of sharp and thick Humors vary's as that of dry and wet Coughs In scorbutical Cases we always add some preparation from the Pine-tree When we exhibit Purgatives we mix 'em with the Specifics as in Crato's Pills of Amber Jalap sweet Mercury and in inveterat Cases Hellebor are recommended
Extractum Phlegmagogum from half a Scruple to a Scruple Castor half a Scruple Troches Alhandal two Grains Rosin of Jalap one two or five Grains With the Essence of Castor make Pills To which you may add some sweet Mercury Next to evacuating Medicines we exhibit the sharp Volatil Cephalics which dispel the serous Humour and disengage the Spirits such are Spirit of Salt Armoniac Spirit of Mustard Seeds Spirit of the Lilly Convally Salt of Amber and especially Castor The Decoction of Tee is much commended in all sleepy Distempers The sharpest Cephalic Medicines are best As Take of Marjoram and Rue Water of each an Ounce and a half Apoplectic Water six Drams Essence of Castor a Dram and a half Spirit of Soot two Scruples Syrup of Betony one Ounce Mix c. Or Take of the Spirit of Mother of Thyme Spirit of Citron Peel of each a Dram and a half Spirit of Human Blood one Dram Mix. Or Take of the Conserve of Sage Conserve of Rosemary and Lavender Flowers of each one Ounce the Pouder Dianthos a Dram and a half Pouder of Cubebs a Dram Mustard-seeds and Castor of each two Scruples with the Syrup of Piony Flowers make an Electuary If the Lethargy proceed from a narcotic Virulency that has seiz'd the Spirits then the Volatil Acids are most proper especially the Volatil spirit of Vitriol and the Volatil Spirit of Verdigreese They are given from twenty to thirty Drops in any convenient Vehicle to which Castor always ought to be added it being an admirable specific in these Cases When a Lethargy proceeds from this cause prescribe thus Take of black Cherry Water Mother of Thyme Water of each an Ounce and a half Myasichtus his Hysteric Vinegar or Vinegar of Squills half an Ounce Essence of Castor two Drams Oxymel of Squills six Drams mix c. Or Take of prepar'd Amber a Dram Cinnabar of Antimony half a Dram Castor two Scruples make a Pouder for four Doses After the use of these Medicines the Cure may be compleated by the Sudorific decoctions of Woods c. Next succeed the sneezing and chewing Medicines which evacuate by the Mouth and Nose To this purpose are the sharp pointed irritating Medicines which ought always to be mix'd with Volatil Salts that so while the one irritates and provokes to an evacuation the other may penetrate and prepare the Humor As Take of Pouder of Tobacco Pouder of Lilly Convally of each a Dram white Hellebor Roots a Scruple Castor from twelve Grains to a Scruple distill'd Oil of Marjoram six drops make a Pouder to be blown into the Nostrils thro a Quill Or Take of white Hellebor Castor white Pepper of each a Scruple the distill'd Oils of Rue of Marjoram and Sage of each two drops mix and make a Pouder for the same Use This prescription was peculiar to Timaeus Or Take of Treacle of Andromachus two Drams Extract of Castor half a Scruple Pouder of Pellitory Roots one Scruple distill'd Oil of Amber six Drops mix and make a Medicine for cleansing the Palat. To these we add the external Remedies As Take of the distill'd Oil of Sage half a Dram the distill'd Oils of Castor and of Amber of each a Scruple mix and make an Oil with which anoint the Face and Temples Or Take of the distill'd Oils of Rue of Savory and of Mother of Thyme of each a Scruple Castor half a Scruple With a sufficient quantity of some convenient Balsam mix and reserve for Use Or Take of Swallow Water prepar'd with Castor two Ounces the Spirit of the Crystals of Verdigrease two Drams mix and foment the Face and Temples with iâ— Or Take of Vinegar of Rue two Drams Spirit of Verdigreese prepar'd with Sulphur two Drams Essence of Castor a Dram and a half mix and use as before Or thus Take of the Herbs Savory and Rue of each half a handful Zedoary half an Ounce Juniper-berries six Drams Laurel-berries half an Ounce Mustard Seeds and the Seeds of Water Cresses of each two Drams boil them in a sufficient quantity of Vinegar and foment the Face and Temples The Spirit of Vitriol and Vinegar applied to the Nostrils are of admirable use against feaverish Coma's As for the waking Coma's a Cataplasm of a fresh Horse Radish Root beat up with Rue Vinegar common Salt and a sufficient quantity of Lees may be applied to the Feet If the Lethargy proceed from Mercurial or Sulphurous Fumes c. let a Vomit be exhibited upon the first view then apply Vinegar and Castor to the Nose and likewise give it inwardly Or thus Take of Mint Water of Rue Water of Rue Vinegar of each an Ounce Essence of Castor six-Drams Syrup of Mint or of the Juice of Citrons one Ounce mix and let the Patient take a Spoonful often Where the immoderate Use of Opium causes a Lethargy Vinegar of Rue or of Squills or of Vitriol mix'd with Castor is a sovereign Remedy or if that prove ineffectual add Mustard Seed or Rocket Seeds or inject a Clyster of Spanish Wine If any sleepy Distemper ensue upon hard Drinking let a Vomit be first exhibited then foment the Forehead and Temples with Vinegar mix'd with the Juice of Smallage or apply the juice of Sengreen the greater with Vinegar and Nitre to the Scrotum Spirit of Salt Armoniac or of Soot are very serviceable in this Case Upon the whole the Remedies made use of in a Lethargy must be particularly appropriated to the Cause that produc'd it If it proceed from an external Cause Vomiting and the use of Vinegar with Castor will finish the Cure If it owe its Original to an internal Cause or be preceded by other Distempers the Cure must be vary'd according to the respective Indications There is a near resemblance betwixt these Distempers and what we call a Catalepsis in which the Patient is depriv'd of all Sense and Motion and seiz'd with a stiffness in his Members tho moveable by any external impulse and apt to remain in the posture they 're left in It is an uncommon Distemper and very surprising being accompany'd with a staring of the Eyes and distortion of the Countenance The Cause is the coagulation and fixedness of the Spirits it may remotely proceed from Cold suppression of the Terms Hypocondriac Fits Worms sulphurous Fumes and discontent of the Mind It is a dangerous Disease As for the Cure exhibit Antimonial Vomits and apply sharp Cataplasms or Suppositories Spirit of Wine is us'd in this Case both Internally and Externally SECT II. Of the Disorders of the external Senses EXternal Sense proceeds from the influence of outward objects upon the Organs where the Nerves are inserted The Animal Spirits ought naturally to bend and extend these Nerves so that when the outward Extremities are mov'd the same motion may readily be communicated to the Spirits in the Brain This secondary motion of the Spirits within occasion'd by the impulse from without is the foundation of internal Sense by
