Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
taken they escape without halting If towards the Hip commonly they halt after it Both because the bowing tending outwards it is easily crooked Towards the inside and towards the outside it bunches out like a bow as also because being but one single bone it cannot easily be kept in its place It growes together in the space of fifty daies Chap. 2. Of less Frequent Fractures TO the less ordinary Fractures there appertain the Fractures of I. The Nose which is either equally flatted so as to make a saddle-Nose or it is broke only on the one side or it is writhen aside by the Gristle or the bones thereof are broke into smal fritters There is Joyned somtimes a wound and somtimes and Ulcer is raised within the Nostrils Unless the Nose be immediately rectified it must for ever remain deformed II. Of the lower Jaw-bone whose bone is either broken so athwart that the Bones nevertheless do in some measure hold together or so that one bone sticks out above another and one tooth sticks out beyond another They are consolidated within twenty dayes unless Inflamation happen Also the teeth remain sound III. Of the Clavicula or channel bone which is broken either athwart and is easily reduced into its natural seat by extending and compressing the same with a mans fingers or long-waies which has alwaies some Eminency which can hardly be brought into order It s fracture is knowne by the touch and by the pian It is soddered together within the space of twenty daies IIII. Of the Scapula and that either in respect of the shoulder tip and then Inequality is perceived if the hurt part be compared with the sound or in respest of the broad part Then a certain cavity is perceived by the touch the Arme just against it is benummed If the fracture be in the neck of the Scapula or in the Jointing of the shoulder Inflamation is soon caused because of the veins Arteries and nerves which spring from the Vertebraes of the Neck V. Of the Brest-bone whose fracture is known by the bones giving way when pressed with the finger by shortness of breath c. and it is dangerous because of the Neighbourhood of the noble parts VI. Of the Ribs which are either so broken that the extremities of the broken bones do neither go in nor stick out And then few are either Feverish or spit blood Or so as that the Ends of the Bones are out of their places Then the flesh above the broken Rib is blown and heaved up and if the place be pressed with the hand a noise is heard of the departing Air. Inflamation Feavers Impostumes do for the most part follow Or the whole Ribs are not broken Then there is neither great pain nor a Feaver VII Of the Back-bone which frequently by reason of the hurt ensuing to the spinal marrow the Membranes and the Nerves especially if the fracture happen by the Vertebra's of the Neck proves deadly especially if a palsie either of the Arms and Hands or of the Legs and Feet do follow thereupon VIII Of the Patella or Whirl-bone of the Knee which is known by inability to go and an hollowness which is perceived in the place of the fracture It happens either long waies and then the bones are easily joyned together again Or athwart or slanting Then no art can so help it as to hinder the Patient from halting IX Of the Bones of the Feet which is wont to be caused by an heavy and strong thing 'T is easily known by sight and touch because the parts are fleshless It is not so dangerous See Galen upon Hippocrates of the Joynts and Fractures And so much shal suffice to have spoken touching External Diseases THE SEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Feavers HItherto we have treated of the external Diseases of the Body The internal are either universal which affect the whol Body or Particular which vex some parts only The Vniversal are Feavers A Feaver is considered generally or specially Generally considered 't is divided into Non-putrid and Putrid Hectick Malignant and Pestilential Title I. Of Feavers in General A Feaver in general is an hot Distemper of the whole Body arising from an Heat Preternaturally kindled in the heart and by means of the spirits and blood through the Veins and Arteries diffused into the whol Body and hurting the natural actions thereof by a Crowd of Symptomes The Part affected is the Heart wherein the heat is first kindled and soon after the whol Body at least in respect of the noble parts somtimes For the Heat being diffused possesses the parts either Habitudinally or Habitually Also their temper consisting in the innate and influent Heat is changed Now this Distemper is joyned somtimes with dryness other whiles with Moisture Hence though the feaverish heat do alwaies tend to dryness yet oft times the disposition of the Body upon which that heat acts and the moisture do hinder the Body from falling into a Morbifick Dryness The Cause is whatsoever kindles Heat in the Body Now heat is kindled 1. By Motion whiles the rest of the parts by frequent smiting one against another causing a conflux of more Humors than can be discussed do grow hot 2. By Putrefaction while by the external Heat the internal is called forth 3. By Contact and Nearness of some hot thing 4. By stopping of the pores and interception of sharp vapors and Sooty steams which makes the body unhealthy and this is the Principal Cause without which other Causes can hardly effect any thing 5. By the mixinre of some hot thing The CURE of a feaver in general is performed by Alteration wherein such a progress must be used as that the Cause be not fomented and by mitigation of Symptomes The principal Symptomes are 1. Thirst the inner coat of the stomach being either parched with the burning heat or soaked with an hot sharp and nitrous Humor 2. Hiccuping sharp and biting Humors twitching and nipping the Stomach 3. Vomiting either by reason of an hot and Chollerick Humor or a very cold Humor or of a thick and Clammy matter or some Vapour 4. Loosness of the Belly when the stomach is so far irritated that it can in no wise embrace or digest the meate and when liquors extreamly cold are drunk down 5. Dryness Blackness and Roughness of the Tongue by reason of sooty Vapours which so burn the same that the Spittleish moisture is consumed which arise somtimes from a clammy humor sticking about the Teeth jaws beclam fur the Mouth 6. Lipothymia and Syncope Swowning and Fainting which somtimes proceeds from the permicious nature of the Humor and somtimes from rusty green or black Choler fermenting and coming out of the Veins into the Heart 7. Shortness of Breath occasioned by the oppression of the Midrif through the fervency of green Choler boyling about the heart or by plenty of Humors somtimes t is caused by the heat of the Heart or Lungs when
greatly disturbed as in case of a blow fal or any other accident whereby the Head is hurt c. Of al which see more in their own places Article IV. Of the Apoplexy The Apoplexy is a sudden abolition of al the Animal functions the breathing alone remayning and this likewise now and then exceedingly afflicted arising from the streightness and shutting up of the Passages especially about the basis of the Brain by the which the Animal Spirits are derived unto the Members The part affected is the Brain not only according to the ventricles thereof but likewise according to its pores and especially neer about the inferior and hinder part thereof where the Nerves begin and take their Original The SIGNS are of an Apoplexy imminent and nigh at hand somtimes none at al somtimes a lightness and swimming in the head which we usually cal the Vertigo dimness of the Eyes and welinigh loss of sight the Incubus or Night-hagg a trembling of the whol body the grating of the Teeth in sleep an extream coldness of the External Parts an abundance of Snot and Snivel the heaviness of the Head c. The signs of an Apoplexy Present are the abolition of the sense and motion and this suddenly and with snorting and by this it is distinguished from Curus that it is without a Feaver and excitation and so it is differenced from a Lethargy that it is with a Relaxation and loosness of the Members a ful pulse and the Face reteyning stil its color and thus it is distinguished from a Syncope and the Suffocation of the Womb. The CAUSE is the streightness or narrowness of the turnings and windings and of the pores of the Brain especially of the Basis thereof and of the Rete admirabile therein as it effecteth a shutting up or shutting in of the spirits But from whence this proceedeth we shal show further in the Differences CURE there is None if upon a Difficult drawing of the breath a sweat ensue if immediatly the sick persons strucken suddenly mute and dumb and without snorting aloud be not surprised and set upon by an acute Feaver which haply might attenuate and dissolve the Pituitous flegmy matter and likewise the flatulent Vapor The Apoplexy usually if not alwaies if terminated and endeth in a Passie It Respecteth 1. Preservation which preventeth and taketh away the Antecedent Cause and this varyeth according to the Nature of the Differences 2. Iâ— hath respect unto the Cure spoken of in the several species which is to be begun with a Prognostick when we are to make a discovery whether or no there be any life in the Party either by lighted Candles the windows being shut put as neer as may be unto the Nostrils or else by a looking-glass clean wiped put to the mouth of the party It is to be Performed 1. By a due and fit placing of the sick person that so he may the more easily attract and draw in the Air together with a light and gentle concussion and shaking up of the party lest that by a more violent rowsing of him the matter should be dispersed al the body over as also by a rubbing of the extream parts with Salt and Vinegar 2. By the Revulsion of the matter by Cupping-Glasses imposed on the head which is indeed the only Remedy by strong forcible Clysters and Suppositories by opening of the Cephalick vein or the common Median Vein without the least delay and that likewise by several Repetitions