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
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
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
Centory of each half a handful Elecampane and Evans Roots of each half an Ounce Mustard-seeds or Rocket-Seeds one Ounce Cinnamom two Drams Cloves one Dram. Infuse as above If ye desire to make it a little loosening Take of Mint two handfuls tops of Wormwood one handful Roots of Aron Roots of Crude black Hellebor of each half an Ounce Roots of Elecampain and the Leaves of pick'd Senna of each one Ounce Aniseeds Fennel-seeds of each six Drams Galangal Zedoary and Ginger of each two Drams Salt of Tartar three Drams Infuse as above When the Spittle is glutinous and the Mouth tasts bitter the Roots of Horse-Radishes and Elecampane in equal quantities infus'd in Rhenish or Wormwood-wine or Pepper infus'd in like manner or Wheaten-Bread dipp'd in Wine or even a Draught of good generous Wine are approved Remedies or Thonerius's Decoction thus Take of Cichory-Roots of the Herbs Roman Wormwood Carduus Benedictus and Rosemary of each a handful lesser Centory a handful and a half boil them in equal quantities of Wine and Water till a third part be consum'd Dose half a Pint Morning and Evening Or Pachequus his Decoction of Agrimony Wormwood and lesser Centory in Water If ye please ye may add some temperat Acids As Take of Mint-water two Ounces Cinnamom-water from two Drams to six Drams Juice of Quinces from one Ounce to an Ounce and a half Syrup of Quinces either simple or aromatis'd from half an Ounce to six Drams Mix and make a Potion of which the Patient may take at pleasure Take of Mint-water one Ounce Cinnamom-water half a Dram Spirit of Treacle a Dram and a half Laudanum Opiatum prepar'd by fermentation two Grains Syrup of Cinnamom half an Ounce Mix c. The Spirit of Mastic and Spirit of Bread and the Mineral Acid Spirits dulcify'd with Spirit of Wine the dulcify'd Spirit of Vitriol given from twenty to thirty drops in a warm Vehicle about two hours before eating the volatil Salt of Amber c. are proper to this purpose But they ought to be well qualify'd or joyn'd with vegetable Stomachic's as in Elixir proprietatis which is a noble Medicine For Example Take of Elixir proprietatis two Drams Essence of Wormwood and Mint or Aromatic Calamus of each a Dram. Mix c. Or Take of the Conserve of the Pulp of Citrons an Ounce and a half Conserve of Mint Vitriolated one Dram the red Hepatic Powder two Drams Spirit of Salt coagulated two Scruples with a sufficient quantity of the Syrup of Quinces spic'd make an Electuary Michael's Stomachical Elixir is not improper in this case As Take of Mint four handfuls Roman Wormwood Rosemary of each two handfuls Sage Penny-Royal Baum of each one or two handfuls Acorus-roots fresh three Ounces or dried one Ounce Burnet or Elecampane-roots two Drams round Cypress-roots one Dram Mastic six Drams or an Ounce and a half or two Ounces of the four hot Seeds of each half a Dram Mustard seed six Drams of the Shavings of Sassafras three Drams Zedoary Galangal of each a Dram and a half or two Drams or three Drams of Cubebs Nutmegs Mace Cinnamom Ginger Cloves of each three Drams or half an Ounce Coriander-seed one Dram pour upon 'em Spirit of Salt or Philosophical Spirit of Vitriol which is almost the same as much as sufficeth for a grateful sharpness Extract the Tincture with Spirit of Mint Strain it and add as much of the compound Stomachical Extract as it will bear Dose fifty or sixty Drops For a Scorbutic and Hypochondriac Constitution it may be mix'd with the Spirit of Scurvy-grass taking a Dram and a half of the Spirit to three Drams of the Elixir Mynsichtius his Elixir Vitrioli and the Essence of Amber are much commended And likewise Alcali's sharpen'd with other Salts As Take of the sharpest Tincture of Tartar and Elixir proprietatis prepar'd without the Acid of each three Drams Mix c. Sal-armoniac is a good Stomachic but it ought not to be joyn'd with fix'd Alcali's which drive away the volatil part of the Armoniac and fix the remaining Acid. It succeeds better when joyn'd with Spices As Take of the Flowers of Sal-armoniac or depurated Sal-armoniack one Dram. The Powder call'd Diatrion Pipereon or Powder of Cubebs or any other Aromatic Powder a Scruple or half a Dram. Mix and make a Powder for three or four Doses of which the Patient may take one every Morning Or Take of depurated Sal-armoniac one Dram Ginger and the Powder of Diatrion Pipereon of each a Scruple or fifteen Grains Mix for three Doses Or Take of dried Aron roots one Dram prepar'd Crabs-Eyes Salt of Wormwood of each from a Scruple to half a Dram distill'd Oyl of Cloves three Drops Mix for three Doses Or Take of Aron-roots half a Dram black Pepper a Dram and a half Ginger half a Dram Flowers of Sal-armoniac two Drams distill'd Oyl of Aromatic Calamus a Scruple Make a Powder Or Take of the Conserve of Wormwood-tops Conserve of Elecampane-roots of each two Drams candy'd Ginger six Drams Powder of Diatrion Pipereon three Drams Sal-armoniac one Dram with the Syrup of Quinces make an Electuary Some use Sal-armoniac in Wormwood-wine Tartar also and its various Productions are very proper And the saline Stomachical Powders such as Michael's which is made thus Take of the Powder of dry'd Aron-roots two Pound the Salt call'd Arcanum duplicatum one Pound Salt of Wormwood Arabian Costus and Aromatic Calamus-roots of each two Ounces Cinnamom and Cloves of each an Ounce and a half Mace Long Pepper Ginger Cubebs Cardamoms Grains of Paradise Zedoary and Coriander-seeds of each one Ounce Mix and make a Powder Dose from a Scruple to half a Dram. If a shorter Process be more agreeable Take of the Powder of Aron-roots one Dram Arcanum duplicatum two Scruples distill'd Oyl of Mint six Drops Mix and make a Powder If Inappetency be caus'd by the Animal Spirits or the Nerves take the Essence of Ambergrise and joyn it to other Stomachic's Wine and all Spiritous or Aromatic Liquors especially the Essence of Baum and Penny-Royal with a few Drops of the Distill'd Oyl of Juniper-Berries are very proper on this occasion As also the Balsam of Peru either taken in the Yelk of an Egg or exhibited in Sugar or Wine or in the form of a Tincture extracted with the Tincture of Tartar And Paracelsus his Stomachical Electuary as follows Take of Rob of Juniper six Drams Powder of Ginger half a Dram Aromatic Calamus Mace of each two Drams Cubebs one Dram with a sufficient quantity of Sugar make an Electuary Or Take of Cichory-roots candy'd Vipergrass-roots candy'd of each one Ounce Conserve of curl'd Mint Conserve of Roman Wormwood of each an Ounce and a half Conserve of Cichory-Flowers Conserve of Roses Conserve of Rosemary-Flowers and Powder of Zedoary of each one Ounce of Aromatic Calaâ—â—us Ginger and the sharpest Cinnamom of each a Dram of Mithridat or Venice-Treacle two
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
but a heap of crude Matter Sometimes it melts into a fix'd Viscous acid that falling short of its due thinness and volatility is the source of all Chronical Distempers which by the Ancients were imputed to the unequal Disposition of the Bowels or the cold Constitution of the Stomac complicated with the heat of the Liver This we call the acid Crudity of the Stomac At other times it degenerates into a Cruditas Nidorosa a putrid Matter smelling like something burnt or roasted The causes of these Disorders are the deficiency confusion or flatness of the Spirits thro' Weakness Passions Pains and want of Exercise the corruption or fixation of the acid ferment occasion'd by vicious Acids sweet things and such as tend to an acid Crudity or its dullness and inactivity occasion'd by the oyly Salt of the Choler abounding in the the Stomac eating of fat Food as Eggs fry'd with a large quantity of Butter and such like which produce a Cruditas Nidorosa the fixation and viscidity of the Reliques of preceding Digestions in the Pleats of the Stomac following the preposterous administration of fix'd absorbent Powders in Feavers eating of disagreeable and unwonted Food which renverses the Seminal Crasis of the ferment and requires a new proportion of digestive Salts whereas the Food that the Appetit calls for and is by custom well acquainted with meets with a more wellcome reception from the ferment that is in some measure ally'd to it by vertue of the remains of food of the same Nature lodg'd in the Stomac the Relaxation Exulceration Excoriation and Obstruction of the Stomac Its Sympathy with the Kidneys in Nephritic Pains c. These Causes relate to the Stomac and its ferment The Causes relating to the Object or Food receiv'd are gormandizing or over-charging the Stomac and ferment variety of contrary Meats which are not equally digested one part remaining crude while the other is already transform'd departing from the usual Measures and Seasons of Eating or anticipating Meals before the former be digested crossing the Natural Appetit by pressing such things as are loath'd and denying that it long'd for abstaining from Bread or using such as is not sufficiently fermented and impregnated with that volatil Acid that so notably promotes Digestion hard viscous and oyly Food or such as is not easily dissolv'd or mix'd with watery Vehicles excessive Drinking which over dilutes the ferment relaxes the Fibres of the Stomac and causes the Food to float unsteddily Eating of solid Foot without a sufficient quantity of moisture for its Vehicle neglect of Chewing c. The particular Causes of an acid Crudity are the redundancy of acid Humours in the Body the frequent use of Acids whether open or occult or of Spices and such like sharp things as are apt to exalt an Acid. Those of a musty Crudity are the recoyling of the Bile and Alcalin Humors the deficiency of Acids as in acute Feavers the undue stay of Food in the Stomac or the contraction of the Pylorus stopping its passage using fat oyly fix'd or Chalybeat Ingredients soon perishing Fruits in a word whatever is apt to corrupt or contract a Nidor The Symptoms of an impair'd Chalification are a heavy pain about the Stomac and distention of the Breast after eating frequent Belchings whether insipid putrid sulphureous or resembling the very taste of the Food tho' five or six Hours after eating Sometimes especially in Hypochondriac Persons the Face is inflam'd and respiration is difficult while they lie on their Backs In a Morning their Mouth is beset with a viscous Phlegm The Urine is sometimes thin and watry at other times thick and muddy Sometimes a Vertigo happens attended by all the Symptoms of the Hypochondriac Illness which takes its rise from the Stomac The Signs of an acid Crudity are Heart-burning acid Belchings much Wind the Constipation of the Belly and the thickness and viscidity of whatever is vomited up whether Naturally or by Art Those of a musty Crudity are these In the Morning they perceive an uncouth ashy Taste like that of rotten Wood afterwards a gnawing in the Stomac and loathing of Meat with a Bitterness in the Mouth their Belchings resemble the taste of rotten Fish or fry'd Eggs the Belly is open and loose and what they vomit is either insipid or bitterish As for Prognostics An acid Crudity is the fore-runner and cause of Intermitting Feavers Hypocondriac Illness Scurvy Cachexies Colic Passions Arthritic and Nephritie Pains Melancholy and fore'd Eruptions in the Skin In a word 't is the source of all the Chronical Dstempers which by the Ancients were refer'd to the Obstructions of the Bowels Mesentery Liver â—pleen c. Chylification is the Work of Nature not to be compass'd by Art Wherefore the Cure consists only in removing the offensive Crudity cleansing the Stomach and gently whetting the Appetite In the first place Antimonial Vomits mix'd with attenuating Ingredients are requir'd Then Stomachical Purges of Hiera with Agaric Aloe and Mastic Or Take of the Pills call'd Aleophanginae a Scruple Tartar vitriolated six Grains Scammony sulphurated two Grains Extract of Troches Alhandal a Noble Medicine for cutting pituitous Humours a Grain and a half with the Tincture of Tartar make Pills Take of Quercetanus's Pills of Ammoniac a Scruple Extract of Steel half a Scruple Extract of Troches Alhandal two Grains distill'd Oyl of Mace two Grains With Elixir Proprietatis or Essence of Sassafras or Essence of Mint or Spirit of Mastic make Pills Or a Purging Medicine may be made of Salts Thus Take of Tartar vitriolated Cream of Tartar of each half a Scruple Scammony sulphurated four Grains Troches Alhandal two Grains Distill'd Oyl of Anniseeds two Drops make a Powder If a Liquid Form be desir'd Take of Wormwood or Hyssop-water Mint-water of each half an Ounce Tartar vitriolated Extract of Agaric of each half a Scruple Extract of Troches Alhandal one Grain Scammony sulphurated two Grains solutive Syrup of Roses half an Ounce Mix for a Potion Of Alterative Medicines Galangal and Ginger are much the best Next are the Carminative Seeds Anniseeds Caraway-seeds Cumin-seeds the four lesser hot Seeds Acorus-roots preserv'd Nutmeg not by it self but in conjunction with Stomachic Simples among which Mint and Wormwood lead the Van. Next to them are Myrrh Zedoary Rosemary Sassafras Quinces dulcify'd Spirit of Salt an incomparable Remedy Spirit of Mastic mix'd with that of Mint Elixir Proprietatis is an excellent Stomachic but for acid Crudities it ought to be prepar'd without an Acid and mix'd with Spirit of Sal-armoniac For musty Crudities let it be prepar'd with an Acid and mix'd with Spirit of Scurvygrass Mynsichtius his Elixir of Vitriol Michael s Stomachical Elixir mix'd with the Asthmatic Spirit or with the Spirits of Mastic and Scurvygrass Essence of Baum mix'd with the Philosophical Spirit of Vitriol as likewise those of Penny-royal Mint Rosemary Sassafras and Myrrh are all very proper Wormwood-Wine is likewise useful Or Take of curl'd Mind wild
Calamint and Wormwood of each a handful Elecampane-roots Acorus-Roots of each an Ounce Galangal three Drams Cinnamom three Drams Mace one Dram 't is very oyly and therefore a small Quantity will suffice Anniseeds three or six Drams Cut bruise and tie them in a Bag to be infus'd in Rhenish Wine in a warm place for twelve Hours Let the Patient take a Draught of the Infusion before Eating adding to every Draught fifteen drops of dulcify'd Spirit of Salt The Rob of Juniper-Berries with Ginger Mace and Sugar may be us'd by way of Electuary Sal-armoniac given in Wormwood-wine Arcanum Duplicatum or essential Salt of Tartar mix'd with Aromatic Powders the Infusion of Aron and Elecampane roots in Wine Chocolat and Thea are all of excellent use As for musty Crudities Vomits and gentle Purges of Rhubarb and Tamarinds are proper Then precipitating Earthy Powders follow'd by Acid Juleps As Take of Arcanum Duplicatum two Scruples prepar'd Cuttle-bone a Scruple Powder of Nutmegs six Grains Mix for two or three Doses Take of Mint-water an Ounce and a half Cinnamom-Water two Drams Juice of Quinces six Drams Syrup of the Juice of Quinces half a Dram. Mix for a Potion Dulcify'd Spirit of Salt Spirit of Mastic Elixir Proprietatis Ivory Coral Cream of Tartar Quinces c. are all proper Ingredients Acid Crudities are remov'd by absorbent Powders and volatil Aromatics such as Scurvygrass lesser Centory Wormwood Rhubarb and especially Ginger volatil Spirits of Mint Sage Scurvygrass that of Sal-armoniac mix'd with Vegetable Spirits Spirit of Tartar Hartshorn c. Elixir Proprietatis prepar'd without an Acid together with the fixed Salts of Wormwood Carduus Benedictus c. the digestive Hypocondriac Salt Hartshorn Ivory Crabs-Eyes c. Above all River-Crabs together with the Shells are much approv'd All Acids must be avoided and after the Acid is vanquish'd Purgatives administred Besides internal Medicines external Applications are proper for promoting Chylification As Take of the Oyl of Mint prepar'd by Infusion and boyling two Drams express'd Oyl of Nutmegs a Dram distill'd Oyls of Mint of Mace and of Cloves of each half a Scruple Mix and anoint the Region of the Stomach Balsam of Peru is very proper for the same purpose Take of Tacamahac three parts Gum-Caran one part soften 'em with Balsam of Peru or distill'd Oyl of Mint and make a Plaister to be applied to the Stomac A Spunge dip'd in Wine impregnated with the Vehicle of Stomachic Simples and applied hot to the Stomac is also much approv'd CHAP. II. Of Wind in the Stomach and Guts WHEN the Work of Chylification is disturb'd Wind oft times molests and distends the Stomach which if it break upwards with a noise is call'd Belching if it be discharg'd both upwards and downwards 't is call'd a dry Cholera Wind is somewhat different from Vapors and Exhalations either of which is resolv'd by heat and thicken'd by cold whereas it undergoes no such alteration Nay 't is neither heat nor cold that is directly concern'd in giving it a Being 't is only the vicious fermentation of a Preternatural Acid within a thick viscous Body Thus we see that Spirit of Nitre pour'd upon a Metallin soluble Body boyls up into Wind and Noise The like will happen in the distillation of Tartar or the effusion of Vinegar or Juice of Citrons upon Corals or Crabs-Eyes In like manner Bread or new Wine if fermented will rise up with a windy noise but if fermentation be neglected no other process of boyling macerating distilling c. is able to produce that effect And once more if Apples be expos'd to the Sun so as to undergo a fermentation by vertue of the heat their Skin will chop and break to give way to the Wind and no other management whatsoever can compass that end Thus 't is made to appear that Wind is not pre-existent in the Liquors or Humors themselves but newly created by vertue of the imprisonment of acid and urinous Salts within a viscous Body which they endeavour to attenuate and break through when dissolv'd and put into motion by the addition of a ferment Now that the Vehicle is viscid is sufficiently made out by the tenacious gross Humors that are voided upwards by Vomiting The Part affected is the Cavity of the Stomach and its upper Orifice The immediate Cause is already explain'd To which we may add a violent compression which obliges the Wind in pursuit of a larger space to move in to break forth and forsake its narrow Habitation just as Air condensated displays its Elastic force and seeks to enlarge its Bounds driving before it the contiguous interfering Bodies with a notable noise The remote Causes are the eating of viscous Food and retention of acid Crudities Flatulent Meats may be very apt to encourage a Windy noise but without the fermentatation of an inclosed Acid they cannot of themselves produce it Therefore 't is that the same Meats will occasion such disturbances in acid Constitutions that are digested by other Persons without any disorder Some flatulent Distentions are natural produc'd by the oyly Bile and acid Mucus of the Stomac and Guts when their Cavities are Empty and projected by Nature to keep their walls from joyning and continue the openness of their Pores As to the Differences of Belchings some are Acid as in Hypocondriac cases and after long fasting some musty of which above some answerable to the natural quality of Food receiv'd as those caus'd by eating Onyons Radishes c. some quite insipid and lastly tho very rarely some are attended by a prodigious stink Now the cause of flatulent stinks must be fetch'd from the Chymical Experiment of dissolving fat Sulphureous Substances with Alcali's and precipitating with Acids As Antimony calcin'd with Nitre and Tartar in the Preparation of Crocus Metallorum then dissolv'd in Water and precipitated with Vinegar yields a most noysom Smell so the oyly Salts of the Bile first resolv'd and then precipitated by Acids are indow'd with the like Quality The Signs are these If the Wind cannot force its passage the Breast or Belly is distended and perplex'd if touch'd it rebounds as it were the respiration is very difficult especially when the Persons lie on their Backs they are molested with violent Pains and tossing from side to side they perceive a sort of flatulent noise within Just before the Wind breaks forth they complain of a vast Perplexity in their Breasts but when it gains its Passage are benefited by it Sometimes these flatulent Distentions reach the Neck and Back and occasion a Swelling about the Mouth of the Stomac which prevents the breaking of Wind downwards and reaps no advantage by those which pass upwards And Eating augments this Distention As for Prognostics They are usually the Symptoms of a Hypocondriac Illness and if they happen upon the recovery of a Disease portend its relapse If they continue long they threaten Dropsies If they stink horridly they are very malignant and
a scruple Seal'd Earth twelve Grains the Distill'd Oyl of Orange Peel the Distill'd Oyls of Anis Caraways Fennel and Zedoary of each a drop Make a Powder for two Doses Take of Castor half a scruple Volatil Salt of Amber five Grains Laudanum Opiatum a Grain or two Make a Powder for Convulsive Colics Or Take of the Tincture of Tartar half an ounce Essence of Gum Ammoniac three drams Essence of Myrrh Tartaris'd a dram and a half Mix c. Dose fifty drops Elixyr Proprietatis Essence of Castor or that of Opium may be added by turns Pills of the Extract of Castor and that of Venice Treacle mix'd with some convenient Oyl are very proper The Decoction Essence Powder and Oyl of Orange Peel especially in a strangury and all Preparations from Clary are of Sovereign use in all Colics The flowers of sulphur are of unknown Vertue if mix'd with Myrrh or Distill'd Oyls Spirit of Nitre well rectify'd with Spirit of Wine distill'd from aromatic Ingredients is an incomparable thing in all hot Colics 'T is given with the Decoction of Elecampane Roots for a Vehicle The Oyl or Spirit of Turpentin digested with Juniper Berries and Flowers of St. Johns wort which by the way are possess'd of a rich Oyl is given against the Colics caus'd by humors in the Guts to a scruple with wonderful success The Carminative Spirit made of Nitre Tartar and Spirit of Urine given to half a dram in some warm Vehicle is likewise much applauded The Powder of Horse's Stones given to a dram in Lilly Convally Water with a little Saffron the shavings of a Bull 's Pizzle given to a scruple in Spanish Wine the Powder of Soot mix'd with Vinegar or its Spirit are all approv'd Remedies Sugar of Lead is excellent where acidity prevails As the juice of Horse Dung or that of other Beasts mix'd with warm Ale is inferior to no Medicine in that Case After taking any of these Medicines the Patient ought to be very quiet and make account to sweat If a Colic tend to a Palsy of the Guts let sharp Clysters be injected and Volatil Salts exhibited such as that of Urine Spirit of Hartshorn or of Sal-armoniac and especially the Volatil Spirit of Tartar or which is yet more Volatil the Spirit Distill'd from the Dregs of Wine In a scorbutic Colic let Volatil Salts and Antiscorbutic Ingredients be added In a Colic caus'd by any External error Laxatives mix'd With Absorbents are proper If cold or Drinking occasion it give Pepper and Spirit of Wine As for External Applications against Colicâ— Let the Belly and Navel be well fomented with Liâ—â—â—ents of express'd Oyls mix'd with those that are Distillâ—â— and afterwards cover it with a hot Brick The fot of a Wild Cat and Zivet is much approv'd for this use As also Galbanum melted and mix'd with the Distill'd Oyls of Spike and Amber Plaisters made of Tacamahac Balsam of Peru or that of Bay berries with that of Tobacco Cataplasms of Horse Dung with Oyl of Rue And Quilted Bags of Milletseeds or of Anodyn and Aromatic Ingredients are likewise applied to the belly with good success Take of the Oyls of Bays of Dill and of Chamomil of each half an ounce Galbanum a dram Distill'd Oyl of Amber half a dram Distill'd Oyls of Caraways Cummin and Fennel of each half a scruple Make a Liniment The Oyl of Orange Peel the Distill'd Oyl of Angelica and the Oyl of Castor or Powders of Castor are also proper Ingredients The Oyl of Soap and white Rock Oyl are of excellent use Externally in all Convulsive Colics Take of the tops of Henbane and Elder Flowers of each two handfuls Chamomil flowers three or four handfuls fresh Juniper berries two ounces Make a Quilted Bag to be infus'd in hot Wine or boyl'd in Goats Milk and applied to the Belly and frequently reiterated especially in Scorbutic Colics Take of the Leaves of Bays and Rue of each three handfuls Tops of Dill and lesser Centory flowers of Roman Chamomil Elder flowers of each half a handful Angelica and Lovage Roots of each two ounces Bay berries an ounce Juniper berries half an ounce the four greater hot seeds of each two drams Boyl them in Wine for a Bag. Some choose to apply Bags of Oats Juniper berries and Coriander seeds Others apply a little Puppy to the Belly So much for the cure of a Colic fit After the fit is over let Diuretic and Garminative Medicines be us'd The solution of Steel with the juice of Apples the Spirit of Sal-armoniac and to robust Constitutions the Solar Liquor of Steel are then very useful SECT XII Of the Vicious Postures of the Guts CHAP. I. Of Ruptures THE Caul and Guts are wrap'd into the Peritonaeum If this Membran be relaxated or broke they fall out upon the Infirm Part either separately or both together The Guts which are liable to this Eruption are the Jejunum and Ileum The great Guts are secure from that danger as being more firmly fastned This Relaxation of the Peritonaeum happens for the most part in one of its two Processes the one surrounding the Umbilical the other the Spermatic Vessels The Bursting at the Navel is sometimes caus'd by hard Labour in Child-birth Vomiting Jumping crying aloud carrying of heavy Burthens Coughing Sneezing violent Purgations or whatever divides or stretches the Membran of the Peritonaeum are the General Causes of all Ruptures Children whose Membrans are tender and most expos'd to Violence are very obnoxious to this Disease Sometimes the Infirmity is Hereditary or produc'd by Internal Causes but withal very rarely If the Process of the Peritonaeum surrounding the Spermatic Vessels be dilated either the Caul or the Guts or both fall down either upon the Groyn or into the Cod. If the Membran be quite broke they stop about the Muscles of the Groyn But if it be only dilated they trace its Progress to the Cod. Sometimes but very rarely this bursting falls out upon the sides of the belly or upon the Loyns or thro a Breach in the Womb. And Surgeons ought to be very cautious that they be not impos'd upon by it under the appearance of an Ulcer in those unwonted Places The Stones sometimes are drawn into the Groyn and Resemble a Rupture and are oft times taken either for that or an Imposthume A Rupture therefore is a soft Tumor sometimes decreasing sometimes increasing If it be Recent it disappears when the Patient lies on his Back and returns when he stands upright For the most part 't is Painless and easy to put up unless the Gut be inflam'd or molested with Wind or harden'd Excrements And besides it increases if the Patient cough By these Signs it is distinguish'd from Bubo's or the Testicle sticking in the Passage If the Gut be irritated either externally by Cold Bruises c. Or Internally by Wind hard Excrements c. Iliac or Colic Pains insue and are very fatal as likewise Inflammations or Gangrenes or Suppuration of
Scars following the Corrosion of a Dysentery or Looseness or interrupted by its own viscidity or slime squeez'd into its Vessels from the Guts and afterwards congeal'd of which we have a plain Instance in the Case of drinking cold Liquors after a violent hot Exercise for as much as the heat melts the slime and the motion drives it into the Vessels and the sudden arrival of cold Liquor cuts off its retreat by causing its Coagulation so that it either stagnats or proceeds with the Chyle to the Blood and depraves its Crasis This viscidity or crudity of the Chyle or of the Humor its Companion is the true cause of all Chronical Distempers falsly imputed by the Ancients to Obstructions or contrary Qualities of the Bowels That there are Obstructions I do not deny Some in the Blood Vessels causing Inflammations Others in the Lymphatic or perhaps those of the Chyle causing the rupture of the Vessels and effusion of the Lymph upon the Cavities of the Body And others again in the Bowels appearing in the form of Imposthumes and Schirrus's But these are rather the effect than cause of Chronical Diseases That stagnation of the Liquors in their respective Vessels is occasion'd by their viscidity The viscidity is caus'd by acid Crudities attending the Chyle and debauching the Blood and Lymph Moreover the proneness of Imposthumes to suppurate and that of Schirrus's to become Ganeers are solid proofs of their being caus'd by a viscous acid And as to the Antipathy of the Bowels 't is inconsistent with the Laws of Circulation The Blood and Spirits are equally the cause of heat all over the Body if all the parts be equally 〈◊〉 pos'd for their Reception 'T is true indeed a particâ—â—â—â— Bowel or external part may be occasionally weakâ—â—â— and suffer a Relaxation of its Fibres or by vertue of acid pointed Particles darted into its Bosom like that of a Thorn into the Finger may be disturb'â— with Heat and Inflammation while the others retain their cooler Temperature But it plainly appears that these effects are not owing to any Radical Antipathy in the Qualities of the Bowels but the occasional unequal Distribution of the viscous acid Particles It remains therefore to be concluded upon that the acid Crudity of the Chyle impress'd upon it in the first Passages is the natural and obvious cause of Chronical Distempers and that Obstructions may be effected by the long duration of these Distempers but cannot claim the priviledge of being their Causes This Hypothesis will be set in a clearer light by surveying the Symptoms and the Method of Curing these Chronical Distempers The former are acid Belchings Wind loss of Appetit Gripings and noise in the Guts incident heat and Inflammation Looseness c. the natural Progeny of an acid Crudity And as touching the latter the whole Circle of Specifics is generally made to center in an aperient Vertue Now the Preparations of Steel and Lead do justly lead the Van of this numberless Catalogue And how these astringent Medicines should be intitled to an opening Vertue all the Posse of Writers is at a loss to explain Whereas 't is an obvious Solution that these metallin Particles suck up and incounter the acid Crudity and transform it into a vitriolic Concrete which is afterwards evacuated under the form of black Excrements So that it opens or unlocks the Passages only indirectly by subduing the hostil Intruder Antiscorbutic volatil salin Medicines and Gums are likewise us'd Now they attinuat the viscous Humor precipitat the rank acid fortifie the Stomac the original source of the Evil and whet the Bile And here by the way 't will not be improper to take notice that the Essences commonly prepar'd from volatil Antiscorbutic Herbs as the Essence of Scurvygrass c. fall short of the original vertue of their Herbs as containing only the volatil Salt strip'd of the fix'd Salt which withal is very useful Upon which account I prefer the Quintessences made of the Oyl and both the Spirits one prepar'd by Fermentation and the other by Putrefaction These two being mix'd with the distill'd Oyl by long Digestion and frequent Cohobation And besides all Antiscorbutic Spirits prepared by Fermentation ought to be frequently cohobated in order to extract the fixed Alcalin Salt Tartar also is a great Specific in these Cases But its Cream is too acid Let it be mix'd with half the quantity of Salt of Tartar dissolv'd in warm water after Fermentation filtrated and set to evaporat Thus its Acidity is conquer'd It s volatil Spirit or rather that drawn from the Dregs of Wine or the Carminative Spirit prepar'd from Nitre Tartar and Spirit of Wine and all volatil Preparations of Tartar are of wonderful efficacy in clearing the first Passages correcting the Digestive Ferment and conquering the acid of Wine that we in these Countries are so obnoxious to In the Animal Province Man's Urine given to drink and all urinous Spirits and Salts especially the Spirit of Salarmoniac prepar'd with Quick-lime are noted antiacids in all Chronical Distempers The Spirit of Ants and that of Earth-worms are famous Anti-scorbutics Of the Mineral Family Steel is the Head It ought not to be much impregnated with an acid otherwise it will not dissolve in the Body The best way of giving it is either in crude Powder or by way of extract taken from its Infusion in the Juice of Apples Quinces or of Tamarinds or a Tincture taken from the same with Spirit of Scurvygrass The Tincture of Steel prepar'd with Spirit of Bread is likewise a proper form It s Crocus is best prepar'd by sprinkling it with Juice of Cichory and exposing it to the Sun Next to Steel is Lead especially its Sugar and the Antiphthisical Tincture prepar'd from it and vitriol of Steel with Spirit of Wine From these Premises we infer that the Cause of all Chronical Distempers is a viscous acid Crudity either bred in the Stomac or caus'd by the vicious Effervescencies of the Gall and the Juice of the Pancreas in the Guts Upon which Account all Stomachical attenuating anti-acid Medicines are the true Antidote of these Diseases And whoever attempts to cure 'em without a special regard to the Stomac and first Passages shoots short of his Mark The forms of Recipe's shall be inserted in the particular Description of the respective Diseases SECT XIV Of Diseases relating to the Lungs and Organs of Respiration THUS far we have consider'd the Chyle in its separat State It remains now to survey its state of Complication with the Blood The mix'd Mass of Blood and Chyle is carried from the Axillary Vein to the descending Trunc of the Vena Cava from thence 't is convey'd to the right Ventricle of the Heart and before its entry into the left Ventricle is thrown into the Lungs by the Vena Arteriosa The Lungs are a heap of little Bladders joyn'd by a simple Membran endow'd with moving Fibres and require to be dilated before the Blood