Herb Arsmart Mother of Thyme of each one handful Dock Roots Nettle Roots of each one Ounce Pellitory of Spain Roots the Shavings of Boxwood the Shavings of Lignum Sanctum of each half an Ounce Seeds of white Henbane one Dram. Boil them in a sufficient Quantity of Water Strain the Liquor for a Gargal Heurnius commends the Decoction of Tobacco with Chamomile Flowers Or Take of black Pepper Roots of Pellitory of Spain Seeds of Stavesacre of each an equal quantity boil them in Wine and use it for a Gargal Or Take of Juniper Gum one Ounce boil it in a Pint of Wine for the same use Or Take of the Flowers of Spikenard a convenient Quantity boil them in Wine for the same use Or Take of the Extract of Guajacum Wood three Grains Laudanum Opiatum two Grains distill'd Oil of Origanum or of Cloves two Drops Make Pills to be put into the hollow Tooth Or Take of the Flowers of Benzoin six Grains Opium dissolv'd in Spirit of Wine and thicken'd three Grains with a sufficient quantity of the Extract of Triacle make Pills as above Or Take of Laudanum Opiatum one Scruple Oil of Camphyr Oil of Cloves of each five Drops With some convenient Balsam make a Balsam to be applied to the Tooth If the Face be inflam'd apply a Plaister of Triacle to the Cheek Spirit of Sal Armoniac prepar'd with Spirit of Wine and Quicklime with Camphyr dissolv'd in it applied with Cotton to the Tooth gives present Relief The Essence of Sassafras prepar'd with Spirit of Wine is very proper But above all the Essence of Benzoin Elixir Proprietatis prepar'd without an Acid is oft-times useful The Aromatic distill'd Oils especially of Savin mix'd with Oil of Henbane are preferable to Essences Sulphur Auratum Antimonii Oils of Amber Hazel Boxwood c. are sometimes successful The Surgeons are wont to apply Plaisters to the Temples or the following Plaister to the whole Part inflam'd Take of Triacle of Andromachus Tacamahac of each half an Ounce Balsam of Peru a Dram. Spread it upon a Linnen Cloth for use If the Toothach cause an Inflammation like to St. Antony's Fire Take of Triacle of Andromachus from half an Ounce to six Drams Salt of Wormwood Balsam of Peru of each a Dram Mix and apply If it be attended by a Swelling of the Jaws 't is not fit to provoke 'em to Suppuration But Take of Chamomile Flowers Elder Flowers of each a handful Roots of Florentin Orris in Pouder half an Ounce mix 'em with express'd Oil of Poppies make a quilted Bag and apply it hot to the Part affected Sometimes indeed there happens a little Tumor in the Gums at the very Root of the Tooth which ought to be suppurated by warm Milk or roasted Figs and afterwards kept clean with Honey or the like If the Toothach be inveterat and do not yield to the ordinary Medicines 't is necessary to purge with Jalap and let Blood and apply Cupping-glasses to the Neck and Shoulders If the Tooth be corrupted it must be drawn with a proper Instrument Before drawing 't is not amiss to apply the following Ointment in order to loosen the Tooth Take of Gum Ammoniac Seeds of Henbane Juice of Henbane of each a Dram and a half with the Fat of a green Frog and a little Wax make an Ointment In the case of Worms in the Teeth the Decoction of Savin in Wine is proper If the Tooth be rotten an actual or potential Cautery will prevent its further Corruption ART IV. Of the Aches of the Eyes AN Inflammation or the sharpness of the Serum or external Accidents may cause Pains in the Eyes If any external thing lurk in the Eye it must be taken out by putting a Seed of Clary or a little Pearl or Crabs-eye into it If the Pain proceed from a spontaneous Inflammation the Mucilage of Seeds of Quinces extracted with Water of Frogs Spawn adding five or six Grains of Camphyr and as much Saffron to three Ounces of Mucilage ought to be laid upon the Eyes Fennel-water with Sugar of Lead and Camphyr is likewise proper Or Take of the Water of Celandin the greater Water of Blew-bottle Flowers and of Larks Spur of each one Ounce white Vitriol twelve Grains strain the Liquor and add half a Scruple of prepar'd Tutty to be applied to the Eye with a Linnen Cloth Of all external Applications the following Cataplasm is the best Take three sweet Apples boil'd and squeez'd and rosted under the Ashes and the White of one Egg well mix'd with two Drams of Loaf-sugar and twelve Grains of Camphyr with five Grains of Saffron Mix for a Cataplasm to be laid upon the Eye Some recommend the opening of an Artery in this case Sometimes we meet with a pressing tearing Pain which comes in an Evening without any evident Cause and seems to proceed from the Convulsions of the Coats of the Eye In which case Antimonial Infusions are proper Or Take of the Mucilage of Plantain Seeds Quince Seeds and Clary extracted with Water of Frogs Spawn of each one Ounce Saffron six Grains Camphyr four Grains Or Take of Plantain Water Fennel Water of each six Drams Lindanus's Sugar of Lead a Dram and a half prepar'd Tutty seven Grains Saffron three Grains Mix for a Collyrium Sometimes Arthritic Pains are usher'd in by a Pain in the Eye-lids which may be cur'd by applying a blistering Plaister behind the Ears ART V. Of Pains in the Ears THE Pains of the Ears are for the most part occasion'd by the Disorders of the internal Membran by Inflammations and the Corrosion of sharp Humors or of Worms either ingendred in the Ear or receiv'd from without An Inflammation is very dangerous and attended by a remarkable Heat that is not observ'd in the case of sharp Humors Worms are distinguish'd by an Itching and Sense of Motion within the Ear. As for Cure the following Cataplasm is universally applauded Take an Onion rosted under the Ashes with an Ounce and a half of Oil of Chamomile and half an Ounce of Oil of Dill with as much fresh Butter and a Scruple of Saffron It is a sovereign Remedy for the Inflammations that follow the Toothach The softening Oils Infusions of Tobacco or the Smoak of it convey'd into the Ear and especially the Oils of Insects are all very proper As Take of the Oil of Scorpions one Dram Oil of sweet or bitter Almonds distill'd Oils of Anniseeds and Caroways of each half a Scruple Pour it hot into the Ear or apply it with Cotton In the case of an Inflammation Take of the Juice of Houseleek Oils of Scorpions of Earthworms and of Chamomile of each a Dram Mix and use as above If there be no suspicion of an Inflammation the distill'd Vegetable Oils of Origanum c. are proper Or Take a hundred of the largest Eggs of Ants Castor Pulp of Coloquintida Marjoram Savin Wormwood and Rue of each one handful The Seeds of Cumin Aniseeds Fennel-seeds
Salt dry'd upon the Fire a quarter of that quantity Quilt them into a Bag to be fumigated with Gum Animi and applied to the Head Or Take of Millet Seeds tosted a handful common Salt dry'd over a Fire half a handful of Vervain or Betony or Elder Flowers and Chamomile Flowers of each half a handful Pouder of Rhodium Roots half an Ounce Sow them into a quilted Bag 'T is very proper for old Men as likewise blistering Plaisters 14. If the Headach be caus'd by external Accidents apply the following Plaister Take of the Gum Hedera or Elemi three Ounces Rosin half an Ounce Wax and Turpentin of each three Ounces Oil of Roses two Ounces and a half the Gum Animi dissolv'd in Vinegar two Ounces Juice of the Flowers of Ivy four Ounces Meal of Beans as much as sufficeth to make a Plaister The Ointment of Alabaster or Hartman's Bag of Amber with the Essence of Pepper or a Plaister of Tacamahac with Oil of Amber are very useful on this occasion 15. If the Pains of the Head are caus'd by Worms Take of the Pouder of Aloe and of Earthworms of each two Drams the Gall of a Bull a Dram Oil of Wormwood and Wax of each a sufficient quantity for a Plaister to be applied to the Head Then make a Fumigation of the following Pouder to be receiv'd by Mouth and Nose Take of the Pouders of lesser Centory Horehound and Betony of each two Drams Zedoary half a Dram Roots of Angelica two Drams Amber a Dram Crude Antimony an Ounce Millet Seeds or Ginger a Dram and a half Bole Armenic a Dram Roots of round Birthwort two Drams Wormwood two or three Drams Make a Pouder for a Fumigation A sneezing Medicine compos'd of Pepper and Castor and the Fumes of Spirit of Wine Myrrh and Seeds of Fennel Flower convey'd into the Ear are convenient in this case 16. If the Pains proceed