and not al at once and yet al within the space of a very few hours and also lastly by opening of the Jugular veins according to their length 3. The matter is dissipated and scattered by the use of Antepileptical waters by which the Brain is exceedingly recreated The Differences of the Apoplexy are many and Various I. One is Legitimate of which more in the subsequent differences Another is that we cal Bastard or Spurious which ariseth either from the Obstruction of the Arteries Carotides and the Jngulas Veins of which see in Carus or else from Narcotick Vapors that stupisie and make dul the spirits where Revulsion hath its place the Evacuation of the matter somenting and cherishing the Disease and the breaking of the stupefaction by Castoreum with Vinegar II. Another is from the Obstruction of the Basis of the Brain which is caused I. Either from a Flegmatick and thick Matter either dissolved by heat or else driven forth by cold into the Passages of the brain It is known by the tokens of a cold distemper It driseth from the same Causes It is Cured 1. By the Evacuation of the peccant Matter by Venesection after that by a strong and forcible Purgation by Errbines and Sternutatories put up in the form of a powder among which that Nose-purger the Latines and Late Physitians cal it Nasipurgium of Bartoletus is much commended by Frictions of the tongue and Palate with Treacle or Mustard Seed this last Boyled in strong Wine by Cauteries Issues c. Vomitories have here no place 2 By strengthening of the Brain by Cephalick waters the spirits of black Cherries the Essences of Rosemary Sage the Balsames of Marjoram Amber Rue c. II. Or else from gross and thick Vapors with the which we ought to proceed and to deal in the very same manner as aforesaid Another is from Compression which is Caused I. Either from Violent Causes as for instance a Concussion a Blow a Wound of al which see above II. Or from cold and moist humors heaped up in the Brain by their constant and continual watering and moistening of the Brain Rendering the substance thereof that is naturally soft by far more soft and loose touching which see more in the former member of this same Difference III. Or else from that which they cal Flegmonodes diathesis that is to say an abundant store of blood al at once as it were rushing thronging into the sourse and spring head as I may so term it of the Animal spirits It is known by the signs and tokens of a Plethory there is some wonted Evacuation suppressed It ariseth from the same Causes It is Cured like as is that which is caused by a Flegmatick obstruction Yet notwithstanding in this case plenty of blood may be emptyed forth of the veins III. Another is a light and gentle Apoplexy which most commonly endeth in a Passie of the one side or the other and in which the breathing keepeth some kind of order Another is Vehement in the which the Respiration or breathing is violent unequal inordinate and intermitting Another is strong in which the breathing is violent there is also a snotting to be heard and there appeareth likewise a froth which is but very little if it be excited by the very humidity of the Lungs from some most vehement compression of the Heart but very much if it proceed from a pituitous or Flegmatick humor that is ful of Wind. Another is the strongest and most dangerous of al in the
Juyce the skin is to be condused and made thicker with the oyl of the mirtle tree and with the oyl of Mastick or else it is from the thinness of those things that are to be retained and therefore here those meats that are not over fluid and easily dissipated have their place as being most fit and proper 2. By Evacuations that are sensible as wel of the blood as of other humors where Note that these Evacuations are to be stopped that the body ought not to be besprinkled with those things that are cold that in a large and abundant sweat only such things as close and bind the skin are to have any place or use 3. By diseases as overmuch want of rest and sleep of which enough before a vehement pain the gnawing or pain of the stomach the Colick pain the Nephritick or pain of the stone in the kidneyes or blader the pain of the Teeth c. a sudden breaking of an impostume in which there may a restauration be made by restorative meats sweet smels and rest 4. By such things as are evedent and apparent as namely extream hunger the immoderate use of venus too much and over violent exercise c. III. Another from the alteration and corruption of the spirits which is caused by a malignant matter whether external or internal as for instance the rottenness of humors poyson drunk and taken down the bitting of venemous Creatures and then the Cure is to be sought for in its peculiar and proper place IV. Another from the suffocation of the spirits which is caused 1. By overmuch blood and then there are present and appear signs of a plethory and in this case the opening of the Basilick vein helpeth much 2. A humor that is Crude and thick very much abounding about the heart and the veins and arteries thereof the capsula or purse of the heart and the neer neighboring members and this is either there cellected or else transmitted either from the head and other parts and then the habit of the body is Hydropical neither can the patient undergoe and bear either the opening of a vein or purgation Frictions or rubbings downwards anoyntings with oyls that open and loosen the use of Oximel with the decoction of other things that cut and divide and fasting unless the pulse be suddenly changed and discover an extraordinary weakness al these help and conduce much to a Recovery 3. By fuligenous vapours gathered together in great abundance about the Heart and the Members adjacent by which the respiration or breathing is hurt these are soonest and best taken away by discussives 4. By a Sudden Terror and Fear for which Evacuation is most convenient lest that from the afflux of Blood some obstruction in the Vessels or else an Inflamation should be excited For what remaineth see further to the Treatises of the Practical Physitians Title VIII Of the Affects of the Paps or breasts in Women Chap. 1. Of the Diseases of the Papps Article I. Of the Tumors or Swellings of the Paps THe Affects of the Paps or Dugs are either Diseases or Symptoms unto the former of these there belong Tumors the Cancer and the Magnitude The Tumors of the Paps are four I. An Inflamation which is a hard swelling It is known by the redness the pain the pulse or beating and the heat thereof by which it differeth from that we cal the Clotting or Curdling of the Milk and the overgreat abundance thereof It ariseth from the great store of Blood that is attracted transmitted or suppressed It is Cured 1. By a Diet that is thin and spare cooling and moistening 2. By Diversion which is performed by letting blood in the Ankle if the Causes be suppressed 3. By Evacuation by opening the internal Vein of the same side and so letting out the Blood as also by a gentle Purgation 4. By the Application of Topical Remedys in the Inflamation of such as thereunto accustomed And here we are to take Notice that the Repellers ought to be temperate lest that the Heart be overmuch cooled that in the Augmentation thereof there is commended beer and butter wel warmed and so applied that the extream Hardness may most properly and succesfully be prevented and removed by the Medicament that is formed and made of the Marrow of a Calves Thigh two ounces thereof of Oesipus or the moisture of greasie sheeps Wool one ounce of Saffron four scruples of Cummin wel bruised two scruples that when it is Suppurated in regard that the Breasts or Paps are Spungy and ful of hollow Caveties it is most commonly to be opened in divers places thereof that the Pap affected is very rarely cured and healed unless the Milk of the other that is sound be dryed up in regard that the blood equally floweth unto both and lastly that the Pain is to be moderated and mitigated if it be in Summer most fitly with the Leaves of Henbane if it be in the Winter then with the Roots of the said Henbane roasted under the Embers and then wel beaten together with Hogs Grease II. Oedema which is somtimes diffused and spread abroad throughout the whol Paps or Breasts so that they wholly and equally swel It is known by this that it is soft and that by intervals and at certain times to wit in the time that the Courses flow the swelling and the pain is exasperated but yet notwithstanding that there is evermore some of the swelling remayning The Original and the Cure hereof are to be sought for out of that which is spoken in the general touching these Tumors And here it is only to be Observed 1. That in the retention of the Courses those meats that are Tosted and Roasted are not so fit and convenient 2. That the stronger sort of Maturatives are to be made choice of in regard that here the matter is tenacious and very loth to yield 3. That a due regard is likewise to be had of the Stomach that is the Receptacle of the Flegm III. The Scirrhus of the Paps is either Exquisite or not Exquisite 1. The Exquisite is various I. One is that which is but newly begun or but now beginning which upon the touching thereof is a little painful and in this regard it is distinguished from a Cancer that is likewise but now beginning and it is very hardly Cured Another Old and Inveterate which is hard without pain incurable by Medicaments especially if it resemble the color of Capers or if haires grow therein it is somtimes Cured by Manual operation II. Another is by the Congestion or heaping up of a Humor that is in it self thick in the Curing of which we are not to use Vinegar either in the beginning or long at any time lest that either the residue thereof should be hardened and become like unto a stone or else that the substance of the part being overdryed should wast and consume away neither ought we to attempt any thing by Manual operation if the whol