As for the first A preternatural frequency of the pulse from an internal cause is accounted by Silvius a peculiar and infallible Symptom of a Feaver tho' some malignant Feavers seem to make an exception to the Rule For the most part the pulse is also swifter Now these effects are plainly resolvable into the fermentation of the Blood or the irritation of the Heart and Spirits occasion'd by a foreign ferment As for the second A Chilness shivering and shaking differ only gradually The first is only a light Convulsion of the Skin and contraction of the pores resembling the sense of Cold tho in the mean while the Body feels hot to the External touch If the muscles are likewise affected it creates a shivering and sometimes a stiffness These effects proceed from a prevalent Acid which twitches the membranous parts and corrupts the mass of Blood In the beginning of intermitting or Continual Feavers these Convulsions chiefly affect the internal and noble parts But after the height of Malignant or Favourable Feavers they are seated for the most part in the external Membrans and portend Critical eruptions The third Symptom is the immoderat Heat of the Body I call it only a Symptom for 't is not Essential to a Fever as some would have it For some diseases are attended with a preternatural Heat that are not accompany'd by a Feaver and besides there are some Feavers that are not hot but on the contrary notably Cold. Tho' this advance may sound like a paradox 't is back'd by Hippocrates Avicenna Galen Bartholin and Helmont Nay I my self have met with an instance of an intermitting Feaver that had no hot fits at all which I cur'd after the common evacuations by a mixture of Spirit of Sal-armoniac and Spirit of Scurvy-grass exhibited in the intermitting days and a Powder of Tartar vitriolated or Salt of Wormwood with prepar'd Crabs Eyes taken some hours before the invasion of the Paroxysm To return to the preternatural heat which for the most part attends Feavers 't is sometimes moist when the fibres of the Skin are unbended and the steams of the humours copiously exhal'd Sometimes when these fibres are contracted 't is dry If the Acid Salts are not much exalted 't is meek and tolerable but if these sharper Salts abound in the Blood the heat gives a biting and fiery impression to the external Organs of touching This preternatural Heat springs immediatly from the boyling and struggling of the Salts in the mass of Blood The Occasional Cause is an Acid which sometimes infects chiefly the Spirits and then the heat is remisser than when it principally affects the Blood It destroys the establish'd proportion of the Salts and so gives rise to vicious fermentations To make good this assertion namely that an Acid is the principal author of excessive heat and consequently of Feavers themselves it will not be improper to mention the following Observations 1. All wounds and ulcers are offended by Acids by reason of the Inflammation and heat occasion'd by them And Alcali's perform the cure 2. Pleurisies Quinsies and all inflammations are still attended by acute hot Feavers Now they are the product of Acids and yield only to Alcalin Remedies 3. The same may be said of St. Antony's fire 4. Intermitting Feavers spring from an Acid Crudity prevailing in the stomach and are only cur'd by absorbent Alcali's 5. Catarrhous feavers proceed from the Acid sharpness of the Limpha and are cur'd by Volatil temperat Medicines 6. The Measles and Small-pox are attended with a remarkable heat and Feaver before the eruption Now the prevalency of an Acid in these cases is plainly evinc'd by the corrosion of the Skin suppuration of the Pimples and method of Cure 7. Arthritic pains are oft-times usher'd in by Feaverish Symptoms Now their Cause is an Acid and the cure consists in subduing it 8. The Feavers which follow the stopping of an itch or crusty scab in Children are the natural offspring of the Acids retain'd in the Body by means of that suppression 9. Hectic Feavers always attend purulent internal Ulcers which partake of acidity 10. Children are oft-times seiz'd with Feavers and gripings by virtue of the corrupt Acid of the Milk 11. The high Colour of the Urine in Feavers must needs proceed from a prevalent Acid for Alcali's give a contrary Tincture 12. Immoderat use of Wine produces the same Symptoms as a Feaver by means of its Acid Tartareous parts 13. Hypochondriac persons are obnoxious to Inflammations c. by reason of the prevailing Acidity in the first passages 14. The Heart-burning resembles the Symptoms of a Feaver and is caus'd by a gnawing Acid in the mouth of the stomac 15. That according to Tachenius the hot vegetable Remedies are proper against a predominant Acid and the cold vegetables against an Alcali The plain truth is this All hot vegetables have a fat rosinous Acid which if set at liberty is notably hot but if they be digested with fix'd Salts the fat Acid is retain'd by the fix'd Salt and then they yield a thin meagre Spirit of noted excellency in hot diseases as I have often experienc'd by the simple Spirit of Sal-armoniac 16. That the pain and heat remaining after burning proceeds from the keen Acid particles shot into the part and is remov'd by Alcali's Some derive the excessive heat attending Feavers from the Bile but several medicines near ally'd to the Choler expel the heat and besides its Patrons cannot determin whether it should proceed from its Acid or Alcali since 't is equally intitled to the possession of both The fourth Symptom is the Alteration of Urine When the Chyle or Blood is viciated Nature indeavours to discharge the Heterogeneous particles by this passage which accordingly impart to the Urine a high or flat tincture according to the degree of the peccant Acid which is equally the Cause of this and all other Symptoms attending Feavers The immediat subject of Feavers is the Blood and Spirits The alteration of Pulse and Urine clearly infers that the Blood is affected the Critical Sweats the Jaundice and sometimes the Acid tincture of the Blood ensuing Feavers are plain Demonstrations of the same truth The feaverish tendency of Aches the efficacy of Opium in appeasing febrile commotions and the nature of some malignant Feavers that produce no notable alteration in the Blood and Urine make it to appear that the discomposure of the Spirits is properly call'd a Feaver From whence I infer that Heat or Chilness are not essential to a Feaver and that the Heart or any other solid part are not the immediat subject 'T is true the febrile source may lodge in some corrupt or vitiated part but it only causes a Feaver by disordering the Blood and Spirits This remote Cause of Feavers ought to be heedfully distinguish'd from their Effects of the same Nature namely when in their declination any solid part is seiz'd with a swelling obstruction c. according to the various disposition of
correcting the viscidity or sharpness of the Lymph especially the saliva and pancreatic juice evacuating the crude Phlegm and Lymph thus prepar'd and mitigating the Symptoms If the Breast be oppress'd let a gentle Vomit be exhibited or a mild purgative As Take Mynsicht's emetic Tartar two or three grains purifi'd Sal-Armoniac eight grains Or Take of Ruffius's Pills de tribus fifteen grains fulminatory Gold three grains prepar'd Scammony Treches Alhandal of each a grain With compound Tincture of Tartar make Pills In the next place attenuating Diuretic Remedies are proper as dulcifi'd Spirit of Salt of excellent use against a Hectic dulcifi'd Spirit of Nitre essential Salt of Tartar Sal-Armoniac Nitrum Antimoniatum Tartar vitriolated Terra foliata Tartari or its Liquor Tincture of Tartar Essence of Myrrh tartaris'd carminative Spirit Spirit of Sal-Armoniac anisated Poterius's Antihectic c. Take of purifi'd Sal-Armoniac half a dram Poterius's Antihectic a scruple make a Powder for two Doses one in the Morning and the other at Night before the Fit Nitrum Antimoniatum mix'd with an equal quantity of Sal-Armoniac or Arcanum duplicatum mix'd with diaphoretic Antimony or Sal-Armoniac mix'd with Galangal and Ginger are successfully us'd after the same method Take of Mint-Water and Fennel-Water of each an ounce and a half Spirit of Treacle two or three Drams dulcifi'd Spirit of Salt half a dram or a whole dram Poterius's Antihectic a scruple Syrup of Hyssop six or eight drams Mix for two Doses Let the Mouth be gargaris'd with small Beer and Hony of Roses or with Water Vinegar and purifi'd Nitre or the infusion of Holyhoc-flowers in Water with a little Spirit of Salt and a convenient Syrup The Feaver call'd Epiala in which the inward parts are oppress'd with heat while the external are cold is by some referr'd to this Head But 't is only a combination or rencounter of either a Continual and Intermitting or two Intermitting Feavers The Swoonings that sometimes attend both this and other sorts of Feavers are caus'd either by some viscious slime irritating the Mouth of the Stomac or some sharp rusty Humour lodg'd in it In the last case Unicorn's Horn or the Decoction of Tamarinds in Water are much approv'd But if a viscid windy Matter arise to them volatil spiritous Remedies are proper Tho' after all 't is worthy our consideration what Ballonius remarks upon this matter viz. That many Physicians are faulty in giving strong Cordials against swooning where purging were more proper Of Symptomatical slow Feavers These Feavers are frequently occasion'd by a preposterous use of Absorbents in Intermitting and Continual Feavers which fix the heterogeneous Particles and render the Chyle and Lymph viscid or by over-feeding in the declination of other Feavers while the digestive faculty is weak by which means the Chyle is loaded with Crudities They may likewise follow other Diseases proceeding from a viscous Acid. Their Symptoms are the same as above to which we may add that sometimes they are accompanied by a looseness or voiding of liquid pituitous Matter The Cure consists in tempering the saltish Acid attenuating the viscid Matter and procuring to it an egress by vomiting stool urine or sweat They sometimes proceed from Ulcers especially of the internal parts retention of the After-birth a dead Child in the Womb chronical Pains and are cur'd by removing the respective Cause by Medecins alotted to that purpose In general gentle Vomits and Purges are proper and in a word the whole series of Medicins prescrib'd for the independent Slow Feavers Sometimes such Feavers follow an unseasonable use of sudorific Decoctions against the Pox before the Body be evacuated and are cur'd by vomiting and the repeated use of Sal-Armoniac Of Hectic Feavers A Hectic is a Slow Feaver advancing insensibly If it be a principal independent Disease it proceeds from the Corruption of undigested Food in the Stomac immoderate fatigue sorrow watchings want over-liberal evacuations excessive Bathings c. Oft-times 'tis only a symptom of other Diseases and follows the irregular Cure of Continual and Intermitting Feavers Inflamations of the Bowels Lungs Mesentery Womb and Kidneys the French-Pox c. The Part affected is not the habit of the Body as the Ancients fancy'd but the mass of Blood and Lymph Hence the greatest heat is perceiv'd about the Arteries As for the independent Principal sort of Hectics the Stomac and digestive Faculty are the original seat of their cause The immediat cause is the indisposition and unequal texture of the Blood caus'd by the saltish sharpness of the Lymph in the conglobat Glandules and the viscosity of that in the Conglomerat From whence insue a deprav'd and diminish'd fermentation weakness weariness deficiency of Spirits and the whole train of Hectic Symptoms The salin and viscid Blood is render'd unfit for nourishing the parts and after eating when the thin readier part of the fresh Chyle dilutes the Blood and disengages its Salts the Pulse is a little enlarg'd and the Heat augmented and after some time sink again to their ordinary pitch And the coarse remains of the Chyle are frequently voided by Night-Sweats as having receiv'd a vicious Tincture in the Stomac from the Saliva and being upon that Account equally disagreeable to the Blood and solid parts As for the Remote Causes Fatigue and Labour Watchings and Care exhaust the Spirits and watery Vehicle of the Blood Anger exalts the Bilious Salt which joyning with the Acid acquires a saline Acrimony Grief and Sorrow increase the Acid which joyning to the urinous Salt becomes dull and unactive indigested Crudities in the Stomac or the want of Food occasion a stricter union between the Acid and urinous Salts and their mutual degeneracy into a third sharp saline Body Ulcers both internal and external corrupt the Blood by vertue of their salin sharp Matter continual and intermitting Feavers attended by plentiful Sweats exhaust the dewy watry part of the Blood or the unseasonable use of absorbent earthy Powders administred for their Cure destroys the Ferment of the Stomac and increases the Acrimony of the Blood Thus they all conspire to render the Blood and Lymph saltish or viscous There are three Essential Signs of a Hectic Feaver 1. An obscure insensible Heat increasing after eating 2. The successive Consumption of the Body 3. A swift frequent small weak and oft-times a hard Pulse To which we may add in some cases Night-Sweats the falling off of the Hairs an universal Weariness inward Heat and averseness to sleep in the morning If Ashy belchings precede the appearance of these Symptoms they serve for a confirmation In the beginning of the Disease the Urine resembles that of healthy Persons unless the Stomac be much deprav'd in which case 't is white pale and thick afterwards when the Appetit and Digestion are in a manner quite abolish'd it becomes thin transparent and high Colour'd and when 't is form'd into a perfect Consumption a fat oily Crust resembling Cobwebs swims on the Top. But we ought
either design'd for preservation from imminent danger or removing the present Illness Distill'd Vinegar Camphyr and alexipharmacal Ingredients are proper Preservatives As for the proper Cure of Malignant Feavers 't is perform'd by expelling the poysonous ferment and fortifying the Spirits and Humours in order to promote the expulsion To this purpose Sulphur absorbent Antimonial Powders Camphyr Vinegar and Acid Juices precipitating Powders such as the friable parts of Animals mix'd with alexipharmacal Ingredients such as Zedoary Ivy-Berries Juniper and Bay-berries Myrrh Angelica Gentian and Saffron with Opium and Sudorifics are very proper But in order to a regular use of 'em let us mind the following Cautions 1. Vomits especially the Infusion of Vitrum Antimonii are of admirable efficacy in the very beginning of Malignant Feavers especially when they 're attended by Anxieties in the Breast or proceed from an internal corruption of the Humors But the Season of exhibiting them must be nicely weigh'd for if Nature be already endeavouring any other evacuation especially through the Skin they are out of season 2. Sudorifics are justly look'd upon as the basis of the Cure but they ought to be proportion'd to the malignity of the Disease and strength of the Patient If the Malignity be of a moderat Character 't is advisable to begin with absorbents at first Indeed a violent malignity requires powerful Sudorifics but care must be taken that the Patient be not stifl'd with weight of Cloaths And those of the sweating Tribe that are Aromatic and Oily are only proper in the beginning or during the increase Towards the height or when the Heat is violent 't is not amiss to exchange 'em with fix'd Powders or at least to qualifie 'em with Acids such as the Spirits of Nitre the vegetable Acid Juices c. Camphyr is a Sudorific never to be omitted unless it be prohibited by a peculiar Antipathy as in some Women and studious Men. 3. During the time of sweating or immediatly after it let Acid mixtures of the Juice of Citrons and especially Spirit of Nitre c. be exhibited They retrieve the exhausted Spirits and procure a due consistence to the dissolv'd Blood and ought always to be imploy'd for a Vehicle to Venice Treacle and such like hot Compositions 4. Opiats are of admirable use for promoting Sweat which is frequently hinder'd by anxiety and unquietness Let 'em be mix'd both with Sudorifics and with the Acid mixtures exhibited after sweating but their proper Season is during the Increase for towards the Crisis they ought to be avoided 5. The Cure of malignant Feavers varies according to their respective Causes If they proceed from external Contagion fierce Sudorifics are requir'd If from the internal corruption of the Humours they ought to be more temperat and rather absorbent If the Animal Spirits are the principal seat of the Malignity subtil volatil penetrating Ingredients mix'd with Narcotics are proper If the Blood claim that Character they ought to be temper'd with Acid Vehicles The malignity of the Blood is for the most part attended by eruptions of Humours at one part or other that of the Spirits by Deliriums Watchings Convulsions c. and a tolerable Pulse 6. Malignant Feavers are frequently complicated continual Burning ones in which case regard must be had to the boiling heat of the Blood by insisting most on moder at Acids and fix'd absorbents especially those of Antimony and qualifying the volatil oily Specifics 7. The above mention'd Symptoms relating to the Tongue Hands and Tendons ought always to be inquir'd after as also the condition of the Eyes for if they are rutilant and fiery or fierce they threaten Deliriums 8 There is nothing more fatal than a Looseness and all Artificial Purgations are pernicious especially if the Disease came by Contagion or if Nature endeavour Cutaneous Fruptions or if the force of malignity surpass that of the febrile effervescency If the first Passages be stuff'd let temperat Clysters be injected and even those but very cautiously In the Declension of the Disease a gentle Laxative is not amiss 9. Blood-letting is highly Pernicious especially if the Disease came by Contagion or tend to cutaneal Eruptions Sometimes if the malignity be weak and the Blood boyl high in a Plethoric young Person accustom'd to Bleeding it may be allow'd but with a great deal of Caution and Judgment 10. Blistering Plaisters are very useful They 're applied to the Legs and Arms and in case of sleepy Symptoms to the Nap of the Neck If the Animal Spirits are much afflicted or if the Eruptions design'd by nature advance but slowly or retire afterwards they are of singular use Stephanus advises us not to be over hasty in applying 'em till Nature have discover'd her design and then if she be weak to interpose their help The increase or rather beginning of the Height is a proper time to apply ' em 11. The Diet must be thin neither are Victuals to be offer'd unless the appetit require ' em For Drink let Water be boyl'd with a third part of Rhenish Wine and mix'd with the Juice of Citrons and Gelly of Harts-horn Or let Whey be sharpen'd with the Juice of Citrons or Spirit of Nitre Having premis'd these Cautions we shall next touch at the Specifics some of which are volatil some fix'd The volatil are either lean and thin such as the Spirit of Sal-Armoniac the Spirits and volatil Salts of Harts-horn of Vipers of Tartar of Urine of Amber c. Or Oily and Aromatic such as Camphyr Elecampane Birthwort Rue Galangal Mary-gold Orange Peel Germander Castor Vipers Baum Zedoary lesser Centory Rob of Juniper and Elder-berries the distill'd Oyls of Amber Camphyr Harts-horn and Tartar Essence of Triacle Spirit of Triacle Camphoris'd and the Essences of Aromatic Herbs The fix'd are Diaphoretic Antimony Diaphoretic Gold native Cinnabar or that of Antimony above all the fix'd Sulphur of Antimony mineral Bezoar both simple and Compound the Bezoar Stone given to half a dram or in the room of it the Stone cut out of a Man's Bladder seal'd Earth Coral Harts-horn Sulphur and the preparations of Nitre c. Some are of a temperat nature neither properly volatil nor fix'd such are the Gelly of Harts-horn the expelling Seeds viz. Those of Carduus Benedictus Columbines Cresses Citrons c. To which we may add Myrrh which is a baumy Medicine of excellent use for covering the Spirits from the shocks of the malign ferment From these Simples are prepar'd an infinity of compound Medicines such as Venice Triacle or Diascordium which is better Mithridat Species of Hyacinth the Powder call'd Saxonicus c. As for Venice Triacle and such like hot Compositions the best way is to exhibit em in Acid Vehicles and mix 'em with fix'd Specifics Take of Rasberry Water and that of Water Germander of each an ounce and a half Diaphoretic Antimony half a dram Cinnabar of Antimony fifteen grains volatil Salt of Harts-horn twelve grains Camphyr two or three
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
weak the Urine crude pale and watery and towards the height of the Disease becomes thick and deposits a white Sediment and finally the Person is seiz'd with a slow Feaver scarce perceivable by himself and is oft-times thirsty and costive Thus far the Disease is only denominated a Cachexy But afterwards the whole Body becomes very turgid especially the Feet and Belly the Skin thick and pale and when press'd by one's Finger receives durable Pits which intitle it to the Character of a Leucophlegmacy Whereas an Anasarca requires that these Pits should quickly disappear and that a shining Colour cover the swelling Cachexies are apt to invade Women or those who confine themselves to a sedentary Life and if the Woman be past the season of her Terms they prove very tedious If they succeed to acute or intermitting Feavers or mismanag'd chronical Diseases they are not easily cur'd The Cure consists in attenuating correcting and evacuating the Crudities of the first Passages whetting the Bile vanquishing the vicious acid and strengthning the Stomac For these Ends we ought to be cautious of giving strong Purgatives or forcing the Cure too violently The better way is to proceed by degrees first to prepare the Crudities of the first Passages by digestive Salts such as the Hypochondriac digestive Salt given to half a dram twice a day Tartar vitriolated Sal-Armoniac and the Tincture of Tartar mix'd with absorbent Powders viz. Coral seal'd Earth Bezoardicum martiale and Poterius's Antihectic made of the Regulus of Antimony Tin and Nitre Then to exhibit a Vomit such as the Conserve of Hedge-Hyssop given from a dram to two drams or the Decoction of Hedge-Hyssop in Wine c. Or if a Vomit be improper to order a gentle Purge of the Extract of Esula or Juice of common Orris mix'd with sweet Mercury and Preparations from Gum Ammoniac The first Passages being thus cleans'd we advance to Chalybeats which ought to be continu'd for several Weeks a gentle Laxative being interlac'd every Week and the Patient remembring always to stir and move after taking ' em If the peccant Acid be very rank and the Stomac strong we may give the filings of Steel in Substance or the natural and artificial Waters otherwise chalybear Rhenish Wine impregnated with Aromatic Herbs or rather the Extract of Steel prepar'd with Juice of Apples or that ascrib'd to Mynsichtius or the Tincture of the Vitriol of Steel and Bezoardicum Martiale will answer the Design After the use of Steel is the proper Season for exhibiting the Infusions or Decoctions of the sharp bitter Aromatic Herbs and Spices to which we add some gentle Laxative especially Rhubarb which retrieves the Choler and subdues the Acid The Ingredients of this Nature are Wormwood Agrimony Turmeric lesser Centory Carduus Benedictus Elecampane and Cuckow-pint Roots Rosemary Hyssop Mint Horse-Radishes Cresses Scurvy-grass Cinnamon Galangal Zedoary Cloves Ginger c. The Rob of Juniper and Pulp of Raisins are much approv'd for the same effect and if we add to them Extract of Steel they prove more effectual And after all towards the end of the Cure we order the Patient to take every Morning and Evening some drops of volatil saline Spirits till he become perfectly well such are the Spirit of Sal-Armoniac or Elixyr Proprietatis prepar'd with it the Essence of Wormwood the carminative Spirit de tribus the Nephritic Tincture the Spirit of Harts-horn succinated c. In a perfect Anasarca the same Remedies are convenient To which we may add the Lye made of Wine and the Ashes of Wormwood and Broom sudorific Decoctions of Woods and Juniper Berries and that of Swallow-wort and Elecampane the Seed of St. John's Wort given to a dram in Wine or diuretic Infusions and Decoctions of Asarabecca Briony red Chiches c. mix'd with Emmenagoga in a Suppression of the Terms which frequently follows a Cachexy or Anasarca In scorbutic cases let Earth-Worms be added to the Aromatic Decoctions Externally Burdock Leaves bruis'd and applied to the Joynts and soles of the Feet are very useful The natural sulphureous Baths are of known Efficacy as also the dry Bagnios or in the beginning and declination of the Disease the way of procuring Sweat by kindling Spirit of Wine Some order the cachectic Body to be put into hot Sand. As for the Forms of prescribing they are as follows Take of Tartar vitriolated two scruples salt of Wormwood and prepar'd Crabs Eyes of each a Scruple distill'd Oyl of Turpentin six drops Make a digestive Powder for three Doses to be exhibited before vomiting Take of Quercetanus's Pills of Ammoniac and sweet Mercury of each fifteen grains Extract of Troches Alhandal a grain and a half Make Pills for a gentle Purge 'T is also very proper to add the Extract of Steel to all purging Pills Take of the Filings of Steel one part Cinnamon in Powder two parts Sugar three parts Make a chalybeat Powder Dose a dram Take of the Pulp of Raisins six ounces Extract of Steel prepar'd with Juice of Apples three ounces choice Rhubarb three drams with the Syrup of Apples make an Electuary The solar Liquor of Steel may also be taken from twelve to thirty drops or the solution of Steel in Juice of Apples mix'd with spirit of Scurvy-grass to fifty drops Take of Fumitory Worm-wood and Rosemary of each a handful Elecampane and Fennel roots of each six drams pick'd Senna an ounce black Hellebor roots six drams choice Rhubarb three drams the four greater hot Seeds of each a dram and a half Orange and Citron Peel of each three drams Galangal and Ginger of each a dram salt of Tartar two drams Make a Bag to be infus'd in Wine of which let the Patient take a draught twice or thrice a day after having finish'd the course of Steel Take of the Species Diacurcumae four scruples choice Rhubarb two drams Powder Diarrhodon Abbatis and Diagalangae of each a scruple with Syrup of Worm-wood make Pills Dose a dram Take of Elixyr Proprietatis without the acid an ounce Essence of Wormwood and that of lesser Centory of each two Drams Mix them to be us'd in the Declination of the Disease to fifty drops every Morning in a warm Vehicle and follow'd by fifty drops of Spirit of Sal-Armoniac mix'd with double its quantity of the carminative Spirit de tribus taken after dinner and at bed time ART 2. Of an universal Dropsie A Dropsie is a Collection and Extravasation of Serum causing a Distention Tumor and Softness in the external parts Sometimes a viscous Humor accompanies the Serum and then 't is a spurious sort of Dropsie complicated with an Anasarca A Tympany goes generally by the name of a Dropsie but for so much as it proceeds from Wind we refer it to the Chapter of Wind in the Stomac A Dropsie is call'd universal when it proceeds from the general Infirmity of the Body A particular Dropsie is owing to the infirmity of that Part from which it receives its Denomination
The most common sort of Dropsie is that call'd Ascites which begins at the Feet and in a short time reaches the Belly and Scrotum This Serum whose Extravasation causes a Dropsie for the most part is deposited into the respective Cavities by the Blood circulating in the Arteries 'T is true the Rupture and Obstruction of the lymphatic and milky Vessels may cause a Stagnation or Extravasation but that happens by accident Whereas the standing and direct source of Dropsies is the vicious Crasis of the Blood as being unqualified for digesting and assimilating its Serum and its languid Motion giving the Serum an opportunity of squeezing through the Vessels especially about the Capillary Arteries where the influence of the Heart the primum mobile is but very small and more easily communicable to the thick resisting Blood than to the weak yielding Serum Now that the slow motion of the Blood will occasion a Transmission of the Serum is plainly made out by Dr. Louer 's Experiment of tying a Ligature about the Vena Cava under the Heart and that the vicious Crasis or Crudity of the Blood occasions an imperfect Turgescence and a weak Propulsion from the Heart is too evident to need a proof I grant that there are some melting Dropsies that proceed from the Colliquation of the Humours originally contain'd in the part without the assistance of foreign Serum as in Hectic Feavers and after hot acute Diseases but these are not proper Dropsies as being only Symptoms of a Colliquation According to this Hypothesis we need not be at a loss to scan the Influence of remote Causes 'T is an obvious Conjecture that whatever weakens Digestion accumulats Crudities enfeebles the natural Functions and in a word all Chachectic Disorders are apt to degenerat into Dropsies The suppression of Urine and that of insensible transpiration are either the Causes or inseparable Companions of a Dropsie Nay I doubt much if an universal Ascites can ever take place unless the Kidneys be disorder'd And 't is a notorious observation to this purpose that whoever drinks much and does not piss proportionably may justly make account to encounter a Dropsie e're he dies and that whoever attempts the Cure of a Dropsie without Diuretic Medicines is but lamely equip'd for his Office The drinking of Brandy and Sulphureous Liquors that melt down the Humors sharpen the Lymph and relaxat the Stomac the inconsiderat use of cold Water immediatly after violent Heat the suppression of any wonted Evacuation and excess of any Flux whether of Blood or other Humors the attenuation of the Serum by the use of Mercury the Jaundice and inactivity of the Bile Chronical Agues mismanag'd Asthma's Phthisics and Spitting of Blood and in fine whatever weakens Nature renders the Blood uncapable to assimilat the Chyle or retards its circular Motion and disturbs its due Targescence these I say are the natural Authors of a Dtopsie The tumors of the Mesentery Liver and other Bowels do generally accompany this Disease but oft-times are rather effects than Causes The Symptoms of a Dropsie display themselves after this method The Feet at first begin to swell and receive Pits by the pressing of one's Finger in the Night time the swelling abates but regains new force the succeeding Day By degrees it reaches to the Abdomen and Scrotum and frequently affects the Prepuce and Testicles The Water thus inclos'd in the Belly sometimes possesses one side sometimes both and as the Person turns in his Bed it rolls with a noise and sometimes visibly from one side to the other in the mean while the Breast Neck and upper Parts waste and decay The Face and Hands sometimes swell An itching and oft-times a scab molests the Skin and spots or wheals beset the Legs A slow Feaver pursues him and increases towards the Evening The Pulse is small frequent and a little hard An unquenchable Thirst loss of Appetit straitness of the Breast shortness of Breath especially in the Night time and a dry Cough oft-times usher in a Dropsie Big belly'd Women are oft-times apt to suspect a Dropsie without occasion The signs which serve to undeceive 'em are these In a Dropsie the Face is pale and Livid the Eyes are rob'd of their sparkling Vigor the Water contain'd in the Belly Floats to and again falls as the Woman turns her self and is very weighty The swelling is soft equal and bends downward it do's not impair the Flux of the Terms but diminishes the quantity of Urine and gives it a high Tincture and causes a violent Thirst all which Symptoms are contrary to those of Being with Child The Hydroâ—ic Water is not always of the same Colour as being either Green Yellow or Blackish c. But 't is generally salin and sharp apt to corrode the Bowels and to cause Ulcers on the Legs or to cast a Froth like Lather when mix'd with other Water nay the distention and stiffness of the Membrans inwrapping it seems to argue that it ferments within and provokes them to Contractions As for Prognostics If a Dropsie follow Chronical Diseases or indiscreet Purgation or invade those whose strength is decay'd if it be attended by unspeakable Thirst Coughing Schirrus of the Bowels difficult Respiration scarcity and redness of Urine hardness of the Belly extreme inappetency or a melting Feaver Ulcers or livid Spots in the Legs Black Excrements when the Person do's not use Steel These I say are dismal Circumstances whereas the Reverse of 'em are look'd upon as hopeful Signs Convulsions and Apoplexies succeeding a Dropsie are very fatal The Cure turns upon two indications 1. To remove the stagnating Serum 2. To prevent its further increase by retrieving the due Crasis of the Blood and fortifying the Stomac in order to a regular Chylification The first is answer'd by Evacuations and abstaining from Drink Of evacuating Medicines Purgatives are the first especially the Roots of the Common Flower-de-luce and Elaterium or the Juice of the wild Cucumber The former do's not only evacuat but enjoys also an alterative Vertue and is given to three drams in Infusion or its Juice express'd to half an ounce with a scruple of the Powder of Soldanella Elaterium or its Extract prepar'd with Spirit of Wine Tartaris'd given to fifteen grains is fitly joyn'd with sweet Mercury The Infusion or Decoction of half an ounce of Bryony with Salt of Tartar is of excellent use against Dropsies of the Womb. When the Serum is mix'd with viscous Humors Coloquintida or the extract of Troches Alhandal ought to be added The lunar Pills made of the Crystals of well refin'd Silver prepar'd with Spirit of Nitre or Aquafortis or Mercurius Vitae render'd Laxative by mixing it with sweet Mercury are also noted Purges against Dropsies To which we may add the Rosin of Jalap the Infusion of a handful of the Flowers of Acacia in Whey the Syrup and Conserve of Peach Flowers Gutta Gamba given in Powder to sixteen grains or its Rosin given to twelve