from immoderat Drinking Vomits and Purges are first requir'd Then Pepper Cephalic Spirit of Vitriol and Elixir Proprietatis Cold Water with Vinegar may be thrown upon the Head and Stones 17. When one half of the Head only is affected 't is call'd a Hemicrania and is the highest degree of Headachs A Cataplasm of the Root of a wild Cucumber or Bryony with Vervain and Wormwood or a Decoction of them may be applied to the Part affected Or Take of Euphorbium one Ounce sweet Oil a Pound let them boil together then add three Ounces of Wax and make an Ointment to be applied to the Temples Forehead c. 18. If it arise from the Womb apply a Bag of Amber and Essence of Pepper or a Plaister of Tacamahac and Oil of Amber In all these particular cases the general Evacuations must be first taken care of and no external Medicines are sufficient for the Cure without the Assistance of Internals ART VII Of Arthritic Pains THE Parts immediatly affected are the membranous Ligaments surrounding the Joints The Cause is a volatil Acid join'd to the Spirits which gnaws the Membrans and thickens their nutritious Juice This Acid takes its first rise from the Disorders of the Stomac It displays it self in the Foot and is call'd the Gout in the Huckle Bones and is call'd the Sciatica in the Hands and several other Parts of the Body Sometimes 't is hereditary In other cases 't is acquir'd by the use of acid Wine Venery and Passion or any Commotion of the Spirits that increases the Acid in the Body This Acid affects chiefly the solid Parts and serves to depurat the Blood and fluid Humors When it invades a solid Part it leaves some small Particles in it that afterwards revive and make a new Paroxism The Paroxysm is ushered in by a Constipation of the Belly difficulty of Breathing an unsufferable Heat at the Stomac Thirst and loss of Appetite In the Gout the great Toe is first affected in the Sciatica the Huckle Bone where it receives the Bone of the Thigh and all the Membrans from thence downward to the Foot are contracted If the Acid be sharp and fiery these Symptoms are aggravated if it be viscid and what we call cold the Symptoms are weaker and the Fits of a longer Duration In forming Prognostics we may expect the Paroxysm when the wonted Excrements betwixt the Toes disappear and the Belly is constipated The Sciatica is more obstinat than the Gout which if inveterat hereditary or attended by Nodes is incurable in old Men. If the Joints adjacent to the Original of the Nerves be seiz'd it portends Death If any part be put out of Joint by arthritic Pains 't is a hard matter to set it right The frequency of bad Symptoms and the moving of the Pains towards the Throat and upper Parts betokens Death If the Paroxysm do not finish its Course but break off abruptly 't is an ill Omen As for the Cure When we foresee a Paroxysm 't is convenient first to exhibit the Pouder of Crabs Eyes with Salt of Tartar and Osteocolla then a Vomit and afterwards the following Purge Take of Cream of Tartar Salt of Wormwood Arcanum duplicatum of each eight Grains Digrydium three Grains make a Pouder Or Take of the Conserve of Rosemary Conserve of Sage of each six Drams Paracelsus his purging Pouder for the Gout a Dram and a half Rosin of Jalap half a Scruple with Syrup of Buckthorn make an Electuary All purging Medicines ought to be avoided during the increase of the Fit but after it has pass'd the height and the Feaver and other Symptoms have disappear'd give what follows Take of Ruffius his Pills de tribus Extract of black Hellebor of each half a Scruple Turbith Mineral prepar'd with Spirit of Sulphur two or three Grains make Pills Opiats ought never to be us'd but after the universal Evacuations and along with purging and sweating Specifics As Take of the Pills Aloephanginae two Drams Laudanum Opiatum half a Dram make Pills for four Doses to be taken in Wine fasting three or four hours after Take of prepar'd Crabs Eyes Mynsichtus his Arcanum Duplicatum of each twelve Grains Salt of Amber six Grains Hysteric Laudanum three Grains make a Pouder Or Take of Triacle from half a Dram to a Dram Salt of Wormwood a Scruple with Wine make a Draught Or Take of Fennel Water Water of Carduus Benedictus of each an Ounce and a half Spirit of putrified Earthworms a Dram and a half Salt Armoniac Magistery of Corals prepar'd with Juice of Citrons of each half a Dram laudanum Opiatum two Grains Syrup of Orange Peel half an Ounce mix In Arthritic Pains Blood-letting is pernicious But in the Sciatica 't is needful in the beginning of the Paroxysm to open a Vein in the Foot of the same Side with the affected Part. Clysters ought to be injected during the whole Course of the Paroxysm The Specifics that are proper in the Paroxysm are sweating Medicines both fix'd and volatil as red Corals Cinnabar of
Spirit of Turpentin and Camphyr is extoll'd by Faber Some commend the solution of Coral with Juice of Citrons Emulsions of Hempseeds are of soveraign use in desperat Runnings but they enjoy a narcotic Virtue prejudicial to the Animal Spirits Take of Hempseeds half an Ounce Seeds of the Chast-tree two Drams With the Water of Yarrow make an Emulsion Add of prepar'd Amber and Bone of the Cuttle-fish of each a Dram. Sweeten and reserve it for use Take of the Seeds of the Chast-tree Melon-seeds of each two Drams Hemp-seeds white Poppy-seeds of each a Dram and a half With the Waters of Purslain and Water-Lillies make an Emulsion To which add the Bone of the Cuttle-fish prepar'd a Dram Crollius's Compound Pouder of Sperniola two or three Scruples prepar'd white Amber and Diaphoretic Antimony of each half a Dram mix and sweeten with pearled Sugar This is of noted efficacy especially if the Perinaeum and Loins are girded with heat Some commend the following Decoction Take of the Leaves of white Archangel four handfuls Leaves of white Yarrow two handfuls Seeds of the Chast-tree four or six Drams Boil them in Mint or Rue-water or in Wine and sweeten with Syrup of Water-Lillies Some recommend a Spoonful of the Juice of Ceterach to be taken now and then as a singular Remedy for stopping a Gonorrhaea as also two Drams of the following Pouder to be taken in Chalybeat Wine Take of the Leaves of Mint and Rue Seeds of the Chast-tree and Pouder of Galls of each equal quantities Beat 'em into Pouder for the use above-mention'd Spirit of Turpentin and Sugar of Lead is a delicat Remedy The Juice of Yarrow or of Mallows with sweet Milk is also approv'd Some apply outwardly the Juice of Lettuce with Camphyr to the Testicles As touching the second Indication viz. qualifying the sharpness of the seminal matter the Tincture of Coral with Spirit of Woods or of Sassafras is very useful The Astringent Crocus or Tincture of Steel Sulphur of Vitriol Sugar of Lead and white Amber prepar'd are all very proper Or Take of the Conserve of Red Roses Conserve of Mint of each an Ounce or an Ounce and a half prepar'd Bone of the Cuttle-fish which in this Case is a noted Specific two Drams Calcin'd Borace a Dram Nutmegs half a Dram Syrup of dry'd Roses as much as sufficeth to make an Electuary Of which the Patient may take a convenient quantity twice or thrice a day Crude Borace provokes Lust but when calcin'd it leaves a Styptic Caput Mortuum of contrary use Take of the Bone of a Cuttle-fish prepar'd a Dram prepar'd red Coral two or three Scruples Sugar of Lead half a Scruple Mix for six Doses Take of prepar'd Chrystal Bone of the Cuttle-fish prepar'd Amber of each two Scruples Chalybeat Diaphoretic Antimony a Scruple Crollius's Sperniola a Scruple Sugar of Lead fifteen Grains Make a Pouder for five or six Doses The Turpentine of Cyprus