'T is hardly cured if it have its Cause lurking in the bowels which nourisheth it in Infants 't is easily taken away with discussives Another is fleshy when a fleshy substance lifts the Navel up into a Tumor which is known by this that the Tumor is hard and being prest doth not yeild and is changed by no manner of lying 'T is Cured by cutting of the flesh performed by a caustick Medicine or Iron unless it turn to a Cancer for so the evil is incurable An Inflamation of the Muscles of the belly affects either the right Muscles or transverse If those the Tumor is oblong and extended al over the belly The Skin is not handled without pain and being laid hold on doth not follow In every posture the bulk of the Tumor remains the same If these the deep parts are more affected and because those Muscles are Membranous about their end and have many Nerves the pain is the greater 't is distinguisht from an Inflamation of the Liver by this that it follows the Figure of the Muscles and is not so round The Cure is such as in other Inflamations and so much of the lower Belly An Appendix Concerning the Gout An arthritis is a pain of the parts about the joints caused by a defluxion of a serous and sharp humor poured forth of the veins and arteries into them assailing by periods having joined with it an hinderance of motion The subject is the membranous parts and those endued with sense about the joints from which neither are the membranous ligaments excluded The pain is caused more in them both because the humors are thrust thither from the veins and arteries and because being carried thither they are in less room The SIGNS are almost evident by the relation of the Patient at first assault the pain invades the great Toe and for the most part of the left Foot afterwards a Tumor heat and redness is manifestly perceived there is added an impotency to move and in an Arthritis of long continuance hard Knobs c. The CAUSE is a solution of unity induced by a serous Salt and sharp Humor this ariseth from the use of nourishments as plants Carpes unwholsom wines by the accession of a vitious constitution of the bowels as of the Liver and Spleen the efficient Cause of that Salt or Tartar It oftentimes comes neer to the Nature of spirits which have a most biting Salt in them whence it often wanders up and down By reason of the want of sufficient separation 't is mixt with the blood By the veins and arteries 't is sent to the joints whence when the fit is at hand the vessels which lead to the hands and feet and are inserted to the utmost joints do swel by reason of their weakness either natural from their parents or acquired by labor excess of the air and other things altering the joints from whence they become softer and more relaxt nature being stimulated by its plenty disburthening it self and somtimes being helpt by external causes as the spring or autume aire affections of the mind the retention of accustomary sweating c. 't is moved to the joints rather than to other parts perhaps because the ligaments and tendons are nourisht with a more terrestrial blood and that hath affinity with the tartarous humor The CURE is in general most difficult both by reason of the disease it self in respect of errors in dyer and other things by reason of the fit because the humors dispersed through the ligaments membranes and nerves by reason of thickness coldness of those parts are hardly discust None at al if any deadly disease be joined with it If there be a luxation for though the joint may be reduced yet the ligaments remaine relaxt if in the luxation the cavity of the joint be filled with a tophous matter because before that is taken away the joint cannot be reduced that cannot be taken away if it be hereditary It respects I. The fit in which 1. The humors rushing to the part affected must be taken away where bleeding takes place if blood do abound and that quickly because the flux is urgent Of the basilica if al or many joints be affected in the opposite side if one only No bleeding if flegmatick blood predominate least discussion be protracted Purging when the pains are at hand for which end is thought to serve hermodactils Paracelsus his arthritical pouder Horatius Angenius his electuary cariocostinum the gum for the gout in stronger bodies in the weaker the matter boyling very much Solenander his syrup of buck thorne mechoacan c. Sweating which is very wel caused with the decoction of China of the root of bur dock with treacle harts-horne prepared antimonium diaphoreticum 2. The afflux must be hindered by repellers if the pain be increased by a suddain and too great afflux of humors but not by them alone least the motion intended by nature be stopt with danger of life but mixt with things anodyne The liquor of the flowers of mullein is commended and hartshorne burnt steept and boyled in the water of mullein flowers and applied to the greived part 3. The pain must be mitigated where takes place Stockerus his oleum raninum l. 1. c. 58. prax Rulandus his antipodagrical water in Hartmans Chymiatry Lacuna his ointment of dane wort The foame of the decoction of china root in Zacutus l. 3. hist med hist 38. Anointing with the oyl of mans bones Freitagius his secret of opium and camphure in his book of opium Another of the same Authors there of sugar of saturne and the salt of the same c. A lye sufficiently seasoned with salt the pouder of oriental Bezoar stone or harts-horne prepared mixt with hony of roses and vineger by a gentle heate and layd on by way of cataplasme c. 4. The matter which hath flowed thither must be discust where take place the ointment of castor Solenander his mushromy of the oake consil 24. sect 4. The water in which brass and iron are quenched and afterwards mercurius vitae is steept the decoction of Nettles made with wheaten bread Salt wine and water c. 5. The Knobs must be dissolved for which purpose serves A Cataplasme of old cheese dipt in the strong broth of Salt Hogs flesh and that which you may find in Hartmans Chymiatry 2. Prevention which requires 1. A convenient diet in which ought to be shunned the Air in excess meats that do administer matter for it drinking of Moravia and Austria wine c. too great passions of the mind 2. Bleeding unless the body be cold some open the Veins of the great Toes every month 3. Purging which ought to be ordered spring and autum and it requires gentle ones rather than strong 4. The use of things good against the Gout as are Germander Ground pin round Birth-wort the true Pontick Rhubard c. 5. The strengthning of the Joynts for which end serves a Lie made of
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
those that speak unto them and it is soon removed and taken away by the use of Emollient Fomentations In this greif there have their use that which we term Luna Potabilis Hartmanni six drops thereof and that they cal Pharmocum Phantasticum of Bartoletus the dose whereof is from one dram to two drams lastly the spirit of Terra sigillata or the sealed earth brought from the Isle Lemnos Article IV. Of Melancholly Melancholy is a dotage arising from a Melancholy phantasme with the which whosoever is affected and deteyned therunder he becomes wholly and only addicted to thoughtfulness being as it were altogether ingulphed therein without either fury or Feaver but yet without pensiveness and fearfulness The SIGNS are a deep sadness and fearfulness without any apparent cause and then likewise another sign is Taciturnity and a long continued silence or else incongruous discourse and talk at random and this more especially of some oâ—â— thing more than other The CAUSE is a Melancholy Phantasm that proceedeth from an error vice and distemper of the Animal spirits the which when as they ought to be clear thin subtile and moveable are hereby rendered and made obscure and misty opacious thick and dark as also fixed and almost wholly immovable And hence it cometh to pass that al kind of objects are imprinted upon their several species according to the condition and quality of the vitiated and depraved disposition of the spirits And they acquire and gain this disposition from a default in the Brain declining from its genuine whitness and generating such like spirits as these or else they have their original from some default in the matter out of which they are made and bred to wit the blood and the Vital spirit or else lastly they got this vitious disposition from some impure and melancholy Matter which is mingled together with the blood and spirits whether it be an Humor or a vapor or both The CURE is facil and Easie if the distemper be recent and but now beginning for so it is cured by diet alone together with the humectation of the whol body and somtimes of the head in particular as likewise if the Body receive any augmentation and growth from the aforesaid food if only the imagination be no more than hurt and then again if it be with some kind of laughter accompanying it But Cure there is none if the affect be hereditary See above further hereof touching the Progress to be made in attempting the Cure in the Chapter of the Melancholly distemper of the brain and below in the differences Notwithstanding observe here 1. That in this case an especial regard is to be had of the diet and that sleep by al manner of means be procured lest that haply the Patient fal frantick and mad Vinegar is not here to be administred but only that by it the dry Vapors may be diverted and called away from the brain A Bath of sweet water is by no means to be neglected 2. That the sick person is to be wrought into an Imagination quite contrary 3. That now and then for some certain time the Patient must wholly abstain from Medicaments The Remedies that in this case are commended are Confection of Alkermes the Tincture and Extract of Lazulus Elixir proprietutis the bezoar stone Cachunde an Indian Medicament the description whereof see in Lacutus his Physical History 1. Book Page 310. It is divided into some certain species I. One is that of the brain when the brain in the Nature and quality of its substance departeth from its natural cleerness and purity It is known by this that the doting is