grains the Infusion of two or three drams of Hedge-Hyssop or its Conserve given to two drams Syrup of Buckthorn and the Rinds or Leaves of Elder The proper season for exhibiting Purges to Hydropic Persons is immediatly before the new Moon when the Disease of it self relents But if the Hydropic Water lodge in the Purse of the Caul or duplicat of the Peritonaeum or Vesicles of the Mesentery and not in the Cavities of the Womb Purgation is of no use And withal we ought to remark that Purgatives ought to be mix'd with Stomachical Specifics especially Wormwood and not too often repeated by reason that they melt down the laudable Humors as well as the bad and so indirectly strengthen the Disease especially if they do not operat quickly after Administration If the Hydropic Person Vomit easily or be molested with a shortness of Breath Vomits are useful But they ought to be given in large Doses otherwise they do not Operate Opiats in general are pernicious tho' in some singular Instances they may pacify the Spirits appease the irritated Fibres of the Kidneys and so indirectly promote an Evacuation by Urine Diuretics are the choicest evacuating Remedies But they ought not to be exhibited till after the use of Laxative attenuating and opening Ingredients nor us'd without the addition of Chalybeat or Corroborating Medicines Asarum Wormwood Elecampane and Gentian lead the Van. The Juice or Infusion of Celandin the greater is a celebrated Specific to which we may add the Decoction of Swallow-wort in Wine or its Extract it being peculiarly calculated for such Dropsies as proceed from Scrophulous tumors in the Mesentery Hore-hound is much recommended against a Hydropical Jaundice The Infusion Decoction or Juice of Garlic is a powerful Diuretic as also Turmerick and Madder The Decoction Infusion Spirit and Rob of Juniper Wood and Berries are of excellent use and seem to claim a Preference before the Decoctions of Guajacum and Sassafras The Juice of the Herb Kali given to half a dram is much applauded but it ought not to be taken above three Days in a Week for fear of over doing In those Dropsies which approach to Anasarca's fix'd Salts are of good use and perhaps preferable to other Diuretics But in an Ascites 't is not improper to shift 'em for those of a volatil nitrous Character The Heads of the fix'd sort are the Lixivious Salts of Vine-Twigs Bean-stalks Juniper and Lime-tree-wood The volatil are all the volatil preparations of Tartar the Spirit and Flowers of Sal-Armoniac or Elixyr Propritatis prepar'd with it and the volatil Salt of Harts-horn Poppius bestows large Encomiums on the Spirit of Urine rectify'd with Spirit of Wine Ambergrise and Mosch and given to half a dram Morning and Evening nay Man's Urine or that of Sheep is very effectual among poor People Crollius recommends Goose-Dung given to a dram in distill'd Urine The Spirit of putrifi'd Earth-worms given to sixty drops twice or thrice a day in Wine impregnated with Juniper Berries or the Liquor that flows per deliquium from Earth-Worms putrifi'd with Moss of Earth and baken with Dough in an Oven given to a spoonful twice a day the Powder of dry'd Toads the Heads and Guts being thrown away given to a Scruple three or four times in one Day but so as to intermit three or four days before it be us'd again the Liquor which drops per deliquium from Cockle-shells coagulated with Spirit of Salt the Powder of greasie Beetles or of Hog-lice these are all approv'd for their anti-hydropic Vertue Sudorifics are not proper in an Ascites by reason that they heat and fret the Serum and dissolve the Blood so as to occasion a further effusion of Serum into the Cavities In case of an Anasarca or when the Serum stagnates in the Glandules and Bowels they are useful and ought to be given in small quantities lest a stronger force should weaken the Patient Juniper-Wood Millet-seeds and Vegetable Aromatics together with volatil Salts are the most proper Ingredients and ought to be administer'd in a liquid form Sometimes Mercurial Salivations are also of use in desperat Dropsies After the internal Remedies for evacuating the hydropical Serum we come in the next place to what assistance external Operations can afford If the Navel be much rais'd we apply aperients to it and if they do not open it we tap it with a Needle A Paracentesis is also frequently perform'd on the side of the Belly with good success But we ought to remember that in Dropsies the Peritonaeum is very thick that 't is dangerous to take out above eight or ten Ounces of Water at once that if the Disease be confirm'd and the Bowels beset with Schirrus's or already corroded by the Water and if the larger Lymphatic Vessels be broken or if the Dropsy be universal a Paracentesis is of no use Sometimes if Nature tend that way the Scrotum opens of it self or if it do not 't is artificially open'd with a Cautery or a Launce But it ought to be carefully defended by proper Preservatives from a Gangrene to which 't is very liable Slight scarrifications of the Legs are oft-times of good use but the Wounds must be gently handled and frequently fomented with the Spirit of Wine camphoris'd in order to prevent a Gangrene If Blisters rise in the Legs we apply Cole-wort Leaves to 'em nay oft-times the Leaves of Water-Plantane bruis'd and applied raise Blisters of themselves which void a great deal of Serum Blistering Plaisters are us'd with good success but they ought to be cautiously applied to the outermost Parts because they extinguish the native heat and promote a Gangrene Upon which account Caustics which fortifie the Part with an Eschara and do not attract the Humors so violently are more proper But if the Disease be confirm'd and if the Person be weak and cold then they may introduce a Gangrene or at least will only give vent to the Water under the Skin as not being able to extend their influence to the Cavities Some choose to pair the Nails of the Toes very close and tye strait Ligatures upon the Parts The former Stratagem drains the Water and the latter cuts off all further Supplies and forces the imprison'd Matter either to retire into the Lymphatic Vessels or march out by the proper Passages Having thus dispatch'd the first Indication we are arriv'd at the second which was to corroborat the Stomac and Crasis of the Blood for which end chalybeat Medicines ought to be mix'd with the above mention'd Ingredients especially to Worm-wood and Ground-Ivy which last is of excellent use both inwardly and outwardly The Salt of Wormwood coagulated with the Spirit of Salt the Tincture of Tartar Tincture of the Vitriol of Steel the Terra foliata of Tartar and the Lapis Fulminaris pounded with Alcohol of Wine and mix'd with the Powder of Snakes Cast-Coats are much applauded for the same purpose If the Fibres of the Skin be weak and relaxated it
will not be improper to Bath it with the Spirit of Wine and strong Waters as for astringent Fomentations I doubt they do more harm than good If the Vessels or Organs be broke we may add vulnerary Ingredients to the above mention'd Specifics If the difficulty of breathing be very troublesome 't is usual to give a dram of Sperma Caeti in Spanish Wine after vomiting If Hydropical Persons be extream thirsty we must be very cautious of pleasing them or answering their demands since abstinence from Drink is the better part of the Cure Nitre melted in the Mouth Wine temper'd with Juice of Citrons the dulcifi'd Spirit of Salt Vinegar diluted with Chalybeat Water and the Decoction of Juniper Berries in Whey given for ordinary drinking are of use for mitigating this Symptom In the mean while it will not be improper to inject Clysters of hydropical Purgatives and aromatic Ingredients or of Herrin-Pickle or of a Child's Urine impregnated with carminative Seeds in case of Wind or mix'd with Turpentin and Nitre Nor will it be amiss to apply discussive Aromatics to the soles of the Feet Belly and Cod. Such are the Leaves of Celandin the greater Bags quilted with aromatic Seeds and Bran Man's Ordure Goats Dung boil'd in Mint-Water or mix'd with Man's Urin in the form of a Cataplasm Horse's Dung mix'd after the same method with Meal of Barley and Vinegar Quick-lime-Water mix'd with Spirit of Wine is of excellent use for bathing the Legs Belly and Scrotum especially when a Gangrene is threaten'd by the appearance of Spots Cataplasms made of Cockles bruis'd together with their Shells and mix'd with Goats-Dung are particularly recommended by Thonerus If these Cataplasms prove uneasie they may be shifted for aromatic Oyls such as the Oyl of Scorpions distill'd Oyl of Juniper Oyl of Bays Oyl of Toads mix'd with the Ointments Agrippae Martiatum c. Or an Ointment made of Sulphur Quick-lime and the Extracts of sharp Plants Some commend Bathing but 't is only of use against Anasarca's It remains only to annex a few Recipe's for illustrating the Method of prescribing Take of the Extract of Elaterium fifteen or twenty grains Rosin of Jalap from two to five grains Troches Alhandal one or two grains distill'd Oyl of Juniper two drops With Essence of Wormwood make Pills for a Hydropical Purge To which we may premise the Tincture Spirit or Salt of Tartar as a Digestive Take of the Conserve of Peach-Flowers a dram twelve grains of Mercurius vitae mix'd with fifteen grains of sweet Mercury Extract of Elaterium a grain or two With the Syrup of Buckthorn make a Bolus for one Dose Take of the Rob of Juniper an Ounce and a half Extract of Steel prepar'd with Juice of Apples half an ounce Powder of Rhubarb two or three drams with Cinnamon-Water make an Electuary for corroborating the Stomac Take of Swallow-wort Roots two ounces Leaves of Celandin the greater Hore-hound and Wormwood of each a handful Citron and Orange-peel of each six drams Seeds of the Ash-tree of Cumin Fennel and Annis of each two or three drams Juniper Berries bruis'd an ounce and a half Galangal Cloves Ginger of each a dram Salt of Tartar six drams infuse them in Wine Of which let the Patient take a Draught frequently Take of the Salt of Vine-twigs or that of Pigeons Dung of each a dram Powder of Toads two scruples Make a Powder for two Doses Take of the carminative Spirit de tribus half an ounce Spirit of Sal-Armoniac two drams Mix. Dose half a dram twice a day Take of the Decoction of Camomil Flowers half a Pound Man's Urine three Ounces lenitive Electuary six drams distill'd Oyl of Turpentin a scruple Make a Clyster Take of the carminative Decoction six Ounces Man's Urine three ounces Yest a Dram common Salt a scruple Hony of Roses an ounce Make a Clyster Take of Cockles and their Shells bruis'd a Pound Powder of Caraway-Seeds two ounces Goats Dung an ounce Make a Cataplasm to be applied to the Belly and Cod. Take of the Ointment of Sowbread an Ounce Ointment of Agrippa half an ounce Oyl of Scorpions an Ounce and a half distill'd Oyl of Toads three drams Mix for a Liniment and anoint the Belly frequently ART 3. Of the Yellow Black and White Jaundice A Jaundice is a cachectic disposition of Body attended by a preternatural Colour of the Skin it is caus'd either by the corruption of the Chyle in the Stomac or its vicious fermentation with the Bile and Juice of the Pancreas in the Duodenum or by the immediat putrification of the Mass of Blood The first cause defiles the Mass of Blood and taints it with various Recrements according to the manner of its corruption Hence Milk curdled in the Stomacs of Children Summer-Fruits Cucumbers Fish c. being converted into a musty Crudity will cause a Jaundice by mixing the corrupt Chyle with the Blood which being unfit for nourishment or assimilation is thrown out in a serous Vehicle upon the Glandules of the Skin and sometimes upon internal Glandules The Jaundices which follow Feavers or extreme bleeding which are attended by vomiting of yellow corrupt Matter musty Belchings Heart-burnings and Excrements colour'd as in a healthy state seem to arise from this cause and are accordingly cur'd by Vomits and bitter stomachical Medicines The second Cause takes place when an Acid prevails and the Bile is lazy or unactive and either cannot make good its secretion through the Liver and consequently recoils into the Blood or when separated stagnates in the Gall-Bladder and settles into Stones so as to cause an Obstruction of the Passage Hence sulphureous strong Liquors that exalt the Oyl of the Bile and cramp its active Volatil Salt are frequently charg'd with causing a Jaundice Sometimes the Convulsions of the neighbouring Membranes may contract the Gall-Bladder and so shut up the Passage upon which account Vomiting Colic-pains Hysteric Passions and hard Labour in Child-bearing are observ'd to introduce this Disease The prevalency of an Acid in the Duodenum arising either from the austere Recrements of the Stomac or the degeneracy of the Juice of the Pancreas will also pervert the Chyle and consequently the Mass of Blood So that the greatest part of Jaundices are wholly owing to a preternatural corrupt Acid in the Stomac or Duodenum and the inactivity or imperfect distribution of the Chyle As for the third Cause viz. The immediat putrefication of the Mass of Blood 't is occasion'd by Poyson birings of Vipers or Mad Dogs malignant Ulcers suppression of the Terms the Scurvy c. And when a Jaundice springs from this cause the Stomac Bile and Colour of the Excrements continue in their natural state Now any of these three Causes will occasion a preternatural colour of the Skin which always attends the Jaundice For the Blood being vitiated and tinctur'd with corrupt Recrements precipitats and throws 'em out in a serous Vehicle upon the Skin where the miliar Glandules are
Lance and kept long open by applying the Balsam of St. John's wort with Oyl of Tartar and the Plaister Opodeldoch If either the Suppuration or Cleansing advance but slowly Cupping-glasses are of use for attenuating the stubborn Matter But after all if there be any ground for suspecting a Cancer we must lay aside the thoughts of Suppuration and indeavour the Cure internally by administring first the Decoction of Guajacum then Purgatives and in the last place the Spirit and Salt of Vipers And if these prove ineffectual by the universal Method for the Pox. As for the Pushes and Pimples that attend the Pox 't is convenient to wash 'em with the Decoction of Woods and Oyl of Tartar and touch 'em gently with some Spirit impregnated with the Tincture of Copper or with the following Mixture Take of Plantane Water six ounces Sublimat Mercury four scruples Allum half an ounce Mix and apply with a Feather This mixture is also proper for the Swellings of the fundament unless they be very large in which case we Root 'em out with Ligatures or with a Knife and apply the mixture to the remains Warts are remov'd by applying Oyl of Vitriol or Aqua Fortis The Ulcers usually disappear after Salivation Otherwise they are cleans'd by applying the Solution of Sublimat Mercury in Plantane Water or an Ointment of common Oyl Ceruss Red Lead Sublimat Mercury and white Wax After they are sufficiently cleans'd as the laudable Colour of the Pus and sides of the Wound will discover we apply the Decoction of Woods and vulnerary Plants with Sugar of Lead and Lime Water and the Plaister Diasulphuris with that of Norinberg The external Ulcers of the Yard are treated after the same manner If they are internal we inject the above-mention'd Liquors or put in a Wax Candle cover'd with the foregoing Ointment For those of the Womb the same method will suffice As for Ulcers of the Mouth and Palate we must take care that the Caustic when applied be not swallow'd down if they are seated in the upper side of the Palate we inject the healing Decoctions thro' the Nose Such are the Decoctions of Plantane Self-heal Scabious of each a handful red Roses two little handfuls Sarsaperilla an ounce Guajacum and red Sanders of each six drams Sumac half an ounce To two pound and a half of the strain'd Liquor we add two ounces of the Syrup of dry Roses and as much of that of Mulberries The Ulcers of the Nose ought to be first wash'd with emollient Decoctions and Oyls by reason of their Crust and then with the Astringent Vulnerary Decoctions mix'd with Allum and Lime Water The Chops of the Hands and Feet are wash'd with the Decoction of Woods sweet Mercury and Quick-lime to which if the Chops be hard we add emollient Ingredients after washing we anoint 'em with Sublimat or sweet Mercury and the Oyl of Tartar incorporated with Vnguentum Enulatum If the Bones be Rotten we scrape 'em with a Knife or if that method prove successless we apply a hot Iron and then wash 'em with Spirit of Wine The Bones of the Palat must be cover'd with a Plate of Silver or Gold For pains in the Bones remaining after the general Cure we apply the following Plaister Take of Vigo's Plaister with a quadruple quantity of Mercury an ounce and a half Express'd Oyl of Nutmegs and Opium dissolv'd in Vinegar of each half an ounce thicken'd juice of Tobacco and common Cinnabar of each an ounce Saffron six drams With Turpentine make a Plaister If a swelling remain after the Pains are over apply Clouts dip'd in fresh Butter boyl'd in Wine till it Evaporat The hard stony Concretions that frequently beset the Bones yield to a Salivation interlac'd with preparations from Vipers and Antimony Externally we apply Vigo's Plaister with a quadruple quantity of Mercury soften'd with the distill'd Oyl of Guajacum or the following Composition Take of Diachylon with Gums and Oyl of Olives of each four ounces new Wax an ounce black Pepper half an ounce common Salt two drams Spanish Flies a dram Mustard-seed a scruple thicken'd Hony two scruples Make a Plaister to be applied above a piece of very fine Linnen and ty'd fast to the part the Linnen underneath being chang'd twice a day If these hard swellings are very painful apply a Liniment of the Oyl of Turpentin distill'd Oyl of Guajacum Quick-silver and Opium Some apply a Plate of Lead cover'd with Mercury or a Plate of malleable Mercury prepar'd thus Take of Lead a Pound and melt it while 't is yet liquid put a Bar of Iron into it 'till it begin to thicken Then shift the Iron and put an ounce of Quick-silver into its place where 't will congeal After 't is thus congeal'd separate it with a Knife and boyl it thrice in a Pound of Oyl till the Oyl be set on fire every time If this Method prove ineffectual apply blistering-Plaisters and cut Issues above the Part or open the Tumor with an actual Caustic and keep it open for a long time The Scab and Tetter that sometimes attend the Pox are remov'd by touching 'em with the solution of sublimat Mercury in Arsmart-Water and applying the Oyl of Tartar per deliquium with Hogs-fat The Head-Aches are cur'd by applying Vigo's Plaister with Mercury Castor and Laudanum Opiatum or by trepanation if the Venereal virulency be extinguish'd The tingling in the Ears is cur'd by injecting the Infusion of Guajacum Castor and Mint in Asses Urine or the following Essence Take of Sassafras Wood and Lavender-Flowers of each a Dram Guajacum-Bark and Castor of each half a dram Cloves a scruple Spirit of Wine three Ounces Digest for some Days and strain the Essence for use ART 6. Of the Hypocondriac and Scorbutic Diseases THere 's a sort of Cachexy that frequently reigns in our Northern Climats whose Symptoms appearing mostly in the Hypocondria have Christen'd it the Hypocondriac Evil. And when its Symptoms are very fierce and exalted 't is intituled the Scurvy a Name given it by the Saxons in North-Germany who are most liable to it The better part of Authors upon this Subject being amus'd with its Symptoms and Effects have vainly fancy'd to establish its original Seat in several Bowels that are only accidentally concern'd For if they trac'd it to its state of Infancy and first Beginning they had pitch'd upon the Stomac for the place of its Nativity and the Acid Viscous Crudities that a faulty Digestion occasions for its Causes For our further satisfaction in this matter we shall briefly run over its Symptoms And if we find that they owe their Being to an Acid Crudity in the Stomac shall reckon that we 've made our point good In the first place the Appetit is oft-times over-keen in Hypochondriac Persons their Digestion being weak and follow'd by Convulsive or Weighty pains in the Stomac Belchings Wind and noise especially in the left side of the Belly where the Colon is
that without a particular regard to it they cannot be cur'd The Signs that argue for the presence of it are these 1. The Heat and tickling of the Gums and effusion of salt watry or stinking Blood 2. A purple Half-Moon under the Eyes 3. Little red Spots like Flea-bites on the Thighs and Legs 4. The weakness of the Knees 5. The stinking of the Mouth especially when the Stomac is empty 6. Sudden and unaccountable Flushings all over the Body 7 The flame-Colour of the Urine without a Feaver or red friable Sand sticking to the bottom or sides of the Urinal If the Scurvy be recent it admits of a Cure If Inveterat it requires a continued Use of proper Medicines for a long time and frequently terminates in fatal Dropsies Cachexies Obstructions of the Bowels or Consumptions If a difficulty of breathing attend it 't is very dangerous and frequently finishes the Tragedy in a Swoon Costiveness and suppression of the Piles or wonted Evacuations are bad Omens A weak and unequal Pulse is less to be fear'd than in other Diseases Black Urine without a Feaver is well look'd upon as being a sign of the solution of the Disease Red Spots are a good Sign But Black Livid or Blue ones and Ulcers are very bad Night-sweats with florid eruptions frequently give relief The Symptoms of a Scurvy are oft-times mutually exchang'd Thus wandring pains are shifted for a fix'd Head-Ache the Colick and Convulsions for a Palsy or inconstant Swellings grievous pains for a Lethargy c. A hot Scurvy or such as proceeds from bad Diet and has fix'd Symptoms is not easily Cur'd A Looseness attending a Scurvy is an unlucky Companion In fine all Prognostics relating to a Scurvy are very uncertain for sometimes dismal Symptoms disappear on a sudden and meeker Signs are surpriz'd by Death The Cure of Hypocondriac and Scorbutical Diseases consists in Correcting and Evacuating the Crudities of the first Passages fortifying the Stomac retrieving the due Crasis of the Blood and restoring all wonted Evacuations to their former Course In order to compass these ends let the following Rules be heedfully minded 1. Blood-letting and Issues are of no direct use Sometimes indeed indirectly a Scorbutical Catarrh may reap Benefit from the latter as the Head-ache and fix'd Pains in the Legs may justifie the former 2. Diuretics are always proper and a plentiful evacuation of Urine was ever observ'd to give relief In the beginning of the Disease gentle Diuretics are best for fear of draining the Morbifical cause out of the first Passages into the Vessels Such are the volatil and fix'd Alcali's viz. Arcanum Duplicatum Spirit of Earth Worms Tincture of Tartar Spirit of Sal-Armoniac c. 3. Dry Vomits given in large Doses usher'd in by Digestives and in case of Costiveness proper Clysters are the Basis of the Cure of the Hypocondriac Disease In a form'd Scurvy they are improper as being apt to stir up and exasperate the sharp scorbutical Juices 4. Purgatives waken the Symptoms of the Belly and upon that account are justly avoided But Laxatives are very useful 5. Attenuating Gums and other such Ingredients are always useful for cutting the viscous Humours that give Being to the Hypocondriac Diseases 6. The Belly ought to be always kept open 7. When Aperients by opening and unlocking the Obstructions of the Bowels cause a Flux or Dysentery let the Guts be corroborated by Elixir Proprietatis Tincture of Coral c. 8. Chalybeats and dry Absorbents are not always of equal use in the Hypocondriac Disease for if the Bowels are molested with hard Swellings moist liquid Aperients are preferable 9. Antiscorbutics are useful against the Hypocondriac Disease as well as against the Scurvy 10. Bilious Constitutions or such as are rul'd by a Volatil sharp Alcali are oft-times offended by volatil Anti-scorbutics and oily Aromatics Wherefore 't is advisable in that case to qualifie the former with Spirit of Nitre or Whey and shift the latter for meagre thin Salts and Chalybeat Absorbent Powders 11. Vinegar is pernicious But the acid Juices of Fruits are allowable 12. Volatil sharp Antiscorbutics ought always to be usher'd in and sometimes interlac'd with chalybeat Powders or alcalin Salts 13. When the scorbutical Acid is corrected and the Stomac able to digest Milk mix'd with Spirit of Sal-Armoniac or that of Scurvy-grass is of excellent use it tempers the Acid qualifies the sharp Salt and bedews the nervous parts For Hypocondriac Persons 't is not so proper as Whey 14. Sweet Mercury is fitly mix'd with Laxatives for Hypocondriacal Persons but 't is pernicious to such as are Scorbutical tho' Antimony be very useful Having premis'd these cautionary Rules we proceed to the Method of Cure In which digestive Preparatives lead the van Such are Cetrach Hyssop lesser Centory Sassafras Myrrh China-root and the fix'd Salts of Plants Crabs-Eyes Castor Amber Coral Steel and Absorbent Chalybeat Powders excepting the Powders of Stones partaking of Steel such as Blood-stone the Load-stone c. since the number of their astringent earthy parts surmounts that of the Chalybeat and joins with the Acid in the first Passages into a styptic Body causing Costiveness From the above mention'd Ingredients we draw several Preparations such as the Extract of Steel the tinctures of the Vitriol of Steel of Tartar and of the dross of the Regulus of Antimony The Hypocondriac Digestive Salt viz. the Caput mortuum of the Spirit of Sal-Armoniac Tartar vitriolated the Terra Foliata of Tartar prepar'd by impregnating Salt of Tartar with Vinegar then dissolving it in spirit of Wine and drawing off the Spirit Poterius's Antihectic Chalybeat Bezoar Elixir-Proprietatis prepar'd without an Acid and especially Arcanum duplicatum For Example Take of Fennel and Mint-water of each an Ounce and a half the solution of Steel with the Juice of Apples half an Ounce Magistery of Coral prepar'd with the Juice of Citrons a dram Syrup of Orange-peel six drams Mix and exhibit two or three spoonfuls Morning and Evening for correcting a Hypocondriac Acid. Take of the aperient Crocus of Steel half a dram Arcanum duplicatum a scruple Salt of Wormwood half a scruple Make a Powder for three Doses Take of the aperitive Tincture of Steel two drams Spirit of Scurvy-grass a dram Spirit of Sal-Armoniac half a dram Mix. Dose fifty drops After these preparatives are us'd for a Week or two 't is time to administer a Vomit of the Infusion of Crocus Metallorum mix'd with the Spirit of Scurvy-grass Or thus Take of Dorncrellius's Anti-scorbutic Water two Ounces spirit of Scurvy-grass half a dram emetic Tartar three or four grains Extract of Steel half a scruple Mix c. Next in order are gentle Laxatives especially in a hot Scurvy such are the Pills of Ammoniac or those of Tartar mix'd with sweet Mercury which is of excellent use against Costiveness For Resinous Purgatives ought to be avoided as being endow'd with an astringent quality Wherefore Aloes whose Gummy part is of good use
ought always to be dissolv'd in a watry Vehicle that so its Rosin may be separated Sometimes we mix Laxatives with Specific Alteratives and continue their use for some time And whet 'em if there be occasion with Coloquintida or Troches Alhandal Raisins Prunes Tamarinds and ripe sweet Apples or their express'd Juice are of great efficacy against Costiveness But Sugar and other sweet things ought to be carefully avoided Rhubarb or Cream of Tartar sharpen'd with Powder of Jalap are recommended to such as are of a juicy Constitution As for the forms of Receipts they are as follows Take of Quercetanus's Pills call'd Melanagogae a Dram and a half Extract of Senna Leaves half a Dram Rosin of Jalap a dram and six grains Tartar vitriolated thirteen grains volatil salt of Amber a scruple the Seeds of Mustard Scurvy-grass and Garden Cresses of each half a dram With some Antiscorbutic Water make Pills This is the Composition of Timaeus his Antiscorbutic Pills of which a scruple or half a dram is a Dose Take of the Pills of Hiera with Agaric twelve grains Gum Ammoniac dissolv'd in Vinegar half a scruple Scammony sulphurated two grains With the Essence of Steel make Pills Take of Quercetanus's Pills of Ammoniac a scruple sweet Mercury fifteen grains Extract of Troches Alhandal two grains the distill'd Oyl of Caraways two drops With the Essence of Gum Ammoniac make Pills The Vitriol of Steel calcin'd white and the Extract of Steel prepar'd with Juice of Apples may be added by Turns The Extract of black Hellebor is also a proper Basis for Pills Take of the Aperitive Crocus of Steel a scruple Scammony sulphurated and Salt of Tartar of each five grains Make a Powder Take of the fresh Leaves of Scurvy-grass Garden Cresses and Rose-mary of each a handful fresh Horse Radish Roots an ounce and a half pick'd Senna Leaves an ounce choice Rhubarb half an ounce Crude black Hellebor three drams Juniper Berries six drams Cinnamon and Galangal of each a dram and a half Salt of Tartar three drams Tye 'em in a Bag to be infus'd in Wormwood Wine of which let the Patient take a draught Morning and Evening Take of Wormwood three handfuls lesser Centory two handfuls black Hellebor Roots three ounces Polypody of the Oak an ounce and a half Bark of the Ash-tree and white Tartar of each half an ounce filings of Steel three drams Sprinkle 'em with nine Drops of the dulcify'd Spirit of Nitre and tye 'em in a Bag to be infus'd in Wine Take of pick'd Senna Leaves two drams Polypody Roots three drams black Hellebor Roots two scruples Ginger half a scruple Salt of Tartar a scruple infuse 'em for the space of a Day in Whey then boyl 'em gently To three ounces of the strain'd Liquor add of the Spirit of Scurvy-grass a scruple Syrup of Apples three drams Mix for one Dose Take of Corants two ounces Bruise and boyl them in Water adding while the Water is yet hot pickt Senna Leaves three drams Violet Flowers three little handfuls Cream of Tartar a dram Let 'em stand for some time in a hot place then strain the Liquor for use Take of the Pulp of Corants three ounces Arcanum Duplicatum a dram purify'd Sal-Armoniac and the Powder call'd Diatrion Pipereon of each two Scruples With the Syrup of Apples make an Electuary for nine or twelve Doses After Purgatives we subjoyn Emollient abstergent Clysters especially those of Carminative Ingredients boyl'd in Childs Urine against Hypochondriac pains in the Belly those of Milk and Turpentine against Nephritic pains and those of Whey or rather of Milk injected every other Day in a confirm'd Scurvy As Take of Cows Milk nine ounces Lenitive Electuary an ounce Electuary of Bay-Berries half an ounce With the yelk of one Egg make a Clyster to be injected at Bed-time and retain'd all Night Some inject the Decoction of Elder Flowers and Henbane Leaves in Milk against Scorbutical Pains The Patient's Body being thus prepar'd we advance to Alteratives Such are Steel and all fix'd Salts or whatever subdues an Acid. To these we joyn either the Aperients Diuretics and bitter Stomachical Aromatics or the Spirituous volatil Salts Thus the filings of Steel all its Aperitive Crocus's the vitriol of Steel calcin'd the solar Liquor of Steel the natural Spaws consisting of Steel dissolv'd in Sulphur the Tincture of the vitriol of Steel the solution of Steel prepar'd with the juice of sweet Apples and mix'd with the Spirit of Scurvy-grass Chalybeat Diaphoretic Antimony Chalybeat Bezoar the Bezoar Stone c. These I say are all of good use But when the Bowels are stuff'd or threaten'd with hard swellings they are improper Besides while Spaw Waters are drunk 't will be requisite to defend the Stomac by some Stomachical Ointment or Plaister Next to Steel are the bitter Plants dedicated to the Stomac and Spleen such are Fumitory lesser Centory Juniper Barries Wormwood Agrimony Cuckow-pint and Elecampane Their Decoctions Essences and above all their fix'd Salts and the Salt taken from the Caput Mortuum of the Spirit of Sal-Armoniac Mynsichtius's Arcanum Duplicatum is of excellent use especially when the Person is lyable to flushings and sudden Inflammations Elixyr Proprietatis prepar'd without an Acid and mix'd with the Spirit of Scurvy-grass and that of Sal-Armoniac is also proper The volatil Salt and Spirit of Tartar the Tincture of Tartar mix'd with the Spirit of Sal-Armoniac and given to forty Drops the Garminative Spirit prepar'd from Tartar Nitre and Spirit of Wine the Spirit distill'd from a Mixture of Quick-lime Spirit of Sal-Armoniac and Spirit of Wine impregnated with Aromatics the Spirit of Sal-Armoniac mix'd with Antiscorbutic Spirits and espepecially the Liquor of the Terra Foliata of Tartar mix'd with Spirit of Sal-Armoniac are very much approv'd both in the Hypocondriac and Scorbutical Distemper especially when the Person is lyable to Heats and Flushings and apt to be offended by the Oily Aromatic Ingredients In which case purify'd or Antimonial Nitre is also useful Nay some are very diffuse in their Encomium's upon a mixture of Nitre and the Powder Diacumini The forms of Alterative Recipe's are such as these following Take of the Conserve of Fumitory an ounce and a half Confection Alchermes a dram and a half Crude Steel pulveris'd three drams Magistery of Coral prepar'd with the Juice of Citrons a dram With the Syrup of Apples make an Electuary Take of the Essence of Gum Ammoniac half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Sassafras two drams Dose fifty drops Take of Elixyr Proprietatis prepar'd without an Acid half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Cloves two drams Spirit of Scurvy-grass a dram and a half Dose forty drops thrice a Day Take of Fumitory Water two ounces Borrage and Bugloss Waters of each an ounce Carminative Spirit de tribus two drams prepar'd red Coral a dram Syrup of red Poppies half an ounce Mix and exhibit a spoonful now and then in
which Worms are the Head The Spirit of putrifi'd Earth-worms rectifi'd upon Cephalic Plants or the Infusion of bruis'd Worms in Wine Milk or Whey are most effectual Medicaments Some apply living Worms to the Part which die if the Pain be violent and as the Symptoms relent prolong their life Therefore this Application is renew'd till the Worms cease to die When the Paroxysm declines we endeavour to root out the radical Cause by preparations from the Pine-Tree China Roots and Juniper-Berries mix'd with Antiscorbutics The Decoction of Wormwood and lesser Centory Bags of Antiscorbutical Ingredients infus'd in Wine and the carminative Spirit or Spirit of Sal-Armoniac mix'd with the Spirit of Scurvy-grass are all of good use In a Word if the Patient be of a moist Constitution and apt to sweat volatil Ingredients are best if not Milk especially Goats Milk or Whey in which softning and Antiscorbutical Ingredients are boyl'd is preferable Take of Cinnabar of Antimony a scruple Poterius's diaphoretic Gold twelve grains Laudanum Opiatum two grains Make a Powder to be exhibited in the beginning of the Disease Take of the Water of Mother of Thyme Pine-Apples and Scurvy-grass of each an ounce the Essence against Catarrhs three drams the spirit of putrifi'd Earth-Worms a dram the volatil salt of Harts-horn a scruple the volatil salt of Amber half a scruple prepar'd Crabs Eyes half a dram Laudanum Opiatum three grains Syrup of Elecampane Roots an Ounce Mix and give a Spoonful in order to sweat Take of the Buds of the wild Pine-Tree three ounces China Roots slic'd an ounce and a half Juniper Berries an ounce Boil them in Water and exhibit four ounces in order to sweat every Morning and as much at Night without sweating Externally we ought to avoid all oily Applications Let the part be forcibly rub'd with a Cloth outwards or toward the Circumference and fumigated with the steams of the Decoction of Earth-worms and Ants. Then apply Cataplasms of Horse-Radish Roots or Briony Roots boil'd with Camomil Flowers and Comfrey Roots in Milk or of Cats Dung and Earth-Worms or of Venice Soap dissolv'd in Spirit of Wine sprinkl'd with the Spirit of Earth-worms and mix'd with Camphyr but 't is worthy our notice that these Cataplasms ought to be always kept warm for if they grow cold upon the Part they wring and straiten its Pores Upon which account some choose rather to foment it with the Spirit of putrifi'd Earth-worms Spirit of Ants the Spirit of Juniper Berries camphoris'd or the Spirit of Wine impregnated with Aromatic Plants and then apply a Plaister of Tacamahac and Mynsichtius's Diaphoretic Plaister VII Scorbutical Head-aches are cur'd by volatil Sudorisics such as the volatil Salt of Amber Spirit of Harts-horn the Cephalic Spirit of Vitriol the Anti-scorbutical Elixir Proprietatis and sometimes Opiats To these we subjoin a Milk Diet which tho' noxious in other Cases is of admirable efficacy in this VIII A scorbutical Palsie is for the most part usher'd in by a sense of a creeping sort of Pain like the motion of Emmets 'T is Cur'd thus administer a Vomit unless the Person be liable to Pains in the Belly Avoid Bleeding unless the Person be Plethorick inject emollient Clysters and exhibit the mildest Laxatives Then order the Decoction of Juniper and Pine-tree-wood or the Pine Apple with Rosemary and cephalic Plants in Milk or Whey The Decoctions of sudorific Woods the Essence of the Pine Apple the Essence of Juniper Berries the volatil Spirit of Tartar or the Carminative Spirit de tribus mix'd with the Spirit of Scurvy-grass the volatil Salt of Amber and especially Poterius's diaphoretic Gold or fulminatory Gold are all recommended upon this occasion Externally the same Medicines are requir'd as we order for the wandring Gout especially the Spirit of Juniper Berries Essence of Castor Spirit of Earth-worms Some order the Person to be set up to the Waste in a Heap of Grapes while they ferment either naturally or by the addition of Quicklime Cataplasms of Briony and Comfrey Roots are oft us'd with good success some fumigate the Part with the steams of Goose-fat thrown upon burning Coals and anoint it with the Oil of Scurvy-grass the Oil or Spirit of Earth-worms distill'd Oil of Amber and Balsam of Peru. Some apply Plaisters such as Oxycroceum and Nervinum Vigonis but all oily things are improper by reason that they shut the Pores Of the natural hot Baths those of the meekest force and heat are best IX Scorbutical Convulsions are cur'd by Vomits Purges and Antiscorbutics mix'd with nervous Ingredients Lac Cinnabar of Antimony the volatil Salt of Amber and Camphyr exhibited in the Decoction of Elecampane and Juniper Berries are of excellent use Some recommend Castle-Soap dissolv'd in Milk as also the Essence of the Pine-Apple the Essence of Sassafras carminative Spirit and Spirit of Sal-Armoniac mix'd with the Spirit of Scurvy-grass and Laudanum In the last extremity we must have recourse to the Decoctions of sudorific Woods China Roots and Fennel Externally the Oil distill'd from a mixture of Quick-lime and Oil of Lin-seed is of noted efficacy and likewise all cephalic Spirits and Oils Some recommend Bathing every Day for eight Hours in the Decoctions of Gentian Juniper-Berries Rue and Agrimony X. Asthma's attending the Scurvy are cur'd by the Extract of Saffron spirits of Hart's-horn Castor Amber and Sal-Armoniac Benzoin and Birth-wort-Roots with Antiscorbutical Decoctions If the Asthma's are merely Convulsive Laudanum Hystericum is a sovereign Remedy XI Vomitings require Artificial Vomits gentle Purges and stomachical Medicines mix'd with absorbent Powders and Antiscorbutics Loosenesses are cur'd after the same method rather than by Astringents which frequently occasion Anxieties in the Breast and Swoonings Bleedings at Nose or any other part are best stopp'd by exhibiting inwardly chalybeat Astringents such as Chalybeat Diaphoretic Antimony Vitriol of Steel the Antiphthisical Tincture c. XII A scorbutical Consumption is generally accounted for by a Milk Diet which is of excellent use when it proceeds from the degeneracy of the Blood But if the disorders of the Stomac and first Passages gave Birth to it Milk is improper and is fitly exchanged for Vomits and stomachical Aromatics In general Elixir Proprietatis without an Acid the spirit of Sal-Armoniae the Antiphthisical Tincture and Raisins eaten after Meals are very proper If the Animal Spirits are flat nervous Remedies will be useful If the milky Vessels or Glandules of the Mesentery and other Parts are charg'd with Obstructions volatil Aperients are necessary XIII Scorbutical Fevers take their Original from the Corrosive sharpness of the Blood and generally pass for Hectics Their Symptoms are an excessive Appetit follow'd by Vomiting or love for salt Victuals Costiveness Sweats smelling like Acids and leaving red Sand in the Bed and livid Spots in the Skin They are cur'd by Antiscorbutics mix'd with Steel and volatil and fix'd Salts especially the Flowers and spirit of Sal-Armoniac the Spirit of Sassafras and Arcanum Duplicatum
Whey sharpen'd with the Juice of Citrons is much approv'd as also Milk mix'd with the Spirit of Sal-Armoniac when the Stomac is able to digest it and the Feaverish Paroxysm is over The Symptom of Thirst is admirably accounted for by exhibiting the Decoction of China-roots and Liquorice XIV In scorbutical Dropsies strong Purgatives are noxious gentle Diuretics mix'd with Antiscorbutics being the Basis of the Cure Such are the Infusion of Wood-lice in Wine the Spirit of Sal-Armoniac and Tincture of Tartar mix'd with the Spirit of Scurvy-Grass XV. St. Antony's Fire happening to scorbutical Persons is cur'd by taking inwardly absorbent diaphoretic Powders mix'd with the Spirit or Syrup of Elder-Flowers and Spirit of Scurvy-grass and applying outwardly the Decoction of Litharge Elder-Flowers Olibanum Myrrh and Mastic in Lime-water and Vinegar with a little Camphyr XVI Ulcers accompanying the Scurvy and threatning a Gangrene ought to be wash'd with Lime-Water or the Decoction of lesser House-leek mix'd with the Spirit of Vitriol and anointed with the Ointment of Tobacco and Sugar of Lead or cover'd with the Powders of Myrrh and Frankincense Crocus of Steel and Sugar of Lead Inwardly let the Essence of Woods Essence of Fumitory and the Antiscorbutical Tincture of Coral be frequently administred As for the hard Swellings that frequently molest the Legs let Cataplasms of Bryony and Comfrey-Roots and Chamomil Flowers be applied to ' em Or let the thicken'd Juices of Comfrey and Brook-lime mix'd with Mynsichtius his Diaphoretic Plaister and the Distill'd Oil of Chamomil be us'd in like manner ART 6. Of breakings-out in the Skin UNder the Head of Deprav'd Nutrition we allot an Article for Cuticular Eruptions and first for the Scab which proceeds from the depravation of the nutritive Juice of the Parts under the Skin occasion'd by a preternatural Acid. This Acid takes its rise from sudden Cold succeeding to Heat and shutting up the steams of the Body within the straiten'd Pores from the contagion of an external Ferment and sometimes but very rarely from internal Causes such as the Scurvy French-Pox c. But for the most part the Blood and Internal Parts are not at all tainted it being only the nutritive Serum about the surface of the Body that is depraved tho' 't is true that by continuance it may at last infect the Blood If the nutritious Juice be very serous and apt to corrupt the Breakings-out run much if the Juice be Balmy and impregnated with a volatil oily Salt they are crusty and dry As for the Cure of a Scab we administer inwardly Purgatives and Sudorifics The Purgatives are the Extract of Black Hellebor or Scammony sulphurated mix'd with sweet Mercury and the purging Mercurius vitae or Turbith Mineral in an inveterat case If the Blood be tainted we administer the Decoctions of bitter and scorbutical Plants and Spices mix'd with purging Ingredients in Wine Whey or Water and continue their use for some time The Sudorifics are the Decoctions of Woods the volatil Salt of Vipers Harts-horn Ivory the fix'd Salts the Sulphur and Cinnabar of Antimony diaphoretick Antimony and the Syrup of Elder Flowers As Take of Elder-Flower Water an ounce the Spirit of Venice Treacle camphoris'd half a Dram Diaphoretic Antimony fifteen Grains the volatil Salt of Vipers half a Scruple Syrup of Orange-peel half an ounce Mix for a Draught Or Take of the Rob of Elder a dram the Powder of Snakes calcin'd a scruple Sal-Armoniac half a scruple With the Syrup of Orange-peel make a Bolus The distill'd Oyl of Turpentin given to six Drops every Morning the Essence of Vipers to forty the Tincture of Antimony or Tincture of Coral given to fifty Drops are also very proper And when all proves ineffectual a Mercurial Salivation may not be amiss Outwardly we apply Ointments of Sulphur Mercury especially that precipitated with the Spirit of Nitre and Sugar of Lead but we ought to take care that the Pores be kept open for fear the Scab should strike in Upon which account let Salt of Tartar be always added As Take of Vnguentum Enulatum and Album Camphoratum of each half an ounce Flowers of Brimstone three drams sweet Mercury a dram Salt of Tartar or Oyl of Tartar per deliquium a dram and a half with the Oyl of Tobacco or of St. John's wort Make an Ointment to which add of the Balsam of Peru half a scâ—â—ple Oyl of Rose-wood six drops Mix and anoint the Limbs especially the Joints at Night going to Bed and in the Morning wash off the Ointment with the Persons own Urine Take of the Decoction of Quick-lime a pound and a half sweet Mercury three drams Spirit of Venice Treacle camphoris'd an ounce Mix and wash the external Parts for taking off the Scab and the red Scars that remain after it The Distill'd Water of Man's Ordure is an admirable Wash and reserv'd by some as a Secret Some use Girdles of Quick-silver others fumigate with Cinnabar but the Body ought to be well cleans'd beforehand and arm'd against Cold. In a critical Scab we ought not to use repellents But Baths of the Decoctions of the sharp pointed Dock Tobacco-Leaves Scabious Elecampane and Briony Roots Brimstone and Quick-lime are allowable After sweating by internal Sudorifics the scabby Person may bath in them and rub down his Body and after bathing anoint with the above-mention'd Ointment The Itch is near ally'd to the Scab and proceeds from the sharp Particles of the Serum repairing to the surface in small quantities 't is cur'd internally by purging and sweating as above and externally by applying the following Ointment Take of the Roots of the sharp pointed Dock and Elecampane of each an ounce Boil them in Vinegar 'till they become soft then beat 'em thro' a Sive and add of the Oyl of Orris three Ounces common Salt an Ounce Myrrh three Drams Litharge an ounce and a half With Wax make a Liniment A Leprosie proceeds from a saline corrosive Acid reigning in the Serum as being a sort of exalted Scurvy It is oft-times the hereditary Infirmity of a Family or follows a bad Dyet Chronical Diseases and the suppression of wonted Evacuations The Signs which accompany it are either internal or external The internal are Acid or musty Belchings Costiveness Thirst a stinking Sweat thick Urine insomuch that the Powder of Lead will swim upon it an extreme propensity to Venery the thickness viscosity and unctuosity of the Blood when drawn forth and little Clotts of Sand sticking to the Cloth thro' which 't is strain'd the frequency and weakness of the Pulse difficult respiration stinking Breath a weariness of the Limbs Chillness stupidity and a hoarse Voice as if it came thro' the Nose The External Symptoms are these The Skin appears Livid Black or Yellow it Wrinkles when expos'd to the Cold it is notably rough and oily insomuch that Water will not stick to it it is cover'd with a Purple or White Dandriff little moveable painless Knots and
causing a greater afflux of pituitous Matter After evacuation we administer the Juice of Radishes the Infusion of Horse Radishes in Wine the Juice of Limons to two or three ounces with Oxymel the dulcify'd spirit of Salt the Philosophical spirit of Vitriol or rather the Acid spirit of Sal-Armoniac with the Decoction of Parsley Roots and red Vetches the Juice of the Pellitory that grows upon the Rubbish of old Walls as being impregnated with the Nitrous Salt of the Lime the Winter Cherry Madder volatil Salt of Amber c. If the Fibres of the Kidneys be flaggy Aromatic and Nervous Medicines are proper especially Turpentin the spirit and Oyl of Juniper-berries Cinnabar of Antimony and above all the volatil Salt of Amber given to twelve grains in a Convenient Vehicle is an admirable Diuretic If the Fibres be contracted we exhibit Narcotics with Cinnabar of Antimony and the volatil Salt of Amber or Mithridat with some diuretic Decoction or in imitation of Gesnerus the Powder of Glass If the ferment of the Kidneys be defective we exhibit the sharp salin Diuretics mix'd with the temperat Oily Ingredients especially the Decoction of Garlic Heads the Seed of Hedge Mustard given to a dram in Wine the Juice of Parsneps the Spirit and Salt of Urine Amelungius's nephritic Tincture prepar'd from Tartar Nitre Antimony and the solar Flint-stones the Carminative Spirit the volatil spirit of Tartar the spirit of Sal-Armoniac the volatil Salt or distill'd Oyl of Amber the Spirit or Juice of Earth-worms the Powder Juice and Infusion of Wood-lice the Infusion of Spanish Flies in Wine or their Diuretic Essence prepar'd with the Tincture of Tartar the Infusion of Horses Dung in Rhenish Wine the Urine of a Goat Crabs Eyes mix'd with Wine or Vinegar the Decoctions of red Vetches Chervil Madder or St. John's-wort the Shells of Hens Eggs or rather those of Estrich Eggs given to a dram or dissolv'd in spirit of Salt the Powder of Snails Shells dissolv'd in like manner the fix'd Salts of Diuretic Plants prepar'd according to Tachenius's Method or so that they be not too much calcin'd and consequently rob'd of their Salin Vertue the Tincture of Tartar prepar'd thus Take of the Salt of Tartar two ounces dissolve 'em in Water then strain and set it upon the Fire while 't is a boyling throw into it by degrees three ounces of the Cream of Tartar in Powder then thicken 'em with a gentle Fire and afterward reduce 'em to Powder from which extract an admirable Diuretic Tincture with the spirit of Wine To these we may add the Juice of the Birch-tree the distill'd Oyl of Turpentin and Emulsions made of violet Seeds and Speedwell Water or of Turpentin and the yelk of an Egg with some Diuretic Water and the Juice of Limons Or Take of the Waters of Parsley and Restharrow of each an ounce Elixyr of Juniper-berries call'd Malvaticum six drams spirit of Putrified Earth-worms two drams volatil spirit of Tartar a dram distill'd Oyl of Turpentin three drops Syrup of Ground Ivy two or three drams Mix and exhibit a Spoonful now and then Take of Tartar vitriolated a dram of the Salt of Bean-stalks and Salt of Pigeons Dung of each fifteen grains volatil Salt of Amber twelve grains Make a Powder for three Doses Externally we anoint with Stone Oyl Oyl of Scorpions and distill'd Oyl of Turpentin mix'd with the Ointment of Marsh-mallows ART 2. Of the Stone in the Kidneys STones in Man's Body are nothing else but a vicious Acid congeal'd with a volatil Alcali This vicious Acid for the most part is bred in the Stomac and being mix'd with the Blood attacks a naked volatil Alcali wherever it meets it with which it conspires to make up a third Concrete or Stone Now the Kidneys being plentifully stock'd with a volatil Alkali are most liable to the shocks of this Acid. 'T is true that in a healthy state the Alcali of the Urine in the Kidneys is naturally qualifi'd with an Acid and then 't is secure from the efforts of the vicious Intruder but for as much as the Urine is oft-times liable to Alteration or Corruption which sets the volatil Salt at liberty much after the same method as when it has been expos'd to the Air in an Urinal and begins to smell therefore the Kidneys are in such cases in danger of being molested with Stones Thus the generation of a Stone supposes two concurring Causes one is a prevailing Acid in the Body occasion'd mostly by imperfect Digestions in the first Passages or by such things as are apt to become Acid viz. Milk Cheese and especially Wine The other is the Putrefaction and liberty of the volatil Alkali of the Urine occasion'd generally by the weakness of the Ferment as by Asparagus and such Diuretics as enfeeble the Ferment and cause a putrid smell in the Urine Now that a volatil Acid engag'd with the volatil Alcali in the Kidneys is apt to become a Stone is made out by the following Remarks 1. Arthritick and Melancholick Persons who are much molested with vicious Acids are very liable to the Stone whereas those of a bilious Constitution are not 2. Those who live near the Danube and â—e wont to drink much Wine are frequently troubled with the Stone by reason of the prevailing Acid in Wine which is apt to congeal with a volatil Alcali as if ye take Nitre very well six'd and mix it with Flint-stones then melt it upon a strong Fire and 't will become like Glass pulverize this Glass and pour Spirit of Wine upon it after some time pour that off and add fresh Spirit of Wine which in a Month's time will become a red Oil containing the Acid of the Nitre exalted with the Spirit of Wine Now if ye put a few Drops of this volatil Acid Oyl into a Glass of Wine 't will gather it into a hard substance 3. The Chymical Analysis of the Stones presents us with a fetil Oyl an Urinous Spirit a volatil Salt and a Caput mortuum like Quick-lime Not to speak of its effervescence with any Alcalin Salt When the Stones thus ingendered of the volatil Acid and Alcali are growing together they sometimes take in a viscid Mucilage being the deprav'd nourishment of the Kidneys which renders the stones white Sometimes they corrode the small Vessels and take in some drops of Blood which makes the stones red Sometimes the pure Salts join together without any other mixture but some earthy Particles caus'd by the Putrefaction of the Urine and then the Stones are yellow But at other times the Membranes and the whole substance of the Kidney make a part of the Concrete A Stone in the Kidneys while it lies quiet and does not stir is attended by few or no Symptoms But when it begins to move or as the Practitioners speak in the Paroxysm it grates upon the Membranes which by means of the immediat Correspondence of their Nerves with all those from the Mesenteric Plexus
The Essence of Wrens is much applauded as likewise the following Pills Take black Beetles gather'd in May without touching 'em with one's Hand Suffocat 'em in Spirit of Wine then dry 'em cut 'em into pieces and in the middle of their Body ye will find a viscous Liquor which mix with their Powder to the consistence of a Balsam Then take of this Balsam adram distill'd Oyl of Anis and that of Cloves of each three drops Make Pills Of which exhibit two grains once or twice in Elder-flower water in the Morning with a fasting Stomac They will cause a Strangury that shall last for thirty Days If Diuretic Med'cines prove ineffectual we ought to discontinue their use for some time lest the Kidneys be overcharg'd with Crudities The strongest of these Diureticks are by some call'd Lithontriptica or dissolvers of the Stone in the Body but I doubt much if any such Med'cines be yet discover'd 'T is certain that Spirit of Nitre will dissolve a Stone out of the Body but the alteration it undergoes in mixing with the various Humours in the Body cramp its virtue within us And therefore whoever pretends to the knowledge of Lithontriptica's must have found out such a Med'cine as is not liable to be chang'd by the Humours of the Body and besides that is neither an Acid nor an Alcali but consists of both as the Stone it self and is peculiarly calculated for its Pores as Aqua fortis is for Silver Some have exploded all Lithontriptica's as being too corrosive and apt to injure the Stomac Guts c. But they ought to consider that all sharp dissolving Menstruum's are not corrosive to the taste as Arsenic Quick-silver Mercurius Vitae c. whic are altogether insipid And besides some Liquors are qualify'd for dissolving hard Concretes that wo'not pick upon softer Objects as Vinegar dissolves the shells of Eggs while their inner Membran is left intire After the Paroxysm is over and the Stone voided we ought to prevent the generation of new ones by proper preservatives as 1. By keeping the first Passages clean with Laxatives and once in three or four Months a Vomit or a stronger Purge 2. By correcting the Acid in the first Passages with absorbent Powders and the fix'd Salts of Diuretic Plants 3. By cleansing the Reins and evacuating the first Rudiments of the Stone with volatil Diuretics the Spirit and volitil Salt of Tartar the Spirit of Urine that of Sal-Armoniac the Spirit of Worms Elixir Proprietatis Turpentin fat Broth Whey c. Some commend Milk but its Curd disswades us from using it However we ought still to remember that the Diuretics must be of the meeker sort and exhibited only once or twice in a Fortnight or three Weeks and that at some distance from the times of eating but not till the first Passages are clear'd 4. By strengthening the Reins retrieving their ferment and preserving the Urine from corruption with balmy Med'cines such as Turpentin the Balsam of Sulphur Juniper St. John's-wort-seeds c. ART 3. Of a Diabetes or excessive Flux of Vrine A Diabetes is either genuin or spurious The former is a voiding of Liquors by Urine without any stay or alteration in the Body The latter is a voiding of a much larger quantity of Urine than that of Liquids receiv'd into the Body The cause of the former is the laxity and openness of the Passages which lead directly from the first Passages to the Reins 'T is true these Passages are not yet discover'd but the quick Passage of some Liquors and their being voided without any alteration in colour taste or consistence according to the Observations of Galen Bartholin Hildanus c. do sufficiently evince their necessity The cause of the latter is a sharp volatil Salt or Ferment bred in the first Passages that dissolves the fat acid in the Blood Chyle and muscular Flesh unlocking their Texture and melting the ferment of the Reins Thus the balmy and nutritious parts of the Blood being melted down and tinctur'd with a sharp acrimony they stimulat the Kidneys and force their passage This volatil Alcali Salt is not unlike that which sometimes causes melting loosenesses or that of Spanish Flies and Beetles and is frequently the follower of violent Diureticks Perhaps it also sucks in the humidity of the Air in the Body by virtue of which it melts and so increases the quantity of Urine which sometimes exceeds that of all the Juices in the Body The Symptoms of the spurious Diabetes are the crudity thinness and sweet taste of the Urine with a fat Scum swimming upon it a notable weakness leanness dryness of the Mouth thirst a heat and pain in the Loyns a slow Feaver and in short all the Symptoms of a Hectic If it follow immoderat Labour Venery or Chronical Feavers 't is uncurable For Cure of a genuin Diabetes we exhibit Astringents and Aromatics such as we generally prescribe for defending and fortifying the Stomac and Bowels in the use of Spaw Waters Thus the astringent crocus of Steel the Tincture of the Sulphur of Vitriol Bole Armenic seal'd Earth Conserve of Roses vitriolated the decoction of Orange-peel and Plantan bol'd in Chalybeat-water are very proper Some recommend as an Arcanum a Cocks-comb calcin'd and exhibited with ones own Urine As for the Cure of a spurious Diabetes we must endeavour to correct the Acrimony of the Volatil Alcali to prevent the colliquation of the Juices by Narcotics and proper Astringents First of all their Diet must be the same as that of Hectic Persons In the next place vomiting is very proper to which we subjoin the Powder of the natural Blood-stone or of the Artificial one made of the Vitriol of Steel and Sugar of Lead The Antiphthisical Tincture prepar'd from the same Ingredients The Tincture of the Sulphur of Vitriol the astringent Crocus of Steel the Powder or Spirit of Allum Amber and its Troches or those of seal'd Earth taken in an Acid Vehicle the Tincture or Magistery of Coral prepar'd with the Juice of Citrons or their mixture with Vinegar Take of Plantan Water three ounces Distill'd Vinegar six drams red Coral pulveriz'd not prepar'd a dram Laudanum Opiatum two grains Syrup of Purslain an ounce Mix and exhibit a spoonful frequently Quicklime-Water given to four or five ounces thrice a day is of singular use in this Distemper as also Milk especially Chalybeat Milk or that in which hot Irons are frequently extinguish'd Asses or Goats Milk are the Best and next to them Cows Milk The Emulsions of sweet Almonds and white Poppy-seeds are also very proper Externally some apply to the Kidneys the Juice of River-Crabbs or Baggs of Plantan and Oak-Leaves boil'd in Chalybeat Milk ART 4. Of a Pissing of Blood THE Urine is sometimes tinctur'd with Blood and that more or less according to its quantity The Blood springs either from the Kidney Ureters or Yard or from the Contusions of other parts The Causes are the same as those of
Cataplasms of Pellitory and Oyl of Scorpions or anoint the Pubes and Perinaeum with a Liniment of the Oyntment of Marshmallows Oyl of Scorpions and distill'd Oyl of Juniper applying afterwards to the Os sacrum and Pubes the Plaister call'd Nervinum soften'd with the Oyl of Amber If the suppression be very obstinate we order bathing in the Decoctions of emollient and nervous Plants exhibiting at the same time some gentle Diuretic In Malignant Feavers we apply the same Ointments and Decoctions and order the Patient to walk up and down the Room When the Bladder is distended we use the same Method When the Sphincter is contracted we exhibit inwardly the Specifics for Convulsions mix'd with Opiats and anoint with a Liniment of the Ointment of Marsh-mallows mix'd with the Oyls of Poppies Castor and Amber If the Passage be stopp'd by clotted Blood we exhibit Crabbs Eyes with Vinegar the Decoctions of Chervil Sperma ceti c. and foment or bath with the Decoctions of Antipleuritical Ingredients applying likewise Cataplasms of fresh Cows Dung If viscid Humors block up the Passage we give first a gentle Purge then the Juice of Limons with Spirit of Turpentin or Spirit of Salt the Juice of Radishes and Decoctions of aperient and diuretic Ingredients to which Black Garden-Currants are added If the Prostatae be swoll'n we apply Cataplasms of Brook-lime and Chamomil Flowers If purulent Matter stick in the way we exhibit the Oyl of Amber and that of Juniper and clear the Passage with a Cacheter providing the Bladder be not inflam'd If Excrescences beset the Vrethra we eat 'em away with Corrosives applied with a Candle of Wax and Turpentin and then consolidate the Ulcer with Vnguentum Album Camphoratum For all Suppressions of Urine in general we foment the Parts with the Decoction of Pellitory Anis and Parsley-seeds Zedoary and Bay-berries in Wine and apply Cataplasms of Pellitory growing upon the Rubbish of Old-Walls with roasted Onyons Garlick Oyl of Scorpions and Oyl of Juniper or anoint with the same Oyls mix'd with Rock-Oyl ART 2. Of the Stone in the Bladder THE Stone of the Bladder is for the most part first bred in the Reins and introduc'd by Nephritic Pains and when it descends through the Vreters into the Bladder receives a considerable increase from the Mucilage or deprav'd nutritious Juice that sticks to it and becomes hard as it self Thus we find that stones in the Bladder are cover'd like an Onyon with several distinct Coats and have a Kernel in the middle which represents the Stone as it came from the Kidneys The Symptoms are a sudden stopping of Urine in the very time of making it follow'd by a violent and vain Desire of finishing that Evacuation and of going to stool a dull sense of weight about the Perinaeum and Pubes a Pain and itching in the Nut of the Yard and its perpetual Erection occasion'd by the irritation of the inner Membrane When the Person stoops to pull up any thing from the ground he feels a pricking and pain about the Pubes when he jumps he feels it move unless it be grown to the Membrane as when the Bladder is tore in which case it must be search'd with a Cacheter When the Evil is inveterat the nutritious Juice of the injur'd Parts is deprav'd and voided in the form of a Mucilage like white Clay which some are apt to take for the Matter of which the Stone is bred whereas 't is properly its effect The Stone in Women is more easily cur'd than in Men whose Bladder is more inaccessible If it be inclos'd in a peculiar Membrane 't is scarce curable The Internal Cure is the same as that of a Stone in the Kidneys to which we refer the Reader The Blood and Urine of a Goat and the Juice of Wood-lice bruis'd with the Spirit of Juniper-Berries or Tincture of Tartar are particularly recommended as also Pills of the Salts of Ivy-Berries and Water-Cresses mix'd with the Crystals of Nitre and Tartar and with Turpentin If the Stone be in motion and be not very large we may give a Vomit to drive it out Externally we inject proper Liquors for dissolving the Stone for which purpose some commend the warm Blood of a Goat or Fox or the solution of calcin'd Pigeons Dung in Pellitory Water We likewise order Fomentations and Bathing in proper Decoctions and anoint the Pubes and Perinaeum with a Liniment of Rock-oyl and the express'd Oyls of Poppies and Henbane or apply a Cataplasm of white Onyons boil'd in Wine and mix'd with the Oyl of Scorpions As for Clysters their Virtue is sufficiently known When all proves ineffectual the Stone must be cut and if the Inflammation and Gangrene of the Bladder can be prevented there 's no great danger in the operation ART 3. Of the incontinence of Vrine AN Involuntary efflux of Urine is caus'd by the imperfect Constriction of the Sphincter The remote Causes are 1. The Palsey and stupidity of the Sphincter occasion'd by the weakness and deficiency of the Animal Spirits as in Fevers and Apoplexies or by the Obstructions of the Nerves from internal or external causes 2. The Relaxation of the Fibres of the Sphincter occasion'd by a preternatural distention of the Vagina and neck of the Bladder in Child-Birth or the down-falling of the Womb. 3. The cutting or tearing of its Fibres especially in cutting the Stone or in time of Delivery when the Midwives scratch the Caruncula Myrtiformis with their Nails Sometimes the efflux of Urine cannot be properly called involuntary but 't is such that the Person is frequently oblig'd to make Water and cannot retain the Urine so long as naturally one may The immediat Cause is the perpetual Irritation of the Bladder occasion'd by rough Stones or sharp Humours or the Compression of the Bladder caus'd by the distended Womb in Women with Child or by excessive Laughing and Coughing especially in fat Persons or by Inflammations of the Muscles of the Abdomen and adjacent Parts Some Persons are liable to an involuntary voiding of Urine when they 're asleep especially Children and Old Persons whose Spirits are lazy and inactive An incontinence of Urine proceeding from a Palsy or from the default of the Brain or spinal Marrow is very difficult to cure In Old Persons or when it follows Child-birth 't is seldom cur'd In Feavers 't is a fatal Sign In Children 't is overcome by Nature before the Twenty Fifth Year of age or else accompanies 'em to the Grave The Cure in general is perform'd by Astringents especially the Decoction of Calamint Agrimony and Mint in Wine the Powders of Galangal Aloes-Wood Acorus Castor Myrrh Frankincense Gum Arabic and Mastic The most noted Specifics are the Throat of a Cock roasted pounded and given to a dram in Wine the Powder of a burnt or calcin'd Hedge-hog the Powder call'd Medulla Saxorum The inner Tunicle of a Hen's Ventricle which when dry'd becomes hard like Horn the Fish found
Antimony volatil Salt of Hartshorn or of Vipers Spirit of Sal Armoniac Volatil Spirit of Tartar and the Decoction of Sudorific Woods Antiscorbutics ought to be mix'd with ' em External Medicines ought not to be applied till the Paroxysm have arrived at its height In a hot Gout attended by Inflammations take Quick Lime and Sal Armoniac pour Spirit of Wine upon 'em and distil adding to the distill'd Spirit a little Camphyr Apply it to the Part. Or Take of Aqua Articularis ad extra two Ounces Spirit of Worms an Ounce Spirit of Sal Armoniac three Drams mix and use as above Or Take a sufficient quantity of Elder Flowers beaten put 'em into a new earthen Vessel so that the Vessel may be full stop it close and set it under ground till the Flowers be converted into a Liquor to be applied hot with a Cloth Mullen Flowers Henbane Flowers may be boil'd in Milk or the Leaves of Valerian or Burdock may be applied to the Part with good Success Or Take of the Crums of white Bread three Ounces Pouder of Marshmallow Roots one Ounce Flowers of Chamomile Meal of Beans half an Ounce Meal of Linseeds and Fenugrec of each three Drams Boil them in a sufficient quantity of Milk to the Consistency of a Pultise then add of Vnguentum Anodynum an Ounce Balsam of Soap two Drams with the Yelk of one Egg make a Cataplasm The Lean of Beef applied to the Part and chang'd Morning and Evening is much commended Human Dung and Urine are likewise proper Or Take of Ox Dung one Pound Rose-water and Water of Speedwel of each two Ounces the Yelk of an Egg beaten up with a little Allum Saffron a Dram Camphyr a Scruple Mix. The Plaister of Frogs Spawn with a large quantity of Sugar of Lead or Tachenius's Plaister de Alcalibus with Camphyr are proper All oily things ought to be avoided and the Cataplasins or Plaisters frequently renew'd If the Gout be cold Spirit of Sal Armoniac prepar'd with Quicklime and Spirit of Urine may be applied Or Take of Venice Soap an Ounce and a half Camphyr six Drams Castor half a Dram. Dissolve in a sufficient quantity of Spirit of Earth Worms Apply with a Feather to the Parts affected The Oil of Soap or the Roots of black Hellebor boil'd in Rock Oil or Balsam of Peru mix'd with the Yelk of an Egg and Spirit of Worms or Tacamahac mix'd with Oil of Amber or Mysinchtus his Diaphoretic Plaister mix'd with Triacle and stinking Oil of Tartar or Triacle mix'd with Spirit of Salt Armoniac are all much esteem'd in this case Blistering Plaisters ought to be cautiously us'd In a cold Gout perhaps they are not amiss If the Pains are follow'd by Nodes or hard Swellings apply Spirit of Quick Lime or old Cheese with the Decoction of Pork or a thin plate of Lead to the part The Cure of the Sciatica differs in some things from that of other arthritic pains In this Leeches applied to the Hemorrhoid Veins are very useful after which inject sharp Clysters as Take one Coloquintida Apple and divide it into four equal parts Tie one part in a Bag and boil it in Wine and Child's Urine of each a Pint adding a handful of Honey-suckles till two thirds be consumed Inject it for a Clyster Vomits and strong Purges are more allowable in the beginning of a Sciatica than of the other sorts And in the progress of the Disease Troches Alhandal and sweet Mercury are safely given As for external Remedies the following Cerecloth is equall'd by none Take of Pitch four Ounces Turpentine half an Ounce Mastic Amber of each two Drams Brimstone in Pouder half an Ounce make a Cerecloth I cured the Sciatica in a young Gentleman by this Method He being plethoric I first ordered a Vein to be opened then I prescribed thus Take of Diaphoretic Antimony Chalybeat Bezoar of each half a Scruple Diaphoretic Gold five Grains make a Pouder to be frequently repeated Take of the Waters of Mother of Thyme of Mint and Elder Flowers of each one Ounce Spirit of Sal Armoniac a Dram and a half prepar'd human Bones two Scruples Diaphoretic Antimony a Scruple Laudanum Opiatum three Grains Syrup of Carduus Benedictus six Drams Mix and give it by Spoonfuls Take of the Spirit of Sal Armoniac Liquor of Hartshorn with Amber of each a Dram and a half Mix and reserve for use Externally I applied the above-mention'd Cerecloth for some days then I order'd the part to be rubb'd and fomented with the following Mixtures Take of Aqua Articularis ad extra an Ounce and a half Spirit of Salt Armoniac prepar'd with Quick-lime six Drams Mix c. Take of Aqua Articularis ad extra two Ounces Spirit of Juniper-berries one Ounce Balsam of Peru dissolv'd with the Yelk of an Egg three Drams Mix. Cataplasms of Antiscorbutic Herbs boil'd in Wine and bathing in Wine or in the Decoction of Ants in Wine are much commended If after the Paroxysm there remain a Swelling 't is proper to fumigate the part with Wormwood Rocket and Mugwort boil'd in Wine and Water or to apply the Nurimberg Plaister The Decoctions of Aromatic Vegetables in Wine are good for strengthning the Joints If there remain a Weakness in the Joints without any Swelling let Issues be cut in several parts of the Body And indeed an Issue in the Groin is not improper Thus much for what is proper to be done in the Paroxysms It remains now briefly to point out the Method of preventing them The vicious Acid must be carefully rooted out of the Stomac by the use of Mercurial and Antimonial Preparations and a regular Diet. Those who are meagre and can easily digest Milk may confine themselves to a Milk Diet. Vomits are absolutely necessary Turbith Mineral sweet Mercury black Hellebor and Coloquyntida are much used Gentle Purges and such as regard the Stomac are best Sweat ought to be frequently procur'd by the use of Diaphoretic Antimony Antichecticum Poterii Antimonial Sulphurs and urinous Sudorifics Next are Diuretics which are of excellent use in preventing the Gout As Spirit of Sal Armoniac of Worms of Hartshorn c. or the greazy Stagflies or Take of prepar'd Crabs Eyes two Scruples prepar'd red Coral a Scruple Volatil Salt of Amber fifteen Grains Mix for three Doses As for Alteratives Aromatic Volatil Medicines are proper As Take of the Roots of Elecampane Pyony and Avens of each six Drams China Roots one Ounce Of the Herbs Sage Baum Germander Ground-pine of each a handful Rosemary tops two handfuls Juniper-berries an Ounce and a half Galangal Ginger Cinnamon of each two Drams Salt of Tartar from three to four Drams Tie them in a Bag to be infus'd in Wine Or Take of the Herbs Germander and Strawberry of each a handful and a half Rest Harrow Flowers of St. John's Wort of each a handful Bryony Roots an Ounce and a half Sarsaperilla one Ounce Nephritic Wood three Ounces
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.