reduc'd to Pills with prepar'd Amber or Crocus of Steel or Rhubarb is very effectual Of late the Balsam Capivi is mightily esteem'd Sugar of Lead and the Antiphthisical Tincture prepar'd with it is of noted efficacy Take of the Waters of Rue and Water-Lillies of each half an Ounce Juice of Lemons six Drams Bole-Armenic a Dram Cuttle-bone and Diaphoretic Antimony with Steel of each two Scruples Syrup of Citrons half an Ounce Mix and give a Spoonful now and then If the Yard be exulcerated by the sharpness of the matter take of Woman's or Cow'd Milk four Ounces prepar'd Tutty two Drams Aloe a Dram Sugar Candy half a Dram. Mix and inject half an Ounce or six Drams at a time As for the third Indication viz. corroborating the relaxated parts and correcting the watriness of the seminal Liquor Mint Wormwood Amber Mastic Astringent Tincture of Steel Tincture of Coral Pouder of Frankincense which if too frequently repeated causes a suppression of the Urine Sugar of Lead Extract of Tormentil-roots seal'd Earth and Bole Armenic us'd with Vinegar Tincture of the Sulphur of Vitriol c. are all proper Ingredients Take of the Extract of Tormentil-roots two Drams Crollius's Compound Pouder of Sperniola two Scruples Plantain-seeds Seeds of Chast Lamb Roots of Comfrey of each a Scruple Venice Turpentine boil'd Camphyr of each twelve Grains Make Pills I have cur'd a desperat Running with giving thirty or forty Drops of the Tincture of Sulphur of Vitriol in a warm Vehicle every Morning and half a Dram of the Troches de Carabe every Evening without any other Injunctions except that of lying on the sides and a spare Diet. If in the Declination of this Flux a thin watry Humor continue to run as it frequently happens take of Gum Arabic Tragacanth prepar'd white Amber prepar'd Mummy Bole Armenic of each a Scruple Laudanum Opiatum half a Scruple With a sufficient Quantity of the Tincture of Catechu make Pills for five Doses The natural Baths that partake of Allum are proper in an inveterat Case Outwardly the parts may be fomented with the Decoction of the Rindes and Flowers of Pomegranats Roses Comfrey-roots Plantain c. or let the Perinaeum be anointed with the following Mixture Take Oil of Myrtles three Drams distill'd Oil of Mastic a Dram distill'd Oil of Cloves express'd Oil of Nutmegs of each half a Dram. With Wax make a Liniment If the ferment of the Testicles be desicient Milk Rice Eggs and aromatic Ingredients are proper Ofttimes 't is needful to purge both in the beginning and progress of the Disease as thus Take of boil'd Cyprus Turpentin a Scruple Scammony prepar'd with Juice of Roses Rosin of Jalap of each five Grains Make Pills for one Dose I am now arriv'd at the spurious Flux of Seed which is call'd such when the matter voided is of a different nature from the Genital Juice being discolour'd sharp stinking attended sometimes by Pain and other Symptoms but not occasion'd by venereal Actions or partaking of any venereal Virulency It corresponds to the Whites in Women and is call'd by some Gonorrhoea Catarrhalis but there are few Authors that have taken any notice of it The part affected is the Prostratae whose Office 't is to separat a Lymph for a Vehicle to the Seed Now if they are relaxated or exulcerated they separat and void larger quantities as in the like case the Glandules of the Eyes or those in the Throat are wont to do The material Cause is the serous cachectic Disposition of the Blood The remote Causes are the Disorders of the Stomac and digestive Faculty or whatever equips the Blood with crude and watry Particles The formal efficient Cause is the Relaxation of the Prostratae occasion'd by excessive Venery manual Violence Riding a Fall c. Tho this Flux may serve to cleanse the Blood yet if it continue long it degenerates into a Consumption The Cure turns upon corroborating the Stomac correcting the Crudity of the Blood and cleansing and fortifying these Glandules The first of
at the rate of a Grain for every year of the Child's Age. As Take of the Pulp of Raisins half a Dram sweet Mercury a Grain and a half Pouder of Jalap three Grains Make a Bolus If Mercury be insufficient Fulminatory Gold given to a Grain with Ivory and Pouder of Sea-horse-teeth is a notable Medicine especially if the first Passages be stuff'd It operats more fiercely in wean'd Children than those that suck by reason that the Milk tempers it These Medicines if discreetly manag'd will answer all Diseases in Children particularly the gripings they are so liable to which are attended by prodigious unquietness and voiding of clotted or green Excrements or at least such as are first yellow and afterwards become green by reason of the freer Effervescence of the curdl'd Acid with the Bile These we cure by the above-mention'd Clysters or those of Milk when the yellow Excrements are thin and sharp and Mixtures of aromatic Waters volatil Salts and fix'd Alkalies and when all prove ineffectual by exhibiting a Grain or two of Aurum Fulminans in black Cherry-water Externally we anoint the Belly with distill'd Oils of Mace and Anise mix'd with the express'd Oil of Nutmegs or if the matter be very viscous with an Ointment made of Gum Ammoniac Turpentin Aloes Hogs Tallow fresh Butter and distill'd Oil of Anise If the Belly be distended by Wind we exhibit the Pouder or distill'd Oil of Angelica-roots Aniseed red Coral and the Water of the Oak of Jerusalem and anoint the Belly with Oil of Chamomil and distill'd Oil of Anise If the Child vomit often 't is a Sign of a strong Stomac and ought not to be stopt especially if it proceed only from a Redundancy of Milk but if the Milk be corrupted and the matter discolour'd we exhibit a Pouder made of Nutmegs Coral and Cloves or Cinnamom-water and distill'd Oil of Cloves Externally we inject Clysters and anoint the Belly and Stomac as above Against the Hiccough vomiting is proper as also Aniseeds Venice Triacle and distill'd Oil of Cloves or Joel's Pouder of burnt Hartshorn and red Coral For Costiveness which frequently causes the Distention of the Belly difficult Respiration and many other bad Symptoms we order 'em Mouse-dung dissolv'd in Milk or in case of extremity Sweet Mercury and Aurum fulminans Externally we inject Clysters of Rape and Linseed Oils sharpen'd with Extract of black Hellebor or Suppositories of Venice Soap or apply to the Belly rotten Apples with Goose Fat and Oil of Coloquintida or in case of Extremity the Ointment of Sow-Bread mix'd with Bull 's Gall and Oil of Coloquintida Ofttimes the stagnation of sharp Sweat or the neglect of shifting of the Child galls the tender Skin under the Arm-pits or about the Genitals then we order the part to be first wash'd with warm Water and then sprinkl'd with the Precipitat of the Vitriol of Steel mix'd with Chalk Ceruse and Sugar of Lead Sometimes much crying or coughing will force the Caul or one of the Intestines into the Navel-string and so distend the Navel and relax at the Peritonaeum against which Inconvenience we exhibit Aniseed inwardly and anoint the Navel with Oil of Eggs or Bear 's Fat mix'd with the Seed of Thorowteasel and with a Roller fasten upon it a round Ball of Mastic and red Wax or Turpentin If the Navel be inflam'd we anoint with Oil of Roses mix'd with Ceruse and Sugar of Lead and apply the Plaister of Sperma Ceti Sometimes crying coughing or much Wind in the Belly occasions a Rupture which we cure by applying a Plaister of the Skins of pickled Eels boil'd to a Consistence in Lye and bathing with astringent vulnerary Decoctions Sometimes a watry Tumour distends the Scrotum and feigns a Rupture this is cur'd by fomenting with the Juice of Goat's Dung and applying the Dung it self as a Cataplasm A Tenesmus or Down-falling of the Anus is cur'd by Fumigations of Pine-tree-Rosin Sarcocolla Bay-berries and Fennel-seeds and applying Bags quilted with Mullein-flowers Bran Cummin-seeds and Bay-berries A Suppression of Urine caus'd by a pituitous Humour in the Passage is cur'd first by cleansing the Body with Mechoacan and solutive Syrup of Roses and then exhibiting the Decoction of Vetches and Fennel-tops with some Drops of the Spirit of Turpentine and Emulsions of Violet-seeds with the Water of Elder-flowers or of Restharrow and anointing the Pubes and Perinaeum with Oil of Scorpions and that of Wax or applying Cataplasms of Chamomil rosted Onyons and Oil of Scorpions An Incontinence of Urine is removed by fomenting the Sphincter of the Bladder with astringent Decoctions and giving inwardly Castor Myrrh and Oxymel The Thrush or Wheals that frequently beset Childrens Tongues Throat and Stomac and sometimes the Guts as appears by scaly Excrements are cur'd by washing 'em with Speedwel-water and Juice of Turneps or applying a Liniment of the Mucilage of Quinces extracted with the Water of Frogs Spawn mix'd with Juice of Houseleek and Allum or Hony of Roses mix'd with Spirit of Salt If the Gums be putrify'd gargle the Mouth with the Decoction of Chervil and Sage in Water mix'd with Hony and a little Vinegar Stubborn Watchings are frequently the Harbingers of an Epilepsy and therefore ought to be obviated betimes by exhibiting gentle Laxatives and Emulsions of Sweet Almonds with absorbent Pouders Perhaps Venice Triacle or Mithridate and the Rinds of Poppy-heads boil'd in Milk are not amiss but the Preparations from Poppies are to be cautiously us'd if the Children be very young Externally we bathe the Temples with the Nurse's Milk mix'd with Saffron and anoint the Breast and Pit of the Neck with an Ointment of express'd Oil of Nutmegs and the distill'd Oils of Rue and Amber An Epilepsy is also usher'd in by a starting and frights in sleep occasion'd by the violent Excursion of the Spirits which requires the same Cure as an Epilepsy Now an Epilepsy for the most part seems to proceed from a provoking Acid in the Guts and is cur'd by Alkalin Absorbent Pouders such as Cinnabar of Antimony Unicorn's Horn Crystal Sea-horse-tooth and especially Amber and Misletoe of Hazel-wood and the Pouder of the Moss call'd Wood Claw If these be insufficent we add to them the volatil Salt of Amber or which is yet better the Spirit of Hartshorn impregnated with Amber But above all the Sulphur of Antimony or Fulminatory Gold each of 'em given to a Grain are the most effectual Medicines Convulsions are frequently caus'd by the breeding of Teeth especially the sharp Eye-teeth whose original soft Pulp being harden'd about the sixth or seventh Month begins to force its Passage through the Gums and consequently irritates the nervous System contracts the salivating Glandules and occasions that observable Heat and Efflux of Serum to the Mouth and the Inflammation of the adjacent Parts This Symptom is cur'd by keeping the Belly open and applying to the Gums the Mucilages of Fleawort and Quince-seeds extracted with the Water of Frogs
Ceruss 2. Under the Second Head viz. Critical Swellings we comprehend Buboes Swellings of the Glandules behind the Ears the fiery Botches call'd Carbuncles those call'd Furunculi Phymata and Phygilta the Swellings in the Fingers call'd Paronychia and Chilblains in the Hands and Feet A Bubo is a Swelling in the Groin or Armpits If it lie deep low and flat 't is very dangerous If it accompany pestilential Feavers we ought to promote its Suppuration by avoiding Purgation and Bleeding exhibiting Sudorifics and applying externally Cataplasms of the Juice of Celandine mix'd with Venice Triacle Soot and roasted Onyons and Garlic or Toads dry'd and soak'd in Wine If the Skin be thick and the Swelling obstinat we apply a blistering Plaister and when the Blister is open Sala's Magnes Arsenicalis which will extract the Malignity in the form of a Crust After this Crust is remov'd we cleanse the Ulcer with a Mixture of the Balsam of Sulphur Ointment Basilicon and Venice Triacle Venereal Bubo's are accounted for above The Critical Swellings behind the Ears ought to be brought to a Head when they accompany malignant Feavers by ripening Cataplasms and Plaisters To which if the Swellings are very hard we add Gum Ammoniac dissolv'd in Vinegar and the stinking Oils of Guajacum and Tartar When the Swelling is ripe it ought to be open'd and cleans'd Carbuncles are very malignant Swellings caus'd by a sharp caustic lixivious Salt separated from the Blood which creates a bitter Heat and Pain mortifies and blackens the Part and occasions a crusty Ulcer like those that follow the Application of potential Cauteries This Ulcer is sometimes usher'd in by little whitish or livid Pushes and is always surrounded with a red or livid Circle according as the adjacent parts are more or less mortified 'T is cur'd thus Apply the Butter of Antimony to the middle of the Ulcer and make a Circle with it about the mortified part So the corrupt part will fall off and the further Progress of the Mortification be prevented In the room of the Butter of Antimony some choose to apply Sala's Magnes Arsenicalis the Part being first prepar'd by a blistering Plaister Valeriola orders it to be scarify'd and then he applies the following Cataplasm Take of the Juices of Comfry Scabious and Marygold of each an Ounce Venice Triacle three Drams common Salt a Dram and two Yelks of Eggs. Mix for a Cataplasm which separats the Crust and prepares the Ulcer for being cleans'd first by Vnguentum Aegyptiacum then by the Oil of Eggs the Balsam of Sulphur and the Plaister Diachylon with Gums In the mean while we administer internally Antimonial Sudorifics mix'd with Acids The Swellings call'd Furunculi are the red hot pointed Botches appearing in glandulous parts They are cur'd by promoting Suppuration and avoiding Repellents as likewise those call'd Phymata which are round glandulous Swellings flat in the lower part and pointed like a Plant in the upper Those styl'd Phygeltons are hard glandulous Swellings resembling a Mushroom adhering to a Tree They are cur'd by applying discussing Medicines mix'd with softning and anodyn Ingredients The Swelling call'd Paronychia is a painful Tumor of the Joints of the Fingers sometimes fix'd sometimes wandring from one Joint to another The Cause is a sharp corrosive Humour collected about the roots of the Nails where it gnaws the Periostium and Tendons and so causes Inflammations Imposthums and sometimes Gangrenes For Cure we administer Mercurial Purges and apply the Spirit of Earth-worms Balsam of Sulphur and the Plaister Diachylon or a Liniment of Earwax Sugar of Lead and the express'd Oil of Filberts Some order the Finger to be put into a new-laid Egg while 't is hot or into a Dunghil and held so for some time Sometimes 't is necessary to lay the Swelling open and then apply to it Venice Triacle dissolv'd in Wine And for a defensive to the whole Hand a Liniment of the Ointments Populeum and Album Camphoratum mix'd with Opium and Venice Triacle The Chilblains or Kibes are whitish Swellings in the Hands and Feet apt to become blewish and sometimes to ulcerat They are generally occasion'd by Cold and are cur'd or prevented by applying Rock-Oil or the distill'd Oil of the Pine-tree or the distill'd Oil of Turpentine mix'd with the express'd Oil of Rapes Some order the part to be rub'd Morning and Evening with Ice or cold Snow and to be wash'd with the Decoction of frozen Rapes or with the Spirit of Wine camphoris'd or impregnated with Strawberries or Saffron If the parts are much injur'd we apply Cataplasms of Yest distill'd Vinegar and Sulphur of Antimony If the Kibes are ulcerated we apply a Liniment express'd from a Rape excavated and fill'd with the Oil of St. John's-wort and so roasted or sprinkle 'em with the Pouder of Man's Dung and then anoint 'em with an Ointment of fresh Juniper-berries and boil'd Butter or of the Mucilage of Quinces extracted with Nightshade-water and mix'd with prepar'd Tutty 3. The Tumours next in order are such as proceed from the Disorders of the Lymph Such are the serous watry soft painless Swellings that receive no impression by the pressure of one's Finger and if look'd upon sideways seem to be pellucid They proceed from the Obstruction of the Lymph and are cur'd internally by administring Diuretics and the Decoctions of sudorific Woods externally by applying Lime-water impregnated with Spirit of Wine and Cataplasms of Cow's Dung Cumin-seeds and Lye or the Plaister of Bay-berries mix'd with Goat's Dung and Hony If the Lymph be viscid it occasions a soft white painless Swelling that retains Pits by the pressure of one's Finger and is call'd an Oedema which generally accompanies Chronical Distempers For the internal Cure we prescribe stomachical and aromatic Medicines and whatever corrects the Crudities of the Chyle that are justly accounted the Causes of viscid Lymph Externally we apply Discussives for 't is in vain to attempt Suppuration As Take of the Leaves of Tamarisk Rosemary and Rue of each a handful boil them in Wine till they become soft then add of the Meal of Vetches and Bran of each three Ounces Cow's Dung four Ounces Duck's Fat an Ounce and a half Hony four Ounces Make a Cataplasm If Oedema's happen in the declensions of Feavers Cataplasms of the Herb Robert or of Celandin bruisd with Wormwood are very proper Some fumigate the Parts with Amber and Vinegar upon red hot stones and apply the Plaister of Bay-berries mix'd with distill'd Oil of Amber renewing it twice a day Rosemary-leaves and Juniper berries boild in Lye for a wash for the Feet or Bay-berries boil'd in Lime-water and the Lee of Vine-twigs to be apply'd with a Spunge are much approv'd If the Swelling be hard a Cataplasm of Goats Dung and Man's Urine is very proper If the viscid Lymph be fix'd by an Acid and stagnat in glandulous parts it creats scrophulous Swellings call'd the King's Evil some of which are hard some soft some loose and moveable
state of the nutritious balmy Juice which alone is able to consolidate and repair the loss They are prescrib'd in these or the like Forms First Internally Take of River-Crabs in number twelve Comfry-roots an Ounce Leaves of Bugloss and Ground-Ivy and Tops of St. John's-wort of each a handful Boil them in Water and Wine and sweeten the strain'd Decoction with the Syrup of Ground-Ivy and if a nervous part be wounded add Oil of Amber Dose six Ounces twice a day Note 1. The simple vulnerary Medicines are best Therefore Crabs-eyes and Diaphoretic Antimony in Feavers Antimonial Nitre and in nervous Wounds the Oil or Spirit of Amber are sufficient for internal use Note 2. When any heterogeneous Matter is lodg'd within the Wound or when 't is very foul we add to such Decoctions Savin Mugwort Speedwel Agrimony c. and when the Wound is sufficiently cleans'd leave 'em out Secondly Vulnerary Medicines are prescrib'd for Injections As Take of the Herbs Speedwel Winter-green Sanicle and Tobacco leaves of each two handfuls Dog's Dung four Ounces Boil them in Water Add to the strain'd Liquor Spirit of Wine with Hony and wash the Wound with the Mixture Thirdly They 're prescrib'd in the Forms of Oils or Balsams to be drop'd into the Wound of which the Oil of St. John's wore Balsam of Sulphur or that of Peru and especially Capaivi are infinitely the best Fourthly Ointments As Take of Benzoin an Ounce Spirit of Wine an Ounce and a half Mastic a Dram of the black Balsam half an Ounce Make a Liniment Or Take of Ear-wax two Drams Sugar of Lead two Drams With the express'd Oil of Walnuts make an Ointment Note 1. Ear-wax is of peculiar use for Wounds of nervous parts 2. Spirit of Wine not over-rectify'd is of admirable Efficacy for preventing Corruption and Consolidating Hence Venice Triacle mix'd with it and applied to the Wound is much approv'd Fifthly Plaisters of which Paracelsus's Oppodeldoch and Crollius's Styptic Plaister are the best Some pretend to cure Wounds by Sympathy as by mixing the Blood of the Wound with the Vitriol of Copper calcin'd by the Sun or by applying Arsmart to the Wound it being first dip'd in cold Water and then removing it from the Wound while 't is hot and burying it in a Dunghil But the Colcothar of Vitriol wash'd and dissolv'd infus'd or boil'd in Wine for washing the Wound is certainly a useful Medicine The general Cure of Wounds being thus premis'd we come next to consider some particular sorts as 1. Bruises or those which partake of Contusion If the Contusion be very considerable 't will be needful to scarify the Wound if not the common Digestives and suppurating Medicines will sufficiently cleanse it to which we may add the Oil of Wax express'd Oil of St. John's-wort and the Plaister of Cummin Towards the end of the Cure we may apply the Spirit of Sal Armoniac distill'd with Quick-lime Of this Nature are the Wounds receiv'd from Guns for so much as Bullets tear and bruise wherever they come in curing them we ought first to promote Suppuration by applying Tents dip'd in Spirit of Wine and cover'd with the following Liniment Take of the Oil of White Lillies four Pound boil two Puppies in it till their Bones be dissolv'd then add of Earth-worms boil'd in Wine a Pound Boil them together and when the Liquor is strain'd add Venice Turpentin three Gunces Spirit of Wine an Ounce and a half Make a Liniment After Suppuration is obtain'd let the Wound be cleans'd with the following Ointment Take of Venice Turpentin five Ounces Oil of Roses an Ounce Hony of Roses strain'd three Ounces Myrrh Aloes Mastic and round-rooted Birth-wort of each half a Dram Flower of Barly three or four Drams Make an Ointment to be sprinkled with Spirit of Wine If the Part be much corrupted we may add precipitat Mercury If the Bones be seiz'd with Aches after they 're cur'd as it sometimes happens in these Wounds anoint 'em with the Oil of Turpentin If when the Wound was receiv'd the Gun was very near the Person the wounded part will be likewise burnt in which case Quick-lime-water with the Juice of River-Crabs and Phlegm of Allum is very useful 2. Malignant and venomous Wounds The Causes are a poisoned Instrument or the biting of an angry or mad Animal The Symptoms are an unaccountable Pain sudden blewness or blackness of the Part and its tendency to a Gangrene difficulty of Breathing cold Sweats Swoonings Headaches c. If the Wound be deep it must be scarify'd and Venice Triacle with Spirit of Wine applied to it If it was caus'd by the biting of a Viper apply a living Toad bruis'd or the Pouder of a dry'd Toad in Vinegar and touch the part with a hot Iron but so as not to burn it and exhibit Urine to drink For the Bites of mad Dogs c. apply the Stone of an Indian Serpent or in want of that Sala's Magnetic Plaister mix'd with the Pouder of River-Crabs or a Cataplasm of Onyons Garlic Venice Triacle and Yest After the Poison is extracted we apply Digestives as above Wounds receiv'd by poysoned Darts c. are cur'd after the same manner In the mean while we administer internally Venice Triacle Diaphoretic Antimony c. with distill'd Vinegar 3. Wounds of Veins and Arteries In which the most pressing Indication is to stop the Bleeding For this end we apply styptic Liquors of the Solution of the Vitriol of Steel mix'd with a half quantity of the Solution of Allum in some Astringent Vehicle or a mixture of strong Vinegar Crocus of Steel and the dulcify'd Caput Mortuum of Vitriol or above all the Moss of a dead Man's Scull or the Mushroom call'd Crepitus Lupi tied very hard to the part If the bleeding be obstinat and if there be no Nerves or Tendons in the way we apply a Caustic of Vitriol calcin'd till it become white mix'd with Crepitus Lupi For Amputations Ligatures are of very good use Internally we exhibit nitrous Acids with Astringent Tinctures But in the mean while the Patient must carefully avoid all Emotions either of Body or Mind 4. Wounds of the Nerves or nervous Parts are very dangerous by reason of their liableness to Convulsions Inflammations Gangrenes c. If a Nerve or Tendon be prick'd drop into it the distill'd Oil of Turpentin mix'd with Spirit of Wine and Camphyr or Euphorbium If a Nerve or Tendon be cut across avoid all Tents and express'd Oils or fat Ingredients and apply volatil vulnerary Balsams sharpen'd with the distill'd Oil of Amber or the Pouder of Earthworms mix'd with Turpentin or the Pouder of Snake's Cast-Coats mix'd with that of Crabs-eyes or a Mixture of the Oil of Earthworms Oil of Foxes Man's Fat and Juice of Earthworms rubbing the whole Interval betwixt the wounded part and the Original of the Nerve Sometimes when Tendons are cut across they may be few'd together with a fine Needle according to the
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
Feavers Inflammations Gout Arthritic and Hypochondriac Fits in which the prevailing Acid fixes in tendinous parts and renders them stiff Collections of Serum in the Brain and Worms in the Guts which are for the most part accompany'd by swellings of the Belly Sometimes a flatulent serous Humour affects the Muscles and causes a Contraction Sometimes the offending Cause is lodg'd in the contracted part and sometimes elsewhere As for the Cure the universal Evacuations are first in order especially the injection of sharp Clysters The internal Specifics are the same as in the case of an Epilepsy For external use all spirituous and oily things are proper but such of 'em as are more penetrating than viscid or unctuous are prâ—â—erable as the Oil of Worms per deliquium Or Take of the Oil of Orris Oil of Earth-worms of each two Ounces Castor in Pouder four Scruples mix them by continual shaking and anoint the contracted part without intermission till the Convulsion cease The Oil that drops from a rosted Goose the Spirit of Wine with Saffron Spirit of Triacle camphoris'd with Castor the Decoction of stale Urine with white Bread mix'd with a small quantity of Assa faetida Oil of Amber mix'd with Roâ—k Oâ—l when the occasional Cause is of a cold nature are much approv'd for the same use Or Take of Oil of Turpentine Oil of Earth-worms of each an Ounce and a half Human Fat one Ounce the Fat of Dogs half an Ounce make a Liniment Or Take of human Fat three or four Ounces distill'd Oil of Turpentine three Drams Oil of Juniper Berries two Drams Oil of Spike half a Dram make a Liniment Or Take of Oil of Turpentine half a Dram distill'd Oil of Cloves six Drops Mucilage of Briony as much as sufficeth for a Liniment When a Nerve is prick'd by an error in Blood-letting the Wound must be dilated and distill'd Oil of Turpentine or of Wax or of Bricks drop'd into it warm If the Wound be large apply the following Plaister Take of Euphorbium a Scruple Turpentine half an Ounce with Wax make a Plaister If after scarifying or letting of blood the Part swell and ache anoint it frequently with the following Liniment Take of the fat of Foxes fat of Badgers of each three Ounces distill'd Oil of Spike half an Ounce Oil of Mastic two Drams Wine two or three Drams mix 'em before the fire and use it hot If the Part be livid swell'd and affected with pain apply the following Cataplasm Take of the Herbs Agrimony Chervil and Flowers of Chamomil of each a handful Roots of Larks Spur three Ounces Roots of Solomon's Seal an Ounce Linseeds Fenugrecseeds of each half a Dram Boil them in a sufficient quantity of Water to the consistence of a Cataplasm If the Convulsion proceed from a Wound in the part drop into it the Balsam of Sulphur with Turpentine and anoint the part with Oil of Worms and distill'd Oil of Turpentine If it be caus'd by a poisonous Animal anoint with Oil of Scorpions apply scarify'd Cupping-glasses or an actual Cautery to the part or the magnetic arsenic Plaister and give inwardly Triacle with Gentian in order to procure sweat If it be occasion'd by violent Purgation give Triacle with Opiats For a windy Cramp take a rough Cloth hot and dip it into Spirit of Juniper Berries or rectify'd Spirit of Wine and rub the part or foment it with Spirit of Triacle and Juniper Water In case of extremity apply the following Ointment Take of fresh Goose-tallow four Drams distill'd Oil of Cloves half a Scruple distill'd Oil of Cinnamom five drops Mix for an Ointment Volatil Anti-acids Milk and such like temperat things are proper for the Convulsions which proceed from an internal Acid. ART III. Of Trembling TRembling resembles Convulsive Motions and when it follows Epileptic Fits partakes of their Nature Some particular Members are apt to shake after drinking or sudden Passion but this is a lesser sort of trembling For some are universal some particular some greater and some lesser It do's not proceed from any weakness of the moving Faculty but from the joint Action of several Muscles that are either Antagonists or imploy'd in different Motions of the Member which is occasion'd by the almost equal Incursions of the Animal Spirits whereas upon the Will 's injoining a particular Motion they ought to repair more copiously to the Muscle whose Office 't is to perform the commanded Motion than into its other Companions that are supposed to rest The Animal Spirits are apt to commit this Error when disorder'd by Passion or over-fix'd by the use of Narcotics or excessive drinking of Wine But oft-times the Spirits themselves are innocent and the fault lies either in the Nerve or the Muscle If any Obstruction or Irritation happen at the head of the Nerve the Spirits design'd for the Muscle are diverted another way If the Fibres of the Muscle be contracted dry misplac'd or not so accessible as they ought to be the regular â—rrival of the Spirits is prevented Thus mercurial Steams immoderat Venery Cold drinking of cold Liquors suppression of wonted Evacuations and malignant Feavers are wont to occasion a Trembling Trembling is easily distinguish'd from a Palsy by the performance of the voluntary motion and from Convulsions by this that it never appears but when a voluntary motion is attempted If it succeed to a Palsy it prognosticats a Recovery If it proceed from internal Causes it ought not to be neglected If it be hereditary of a long standing or accompany'd by old Age it seldom admits of a Cure If it terminat in Convulsions or approach to their Nature If attended by Doating in Burning Feavers If it succeed to Child-birth or happen in a Lethargy or Apoplexy it portends ill If the under-lip quaver it betokens Vomiting The occasional Cause must be diligently inquir'd for and remov'd So the method of Cure must be calculated for the various Causes In general it requires cephalic and nervous Medicines such as are us'd against Palsies Convulsions and Apoplexies Sage is a noted Specific in this case it may be eaten with food infus'd in Ale or a Spirit or Essence taken from it and mix'd with Castor which may be us'd inwardly often The Hands or Part affected may be fomented with this Spirit or an infusion of Sage in Wine or Water us'd for a wash Baum is next its Leaves infus'd in Wine or Spirit of Wine make a useful Medicine for this purpose Juniper-berries their Spirit Oil Rob Infusion in Wine or Spirit of Wine and the infus'd Berries in substance are very sovereign in this case After due Evacuations there is nothing so proper as a Diet-drink of the Decoction of Woods especially of Juniper Wood. Nutmegs Cinnamom Cloves Castor and its Preparations the â—rains of Hares rosted c. are mightily esteem'd Peacocks Dung infus'd in Spirit of Wine is a sovereign Remedy against Trembling in old Age. The Oils of Hazelwood and Boxwood are also very
proper If it proceed from metallin or mercurial Fumes Cinnabar of Antimony and antimonial Sulphurs ought to be mix'd with human Bones and exhibited in order to procure Sweat The Decoction of Elecampane and Fennel Roots in Wine taken Morning and Evening the Person being cover'd in order to sweat is famous for expelling and correcting Mercury in the Body Leaves of Gold or Medicines partaking of Gold are proper in this case to be given inwardly and an Ointment of Gold may be applied outwardly As for external Remedies Forestus recommends rubbing and washing the Part with fresh Urine In room of which you may use what follows Take of Aqua Articularis for external use three or four Ounces Spirit of Earth-worms an Ounce and a half Spirit of Ants six or eight Drams Essence of Castor three or four Drams mix and bathe the part affected Petrus à Castro orders the part to be frequently fomented with distill'd Water of Nettles The Leaves of an Ash infus'd in Lees are commended If the Trembling be inveterat the natural Bathes or artificial Bathes of a Decoction of Ants ty'd in a Bag are incomparably useful CHAP. III. Of the Diseases in which the Animal Spirits cease to move ART I. Of an Apoplexy WHEN Persons are seiz'd with Apoplexies they are like dead People in every respect except the beating of their Pulse Breathing and the color of their faces If the Respiration be much impair'd the Pulse very low and scarce perceptible and the Person snort and froth at the Mouth 't is a violent Fit If the whole Body be equally seiz'd 't is an universal Apoplexy If only one side of the Head and Body or the Trunk of the Body alone or a particular part by it self be affected while the others are at ease 't is call'd a particular Apoplexy 'T is usual among Writers to refer the Apoplexies of particular Parts to Palsies but indeed these Disorders of particular Members proceeding from internal Causes and call'd by them Paralytic were by the Antients accounted slight Apoplexies Vid. Hip. Sect. 2. Aph. 42. The Cause of Apoplexies may be deriv'd from the failure of the motion of the Animal Spirits either in the Cerebrum or Cerebellum If in the latter the Circulation of the Blood and Motion of the Heart are in a manner quite extinguish'd If the Animal Spirits be hindred to visit the Heart by the Convulsion of its Nerves or such other Causes the same effect will follow These Causes are call'd Privative which do not affect the Spirits immediatly but only prevent their Excursions or withdraw the matter of their Generation as all Obstructions of the Brain a Fall c. The positive Causes are such as stupify the Spirits or render 'em unfit for performing their Office as narcotic Medicines c. A privative Apoplexy is occasion'd by stopping the Circulation of the Blood This is caus'd either by an Obstruction in the Brain imprisoning the Spirits or by the Compression tearing or breaking of the Blood-vessels As when external Violence is us'd an Apoplexy may be caus'd by the Ligature or Compression of the Carotid Arteries and consequently the interruption of the Blood in its Passage to the Brain This Hippocrates understood by his Obstructio Venae it being customary among the Antients to signify by Veins the Arteries and Nerves The other privative Apoplexies proceeding from internal Causes are rather owing to the stoppage of the Blood in the Veins and its subsequent Stagnation in or Distention of the Brain for suppose one of the Carotid Arteries were straiten'd by some internal Cause the other Artery communicating with it would supply the Brain with Blood and so no Apoplexy would insue upon that occasion 'T is the hindrance therefore of the Reflux of the Blood and its subsequent Stagnation that in internal cases distends the Brain straitens its Passages extinguishes the motion of the Animal Spirits and so causes the Apoplexy Sometimes the Blood is so thick and congeal'd that of it self it stops in the Vessels within the Brain without any determination to that effect from the Blood Vessels as in Heart-swooning which is a case not only parallel but near a kin to this it stagnates in the Lungs The Antients deriv'd the cause of an Apoplexy from a Collection of Serum in the Ventricles of the Brain but Anatomical Dissections make it appear that the Brains of Apoplectic Persons are not always molested with any such matter and that several People are who were never seiz'd with an Apoplexy in their Lives It remains therefore to be concluded that the immediat Cause of all Apoplexies is the Abolition either of the motion of the animal Spirits or of the Circulation of the Blood The remote Causes with reference to a defective Circulation of the Blood are sudden Cold excessive Heat gormandizing in a sedentary way of Living washing the Head with warm Water and then exposing it to the Cold Swellings in the Scull suppression of wonted Evacuations of Blood using Dragons Blood after violent Purges immoderat Venery especially in old Age Anger and all turbulent Passions of the Mind With reference to the motion of the animal Spirits the remote Causes of Apoplexies are a Contusion or violent Commotion of the Brain by Thunder Cannon shooting c. any sudden and impetuous Force that drives inwards the Lymph which waters the Cortical part of the Brain Impostumes or any vitious matter lodg'd in the Head all which straiten the Passages of the Brain and Original of the Nerves and so cramp the Spirits that they cannot perform their wonted Office Excessive Drinking may occasion a Prevalency or Redundancy of Serum in the Brain that presses down the Walls of the Passages Accordingly we sometimes meet with great quantities of Serum in dissecting the Heads of such as die of Apoplexies The Small-pox or Scab struck inwards and several other Causes may likewise produce the same effect Upon this account I shall not scruple to admit the distinction of privative Apoplexies into such as are Sanguin and those which are Serous tho a nice Theorist might cavil against it The former kind is apt to invade those whose Blood is thick and prone to congeal the latter for most part seizes old decrepit Catarrhous Constitutions Mercurial and subterranean Vapors not only clog the Spirits but thicken the Blood and so cause a privative Apoplexy As for positive Apoplexies caus'd by an immediat Depravation and Fixation of the Spirits I am of Helmont's Opinion that not only external things but an internal Ferment bred in the Stomac oft-times causes ' em This I am induc'd to believe by these Considerations 1. Vomits sharp Clysters and stomachic Medicines are sovereign Remedies against a positive Apoplexy which is a sign that the Stomac is concern'd 2. The Steams of Coals Smoak of Tobacco and eating ungrateful Food cause Apoplexies Now undoubtedly these affect the mouth of the Stomac most immediatly 3. I remember an instance of a Woman that was seiz'd with a