perpetual and vehement that there are present signs of Melancholy abounding in the head that the blood if it be let out is not thick nor black It ariseth Externally from a strong Phansie or imagination from fear other such like sad and grievous affections of the mind It ariseth Internally from a Melancholick Humor heaped up in the head and this either by reason of some acquired cold distemper of the brain or else in regard of its Melancholly constitution which may soon be known from the affects or otherwise lastly by reason of some cold and dry matter left behind in the brain after some hot distempers there the heat now abating and the thinner part of the matter being now resolved and gone It is Cured 1. By the Alteration and Preparation of the peccant matter by Fumary the water or syrup of sweet smelling Apples and Tartar of Vitriol 2. By the Evacuation thereof with the Extract of Hellebor the inferior waies and passages being first opened by Errhines and Sternutatories 3. By Procuring rest and sleep in the use of Hypnoticks 4. by Corroberating and strengthening the Head by the Tincture of the Chrysolite and other appropriate Remedies II. Another is that of the whole Body when a Melancholy blood aboundeth throughout the whol body and is from thence transmitted unto the brain It is known by this that the deliry or dotage is indeed continual but yet so that it is with some certain exasperations exacerbations and remissions and likewise in that there are present signs of Melancholy abounding in the body and that there went before the Causes thereof It ariseth from its own proper Causes of which we shal speak further in the Differences It is Cured by the frequent repetition of Venesection or blood-letting But because there are but very few spirits in Melaucholly persons it must not be of too much blood at once it may be either in the left Arm or in the Ankle or else the thigh Veins if large may be opened by Leeches 2. By a Preparation of the Humor by the Syrup of Odoriferous Apples Fumary with the cream of Tartar Tartur vitriolate by the fection of Alkermes the Whey of Milk with the Juyce of Cichory and Fumary 3. By a gentle Evacuation thereof often Reiterated and corrected by such things as corroborate the spirits and the principal parts and likewise by those things that Humectate moisten and mollifie but then the Evacuation may and ought to be stronger if so be the blood be over thick and unless the body be already extreamly and over much wasted This Evacuation must be seconded and followed by Moystening Baths unto the which Emollients are to be added 4. By drinking of tart sharp and somwhat sowr potions and also by the use of hot baths 5. By the strengthening of the Head both by internals and externals among which Embrochations are highly and indeed cheifly commended 6. By a Diet in the which there ought to be a careful and continual abstinence from al sorts of pulse It is divided according to the Nature and diversity of the Causes 1. One is from Causes altogether external as Fear watchings Cares al which exsiccate and dry up the Radical Moisture have in them a power sufficient to alter and change the blood in the whol Body and to detain the Melancholy Humor Now then
and strangling which is somtimes grâ—â—ter and somtimes less It ariseth either from those Causes that Compress or press it down as the Relaxation or Loosening of the Vertebrae Inflamations Swellings the halter c. Or else from those Causes that Obstruct as things external fallen thereinto which are to be removed Or else internal to wit Humors thick and of a slimy and Glutinous Nature which are to be Cut attenuated and cleansed forth with the Syrup of Maiden hair Horehound and Liquerish or by reason of Purulent matter and smal stones Particularly that called Grando bred in the Lungs and a certain kind of flesh that is bred and brought forth after wounds and Ulcers III. Wounds either they touch only the Superficies thereof and then they may be cured or else they touch the Cavity thereof and then the Air passeth forth in such a manner that if a candle be put thereinto it is forthwith extinguished if the Cartilaginous substance be wounded especially after a transverse manner it can hardly ever be brought to unite again if the wound be betwixt the two little rings thereof they are now and then Healed IV. Touching Vlcers take this advertisement to wit that they arise from Humors that are sharp and Salt from Poysons and from Medicaments and that they afflict with pain spitting of Blood pure in the beginning but afterwards purulent insomuch that even scales and a kind of Crustiness may now and then be cast forth If they seize upon and possess the Internal Cavity they are then by reason of the Nature and Situation of the Parts very hard to be Cured and lastly that if the Cartilages be eaten through and that there happen thereupon any putrefying affect it is then altogether incurable Title IV. Of the Diseases of the Lungs Chap. 1. Of the Distemper of the Lungs THe Diseases of the Lungs are Intemperies Peripneumonia Angustia or streighness a Wound Phthisis or an Vlcer The Distemper of the Lungs is the declining thereof from its natural temper unto that which is preternatural as wel by reason of External as Internal Causes The SIGNS shal be expressed in the Differences The CAUSES are either External and these likewise various to wit cold or hot potions medicaments applied the Air that being little or nothing altered is carried and conveyed unto the Lungs in such as are destitute of the columella or else they are internal to wit the Humors that are drawn along thither either from the Head or else from some other parts but frequently from the Liver The CURE is to be ordered according to the several Causes where in regard of the humors take notice 1. That in respect of the situation of the part it is not to be removed without much difficulty yet notwithstanding that it ought to be evacuated 2. That if there be there a greater store than ordinary of flegm it is then more fitly to be removed with those Remedies that expectorate and mollifie such as are Eryngo Roots and marshmallow roots common mallows and Raysins than by those medicaments that cut 3. That many hot remedies are not here convenient lest that the thinner parts being wasted the thicker remain behinde The best remedy in this case is Linseed 4. That if there be present an acute feaver together with the matter we ought then to abstain from those medicaments we cal Eclegmata for these by their dryness and clamminess do much if not wholly supress expectoration from whence there followeth a more frequent respiration or thicker fetching of the breath and the matter also by the extraordinary heat becometh the more contumationus and obstinate The Distemper of the lungs is divided after a twofold manner I. One is without matter which indeed hath in it no danger at al of suffocation and is also more easily cured Another with matter which is to be Evacuatted and drawn back like as we shewn above II. One is hot which is known by this that the Cheeks by reason of the sumes ascending become red and that there is evermore a dryness of the tongue together with a thirst which can no way be qualified but by the breathing and drawing in of the cold Air infesting the sick person and likewise that the breathing is more than usually frequent and swift In the Cure Cooling medicaments which through the rough artery are thither to be conveyed ought to be administred where note 1. That those medicaments that are mainly cooling and repelling are altogether enemies and offensive to the Breast by intercepting the passages of the blood and spirit and by their weakening and impayring the very nature of the Breast since that it is Cartilaginous and bony 2. That among the principal internal Remedies we are to account both the white and black Poppy Rheas Violets Endive Barly Water-Lilies and their syrups 3. That the diet ought to be conformable and that for a drink and potion the water of barly with the Syrup of Violets is excellent good III. Another is Cold which is known by this that Cooling Causes went before that the Breathing is but weak slow rare and the Pulse like thereunto and that the Breath that cometh forth is colder then ordinary In the Cure we are to Use medicaments that heat among which these are to be accounted of as very fit and proper to wit saffron which is as it were the very life and soul of the Lungs the Extract of calamus Aromaticus old treacle Coltsfoot Nicotiana or tobako scabious the root of the Flower-de-luce and the root of Aron or Cuckowpint prepared Elixir proprietatis that Mixture they term Simplex oxymel Scillitick c. IV. One is Moist which is known by this that the voice is hoarse the breathing thick and frequent with a kind of wheezing snorting and much spittle In the Curing hereof we ought carefully to avoid those medicaments that are overdrying and astringent The Chymical oyl of sulpher and the flowers of sulphur or brimstone the shops cal this latter flores sulphuris in a rere egge that may be supped up the wine wherein the eyes of crabs or cre-fishes have been mucerated sassafras China root c. are here of singular use and benefit V. Another is dry which is known by this that persons thus affected wast and consume away without any Ulcer at al that the breathing is very little and weak but thick and short that there is present a continual christiness and but smal store of spittle In the Cure hereof Raysons of the sun womens breastmilk and Asses milk the destilled water of Tortoises the broth of veal and the conserve of violets are especially good and profitable Externally a Bath of sweet water ought to be Prescâ—â—bed Chap. 2. Of Peripneumonia PEripneumonia is an inflamation of the Lungs from blood poured forth into the substance thereof with a straightness of the Breast a difficulty of breathing an acute Feaver and a cough The SIGNS are the narrowness of the Breast with a dul and heavy pain that
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