Sort they are esteem'd Signs of Recovery In regulating the method of Cure we must heedfully distinguish the privative apoplectic Palsies from the positive sort If the former arise from external Causes the Cure turns upon their removal and inunctions of the part with the Queen of Hungary's Water Rock Oil Oil of Juniper Oil of Lavender and above all Balsam of Peru. Internally nothing equals Oil of Lavender taken to the quantity of four or six drops in bed in order to sweat for which purpose distill'd Oil of Amber is likewise proper If they proceed from internal Causes Sudorific and Cephalic Medicines are us'd in the same manner as for particular Apoplexies and in an inveterat Case a Salivation is the last Refuge As for positive Palsies the peccant matter must be corrected and discharg'd by aromatic and volatil Sudorifics and the nervous Parts corroborated and restor'd to life by the external application of penetrating meagre Oils In order to compass these ends 't will be needful to observe the following Rules 1. Since the peccant matter is an Acid that owes its Original to the first Passages Saline Digestives Vomits and sharp Clysters ought to be premis'd and whatever purgative Medicines are us'd they must be very gentle especially in the beginning 2. A temperat milk Diet ought to be closely pursu'd for that it vanquishes any Acid and supplies the Nerves with a Chyl-like Juice capable to repair their loss of moisture occcasion'd by copious Sweats 3. When a Palsy is caus'd by a Colic or Scurvy by all means avoid strong Purges lest Convulsions insue Soft Laxatives in which black Hellebor is the chief Ingredient may be ventur'd upon Or Clysters impregnated with Carminative Oils may be frequently injected but at first they must be gentle and soft as those of Milk and Turpentine c. and in the progress of the Disease if the Patient reap no benefit by 'em you may add a small Whet 4. Fat viscous Oils are improper for external Use Penetrating and spirituous Liniments are only convenient and ought always to be us'd immediately after Sweating while the Pores are yet open Indeed if the Person be scorbutic temperat things are best to begin with And when the affected part begins to wither and the Person withal is of a choleric Constitution 't is advisable to abstain from applying these subtil volatil Remedies But where a Palsy proceeds from a Corruption of the Lymph and the part is swell'd up they are very needful 5. If the stopping of any wonted Evacuation of Blood give rise to a Palsy repeated Blood-letting is wont to finish the Cure I am now advanc'd to the Prescriptions of proper Remedies For Vomiting the Flowers of Antimony with Extract of Scammony are recommended by Hartman For Purging Sweet Mercury is much applauded by Sylvius and Turpentin by Platerus Hellebor and Turbith are generally approv'd but Coloquintida ought always to be added for a Whet. Take of the Arthritic Pills a Scruple Scammony sulphurated four Grains Extract of Troches Alhandal a Grain With Essence of Sage make Pills Or Take of the Herbs Germander and Groundpine of each a handful Flowers of Rosemary of Primroses and of Sage of each two little handfuls Roots of Angelica Masterwort and Florentin Orris of each three Drams Roots of black Hellebor a Dram pick'd Senna six Drams Roots of common Spurge half a Dram Cardamoms and Cubebs of each three Drams Salt of Tartar a Dram and a half Mix for a Bag to be infus'd in Wine Sudorific Decoctions of Guajacum Burdoc c. are much in use But Willis has remark'd that those whose Blood is stuff'd with a fix'd Salt and not much diluted with inspid Serum are apt to be offended by Sweating The internal Specifics for this Disease are much the same as those for Apoplexies and Epilepsies The Decoction of Rosemary over a gentle Fire in Balneum Mariae mix'd with a little Essence of Castor is a noble Medicine A large draught of it ought to be taken in the Morning with a fasting Stomac Primroses French Lavender distill'd Oils of Lavender and Amber are much approv'd The Decoction of Elecampane is a sovereign Remedy for Palsies arising from a Colic Sassafras and Guajacum are of excellent use especially the former Rosemary and Juniper or Bay-berries ought always to be boil'd with em Poterius found great benefit by the following Prescription Take of the shavings of Sassafras Wood one Ounce Bay-berries an Ounce and a half boil them in six pound of Wine to three pound and reserve it for use Instead of the Decoctions of these Woods Essences and Spirits may be prepar'd from 'em that are of singular use Lindanus recommends a Wood call'd Pavana given to the quantiry of two Scruples in a spoonful of Spirit of Wine It procures Vomiting Purging and Sweating without impairing the strength of the Person Millet-seeds are likewise very proper for procuring Sweat The volatil Preparations of Tartar are wonderfully extoll'd It s volatil Salt or Spirit drawn from the dregs of Wine or stinking Oil of Tartar or the Spirit of Tartar cohobated with tartaris'd Spirit of Urine are very useful in Cholic Hypochondriac and Scorbutic Palsies Sylvius was wont to cure Cholic Palsies with his Sal volatile Oleosum Next are the Spirit and volatil Salt of Urine prepar'd by putrefaction Spirit of Sal Armoniac Spirit of Lavender the Spirit and volatil Salt of Vipers Spirit of Hartshorn succinated volatil Salt of Amber given along with Cinnabar of Antimony and Magistery of Pearls But above all the volatil Preparations from Worms and Ants have merited the greatest approbation If you digest a vegetable Spirit with Ants for some time you 'll have an incomparable Medicine that may be us'd both internally and externally But withal we are to remember that these volatil Remedies are not fit to be given upon the first invasion of the Disease till the Acid in the first Passages be in a good measure vanquish'd Upon which account the fix'd Absorbents ought to lead the Van. As Take of prepar'd human Bones from a Scruple to half a Dram Cinnabar of Antimony from twelve to twenty Grains volatil Salt of Amber from ten to twelve Grains Make a Pouder for two Doses Now after a discreet use of such like fix'd Medicines is the time to exhibit the volatil Sudorifics Poterius's Diaphoretic Gold is a noted Specific Six Grains may be given for a Dose Helmont commends the volatil Tincture of Coral I have seen an admirable Tincturemade with volatil Spirit of Tartar in his Majesty of Great Britain's Laboratory but Mr. Febure conceal'd the way of Preparation If a positive Palsy proceed from the Relaxation or prevailing Moisture of any Part 't is convenient to anoint both the Part it self and the Back-bone with the following Liniment Take of human and Goose Fat of each an Ounce Oil of Earth three Drams Mix. Tacamahac and Balsam of Peru are fit for the same use The Plaister for the Nerves of
begin with the ordinary one and from thence advance gradually The Flowers of Antimony Aurum Vitae the Infusion of Mercurius Vitae Sylvius's vomitory Soap and Sala's Emetic Syrup are all useful As Take of Fumitory Water one Ounce Gum Ammoniac dissolv'd in Wine from a Scruple to half a Dram Emetic Syrup a Dram and a half Scammony sulphurated Extract of Troches Alhandal of each one Grain Simple Syrup of Roses two Drams Mix for a Potion The Dose of Purgatives must be likewise augmented or sharpned with Salts As Take of Extract of black Hellebor a Scruple Extract of Troches Alhandal two Grains Purgative Antimony or Mercurius Vitae five Grains With Essence of Steel or Tincture of Tartar make Pills Or if a Potion be more acceptable with the Waters of Pimpernel or of Flowers of St. John's-wort make a Potion and sweeten it with laxative Syrup of Apples The Troches Alhandal are of incomparable use for subduing the viscid matter that reigns in this and all other Chronical Distempers Take of Extract of black Hellebor sweet Mercury of each a Scruple Magistery of Jalap six Grains with Gum Ammoniac dissolv'd in Vinegar make Pills Take of Mint-water one Ounce Liquid Extract of Steel half a Dram Extract of black Hellebor a Scruple Extract of Troches Alhandal one Grain Syrup of Apples half an Ounce Mix c. Take of Mint-water one Ounce Gum Ammoniac dissolv'd in Vinegar a Scruple or half a Dram Tartar vitriolated half a Scruple Extract of Troches Alhandal one Grain Syrup of Apples half an Ounce Mix c. Take of pick'd Senna two or three Drams Roots of Polypody three or four Drams Roots of black Hellebor one or two Drams Salt of Tartar half a Dram. Infuse them warm in clarify'd Whey over night In the Morning let 'em boil gently and add to three Ounces of the strain'd Liquor a Dram and a half of Cinnamom Water and three four or six Drams of Syrup of Apples Or Take of Corants bruis'd three Ounces pick'd Senna six Drams choice Cinnamom three Drams Cloves a Dram and a half Cream of Tartar three Drams Bruise 'em and tie 'em in a Bag to be infus'd for the space of a night in three Pound of simple Water Take of Gum Ammoniac dissolv'd in Vinegar five Grains Tartar vitriolated three Grains Extract of Gummy Aloe two Grains With Essence of Gum Ammoniac make Pills Next to Hellebor and its Productions are the Infusions of Senna Quercetanus's Pills of Ammoniac or of Tartar of Fumitory c. Absorbent Digestives ought to precede the use of Purgatives such are Cream of Tartar Vitriol of Steel or its Tincture Essence of Steel c. Or Take of prepar'd Crabs half a Dram prepar'd red Coral Alterative Crocus of Steel of each half a Scruple Make a Pouder for two Doses Or Take of Sal Armoniac Salt of Wormwood and prepar'd Crabs eyes of each fifteen Grains Laudanum Opiatum two or three Grains Make a Pouder for two Doses Alteratives in this Disease either correct the Acidity of the Blood or amend its Indisposition and purify it by Urine Of the former kind are Preparations of Steel such as its Infusion and Extract with the Juice of Apples all the Aperitive Crocus's of Mars Mynsicht's Tincture of Steel c. Lead also but especially its Sugar Coral and its Preparations and chiefly its true Tincture in room of which if it be wanting you may take of the Tincture of Coral prepar'd with Spirit of Stag's Heart or that of Roses one Dram Essence of Baum and Saffron of each half a Dram. And mix ' em Of this sort also is the true Tincture of Silver and its Magistery either alone or mix'd with other Anti-acids as Coral and such like Mynsicht's Arcanum Duplicatum is frequently us'd with good success likewise Lapis Lazuli either in Pouder or its Tincture mix'd as follows Take compound Essence of Pimpernel three Drams Tincture of Lapis Lazuli a Dram. Dose from forty to fifty Drops For altering and purifying the Blood by Urine the Vegetable Kingdom affords many excellent Remedies amongst which Tartar and its Preparations excel as Cream of Tartar plain or vitriolated or mix'd with lixivial Salts Spirit and volatil Salt of Tartar Rhefeldius's Diaphoretic Liquor of Tartar with Juices made thus Take of the express'd Juices of Dittander four Ounces Scurvy-grass Sea Radish Water and Garden Cresses of each an Ounce rectify'd Spirit of Tartar one pound Mix and digest and then distil in a Bath over a slow Fire Dose half an Ounce Remedies also are prepar'd of Borrage Bugloss Fumitory Saffron Camphyr which last ought always to be joined with Alteratives in melancolic and maniac Distempers As Take liquid Essence of Steel two Drams compound Essence of Fumitory and that of Saffron of each a Dram Camphyr five Grains Dose thirty or forty Drops Or Take of the Leaves of Harts-tongue two handfuls of Fumitory an handful and a half Flowers of Borrage and Bugloss of each a handful of Clove Gilly-flowers and Violets half a handful Barks of Tamarisk and the Ash-tree of each six Drams Roots of Polypody or Elecampane Filings of Steel of each an Ounce Cinnamom two Drams Cut bruise and tie them up in a Bag. Or Take of the flowers of Rosemary Borrage and Bugloss of each four Ounces of Saffron a Dram Quinces four Ounces best White-Wine two Pound Mix and digest fifteen days and then distil Dose an Ounce to be reiterated Take of Hartman's Cachectick Pouder a Dram red Coral prepar'd half a Dram Camphyr fifteen Grains Mix and divide into three equal parts to be taken in so many Mornings The following Pills may be taken before sleep Take of the Sugar of Lead from five to nine Grains Laudanum Opiatum two Grains distill'd Oil of Camphyr three Grains and make Pills The Spirit of Sal Armoniac is an incomparable Sudorific especially mix'd with an equal quantity of the Carminative Spirit If Pains seize the Head apply to the Forehead this Epithem Take Waters of Elder-flowers and St. John's-wort of each an Ounce and a half Camphyr six Grains Mix ' em This will yet prove more effectual if a Plaister of Tacamahac be applied to the shaved head If the Spleen is faulty beside Preparations of Lead taken inwardly apply the Plaister of Tobacco to the Region thereof Of Madness THE Blood which in Melancoly abounds with a vitious Acidity is oftentimes by an intestin and fermentative Commotion volatilized and so acquiring an Acrimony and furnishing the Brain with Spirits sutable occasions Madness which is Melancoly arrived at the highest degree In Madness we may observe three Circumstances 1. A remarkable Fury and temerarious Boldness hurrying one to attempt any thing tho never so cruel and tragical 2. A prodigious Strength able to break in pieces the strongest things and surpassing that of two or three Men. 3. A wonderful Sufferance of even the extreamest Cold. It is also accompanied with most stubborn Watchings The Disorder of the Stomach
in the Vessels of the Womb where it waits for Passage and acquires a certain corrosive Acrimony or aluminous Tincture Now from these Causes spring innumerable Mischiefs such as Pleurisies Quinsies Inflammations of the Womb Epilepsies unusual Longings Melancoly Tumours and hard Swellings of the Womb and Spleen stubborn Headaches Palpitations and Beatings as well of the Heart as in the Back and Loins and under the Short-ribs till at length the digestive Ferment of the Stomach the Bile and pancreatic Juice being spoiled evil Dispositions of Body Jaundice Dropsies and Consumptions and finally Death creep in Now to obviat these Evils we must jointly carry on two Designs 1. We must correct the vitious Crasis of the Blood and other Juices particularly its austere Acidity And 2. Revive the monthly Fermentation of the Blood that the Terms may flow as they ought These in general we may compass by Steel and aromatic volatil Medicines But we must first of all give a Vomit and repeat it if occasion require for this end we use Preparations of Antimony which are best Asarum Hellebor c. as for example two Drams of Oxymel Helleboratum Gesneri for a Dose It is likewise convenient to purge with Quercetanus's Pills of Tartar and Gum Ammoniac or those of Hiera with Agaric or by adding to alterative Bags the Roots of Bryony black Hellebor and Colocynth As for Calybeats we may use Zwelfer's Tincture of Vitriol of Mars Tincture of Steel prepar'd with Spirit of Sal Armoniac and Spirit of Wine Aperitive Crocus's of Mars prepar'd with fix'd Salts and such like also Wine or Decoctions of Rosemary impregnated with Steel Quercetâ—â—us's Cachectic Pouder c. To these we join Aromatics and aperient Ingredients especially Sassafras Galangal the greater hot Seeds Juniper and Bay-berries also the volatil Spirit of Tartar and Elixir Proprietatis prepar'd without an Acid. The Specifics must be calculated according to the variety of Symptoms An Epilepsy and convulsive Motions require Remedies from Cinnabar Castor and Amber The Headach calls for the volatil Salts and Antiscorbutics as volatil Salt of Amber both internally and externally For Palpitations of the Heart we choose Remedies from Coral chiefly its Tincture or the Pouder of Zedoary mix'd with prepar'd red Coral If a stopping of the Terms is followed by a melancoly Delirium let Antimonial Emetics be repeated and the Spirit and Pouder of a human Secundine added to the incident Prescriptions CHAP. III. Of the Hysteric Passion THO this Disease is accounted peculiar to Women and to proceed from the Womb yet it is found by experience to be common also to Men and to be of the same Nature with their hypocondriac and scorbutical Distempers Its Symptoms are as follows The Paroxysm is usher'd in with noise and murmurings in the Belly and sometimes the apprehension as it were of a Ball violently mov'd and toss'd hither and thither and rising up gradually It is always attended by a stretching or tearing Pain under the short Ribs a plentiful breaking of Wind upwards or downwards frequent Yaunings and Stretchings various and violent Pains in the Belly either fix'd or floating prostration of Appetite and Costiveness a Vomiting sometimes of a greenish or yellowish matter of an acid or strange Taste Palpitation of the Heart with a small weak and sometimes intermitting Pulse Swooning difficulty of Breathing and danger of Suffocation giddiness of the Head dimness of the Eyes sometimes frequent Laughter various kinds of Deliriums Convulsions strange Motions of the Joints and whole Body sometimes a total Cessation of all the Senses internal and external for the most part the beginning and increase of the Fit is accompanied with coldness succeeded in the declension with heat ending in a large Sweat This Disease proceeds from a vitious Effervescence in the Guts of a preternatural Acid bred in the Stomach Pancreaâ— or other Glandules with the bilious Juice whence the mesenteric Nerves being irritated give rise to the various Symptoms of the Abdomen And the vitious Acid being carried into the Blood occasions also its Coagulation and Stagnation To which we may join a disorderly and disturb'd Motion of the animal Spirits especially in the intercostal Nerve and those of the Par vagum which spread the Disorder all over the Body The Paroxysms of this Disease are reviv'd sometimes by violent Passions of the Mind as Anger a Fright Grief sometimes by strong Smells whether from sweet smelling things as Musk Civet Amber Roses c. as it frequently happens or from fetid things according to the peculiar temperament of the Patient To which we may add as a confirming Circumstance the use of sweet things which easily turn acid When the hysteric Woman lies destitute of Sense and Motion you may know if there is life by using a Looking-glass or Feathers or blowing Snush up the Nose This Disease is seldom mortal in Maids but disappears for the most part in time of Child-bearing or if it seize Women with Child 't is dangerous in old Women 't is seldom cured In delivering the Cure of this Disease we shall order what is to be done in the Fit and what out of it The Violence and Fury of Hysteric Paroxysms suffer us not to stand idle Spectators but require a speedy help both with external and internal Remedies As for Externals first we must apply to the Nostrils such things as yield a strong and stinking Smell regarding still the temperament of the Patient Above all I esteem volatil penetrating Salts as Spirit of Sal Armoniac Spirit of Hartshorn or any other urinous volatil Spirit In great Swoonings Castor infus'd in strong Wine and the Smoak of things burnt may be useful as that of Amber Nutmegs Feathers and Quills of Birds chiefly of Partridges Hairs and Horns of Beasts Lignum Aloes c. In the mean while to allay the Contraction of the Intestines apply to the Region of the Navel and Pit of the Stomac aromatic Oils such as that of Rue Anise Laurel Castor Amber fetid Oil of Tartar Guajacum Spike c. or an Ointment made of Clary boil'd in Butter or Camphyr dissolv'd in Oil of Sweet Almonds Or Take distill'd Oils of Amber Spike of each half a Dram of Cumin half a Scruple of Mace nine Drops Mix and anoint the Back-bone Region of the Navel and Pit of the Stomac Some apply beaten Garlic After anointing it will be fit to apply a Plaister of Galbanum to which some add Tacamahac Castor Pitch c. A girdle strongly ty'd about the short Ribs is helpful as also sweet-smelling things apply'd to the Genitals as a Pessary anointed with Peruvian Balsam or Oil of Nutmeg wherein some Civet is dissolv'd c. It will likewise be proper to inject Clysters of Carminative Aromatic and penetrating Ingredients to which volatil Salts sometimes may be added As Take Chamomil with the Flowers Leaves of Sage and Fever-few of each a handful Roots of Angelica and Lovage of each six Drams the four lesser hot Seeds
Salt of Tartar of each a Dram boil them in a sufficient quantity of common Water to nine Ounces of the strain'd Decoction add Electuary of Bay-berries an Ounce distill'd Oil of Amber volatil Salt of Hartshorn or Urine of each a Scruple the Yelk of one Egg Mix them and make a Clyster To such Decoctions you may also add Electuary of Hiera Picra Castor distill'd Oils of Cumin Caraways Amber Juniper-berries Turpentine c. Or instead of distill'd Oils volatil Salts from a Scruple to half a Dram as that of Urine Hartshorn Amber c. Clysters of the Smoak of Tobacco are also approv'd If the Patient is plethorick a Vein may be opened but with due caution Internally in the time of the Fit volatil and oily Salts are to be us'd and in particular such as readily cause sweat to which Opiats may be added Bitter things therefore are in common use such as Set-wall Southernwood Wormwood Lovage Angelica Gentian-root Mint Galangal Penny-royal Fever-few Clary its Decoction and Spirit Roman and common Chamomil Orange Peel wild Carrot-seed Juniper-berries Garlic taken in Wine its Electuary Saffron Rosemary Myrrh Elder and dwarf Elder-berries c. all which by virtue of an oily volatil Salt destroy the vitious Acid. To these we may add Castor Assa foetida the volatil Salts themselves as Spirit of Sal Armoniac Hartshorn volatil Salt of Amber given from five Grains to twelve in Swallow-water with Castor distill'd Oil of Amber volatil Salt of Soot the Tincture of Tartar Tincture of the Dross of the Regulus of Antimony Tincture of Castor prepar'd with Spirit of Wine or otherwise all the several Preparations of the fore-mention'd Simples Crollius's Elixir for the Womb Camphyr the Spirit of human Secundine chiefly that of the first Child the Juice of Courser's Dung express'd with Wine or Ale or its Decoction to all which we join Opium Hysteric Laudanum Mithridate and Triacle of which innumerable Prescriptions might be made up As Take of the Waters of Mint Elder-flowers and Fever-few of each an Ounce Essence of Castor three Drams volatil Salt of Hartshorn twelve Grains that of Amber eight Grains Hysteric Laudanum nine Grains Syrup of Orange Peel six Drams Mix and make a Potion Or Take prepar'd Amber prepar'd Pearls or Crabs-eyes Castor of each a Scruple distill'd Oils of Rue and Amber of each five Drops Mix and make a Pouder 'T is to be noted that Preparations with Castor and such like fat volatil Salts yielding a strong smell agree not with some Patients for whom meagre Salts are more proper as dulcify'd Salt of Nitre c. If sweet Smells or Tasts be offensive we choose Medicines of contrary qualities After the Fit is over if a Relapse is feared it may be prevented by the use of Medicines partaking of Steel As Take Antiscorbutic and Hyssop-water of each an Ounce and a half Solution of Steel in Juice of Apples three Drams Spirit of Scurvy Grass a Dram and a half fermented Laudanum two Grains Syrup for the Scurvy three Drams Mix and make a Potion But if what is above prescrib'd prove ineffectual we may try a strong Snuff and if that has no effect give a Vomit yea Blood-letting has been found sometimes to avail in desperat Cases Hitherto we have prescrib'd what is to be done during the Paroxysm when 't is over we first give Digestives then Vomits and afterwards Anti-hypocondriac and Antiscorbutic Remedies for Digestives I refer you to the hypocondriac and scorbutic Diseases Or Take red Coral prepar'd or Mother of Pearl or Crabs-eyes prepar'd half a Dram Arcanum Duplicatum a Scruple Salt of Wormwood half a Scruple Mix for three Doses For a Vomit take Arcanum Duplicatum or Tachenius's vitriolated Tartar nine Grains Mynsicht's Emetic Tartar two or three Grains Mix and make a Pouder Next to these Aromatics mix'd with mild Laxatives are to be us'd and these almost the same as the internal Specifics prescrib'd in the Fit In short the Method of Cure is the same with that of hypocondriac and scorbutic Disorders So that alterative Bags of carminative Ingredients such as are friendly to the Nerves and Womb infus'd in Wine are of very good use Or whatever partakes of a volatil Alcali or a volatil oily aromatic Salt more or less bitter which destroys Acids or has an anodine Quality as the Roots of Angelica Butter-burr Set-wall Lovage Gentian and the like also Orange-peel and all Aromatics especially Clary and its Decoction also Baum Rosemary Mugwort Sage c. the Carminative Seeds or those call'd hot to which wild Laxatives such as black Hellebor and Briony may be added As for example Take of the Leaves of Baum Fever-few Pennyroyal of each a handful Leaves of Senna Roots of Gentian and black Hellebor of each a Dram prepar'd Spurge and true aromatic Costus of each three Drams Set-wall Salt of Tartar of each half an Ounce Cut bruise and tie them in a Bag to be infus'd in Wine Medicines of Steel are wonderfully helpful as also succinated Spirit of Salt Ammoniac given to thirty Drops at night and mild Laxatives mix'd with Opiats Take Gum Ammoniac dissolv'd in Vinegar half a Scruple Vitriol of Mars five Grains Extract of Castor three or four Grains Extract of Troches Alhandal a Grain or of the Troches themselves three Grains Make Pills with the distill'd Oil of Amber SECT IV. Of the Disorders of Women denying admission to Men. CHAP. I. Of the down-falling of the Womb. SOmetimes the outer Neck of the Womb especially its internal wrinkled Membrane either by hard Labour or the unskilful hand of a Midwife or by an immoderate red or white Flux is so relaxated and extended that it hangs out in form of a Ball having a hole in the middle two Fingers breadth without the Privity and sometimes some part of the internal Membrane is relaxated and hangs out like a blind round Ball by a small Neck In this Case both the Antients and some of the Moderns fancy that the Womb falls down Whereas that Symptom never happens but when an unskilful Midwife pulls it down by force and so kills the Patient outright This Distemper is usher'd in by a stretching Pain of the Parts to which the Womb is fastened sometimes a Feaver and Convulsions supervene and sometimes the prominent Substance becomes the Seat of an Ulcer or Gangrene and must be cut out by the hand of the Surgeon All that Art can do is 1. To restore the Part fallen down to its natural Place 2. To confirm it there either truly by Astringents or palliatively by other means 3. If that can't be compass'd Amputation is the only relief The Patient being conveniently plac'd on her Back let the part be gently put up with ones Fingers cover'd with a soft Cloth wet with the Decoction of mild discussive Aromatics such as Rosemary Sage Wormwood c. boil'd in equal parts of Wine and common Water or Water from the Forge This done Decoctions prepar'd of vulnerary Astringents
it continue long it may occasion Ulcers and Gangrens In order to prevent this Inconvenience the Midwife ought to tie the Navel-string to the Woman's Thigh till she be ready to draw forth the Afterbirth And then the Mother ought to be incourag'd to promote its Egress by Sneezing Coughing and in Case of Extremity Vomiting If all prove ineffectual let the expelling Medicines abovemention'd be administred especially the Spirit and Pouder of a human Secundine Myrrh Saffron Amber Castor and Borace If the After-birth be already corrupted in the Womb exhibit Elixir Proprietatis extracted with the Spirit of Venice Triacle camphoris'd In the interim let sharp irritating Clysters be injected and Pessaries of expelling Ingredients put up into the Womb. Glauberus orders a Mixture of Sal Armoniac and Salt of Tartar to be put into a Glass with a long Neck thrust into the Womb. Some anoint the parts with the Oils of Coloquintida Wall-flowers Savine Amber c. and order Fumigations of Myrrh Cinnamom Galbanum Castor Opoponax and Black Hellebor form'd into Troches with Cow's Gall. If these Prescriptions are still successless the Midwife must put her hand into the Womb and draw it out or if that cannot be done its Putrification must be promoted by injecting emollient Decoctions of Marshmallows Pellitory of the Wall Chamomil c. mix'd with Aloes Myrrh Oil of Roses and Vinegar of Wine to which we may add Lime-water Vnguentum Basilicon and a small quantity of that call'd Aegyptiacum After the Expulsion of the After-birth the next step is to regulate the Flux of the Lochia or the Child-bed Purgation If they are deficient we ought to consider if they are not voided some other way as by the Nostrils Stool c. In which Case we ought not to disturb Nature unless grievous Symptoms oblige us Besides if the Woman was wont to void but a small quantity of her monthly Courses or if she suckle the Child we are not to expect so large an Evacuation as otherwise The natural Method of this Flux is such that Blood is voided four days after Delivery from thence a watry Liquor like the washing of Flesh till the seventh day after that a viscous and serous Humour untainted with Blood continues to flow till the fourteenth or twentieth day Now the Causes of the Suppression of this Flux are external Cold drinking cold Liquors Anger Fear Grief Shame and the Collection of clotted Blood or viscid Humours in the Womb. The Symptoms of a Suppression are the Distention Hardness and Pain of the Belly a beating Heat about the Loins and Groin a shivering Feaver Headach difficult Respiration Swooning cold Sweats Doating and frequently Death If the Womb be inflam'd if a Pleurisy Dropsy or spitting of Blood insue 't is a dangerous Case As for the Cure of a Suppression of the Lochia if the Blood and Feaver boil high if Headachs difficult Respiration and such like Symptoms of the upper Region molest the Person let a Vein be open'd in the Arm and after the use of some internal Expellent open the Saphaena or apply Leeches to the Vagina or scarifying Cupping-glasses to the inside of the Thighs The internal Medicines are those of an expelling Virtue recommended above especially Myrrh Saffron Borace Amber Zedoary and Elixir Proprietatis If the Blood be clotted Castor and Sperma Caeti with Crabs-eyes and Wine are proper to which we may add some Grains of Laudanum Opiatum in case of violent Headachs and other Pains Externally let the Abdomen be fomented with the Decoctions of Chamomil Savine and wild Thyme and anointed with a Mixture of the Oil of Wall-flowers and the distill'd Oils of Cumin Juniper-berries and Amber applying afterwards a hot Brick or a Bag either dry or boil'd in Wine of Wormwood Chamomil Fever-few Angelica-roots the four great hot Seeds and Juniper-berries If the Urine be also stop'd apply to the lower Belly a Cataplasm of Chervil Pellitory of the Wall and Oil of Scorpions In the mean while it will not be improper to inject Clysters of the Decoctions of Specifics for the Womb and stimulating Ingredients and to order Fumigations from Coloquintida the Dross of the Regulus of Antimony Troches of Myrrh Bdellium c. Some put into the Vagina a little Bag of black Hellebor In a word this Symptom and that of a Suppression of the Terms require the same Cure Instead of a Suppression of the Lochia sometimes we meet with an immoderat Flux of Blood attended by a Prostration of Strength dimness of Sight tingling of the Ears and Swooning If the Blood be of an obscure and blackish Colour it proceeds from the Veins if its Colour be florid and a yellowish scarlet it comes from the Arteries and portends Danger The Causes are 1. The Redundancy and watry thinness of the Blood 2. It s Turgescence and accelerated Motion occasion'd by the abuse of spirituous Liquors in time of Labour or the administration of expelling Medicines 3. The Wounds of the Womb caus'd by the violent pulling of the After-birth in case of miscarrying or of its firm Adhesion to the Womb. 4. The Irritation of the Womb occasion'd by a Mola or Clots of Blood or pieces of the After-birth remaining The Cure is vary'd according to the respective Cause If the Blood be thin Sudorifics and Incrassating Ingredients are proper If it be overturgid Purslain Plantane Tormentil Loostrife and Acids take place If the Womb be wounded the Decoctions of Chervil and vulnerary Ingredients are recommended If a Mola or Pieces of the After-birth remaining cause an immoderat Flux we must be cautious of using strong Expellents because they promote the Flux But Aromatic Ingredients mix'd with Astringents may be safely administred Such are Tormentil Bistort Marjoram Pennyroyal Mugwort Troches of Amber c. In general all Preparations from Quinces the Pouder of Sea-horse Teeth given to a Dram the Preparations of Steel Blood-stone seal'd Earth burnt Hartshorn the solar Tincture of Steel given to fifteen Drops and the Tincture of the Sulphur of Vitriol given to thirty Conserve of Roses and that of Comfry-roots with Laudanum Opiatum and in case of extremity Allum given to half a Dram These I say are generally approv'd in all Cases Externally apply Cupping-glasses under the Breasts or foment the Breasts and Genitals with a cold Mixture of Vinegar Juice of Housleek Nitre and Water of Frogs Spawn or apply a Cataplasm of Soot Vinegar of Roses and the Whites of Eggs to the Loins Some order Decoctions of astringent Ingredients and Hogs Dung in Smith's Water to be injected into the Womb. Others recommend a Girdle of black Hellebor-leaves ty'd round the Body The Redundancy and Turgescence of the Blood admits of bleeding in the Arm but no other Cause With reference to the Extraction of the After-birth and Regulation of the Child-bed Flux we ought to take notice of the After-pains that ofttimes succeed to Delivery These After-pains are call'd genuin when they 'r seated in the Womb as being only
new close Vessel or mix'd with black Pepper Salt dry Soot and Orpine be sprinkl'd upon the Ulcer after 't is wash'd with Plantane-water If these prove successless apply the Oil of Man's Dung and for the last Refuge Arsenic fix'd with Nitre and mix'd with Scot and Rulandus's Balsam of Sulphur in the form of an Ointment or the Oil per deliquium of the Arsenic thus fix'd it being dulcify'd with Spirit of Wine If the Cancer still continue after these Applications 't will be needful to cut it off and then burn out its Roots with a hot Iron for if the least Particle of the Ferment be left 't will revive again Alliot Physician to the Duke of Lorrain publish'd a Schedule at Paris some years ago in which he pretended to cure an ulcerated Cancer without cutting or burning and that by a certain Alcalin Salt that is so fix'd that it won't dissolve or melt as the other Alcalin Caustics which by so doing exasperate the Cancer This Salt he says makes an Eschara and converts the sharp matter into a laudable Pus 6. Ulcers caus'd by Burning In order to adjust their Method of Cure we ought to distinguish three degrees in Burning 1. When the outer Cuticle alone is hurt and lifted up in little watry Bladders This is the ordinary effect of hot Water burning Straw c. 2. When the inner Skin is also contracted and wrinkl'd This is the effect of hot Oil Wax Pitch c. 3. When the Flesh it self is burnt and the Skin cast into a Crust as by melted Metals c. The Cure consists in subduing the volatil Sulphureous Acid of the Fire which melts down the nutritious Juice of the Part and causes the fiery Bladders For this end we apply for the first degree Quick-lime-water prepar'd with the Decoction of Rapes and mix'd with the Oil of Linseed to the Consistence of a thin Ointment or a Liniment of Quick-lime frequently wash'd and purg'd of its sharp Salt Tutty Whites of Eggs with Vinegar and Oil of Roses or the Juice of Onyons or Garlic mix'd with Salt Castle-Soap and Oil of Roses The Mucilage of bruis'd River-Crabs extracted with the Water of Frog's Spawn or an Ointment of River-Crabs bruis'd and mix'd in a Leaden Mortar with fresh Butter the Solution of Litharge in Vinegar mix'd with the Oil of Rapes Camphyr Mucilage of Quince-seeds and the Whites of Eggs a Liniment of common Oil mix'd with the Whites of Eggs or the Syrup of Elder mix'd with Spirit of Wine are all approv'd in the same case In the second degree we lay open the Bladder without any delay and then apply the above-mention'd Medicines or a Liniment express'd from fresh Hen's Dung fry'd with fresh Butter and Sage and Plantain-leaves or a Mixture of the Pulp of Apples boil'd in the Water of Frog's Spawn with Sugar Camphyr and Saffron In the third degree we lay open the Pushes with all possible speed and apply emollient Liniments for separating the Crust such as Butter mix'd with the Decoction of Mallows or the Mucilage of Quinces extracted with the Water of Frog's Spawn and mix'd with Butter the Oil of Eggs and that of white Lillies If the Crust do not come easily off it must be cut with a Launce for fear the imprison'd matter should create a deep Ulcer After the Crust is remov'd we apply Digestives and Cleansers as in other Cases CHAP. IV. Of Dislocations THE Bones design'd for Motion are receiv'd into Cavities call'd Sinus's and fasten'd to 'em by Ligaments Tendons or Muscles And when the Head of any Bone is justled out of its proper Sinus 't is call'd a Dislocation The Causes are generally external tho sometimes a vicious Acid thickening the nutritious Juice that waters these Cavities may straiten their Capacities and so deny Admission to the Bone as in the Sciatica and Gout and sometimes a sharp saltish Catarrh such as Scorbutical Persons are obnoxious to by relaxating the nervous Ligaments may indirectly promote a Dislocation When a Bone is put out of joint its Figure Situation Length and inability to move will discover it Some Dislocations are call'd perfect when the Bone is quite out of its place others imperfect when it sticks upon the side of its Cavity The former is more difficult to cure than the latter The Dislocation of the Thigh Bone as it dos not easily happen by reason of the extraordinary Strength of its Ligament so 't is hard to cure the Muscles being very thick and the part in a manner inaccessible But that of the small Bones about the Ankle is much more dangerous they being surrounded with many Tendons which when they 're misplac'd are apt to create grievous Pain Inflammations Convulsions c. When a Bone is set let the contracted Muscles be extended to their due Length and the whole Member be conveniently ty'd fast with broad or narrow Swathes as its nature requires remembring still not to tie it too hard nor to apply Astringents as most Surgeons are wont to do lest the Stagnation of the Blood or Serum should occasion Inflammations or Tumors If the part be much inflam'd we must not pretend to extend it or to set the Bone till the Inflammation be abated by the following Decoction Take of the Tops of St. John's-wort a handful and a half of the Herbs Betony Chamomil and Rosemary of each a handful Comfrey-roots three Ounces Roots of round-rooted Birth-wort six Drams the four large hot Seeds of each an Ounce and a half Boil them in Water and add to a Pound and a half of the strain'd Liquor six Ounces of Wine in which Sage has been infus'd Mix and foment the part and after 't is ty'd up wet the Swathes with a Spunge dip'd into it If the Pain be excessive we may add Poppy-Heads to the Decoction In the mean while give internally volatil Alcalies and fix'd Diaphoretics for preventing the Stagnation of the Blood If a white Swelling invade the part either before or after the Bone is set anoint it with the distill'd Oil of Tartar or of Man's Bones rectify'd with burnt Hartshorn However in all Cases let express'd Oils and Astringent Cataplasms be avoided the former shut the Pores and relaxat the Fibres and the latter cause Inflammations and Tumours The common Plea for Astringents is that they strengthen the Fibres Whereas the Fibres are much more benefited by fomenting 'em with Aromatic and nervous Decoctions and applying Cephalic Plaisters of Amber Elemi Balsam of Peru c. If the Dislocation be caus'd by the internal Coagulation of the nutritious Juice of the Joint 't is incurable unless Mercury give relief If it be only threaten'd we endeavour to prevent it by giving inwardly the volatil Preparations of Tartar especially its Spirit prepar'd from Tartar fermented with its own Alcaly to which we may add Sal Armoniac and the Spirit and volatil Salt of Man's Bones Externally we apply the Spirit of Earth-worms mix'd with Spirit of Sal Armoniac and in
contagious The Cure is perform'd by attenuating and discharging the viscid Matter discussing the Wind and moderating its force In the first place let Antimonial Emerics be exhibited and next to them the Stomachical Purgatives prescrib'd in the last Chapter After the first Passages are clear'd the oyly volatil salin Simples are equally proper for tempering the Acid and attenuating the viscous Humour As for Example Take of Fennel and Mint-water of each an Ounce and a half Carminative-water prepar'd with Wine an Ounce Spirit of Anis Essence of Orange-peel of each three Drams distill'd Oyl of Mace five drops Syrup of Orange-peel six Drams Make a Potion to be taken by Spoonfuls Chamomil with the four hot Seeds both larger and lesser boyl'd in Wine or their distill'd Oyls or their Spirits mix'd with that of Sal-armoniac Castor or its Essence prepar'd with Spirit of Sal-armoniac Myrrh Treacle Orange-peel Amber-grise Cinnamom and all Oyly Volat-Salts are proper for the same purpose As for Example Take of Coriander-seeds half an Ounce Anniseeds Fennel-seeds of each two Drams Zedoary Ginger Galangal and Sal-armoniac of each a Dram â—owder of Diatrion Pipereon a Dram and half aromatic Oyl of Sugar two Drams Make a Coarse Powder Balsam of Sulphur is of very good use as likewise the aromatic compound Waters of the above mention'd Simples but above all the Carminative Spirit de Tribus that is the Spirit distill'd from Tartar and Nitre mix'd with Spirit of Wine tartaris'd and rectify'd Take of Mint-water two Ounces Roman Chamomil water an Ounce Zedoary-water half an Ounce Carminative Spirit de Tribus a Dram and a half Essence of Opium a Scruple Syrup of Orange-peel an Ounce Mix for a Draught Take of Elixir proprietatis prepar'd without Acids three Drams Essence of Castor two Drams Essence of Opium a Dram. Mix. Dose forty drops If Wind be accompanied with Flushings in the Face and a notable heat there is nothing comparable to the Spirit of Nitre dulcify'd with Spirit of Wine and impregnated with the vertue of Carminative-Simples after Sylvius's Method Sylvius's extemporary mixture is very serviceable in this case viz. Take of Fennel and Mint-water of each two Ounces rectify'd Spirit of Wine or Matthiolus's Aqua Vitae or Sylvius's Carminative Spirit an Ounce Spirit of Nitre twenty drops distill'd Oyl of Mace six drops Laudanum Opiatum three Grains Syrup of Mint an Ounce and a half Mix. Dose two Spoonfuls As for inveterat acid Belchings five or six Pepper-corns taken every Morning fasting are very useful as likewise absorbent Earthy Powders mix'd with Aromatics Essence or Juice of Wormwood taken at Meals and the Powder of Coral Cuttle-bone and Ostiocolla mix'd with Spirit of Wine impregnated with Juniper If the Wind proceed from a thick stubborn Mucilage exhibit the Asthmatical Syrup mix'd with a double quantity of Michael's Elixir for the Stomac Externally let the place affected be fomented with the Oyls of Chamomil and of the Carminative-seeds or with a mixture of Anis-water Spirit of Wine camphoris'd and Treacle or cover'd with a Plaister of Tacamahac Balsam of Peru and Treacle 'T is also proper to inject Clysters of Man's Urin in which the Carminative Ingredients have been boyl'd SECT VI. Of the Diseases that hinder the Retention of Food in the Stomac CHAP. I. Of Vomiting and Loathing of Meat HAVING thus accompany'd the Food from its first entry into the Mouth till its arrival in the Stomac we are now to view the Causes that disturb its Repose That Sense which with respect to external parts is call'd Pain is Christen'd Irritation among the Internal Membranes as the upper Orifice of the Stomach is said to be irritated when any Object grates upon or displeases it Now the natural result of Irritation is that Crowds of Spirits are summon'd in by the angry part and upon their arrival it contracts it self Thus the Mouth of the Stomac being extremely sensible contracts it self upon the least Irritation the natural consequence of which is a loathing of Meat or denying admission to it when swallow'd or if it happen to force its passage the imprison'd Wind belches out at the new open'd Gate But if this contraction be continu'd to the Pylorus or lower Orifice of the Stomac its Fibres being stronger than those of the upper throw up the Contents with force sufficient to master the Passage and hence insues a direct Vomiting So that Loathing and Vomiting differ in this point That the one is a contraction of the upper the other of the lower Orifice of the Stomac Vomiting is said to be Essential when the Irritating cause is lodg'd within the Stomach Such Causes are a Wound Inflammation Ulcer Gangren or Schirrus of the Stomac or Pylorus sharp Scorbutic Salts convey'd thither in company with the Spittle or deposited by the Arteries the vicious effervescency or recoyling of the Gall and Pancreatic Juice clotted Blood corrupt Matter or any Humor dislodg'd of its proper Habitation and hurry'd into the Stomac the Assumption of sharp Irritating Medicines Vomits Purges Poyson c. or of fat things which relaxat the Fibres of the upper Orifice and struggle with the acid ferment Crudities Worms c. If the Cause be seated elsewhere the Vomiting is caus'd by consent by reason either of the Stomac's being one continu'd piece with the affected part or of their mutual commerce maintain'd by the Nerves Thus the Disorders of the Bowels Guts Midriff Head Kidneys Womb Liver and Spleen are frequently the causes of Vomiting A Schirrus or corruption of the Sweetbread stagnation of the Seminal Juice in Widows and stale Maids and in a word whatever disturbs or inflames the Animal Spirits will produce the same effect Vomiting is usher'd in by Anxiety and Trouble in the Breast Swiming of the Head trembling of the Under-Lip plentiful evacuations of Spittle and Convulsive Motions of the Stomac An Essential Vomiting ought to be carefully distinguish'd from that which is Sympathical If when the Stomac is empty'd by Vomiting there remains still a propensity to Vomit if the Stomac continue heavy and blown up and nauseat Food if acid or musty Belchings insue we take it for an essential Vomiting If it be incorrigible and obstinat usher'd in at first by a pain in the Breast and after a Day or two a Loathing in a word if no fault can be fasten'd on the contain'd Humours it proceeds from a Callosity Schirrus or such like default in the Stomac If it come in a surprizing manner without the precedent Siâ—ns of Trouble in the Breast Loathing weak Stomac c. 'T is a shrewd Argument that it proceeds by consent from the disorder of some other part that is not yet come to light If it be caus'd by a viscid Humor 't is hard to cure it If the Chyle and Food be frequently thrown up with a feaverish heat 't is an ill circumstance Long and continual Vomiting in Malignant Feavers especially if the Matter be livid blackish or fetid is very dangerous In benign Feavers
Back under the short Ribs The Vomiting of Atra Bilis is fatal as likewise a Voiding of Blood any way in the Small Pox Measles or other Eruptions If the Piles succeed to Vomiting 't is a good sign as also if it come by Intervals in Splenetic and Chronical Diseases If it be Critical all is well The Cure consists in removing the Causes diverting the Blood from the Stomac fortifying the broken Vessel attenuating and throwing off what is already extravasated Blood-letting in the Arm or Leg or opening the Hemorrhoid Vessels must be premised in Cases of Ploethora's or Suppressions of Blood As for Astringents the Syrup of the Juice of Comfrey Roots and Plantane Leaves not clarify'd mix'd with Sugar is recommended by the Honourable Mr. Boyle and mightily esteem'd in England Water of Nettles mix'd with Spirit of Vitriol is extoll'd by Hartman and several other Authors Or Take of the Conserve of Roses two Ounces Prepared Bloodstone a Dram and an half Adstringent Crocus of Steel that is Vitriol of Steel dissolv'd in Water and precipitated with Oyl of Tartar per deliquium a Dram white Henbane-seeds two Scruples with Syrup of Purslain make an Electuary Take a convenient quantity of the Earth of Vitriol of Steel well calcin'd and dulcify'd dissolve it in Spirit of Salt draw off the Spirit in a Fire of Sand till the residue come to the consistence of Honey Upon which digest Rectify'd Spirit of Wine for some time and strain the Tincture for use Take of Plantane and Tormentil-water of each an Ounce innamom-water and Vinegar of each six Drams Prepared Red Coral half a Dram Troches of Amber a Dram seal'd Earch half a Dram Mummy six Grains Laudanum Opiatum one Grain Syrup of Comfrey one Ounce Make a Potion If the Breast be perplex'd the Pulse weak Respiration difficult the Stomac blown up the Face Pale and liable to sudden Flushings and the Person apt to swoon 't is a sign that the Blood is congeal'd in the Stomac In which case Crabs Eyes Coral and Diaphoretic Antimony and especially Sperma Coeti are proper After the stagnating Blood is attenuated the remaining Clots may be carried off by Rhubarb or a Gentle Vomit If the obstruction of the Spleen occasion the recoyling of the Blood in the Vas Breve upon the Stomac Chalybeat and opening Remedies are most convenient Externally apply Treacle with Saffron and Vinegar of Rasberries to the Stomac SECT VII Of Pains of the Stomac SOmetimes the Breast or the whole Cavity reaching from the Mouth of the Stomac to the Midriff Liver Spleen and Sweet-bread is siez'd with a Prodigious Uneasiness and Confus'd Pain causing the afflicted Person to toss up and down the Bed This we call Anxiety If this Pain be particularly fix'd to the Pit of the Breast attended by a seeming Compression with a sense of Biting and Gnawing 't is call'd Cardialgia or Pain in the Stomac The former is wandring arising from the least irritation and is fitly resembled by the Anxiety following the Assumption of a Vomit The latter is fix'd arising from a Convulsive Contraction and is of the same Nature as the Pain we are afflicted with when we swallow any thing too hard or overbulky All Anxieties excepting such as arise from Suffocation or the disturbance of respiration are owing to the Constriction or uneasiness of the upper and more sensible Orifice of the Stomac as appears by their following the assumption of a Vomit attending Hysteric Constitutions and being abated by Belching their Accompanying Agues and Disappearing after Vomiting and their being caus'd by Eating of heavy Suppers The blame is usually cast upon the Heart but very unjustly for the Heart is an indolent muscle and if it be irritated is siez'd with Convulsions or what we call a Palpitation which does not Accompany Anxieties of the Breast The Remote causes are sharp Poysonous things taken into the Stomac Corrupt Food Wind Vicious Humors or Foreign ferments Translated thither Inflammations and such like disorders of its Membrans Convulsions of the Nerves or Adjacent Parts and in a Word whatever provokes the Mouth of the Stomac to Contract it self Anxieties are usually Companions to other Diseases whose peculiar cure must be taken care of In General Aromatic Discussing Ingredients together with Vitriol and Nitrous Medicines are very proper The Pain of the stomac was by the Ancients call'd Cardialgia by reason of the frequent Swoonings Prostration of strength and Cold sweats that attend it tho in the mean while the Heart is not at all afflicted The left Orifice of the Stomac is its seat as being the most sensible tender Part of the whole Body richly stor'd with Nerves that maintains a near Corrâ—spondence with all the Nervous systeme This Pain is caus'd by the Preternatural fermentation of the Bile and other vicious Juices 't is attended by Inflammations sometimes 't is seated in the back of the stomac and sometimes glides along the Gullet to the very shoulders or resembles the Compression or Squeezing of the Throat The remote causes are whatever offends the left Orifice of the stomac or provokes it to Contraction Nephritic Pains Contorsions of the Backbone Depression of the Cartilago Ensiformis Stones in the Gall Bladder or Duodenum Tumors in the Mesentery and Sweetbread Hysteric Passions and Suppression of the terms may occasion it by consent The Boyling of the Juices in the first Passages In Intermitting feavers frequently produces this symptom which is remov'd by Clysters Wind in an empty stomac an Acid viscid matter gnawing and piercing the upper Orifice which generally quickens about an hour or two after Eating Green or Rusty Bile Tinctur'd with a Corrosive acid from the Sweetbread Corruption or Acidity of the Victuals Tumors Stones or Ulcers in the stomac assumption of sublimat Mercury Arsenic Coagulation of Milk or new Cheese in the stomac occasion'd by its mixture with an Acid Worms in the stomac swallowing of Leeches cur'd by salt Water pieces of Glass Pins c. Are frequently the Authors of the same disorder Sometimes it is Periodical according to the successive return of its causes The Symptoms of Anxiety and Pain of the Stomac are an Inexpressible sort of uneasiness about the Pit of the Breast unquietness tossing difficult Respiration and Swooning usher'd in by Giddiness and follow'd by cold Sweats and a pale Chilness in the Outward Parts If the Pain seize the bottom of the Stomac it ought to be carefully distinguish'd from the Cholic by observing if it creeps upwards or descends to the Loyns and Kidnies If it accompanies other Diseases or comes by it self the former are signs of a Pain in the Stomac the latter of the Cholic If Anxiety and Pain of the Stomac proceed from Worms or Wind it is not very dangerous tho the Symptoms may seem dismal To children it prognosticates Epilepsies and to Adult Persons Chronical Diseases If it arise from curdled Milk or a green rusty sharp viscous humour 't is dangerous If it owe its being
to a Viscous Pituitous Matter 't is not so violent If follow'd by Convulsions 't is much suspected as also if it accompany Acute Feavers The cure is perform'd by removing the offending cause and abating the Pain If it depend upon another Disease it yeilds to its cure If it be Essential or accompany Feavers there 's nothing equals Antimonial Vomits which prevent an Infinity of dismal circumstances After Vomiting Purges are proper But by reason of their offensiveness to the Stomae let 'em be mix'd with Opiats a useful contrivance fot such as are liable to Gripings or over-purgations or stuff'd with sharp Scorbutic Hypocondriac Humors Take of Tartar vitriolated fifteen Grains Scammony sulphurated two or three Grains Laudanum Opiatum one or two Grains Extract of Troches Alhandal one Grain Distilled Oyl of Caraways two Drops Make a Pouder Take of Quercetanus's Pills of Ammoniac twelve Grains Magistery of Jalap five Grains Scammony sulphurated and Laudanum Opiatum of each a Grain with Essence of Castor make Pills Four or five Grains of Fulminatory Gold may be added Take of Aloes half an Ounce Myrrh two Drams Mastic a Dram Oriental Saffron half a Dram Rectify'd Flowers of Antimony a Dram with solutive Syrup of Roses make a Mass Dose from fifteen to twenty four Grains This is the composition of Poterius his Catholic Pills If it be caus'd by Wind or the Steams of the Choler and Pancreatic Juice fermenting in the Duodenum let Carminative Clysters be injected As Take of Leaves of Mint Wild Marjoram and Penny Royal of each a handful Chamomil Flowers half a handful Angelica Roots half an Ounce Bayberries three Drams Seeds of Anis Carrets and Fennel of each a Dram. Boyl them in Water and Man's Urine To Eight or Nine Ounces of the strain'd Liquor add of Lenitive Electuary and Electuary of Bayberries four or six Drams Distill'd Oyls of Anniseeds and Fennelseeds of each half a Scruple Yelks of Eggs in number one Make a Clyster to be injected warm 'T is proper to add Salt of Tartar by reason that at once it whets the Clyster and attenuats the viscid humors Blood-letting is inconvenient excepting the case of a Plaethora or some notable suppression of Blood The second Indication is satisfied by Opiats as thus Take of Chamomil water three Ounces Cinnamom-water one Ounce Elixir of Mint or of Citrons or of Oranges six Drams Distill'd Oyl of Chamomil six Drops Laudanum Opiatum from three to six Grains Syrup of Hysop six Drams Syrup of Canel an Ounce Mix them Dose two or three spoonfuls 'T is a Catholic Mixture for all Pains of the Stomac The Spirits of Salarmoniac Anniseeds Hartshorn Tincture of Tartar Carminative Spirit de tribus or if the Pain be attended by a burning heat dulcify'd Spirit of Nitre may be conveniently added The Remaining Specifics are vary'd according to the Causes If Wind be deem'd for the Cause Chamomil is a noted Specific by reason of its Anodyn and Aromatic Vertues It s Water its Essence extracted with a Carminative Spirit of Wine its Decoction its Oyl drunk with Wine or applied outwardly with Oyl of Nutmegs are all of excellent vse Next are the Decoctions of Sassafras Hyssop Dill Rosemary and Mullein Flowers The Tincture and Distill'd Oyl of Orange or Citron Peel Spirit and Distill'd Oyl of Anniseeds Spirit of Salarmoniac Elixir of Mint c. If it be attended by a Notable Heat to these Aromatic Ingredients we may add Acids as the Juices and Syrups of Quinces Citrons and Pomegranats Spirit of Nitre dulcify'd with a triple quantity of the Spirit of Anniseeds If the Anxiety or Pain proceed from Acid sharp Humors or green rusty Choler Absorbent Pouders are proper as Take of Prepar'd Red Coral Cinnabar of Antimony Chalybeat Diaphoretic Antimony of each Eight Grains Laudanum Opiatum a Grain Distill'd Oyl of Cloves one Drop Make a Pouder to be exhibited in Chamomil-water mix'd with Essence of Castor If it arise from a Viscous Mucilage Cream of Tartar and Gum Ammoniac are proper Ingredients If it be caus'd by Sublimat Mercury let Milk mix'd with Oyl of Sweet Almonds or Oyl of Tartar per deliquium be exhibited Let Prepar'd Chrystal Venice Treacle and Fresh Butter be dissolv'd in Barley-water and given to drink and the Stomac fomented with the Decoction of Henbane Leaves in Red Wine Some recommend seal'd Earth with Syrup of Comfrey for internal use Pins Pieces of Glass and such like sharp things swallow'd and pricking the Stomac are remov'd by drinking Oyl of Sweet Almonds and Broth or eating a thick Pultise of Rice and Milletseeds If the Pain be occasion'd by Worms give Elixir Proprietatis without the Acid and Spirit of Sal Armoniac or Tartaris'd Essence of Wormwood As for Old Persons who are frequently troubled with a Pain of the Stomac attended by a notable Weakness and Propensity to swoon the following Pills are of wonderful Efficacy Viz. Take of Ambergrise two or three Grains Mosch and Oriental Saffron of each a Grain or two Opium four Grains Make Pills As touching External Applications Ointments are compos'd after this manner Viz. Take of the Distill'd Oyl of Chamomil a Dram Oyls of Mace and of Cloves of each fifteen Drops Balsam of Peru half a Dram. With Expressed Oyl of Nutmegs make a Liniment and anoint the Breast and Stomac applying afterwards a hot Brick Plaisters are very useful especially such as are made of Tacamahac or Gum Caran with Venice Treacle or Balsam of Peru and Distill'd Oyl of Amber The Stomac may be likewise fomented with the Decoction of Wormwood Mint Hyssop Marjoram Chamomil Flowers Fennel seeds and Juniper Berries in Wine or Vinegar and Water or a Bag quilted with the same Ingredients and Spices and sprinkled with the Oyls of Amber and Mint may be applied hot to the Stomac Anodyn Cataplasms are also very useful especially in Scorbutic Cases as Take of the Leaves of Henbane and Mallows roasted under Ashes of each three Ounces Meal of Barly and Vetches reduc'd to a due consistence with the Decoction of Vetches of each two ounces the Mucilages of Tragacanth of Fleawortseeds and of Quinces of each two ounces Make a Cataplasm Womens Pains of the Stomac arising from the Faults of the Matrix are frequently cur'd by the application of Pomatum and Goats Tallow As those which proceed from Wind by applying a Bag of Bran tosted Milletseeds and common Salt The Disease which we call the Heat of the Stomac is near akin to those last describ'd 'T is seated in the Left Orifice of the Stomac and is only a sense of Heat and Sulphureous Fumes passing thro the Gullet caus'd by the Fermentation of an Acid with a Fat Oyly Alkali in the Stomac The Remote Causes are over-acid or over-fat Victuals Choler abounding in the Stomac or forc'd thither by Anger or such like occasions or an Hypocondriac Acidity prevailing in the Stomac The Burning or Heat is frequently accompany'd by bitter and musty Belchings and if it come without
a manifest Cause portends a Chronical Distemper The Specifics that compass its Cure are Absorbent Pouders such as Chalk and Cream of Tartar the Pouder of Burnt Bricks Bole Armenic c. Nutmegs are possess'd of a temperat Oyl fit for moderating the Acrimony of the Humours The Conserve of the Fruit of the common Briar Syrup and Conserve of Oak-Buds Juice of House-leek and Nitre dissolv'd in Elder-flower-water are much approv'd Take of Prepared Chalk two Drams Nutmegs burnt Ivory of each a Dram Mineral Unicorn Red Coral and Crabs Eyes of each two Scruples With four or six Ounces of Sugar dissolv'd in Purslain-water make Tablets Take of the Conserve of Oak-Buds an Ounce Prepared Chalk two Drams Nutmegs one Dram. Make an Electuary If the Evacuations be needful Tamarinds are most proper When a stronger Purgation is desir'd Rhubarb Pills of Ammoniac and Elixir Proprietatis are likewise convenient In an Inveterat case we have recourse to Vomits SECT VIII Of Disorders hindring the due Separation of the Chyle from the Excrements in the Guts THE Victuals having made a sufficient stay in the Stomac repair to the Guts under the form of Chyle which wants to be further prepar'd by being rid of its Curd or gross Excrements before it enter the Vasa Lactea This separation of the good and bad is perform'd by the Gall and Pancreatic Juice The former is an Oyly sulphureous Body which tinctures the Chyle and predisposes it for being converted into Blood It defends it from Corruption destroys any remains of Acidity and ferments with the Pancreatic Juice which is a temperat Acid. Thus they joyntly attack the Chyle attinuat its parts and precipitat the Coarser in order to expulsion while the more refin'd are receiv'd by the Milky Vessels and convey'd to the Blood If this fermentation and separation be irregularly perform'd the Body is expos'd to an infinity of Diseases In a word all Chronical Distempers are owing to the lameness of this performance and that of the first Digestion From these two Juices viz. the Gall and Pancreatic Juice together with the Pituita compos'd of the Saliva and remains of the Chyle in the Stomac Sylvius fetch'd the Causes of a great many Diseases not only Agues but all Chronical Distempers and Symptoms of the lower Belly For the least disorder in that Triumvirat obstructs the due purification and conveyance of the Chyle which cannot but produce many Inconveniencies in the Body Now each of these Juices is accountable for its own faults If the Gall be too copious it renders the Chyle too Oyly and ought to be purg'd out If too sharp or saline it ought to be temper'd by dulcify'd Acids If too fat or oyly it ought to be sharpen'd with volatil Aromatic Salts If it be lazy or do not flow into the Duodenum it ought to be stir'd up and a passage open'd to it by spirituous volatil Medicines As for the Juice of the Sweet-bread if it be too rank it ought to be carry'd off If too acid or austere its austerity causes Constipation of the Belly Gripings and Suffocations of the Womb it ought to be temper'd by Alcali's both fix'd and volatil as fix'd Salts Earths Chalybeat and Antimonial Medicines Castor Galangal Ginger distill'd aromatic Oyls and Spirits c. If it be too flat or deficient it ought to be retriev'd by dulcify'd mineral acid Spirits Juice of Quinces c. If the Chyle it self be deprav'd in the first Digestion it s softer coarse parts that stick to the Guts viz. the mucus that defends them from the sharpness of these two Juices is likewise disorder'd and ought to be put to rights If it be too copious purge it off with Coloquintida If too viscid attenuat it with volatil Salts if deficient repair it with viscous Food But for so much at 't is a difficult Task to trace the peculiar faults of every Juice apart we shall touch at such Medicines as are equally calculated for redressing all their Disorders Those are the temperat salin Ingredients as Arcanum Duplicatum the Carminative Spirit Spirit of Nitre dulcify'd with a triple quantity of the Spirit of Aniseeds together with Opiats As for Example Take of Carduus Benedictus Endive and Mint Waters of each an Ounce Sal Armoniac six drams dulcify'd Spirit of Mint a scruple prepar'd Crabs Eyes a dram Diaphoretic Antimony a scruple Laudanum Opiatum three grains Syrup of Orange-peel half an ounce Mix and give a spoonful now and then SECT IX Of Disorders relating to the Expulsion of the Excrements by Stool THE Chyle having drop'd its Excrements in the Guts pursues its Journey to the Blood These Excrements ought to be voided in due time The hindrances of their regular Evacuation are such as either impair enlarge or deprave it CHAP. I. Of the Diseases which impair the Evacuation by Stool ARTIC I. Of Costiveness THE Causes of Costiveness respect either the Excrements or the Guts Of the former sort are the paucity of Excrements for want of Victuals Their hardness and dryness occasion'd by neglect of drinking excessive sleep and rest swallowing Cherry-stones or Gooseberryskins eating Chesnuts Eggs boyl'd hard Crust of Bread and Medlars Their viscidity and glutinosity caus'd by viscous Victuals or an acid austere Constitution of Body and want of Exercise Their Condensation and Coagulation caus'd by the austere acidity of the Pancreatic Juice and defect of the oyly bilious Alcali all which makes 'em unfit for observing the Peristaltic Motion of the Guts and dispose 'em to stagnat The Causes relating to the Guts are Obstructions or fleshy Excrescences in the Guts their Compression as in Women with Child their Inflammation or Gangrene their growing together after the Corrosion of a Dysentery the Paralytic Relaxation of their Fibres which in Apoplexies eludes Clysters Their Convulsive Contractions occasion'd by Colic or Nephritic Pains which are frequently augmented by strong irritating Purgatives but remov'd by smooth Laxatives Now all these Causes hinder the Guts to perform their wonted Office of forwarding the Excrements by their Peristaltic Motion Sometimes a Costiveness is follow'd by a loathing vomiting gnawing shooting Pains in the Belly uneasiness watchings giddiness and Head-ach If it be inveterat it may occasion a bleeding at Nose If the Excrements be lodg'd in the Colon they creat an uneasiness resembling the splenetic Illness which frequently imposes upon Physitians The disorders of the Head and Hypocondriac Symptoms are inlarg'd by Costiveness which to young Persons threaten an Epilepsie If attended by an Iliac Passion Colic Pains or a Palsie of the Guts 't is very dangerous To Childbearing Women it renders Delivery difficult The Cure consists in softening watering and attenuating the Excrements or in removing the Causes which straiten the Capacity of the Guts reviving their Sense and appeasing their Irritations For the former purposes Oyl of sweet Almonds with solutive Syrup of Roses Salt of the tendrels of Vines mix'd with Spirit of Salt soft potch'd Eggs with Butter drinking
Spanish VVine and Oyl of Chamomil For a Flatulent Colic Take of Bay Leaves a handful Chamomil flowers a handful and a half Angelica or Lovage Roots six Drams The four lesser hot Seeds of each two Drams Boyl them in fair Water To ten Ounces of the strain'd Liquor add Electuary of Bayberries six Drams Venice Treacle one or two Drams Distill'd Oyls of Angelica Caraways Cumminseed and Bayberries of each three or four drops With the Yelk of one Egg Make two Clysters to be injected at two several times by reason of the wind disturbing the Injection Or Take of the Carminative Decoction six Ounces Man's Urine four Ounces Yest a Dram Common Salt a Scruple Hony of Roses an Ounce Make a Clyster in flatulent Colics In the beginning of the Disease Gentle Emollient Anodyn Clysters are not improper in any Colic As take of Henbane Leaves a handful Boyl them in Milk To ten Ounces of the Decoction add an Ounce of the Honey of Roses Mix for a Clyster Afterwards when we have discover'd that vicious matter or hard Excrements are Lodg'd in the great Guts we may presâ—â— be Emollient Clysters sharpen'd with Sal Gem and if these prove ineffectual add sharp Purgatives as above If the Anus be much retracted and threaten an Iliac let Clysters be sparingly us'd as likewise in all true Convulsive Colics 2. If the Intestines are much Contracted either by foreign Convulsions or vicious matter within proper Purgatires ought to be avoided for they promote the Contraction and Lock up the Excrements closer In this case Whey or an Ounce of the Oyl of sweet Almonds with Spanish Wine and Sperma Caeti are more effectual than the strongest Purgatives If the Guts be inflamed all Laxatives whatsoever are Pernicious If the Colic proceed from a tenacious viscid humor and be attended by a heavy Boring pain Purgatives mix'd with attenuating Ingredients are allowable tho rather after the Fit has made some progress and the Symptoms are a little abated than just in the beginning especially if the Pain be very Violent The safer way is to begin with Emollient Abstergent Prescriptions such as that of the Oyl of Almonds and Wine and Sperma Caeti and then after some time prescribe thus Take of Mint Water an ounce and a half Cinnamon Water half an ounce Gum Ammoniac dissolv'd in Vinegar half a dram Tartar Vitriolated fifteen Grains Scammony Sulphurated and Troches Alhandal of each two Grains Solutive Syrup of Roses or of Apples half an ounce Make a Potion for a Colic proceeding from a tenacious acid humor in the Guts In the Declension of the Fit 't is expedient to exhibit sweet Mercury with the Pills of Hera with Agaric for dissolving and washing off the remains of the viscous Acid. Or if in the beginning of the Fit it be safe or convenient to Purge let Laudanum Opiatum be added As Take of Gum Ammoniac dissolv'd in Vinegar a dram Diagrydium six Grains Laudanum Opiatum four or five Grains Mix c. Fulminatory Gold is likewise a proper Ingredient After the Paroxysm is over Sudorifics and Purgatives mix'd together are not improper 3. If the Stomac and upper Guts are stuff'd with peccant matter Vomits are very useful If the pain bear downwards they are very Pernicious 4. Narcotics especially Hysteric Laudanum are very useful in Convulsive Colics and such as proceed from a thin fiery humor They are given in the beginning and during the increase of the fit while the Patient has yet strength sufficient In case of a viscous acid humor they are not so proper till the Guts be cleans'd by Purgatives unless the Violence of Symptoms require ' em The better way is to mix 'em with the Purgatives and exhibit 'em also after Purgation Or to give 'em before Purging so as that they have not finish'd their office till the succeeding Purge joyn ' em 5. The Stomac and Feet ought to be well Arm'd against Cold and all Cold Liquors avoided for sometimes they cause a Colic and in that case a large draught of Juniper Water is a Sovereign Remedy 'T is true there are some Instances of Colics cur'd by drinking Cold Water which perhaps relaxats the contracted Guts But 't is an accidental case and ought not to be look'd upon as a precedent 6. When the Belly is open'd if the Symptoms do not disappear let Aromatic Ingredients be us'd as being admirably fitted for tempering the acid attenuating the viscid matter discussing Wind and fortifying the Nerves against Convulsions Such are Male Speedwell Chamomil its Decoction in Water or its Oyl taken inwardly Clary Orange Peel Zedoary Garlic Gentian Elecampane Wormwood the four large hot-seeds Castor Sulphur Horse Dung and Stones Spirit of Sal-armoniac Spirit of Treacle Camphoris'd Spirit of Tartar Spirit of Hartshorn the Carminative Spirit de tribus c. Some commend the Decoction of Wormwood Elecampane Roots and Orange Peel with mithridat Take of Chamomil and Elder flowers Leaves of Mint and dry'd Rue of each three handfuls fresh Juniper berries two ounces and a half Bay berries Peel'd six drams Cummin Seeds an ounce Anis and Fennel Seed of each half an ounce Aromatic Calamus an ounce and a half The yellow part of Orange Peel three ounces Cinnamon six drams Zedoary three drams Pound them well and sprinkle 'em with six drams of rectify'd Spirit of Wine Infuse them in a sufficient Quantiy of Spirit of Wine not over-rectify'd for the space of twelve hours over a gentle heat of Sand then Distil slowly Dose a spoonful or two Take of the Waters of Anised and Chamomil flowers of each two ounces Cinnamon Water an ounce Spirit of Zedoary half an ounce Dulcify'd Spirit of Nitre two drams Distill'd Oyl of Anis six drops Laudanum Opiatum two Grains Syrup of Orange Peel an ounce Make a Potion to be taken by spoonfuls in Bilious Colics Take of the Waters of Chamomil flowers Mint and Penny Royal of each an ounce Essence of Castor two or three drams Spirit of Hartshorn Succinated or Spirit of Sal-armoniac a dram and a half Laudanum Opiatum three Grains Syrup of Mugwort an ounce Mix for two or three Doses in Convulsive Colics Take of Chamomil Water two drams Mint Water an ounce Essence of Opium half a dram Jaw bone of a Pike a dram Volatil Salt of Hartshorn fifteen Grains Syrup of Fennel three drams Mix and give a spoonful now and then in Convulsive Colics Take of the flowers of Sulphur two drams Jaw bone of a Pike a dram Distill'd Oyls of Caraways Cummin seed and Fennel seed of each four drops Laudanum Opiatum four Grains Make a Powder for three four or five Doses in the Colics that proceed from humors In Nephritic Colics Pills of Turpentin are very proper If the Gripings are attended by a burning heat the dulcify'd Spirit of Nitre If by a Coldness the fix'd salts and absorbent Powders are useful Take of the shavings of Ivory two scruples Prepar'd red Coral and Crabs Eyes of each
than the Disease Aguish Persons are very apt to salivate by taking but a few grains of sweet Mercury which inconvenience ought to be prevented by Purgation or forcible sweating XVIII Chronical Feavers thicken the Blood and Lymph and are apt to degenerat into slow Hectic Feavers which are best prevented by the use of Sal-armoniac a Vomit being premis'd or the following Powder viz. Take of Arcanum Duplicatum twelve or fifteen grains Ivory prepar'd without fire half a scruple mix and exhibit two hours before the Fit Inappetency succeeding to such Feavers is cur'd by the continued use of Wormwood or lesser Centory XIX Chronical Feavers and such as are cur'd by repeated Doses of absorbent Powders are frequently follow'd by Colics Dropsies swellings of the Feet c. Such Symptoms are obviated or remov'd by the internal use of the Decoction Essence Juice or extract of Wormwood and the external application of Celandin the greater XX. In the Declination of an Intermitting Feaver or after their removal or on the intermitting Days 't is not improper to obviat the Cachectic indispositions that generally follow 'em by the use of the following Vegetable Febrifuga's which sharpen the Bile enervat the Acid and fortify the Stomac Take of Essence of Wormwood or of lesser Centory or of Gentian or of Myrrh half an ounce Spirit of Sal-armoniac two drams Mix. Dose thirty or forty drops twice a Day Take of Michael's Febril Elixyr and Elixyr Proprietatis of each a dram and a half Mix. Dose forty or fifty drops Take of the sharpest Tincture of Tartar three drams Elixyr Proprietatis prepar'd without an Acid two drams Mix c. Take of the sharpest Tincture of Tartar three drams Quintessence of Wormwood one dram Mix c. Take of the sharpest Tincture of Tartar three drams of the Carminative Spirit a dram Mix. Dose forty or fifty drops twice a Day XXI During the cold Fit the sick Person must abstain from Eating or Drinking After the height of the Fit when the Sweat begins to breath forth and the Heat is violent he may drink plentifully Warm Wormwood Wine or Wormwood Ale is not improper if there be any apprehension of a scorbutic Feaver the Wine may be Tinctur'd with Antiscorbutics But in Quartan Paroxysms 't is adviseable to drink little or none at all or at least to drop forty drops of Spirit of Sal-armoniac into the Liquor which must always be warm Let the ordinary Drink be Water or small Beer mix'd with Wormwood Wine or clarify'd Whey with a few drops of the juice of Citrons Refrigerating Juleps are improper barring the case of immoderat Heat for which warm Drink with Nitre or Spirit of Vitriol is very proper As Take of the Flowers of red Poppies Flowers of Roses of each half a Handful Infuse them in a Pound and a half of Poppy Flower Water or Clarify'd Whey and sharpen it with Spirit of Sulphur per Campanam Let them stand in a warm place till the Tincture be Extracted Then add of Syrup of Jujubes two ounces Syrup of Violets an ounce Make a Julep Take of the Conserve of Wood Sorrel Conserve of Roses Conserve of Clove Gilly-flowers of each an ounce dissolve 'em in a sufficient Quantity of the decoction of Vipers-grass or Boyl them gently in a close Vessel Strain the Liquor and reserve it for use Take of the Roots of Woodsorrel and Tamarinds of each an ounce Boyl them in Water To four pound of the strain'd Liquor add three Handfuls of red Roses sprinkl'd with dulcify'd Spirit of Vitrol Set them in a warm place till the Tincture be extracted Then strain it and add the Syrup of red Corants and Syrup of Rasberries of each three ounces Mix and reserve for use Take of Spring Water half a pound Cinnamom Water half an ounce fresh Juice of Citrons an ounce and a half Spirit of Vitriol as much as sufficeth for a grateful Acidity Mix c. XXII In Tertians let not Sweat be artificially promoted before the fourth Fit and if it comes naturally in the declensions of the Fits let the Person be lightly Cover'd In Quartans Sudorifics are improper till the signs of Concoction appear but if sweat break forth of its own accord before that time it must not be suppress'd XXIII The chilness shivering shaking c. attending the cold Fits are admirably accounted for by applying Aromatic Oyls to the Stomac Breast Back-bone Loins and Soles of the Feet As Take of Balsam of Peru a dram the distill'd Oyls of Cloves of Mace and of Amber of each half a scruple Mix and Anoint the above mentioned Parts Take of express'd Oyl of Nutmegs a dram distill'd Oyl of Cloves distill'd Oyl of Cinnamom of each fifteen grains Mix c. Take of the distill'd Oyl of Juniper-Berries and Rosemary a scruple distill'd Oyl of Cloves half a scruple Inwardly the same symptoms are mitigated by exhibiting the fixed Salts Aromatic extracts and distill'd Aromatic Oyls But they are peculiarly calculated for such Feavers where the cold Symptoms are more violent than the hot The forms of prescribing are such as these Take of the Salt of Wormwood a scruple prepar'd Oyster-shells and white Pepper in Powder of each six or seven grains Take of Sal-Armoniac fifteen grains Cloves and white Pepper of each five grains Make a Powder for two Doses To be taken before the invasion of the Fit Take of prepar'd Pearl half a scruple Salt of Wormwood fifteen grains distill'd Oyl of Cloves two drops Make a Powder Take of the Salt of Wormwood fifteen grains Diaphoretic Antimony half a scruple Laudanum Opiatum one grain distill'd Oyl of Cloves two drops Make a Powder to be taken two or three Hours before the Fit Take of Crollius's specific against Feavers a dram Salts of Wormwood and of lesser Centory of each half a scruple distill'd Oyl of Cloves three drops Make a Powder for two Doses Take of Carduus Benedictus Water an ounce Cinnamom Water a dram extract of Gentian half a dram Spirit of Sal-Armoniac half a dram Syrup of Carduus Benedictus two drams Make a draught to be exhibited two Hours before the Fit In Quartans when the cold Symptoms prevail most the Dose of the Extract may be augmented but in Tertians when the Heat obtains the ascendant the Quantity of the Spirit of Sal-Armoniac ought to be inlarg'd Take of the Extracts of Wormwood Carduus Benedictus lesser Centory and Triacle of each from five to six Grains distill'd Oil of Cloves three Drops Make Pills to be given before the Fit when cold and its Appendants prevail and little or no heat insues For Oil of Cloves is an incomparable Antidote against shivering Laudanum Opiatum and Extract of Troches Alhandal are proper Ingredients for the same purpose XXIV If the heat and its Consequences be more troublesome than the coldness Sal Armoniac or its urinous Spirit is the only proper Medicine As Take of Sal Armoniac a Scruple Poterius's Antihectic Ponder half a Scruple Mix and make a Pouder
to 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
'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
most plentiful and these vicious particles tincture the Skin according to their various texture If an urinous Oyl prevail the Colour is yellow if an Acid from the first Passages it becomes green or black and frequently a yellow Jaundice is converted to that of a Green or Black Colour by the growing prevalency of the Acid. 'T is true the Ancients fancy'd that the Yellow Colour proceeded from a redundancy of Bile and the Black from a melancholic Humour imputed to the Spleen But Experience teaches us that the genuin Bile is apt to cause a red Colour that such Medicines as whet and volatilize the Bile are proper against this Disease that a Yellow Jaundice becomes Black without any influence from the Spleen and that there are several Yellow Jaundice's in which the Bile is not redundant nor stop'd in its passage as those which proceed from corrupt Chyle bred in the Stomac c. The Jaundice is call'd Secondary when it follows other Diseases and if it be accompany'd by signs of Concoction 't is Critical if not 't is Symptomatical But if it be independent and come of it self 't is a Primary Disease and is usher'd in by these Symptoms First a pressing straitning Pain girds the Breast weariness possesses the Limbs a loathing invades the Stomac the respiration becomes difficult and Giddiness Head-Aches and Swoonings sometimes close up the rear The Urin at first is pale afterwards when the Blood begins to precipitat its Recrements it becomes thick obscure as of a dark red Colour and dies a Cloth yellow like Saffron The Whites of the Eyes being enrich'd with many little Arteries appear Yellow the Mouth is dry and frequently molested with a bitter taste and aversion to Ale Sometimes a Feaver accompanies a Jaundice and sometimes it does not When the Bile is stopp'd the Belly is costive the Excrements White and a violent pain molests the right Hypocondrium as being suppos'd to proceed from Stones in the Gall-Bladder In other cases the Belly is open and the Excrements represent a bilious Colour A Jaundice is dangerous when 't is Black or proceeds from a prevailing Acid or succeeds to Chronical Diseases Quartan Feavers obstructions of the Liver or Spleen or stones in the Gall-Bladder in which last case tho' cur'd it frequently relapses When the Urin becomes thich and Black it prognosticates a happy delivery The Cure consists in correcting the Acid and austere Ferment proceeding from the Stomac and Intestines or retrieving the due texture and distribution of the Bile and promoting the separation of the heterogeneous Particles To obtain these ends let an Antimonial Vomit be first exhibited Purgation is improper especially when the Vessels of the Gall are straiten'd rather than obstructed in which the Vomits themselves are not so useful as in other cases If it be needful to clear the Passages Gum Ammoniac and Tartar vitriolated or some such laxative will suffice Of Specific Alteratives the filings of Steel or its Extract prepar'd with Juice of Apples or chalybeat Wine and prepar'd Blood-stone which partakes much of Steel are much the best to which we join the Juice Infusion or Decoction of Celandin Roots in Wine the Essence Extract or Decoction of Hore-hound the Powder of Colombine-Seeds the Conserve of the Flowers of Broom and St. John's Wort the Powder of Madder Roots the Tincture or Effence of Swallow-wort the Decoctions of Silver-weed Agrimony Wormwood lesser Centory Southernwood the five opening Roots c. Some recommend the Decoction of Raisins and Straw-berry-leaves for ordinary drinking Besides the Vegetable Specifics Earth-Worms or Wood-lice given in Powder to a Dram or the Spirit prepar'd from 'em the Spirit and Tincture of Tartar the carminative Spirit de tribus the Spirit of Sal-Armoniac Spirit of Man's Urine and the Urine it self drunk with the Juice of Hore-hound are of noted efficacy The Dung of Geese or that of other Animals given in Powder to a dram is much approv'd Some recommend the Stone taken out of the Gall of an Ox given to a dram And the Bezoar Stone or the Lapis Fulminaris given to half a dram Some order three or four living Lice to be swallow'd In the declination of the Disease gentle Laxatives mix'd with the above mention'd Specifics are allowable especially Rhubarb given in Powder or Infusion or the Infusion of Senna with Salt of Tartar or the Flowers of Acacia or those of the wild Plum-Tree infus'd in Wine or in the ordinary Drink In a Black Jaundice the Extract of black Hellebor mix'd with that of Steel and Gum Ammoniac is very useful These are the internal Medicins proper to be given against a Jaundice as being all calculated for sharpening the Bile subduing Acids and promoting a regular chylification In the use of which we ought still to continue 'till the Urin become thick and black Externally some apply the Leaves of lesser Centory or Celandin Roots to the soles of the Feet and bathe the Body in hot Water impregnated with Specific Plants in order to open its Pores or rub it all over with Bags of the Meal of Barly and Beans dipp'd in hot Water Cataplasms of the Leaves of Hore-hound Celandin Roots and Misleto of the Oak beaten up with Wine and Vinegar and applied to the Feet are of excellent use for big-belly'd Women who dare not venture upon the use of internal Specifics It remains only to annex a few Examples of Recipe's Take of Aloes and Extract of lesser Centory of each a scruple Extract of Troches Alhandal six grains Mercurius vitae two grains Make Pills for four Doses Take of Columbine Seeds six drams With Celandin-Water make an Emulsion to which add Powder of Ivory a dram and a half Take of Columbine Seeds in Powder six drams Saffron one dram Tartar vitriolat half a dram Make a Powder for seven Doses to be taken in Rhenish Wine Take of chalybeat diaphoretic Antimony and Turmeric-Roots of each half a dram volatil Salt of Harts-horn half a scruple Make a Powder for two Doses Take of Madder-roots and those of Celandin of each an ounce Leaves of Hore-hound and tops of Wormwood of each a handful Salt of Tartar two drams Make a Bag to be infus'd in Wine Take of the Pulp of Raisins half a Pound choice Rhubarb three drams Tartar vitriolated two drams With Syrup of Cichory with Rhubarb make an Electuary ART 4. Of the French Pox. THE Symptoms of the French-Pox display themselves most in the part thro' which the virulency is first convey'd If a Nurse be infected by a sucking Child her Breasts are first attack'd if the Disease be contracted by lying in Bed with a fowl Person the Skin and surface of the Body are the chief place where its Retainers assemble If the Embraces of a foul Woman give Being to it the Yard Groin and adjacent Parts are the first Scene of its tragical appearance About two or three days after the Venereal Adventure a Heat and Inflammation seizes the Genitals the Urine
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
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
great Guts are only affected the Swelling appears in the sides of the Belly the Loins are infested with a weighty Pain the Symptoms are more remiss and bear downward If the Pain attending the Iflammation be suddenly extinguish'd it notifies a Gangrene For Cure let Clysters of Milk Hony and purifi'd Nitre be speedily injected let a Vein be open'd in the Arm oftner than once if there be occasion let a Caul of a Sheep kill'd in the very Room with the Patient be laid upon the Belly and if the Pain do not cease let it be shifted for fresh ones twice or thrice let the disâ—ill'd Oyl of Lead with Oyl of Roses be applied at other times and let the dulcifi'd Spirit of Nitre with Laudanum Opiatum Sugar and Oyl of Lead and proper Sudorifics be internally administted The Inflammations of the Anus are caus'd by the suppression of the Piles excessive riding and such like external Causes The Symptoms are the same as those of Inflammations in general For Cure open a Vein in the Arm inject Clysters of emollient Ingredients boil'd in Milk or if these be insufficient of Lin-seed and Rape-seed Oyl and if the Excrements be harden'd add a dram of Sal Gem. If the Inflammation be so great that Clysters cannot be injected administer Raisins or such like gentle Laxatives for opening the Belly and gentle Sudorifics for promoting Sweat Externally apply the Decoction of Mint and Agrimony in Wine or Lime-Water or that of Mullein Flowers and Henbane Leaves in Whey or the mucilage of Quinces extracted with Houseleek-Water and mix'd with Sugar of Lead If the Inflammation was caus'd by the Contact of any sharp thing such as Paper cover'd with Pepper or Vitriol foment with the Decoctions of emollient Ingredients in Milk mix'd with the Whites of Eggs. If it cannot be discuss'd apply Rulandus's Balsam of Sulphur made of Sugar and the Oyl of Poppies and inject Clysters of Chalybeat Milk mix'd with Turpentine and Hony of Roses After ulceration apply Fulminatory Gold mix'd with the Oyl of Sweet-Almonds and exhibit internally vulnerary Decoctions ART 3. Of Inflammations of the Mesentery Sweet-bread and Caul THE Inflammations of the Mesentery proceed from the same Causes as all other Inflammations particularly from the critical translation of morbifical Matter into their Glandules from the unseasonable suppression of a Dysentery or from a rupture haling it out of its natural Seat The Signs are very obscure and uncertain by reason of the Mesentery's distance from the external surface and its open correspondence with the Nerves of other Parts which frequently obtrude the effect upon us under the notion of the principal Cause However the following Symptoms will give us some light into the matter viz. A sense of weight in the Belly especially when the Person turns himself in his Bed a gentle Heat towards the Navel a small Pain and a sort of distention and Heat under the Stomac and the serosity of the Excrements or their mixture with Chyle when the Stomac is not disorder'd 'T is distinguish'd from the Inflammations that the Navel is liable to by the remissness and dulfless of its Pain and invisibility of the Tumor or absence of apparent hardness If the remote Parts of the Mesentery are only inflam'd the Feaver that accompanies is but slow but if the Parts adjacent to the Guts be seiz'd the Feaver is acute the Symptoms much higher and the Guts share in the Inflammation When the Tumor suppurats the Feaver and other Symptoms are exalted and when it is ready to break a shivering and sometimes a shaking seizes the Person which are sometimes follow'd by the evacuation of purulent Matter by Stool or Urine These Inflammations are but slow-pac'd and require a long time before they come to maturity Their Symptoms are so obscure that they do not much trouble the Patient at first tho' by degenerating into Schirrus's or Ulcers throwing purulent Matter upon the Entrails they frequently cause Hectics Cachexies Gangrenes c. If the purulent Matter be cast into the Guts and voided by Stool It is distinguish'd from that of Imposthumes in the Guts by this difference viz. That from the Mesentery comes in a body mix'd with some Blood and without Pain whereas the other is squeez'd out by drops with violent Gripings and an Acute Feaver As for the Cure Since the Feaver and Symptoms are not Acute Bleeding is improper or if any be allow'd that of the Hemorhoid Veins is only convenient Purgatives are hurtful but emollient Clysters are of excellent use The better part of the Cure depends upon Discussing Sudorifics especially the Tincture and Spirit of Tartar the carminative Spirit the Essence of Steel the Essences of bitter Herbs such as Wormwood Centory Fumitory c. The Essence of Gum Ammoniac and Chalybeat Diaphoretics Externally we apply the Plaister of Gum Ammoniac with that of Hemlock providing it do not exasperate the Pain If it do we conclude that the Inflammation is become an Imposthume and the Plaister ought to be remov'd When the Imposthume breaks and the purulent Matter is voided by Urine it runs first plentifully and afterwards intermits nay oft-times the Urine it self is very plentiful and seems to precipitat a laudable Sediment to the bottom which is nothing else but the melting of the Humors of the Body and is justly look'd upon as a very bad Sign Now when we are appehensive of an Imposthume 't will be requisite to give Diuretics and Abstergents especially Turpentin dissolv'd with the Yelk of an Egg and mix'd with Chalybeats the Balsam of Peru Rhubarb the Decoctions of Sassafras China Liquorice and Jujubes and the Decoction of Agrimony St. John's Wort Cichory c. in Whey The Inflammations and subsequent Schirrus's and Imposthumes of the Sweet-bread are of the same nature as those of the Mesentery and equally apt to disguise themselves under the cover of Chronical Diseases that in effect owe their Birth to them The like may be said of those of the Caul Both the one and the other are Cur'd as those of the Mesentery or other Inflammations ART 4. Of Inflammations of the Internal Parts of the Breast and particularly of a Pleurisie and Peripneumonia THE Blood being expos'd to the influence of Air in the Lungs is apt to cause Inflammations in the adjacent Parts When the Lungs or both their sides are inflam'd we call it a Peripneumonia if the Pleura and only one side of the Lungs are affected 't is a Pleurisie Sometimes the Mediastinum Midriff and the backpart of the Breast or the Membranes of the Shoulders and Neck share of the Inflammation by turns The cause of such Inflammations is a vicious Acid which both provokes the Parts to Contractions and disposes the Blood for Curdling The remote Causes are cold Air or cold Drink after great Heats violent Motion excessive drinking of spirituous Liquors the suppression of the Terms or of a Dysentery which do's not radically differ from a Pleurisie a Malignant Constitution of
attended by the signs of Concoction are good Omens Their Cure is the same as that of other Inflammations internally all preparations of Lead mix'd with Diaphoretics and externally the Plaister of Hemlock with the Oyl of Camphyr and the Syrup of Elder with Sugar of Lead are of excellent use ART 6. Of Inflammations and Vlcers of the Kidneys THE Inflammations of the Kidneys may proceed from Riding Falls Jumping Stones in the Kidneys excessive Venery c. Their Symptoms are a heat of Urine and Strangury a sense of heat and pain in the Loyns which by the Correspondence of the Membrans frequently reaches upwards to the short Ribs and along the back so that the Person cannot bow his Body and besides is frequently molested with Vomiting and likewise downwards towards the Ureter Bladder Huckle-bone and Thigh causing a numness in the Legs Sometimes when one Kidney is inflam'd the other is either by Sympathy seiz'd with Spasmodical Contractions or so oppress'd with the Quantity of Blood that 't is unfit for secretion and causes a Dysuria To these Symptoms we add Costiveness and Chilness of external Parts Sometimes a simple Stone in the Kidneys apes the Symptoms of an Inflammation but the continual Duration and Pulsation of the Pain the acute continual Feaver the heat and difficulty in making Water that attend the latter and are strangers to the former will point out the Distinction If an Inflammation of the Reins happen to weak puny Persons or be attended by doating or if it become an Ulcer 't is very dangerous The Flux of the Emrods is a good sign but white purulent Urine with the abatement of the Feaver and extenuation of the Legs and Thighs is a certain forerunner of Death As for the Cure the external Remedies are the same as those prescrib'd for a Quinsey and the internal are the Specifics for a Pleurisie especially Nitre Sugar of Lead and the Juice of River Crabs given with the Decoction of Prunes or the Emulsions of cold Seeds Purgations are noxious unless crudities disturb the Stomac in which Case the gentlest Laxatives are only allowable Emollient Clysters or those of Milk Turpentin and the yelk of Eggs are proper Diuretics in the Beginning increase the Inflammation but when the matter is concocted the more temperat sort of 'em is useful especially Winter Cherries Liquorice Turpentin c. Or Take of the Waters of Winter Cherries Broom and St. John's wort of each an ounce distill'd Vinegar six drams dulcify'd spirit of Nitre half a dram Tartar Vitriolated fifteen grains Syrup of Ground Ivy half an ounce Mix. Dose a spoonful or two Externally we first Blood 'em in the Arm then in the Ancle and apply the juice of House-leek with the juice of River Crabs and Camphyr to which we sometimes add the Oyl of Henbane or express'd Oyl of Poppies Langius recommends an Ointment of Crude Allum mix'd with the whites of Eggs. If by these means the Inflammation cannot be discuss'd we must promote its suppuration inwardly by the Decoction of Liquorice Barly Pellitory of the Wall c. And outwardly by Cataplasms of Emollient Ingredients boyl'd in Milk Ulcers of the Reins are sometimes the effect of Inflammations and sometimes of the Corrosion of a Stone The former are less dangerous and are attended by a whitish Urine which by standing precipitats a white Purulent Sediment whereas in the latter Case the Sediment is Ashy colour'd and the pain in the Loyns more biting and gnawing In either case fetid Stools are a good sign For Cure we first exhibit a Vomit in order to cleanse the Ulcer then Pills of sweet Mercury with Turpentin or Balsam Capivi the Decoction of Woods Parsley Chervil Chicles and Agrimony and above all the Troches of Winter Cherries and the Powder of dry'd river Crabs Or the following Decoction Take of Agrimony and Flowers of St. John's wort of each a handful Mastic-wood an ounce and a half Comfrey Roots half an ounce Seeds of St. John's wort three drams Boyl them in Water c. The Spaw Waters and absorbent Powders are also not improper If the Ulcer be seated in the out-side of the Reins and seize the Muscles of the Back it ought to be laid open ART 7. Of Inflammations and Vlcers of the Bladder THE Bladder having only a few small Blood Vessels is seldom or never inflam'd by internal Causes but mostly by external injuries or the assumption of Spanish Flies or the cutting of the Stone The Symptoms are a Distention Heat Hardness Tumor and unsufferable Pain in the Pubes a suppression of Urine Tenesmus Costiveness acute Feaver and sometimes Doating It is a dangerous Disease as being very apt to degenerat into a Gangreen unless it be seated in the muscular Neck of the Bladder in which Case it oft-times suppurats and becomes a troublesome Ulcer The suppuration is discover'd by the Remission of the Symptoms and when the Ulcer breaks by the evacuation of Purulent Matter with the Urine without it break into the Cavity of the Abdomen and then it frequently gains a Passage by Imposthumes in the Groyn For Cure we treat these Inflammations after the same manner as those of the Kidneys in order to discuss ' em As for Injections of Cooling Liquors they 're altogether useless partly because they do not reach the Part and partly because supposing their entrance into the Bladder they cannot conveniently be voided again The Ulcers of the Bladders ought to be carefully distinguish'd from those of the Urethra which frequently void purulent matter without the Urine and cause a violent pain in making Water which is not found in Ulcers of the Bladder unless they be seated just in its Neck Ulcers are cur'd by dulcifying the humors of the Body and consequently the Urine cleansing and consolidating the Ulcer and mitigating the Pain The Ingredients that are proper for these Purposes are frequently mention'd above The forms of Recipe's are as follows Take of the Herbs Agrimony Plantan and Horse-tail of each half an handful Liquorice Roots two drams Boyl them in Plantan and Betony Water till the third Part be Consum'd To half a pound of the strain'd Liquor add Hony of Roses an ounce and a half Mix and exhibit a Draught twice a day for mitigating the sharp humors for which end the Decoction of Ground-pine in Milk is also very useful Take of Turpentin six drams Hony an ounce with the yelk of one Egg dissolve 'em in four ounces of Spanish Wine Mix. Dose six drams for the abovemention'd use and for cleansing the Ulcer Take of the Shavings of Lignum Sanctum three ounces Roots of Sarsaparilla Liquorice and Eryngo of each an ounce of the Herbs Agrimony Speedwell and Ground Ivy of each half a handful Flowers of Roses and Violets of each three little handfuls Raisins an ounce and a half Boyl them in Water and exhibit a Draught of the strain'd Decoction frequently for consolidating the Ulcer Take of Liquorice Roots two ounces red Vetches a little
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
The volatil Remedies prepar'd from human Urine and the Parts of Animals are all proper Antidots against a volatil Acid. As for example Take of Aqua Articularis for external use from an Ounce and a half to two Ounces Spirit of Urine or Spirit of Sal Armoniac prepar'd with Quicklime six Drams putrify'd Earthworms or Earthworms mix'd with a volatil Salt two or three Drams Mix and bathe the Part affected Or Take of the Leaves of Tobacco of Sage of Rosemary of each one handful Angelica Roots half an Ounce Roots of Cuckow Pint and Pelsitory of Spain of each two Drams Rosemary Flowers Lavender Flowers and Flowers of Arabian Stechas of each two little handfuls Rocket Seeds six Drams Castor three Drams pour upon them two Pints of Spirit of Wine and one Pint of Spirit of Worms Let them stand warm for some days in a close Vessel And then strain the Liquor to be us'd as above Venice Soap dissolv'd in Spirit of Wine is good for Arthritic Pains In case of a burning Pain it ought to be mix'd with Water of Frogs Spawn or Spirit of Wine with Camphyr and Saffron Camphyr Oil of Frogs and the Oil of the Juice of Dwarf-Elder and all emollient Oils are convenient in Arthritic Pains Paracelsus's Oil prepar'd from Galbanum with Turpentine and Oil of Spike and the Oils distill'd from Aromatic Seeds from the Bones and Fat of Animals or from Wax digested with Spirit of Wine are celebrated Medicines in all Pains arising from an Acid. Or Take of Balsam of Peru one Ounce dissolve it with the Yelk of an Egg and add three Ounces of the Spirit of Juniper Berries or of Elder Flowers Mix for external Unction The Gums and Plaisters prepar'd from 'em are proper in the case of a viscid Acid. And likewise Cataplasms of human Dung or the Dung of Animals with Oil of Roses Among Purgatives in this case sweet Mercury is the best And Sudorifics are the best internal Medicines 2. All Anodyn Pacific Medicines are us'd for Aches As Milk Emulsions Mucilages or Oils of softening Herbs Cataplasms made of white Bread Milk and Saffron Or Take of the Crum of white Bread a sufficient quantity let it soak in Cows Milk Mix it with Yelks of Eggs and fresh Butter and an Ounce and a half of the Oils of Chamomile Dill white Lillies and Earthworms Apply it to the Part affected with a warm Cloth Swallow-water with Castor Liniments of the Fat of Animals and emollient Oils and all oily softening Liquors or Ointments are all proper for external use 3. Narcotic Medicines stupify the Part and so lessen the Sense of Pain But where a viscid Acid prevails they are inconvenient In case of a sharp Serum they are not amiss As Take of the Hypnotic Ointment two Drams express'd Oil of Nutmegs two Ounces Oil of Henbane Seeds one Ounce mix Or Take of Oil of Dill and express'd Oil of Poppies of each a Dram Oil of Henbane half a Dram mix The Oil of the Seeds of Henbane mix'd with Camphyr Saffron and Spirit of Wine cover'd with fermented Dough and bak'd in an Oven yield an incomparable Liquor for Pains of the Legs ART II. Of the sharp tearing Pains in the Joints THese Pains are frequently met with in Scorbutic Cases They proceed from a subtil Acid fix'd in membranous and musculary Parts And generally rage more by Night than by Day Blood-letting sometimes gives Relief Blistering Plaisters conveniently applied and Issues are oft-times not improper The volatil Sudorifics Decoctions of Woods and all volatil Alcali Salts such as we call Antiscorbutic together with Anodyn Absorbents as Chalybeat and Antimonial Preparations are proper to be given inwardly Take of the Roots of Swallow-wort an Ounce and a half Myrtle Leaves one handful Seeds of St. Johns Wort and choice Rhubarb of each a Dram and a half Boil them in common Water and in six Ounces of the strain'd Liquor dissolve an Ounce and a half of the Syrup of Maidenhair Mix and give it inwardly Or Take of the Shavings of Juniper-wood three Ounces Sprouts of a young Pinetree two handfuls of the Herb Rosemary one handful Infuse them in six Pints of simple Water and let them stand over night in a Balneum Mariae In the Morning boil it to four Pints and give it for a Draught It has a peculiar Virtue in the Obstructions of the Glandules about the Head and Chops External Medicines must be cautiously us'd fat unctuous things are hurtful Take of the Spirit of Lilly of the Valley not much rectify'd four Ounces Spirit of Sal Armoniac prepar'd with Quicklime two Ounces Essence of Castor half an Ounce Mix for external Use Or Take of Aqua Articularis for external Use an Ounce and a half Spirit of Sal Armoniac six Drams Spirit of putrify'd Earthworms three Drams Mix and apply with a warm Cloth Or Take of the Leaves of Tobacco Leaves of Origanum Flowers of Elder of each one handful Roots of Angelica an Ounce Roots of Cuckow-Pint and of Pellitory of Spain of each two Drams Flowers of Arabian Stechas of Lavender and of Lilly Convally of each two little handfuls Rocket-Seeds six Drams Castor three Drams Infuse them in two Parts of Spirit of Wine and one part of Spirit of Earth-worms Let 'em digest for some days Strain the Liquor for use Venice Soap dissolv'd in Spirit of Wine and volatil Spirit of Tartar Cataplasms of Comfrey Roots and the use of hot Bathes are much commended ART III. Of the Toothach THE Toothach proceeds from an acid Humor that corrodes the Membrane surrounding the Tooth Sometimes the nutritious Juice of the Teeth is vitiated and causes the Pain Sometimes an acid Humor is distill'd from the neighbouring Glandules or collected in the Cavities of the Bones of the upper Jaw under the Eye and gives rise to it This Corruption of the Humor sometimes runs to that height that the Substance of the Teeth is eaten away and little Worms ingendred in ' em The Membrane is the original Seat of the Pain which oft-times seizes the whole side of the Head attended by an Inflammation of the Jaw or a Swelling of the Face For the nervous Fibres being contracted in Sympathy with the Membrane the Passages of the Blood and other Juices are straitened The remote Causes are a Depravation of the Juices of the Body and consequently of the nutritious Juice of the Teeth as in Scorbutic and Venereal Cases the use of acid Liquors Sugar or Honey which ferment and acquire a notable Acid very prejudicial to the Substance of the Teeth The Toothach is not dangerous of it self but may be follow'd by Convulsions Inflammations Tumors and Ulcers If the Tooth be corrupted it must be drawn If it proceed from a Scorbutic Cause Antiscorbutics must be added to the Remedies exhibited If from a venereal Cause the Decoction of Guajacum or its Oil must be us'd As for the common Remedies some use Decoctions of Herbs As Take of the
Ruffus his Pills de tribus half a Scruple Extract of black Hellebor five Grains Tartar vitriolated three Grains With distill'd Oil of Caraways make Pills Take of Gum Ammoniac dissolv'd in Vinegar Bdellium dissolv'd in Vinegar of each half a Dram Vitriol of Steel calcinated till it become white a Scruple Magistery of the Gum of Peru fifteen Grains Scammony prepar'd according to Brendelius's Method a Scruple Extract of Troches Alhandal six Grains make a Mass for Pills fifteen of which are one Dose The Decoction of sudorific Woods are very proper in the declination of the Paroxysm and ought to be continued for some time If these and such like Remedies do not accomplish the Cure we must have recourse to Setums Cuppingglasses Issues c. If the Person be of a Catarrhous Constitution an Issue in the pit of the Neck is very proper But these external Helps are of no use in positive Apoplexies in the privative indeed where the Blood or Lymph is faulty they frequently afford relief The Plaister de Ranis with Mercury mix'd with Balsam of Peru dissolv'd with the Yelk of an Egg may be applied to the Head with good success When the Disease declines a Salivation perhaps may not be improper ART II. Of particular Apoplexies WHEN an Apoplexy seizes a particular part 't is call'd Paraplegia and by most of Writers is referr'd to Palsies but the frequent reciprocal Permutation of general Apoplexies and Paraplegia's vouch for their near alliance Sometimes it is only a retainer to a universal Apoplexy at other times it comes of it self in the form of a principal Disease It admits of three degrees 1. When the Sense of the Part remains and only its motion is lost 2. When 't is depriv'd both of Sense and Motion but retains its natural heat 3. When 't is destitute of Sense Motion and Heat and becomes flaccid and soft Some assign the Obstruction of the Nerves for its Cause but Experience teaches us that it may proceed by consent from other parts from Hysteric Fits Worms in the Guts and the Pastions of the Mind The true cause seems to be the contraction of the nervous Parts about the root of the Spinal Marrow which interrupts the intercourse of the Spirits to the part affected perhaps by the consent of the Nerves as the Stone in the Kidneys is wont to stupify the Leg of the respective side It undergoes a frequent Permutation into Convulsions and Palsies The manner of its succession to privative Apoplexies is accounted for above It succeeds likewise to positive Apoplexies and in that case seems to be tinctur'd with a convulsive Quality The Method of cure is the same as that of an universal Apoplexy Vomits are always proper especially if it follow an universal Apoplexy As Take of Mercurius Vitae two Grains Scammony sulphurated three Grains with Conserve of Bugloss-flowers make a Bolus If Vomiting be very uneasy to the Patient give a strong Purge As Take of Resin of Jalap half a Scruple dissolve it with the yelk of an Egg in Fumitory Water six drams Cinnamom Water a Dram. Mix. When it follows privative Apoplexies Bloodletting is proper otherwise it ought to be avoided except in the case of a Plaethora Issues Blistering Plaisters laid on the Pit of the Neck and scarify'd Cupping-glasses applied between the Shoulders are likewise useful against this privative sort These general Remedies being premis'd Sudorifics come next as the volatil Salts and Spirits of human Scull or human Blood and all Apoplectic or Epileptic Specifics The Decoction of Woods with Juniper and Laurel-berries and Roots of Elecampane is very much us'd for this purpose As Take of Sassafras Wood two Ounces Rosemary-leaves a handful or two fresh juicy Juniper-berries or Laurel-berries an Ounce and a half or two Ounces boil 'em in a Balneum Mariae in Wine and Water of each a pound and a half with an Alembic Mix the strain'd Decoction and the distill'd Liquor and add of Spirit of Juniper-berries four Ounces Spirit of Sal Armoniac three or four Drams Syrup of Clove Gilly-flowers three Ounces Mix and give a large draught thrice a day Poterius's Diaphoretic Gold is admirably fitted for this Case He either prepar'd it of Gold calcined by Amalgamation or mix'd Aurum fulminans with a double quantity of flowers of Sulphur and reduc'd it to a Pouder of a purple Colour by putting red hot Coals into the Crucible then digested it for fifteen days in rectify'd Spirit of Wine impregnated with Aniseeds and afterwards separated the Spirit either by distillation or deflagration and reserv'd the Pouder for use 'T is not fit to be given in a liquid form for that it sinks to the bottom but thus Take of Conserve of Clove Gilly-flowers a Dram Diaphoretic Gold from fifteen Grains to a Scruple Make a Bolus for two Doses Or Take of prepar'd human Scull prepar'd Unicorn's Horn of each fifteen Grains Diaphoretic Gold half a Scruple Mix. Or Take of human Scull prepar'd without fire prepar'd red Coral of each fifteen Grains fulminatory Gold three Grains Mix. Or Take of human Scull prepar'd without fire prepar'd Unicorn's Horn of each twelve Grains fulminatory Gold four Grains volatil Salt of Vipers six Grains Mix. After the first Dose of these Pouders the Person may take a spoonful or two of Spirit of Triacle and then make account to sweat Cinnabar of Antimony is likewise a noble Sudorific As Take of Cinnabar of Antimony fifteen Grains Amber half a Scruple volatil Salt of Amber five Grains make a Pouder Or Take of prepar'd human Scull prepar'd red Coral Cinnabar of Antimony of each half a Scruple distill'd Oils of Cinnamom and of Cloves of each a Drop Make a Pouder to be taken in a convenient Vehicle Or Take of Black Cherry Water Lilly Convally Water Mint Water of each an Ounce Spirit of Black Cherries six Drams Cinnabar of Antimony half a Dram volatil Salt of Hartshorn fifteen Grains Syrup of Clove Gilly-flowers an Ounce Mix. For an Apoplexy of the Hands foment the Pit of the Neck with distill'd Oils and spirituous Waters If the Feet be affected apply them to the Loins and neighbouring Parts But fat express'd Oils must be avoided Take of Mustardseeds one part Juniper-berries two parts bruise and infuse them in Spirit of Wine which reserve for Fomentation Take of Spirit of Wine camphoris'd or Spirit of Ants three Ounces Spirit of Earthworms an Ounce and a half Essence of Castor six Drams Spirit of Sal Armoniac with Quicklime three Drams mix and bathe the Back-bone immediatly after sweating applying afterwards a warm Cloth fumigated with Gum Ammoniac or rubbing it with distill'd Oils mix'd with Oil of Tartar or some of the Oils of the fat and hard parts of Animals strip'd of their nauseous stink by frequent Cohobation upon their Caput Mortuum If they are of themselves too sharp or apt to draw Blisters qualify 'em with the Oil of Earthworms by decoction If the part affected be apt to
Tacamahac and Galbanum softn'd in distill'd Oil of Amber and Oil of Bricks may be applied to the Joints If the Ligaments are much unbended and flat apply Crollius's styptic Plaister soften'd with Oil of Bricks and Oil of Earth and in the mean while endeavour to procure Sweat by giving Venice Triacle inwardly Barbette recommends the following Plaister Take of Gum Caran half an Ounce Galbanum an Ounce Oil of Euphorbium a Dram and a half Make a Plaister If the Disease proceed from mercurial Fumes exhibit the Decoction of Elecampane and Fennel and after the Mercury is thrown out by sweating let the Patient drink Whey or Milk In a scorbutic light Palsy the urinous volatil Medicines and Milk are proper The Decoction of Pine-Apple is likewise much commended Or Take of the Tendrels of Fir an Ounce and a half China Roots an Ounce cut them small and boil them in Ale and Water till the half be consum'd Give a draught of the strain'd liquor twice a day These Ingredients may be also boil'd in Milk The Decoction of Betony with Juniper berries or an Essence prepar'd from the Rob of Pine-apples with some Antiscorbutic Spirit and mix'd with Castor are very proper After a regular use of fix'd Absorbents and volatil Medicines Milk or Whey mix'd with Antiscorbutics is a sovereign Remedy but it ought always to follow these Premises Issues and Setums are not improper in this Case If a Palsy proceed from the Colic the Belly must be chiefly taken care of Lenitive Clysters of Turpentin and Milk frequently injected and strong Purgatives carefully avoided The Decoction of Elecampane of Millet-seeds and the four hot Seeds and Sassafras are proper Sudorifics Whey mix'd with Antiscorbutics is much esteem'd Let the Navel and part affected be fomented with Spirit of Tartar or of Sal Armoniac and anointed thrice a day with Paracelsus his Galbanetum So much for the internal Cure of Palsies It remains now to consider the external Forms If the Disease be inveterat and the Part begin to wither temperat fat Oils are proper If the sense of Feeling be not much impair'd and the power of Moving only lost the strong Apoplectic Waters or rectify'd Spirit of Wine in which the Pouders of Mustard-seeds Pepper Rue-seeds Nettle-seeds Aron-roots and Pellitory of Spain have been infus'd and digested are fit for external Fomentation Or Take of fresh Tobacco-leaves a handful or two Leaves of Origanum Flowers of Elder of each a handful Roots of Angelica from an Ounce to two Ounces Roots of Pellitory of Spain Aron-roots of each an Ounce Euphorbium Castor and Myrrh of each from half an Ounce to six Drams white and black Pepper of each three Drams Flowers of Arabian Stechas of Lavender and Lilly Convally of each half an Ounce Rocket-seeds or Mustard-seeds Seeds of Mountain-Siler from six Drams to an Ounce and a half cut and beat them small and pour upon 'em of rectify'd Spirit of Wine two parts of Spirit of Earth-worms one part digest 'em in a Balneum Mariae and draw off the Spirit by distillation With which foment the parts immediatly after sweating Or Take of the Herbs Rosemary Sage Marjoram or Lavender of each a handful Lavender-flowers Lilly Convally-flowers and Rosemary-flowers of each two little handfuls Juniper-berries an Ounce Mustard-seeds from half an Ounce to an Ounce Castor three Drams black Pepper a Dram and a half Infuse them in Spirit of Wine and after digestion reserve the strain'd Liquor for use as above And if the Disease be accompany'd by scorbutic Pains add to it some Spirit of Sal Armoniac prepar'd with Quick-lime Or Take of Aqua Articularis for external use two three or four Ounces Spirit of Sal Armoniac with Quick-lime from an Ounce to two Ounces Spirit of Earth-worms prepar'd by putrefaction half an Ounce Mix and bathe the part thrice a day Or Take of Spirit of Wine camphoris'd three Ounces Spirit of putrify'd Earth-worms an Ounce Essence of Castor six Drams Mix and use as above Or Take of Apoplectic Water three Ounces Spirit of putrify'd Earth-worms and Spirit of Sal Armoniac succinated of each half an Ounce Mix c. In a Colic Palsy rectify'd Spirit of Tartar mix'd or cohobated with Spirit of Wine tartaris'd are externally us'd with great success Balsam of Peru dissolv'd with the Yelk of an Egg and mix'd with Essence of Amber extracted by rectify'd Spirit of Wine is much approv'd for external use in all sorts of Palsies Take of common stinging Nettles three handfuls Chamomil one handful Cumin-seeds a Dram Salt three Ounces beat 'em well in a Mortar and boil them in a sufficient quantity of human Urine till the fourth part be consum'd Bathe the part Morning and Evening with this Decoction and wrap it up in a Cloth dip'd in the Liquor and after three or four days anoint it with Oil of Foxes In Apoplectic Palsies pricking with Nettles is a very successful Remedy Bathing in fermenting Wine or such as is reduc'd to a Fermentation by throwing Quick-lime into it is of extraordinary use both against Palsies and Sciatica's for by this means the volatil Tartar of the Wine insinuats it self into the Part. A bag full of Ants thrown into boiling Water yields a Vapor which is conveniently receiv'd upon the part is very serviceable after the Bag has lost its smell it may be boil'd in Water for the Patient to bathe in Take of Brimstone and Bay-berries of each half a pound Roots of Gentian three handfuls Roots of Elecampane and long Birth-wort of each two handfuls boil them in Quick-lime Water for an artificial Bath The last Refuge is the Hot-baths But if a Colic or use of Wine gave rise to the Disease or arthritic and gouty Pains accompany it they are not proper In a word they are more convenient for a Sanguin or Phlegmatic than a Choleric Constitution Take of the Herbs Marjoram and Sage of each a handful Rosemary two handfuls Juniper-berries four Ounces Bay-berries two Ounces Roots of Pellitory of Spain an Ounce Boil them in Water and place the hot Decoction under the Person 's Feet that the Fumes may ascend Take of Galbanum half a pound Oil of Turpentin a pound and a half distil the Oil from them to which add an Ounce of Oil of Lavender and then repeat the distillation which produces an excellent Balsam to be digested and circulated with rectify'd or tartaris'd Spirit of Wine This may be applied to the Navel Back or Part affected as occasion requires Take of white Rock Oil two Drams distill'd Oil of Amber half a Dram distill'd Oils of Lavender Marjoram and Spike of each a Scruple mix and anoint the affected parts As for Plaisters those of Tacamahac are most approv'd especially when the Nerves are overcharg'd with Moisture But if the Person be scorbutic or the Part depriv'd of all manner of Sense temperat oily things are best As Take of human or Goose fat of each three four or six Ounces distill'd Oil of Turpentin
Intestinum Duodenum and Bowels under the short Ribs is the cause of the grossness thickness and vitious Acidity of the Blood which is the immediat material Cause of Madness The formal Cause is the Spirits which degenerating from their seminal and friendly Complexion become of a sharp saline and as it were sulphureous acid Quality and consequently being too too movable and less capable to be check'd in their ordinary Motions and withal penetrating every where by virtue of their pointed parts they become the Cause of Restlesness Watchings Fury extraordinary Strength c. This Disease is more incident to the Young than Old to Men than to Women but especially to melancolic Constitutions If it proceed from internal Causes it is an Evil of long continuance and of difficult Cure which tho it remit for some Months or Years yet it often leaves Melancoly behind which being easily exasperated returns with fresh Rage and accompanies the Patient till Strength failing through Watchings Fastings and almost perpetual Movings it kindly shuts up their miserable Life In curing this Disease we must endeavour 1. To mitigat the Fury that the Patient may be the easier manag'd and Medicines exhibited 2. To remove the Distemper of the Blood and Spirits The first is excellently perform'd by strong Vomits and frequent Bleeding Preparations from Steel and Lead joined with Anodine Medicines correct the Blood and other Humors as Remedies from Camphyr and Musk do recreat and restore the Spirits The Foundation therefore of the Cure must be laid by administring strong and generous Vomits not only in the beginning but progress of the Disease For this purpose the Antients us'd white Hellebor-roots with excellent success But it ought not to be given in substance Take of white Hellebor-roots from half a Dram to a Dram boil them in Wine till it become soft infuse the Root thus prepar'd in fresh Wine all night in a hot place strain the Liquor or squeeze more or less according to the measure of its desired strength Dose a Dram. Some instead of this use Infusions of Antimonial Emetics but they prove too weak Morcurius Vitae is good Aurum Vitae Kegleri is much commended also the Leaves of Asarabacca but all these must be given in a greater Dose than ordinary As Take of the Conserve of the Leaves of Asarabacca a Dram Pouder of its Roots two Scruples Mercurius Vitae one Grain make a Bolus The Infusion of human Nails is also a strong Emetic surpassing those of Antimony If in the beginning of this Disease Purging is required you may use what I have above prescrib'd for Melancoly chiefly black Hellebor and its Extract the Extractum Melanogogum Quercetani c. to which Antimony Purgative or Mercurius Vitae Laxative ought still to be added As Take of the Essence of black Hellebor a Dram and a half of that of Pimpernel half a Dram Emetic Syrup of Angelus Sala half an Ounce After strong Purgation copious and frequent Bleeding is proper first in the Ancle then in the Arm and Forehead some have been cur'd by opening an Artery Cauterizing and trepaning of the Skull have been successfully used as hath also Salivation by Mercury But while these things are a doing such Alteratives are to be given as may restrain the boiling and wild Motion of the Blood and Spirits and together with these Opiats and sulphureous Minerals and fix'd Anodines and that in a strong Dose Such altering Remedies as we prescrib'd for Melancoly may be us'd here Particularly those from Tartar Steel Lead c. But withal Nitre and its Preparations are not to be neglected As Take purify'd Nitre half a Dram Camphyr eight Grains Mix 'em and make a Pouder Or Take purified Nitre two Scruples Laudanum Opiatum two Grains Make a Pouder We may also use appropriated Specifics such as the Arterious Blood of an Ass Pimpernel with the red Flowers St. John's-wort Fumitory Water-Lilly Borrage Baum Spleen-wort the Herb True-love Polypody of the Oak to all which Camphyr may be added As Take a clean Linen Rag of a hands length and breadth dip'd in Asses Blood infuse it in a sufficient quantity of Water of St. John's-wort to two Ounces of the strain'd Infusion add Essence of Pimpernel half a Dram Laudanum Opiatum about a Grain Or Take the Leaves of True-love together with the Berries two handfuls Leaves of red flower'd Pimpernel Flowers of St. John's-wort of each an handful Roots of Polypody of the Oak an Ounce small Raisins bruis'd two Ounces boil these in a sufficient quantity of Whey to three pounds of the strain'd Decoction add Essence of Pimpernel an Ounce and a half Mix them Or Take leaves of Baum cut small an handful infuse 'em in four Ounces of Spirit of Wine add half a Dram of prepar'd Pearls Dose two Spoonfuls to be repeated every day The Epitheme prescrib'd for Melancoly may also be us'd here Or Take of Musk twelve Grains Camphyr a Scruple Red-rose-water impregnated with the Tincture of red Saunders fifteen Ounces In this Mixture dip several Folds of Linen Cloth to be apply'd to the shav'd Head and Temples wetting the Cloth as it dries for twenty four hours space or anoint with the following Liniment Take of the Sleep-causing Ointment two Drams distill'd Oil of Camphyr a Scruple Musk half a Scruple Saffron eight Grains Mix ' em Or Take Rose-water or Juice of River-Crabs ten Ounces Opium half a Dram Saffron half a Scruple make an Epitheme for the Forehead and Temples ART IV. Of Deliriums from an external Cause THIS Cause for the most part is the biting of some other Creature enrag'd with Anger or taken with Madness As in the case of a Canina Rabies which is so called because 't is oftenest occasioned by the biting of a mad Dog tho the Infection may be deriv'd from any other Creature For if any Creature chaf'd with Anger bites another 't will cause either Madness or a very malignant and dangerous Wound These things relating to this Disease are most worthy our Observation viz. 1. The manner of Infection which may be by the slightest bite or hurt of the mad Creature or even the least touch of its Spittle 2. A Hydrophobia or the fear of Water and other liquid things accompanies this Distemper 3. The malign Contagion lies hid and as it were asleep in the Body sometimes two three or as some say thirteen or twenty years 4. In the Spittle and Urine of rabid Animals are often seen other small Creatures resembling the Form of the first Authors of their Madness And lastly the infected Creature exactly imitates the Actions and Meen of that which gave the Contagion The Cause of this Disease consists in a certain peculiar Ferment which affecting first the Spirits and then the Blood do's in some sort assimilat 'em to those of the furious Creature This Ferment is carried along with the Saliva into the Wound It is of importance to know whether the Creature by which a Man has been bitten be
hungry Habitations to a fat Pasture In particular she ought to avoid Acids Sweetmeats Cheese Wine Summer-fruits or whatever is apt to curdle and clot the Milk And as her Diet ought to be clean and regular so she ought to preserve a calm dispassionat temper of Mind since Fear Anger and Grief clot the Milk by diverting and withdrawing the Spirits that should keep up its equal temperature Nay the influence of Fear and other Passions is visible in the natural Marks that are intail'd to Children in the Mother's Womb by the violent Motion of the Mother's Spirits determin'd upon one part and by the way these Marks are cur'd by applying frequently a hot bloody Secundine or Clouts dip'd in Menstrual Blood and the touch of a dead Child's hand Some apply Clouts dip'd in the Blood of Toads or Fernelius's Aqua Divina or in case of extremity cut 'em off If Fear or Passion actually prevail and cause the Coagulation of Milk let the deprav'd Milk be first suck'd out by a Puppy and the Medicines recommended against the same Symptoms in the foregoing Book be exhibited before the Child be admitted to suck In general the curdling of the Milk is best prevented by eating Anise and Fennel-seeds after Meals and abstaining from cold drink or avoiding any external Cold especially by diverting the menstrual Purgation and shunning the Emotions of Venery which by curdling the Milk in the Child 's Stomac frequently entail to it an Antipathy against Cheese as being a natural resemblance of the curdled Milk that was wont to annoy it After the Child has suck'd about a year it ought to be weaned especially a little after the Equinoxes during the increase of the Moon The chief Inconvenience Children are liable to is drinking in the Nighttime which swells up their Belly and occasions Loosenesses and many other bad Symptoms To prevent this let the Essence of Wormwood be mix'd with their drink or if these Evils prevail already exhibit a little Spanish Wine and apply Aromatic Bags to the Belly Besides as for the other Food of young Children it ought to consist of white Bread dry'd and beaten small Yelks of Eggs and Aniseed boil'd in Milk or Water to the Consistence of a thin Pulp That which is commonly made of Flower and Milk or Water is fitter for Paste than any thing else for it lies heavy in the Child 's Stomac and degenerats into a viscous tough Crudity whereas the Bread being already fermented is sooner and more easily digested 'T is customary among Nurses to attenuate the Child's Food in their own Mouths before they give it and indeed 't is true that a healthy Nurses Spittle is of use for promoting the quick Digestion But if scorbutic Salts be lodg'd in her Gums or if a Cacochymy prevail in her Body it is too apt a Vehicle for conveying a morbifical Tincture into the Child's Body These premises if duly weigh'd will furnish us with a distinct Idea of the Causes of Childrens Diseases The Excrements retained and vicious Milk or Pap receiv'd into the Stomac degenerat into an acid Crudity which if imprison'd in a viscid Vehicle displays its force within and if diluted with a thinner Serum breaks out upon the Skin in various Eruptions From this Source it were easy to derive all the particular Diseases of Children their violent Gripings and voiding of discolor'd Excrements the generation of Wind and distention of the Belly Vomiting and Inappetency Hiccough Watchings Convulsions and the numberless Train of cuticular Eruptions or aches on the Skin occasion'd partly by the Efflux of a ferous acid and partly by a want of due transpiration which obliges it to stagnat in the out parts Now forasmuch as all these Diseases of Children are deriv'd from one Cause and consequently demand the same Method of Cure 't will be needless to trace every distinct Symptom apart and therefore we shall content our selves with a general Account of the Method of Cure And indeed if the foregoing Hypothesis be duly considered and understood 't will be an obvious Consequence that the Basis of the Cure falls upon Alcalies or such Medicines as discuss a viscid Crudity and imbibe an acid These are first the volatil Alkalies especially the Spirit of Sal Armoniac succinat which tho dreaded by some is recommended by experience as an incomparable Medicine for Children 'T is given in the Mother's Milk or in Mint or Fennel-water To this Class we may join oily Aromatics as Aniseed given in Pouder to half a Dram Castor Myrrh and Elixir Proprietatis prepar'd without Acids In the second Rank we place the fix'd absorbent Alcalies viz. Coral Crabs-eyes Pearl Sea Horse-teeth Ivory Bezoar-stone To which we may add the Tincture of Tartar or that of the Dross of the Regulus of Antimony and Venice Triacle or Mithridate given to two Grains stronger Narcotics and more generous Medicines being improper As for example Take of prepar'd Crabs-eyes half a Dram Hartshorn prepar'd without fire half a Dram prepar'd red Coral half a Scruple choice Myrrh six or nine Grains Venice Triacle three or four Grains distill'd Oil of Anise three or six Drops Make a Pouder Or Take of Hartshorn prepar'd without Fire a Scruple Crabs-eyes and red Coral of each half a Scruple volatil Salt of Hartshorn six Grains Venice Triacle four Grains choice Myrrh three Grains Make a Pouder of which give a convenient quantity in Milk or Pap. Take of Elder-flower-water two Ounces Spirit of Sal Armoniac fifteen Drops Hartshorn prepar'd without Fire the Jaw-bone of a Pike and prepar'd Unicorn of each half a Scruple Syrup of Poppies two Drams Make a Potion to be given by little Spoonfuls Now the acid Crudity being thus subdu'd and prepar'd it remains only to make Provision for its Evacuation first by Clysters of the Decoction of Chamomil-flowers mix'd with Salt of Tartar Hony of Rue and Oil of Anise or those of Milk with Turpentin dissolv'd by the Yelk of an Egg or in a difficult Case thus Take of the Decoction of Carminative Ingredients with Salt of Tartar two Ounces Sala's Emetic Syrup two Drams Hony of Roses two Drams Make a Clyster If a viscid Slime stuff the Breast we may exhibit for a Potion three Drams of Hyssop Water half a Dram of the Syrup of Tobacco and a Scruple of Sala's Emetic Syrup mix'd or half an Ounce of Mint-water with half a Dram of the Emetic Syrup As for Purgatives take what follows Take of the Solutive Syrup of Roses two Drams prepar'd Crabs-eyes half a Dram prepar'd red Coral twelve Grains With a few Drops of the Spirit of Anis make a Mixture Or Take of the Pouder of Jalap six Grains Tartar vitriolat half a Scruple Make a Pouder Manna given to two or four Drams in Breast-milk or Pap is also a good Laxative But above all sweet Mercury is the most effectual Correcter and Evacuater of acid viscous Humours especially upon the approach of the Small Pox or Measles 'T is given
Spawn mix'd with Oil of Sweet Almonds and that of Poppies or the Brains of a Hare boil'd to the Consistence of a Liniment with Hony Some recommend the Blood of a Cock's Comb for the same use Externally we anoint the Cheeks with emollient and discussive Oils If the swelling of the Gums begin to appear white in the middle it may be cut with a Knife to make way for the Tooth Sometimes Children are troubled with Swellings upon the Gums that are not caus'd by Teeth and then they cry if the Region of their Ears be touch'd This Symptom is allay'd by anointing the Swellings with the Oil of Sweet Almonds and the Region of the Ears with the fat of Hares A Looseness is frequently caus'd by the defect of Saliva following the breeding of Teeth as also by the thinness or watryness of the Nurse's Milk It ought not to be stop'd at first but if it last above six days or if the Excrements be sharp green or black and the Appetit dejected a speedy Cure must be indeavour'd by absorbent Pouders and the common Specifics against a Looseness Worms in the Guts are frequently the Authors of the Epilepsy Feaver Unquietness c. that molest Children They are discover'd by these Symptoms The Child's Mouth is always full of Saliva especially in a Morning while the Stomac is empty it rubs its Nose and gnashes with its Teeth while asleep It s appetite is uncertain sometimes voracious tho follow'd by leanness and sometimes very low the Belly sometimes sinks and sometimes is much inlarged The Face is liable to frequent Flushings and Alterations of Colour the Belly is for the most part open and much grip'd The Seeds of these Worms are convey'd into the Body in the Child's Food especially in Corn or Bread Sweet Mercury and the Conserve of Peach-flowers interlac'd with the bitter Specifics absorbent Pouders and volatil Alkalies compass the Cure Sometimes a Worm settles its self within the Navel-string and causes a paleness of the Lips wasting of the Body and unquietness 't is kill'd by applying to the Belly the inner Shell of a Walnut fill'd with the Pouder of Venice Glass and that of Saffron and then it ought to be purg'd out Children are frequently troubled with a Cough which proceeds for the most part from the Stomac If it be a wet Cough Vomits are absolutely necessary If dry the Spirit of Hartshorn succinat the Spirit of Sal Armoniac Sperma Ceti the Mucilage of Linseed Figgs soak'd in Spirit of Wine the Juice of Rapes and Pulp of Raisins join'd to gentle Anodynes are noted Specifics If the Cough be convulsive we exhibit the Castor and Spirit of Amber If the matter be very thick the Juice of Horse-Radishes or of Fennel the Syrup of Hyssop or that of Tobacco and Sala's Emetic Syrup are very proper Externally in a dry Cough we wash the Child's Feet in hot Ale and anoint 'em with the Goats Tallow If a plentiful defluction attend the Cough we cover the Head with Cotton fumigated with Amber Frankincense and the Gum of the Juniper-tree If the Child's Nose is stop'd put into it a Clout wet with Marjoram and black Cherry-water impregnated with white Vitriol and anoint the Nostrils with the Oil of sweet Almonds mix'd with a few drops of the Oil of Marjoram The Acidity of the Lymph caus'd by the Crudities in the Stomac frequently occasions an Obstruction and swelling of the Glandules about the Ears Neck and Head and a milky Crust or scaly Eruption in the Head and Face which in process of time if the Acid be very sharp degenerats into Ulcers voiding corrupt matter If this Eruption be unseasonably suppress'd it occasions a Cough Looseness Convulsions and many other bad Symptoms For Cure internally we exhibit Purgatives especially sweet Mercury and absorbent Pouders together with volatil Spirits Externally we anoint the crusty Eruptions with Oil of Tartar per Deliquium and Camphyr and bathe 'em with the Decoction of Dock-roots Marshmallows Soap-wort and Celandine in small Beer or Child's Urine and cover the running Ulcers with the Pouder of the Precipitat from Vitriol of Steel mix'd with Calaminar Stone Chalk Ceruss Salt of Tartar and Myrrh and apply discussive Plaisters to the swell'd Glandules When the Evil is inveterat and the Ulcers are become fetid 't is customary to wash 'em with the Decoction of Tobacco and mix Quick-silver with the Ointments or order a Girdle of Quick-silver kill'd with Hog's Fat But these Applications are not always safe Panarollus's Ointment of Sulphur Juice of Lemons and Hog's Fat or that of the Yelks of Eggs boil'd hard with Myrrh black Hellebor Cuckou-pint and Snake-weed-roots are preferable If the Skull be corroded by the Ulcers we apply Hony of Roses mix'd with Spirit of Wine and the Pouder of Birthwort mix'd with Balsam of Peru. If the Child's Head be lousy apply the Oil of Spike and Pouder of Stavesacre over night or the Juice of Wormwood mix'd with Quick-silver or which is yet safer the precipitat of Mercury prepar'd with Spirit of Nitre washing it next Morning with a Lee of the Decoction of Lavender and Spike This Acidity of the Lymph proceding from curdled Milk in the Stomac is also the Cause of the small Pox and Measles They are usher'd in by a dry Cough a watriness and swelling of the Eyes and itching of the Nose So soon as we can discover their approach we exhibit sweet Mercury with a Grain of the Pouder of Jalap or if the strength be much impair'd and the Heat be violent the Sulphur of Antimony precipitated from the Dross of the Regulus If the Belly be swoln and infested with Noise we inject gentle Clysters After the Ebullition is over we administer the Emulsions of the out-striking Seeds with Castor Myrrh Diaphoretic Antimony Cinnabar of Antimony fix'd Salts absorbent Pouders and the Juice of Horse-Dung If the Malignity of the Humours cause Convulsions we add the volatil Salt of Amber and the succinat Spirit of Harts-horn If the Child be very restless we may venture to give a small quantity of the Syrup of Poppies If a Vomiting attend the beginning of the Disease we ought not to stop it unless it prove excessive and then we give Venice Triacle and Laudanum Opiatum or rather the Spirit of Harts-horn Succinat To prevent a Looseness which in this case is fatal let the Nurse and Child both drink the Decoction of Vipergrass with the Gelly of Hartshorn As for the other Symptoms that generally accompany this Disease see the first Book Ofttimes the Child is emaciated and does not thrive and that chiefly upon three accounts 1. When the Nurse's Milk is stale and sharp In this Case we change the Nurse and bathe the Child in Goats Milk and exhibit the Water distill'd from Ivy or that from Fern. 2. When Worms exhaust the nutritious Juice Besides those in the Guts treated of already there are others like little Hairs that not only exhaust the nourishment
others immoveable some painless and others very painful and shooting as being near akin to Cancers These Tumours we endeavour to discuss by applying Cataplasms of the Leaves and Roots of wild Cucumbers with Goat's-Dung and the Plaister de Ranis with Mercury or Gum Caran mixt with Mercury and Turpentin and anointing with Helmont's distill'd Oil. In their Infancy the Fat of Vipers is also very proper If they cannot be discuss'd we must endeavour to bring 'em to maturity by applying the Plaister of Melilot mix'd with the Oil of sweet Almonds and Fat of Snakes or Platerus's Plaister of Tobacco or Sala's Magnetic Plaister mix'd with Diasulphuris When they are ripe we ought not to open 'em but leave 'em to their natural leisure that so the better part of the Glandule may be dissolv'd into Pus After they 're broke we apply the common Digestives mix'd with precipitat Mercury well wash'd If the Swellings are loose and pendulous we tie 'em with a Horse-hair and so by degrees force their separation If they 're inclos'd in proper Tunicles 't will be needful to extirpate the whole Membrane by the hand of a Surgeon The internal Cure of the King 's Evil is compass'd by purging with sweet Mercury and black Hellebor and administring the Decoction of Swallow-wort Pile-wort Dropwort and Broom or the following absorbent Pouder Take of burnt Sea-spunge three Ounces Bone of the Cuttle-fish Jaw bone of a Pike prepar'd Crabs-eyes long Peper white Ginger Roots of Pellitory of Spain Galls and calcin'd Egg-shells of each an Ounce Make a Pouder Dose half a Dram to be given with a convenient quantity of Arcanum Duplicatum The Pouder of Lizards with Hony in the Form of an Electuary is also of excellent use Next to the Kings Evil are Schirrus's which are hard immoveable Tumors in soft fleshy parts both internal and external They proceed from the Coagulation of Blood as when they follow Inflammations or from the stagnation of crude Chyle either in company with the Blood or in any other Vehicle For the most part these Tumours are free of Pain if they happen to be very painful and livid they are of a spurious race and apt to degenerat into Cancers For Cure we endeavour to discuss a Schirrus by applying Cow's Dung boil'd in Vinegar or the stinking Oil of Tartar and that of Earthworms mix'd with Spirit of Wine or Cataplasms of Briony-roots Goats-Dung Lye and Soap If these be insufficient we must have recourse to the Gums especially Gum Ammoniac and the Plaister of Hemlock with Mercury or a Plate of Lead applied to the part If the Tumour cannot be discuss'd we must bring it to a Head with ripening Ingredients but withal take care that they be not too violent lest it degenerat into a Cancer A Cancer for the most part is the Consequent of schirrous and scrophulous Tumours and frequently invades the Breasts and glandulous places If it come by it self it appears first as a Tumour no bigger than a Bean and by degrees increases becomes hard black livid and molested with shooting pains Afterwards it festers stinks and corrodes the adjacent parts being surrounded with Veins swoln with black Blood The immediat Cause is a volatil corrosive Acid which if it be not supplied with fresh Recruits may lie hid in the part a long time before it fester and then we call it an occult Cancer But as soon as it becomes an Ulcer 't is justly intitl'd a manifest one If a Cancer proceed from internal Causes If the whole Mass of Blood and the Bowels are tainted If the Tumour lie very deep or near to large Vessels If the pain be violent and frequent Bleedings ensue 't is a dangerous case If a Cancer be occult it ought not to be tamper'd with nor is it safe to apply any thing except some very temperat Alcalies such as the Juice of Nightshade beaten in a leaden Mortar the Juice of the Prick-thistle call'd Onophordon the Pulp of rotten Apples or Quick-lime-water prepar'd with the Water of rotten Apples the Juice of River-Crabs and Man's Dung Sugar of Lead and all Preparations from Lead are of excellent use especially a Plate of Lead cover'd with Quick-silver Ointments and Cerecloths of burnt Lead mix'd with the Oil of Roses Oil of Frogs c. are also recommended but all oily things ought to be cautiously us'd In the mean while 't will be proper to exhibit internally absorbent Anti-acid Pouders follow'd by Purges of black Hellebor and sweet Mercury After which the Sugar of Lead the Tincture of Antimony tartaris'd the volatil Spirit of Tartar the Decoction of River-Crabs in Milk and above all the Pouder of Wood-lice mix'd with Crabs-eyes are us'd with notable success sometimes Issues are useful As for manifest Cancers we shall have occasion to take notice of 'em afterwards under the Head of Vlcers The Acidity of the Lymph stands also charg'd as being the Cause of the Gummy Tumors that grow upon the Bones in the French Pox For 't is the vicious Acid that perverts the natural Nourishment of the Bones and occasions its degeneracy into a preternatural Swelling They are cur'd internally by the sudorific Decoctions or by a Salivation with Mercury interlac'd with Preparations of Steel and Vipers Externally we apply the dissolving Gums with the distill'd Oil of Guajacum and Mercury or a Plate of Lead cover'd with Quick-silver or Quick-silver congeal'd by the Fumes of Lead For mitigating the pain we may add Opium to all such Compositions The occasional Depravation of the nourishment of the several parts of the Body will also cause several sorts of Tumours As upon broken Bones a Callus upon tendonous places a Ganglion and upon fleshy parts fleshy Excrescences The first two are discuss'd by applying a Plate of Lead with Mercury or the stinking Oil of Tartar with Castle-Soap or the Spirit of Wine with the Juice of Rue or in obstinat Cases the Plaister de Ranis with Mercury Fleshy Excrescences unless they adhere to the Nerves or Arteries ought to be cut off and the Root eaten away by the Butter of Antimony and Vnguentum Aegyptiacum Some Excrescences are inclosed within their own proper Membrans and contain peculiar Humors sometimes like Hony sometimes like Pap and in other Cases like Soap or Fat The Cause of such Excrescences is the distortion and enlargement of the Fibres occasioning a large accession of Juice which distends and adds to the Growth of the misplac'd Fibres till by shooting out new Tendrels they join one another in the Form of a Concave Membrane containing the stagnating Juice variously alter'd according to the different occasions They frequently happen about the Head and Neck and share the common Fate of some nervous Swellings in being liable to alterations from the Moon For Cure if they are recent we may attempt to discuss 'em with Gum Ammoniac Balsam of Peru Sulphur c. If they cannot be discuss'd we ply 'em with sharp suppurating Ingredients such as Gum Ammoniac
liberally and especially Raisins are of good use Rhubarb and Aloes are not to be us'd unless mix'd with Antimonial Ingredients Take of the Pulps of Raisins and Tamarinds of each an ounce and a half Crystals of Tartar three drams Powder of Jalap roots two drams Scammony sulphurated a scruple laxative Antimony half a dram With solutive Syrup of Roses make an Electuary The Decoction of Prunes or of Senna with Raisins is likewise very effectual Clarify'd Whey mix'd with solutive Syrup of Roses or impregnated with Tamarinds by Decoction is an incomparable Medicine for opening the Belly It injoys a volatil oyly Alcali which tempers the austere acidity of the Juice of the Pancreas the frequent cause of Costiveness and moderates the acrimony of scorbutic Salts The Decoctions of emollient Herbs in Broth or that of Figs in Barly-water are likewise useful Some instead of Sugar use Manna for the Conferves of Roses and Violets and mix 'em with the Pulp of Raisins and Cream of Tartar with very good Success If the Excrements be very hard and a glassy Pituita beset the Guts there 's nothing better than Gum Ammoniac As take of Mint-water an ounce Gum Ammoniac dissolv'd in Vinegar a dram solutive Syrup of Roses half an ounce make a Potion for two Doses If the Operation be difficult add Tartar vitriolated and Scammony sulphurated The Tincture or Essential Salt of Tartar is much approv'd But in Cases of Extremity we must have recourse to Quicksilver two or three ounces of which may be exhibited in Broth or Oyl of sweet Almonds or it may be infus'd for a Month in Wine shaking the Wine often of which a spoonful or two is a Dose Fulminatory Gold reduc'd to Pills with Extract of Hellebor or Syrup of Roses is look'd upon by some as the last Refuge But it ought not to be dulcify'd or rob'd of its Salt otherwise it becomes diaphoretic I choose to joyn it with Antimonial Nitre which provokes the Guts to Expulsion and find it very useful both in this case and that of Childrens Gripings Strong Purgatives ought to be avoided by reason that they promote the Contraction of the Guts and consequently the induration of the Excrements As for External Assistance Emollient Clysters of the Decoctions of softning Herbs mixt with Lenitive Electuaries Hony Manna yelks of Eggs and softning Oyls are very proper Some choose to inject the Decoction of Raisins in Veal Broth. Turpentine Clysters are very convenient when Costiveness is caus'd by Nephritic Pains Common Oyl or the Oyls of Linseed and Rapeseed are sometimes more effectual than any other Ingredients As Take of Rape Oyl in which a dram of Troches Alhandal has been boyl'd eight ounces with an ounce of Hony of Roses and the yelk of one Egg make a Clyster If Emollient Clysters prove ineffectual and the Excrements be notably harden'd let Sal Gem be added to 'em As for Example Take of Chamomil Leaves and Flowers three handfuls Elder and Mullein Flowers of each a handful boyl them in Water To nine ounces of the strain'd liquor add of Sal Gem a Dram Hony of Roses an ounce make a Clyster If Wind molest the Guts add of the distill'd Oyls of Cumin and Caraway-seeds of each half a Scruple If Sal Gem be insufficient add a dram of Coloquintida ty'd in a Bag to be boyl'd with the other Ingredients still observing this Caution that when such sharp Ingredients are added Oyls and such like things ought to be omitted for these cramp the others And in the last place if Coloquintida it self be insufficient in the room of it add two three or four ounces of the infusion of Crocus Metallorum but withal 't is still to be remembred that if the Guts be irritated or molested with Contractions the simple softning Clysters are only proper and that the use of such sharp Ingredients is to be nicely confin'd to the case of the insensibility and relaxation of the Guts Next to Clysters are Suppositories made of Salt Hony Powder of black Hellebor and a small quantity of Sal Gem. Sylvius and other Authors are very diffuse in commending Suppositories of Allum either mix'd in Powder with Tragacanth dissolv'd in white Lilly-water or a piece of Rock allum cut into the form of a Suppository and anointed with Oyl of sweet Almonds But during the use of Clysters and Suppositories 't is proper to exhibit some laxative inwardly lest an ineffectual Provocation of the Guts shou'd creat an Inflammation 'T is likewise convenient in the mean while to foment or bathe the Belly and after bathing to anoint it thus Take of the Leaves of common Mallows Marsh-mallows Plantane and Wormwood of each a handful Chamomil and Melilot Flowers of each half a handful Seeds of Fenugrec Linseeds and Cucumberseeds of each a scruple Boyl them in Wine till two parts be consumed Foment the Belly with the Decoction Take of the Oyls of sweet Almonds Violets Lillies Roses Chamomil and Spikenard of each half an ounce Goose fat an ounce with a little of the Plaister of Bay-berries make a Liniment with which anoint the Belly after fomentation If the motion of the Intestines be much impair'd let the Oyntments be sharpen'd with Bull 's Gall and Sal Gem or apply a Plaister of Bull 's Gall and Oyl of Coloquintida to the Navel Zivet especially in Colic Pains us'd the same way is a valuable Secret The Ointment of Soubread soften'd with Oyl of Coloquintida is very useful for the same purpose As also Elaterum or Scammony or Aloe mix'd with Oyl of Coloquintida Some mix Goose fat with a roasted Apple and apply it to the Belly Others apply Oyl of Poplar with Hiera Picra to the Soles of the Feet Some choose to anoint their Fingers with Rape or Linseed Oyl and so thrust 'em into the Fundament and they say 't is a very effectual Method Coughing and sneezing are recommended by Platerus as fit means for forwarding the Excrements Meibomius gives an instance of a Prince that was wont to cause his Servant to whip him to Stool ARTIC II. Of the Iliac Passion THE Iliac Passion is an extreme Costiveness pain about the Navel and voiding of the Excrements upwards caus'd by the inverted peristaltic Motion of the Guts If the Inversion of the peristaltic Motion commence from the Pylorus it creates Vomiting if from the Guts which are a Continuation of the Membran of the Stomac it produces the same Symptoms For the most part it takes its rise from the Ileum tho' sometimes it begins at the Rectum or Colon as appears by their Inflammations and other observables in dead Bodies The Causes are Ulcers of the Guts extreme Costiveness or acid austere Excrements irritating their Fibres and causing Obstructions especially about the Caecum a Rupture The Corrugation of the Guts by a Gangrene mistaken by some for a twisting of 'em round one another a thing inconsistent with their ligation to the Mesentery The runing of one Gut into another caus'd by Wind distending
a word whatever was recommended for the Sciatica Particularly the following Oil Take of the distill'd Oil of Man's Bones one part stinking Oil of Tartar two parts Mix 'em with Quick-limâ— and distil through a Retort a most penetrating Oil. If the Relaxation of the Ligaments occasion'd by a saltish Serum threaten a Dislocation administer inwardly Poterius's Diaphoretic Gold the Spirit of Earthworms Essence of Sassafras and Sal Volatile Oleosum and rub externally with the Spirit of Earthworms and the Oil of Earth applying a Plaister of Tacamahac and Caran soften'd with the Oil of Amber or Crollius's Styptic Plaister mix'd with Stone Oil. CHAP. V. Of Fractures BONES are broken mostly by external Causes tho there are some uncommon Instances of Fractures occasion'd by violent internal Convulsions Some Fractures come across the Bone and frequently cause Splinters which gall the nervous Parts most sensibly and sometimes wound the Skin They are easily discover'd by their extreme pain loss of Motion the contraction and distortion of the muscular Fibres the inflammations and soft swellings of the Part and by feeling with one's fingers especially if the Bone be out of its place But the Inflammations that attend 'em at first ought to be distinguish'd from the Erysipelas that sometimes appears about the fourth day being usher'd in by shiverings and accompany'd by a Feaver as arising from the growing Acidity of the nutritions Juices of the injur'd Membrans which provoke 'em to Contractions and so waken all the Juices in the Body Other Fractures are more properly Fissures viz. When the Bone is split lengthways The Symptoms of a Fissure are these A profound Pain gradually seizes the Bone but 't is still capable of performing its wonted Offices Afterwards a small reddish Tumor appears especially if the Fissure be great the nutritious Juice of the Bone runs out of the Cleft and glides along the Member till the Tendons about the Joints thwart its Passage and oblige it to stagnat and so become an Ulcer In the mean while the Bone it self where 't is split becomes rotten and feeds the Ulcer with continual supplies of corrupt matter tho at some distance Therefore a Surgeon ought to be very cautious in all Ulcers lying near the Joints to examin the Bone narrowly and inquire after the above-mention'd Symptoms since Ulcers proceeding from Fissures can never be cur'd 'till the distant Cause be trac'd out and accounted for As touching Prognosticks Fractures in the middle of the Bone without Wounds or Splinters are more favourable than those about the Joints or where the two joining Bones are both broke or where the Bone is beaten to pieces and the Wounds whether occult or manifest threaten Ulcers Fractures about tendonous places are very dangerous The Bones of the Thigh seldom consolidat being closely block'd up by bulky Muscles The time of the Re-union of broken Bones is uncertain as depending upon the difference of Ages and Constitutions Women with Child are not easily cur'd but after Delivery their Cure succeeds When a Bone is broken across 't is the Surgeon's Office to extend the Member and join the two ends together fastening 'em with proper Ligatures and ordering an easy Posture of the Part according to the custom of the Patient Thus the two ends of the broken Bone being laid together the nutritious Juice will stagnat betwixt 'em and gradually harden into a Substance of equal Consistence joining 'em together If the Part be inflam'd nothing can be attempted towards setting till the Inflammation be remov'd After 't is set bathe it with the Spirit of Wine mix'd with a third part of the Spirit of Earthworms or anoint it with the Oil of Earthworms distill'd Oil of Rosemary and the Oil of Man's Fat rectify'd upon Man's Bones applying afterwards a Plaister of Tacamahac soften'd with the distill'd Oil of Rosemary or the common Plaister of white Rosin Turpentin Pouders of Snakeweed and Birthwort-roots the Extract of round-rooted Birth-wort prepar'd with Spirit of Wine and distill'd Oil of Amber The Plaister must be so applied that its two ends do not come quite together lest they should suppress the Tumors that always happen If the Part be bruis'd apply Hony with the Spirit of Wine After the Plaister is applied tye it down with Swathes and Splents but the Swathes must not be too hard tied nor the Splents too many Astringent Cataplasms are generally us'd but to the detriment of the Patient If Cataplasms are demanded let 'em be made of the Leaves of the Herb Robert bruis'd or of the Pouder of Snakeweed-roots with Wine In the mean while 't will be proper to exhibit inwardly vulnerary Decoctions especially of Rosemary Agrimony Savin and the Herb Robert The Stone of Osteocolla given to a Dram in Wine or Vinegar is of singular use As for Fissures the divided parts of the Bone must be join'd the above-mention'd Plaister applied and the Member tied up with Swathes If a Tumor beset the Part let it be open'd and treated as a Fracture with a Wound If an Ulcer happen lay it open to the very Fissure and cleanse the rotten Bone and Ulcer as above If a Fracture be attended by a Wound it must be kept open for some time to give vent to the pieces of Bones that do not consolidate with the rest If the Bone hang out at the Wound and be not tainted by the Air it ought to be put into its proper place if otherwise it must be saw'd off or otherwise separated The Separation may be promoted by the following Liniment Take of Aloes and Myrrh of each half a Dram Comfry and Birthwort-roots of each three Drams Euphorbium two Drams With Turpentin and Wax make a Liniment Sometimes the Callus which joins the Bones is too bulky and causes a Deformity which may be help'd while 't is soft and green but it if be confirm'd there 's no relief For if a new Fracture be endeavour'd it will not fall upon the Callus but near to it CHAP. VI. Of a Gangrene and Sphacelus A Gangrene and Sphacelus differ only gradually the former being an imperfect the latter a perfect Mortification They are equally the Consequents of all the preceding Disorders viz. Tumors Wounds Ulcers Dislocations and Fractures and therefore seem'd to claim a peculiar Chapter to themselves Their immediat Cause is a prevailing Alcali that destroys the innate volatil Acid and dissolves its Sulphur The remote Causes are whatever prevents the Influx and Circulation of the Blood and Animal Spirits which are wont to recruit the volatil Acid as Ligatures Bruises Wounds Cold or the sudden Contraction of the Pores Poyson malignant Diseases c. The Symptoms are these At first the Arteries beat very high in the Part but the Pulsation Heat and Sense dwindle gradually away the Muscles become soft and flaccid and separat as it were from the Skin whose Color becomes pale blew and at length black If an Ulcer degenerat into a Gangrene it voids no corrupt Matter or if there be any 't is discolour'd and fetid If a Gangrene proceed from an internal Cause 't is incurable for tho the Part be cut off 't will revive elsewhere Nervous parts are more liable and more difficult to cure than the sanguine Sometimes a Tendon when seiz'd by a Gangrene may be mov'd by the Muscle which being long and at some distance is not touch'd and therefore Motion is no certain sign of a sound part For Cure In a Sphacelus the mortified part must be cut off In a recent Gangrene we must prevent its progress internally by exhibiting the Spirit of Triacle camphoris'd Spirit of Wine camphoris'd Spirit of Juniper-berries Spirit of Hartshorn c. and externally by applying the Spirit of Wine camphoris'd with Myrrh Aloes and Frankincense or the Decoction of Quick-lime mix'd with Spirit of Wine and Sweet Mercury or the Decoction of the Dross of Antimony in Vinegar or the Decoction of Lupines with White Wine Lye and Saffron Cataplasms of Germander Wormwood Hyssop Sage Agrimony c. boil'd in Lime-water and Clouts dip'd in the Decoction of the Caput Mortuum of Aqua fortis in Rose water are also much commended If the Gangrene be far advanc'd let the part be scarify'd and wash'd with the following Mixture Take of Pickle four Ounces Spirit of Wine camphoris'd two Ounces Ointment Aegyptiacum an Ounce Mix c. After 't is wash'd apply the Butter of Antimony or sublimat Mercury with Myrrh Aloes Allum and the Caput Mortuum of Vitriol or precipitat Mercury boil'd with the Oil of Nuts Some extol the following Cataplasm Take of Wormwood-tops Chamomil and Elder-flowers of each a handful and a half of the Herb Germander a handful and a half Rue half a handful Horse-dung three Ounces Boil them in Pickle adding in the end two Ounces of Ink and three Ounces of the Spirit of Wine In a Sphacelus the mortified part must be cut off with all convenient Speed without waiting as some do till it come to the Joint Some perform Amputations with red hot Instruments thinking thereby to prevent the excessive bleeding others are content with cold Instruments and stop the bleeding with the Pouder of Hog's Dung and dulcify'd Earth of Vitriol or with Clouts dip'd into a Mixture of the Vitriol of Steel and Allum with the Juice of Plantain FINIS