the Ashes of beech and often strained with the like quantity of wine and Alum two ounces As concerning the differences its species are the Foot-Gout the Hand-Gout the Knee-Gout and the Hip-Gout Concerning them we meet with nothing besides what hath been formerly spoke Concerning the last we must observe 1. That it ought to be distinguished from that pain which indeed is most vehement but neither causeth a Tumor neither consists alwaies about a joynt but in the middle spaces also between the joynts oftentimes after it hath afflicted a man once or twice it returnes not again al his life time 2. That it hath this property that 't is diffused more largely than in other joynts and often times to the adjoyning parts both by reason of the largeness of the Hip bone and the distribution of the Nerves which come from the Loyns and Os Sacrum to that Articulation to divers parts 3. That 't is very hardly Cured as wel by reason of the deepness and largeness of the place as for the plenty of matter that is wont to be collected there In the Cure for derivation a Vein in the outward Ankle is wel opened if the pain tend outwardly the Saphena in the inner Ankle if the pain tend inwardly We must act with strong Purgers The Discussers are Sciatica-cresses winter Cresses dittander and others concerning which consult with Practitioners We write only an Idea And let these suffice of the Diseases of the lower belly and joynts THE ELEVENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning Poysonous Diseases Title I. Concerning the French Pox. HItherto we have treated of diseases that were not poysonous to those that are poysonous belong the pestilence the leprosy of the Arabians The French pox and poysons Of the two former we have formerly treated now we must speak of the French Pox. But the French Pox is a virulent contagious cachexy of the whol body for the most part raging with a hot distemper falling of the haire spots swellings stubborn ulcers and cruel pain especially at night enemy to the liver and nourishing faculty arising from an excrement infected with a malignant and poysonous quality transferred by contagion but especially by copulation and tyrannizing with many symptomes It hath divers names 't is called the French the Italian the Neapolitan the Spanish the Indian disease Syphilis the gout of the privities the great Pox c. The adequate subject is the whol body but the fewel of the evil is the liver it self from which polluted a crude and corrupt blood is dispersed into the whol habit of the body and the nourishment of every part is depraved The signs of it begining are a light weariness of all the members with a heaviness of the whol body because the natural spirits which are the immediate instrument of the supporting faculty are infected a smal and wandring pain through al the parts which a vapor raised from the liver induceth by the same the color of the face is changed and under the eys there appeares a blewish circle as in menstruous bodies An exceeding heat ariseth in the soles of the feet and hands even in the winter The sleep is interrupted a moderate rottenness about the privities either because the filth of womens secrets hath corroded the skin or because the liver drives forth to the privities the contagion communicated to it by the natural spirits Moderate smal buboes not painful nor increasing much because the liver drives out evil Exexcrements to the groines as to its emunctories A french running of the reins which is inferd by the weakness of the spirits governing the faculties of the testicles Of it confirmed are hard pustles al over the body especially the head and beard arising about the fourth or sixth month somtimes with a crust somtimes not somtimes with filth somtimes not which ariseth either from a contagious matter sent from the liver or from the part heaping up excrements by reason of the fault of concoction Callous ulcers in the privities A softness and hanging down of the uvula in the throat which is followed with a boarsness of the voice for the nattural spirit being weakened flegme ariseth in the stomach snivel in the braine flegmatick blood in the veins and in process of the disease being adust it becomes sharp Tumors of the glandules in the jawes the matter infected and voided by the emunctories being communicated to the head A Corruption of the palate and teeth which shewes the highest degree of the disease firme crying Paines arising before the evening which proceed either from a malignant vapor or from the excrement heaped up about the periostia of every part A Corruption of the bones of the head and armes before an ulcer doth arise Malignant ulcers besetting the whole body for the causes now given A falling of the hair crusts callosities clefts in the palmes of the hands and soles of the feet which arise from a flegmatick matter very much burnt A tingling of the ears which is produced when the hurtful vapor from the head cannot be expel'd by the skin nor by the mouth nor nose and therefore by the last endeavor is thrust to to the ears See more in Practitioners The Cause is an excrement polluted with a poysonous mallignity possessing the whol body or some parts of it and corrupting the blood conteined in the veins and making it unfit for good nourishment 't is communicated by contagion which is promoted inwardly 1. By the weak force of the natural spirits and the liver it self 2. By the largeness of the vessels that a passage lyes open for the vapors and filth 3. By an easie inflaming of the humors by which that is most easily snatcht 4. By the nature and softness of the substance in the parts 5. By the affection of the minde which if it be vehement they that couple are not easily infected Outwardly by contact by communication of substance viz. of the filth Ichor or sutty vapors which is the easier if the parts be soft thin and be hot for which makes also copulation with one infected sucking of her milk besmeering with the spittle kissing lying in bed with her using the garments of one infected c. The Cure is more difficult if it seaze on those once cured If it fal upon a hot and dry distemper because either things propper cannot be administred or if they be another dammage is brought upon the body If it fal upon a hot and dry time of the yeare because the strength is then most of al exhausted If a Feaver consumption or other greivous symptom be joyned with it if there appeare in the joynts callous scirrous and hard tumors If the sick be an infant and hath sucked in this evil with the milk because the virulency goes into the stomach with the milk which infects the liver and blood It respects 1. Preservation the which can scarce be taught with a good conscience least there be a door opened to wandring lusts
Mans body They commonly cal this part Dietetical in reference unto the diet that is observed The other openeth the Method of preserving the health by shewing us the way and means how we may so use these things not natural that they may not in the least hurt or offend our bodies Of Things not natural there are four ranks or Classes The first containeth those things that are taken and received into the Body The second those things in and about which the body is exercised The third such things as happen unto the body from without The fourth and last comprehends those things that are voided forth of the body to wit the Excrements Chap. I. Touching things not Natural that are assumed or taken into the Body Article I. Of the Aire THings not Naturall that are received into the body are Air Meat and drink Air is a thing not natural surrounding or encompassing the body of Man and insinuating it self into it by certain pores and passages Touching this Air there are four things observable First that it is necessary to the very being of Health Secondly That it affects mans body Thirdly That there are many differences thereof Fourthly That it is subject and Liable unto divers changes and alterations And first of al That it is necessary and requisite unto the very being and preservation of health yea indeed so far forth necessary that if any one intercept the said passages of the Air into the body it unavoidably perisheth in a moment or very short time appeareth even from hence to wit that unless the heart should be cooled and unless that the Internal fire or heat should be ventilated and excited and lastly unless the spirits should continually be refreshed and revived a man could not possibly put forth or exercise his Actions Now the Air is therefore attracted by the Lungs that it may qualify and temper the overgreat heat of the Heart The same Air likewise by its motion as it were with a Fan ventilates cooles the internal heat so that it not only becomes more moderate but is also thereby excited and stirred up And lastly the same aforesaid Air being from without attracted inwardly by the rough Arteries usually termed asperae and first of al prepared and wrought upon in the very flesh of the Lunges and next of al in the Heart and Arteries those of them more especially that are in the Netlike folding we commonly cal it plexus retiformis and last of al most perfectly and exquisitely in the ventricles of the Brain by its substance generateth and produceth spirits Secondly It Affects the Body of Man after a twofold manner First as it surrounds it either naked or clothed Secondly As it insinuates it self into the same whether it be by inspiration which is done either by the Mouth according to the taking in and putting forth of the breath or by the Arteries according to their dilatation and compression or otherwise by Transpiration which is performed al the skin throughout and in each part thereof by those exceeding smal passages not unlike unto those of a very fine five which the Greeks cal Porous the Latines poros we in English pores Thirdly It derives its differences from the quantity quallity and substance thereof I. In respect of its Quantity it is copious scant ful which last Hippocrates in his tract of breathings or blasts cals athrooteron that is to say al at once and speedily breaking in upon us II. In regard of its Quality 1. Hot and this augments the cholor melts away the humors weakens and hinders Concoction and consequently by dissipating the Native heat it very much shortens the life 2. Cold which by shutting the pores or passages of the skin and so hindering perspiration excites putrid Feavers or else by compression causeth destillations forceth the Blood oftentimes out of the Veins from whence proceed inflamations and then it extreamly hardneth whatsoever is in the belly 3. More than ordinarily moist which heapeth up together flegm and store of Crudities 4. Over dry which its true wasts and consumes the superfluous humors but again it breeds acute feavers through the abundant increase of sharp humors and it likewise exceedingly dryeth the skin 5. Corrupt whether overmuch exceeds in the first qualities or else is rendered impure by reason of vapors arising from Lakes standing waters fenny and Moorish places or else such as cannot be cleansed and purified by the through blasts of the wind 6. That which is the best which is temperate in the first qualities pure subject to no infection or polution seren clear sweetly and gently stirred to and fro by frequent blasts and gentle gales of winds and which is often times moystened with wholsom and healthful showers of rain III. In relation to its substance it is 1. Thick which for the most part intercepts the very sight and hinders the prospect so that either we cannot at al discern the starrs or if we do they appear unto us much less than at other times or at least as much darkned and overcast 2. Troubled or tempestuous which hath divers of its thicker parts as it were made up of their moisture violently hurried amidst the serene and cleer by turbulent and tempestuous winds 3. Thin which is contrary to the former transparent serene free from vapors and throughly cleansed by the thorough blasts of Windes 4. Putrid and rotten whether it be that it putrefie of its own accord as wanting ventilation as for instance that which is on every side shut up and as it were imprisoned by high Mountains or else that it becomes corrupted from some other cause as suppose from the Heavens the Stars the Winds blowing from infected places or from some noysome pestilent vapor c. 5. Healthful and wholsome which hath its original and its whol constitution from and under benign and healthy Climats is stirred and driven to and fro by wholsom Winds and is not in the least vitiated or corrupted by the vapors that proceed from any putrid and impure whether things or places Fourthly The Air taketh its mutations or Changes which Galen cals Alteration according to the Constitution from these ten things more especially First From the Stars and Constellations for both the Planets and likwise the fixed Stars have in them much of power and influence upon these inferior Bodies Concerning the influences of the former we may at large read in Porphyrius in the fourth Chap. of his paraphrase upon the Books of Ptolomy as touching the effects of the stars And Hippocrates writes that most Women conceive at the ful of the Moon Touching the latter to wit the fixed stars it is easily to be seen and manifestly perceived even in the lesser Dog-star alone the Pleiades Arcturus For upon the rising of the Dog-Star the Seas grow tempestuous fluctuating Wines work afresh and fluctuate in the Cellers Dogs run mad and the like At the Settling of Pleiades great Tempests and North-east Winds arise and upon the
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
of the Womb. The CAUSE is whatsoever impedes or hinders and prohibites the influx of the Animal spirits unto the Organs of the senses and withal Renders those spirits more unapt unto the Animal actions and operations The CURE is Doubtful if it follow upon the extream imbecillity of the Patients strength occasioned either from some most acute Disease or else from some deplorable and grievous affect of the brain if it chance in continual Feavers if it hath its original from some malignant cause There is almost no Cure to be expected if it take its rise from hot and dry Diseases for then by this means of necessity there must needs be an extraordinary cooling in the brain if the malady grow to be so sad and grievous that both the sense motion and the very breathing it self is taken away In what things the Cure cheifly consisteth and by what means it is to be wrought see further in the various differences thereof It is divided according to the variety and difference of the Causes I. There is one Species thereof that ariseth from the Humidity or the frigidity of the Brain And then the matter in the Head ought to be Evacuated and discussed in the former of them by the irrigation or the frequent washing of the Head with the sharpest sort of Vinegar throughly mixed together with Roses and Camomil Flowers but in the latter of them by anoynting the Head with Dil Oyl a little warmed And in both of them we must remember to put in practise the frequent use of Apophlegmatismes Errhines and sternutatories Another kind thereof there is from Narcotick Vapors inducing and bringing in a certain dulness and unaptness for any thing upon the Animal spirits which said Vapors either are from over much drink and then the drink yet remayning in the stomach Vomiting is to be excited and provoked Or for the greatest part they are conjoyned with Feavers Then 1. The Vapors are to be drawn back either by opening a Vein in the Thighs or by Clysters frictions Cupping-Glasses c. 2. The same Vapors are likewise to be repelled and driven back by Oxyrrhodines to wit Medicaments consisting of Vinegar and Roses actually hot and applyed to the Coronal suture unto which former remedy let the Vinegar that is added be in a plentiful measure or else which is yet better they are to be discussed with Rue Castoreum Vinegar c. 3. Great caution must be had lest that those Remedies that are exhibited and administred to expel sleep and drowsiness should any way augment the Feaver Or otherwise these Vapors afflict without those feavers And then they are elevated and drawn up from the stomach Womb or some other inferior part These are to be taken away by the very same remedies as the former were Those things that infringe weaken the strength of Narcoticks are Rew with Vinegar the balsam of Rice Castoreum Nightshade snuffing up the fume of Brimstone c. As for the Diet what it should be see and consult the Practitioners Chap. 3 Of the Symptomes of the Imagination A Single Article of the Vertigo or turning round of the Head THat Symptome of the Imagination which likewise very often hurts even the common sense also is called Vertigo which is nothing else than a false imagination of ones turning round dizzy reeling about arising from an inordinat and circular motion of the Animal spirit in the Forepart of the brain The SUBJECT hereof is the brain according to its anterior or forepart as it is an organical part as it containeth the Animal spirits and as it is endued with certain passages in which the said spirits are moved Of SIGNS there is no need at al. Unâ—o some of them al things seem to be turned about as in a Ring or Circle others of them have their very sight obscured and again in some of them there is sensibly perceived a sisling Noise and as it were a kind of singing in the Ears c. The CAUSE is whatever either suppeditateth and generaâ—e h Vapors of themselves and in their own Nature such as are garden Radishes Garlick Mustard Wine c. Or else 〈◊〉 as is wont to stir disturb and agitate the Humors and hitherto appertaineth purgation as being cheifly requisite in this case The CURE is very doubtful and scarcely to be hoped if this distemper happen to Old people because they have but a weak brain if it continue long because it is then the forerunner and indeed the foreteller likewise of the Epilepsie or the Apoplexy if in it the Head or the whol body seem to wheel and turn round The Cure is Performed I. By Discussion and then let the holes of the Nostrils be annoynted with the Oyl of Marjoram and the Oyl of Nutmeg or else together with the aforesaid let Rose water and Vinegar be put and applied thereunto let the Temples and the hand-wrists be anoynted with rose vinegar and Rose water mingled with a drop or two of the Oyl of Cinnamon or else let them be throughly wet and besmeared with the Juyce of the black beet let the pallate be annoynted with Treacle II. By opening a Vein if it be over powerful and violent III. by Revulsion if it proceed from the inferior parts IV. by a Diet in the which meats that are known to generate many Vapors beer brewed with much Hopps and such like hurtful things are carefully to be avoyded For a preservative Caraway seed macerated in Wine dryed and dayly taken about the time of going to bed is held to be very excellent The Differences are taken from the Causes I. One is from Causes that are Evident exagitating and exasperating the spirits and such are a turning round of the whol body a long while together looking much and steadily upon things while they are moved circularly and a prospect or looking downward to the earth from a place of an extraordinary height For so by this means the spirits by the beholding and looking upon any thing unto which it is not accustomed or that is dreadful and terrible are diffused and drawn back It is known by the relation of the sick party It is cured by rest and sleep If it yet be not altogether ceased then we are to conclude the Cure by frictions If it be from Hunger and fasting a piece of bread dipt in the Juyce of Pomegranates or in sharp sowr wine is first of al to be administred II. Another is from the narrowness or Streightness of the Passage of the Brain through which indeed the Animal spirits are moved but when they are thus impeded and hindered they then retreat back again It ariseth either from a partial obstruction which if it be caused by gross and thick Vapors it is soon dissolved if it hath its rise from serous and Phlegmatick Humors it is then of a long continuance and there is withal present a sense of fluctuation In the Cure there ought to be a respect had unto the Nature of the
Cause Or else it proceedeth from the compression of the brain and the fracture of the skul of which see further in their own propper places Or else it is from the Coalescence or knitting together of the Arteries from their first rise and their entering into the scalp or Skul by that general and common passage through the brain touching which there is hardly any thing to be certainly determinded while the Patient liveth III. Another is from a Vapor ful of windiness generated and bred in the brain which by an inordinate motion being poured forth into the Veins and Arteries doth so trouble and disturb the Animal spirits by driving to and fro that they thus become to be circularly moved and turned round and then they exhibite and represent unto the common sense or Phantasie this fals and feigned species and appearance of things otherwise than indeed they really are It is known by that vehement pain and dul heaviness of the head a long continued tinging and hissing Noise in the Ears and a certain kind of hurt and detriment of the external senses This Evil or Malady is very frequent and such as surpriseth a man upon a very smal and light occasion and yet it lasteth and as we use to say sticketh long by him It ariseth from causes that generate and breed winds and windiness and more especially if the wonted Evacuation be suppressed It is Cured either in the Paroxysm of which we have before spoken or out of the Paroxyim 1. By the Evacuation of the Matter that fomenteth and supplieth these Vapors and that as wel a general as a particuliar one Some there are that are a fraid to prescribe and there are others again as fearful to take those Medicaments that Practioners term Erâ—â—â—â—es which are to be taken up into the Head by the Nostrils to open and purge the brain 2. by Revulsion or drawing back of the said matter as also by Derivation and Discussion of the same by Vesicatories Cauteries frictions and lotions of the Head 3. By Corroborating and strengthening the Brain both by external and internal Remedies Among the specifical and Appropriate Medicaments those that deserve the greatest commendation are the dung of the Peacock one dram thereof by weight macerated in Wine strained and so drunk up the extract of Scorzonera the Roots of Doronicum an excellent drug brought out of Mauritania eaten Bears Ear the fat of Does and land Snakes by annoynting the Temples therewithal the pouder of Silk-worms dryed and strowed upon the Crown of the Head Very effectual likewise for this purpose are the spirits of Rosemary the Chymical Oyl of Yellow Amber Hippocrates his Treacle the pouder of the Right mineral Cinnabar half an ounce thereof Margarites prepared and red Corals prepared of each two scruples Saffron one scruple and then add to the aforesaid ingredients the leaves of Gold in number ten and so let it be administred the dose is one scruple in the water of lillies of the Valley and lastly the electuary of Saxony It is divided into that which is from extream hot blood and then there is present a redness of the Face and a beating of the Arteries In the Cure especial regard is to be had unto the opening of a Vein and that cheifly and primarily of the Basilike if a Plethory accompany the distemper and then presently after of the Cephalick or head vein if the peccant matter abound most or only in the head It is not to be drawn forth al at once but by many Essaies at several times by intervals We ought not to be over rash in attemping the cutting or opening of an Artery and into that that is from a pituitous or Flegmy Humor Then the place where we have treated of the Flegmatick distemper is to be consulted An Evacuation after that a Clyster hath first of al been administred may very conveniently and successfully be expedited by the extract of the Pils called Cochiae from half a scruple to a scruple by a Lixivium and a Balsam See further hereof in Agricola in his first Book 38. Chap. IV. Another there is from an extream windy Vapor elevated from other parts It is known by this that there went before it no hurt or annoyance of the sâ—â—ses and that the distemper afflicteth the paâ—â— frequently and by fits and withal there are present the signs of the part affected It ariseth either from the stomach either pirrocholick or ful of bitter choler or Pituitous and Flegmatick or else by reason of its imbecillity corrupting al the food that comes within it and then the Cure must cheifly respect and be directed unto the stomach And here take place as most requisit and proper a grain or two of Frankincense taken after meals the confection of Fennel of Coriander Sugar of Prunella Saccharum Rosatum or Sugar of Roses the electuary of the Conserve of old red Roses Diacydonium simplex that is an electuary of the conserve of Quinces the spirit of vitriol and the Syrup of mints For what remayneth to be done in this Cure see more in the diseases of the stomach Or else it ariseth from the Liver Spleen Womb whol Body as it usually happeneth in Feavers and then in this case there ought to be an especial Care and regard had unto the Nature and condition of the parts affected and the Various Symptomes Chap. 4. Of the Symptomes of the Imagination and the Ratiocination when they are hurt THe symptoms hurting the imagination and the Ratiocination or rational faculty are the hurt of the Memory dotage a Phrensie Melancholy madness and Raging or raving which we term Hydrophobia Article I. Of the hurt of the Memory The hurting of the Memory is a diminution or utter abolition of the same arising from Causes that hurt the dryness of the Brain conjoyned with a moderate heat and very necessary as to the memory and so by means rendring the Animal spirits either torpid that is over dul and sluggish or else which is as bad inordinately moveable There is no need of SIGNS for the very actions of the sick party discover the Symptomes The CAUSES that hurt the temperament of the brain that is absolutely necessary for the preservation of the memory either they weaken and diminish the Native heat and that likewise either Externally as do al things of a Poysonous Nature al Narcoticks applied to the fore part and likewise the hinder part of the Neck or else Internally as doth a temperament cold and moist which either affecteth Children and ancient people by reason of their Age or else it afflicteth others by reason of meat and drink that is of a cold and moist Nature or by reason of a Gross and thick Air sicknesses and other Causes of which we have already sufficently spoken in the cold distemper Or otherwise they dissolve the said Natural heat such as are externally al Philtra or amorous potions watchings excessive thought fulness Medicaments that are hot of quality Internally hot Diseases
signes and tokens of a distempered and affected stomach In the cure we may safely and successfuly have recourse unto vommits c. Another is from worms which are easily discovered by their signes Unto scolecobrotick Medicaments there ought to be added and therewith mingled Antepileptical remedies Another is from the womb which is known by this that there is then some affect or other of the Womb present to wit the suppression of the courses the retention of the Seed or the Secundines a dead childe in the womb c. The Cure is to be directed and to look toward the Affects in the which the root of round aristolochy is much commended Note here that the water of swallowes distiled with Castoreum Galbanum and vinegar is most proper and convenient that for a woman great with child there ought not upon any termes sweet smelling odoriferous things be applied or laid neer unto her wombe yea likewise that al odoriferous medicaments since they offend the Head and make it heavy are wel removed from it Another is from the External parts either wounded or ulcerated or else hurt by biting which is exactly and diligently to be examined and inquired into left that otherwise it should be mistaken for that which proceedeth from the Womb. It is to be Cured according to the Nature and quality of the Causes VI. Another is of such as are grown up and have attained to maturity of yeers unto whom al that hath hitherto been spoken upon this subject is to be applied as most suting and agreeing unto them Another is of Infants in the Cure of which if they be yet sucking at the Breast in the Paroxysm we must then proceed so as is above declared only there must be special Care and regard had unto the tenderness of their Age. Out of the Paroxysm the Nurse ought as far as necessity requireth to have appropriate Medicaments given her to drink and withal the Infant is to be Evacuated and emptyed with Syrup de Tribus as the shops cal it and then his brain is to be strengthened and the impostums if any there be that break out are by no means to be hindered in their flux but on the contrary they are by al means possible to be furthered There are some that in this case do very much commend the anoynting of the whol Body with Butter unwashed unsalted and Mingled with Rue bruised and beaten in a Mortar An approved Remedy to preserve from this sad and fearful affect is the preserving power of Hartman the Aqua Vitae that is usually Exhibited and given unto Women with Child Oyl of sweet Almonds with Sugar given to Childeren new born In that Difference that is by consent there is to be highly commended the Emplaster of White Amber of Frankincense and of Mastick of each one dram and an half of Galbanum Opoponax of each one scruple of Birdlime of the Oak two drams Amber six grains Musk three grains Male Peony seed half a dram Ladanum a dram and half of the Oyl of Nutmeg a smal quantity al these aforesaid being strewed over with the pouder of Cubebs the emplaster must be spread upon leather and so imposed upon the Abdomen or lower belly But if in Women it happen as many times it doth from the Curdling of the Milk then that which is of singular use is a Cataplasme formed of Elm-leaves three parts boyled in the Vrine of a Child with two ounces of butter new and fresh and then applied unto the Region of the stomach The Cure of Children that are weaned differeth not much from those before mentioned Article III. Of Carus Carus is a deep and profound sleep with the hurt of the sense and motion the breathing only excepted and likewise the Imagination arising from the impeded motion of the Animal spirits The SIGNS are sleep with the Eyes alwaies shut so profound that the sick person being asked never so many questions yet answereth nothing at al and so it is distinguished from a Catalepsie and a Lethargy a retraction or drawing back of the Member if it be pricked which is not done in the Apoplexy a free respiration and breathing unless the vehemency of the Cause be most extream and intense The CAUSE is the prohibition and hindering of the influence and exercise of the Animal spirits upon the senses and the Motion of which the divers and different Causes shal be declared in the subsequent differences CURE there is None if it chance in the declining of continual Feavers the strength and powers of the body being extreamly weakened It is of much difficulty if the breathing be hurt if it be Joyned together with the heaviness of the Head because that a humor not over gross and thick penetrating into the substance of the Nerves and extending them immediatly a Convulsion followeth and lastly if it befal the party after some great Evacuation It is Accomplished according to the quality and condition of the Causes It is divided five manner of waies I. One is When there are no Animal spirits generated which happeneth when either the Arteries Carotides that earry the Animal spirits unto the brain are hurt or else when the Muscles of the Temples having a very notable and singular agreement and consent with the brain by the intercourse of some eminent Nerves are Compressed or bruised II. Another is when the Animal spirits are dissipated which cometh to pass either from some extraordinary and excessive Evacuation or else from some exquisite pain proceeding from either an external or an internal Cause or else issuing from the Defatigation wearying and tiring of the Brain by reason of an over-great and extream shaking thereof which cometh to pass in that heavy deep sleep that hapneth in the Close and conclusion of the Epileptical Paroxysm III. Another is When the Animal Spirits are stupefied and made as it were drowsie And this is done either externally and that 1. From the fume of coals kindled in some close room or Parlour of which we have likewise spoken above 2. From the use of Narcotick Medicaments Opium Hen-bane c. Where Castoreum with Oxymel or Cassia Lignea have their place 3. From Poysons either taken inwardly or else outwardly applied where Treacle ought to be administred Or else internally 1. From Vapors sent forth in Feavers and 2. From the same Vapors elevated by Worms touching which their proper places are to be consulted The Cure may be fought out and found in the following Member of the Difference IV. Another is When the spirits cannot penetrate unto the Members And this is done I. From the Compression of the skul and brain of which above II. From the Obstruction of the Passages and then there wil be present signs of Flegm In the Cure a regard being had unto the whol body Revulsions head-purgers c. are to be administred and then we may see what is further to be done in the Cure of the Apoplexy V. Another is when the spirits are
is little or nothing frothy rejected and cast forth sometimes by retching and with a cough that there is a heavy pain in the Head that the veins in the forehead are elated and strut out it is known also by the frequent retching and stretching and the sense of heat and the tasâ— as it were of blood Gargarismes are here of singular use Another from the Jaws which is known by retching the solution of Continuity which is very evident and conspicuous when the tongue is pressed down which said solution discovereth even the Gums and the parts of the mouth with a simple exspuition the Party spitting forth nothing but what is simple and unmixed It is taken away by a Gargarism of the rinds of the roots of the wildsloe trees sumach c. Another from the Throat in which there is cast forth blood with a freqent smal and easy Cough together with a pain of the Larinx Another from the Rough Artery in which there issueth forth a smal quantity of blood that is red and hot sometimes with smal strings cast forth together with a gentle cough and some kind of pain in the part affected Another from the Thorax or Breast in which the blood is little or nothing frothy but blackish and clotty sometimes stinking and mingled with purulent matter and it is ejected with a Coughing and pain It is cured 1. By opening the Hepatick vein of the right side and the blood ought to be drawn forth by degrees and often repetitions 2. By Evacuation with Cholagogues or such Medicaments as in purging extract and draw forth Choler 3. By incrassation where Trochisques of Crabs Claws de spodio and de terra sigilata or the sealed earth of Lemnos c. are much approved of Another from the Lungs in which the blood is continually frothy colored hot compact accompanied with a Cough and void of pain and somtimes there is together with it rejected a smal quantity and portion of the said blood corrupted and putrefyed Another from the inferior parts in which a little blood is cast up by vomit together with a pain and a bloody ejection c. Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title VII Of the Affects of the Heart Chap. I. Of the Palpitation of the Heart THe principal affects of the Heart are a Distemper a Palpitation and a Fainting or Swooning Touching the Distemper especially that which is hot we have spoken already in the second Book Concerning that which is moist Cold and dry there is nothing singular that offereth it self to consideration but what we may as wel make mention of in the other Species and kinds thereof and therefore we intend to treat only of those two sorts The Palpitation of the Heart is an inordinate and by its dilatation and contraction or setling it self composed motion of the same whilest it either expelleth that which is burthensome unto it or else attracteth that that is requisite and profitable unto it or else restoreth that that is Deficient and wanting It differeth from Trumor or the Trembling of the Heart in that this latter shifteth its place but the former seateth and fixeth it self in one place alone whether it be greater or less this of the Moving faculty that of the instruments and it may happen unto those parts that are otherwise immovable The SIGNS are evident and manifest enough unto the very senses to wit the sight the touch and the Hearing The Jugular Arteries are especially those that leap and Beat and their pulse is unequal and inordinate The CAUSE is either any thing irritating the moving faculty or else a necessily of refrigeration and cooling by Reason of the hot distemper or a Defect and want of the spirits touching al which specially and particularly in the Diffeâ—â—â—ces The CURE â—s exceeding difficult for the Diseaseâ— extreamly perillous it being very acute in each particular Paroxysm but of long continuance in regard of its intermiting and frequent returns If it proceed from the Coldness of the Heart if it continue long and from yeer to yeer and make many Recidivations it then for the most part is terminated and by a Syncope concludeth in Death It Respecteth I. The Paroxysm in this Case the Fomentation of Balm and Borrage the Water of the hearts of Animals known in the shops by the Name of Aqua Excordibus Animalium of Heurnius and the Juyce of Mother wort or as we cal it succus Cardiacae c. Have their due and proper place II. It respecteth the Causes touching which we wil treat further in the Differences The Differences are taken from the Causes I. One is from a Vapor or a Windiness exciting and irritating the Expulsive Faculty of the Heart which is known by this that its approach and surprisal is sudden and unexpected that it is excited by every light and gentle motion of the Body and there often a Trembling Seizeth upon the Knees and a darkness and dimness upon the Eyes c. This 1. Is either Collected there in that same place being Resolved of a matter Old and thick and fixed in that same place oftentimes with a Cold distemper but more seldom with a hot which if it be unequal it then raiseth up many Vapors and it is to be removed and quite taken away by opening the Vein either of the left or the right Arm according as the Pulse and beating is in this or that more restless and unquiet and especially if there be present a Plethory or over fulness of pure and good blood by the application of Cupping-Glasses to the Thighs by the removal of the Cause that is constantly and continually giving in supplies of matter and moving it up and down and from place to place and likewise by the discussion of the said matter And here there availeth much the Oyl of Citrons with some Conserve the right and true Phaponticum two scruples thereof given in Wine the Confection of Alchermes the Treacle Water with Camphire of Crollius Or 2. it is sent from the Inferior Parts the Stomach the Womb the Hypocondria c. And then regard must be had unto those parts 3. Or else it is Malignant and Poysonous and then there is present an extraordinary vehemency of the Motion which passeth into an inequality of al sorts as also into a fainting of the Heart and a Syncope or Swooning fits In this case there is commended the Cordial of Crollius made of Gold the Emulsion of Margarites with the water of Borrage and Cynnamon the Experiment of Thanckius of red Cora prepared and Margarites dissolved in the water of lavender by the inspersion of the oyl of sulphur or vitriol the water of Cinnamon with the spirit of Juniper c. Epithems of Alexipharmicks 4. Or else it is not poysonous unto which those things above mentioned may fitly be applied II. One is
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes