also very good to sprinkle sharp Vinegar upon a red hot Iron that the Patient may receive the vapor in his Nostrils And it wil be better to put Nigella or Pepper-wort seeds Rue seeds or Castoreum to the Vinegar But Vinegar itself warmed and applied to the Nose if it be sharp stirs up the Patient powerfully and more powerfully if you put to it Pepper and Castoreum The Fume of Brimstone doth also raise from sleep The Hairs of a Goat burnt or the horn of a Deer or Goat burnt held to the Nose are most strong for the raising up of him that is in a deep sleep The fume or smoak of white Amber is excellent for the awaking of men in sleepy Diseases as also the Oyl of it often applied to the Temples and Nostrils Rub also the soals of the Feet with Salt and Vinegar anoint the hands with Oyl of Rue and of Castorium touch the tongue and pallat with old Treacle dissolved in Aqua Caelestis or Apoplectica But take heed that your Treacle be not new for then Opium will cause more sleep The Medicine called Aura Alexandrina or Confectio Anacardina You may also boyl Mustard seed in Vinegar or strong Wine and wash the Pallat therewith Roots of Pellitory of Spain boyled in Oxymel that is Honey and Vinegar do the same thing But with all these Medicines you may safely use Castoreum When you have purged the Body generally in all parts you must then purge the Head either sensibly or insensibly Sensibly by the Nostrils and Pallat by Errhines or Neesings which are prescribed in the Cure of a cold Distemper of the Brain and by the touching of the Pallat as before To all these you may ad Rue Castoreum and Vinegar Concerning Neesing It is to be observed That if the Disease remain and encrease and if the Patient be hard to be raised it is very profitable but we must not use them too long lest they clog the Brain and move the humors too much But in the beginning of the Disease we must abstain from unseasonable neesing because it disperseth the humor which wil fix in other parts from whence come stubborn Diseases or a smal sleeping Disease turns into a strong Apoplexy Last of all you must use those things which resolve the humor insensibly which are compounded in this manner Take Bay-berries and Juniper Berries of each one ounce and an half Roots of Angelica Zedoary and Master-wort call'd Impatoria or Pellitory of Spain of each one ounce Leaves of Bettony Sage Rosemary of each one handful Rue Savory Marjoram Lavender flowers of each half a handful Boyl them in Vinegar Dip a Spunge or linnen cloth in this Liquor and apply it warm to the Head It is a wonderful thing to see what good this doth in sleeping Diseases But you must rub the Arms and Hands and the Legs and Feet with the same Take of Castor half an ounce of Mans Hair burnt three drams of the Juyce of Rue of Vinegar and common Oyl of each two ounces Boyl them to an Oyntment and then anoint the Head therewith after the Fomentation Take of Oyl of Pepper-wort called Oleum Costinum of the Oyl of Castor and of Euphorbium of each one ounce of the Pouder Mustard seed and Euphorbium of each one dram of Vinegar one spoonful of Wax as much as wil serve to make an Oyntment If the Disease doth not decrease after al these are used then you must apply a great Cupping glass to the crown of the Head and to the hinder part of the Head But a Vesicatory is best if Euphorbium be in it for that wil draw the humor outwardly which lyeth deep Some are so bold in the height of the Disease to burn the hinder part of the Head between the first and second Vertebra or Back-bone with an actual Cautery Zacutus Lusitanus applied many in his time with good success as he witnesseth in his first Book of Wonderful Practice and the fourteenth Observation in these words I being called to visit a sick man who was for the space of thirty daies taken with drouziness and irresistible sleep with a smal feaver not able to hold open his eyes He had used many evacuating and diverting or repelling Medicines but they perfected nothing therefore I applied the Cautery with much benefit for with a red hot Iron I scorched the crown of his head till it was hard and crusty as also the hinder part and almost every where about his head by which means be awaked and the places burned beginning to matter he arose and came to himself By this means I remember I cured two sleepers contrary to expectation after all other means had been used in vain and these were cured by the heat of the fire melting dissolving the humor which came forth at their mouths and nostrils many daies after Others have an Ancient Custom to hold a red hot Frying-pan so neer the Head that it may burn the Hair and not the Skin It is good in these Diseases to give the Patient a little Aqua Coelestis or Apoplectick Water or other strong Water which by its piercing quality do very much good and have freed many from Apoplexies present and approaching if Blood be not predominant or chief in the Body which wil be hurt by the use of strong Waters Now there are many sorts of Apoplectick Waters in Langius Wickerus Quercitanus Crollius and others But we shal here only lay down one Water invented by my self and made of the most proper Ingredients Take of Peony Roots and Misleto of the Oak of each two ounces Calamus Aromaticus Galangal and Cyprus of each one ounce Bettony Sage Marjoram of each one handful Peony Annis Fennel and Caraway seed of each three drams Lavender Stoechas and Rosemary flowers of each a pugil Nutmeg Mace Cloves Cubebs Grains of Paradice cardamom of each half an ounce Cinnamon two ounces Saffron one dram and an half the Species of Diambra and Diamoschu of each two drams Cut and beat them according to art put them in a glass still and then powr in as much of the best Spirit of Wine as is sufficient Let it stand in Balneo Mariae or a kettle of warm Water with Hay in it for the space of eight daies afterwards draw it off and keep the Water in a close stopt glass bottle Now if the Disease decline and his deep sleep begin to cease you must omit al other Medicines and follow those things only which strengthen the Brain which may be very wel done by the use of that Opiate or Electuary which I prescribed in the Treatise of the cold distemper of the Brain But if you wil use stronger than that take the Aqua Apoplectica above mentioned Continue the use of Castor above all things if the Disease continue giving every morning three or four grains of it in the Oxymel of Squils or simple Oxymel Trallianus affirmeth that many overcome with this Disease have been recovered only with
grains Let him take them once every week But because the humor must be prepared before every purge therefore for two or three daies before he takes the Pills let him take three or four ounces of this following Water every morning two hours before meat Take of the chips of Guajacum four ounces of the bark of the same one ounce of Sarsaparilla one ounce and an half of China Root one ounce of Sassaphras six drams of Lignum Aloes Galangal of each one dram and an half of the Roots of Angelica Peony and Fennel of each three drams and an half of Peony seeds two drams Infuse them for twenty four hours in six pints of Water and four pints of white Wine After ad the Leaves of Bettony and Ivy and Sage of each one handful of the Flowers of Tile Tree Primroses Stoechas or French Lavender and Rosemary of each two pugils of Lavender one pugil of old Treacle half an ounce of Citron seeds and bark of each two drams and an half of Polipody half an ounce of Cinnamon six drams Distil them in Balneo Mariae according to art and to every two pints and an half of the Liquor put of Manus Christi Prepared with the Oyl of Cinnamon four ounces Or instead of this Water you may use the Opiate prescribed in the Chapter of the cold distemper of the Brain for the strengthening of the Head but you had better use the Opiate of Montagnanus described in the Cure of the Epilepsis When other Purges do little good it wil not be amiss to come to the use of Chymical Vomits if the Patient be strong and they are mentioned in the Chapter of sleepy Diseases For they draw the stubborn Humors from the Root and cure Diseases which cannot be rooted out with ordinary Medicines In the daies wherein he takes no other Medicine let him take the Cephalick Opiate mentioned in Chap. 1. or the Apoplectick Water or Tabellets or Lozenges for sleepy Diseases formerly mentioned After Universal Medicines we must proceed to Topical or particular Medicines for the part for the stirring up of heat and recalling the Spirits and for drying and discussing in the Spinal Marrow where for the most part the Cause of the Disease lyeth Therefore let the part affected be dayly rubbed with warm cloaths but gently lest that the Natural heat and spirits drawn thither should be again dispersed Also let Cupping glasses be applied to the heads of the Muscles of the part affected and let them be narrow mouthed and applied very hot but let them not stand on very long lest they disperse too much After apply a Plaister of Pitch and the Rozin of the Pine tree that what is drawn thither may be preserved Or rub gently the part benummed with green Nettles or lay on Sinapisms or Medicines of Mustard while the part begins to grow red but you must not let them lie while they make Blisters for so the Spirits and Blood would be dispersed but only til the part made red will not grow white by the impression of the finger but remain red still Afterward anoint the part and the Spinal Marrow with Oyls Oyntments and Balsoms of which there are many forms in Authors The Balsom of Guido which is prepared by the Apothecaries is excellent for this purpose This we use alone or mixed with other Medicines It is made after this manner Take of Oyl of Foxes Earth-worms and Castor of each one ounce of Guido ' s Balsom three ounces of Aqua vitae half an ounce of Oyl of Rosemary distilled one dram and an half Mix them for a Liniment With which anoint all the Spinal Marrow very hot and the parts also resolved covering them with warm cloaths This following Oyntment of Valeriola in his Observations is much commended Take of Sage Marjoram Bettony Bayes Rosemary and Primrose leaves of each one handful of the Roots of Time Acorus or great Galangal and Flower deluce newly gathered of each three ounces of the Oyl of Foxes of Indian Nuts and Rue of each one pound of Oyl of Terepintine half a pound of the strongest Wine one pound of Aqua vitae half a pound Boyl them till the Wine be consumed then strain them and ad of Serapinum or Sagapenum Opopanax and Bdellium of each two drams Castor half an ounce Mace Nutmegs Sâ—yrax Calamita Benjamin of each three â—rams long Pepper and Pellitory of each one dram the grease of an old Cat of a Serpent and a Goose of each one ounce the Marrow of an Ox Bone two ounces the Juyce of Dwarf-Elder Sage and Balm of each four ounces of the best Wax or Bee-glew which the Bees make at their entring into the Hive to keep out the cold two ounces Mix them and with a sufficient quantity of Wax melted into the foresaid Oyls make them into the consistence of a thin Oyntment with which anoint all the back bone warm laying soft wool or linnen cloth warm thereon But an Oyntment of greater effect and less trouble is made in this manner Take of the Juyce of Squils or Sea Onions four ounces the Juyce of Cowcumber and Rue of each one ounce Euphorbium Castor Sagapenum Ammoniacum and Bdellium dissolved in Vinegar of each one dram and an half Mirrh Frankinsence Pellitory and Niter of each one dram the Oyls of Elder Turpentine and Euphorbium of each half an ounce Wax as much as is sufficient Make an Oyntment You must chiefly use the Oyntments in the time of his Diet after the sweating is wiped off and after the time of bathing for then the pores and passages of the Skin being open do more easily receive the Oyntment Let the Linnen cloaths that are used after anointing be warmed with this Fumigation Take of Amber Mastich and Mirrh of each one dram Frankinsence two scruples Cloves Nutmegs Cinnamon and Mace of each half a dram Wood of Aloes half a scruple Pouder them and sprinkle them with the spirit of Wine dry them and do so five times and then make a pouder to be thrown upon Embers If the Disease do not yeild to these Cerats and Emplasters must be laid to the Back Take of the Emplaster of Bettony Melilot and Bay-berries of each one ounce Frankinsence half an ounce Castor and Euphorbium of each one dram the seeds of Nigella or Gith the seeds of Water-cresses and Mustard the Roots of Pellitory and of Sal Niter of each half an ounce with the Oyl of Bricks make them into the form of an Emplaster which apply upon Leather But this following is better Take of Pitch Galbanum Sagapenum and Ammoniacum of each one ounce Pellitory and Mustard seed of each half an ounce Euphorbium two drams yellow Wax three drams With as much Oyl of Turpentine as is sufficient make a Plaister You may also provoke sweat in the part by the fume of the Decoction of Herbs and Roots proper for the Head boyled in white Wine which you must do by putting it into such a Vessel as
bruise or a puncture of a Nerve The Causes of a Convulsion by Emptiness or Inanition are all extraordinary or immoderate Evacuations by bleeding at the Nose or any outward part by vomit flux of the belly or sweat as also all great consumptions of the Radical moisture which happen in strong Feavers immoderate exercise watchings cares immoderate Lechery hunger and thirst and the dayly use of Food and Medicines which heat and dry This kind of Convulsion from Emptiness is rejected by many who suppose that so great a drought cannot be brought into a living Body as may contract the Nerves but that is usual in a Hectick Feaver or a Marasmus these men are thus answered Every emptiness or driness cannot make a Convulsion but that which is made suddenly and unequally by which means there is a sudden Evacuation or emptying of the Radical moisture which makes the parts cling and close together for the avoiding of a Vacuum or emptiness which Nature abhorreth but if the moisture be equally drawn from al parts and by degrees there is no contraction because the parts made empty are filled with Air. A Convulsive Motion is of a sharp pricking matter which provokes the Nerves and it is for the most part a humor or vapor ful of acrimony or malignancy this comes often in malignant Feavers These Convulsive Motions are caused for the most part from the Brain and Nerves suffering by sympathy or consent and then it is called Convulsio Sympathica And this Sympathy is either by their plain suffering together in respect of their likeness in substance and office and their vicinity or neerness or from an evil quality or poysonous air sent to the original of the Nerves And it is often caused by consent from the mouth of the stomach through an aeruginous or rust like Choller through worms poyson or other sharp matter which gripeth and also from consent with the womb as it happeneth in Hysterical passions or the Mother The Diagnosis or knowledg of a Convulsion is easily learned from those things which we propounded in the beginning of this Chapter For in a true Convulsion the part is contracted stiff and immovable that it cannot be bent at the pleasure of the Patient but in a Convulsive Motion the part is shaken and tossed hither and thither As to the Prognostick A Convulsion which is in many parts especially those neer the Brain is dangerous as also that which is in the Muscles of the Breast which giveth us to fear a suffocation by reason of the shortness of the Patients breathing A Convulsion coming of too much bleeding or purging is deadly as Hippocrates saith in his Aphorisms for as Galen sheweth in his Comment that a Convulsion comes of emptiness but it may so fall out as it may come of irritation or provoking by the motion of sharp and chollerick humors to the Nervous parts or of the malign quality of a venemous Medicine as it happens after the taking of Hellebore A Convulsion from a Frenzy is deadly Aetius affirmeth that he never heard of or saw any so taken that recovered It is better that a Feaver follow a Convulsion than a Convulsion a Feaver Aphor. 37. Sect. 2. for a Feaver coming upon a Convulsion takes away its cause but a Convulsion coming upon a Feaver shews a malignant matter which threatneth death Whosoever are taken with the Tetanus or Cramp so called die within four daies but if they continue longer they are cured Aph. 6. Sect. 5. for the great stretching of all the Muscles hinders breathing so that they are suffocated And we must observe that a Convulsion is not the cause of death in respect of what is done to the Nerves for a Palsey coming of the like cause continues many yeers but in respect of the suffocation it brings by the Convulsion of the Muscles ordained for breathing The Cure of this Disease is divers as the Cause is divers That which comes of Emptiness is seldom and incurable therefore we shall not insist upon the Cure of it Authors do prescribe al kind of moistening Medicines and opening Oyntments That which comes of provoking or irritation is from other Diseases and is comprehended under the Cure of them It remains therefore that we treat of the Cure of a Convulsion by Repletion which when it comes of flegm and wind must be cured by removing of them This is done first by blood-letting if it abound and the party be strong but it is better to take too little than too much for blood is an Enemy to that principal Cause which is flegm After Blood-letting or it being omitted if need do not require you must purge with pills which are strong but have an eye to the Patients strength according to those forms in the first Chapter you must ad to them three grains of Castor If the Patient will not take pills he may take Potions Pouders and other Medicines prescribed in the first Chapter After Purging if you have not let blood before apply Cupping glasses with Scarrification otherwise without first to the remote parts then to the parts neer the part affected But if the Thighs or Legs have a Convulsion apply them to the Buttocks and Loyns if the Arms to the Neck and Shoulders laboring alwaies to bring the humor back to its original You may also with profit apply a Vencatory to the parts opposite to that which is affected After the first purging the matter is to be prepared with an Apozeme prescribed in the Cure of the cold distemper Make it purging if strength and other things wil permit otherwise leave out the Purgatives The Apozeme done give him Pills again putting Castorium to them and to all his Purges If you uâ—e only an alâ—ering Apozeme which changeth the Humors you must in that time give several sharp Clysters such as are prescribed in the Chapter of sleeping Diseases Also anoint the part with this Liniment Take of Oyntment of â—arsh-mallows six ounces Oyl of Turpentine and Chamomel of each one ounce Oyl of Spike three drams and of Foxes half an ounce Liquid Storax two ounces Anoint the part and back-bone often therewith Take of Oyl of Dill and Chamomel of each one ounce Unguentum Maâ—â—iatum half an ounce Oleum Petroleum and Spike of each one dram Spirit of Wine three drams Ducks or Goose Grease prepared as followeth is much commended Take a Goose or Duck that is fat pluck it and draw it then fill it with these things following Take of Sage Marjoram and French Lavender of each one handful Gum Ammoniacum and Bdellium of each one ounce Calamus Aromaticus Nutmeg Mace and Cloves of each half an ounce Beat them in a Mortar and moisten them with the Oyl of Earthworms after put them into the belly of the Goose sowed well together and roast it upon a Spit Receive the Dripping into a Vessel half full of Vinegar and anoint with it But it is stronger thus Take of the dripping aforesaid six ounces the Chymical Oyls
of the Spirit of Vitriol which is thought very proper for the Epileply You must often use the common purges namely the Pills or Magistral Syrup once or twice a week if the Patients strength will suffer them and continue purging for divers Months and somtimes use stronger purgâ—s as Massaria ordains who saith it comes from hence that Epilepsies are not or seldom cured because the Physitians alwaies give weak Medicines For this cause the Chymicks use Minerals which draw the Humors from remotest parts but not without much danger especially if they be not well prepared But if good success may be expected from these Chymical Medicines it is to be found in Mercury or Quick-silver either by its self or with Gold calcined in a Furnace of Sand with a long continuance of fire watching narrowly lest any crude portion of him remain which would make the Medicine very violent otherwise it will work gently if given in the quantity of four or five grains in Cochie Pills or any Extract that purgeth flegm or all humors A new Epilepsy is somtimes cured with Salt of Vitriol as Angelus Sala saith that he hath cured at thrice taking of it an Epilepsy giving it every fourth day And after in his 77. Gurat Gent. 2. he boasts that he cured a Girl of eleven yeers of age of an haereditary Epilepsy with Stibium calcined given only thrice Quercitan's Syrup of Tobacco is very good for the Cure of the Epilepsy But it is not to be used but by a wise Physitian it is so vehement Instead of the Opiate before mentioned this may be used which is more Specifical Take of the conserve of Rosemary flowers Peony and Bugloss of each half an ounce Citron barks candied two drams of the pouder of Misleto of the Oak Peony seeds and Elks Claw of each half a dram Mans skull that was not buried calcined white one dram and an half Coral Pearl and Harts-horn prepared of each four scruples right Bezoar stone one scruple Diamoscu dulce Diatrion santalon of each two scruples old Treacle and Confectio de hyacintho of each one dram Spirit of Vitriol fifteen drops With the Syrup of candied Citron barks make an Opiate of which take the quantity of an Acorn or Filbert drinking a little Cinnamon water after it But this following is most powerful for the rooting out of the Disease after the Body is well purged Take of Conserve of Bettony Flowers and Rosemary Flowers of each two ounces and an half Eringus Roots candied and Mithridate of each one ounce the pouder of Sassaphras six drams Castoreum three drams Mans Skull not buried and Elks hoof of each two drams of the roots and seeds of Peony and Gith seeds wild Rue and Pellitory of each one dram Oxymel as much as is sufficient make an Opiate of which take two or three drams The Opiate of Montagnus goes beyond all by which many have been cured It is made thus Take of the Roots of male Peony Stoechas and Pepper-wort of each ten drams Agarick five drams Pellitory Carua seeds Dill Assafoetida and Aristolochia or round Birthwort two drams and an half of the juyce of Squils and Honey of each one pound and two ounces Boyl the Squils and Honey gently to a good consistence then ad the Pouders and make an Electuary of which take two three or four drams as age requires continuing it twenty or thirty daies After the use of the Epispastick Plaister you must apply a Vesicatory to the fore part of the head and a Cautery to the neck But a Seton or Skein of Silk drawn through the neck draws the Humors more strongly out of the Brain And Fabricius Hildanus reports that he cured a Youth that had the Falling-sickness every day and had used all means he could get in vain and a Girl of eighteen yeers of age born so only by the continuance of a Seton If you conjecture that the vapors rising from the parts below and flying into the Brain produce this disease and nourish it it is good to apply a Caustick to the fore part of the head avoiding the Sutures for Carolus Piso reports that he cured two by so doing Also if the Disease come from the inferior parts the Waters of Germany called Aquae Acidulae do work wonders and somtimes root out the Disease if first evacuations have been sufficiently made and the veins inferior have been opened But an Epilepsy coming from the Matrix requires a special Cure The Pouder of Elder Berries described by Quercetanus given three daies together the quantity of a dram with some Hysterical Water is good If al means fail the last remedy is to open the fore part of the Skul with a Trepan at distance from the Sutures that the evil air may breath out By this means many times desperate Epilepsies have been cured and it may be safely done if the Chyrurgeon be skilful Let the Patient drink ordinarily Hydromel or a smal Decoction of Guajacum with Peony Roots Let him carry a Bag about his Neck made thus Take of Peony Roots and Misleto of the Oak of each one ounce Elks hoof two drams Nutmegs Cloves and Mace of each two drams Rue and Hysop of each one dram and an half Pouder them and put them in red Sarsnet to be bung about his neck that he may often smel to it After Universal Evacuations among other Medicines you must use Specifical Medicines which you may find in many Authors We shal set down some of the best besides those Opiates prescribed which are of no smal Consideration in the Cure of this Disease Rondeletius commendeth much the Water of Swallows which Quercetanus borrowed of him in his Dispensatory Treacle Water is of no less value and Aqua Cephalica and Syrupus Antepilepticus mentioned by Quercetanus The Root of wild Valerian is much commended by Fabius Columna that once or twice taken it cures the Epilepsy And he reports he gave it to many of his friends who affirmed that under God they were cured by it The Dose is half a spoonful in Wine Water Milk or any other proper Liquor but it is given to Children in a less quantity in Milk The Chymists commend the Spirital mixture than which no better Medicine can be required as they say The Composition whereof is as followeth Take of the spirit of Vitriol one part spirit of Tartar three parts Treacle Water with Camphire four parts Mix them and let them stand in a glass well stopped three or four weeks The Dose is one dram in any proper Liquor or Vehiculum to swallow it down with Rulandus used much the Oleum ligni Heraclei which the Chymists affirm to be of Coryline or the Oyl of the Hazel-nut or Filbert tree And in his Centuries he relates some passages of them which by the use of the Medicine were cured The Dose is three or four drops in any proper Liquor for five daies together The Oyl of white Amber is inferior to none if not the
or from some peculiar part as the Stomach Liver Spleen or Mother But we may know what part is affected when a pain is communicated to the head by its proper signs A pricking pain comes from a sharp chollerick humor or vapor which toucheth the Membranes of the Brain A heavy pain comes from much thick and cold matter namely flegm or melancholly compressing the sensible parts An extending pain comes from wind or mild humors which work themselves into the Membranes and distend them A beating or pulsative pain comes of thin chollerick blood or spirits abounding by which the Arteries being stretched and swoln do beat more vehehemently and shake the Membranes and so striking the adjoyning parts cause in them a sence of Pulsation as Galen teacheth more at large 2. de loc aff c. 3. From what is said the chief causes of a Headach are sufficiently declared which in general are referred to the solution of continuity as to the immediate cause For whatsoever doth bring a manifest or hidden solution of continuity is like to bring a headach The signs of the kinds of Head-ach and of the causes that produce them may be learned from what is said and therefore we come to the Prognosticks An external headach is alwaies less dangerous and easier cured than an internal A Headach in a sharp Feaver with thin and white urine is dangerous for it signifies the chollerick matter is sent into the Brain whence there is fear of a Phrenzy A strong pain of the Head suddenly seizing without evacuation following or mitigation of the disease is deadly for it signifies the destruction of the animal faculty which no more feeleth that object which caused the grief In a great Headach it is evil to have the outward parts cold for by the vehemency of the pain there is a strong attraction of heat to the part affected which wil cause inflamation They that recover of a disease in the inferior parts and have after a vehement Headach if a manifest evacuation went not before will have an imposthume in their Brain for it signifies a translation of the matter which caused the disease into the Brain They who vomit green in a headach and are deaf being awake are suddenly very mad 1. Porrh for it signifieth a collection of choller into the Brain which maketh the Stomach consent therewith and suffer Headach and noise in the Ears without a Feaver or a giddiness or deafness or numbness of the hands signifieth an Apoplexy or Epilepsie to be at hand Hipp. in Coacis For those symptomes come from abundance of thick flegm in the Brain To women with child sleepy and heavy headaches are evil 1. Porrh for they signifie the flux of humors to the head which when they are many in women with child by reason they have not their courses do threaten danger A Headach which was not from the beginning of the Disease but rose from the disturbance of the body shews that there will be a crisis by bleeding at the nose or by vomit Since then the pain of the head cometh either of a cold or hot cause we must direct the Cure for the taking away of both For the Cure of a cold Head-ach the flegmy matter is first to be evacuated being prepared as is shewed in the â—hapter afore going Then we must correct the cold distemper of the Brain and the reliques of the humor are to be discussed with Bags mentioned in the former Chapter or in the Chapter of the cold distemper of the Brain With which being warmed let the head being shaven be rubbed for an hour and an half every morning till the cause of the pain be spent and exhausted After the head is well rubbed sprinkle upon it this following Pouder having upon it Cotton or Wool Take of Nutmegs Cloves Pepper Pellitory of each half an ounce the Leaves of Sage Bay-berries of each two drams Mustard seed and Water-cress seeds bruised of each six drams Make a pouder of these sprinkle it upon the Head as aforesaid and comb it in the morning before the use of the little Bags that the pouder laid on the day before may be taken off Errhinâ—s are also proâ—itable Neesings and Apophlegmatisms or things to chew which were described formerly A Magistral Syrup also made as followeth is very profitable Take of Guajacum wood and Roots of China sliced of each one ounce and an half Infuse them twelve hours in four pints of spring Water Boyl them till half be consumed adding in the end the Leaves of Vervain one handful the flowers of French Lavender and Marjoram of each a smal handful dissolve in it being strained half a pound of white Sugar Boyl it up to a Syrup but before it be perfectly boyled cast in two ounces of Senna tyed in a clout the best Agrick two ounces Rhubarb three ounces let him take two or three ounces once a week These Pills also following are very good which in times past were of great esteem in Italy in the daies of Eustachius Rudius chief Professor in the University of Padua who was reported to be the Inventor of them and accounted them a great Secret and therefore gave them to one Apothecary only to be made by him lest others should know the Receipt which indeed he borrowed out of Wickerus who propoundeth it from Andernacus and it is thus Take of Coloquintida six drams Agarick trochiscated Diagridium black Hellebore and Turbith of each half an ounce Aloes one ounce Diarrhodon Abbatis half an ounce Let the purging things be bruised and beaten together and put in a glass with the spirit of Wine so much as is sufficient and let them be digested for eight daies in a warm place and then ad the pouder of Diarrhodon and infuse them four daies longer then strain them and press them and let the Liquor so pressed forth be distilled in Balneo so long till the extract in the bottom of the Alembick grow so thick that it may make Pills the dose whereof is one scruple But the following Pills are ascribed to Fernelius of which he affirmed he found by experience such excellency that he never met with a Cephalalgia or Hemicrania that is half Headach but he cured it Take of the best Aloes half an ounce the Pouder of the Electuary of Pearls the three Sanders and red Roses of each three grains With Syrup of Wormwood and Violets make a Mass Give a dram thereof twice in a week one hour or two before Supper And finally in a stubborn pain that is old all those Medicines are convenient which were before mentioned in the Cure of the cold distemper of the Brain among which Epispasticks or blisterdrawing Plaisters are not the meanest Which also not prevailing some are so bold as to apply Vigo's Emplaister with Mercury which they say hath cured old headaches somtimes by causing them to spit much Baths of Brimstone and Bitumen are very efficacious in this case used both to the Head and the
of the Syrup of Hysop Take of the Oyl of sweet Almonds new drawn without fire six ounces Sugar Candy two ounces Mix them for a Lambitive Or Take of candied Elicampane three drams Sugar-candy half an ounce Syrup of Hysop and Horehound of each one ounce ammoniacum dissolved in Aqua vitae half a dram Mix them for a Lohoch Or Take of Conserve of Violets and Elicampane of each six drams the pouder of the Electuary Diatragacanth frigid Diaireos Solomonis of each one dram Syrup of Violets and Maidenhair of each as much as will make a Lohoch Take of Althaea Roots one pound Elicampane four ounces Quinces or Marmalet thereof sixteen ounces boyl them in Water till they are dry Beat them and strain them adding two pints of Honey boyl them again gently Take them from the fire and ad of Cinnamon one dram flower of Brimstone half an ounce Liquor is perfumed with Musk and Rose water two drams Make a soft Electuary of which let him hold now and then as much as a Hazel nut in his mouth 't is also very good to take half an ounce thereof morning and evening when the fit is off Also you must anoint the Breast with Mollifying and discussing Oyntments and Liniments thus made Take of the of Oyl of Chamomel Flowerdeluce and sweet Almonds of each half an ounce fresh Hens grease one dram the Pouder of Marsh-mallow roots and Flowerdeluce of each one dram the meal of Linseed and Foenugreek of each two drams Gum Ammoniacum dissolved in Wine one dram and an half Wax as much as is sufficient Make a Liniment Or Take of the Mucilage of the seeds of Quinces Line and Foenugreek drawn with Scabious and Coltsfoot Water of each six drams the Pouder of Flower deluce root and Hysop of each half an ounce Saffron one scruple Oyl of Lillies and sweet Almonds of each two ounces Wax as much as will make a Liniment If the fit be long clap a Vesicatory to the hinder part of the head Out of the fit you must stop the Defluxion and also cut clense and expectorate that which hath fallen into the Lungs For staying the defluxion all those Remedies are good which were mentioned in the cure of the cold Catarrh But you must take a Caution concerning some of them First In Apozems Syrups or the like you must not make them two hot and dry which by consuming of the thin parts may make the remainder thicker and so the Disease will be worse But you must rather mix moisteners as Raisons Figs Liquoris Jujubes Secondly Instead of Head Medicines you must use things fit for the Breast above mentioned Thirdly For the Derivation of the Humors that abounds in the Head use Errhines Sternutatories Gargarisrus ar Apophlegmatisms Which last are not so proper by reason of the neerness of the part by which the humor runs to the Luâ—gs But Errhines and Sternutatories may be used safely Fourthly To strengthen the Head and dry it Fumigations are there commended which are not so proper in this especially if taken in at the mouth and nostrils because they make the breath shorter and bring the fit But with them you may air the Patients Caps without from the Chamber For to clense and expectorate the thick Humors that stick to the Bronchia of the Lungs the Medicines already mentioned or these following may be used Take of Elicampane root and Polypody of the Oak of each half an ounce the Leaves of Origan Calamints Hysop Savory Maidenbair Scabious and Coltsfoot of each one handful the seeds of Marsh-mallows and Cotton and Carthamus of each three drams Liquoris and Raisons stoned of each six drams Jujubes Sebestens and fat Figs of each five make a Decoction to a pint and a quarter of Hydromel dissolve in the straining a pound and a quarter of white Sugar make a Syrup well boyled for a Lambitive You may make a better and cheaper Syrup thus Take of Elicampane Roots three drams Spanish Tobacco one dram infuse them a whol nighâ— in six ounces of Aqua Vitae in the morning strain them and ad of the best Sugar four ounces stir it well upon the fire and ad of the syrup of Erysimum or Coltsfoot two ounces Oyl of Sulphuâ— as much as will make it sharp make a Lohoch These following are proper for to unstuffe and cleer the Lungs Take of Ammoniacum and Bdellium dissolved in Vinegar of Squills of each half an ounce Flower of Brimstone three drams the leaves of Coltsfoot and dryed Savory poudered Diaireos simple of each half a dram with syrup of Hysop and Oximel of Squills make a mass of Pills of a dram whereof make six Pills and let him take three of them two hours before supper twice in a week Or Take of Aloes Succatrine half an ounce Myrrh and Ammoniacum of each half a dram Saffron half a scruple Flower of Brimstone half a dram with the syrup of Coltsfoot make a mass of Pills of which let him take a dram two hours afore dinner for some dayes Let the Water which is taken out of a hollow Briony Root be distilled in Balneo Mariae to eight ounces whereof mix half an ounce of Spirit of Vitriol or Sulphur let him take every day a spoonful fasting Take of Tobacco Leaves Hysop white Horehound and Maiden-hair of each two handfuls the Roots of Flower-de-luce and Liquoris of each half an ounce boyl them to a pint and an half dissolve in the straining of white Sugar one pound of the best Honey half a pound make a syrup well boyled clarified and perfumed with a little Saffron and Cinnamon let him take a spoonful or two every morning The Oximel and Syrup of Tobacco invented by Quercetan prescribed in his Dispensatory is of the same vertue The Tincture of dry Tobacco is drawn with Aqua Vitae a little thereof mixed with Honey and that held in the Mouth as big as a Pease or Bean swallowing it by degrees this draws Flegm in abundance from the Stomach and Lungs Hogs Lice called Millepedes or Aselli in number twelve put into a linnen Cloth are to be steepâ— in white Wine and then strained and so given to be drunk and do in a short time clense the Lungs Oleum Sacchari doth powerfully disâ—olve thick glutinous Humors in the Lungs and causeth expectoration But the Compound Oyl following is best Take of the Roots of Flower-de-luce and Elicampane poudered of each half an ounce the Pulp of Dates and Raisons of each three drams Citron and Orange peels of each one dram and an half Benjamin two drams Saffron one dram infuse them two dayes in the spirit of Wine well rectified then take of the liquor by inclination dissolve as much Sugar Candy poudered as you can therein then fire the spirit of Wine stirring them continually till it comes to a liquor as thick Oyl then mix as much Oyl of Sulphur as will sharpen iâ— A Decoction of Red Coleworts taken many dayes with a little
at some distance apply often those Cupping-glasses to the Hypochondria or under the Ribs And let him take the following Julep thrice every day Take of Plantane and Poppy Water of each two ounces Syrup of dried Roses one ounce Lapis Prunellae one dram Mix them for a Julep Lastly You must often purge the serous and Chollerick humors which make the blood more thin and fluid with Medicines that have an astringent Vertue As Take of Rhubarb one dram yellow Myrobolans half a dram Tamarinds half an ounce Infuse them in Plantane Water strain it and dissolve in it Pouder of Rhubarb half a dram Syrup of dried Roses one ounce Make a Potion Then give Medicines that close the Orifices of the Vessels by an astringent quality but such as will not retain the blood in the Breast by too much astriction therefore mix somtimes with them such as dissolve and expectorate the congealed blood which is out of the Vessels Of all which these following are the best Take of Bole-Armenick Terra Sigillata both sorts of Coral Blood-stone of each half a dram Sugar of Roses half an ounce With one white of an Egg well beaten with Rose Water make a Lohoch Or you may make one more speedily and more pleasant thus Take of the Water of the white of an Egg well beaten two drams Sugar of Roses one ounce white Starch three drams Mix them for a Lohoch Or Take of Conserve of Roses and the greater Comfry of each one ounce Bole-Armenick and Terra Sigillata of each one dram With the Syrup of dried Roses make an Opiate to be often held in the mouth and swallowed by degrees Take of Conserve of dried Roses Troches of Amber and of sealed Earth of each half a dram prepared Pearls one scruple Sugar of Roses as much as of all the rest Mix them and let him take a spoonful thereof one hour before meat Take of the Juyce of Purslain twelve ounces Sugar eight ounces Boyl them to a Syrup of which let him often lick This is the best for spitting of blood And if you want Purslain you may take Plantane The Syrup of Comfry according to Fernelius prescribed by Bauderon is good for the same Take of Yarrow with the white Flower and yellow Flower of each two handfuls Green Roots of Tormentil with the Leaves if they may be had otherwise of the dry one ounce the greater Burnet one handful Conserve of red Roses half a pound spring Water sixteen pints put them in a glassed pot covered and luted that the vapors may not come forth then boyl them in Balneo Mariae sixteen hours keep the straining in a glass and take six ounces thereof every morning noon and night Take of the Troches of Amber one dram Plantane and Rose Water of each one ounce and an half Syrup of Mirtles and dried Roses of each half an ounce Mix them for a Julep Take of Spirit of Vitriol half a scruple Plantane Water four ounces Mix them for a Potion This presently stops blood coming either by Cough or Vomiting Two spoonfuls of Syrup of Coral taken every day is good against all manner of bleeding But the Tincture of Coral drawn with Juyce of Lemmons is more powerful Quercetan in his Dispensatory prescribeth this following Water against spitting of blood which is very excellent Take of the Roots of Snakeweed Comfry and Tormentil of each one ounce Knotgrass Yarrow Veronica Winter-Green Sanicle Shepheards-purse with the Roots of each one handful Bramble tops and Mastich wood of each half a handful Sumach and Myrtle berries the seeds of Plantane Barberries and white Poppies of each six drams the flowers of Water Lillies Guords Quinces and red Roses of each two pugils Bruise them and mix them then steep them four daies at the fire in the Juyces of Plantane Purslain Sorrel and Agrimony of each two pints then strain them well and put to them Acacia and Hypocistis or Conserve of sloes of each two ounces sealed Earth Bole-Armenick of each half an ounce the Electuary of Diatragacanth frigid two drams then macerate them again four daies and distill them Take two or three spoonfuls of this Water alone or with some proper Syrup The Chymical Oyl of Amber doth pierce astringe and dry powerfully if you give two drops thereof in Plantane Water As Cesalpinus teacheth in his Speculum Artis Medicae Mercurialis in his consultations doth highly commâ—nd the seeds of white Poppies or white Heâ—ane to be tak en every morning in the quantity of a dram with Sugar of Roses and Syrup of Purâ—â—ane So you may also use the white Diacodium or Syrup of Poppies prescribed in the Cure of the Phrenzy Amatus Lucitanus doth highly commend the Juyce of Nettles in these words They which have vomited blood after they have been given over by Physitians have been cured only by the juyce of Nettles drunk five or six daies fasting in the quantity of four ounces and by Nettle Broth. Sanguis Draconis doth wonderfully conglutinate all inward Veins if you give half a dram thereof with Plantane Water or other proper Liquor or Medicine The usual Pills to hold under the Tongue may be made thus Take of the Mucilage of Gum Arabick and Tragacanth drawn with Plantane Water of each two drams Mummy and Mastich of each one dram Sugar of Roses as much as will make Pills of which let him hold one continually in his mouth And take this following Pouder in his Broths Take of red Coral and prepared Pearl of each half a dram Gum Arabick and Tragacanth of each two drams Make a Pouder Or boyl white Poppy seeds and Sumach tied in a clout in his Broth. Narcoticks are good in this case and you must use them thus Take of Syrup of Poppies Jujubes and dried Roses of each one ounce Mix them and take a spoonful every night Or Take of Syrup of Poppies and Purslain of each three drams Terra Sigillata half a dram Purslain and Plantane Water of each one ounce and an half Make a Potion to be taken at night Or Take of Syrup of Myrtles and Poppies of each one ounce Bole-Armenick half a dram mix them to be taken at night Somtimes you may give Treacle of four months old as Galen teacheth 5. Method cap. 13. or Philonium Romanum or Laudanum Platerus reports that he cured one only with the Troches of Winter Cherries with Opium dissolved in Goats milk taken some daies and also that he cured a Woman with one ounce and an half of Manna given in Broth and with blood and the use of the Tablets following morning and evening for many daies Take of the Seeds of white Henbane poudered finely two scruples red Coral half a dram Gum Arabick one scruple new Violets ten the Juyce of Barberries two drams Sugar dissolved in Rose and Plantane Water two ounces Make Tablets Trallianus lib. 7. cap. 1. doth highly commend the Blood-stone by which he saith that he cured many giving it to four scruples with
the breast a pale colour black and blew a smal obscure and unequal pulse A swoonding by way of Sympathy from other parts is known by the sign of those parts affected so that if it come from the stomach that hath been distempered with loathing vomiting gnawing the mouth hath been bitter and dry and the like The same Judgement is to be taken in other parts but if you see no sign of any other part affected you may conclude that it comes principally from the heart Moreover A Syncope is distinguished from other Diseases by its proper signs From an Epilepsy because that hath a Convulsion but a Syncope not From an Apoplexy because in that the breath is stopt and there is often snorting and the pulse is not much abated except when Death is at hand but in a Syncope the Pulse is almost gone and the breath is free It is distinguished from the Mother for in that the breathing parts are most affected so that the Patient is almost strangled but the Pulse is not much altered nor the colour of the face but keeps its natural complection and somtimes is higher coloured but in a Syncope the breath is not stopt but the pulse is almost gone and the face is pale But somtimes a Syncope is joyned with the Suffocation of the Mother and then the Pulse is not perceived The Prognostick of this Disease is first taken from Hippocrates Aph. 41. Sect. 2. They who often and violently faint without a manifest Cause do die suddenly For as it is said a great Syncope doth quite take away the strength from the heart A Syncope from which a man is not recovered by Rose Water thrown in his face and Wine given to drink with sneezing-pouder put into the Nose is deadly When one is raised from a Syncope health is not to be promised for if his Pulse return not but his colour be wan and he still be cold he wil quickly Relapse in which is danger That Syncope which comes from immoderate Evacuations fear sorrow or some evident Cause is of less danger than that which comes from an internal Cause As for the Cure because it comes from divers Causes it must be various But of what Cause soever it come in the time of the Fit these are good Lying upon the back throwing of cold Water in the face provoking to neez putting of strong Wine Cinnamon or imperial Water Aqua vitae Coelestis and the like into the mouth holding of hot bread to the Nose loud calling and shaking stopping of the Nostrils wringing of the Fingers pulling of the Hair rubbing binding and cupping But in respect of the Causes which are divers you must vary the Cure thus If it come from want of meat he wil be Cured with strong Wine and a Toast or Sop Also with nourishing broths and Restoring distilled Waters among other things a dish of Eggs with sugar Wine and Cinnamon described in the following Chapter If it come from thinness of the Humors by which the spirits do easily flie away give him sweet things and meats of good juyce and thickning let the pores of the skin be stopt with Oyl of Roses and let the Patient stay in a cold place If it come from the Mother you must give Medicines for that If it come from some evil quality give Cordials and Antidotes such as are prescribed in malignant Feavers If from poyson give things to expel it First a Vomit and then Treacle and then if he feel burning or gnawing in the Guts let him take Milk of Butter or fat Broth or cooling Cordial Potions If it come of immoderate Evacuation let the Patient be refreshed with Scents Meat Drink sleep and rest If from too great loss of Blood lay him upon his bed with his Head backwards dash his face with cold Water give him a little Wine with cold Water If it come of too much Purging give him new Treacle or old if you cannot get new with two grains of Opium dissolved in Wine or three grains of Laudanum which is better And let the Belly be anointed all over with this following Oyl Take of Oyl of Myrtles and Quinces of each one ounce and an half Oyl of Wormwood one ounce With a little Rose Vinegar mix them and anoint often Give a Clyster of steeled Milk with three Yolks of Eggs and two drams of Philonium Romanum Use Frictions of the Arms and upper parts give him a Sop in Wine or Wine alone And lastly Every Evacuation whether it be of Blood from the Nose or Womb or other parts or of Humors by Vomit or Stool must be stopped with their proper Medicines prescribed in their several Chapters That Syncope which comes from too much Sweat is cured by Medicines that restrain Sweat as with Cold or Rose Water alone or with a little Vinegar sprinkled upon the Face and Hands Also let the Air be cooled with the same Water and with Fanning Apply cold Epithems to the Heart made of Rose Sorrel and Borrage Water with Pouder of Diamargariton frigid with a little Wine to make it pierce You must also give often cooling Juleps made of Syrup of Sorrel Violets and Apples or Lemmons with cooling Waters and Lapis Prunellae Let the Pores be closed with anointing the Skin with Oyl of Roses Myrtles and Mastich Let him abstain from Wine Let him not be rubbed bâ—t let him move often gently being lightly covered Let his bed be perfumed with this Pouder following Take of the flowers of Water-lillies red Roses of each three ounces the best Labdanum half an ounce Storax two drams Myrtles and grains of Sumach of each two ounces Make a Pouder If it come from suffocation of the Spirits you must call them forth by Frictions Ligatures Cupping-glasses and the like And if this Suffocation came of Repletion you must bleed plentifully but by degrees If it comes from terror and fear you must also bleed lest it cause an Obstruction or Inflamation Chap. 2. Of the Palpitation or Breathing of the Heart AS in a Synoope the motion of the Heart is diminished so in this Disease it is depraved It iâ— wrongly stiled by some a trembling of the Heart when trembling is a passion of the Animal and voluntary motion and is not proper to any parts but such as have voluntary motion Galen in his Book of Trembling Palpitation and Convulsion saith That Palpitation comes only from the Disease that is from the Cause which lifteth up and depresseth the part without any help of the Faculty but Trembling comes partly from the Faculty partly from the Disease Hence it is that many using the word Palpitation indifferently to any part think it is in the Heart as in the Skin and Muscles in which it comes from wind driven violently thither for if the Heart be moved as a Bladder by water or wind they suppose that to be a Palpitation But the reason is different for the Skin and Muscles cannot naturally dilate and contract themselves but by
alwaies offended Hence comes weak motion without hurt of the Brain Nerves or Muscles but from the defect of Vital Spirits which are not so sufficiently sent to the Head that they may be made Animal The immediate Cause of Weakness is Defect of the natural heat and spirits from which the life and strength of the parts do depend And this Defect is in every part from the Defect of Vital Spirits and heat flowing from the heart Now the Vital Spirits are Defective either because they are not bred many or because they are dissipated after they are Bred or Corrupted or Suffocated as we said in a Syncope where there is this difference That in a Syncope the Causes of Defect of Spirits do suddenly produce their effect but in Weakness they operate by degrees And therefore in Syncopes and Leipothymia al the Vital Spirits almost do suddenly fail but in this there are fewer then ought to be communicated to every part Moreover When the Natural heat wants not only adventitious heat but also radical moisture to feed upon if this moisture be wanting and diminished the natural heat must be less and the strength abated Now the Causes which hinder the spirits from being Generated or maketh them disperse themselves or Corrupt or Suffocate them are propounded in the Treatise of a Syncope The Diagnosis of this Disease needs no Explication because it is manifest and the Patients do complain of their Weakness But the signs of the Causes were Propounded in the Syncope The Prognostick depends upon the various disposition of Causes for as they are greater or less there is more or less danger The Cure of this Disease is to be directed to two things To the taking away of the Cause and the Restauration of the Heart and vital spirits The Causes are almost al great Diseases in which either Nature yeilds to or resisteth with difficulty therefore the taking away of the Cause belongs to the Cure of almost al Diseases which you must take from their proper Chapters But the strengthning of the Heart and restoring of the vital spirits are to be here declared somtimes to be preferred before the Cure of the Cause when death seems to be at hand but we must alwayes take heed least when we encrease the strength we encrease the Cause of the Disease and therefore in a hot Disease you must use more temperate Cordials but in a Cold Disease those that are more hot First then mix Cordials in his nourishment as Confectio Alkermes or Confectio de Hyacyntho in Broths or with pleasant Wine or Cinnamon Water if there be great weakness Boyl also between two Dishes a piece of a Leg of Mutton after the skin and fat is taken off and after that let the Patient drink the Broth being strained at one daught Or Take the Flesh of a Capon after the skin and fat is taken away cut it in pieces and put it in a glassed Pot well Luted and set it in Balneo Martae to boyl for five hours then let the Patient take two or three spoonfuls of the Liquor in all his Broths Or you may make a distilled Water thus Take a Capon or an Hen after the skin is taken off and the fat cut it in pieces then powr upon it Water of Bugloss Borrage Sorrel Roses and Orange Flowers of each half a pound the Pouder of three Sanders Aromaticum Rosatum and Cinnamen of each half an ounce yellow Sanders one ounce Lemmons sliced three Distill them according to art which must be given every hour by the spoonful The Juyce of Legs of Mutton only is of much use Half roast a Leg of Mutton and slash it upon the Spit take the Juyce and boyl it a little in the dish and give it either alone or with Broth or with Yolks of Eggs. Valeriola doth much commend the Juyce taken out of Sheeps Hearts And Zacutus Lucitanus confirms it by his Experience saying That he with this only Medicine a mouth continued cured a rich man who often swouned through weakness of the Vital Faculty and resolution of the Blood and Spirits when many other Medicines had been used in vain The Juyce is thus taken forth Slit the Heart of a Sheep or Goat in the middle then wash it well and last wash it with Rose Water then cut it in slices and put it in a glassed Vassel with a few Cloves and no other Liquor And after the Pot is well luted put it into the Oven after it is drawn till the Juyce come forth Give this to the Patient to drink The Italians use Caudles of Yolks of Eggs Wine Sugar and Cinnamon which is very restorative Zacutus Lucitanus makes a fine dish of twenty Yolks of Eggs as you may see in the 107. Observation Lib. 2. of his Admirable Practice You may make Cordial Juleps thus Take of the Water of Bugloss Roses and Orange flowers of each one ounce Syrup of Apples and Lemmons of each half an ounce Confectio Alkermes one dram Cinnamon Water two drams Make a Julep Or make this following mixture Take of white Sugar two ounces moisten it well with the best Cinnamon Water then put to it as much Spirit of Vitriol as is sufficient to make it sharp then ad of the Essence of Cinnamon four drops the Essence of Mace Nutmegs and Annis seeds of each three drops the Essence of Cloves two drops Mix them and take it either by it self or in Broth. You may also make a restoring Opiate thus Take of Conserve of Roses Bugloss Borrage and Clove gilli-flowers of each one ounce Citron Barks and Nutmegs candied of each three drams one candied Myrobalan Confectio Alkermes half an ounce the Spirit of Roses and Essence of Citrons of each half a dram the Essence of Cinnamon six drops With the Syrup of Apples make an Opiate take it often This Water following is excellent Take of the Jelly of Harts-horn drawn with white Wine four pints the Blood of a Lamb and a Calf clensed with the hands from all fibres of each two pints Muschadel Canary and Malago Wine of each three pints of Calfs Hearts cut in pieces four Crums of new white Bread dipped in Milk two pound and an half the Juyce of Balm one pint and an half Rose and Orange Flower Water of each one pint great Citrons sliced three Cinnamon four ounces Mace one ounce Put them in a large glass Still and still them in Balneo Mariae You may make a most excellent and precious Cordial Water after this manner Take of Amber-greese two drams Musk two scruples Lignum Aloes one dram and an half the white part of Benjamin three drams after they are bruised and mixed put them into Spirit of Wine and setting them upon a gentle fire draw out the Tincture fully and then filter off the Liquor and draw off half the spirit with an Alembick upon the ashes with a very gentle fire keep the Liquor close stopped in a Glass with a Cork waxed over and a
each one ounce boyl them to a pint Dissolve in the straining of white Sugar one ounce Yolks of Eggs two Make a Clyster After the Body is sufficiently emptyed you must give astringents and strengtheners both at the Mouth and by Clysters as also to the Belly the Forms whereof you may take out of the Cure of Dysentery Besides You may conveniently use these that follow Take of Chalybeat Vinegar one part Chalybeat Water two parts the Leaves and Fruit of Myrtles Quinces Medlars Cervices of each two handfuls Cypress Nuts six pair boyl to halfs Foment the Belly warm with the strained Liquor often Take of Oyl of Mastich Quinces and Myrtles of each one ounce Sanguis Draconis Frankinsence and Gum Traganth of each one dram Wax as much as will make an Vnguent to anoint after the Fomentation Or Take Crums of toasted Bread infused in Chalybeat Water and Quinces roasted in the Embers or Marmalade of each three ounces Frankinsence Mastich Sanguis Draconis of each two drams With Syrup of Quinces and Wormwood make a Cataplasm Take of Mastich two drams Boyl it in three pints of Water for ordinary drink Iron Water is also good but in a hot Disease it is good to use the Tincture of Roses or Conserve of Roses mixed with Spring Water or Water wherein Gold hath been quenched mixed with Syrup of Quinces Amatus Lusitanus reports of one that was cured of a Chollerick Diarrhoea by taking much cold Water in the Summer time We also once prescribed to a Sanguine man who was troubled with a Chollerick Diarrhoea in the midst of Summer with great thirst Sal Prunella in his ordinary drink and Juleps made of Lettice and Purslain Water to be taken thrice in a day and he was cured in twenty four hours If the Humor be very sharp and adust or burnt the Patient must be purged sparingly with mild Medicines otherwise the Disease will encrease and he is to be cooled and moistened as also to be blooded a little In the same case a warm Bath is very good the Example whereof is in our Observations Plantane boyled in Broth is excellent And least a Diarrhoea turn into a Dysentery you must give Clysters of Chalybeate Milk and Emulsions of the cold Seeds and of white Poppy Seeds to asswage the sharpness of the Humor As also this Syrup following Take of the Juyce of Quinces six ounces the Juyce of Endive and Sorrel of each three ounces Sorrel and Plantane Seeds of each two drams red Coral one dram Plantane Water four ounces Boyl them to the Consumption of half strain and press them well put to it as much Sugar to make a Syrup to be taken two drams first and last In al Diarrhoea's after universal Medicines this following Bolus is good Take of Conserve of old Roses half an ounce Candied Quinces one dram the pouder of Tormentil one scruple With Sugar make a Bolus to be often repeated Or if the Disease be old you may make an Opiate of the same or the like in a greater quantity to be taken at many times Or to astringe more powerfully give this Pouder Take of Sanguis Draconis Frankinsence Mastich Mummy Terra Sigillata Lapis Haematitis or Blood-stone Troches of Amber of each one dram true Bole three drams make a Pouder of which give two drams inconvenient Liquor Rhubarb twice infused and then twice or thrice washed in Rose Water and dried is good The Lozenges of the three Sanders with four times the quantity of Rhubarb given twice in a day the weight of two drams do take away the Matter and strengthen the Bowels The Leaves of Fleabane laid upon fire so that the smoak may be taken through a hollow Chair do stop the flux of the Belly by a specifical quality As also if the same Herb be beaten with Vinegar and applied to the Stomach Also the smoak of Mullin taken through a hollow Chair is excellent the example of which is in our Observations Syrup of Coral is excellent and much more the Tincture or Magistery of the same The Conserve of the wild Rose or sweet Bryar Rose is good against a Chollerick flux especially if it be mixed in astringent Opiates But when there is danger of weakness through a long and often flux you may give Laudanum with Mastich and Terra Sigillata When it is very violent a Clyster of Broth and new Treacle is excellent Pils of Bdellium taken twice or thrice in a week or every other day are good against al old fluxes For the same is the often use of Medlars as Forestus confirms by experience obs 1. lib. 22. in these words One that had a constant Flux and spent all he had upon Physitians came to me for counsel whom I advised to eat Medlars though green as many as he could by which he was speedily cured As it was with a Zeland Merchant that came to John Spirinchius a Physitian of Lovan who having been long sick and of a Dysentery at last and could not be cured by any was at length by his advice cured only with Medlars and gave the Physitian three hundred Crowns for his advice Thus Forestus But we must observe that the Body before the use of Medlars be clensed from Excrements In an old Diarrhoea the following Medicines are excellent Take of the shavings of Ivory three drams Confection Alkermes one dram Sugar dissolved in Rose Water four ounces Make Lozenges Take of Crocus Martis six grains Bezoard Mineral half a scruple Conserve of Roses two drams Spirit of Vitriol three drops Mix them in a Bolus to be given twice a day long after and before Meat Take of the Juyce of Persicaria Maculata and of the great Housleek of each three ounces boyl them till the third part be consumed and give them in the morning they do certainly cure any flux though very old Mercurius Diaphoreticus given some daies together twelve grains at a time taketh away all the impurities of the Body which use to beget fluxes The Decoction of Juniper Berries in Wine given three daies together is good and also one dram of the Pouder of Grashoppers given in white Wine These two by deriving the Matter of the flux to the Ureters The Decoction of Juniper is thus made Take of Juniper Berries one handful red Wine one pint and an half boyl them to the consumption of two thirds Let him take the straining three daies together The Water of Brimstone Mines cure an old Diarrhoea by purging the whol Body and by strengthening the Stomach Of which ther is an example in our observations If a Diarrhoea come from a Catarrh you must look to the Brain as the part that sends it with the Medicines prescribed in the Cure of a Catarrh But if it depend upon the Obstruction or weakness of the Liver or Spleen you must cure them as shal be shewed in their proper places and then there is little or no use of astringents Platerus in the Cure of the Hemorrhoids
the Liver which also destroyeth the Natural heat This evil disposition and occult distemper may come by burning and swooning Feavers by a hot distemper of the Bowels which melteth the Oyly substance by occult corruption and corruption of Humors by a great coldness from flegm and Melancholly abounding which doth oppress and corrupt the Natural heat and it may come by outward Causes as great draughts of cold Water Snow or Ice extraordinary eating of raw Sallets Poyson and Medicines that purge too vehemently By drinking of too much new Wine salt sharp and peppered Meats and strong things which parch the substance of the Liver To these you may add al other Causes which by too much cooling or heating do dissolve the strength and tone or order of the Liver Hitherto is declared a true and proper flux of the Liver which hath this sign there are Liquid and ferous stools like washings of flesh from the weakness of the Liver which cannot sanguifie or make blood well or from a malignant distemper which spoileth the Natural heat and moisture There is also a bastard flux of the Liver which comes of a simple distemper without any fault of the radical moisture by which distemper the faculty is not hurt but the work hindered so that instead of pure blood there comes impure and corrupt or the good turns into evil when in a true of the Liver there is never any good blood in the Liver The Blood is corrupted either by the mixture of Choller or Melancholly or some other impure Matter or from its too long staying in the Liver and the parts adjacent by which it is made thicker or burnt or rotteth or from the fault of the Spleen which doth not suck away the drossie blood and in this bastard flux somtimes thick somtimes black and somtimes blood is voided mixed with Humors of divers colors The signs of this Disease may be gathered from what hath been said For in a true flux there appear moist stools like washings of flesh which is not in other bloody fluxes if in a Dysentery at any time it is seldom and then there is choller flegm and excrements of divers colors voided and in a Dysentery there is pain and torment of the belly but in this none The Signs of the Causes are known by their proper Characters For if the weakness of the Liver come from a hot distemper there went a burning and consuming Feaver before or there is green vomits or stools thirst and a Feaver foulness of Body and want of appetite and stinking Evacuations but if it come from a cold cause the stools are less stinking neither is there thirst or consumption the whol Body is colder and blewish Somtimes there comes a Feaver from the putrefaction of Humors which changeth the said symptomes but you must examine the Causes afore going which will declare both distempers Also in this cold distemper the Patients desire much strong Wine A moist and dry distemper are known by the contrary effects A moist causeth more and oftener stools very thin but a dry little and thicker stools but there is also great thirst Lastly The external Causes are known by the relation of the Patient and those that are with him A bastard flux of the Liver hath almost all signs of a Dysentery only there is no pain of the belly nor pieces of flesh in the stools as in a Dysentery The Prognostick of this Disease useth to be evil and deadly for when a principal part is very ill by consumption of the radical moisture whose reparation is scarce to be hoped for we can expect for the most part nothing but destruction especially when the Disease comes of heat When this disease comes in Feavers there presently follows a melting of the Body and great putrefaction which presently kils the party For in malignant and pestilent Feavers the danger is encreased according to the evil condition of the Cause But when this Disease comes of a cold distemper it useth to last longer and turn into an incurable Dropsie Lastly A bastard flux of the Liver although it be dangerous yet is it less than a true because it comes only from a simple distemper and evil disposition of the Humors the tone and strength of the Liver remaining sound and may be cured by taking away the Causes that defile the Blood The Cure of this Disease is wrought by Medicines that strengthen the Liver correct its distemper and stay the flux And because it comes oftenest of a hot distemper therefore we wil first speak of the Cure of that distemper because it comes seldom of a cold Cause and is to be cured as a Dropsie First therefore although Evacuations seem to be needless by reason of the greatnâ—ss of the flux you may give Rhubarb either alone or with Myrobalans as in the Cure of Dysentery because it doth strengthen the Liver and the rather if you sind any filth in the stools for many Patients have been cured by only one scruple of Rhubarb given many daies together in Conserve of Roses Clysters are here of little worth because the Liver is affected yet somtimes you may give one of chaly beat or steeled Milk or of a gentle astringent Decoction lest the Guts should be too much relaxed But you may make Juleps to strengthen the Liver and correct its distemper thus Take of Succory Graminis or Dogs Teeth and Sorrel Roots of each one ounce Endive Succory Plantane and Dodder of each one handful Sea-wormwood half a handful red Sanders one dram and an half the shavings of Ivory and Spodium of each two scruples Corâ—ander seeds prepared one dram red Roses one pugil boyl them to â—â—e pint and an half dissolve in the straining Syrup of Quinces and simple Syrup of Vinegar of each two ounces Make a Julep for four Doses to be taken morning and evening Or Take of Plantane Water four ounces Syrup of dried Roses one ounce Spirit of Vitriol aâ— much as will make it moderately sharp make a Julep to be repeated often He may also take of these Syrups following often in a spoon Take of Syrup of Myrtles Quinces and dried Roses of each one ounce the Syrup of Succâ—â—â— simple or compound with Rhubarb one ounce and an half mix them There is an excellent Syrup made of the Tincture of Roses made in Rose Water and with Sugar of Roses brought into a Syrup Also this following Pouder given to the quantity of half a dram or a dram once or twice in a day in a rear Egg Broth or other fit Liquor may be used with profit Take of Plantane and Soâ—rel seeds of each one dram Endive Purslane Dodder and Coriander seeds of each one scruple red Roses and Troches of Spodium Gum Tragacanth torrefied of each half a dram the inward skins of Hens Gizzards dried half a scruple make a very fine Pouder Or the Lozenges made of the three Sanders with a double quantity of Rhubarb given to two drams at a time are good
to strengthen the Liver as also this following Opiate Take of Conserve of Succory Roots one ounce Conserve of old Roses half an ounce the pulp of Currans six drams Crocus Martis one dram prepared Coral shavings of Ivory and Harts-horn of each one scruple with the Syrup of dried Roses make an Opiate adding half a scruple of Spirit of Vitriol of which let him take the bigness of a Chesnut three hours before meat You may also add the Liver of a Wolf prepared which is a specifical proper Medicine according to divers Authors Raisons of the Sun because they are good for the Liver are commended in this disease therefore you may eat them in great plenty with their stones which that they may be better taken may be beaten first in a Marble Mortar Or make a Rob or Syrup of Raisons boyling them in red Wine if it be not too hot and then straining out the Juyce and boyling it again til it is thick which you may use alone or in some of an Opiate with these following Take of Currans half a pound boyl them to the thickness of a Pultis in old Wine pass them through a sieve and mix with the straining candied Citron peels half an ounce the pouder of the three Sanders and Diamargariton frigid of each one dram Coral prepared and red Roses of each four scruples the Liver of a Wolf prepared three drams make an Opiate The Syrup of Coral is very excellent to strengthen the Liver and stay the flux thereof but the Tincture thereof is far better As also the Extract or Magistery given in Plantane Water The Juyce of yong Nettle tops given either by it self to two ounces or with Water and Vinegar every morning for three daies together stops the flux and purifieth the corrupt blood But because in this Disease the Body is much consumed a restoring distilled Water that wil also stay a flux either must be given often by it self or with all other Drinks Take a fat Capon and a Partridg and pulling of the Feathers and the Guts ouâ— â—ill their Bellies with Succory Agrimony and Snails of each one handful Conserve of Roâ—es three ounces Plantane and Coriander seeds prepared of each two drams Citron Myrobalans one dram Blood-wort half a handful the Troches of Amber and of Spodium of each four scruples the pouder of the Electuary de Gemmis or precious Stones the three Sanders and Dâ—amargariton frigid of each one dram Sprinkle them all with astringent Wine and putting them into the bellies of the Fowls boyl them in a close vessel in four pints of Water til half be consumed then put them al into a glass Limbeck with three ounces of good Wine distil them in Balneo Mariae for the use aforesaid For Drink let the Patient take the Tincture of Roses or the Decoction of Succory and Dogs-tooth with Syrup of Quinces and some few drops of Spirit of Vitriol Things made of Barley Almonds and Rice are best in his Meats Outwardly to his Belly apply those things which were prescribed in the Cure of Dysentery with some things for the Liver as Wormwood Roses all the Sanders Spodium or burnt Ivory c. Which anointings of the Belly must reach to the region of the Liver You may al o apply the following Epitheme to the Liver Take of Endive and Succory of each one handful Dodder and both sorts of Wormwood of each half a handful red Roses one pugil red Sanders one dram and an half Spodium two scruples boyl them to one pint and an half and dissolve in the straining two ounces of Rose Vinegar boyl them again gently and make an Epitheme Let the same part be anointed with the following Oyntment Take of Cerat of Sanders two ounces Oyl of Quinces and of Wormwood of each three drams Mix them for a Liniment Lastly If the Patient be troubled for want of sleep as is usual because this kind of flux is most in the night you must use Narcoticks such as were propounded for the former fluxes Chap. 9. Of the Worms ALthough Worms breed in divers parts of the Body yet because they are more usual in the Gut than in other parts therefore we wil speak only of those By some it is questioned to what kind of Disease that is preternatural the Worms are to be referred But we can take away al occasion of doubting by saying that after a divers consideration they may refer to all kinds of Diseases for as they prick and pull the Guts or obstruct them and produce other diseases they may be said to be causes of diseases But as they are substances added to those which ought naturally to be contained in the Guts they are reckoned by Galen in the number of those Diseases which are in the number encreased wholly against Nature as the stone also And lastly as they are sent out preternaturally by the belly or the mouth they are to be referred to the fault in Excretion or sending forth Galen in his Comment upon the Aphorisms Aph. 26. Sect. 3. propounds three kinds of Worms The round Worms which are often bred in the Guts and get often up into the Stomach the Ascarides or little Worms like smal thrids which use to lie in the inferior part of the thick Intestines and over against the Sphincter Muscle and the broad Worms called Fascia because they are long and broad like Childrens Swathing bands This kind is more rare to be seen than the rest and a Physitian shall scarce see them in his practice twice or thrice in a yeer yet there are great Controversies among Authors about them some say it is one Worm only some that it is made of many united which they call Cucurbitinos or Gourd Worms and say that they are parts of the broad Worm others make a fourth kind containing the Gourd Worms but we do not intend here to shew their Reasons and several Experiences they have so much boasted of the curious Reader may search for his better satisfaction Rondoletius Platerus Sennertus and many others Moreover There is a great Controversie of the Causes of Worms some say they come of putrid heat others from the Natural others say that both concur for the production of them The first say That all Infects or Vermine come from corruption according to Aristotle The second say That putriu heat is strong â—iery and destructive and therefore is not fit to produce a live body The third â—ort to reconcile the former say that the Matter is disposed by the putrid heat to generate Worms and the Natural heat doth turn it so prepared into worms by way of Concoction But this Reconciliation wil not hold because according to the axiome in Physicks it is the property of the same thing to dispose the matter and bring in the form and therefore the preparation of the matter and the introduction of the form ought to be from the same agent besides Worms breed in Carkasses where there is no native heat we may
pure and strong Wine drunken plentifully To these you may ad the Heat of the Part adjacent as in strong Feavers the Liver waxeth Hot from the heat of the Heart The Signs of a Hot Distemper of the Liver are Loathing of Meat especially Flesh Thirst binding of the Belly vehement heat in the whol body especially in the palms of the hands and soles of the feet leanness of the whol body the Patient is worse for hot things and better for cold and if there be plenty of hot Humors there wil somtimes be Vomiting and purging of Choller there is a bitterness in the mouth and for the most part a Feaver As to the Prognostick A Hot Distemper of the Liver is not very dangerous because it is not much contrary to the Constitution of the Liver but it useth to be the Cause of many Diseases not only of the Liver but also of other parts It is hard of Cure especially when the Stomach is cold as often it is for those things which are given to Cool the Liver hurt the Stomach and enlarge its Distemper The Cure consists altogether in the correction of the Distemper by cooling Medicines and by the Evacuation of the Chollerick humors which comes from the Liver encreasing the Distemper and that Distemper it and is the Cause of other Diseases And first Opening of a Vein doth much cool the Liver takes away some of the Choller and opens the Obstructions which comes from Choller therefore you must open the Liver Vein of the Right Arm and let such a quantity of blood as is agreeable to the fulness and strength of the Patient either at once or divers times according to the greatness of the Disease and the continuance of it and that after a Clyster or Laxative Medicine hath been administred Then you must give a Medicine which doth gently Purge Choller and Repeat it often at distance or an Apozem for divers Doses or the Magistral Syrup or Syrup of Succory Compound with a four-fold proportion of Rhubarb which is most convenient because it doth innocently purge the Chollerick Humors cooleth the Liver strengthneth it and opens Obstructions The Forms of these Medicines are these that follow Take of clensed Senna and Tamarinds of each half an ounce Annis seeds one dram Succory and Sorrel of each one handful scraped Liquoris three drams the three Cordial Flowers of each half a pugil boyl them to three ounces and dissolve in the straining of Rhubarb infused with a little Lavender Spike in Succory Water one dram and an half double Catholicon three drams syrup of Roses one ounce make a Potion give it in the morning with due custody For the finer sort of People you may make Clarified Potions which are lately invented which are in form of a Julep but somwhat unpleasant to the taste and in them there is prescribed a double quantity of Purging Medicines because the much strength of them is lost in the Clarifying so that they do seldom work upon strong bodies especially in a dry Country where the Humors are less flowing and not so obedient to purges but in moist Countries these kind of Medicines work succesfully This following is an Example of Clarified Potions Take of clean Senna one ounce Annis seeds one dram Succory Leaves and Maiden-Hair of each one handful scraped Liquoris half an ounce boyl them to ten ounces and infuse in the straining two drams of Rhubarb Cassia new drawn and double Catholicon of each one ounce bruised Tamarinds half an ounce Coriander seeds prepared one dram syrup of Roses one ounce strain them and clarifie them according to art make a Potion An Apozeme to Purge Choller is thus made Take of Sorrel Dogs-tooth Succory and Dock Roots of each one ounce Endive Succory Dandelion and Maiden-hair of each one handful of the Four great seeds of each three drams scraped Liquoris one ounce Succory Bugloss and Violet flowers of each one pugil clean Senna two drams Tamarinds one ounce Mace and Cloves of each one dram boyl them to a Pint and a Quarter in the straining dissolve half an ounce of Rhubarb infused in the aforesaid Decoction with a little Cinnamon of compound syrup of Succory and Roses solutive of each two ounces make an Apozeme clarifie it and aromatize it with two drams of yellow Saunders for four mornings draughts A Magistral Syrup may be made of the ingredients of the former Apozeme with a treble quantity of Purgers and adding an equal proportion of Sugar to the Decoction A Syrup made of Juyces is most used amongst us it is of great power in Chronical Diseases which come from a Hot Distemper of the Liver and from yellow and burnt Choller And it is made thus Take of the new made Juyces from their Faeces of Endive Succory Sorrel Fumatory Burrage and Bugloss of each three Pints the Juyce of sweet Apples newly drawn and purified two Pints fresh Polypody of the Oak half a pound clean Senna eight ounces Dodder of Thyme three ounces Agarick newly Trochiscated half an ounce Mace and Cloves of each half a dram infuse them and boyl them according to art while there remains one Pint and an half of the straining in which dissolve of Rhubarb infused with a little Lavender in the aforesaid Juyces and strained one ounce white Sugar one pound and an half make a Syrup well boyled clarified and aromatized with two drams of Triasantalon keep this syrup in a Glass give two ounces at a time or three twice or thrice every month with Chicken Broth wherein Endivs Succory and Sorrel have been boyled or in Whey These things following are excellent to cool the Liver And first for ordinary Drink use the common Ptisan made of Barley Water and Liquoris or with Dog-tooth and Sorrel Roots Or mix such a Decoction with Syrup of Lemmons or Maiden-hair Or they who are more dainty may take only the simple Spring Water mixed with the aforesaid Syrups And if you desire to cool more you may put as much Spirit of Sulphur or of Vitriol as will make it a little sharp And when the heat is very vehement you may give a dram of Lapis Prunellae therewith There is also made a most pleasant Drink of Conserve of Roses mixed with Spring Water and strained to which you may ad some drops of Spirit of Sulphur or Vitriol to make it sharp and red like VVine You may also make a Tincture of Roses thus Take of red Roses dried one ounce warm Water three pints Spirit of Sulphur or Vitriol one dram and an half Infuse them three or four hours add to it being strained three quarters of a pound of white Sugar Keep it for your use The Alexandrine Julep for this purpose is made thus Take of Spring Water one pint Rose Water Juyce of Lemmons and white Sugar of each four ounces Boyl them with a gentle fire till they are skinned These two last Remedies are used two waies either for ordinary Drink or as a Julep twice
contrary to the opening Faculty which they desire Moreover There is another wrong done to this Medicine when it is made in a Brass Kettle which leaves a malignant quality upon the Medicine for it is a known and vulgar saying among Apothecaries You must not boyl sharp things in Brass Vessels because they easily pierce and attract a noxious Tincture from them But the Crystals of Tartar are most sharp called by some Acidum Tartari or the sharpness of Tartar This Error is often made by Apothecaries and almost all they who make this Crystal themselves use Brass Vessels so that I have seen some Tartar look Skie-colored from the Verdugreece which it hath taken from the Copper Therefore Physitians shall do conscienciously honorably and for the good of their Patients if they cause their Apothecaries to make Crystal of Tartar themselves and in Glass Iron or Earthen Vessels glassed The Salt of Tartar hath great power to open Obstructions and may well be mixed with Apozems Opiates and opening Pills But the chief use of it is in a loosening Ptisan or Barley Water made of two drams of Senna infused in eight ounces of cold Water with one scruple or half a dram of Salt of Tartar by which the Tincture of the Senna will be powerfully extracted so that this Ptisan shal work better than any ordinary one and continued many daies it takes away all Obstructions we have seen Quartan Agues cured by the use of it fifteen daies together If you fear the sharpness of the Salt of Tartar you may correct it with the Spirit of Sulphur or of Vitriol putting fifteen drops of Spirit to half a dram of Salt You may find the use of the Spirit of Tartar in our Observations for the Cure of the Dropsie under the Title of a Diuretical Spirit Of Vitriol only the Oyl or Spirit is used in Apozemes Syrups and other Forms of Medicines This following Syrup which is good against all Obstructions of the Liver Mesentery and Veins may be for an Example by which many through continual Feavers falling into evil Habits and Dropsies have been perfectly cured Take of the Roots of Smallage Elicampane Sparagus Eringus of each one ounce Leaves of Agrimony Ceterach Maiden-hair Dodder Carduus of each one handful the tops of Sea Wormwood and of the lesser Centaury of each half a handful Winter Cherries one ounce Spring Water six pints boyl them till two pints of the straining remain in which dissolve of the Juyce of Succory and Burnet refined of each one pint the juyce of Fumitory and Hops of each six ounces Fennel and Parsley juyce of each three ounces Vinegar of Squils one pint and an half white Sugar six pound make a Syrup to which add of the Oyl of Vitriol as much as will make it sharp of which let the Patient take three spoonfuls before Break-fast and as much before Dinner and Supper The Natural sharp Baths shew the Efficacy of Vitriol the use whereof is frequent and profitable in all Diseases coming of Obstructions But the Spirit of Vitriol mixed with the Salt or Spirit of Tartar is much commended by the Chymists and of them they make Tartar Vitriolate and that rare mixture of Spirit of Vitriol Tartar and Treacle which may be mixed with other openers Lastly There are divers Medicines made of Steel both by Galenists and Paracelsians which plainly opening Obstructions presently compel al men to use them even those who reject all Medicines made of Mettals as Enemies to our Natures These Medicines of Steel are made either in the Form of Wine Syrups Opiates Pills or Lozenges Steeled Wine is made thus Take of the Filings of Steel four ounces Eryngo Roots and Elicampane of each one ounce and an half yellow Sanders one ounce red Coral and shavings of Ivory of each six drams Cloves Nutmeg and Cinnamon of each two drams Flowers of Broom Rosemary and Epithimum of each two pugils the best white Wine six pints steep them eight daies in Balneo Mariae or behind an Oven then strain them through a Hippocras bag and let the Patient take two or three ounces every morning two hours before meat for fifteen daies or more if need require Or make it thus Take of Steel prepared with Sulphur one ounce Elicampane and the middle rind of Tamarisk of each half an ounce Senna three ounces Epithimum one ounce Foecula Brioniae and Cinnamon of each two drams Pouder of the three Sanders one dram and an half Agrimony Water and white Wine of each one pint Infuse them three daies in Balneo Mariae Let him take three or four ounces when it is strained three hours before meat Commonly they use the Infusion of Steel in white Wine or Claret for ordinary Drink with much Water for two or three months together You may make a Syrup of Steel thus Take of Filings of Steel steeped in Vinegar two ounces the inward rind of Tamarisk half an ounce Ceterach half a handful Cinnamon three drams Wormwood and Agrimony Water of each half a pint white Wine one pint Infuse them six daies in a warm place add to the staining Sugar one pound and an half make a Syrup Let the Patient take every morning two or three ounces For the Preparation aforesaid of Steel you must steep it in Vinegar in the Sun while the Vinegar is consumed three times and then grind it upon a Marble This Syrup may be made Purging and better if you dissolve the Sugar with a pint of Water wherein three ounces of Senna and half an ounce of Rhubarb have been steeped a whol night The Pouder of Steel is made thus taken out of Quercetan's Dispensatory Take of the shavings of Steel either commonly prepared or with Sulphur one ounce the faecula of the Root of Cuckow-pintle one dram and an half Amber-greece half a dram for the Poor a Cordial Species will serve instead of Ambergreece Coral and Pearl prepared of each two drams Amber prepared and Cinnamon of each four scruples Sugar as much as is sufficient to make a pleasant Pouder of which let him take half a spoonful or two drams with Wine for fifteen dayes Of the same Pouder and Sugar dissolve in Turnep Water and Confection Alkermes may be made very pleasant Lozenges to be taken as the former Or Take of Steel prepared with Brimstone half an ounce confection Alkermes two drams Ambergreece one scruple Sugar dissolved in Rose Water four ounces make Lozenges Let him take two drams every morning Instead of the Pouder the Extract of Steel may be used made in white Wine for those who are dainty Divers Opiates are made also of Steel these following are best Take of the conserve of the Flowers of Tamarisk and Maiden-Hair of each one ounce and an half conserve of the Roots of Elicampane six drams Steel prepared either with Sulphur or Vinegar one dram Salt of Tamarisk one dram Spirit of Vitriol half a scruple with the syrup of candied Citrons make an Opiate of which let him
majus thus Take of Gromwel seeds husked two ounces spring Water half a pint boyl them till three or four ounces of water only remain which being strained mix it with as much Sack and give it warm it will sweat him plentifully if he be covered warm But those Medicines are best which purge by Urine and the Cure is commonly better this way One of the chief is two ounces of the Juyce of Chervil given every morning in Wine for many daies Opening Wines that purge by Urine are good in this case as this Take of Elicampane Smallage Fennel and Flowerdeluce Roots dried of each one ounce and an half Roots of Valerian Gentian Asarabacca and Squils or Sea Onions of each one dram the middle Bark of an Elder and Sassaphras of each six drams dried Wormwood Agrimony Germander and Maiden-hair of each two drams the tops of Centaury the less and Broom flowers of each one dram Parsley Annis and Dill seeds of each one dram and an half Cinnamon two drams Spicknard half a dram bruise them together and infuse them in white Wine some few daies and let him drink thereof every morning The steeled compound Wine prescribed in the Obstruction of the Liver is good for the same The Decoction of Juniper mentioned is to be reckoned among the Diureticks And if you fear it is too hot you may make it in Water and put a little Spirit of Vitriol to it Fonseca commends the use of Turpentine washed with Barley Water and he gives half an ounce thereof twice in a week And lastly The Spirit of Salt Tartar and Vitriol given in a true quantity with an Apozeme or other opening Decoction for some daies do wonders because they being very thin do run into all the parts of the Body and open them The Salts of Wormwood Juniper Bean Stalks and the like given in white Wine do the same Or in want of Salts you may make a Lee of the Ashes of the same which will be sufficient Mathiolus upon the 87. Chap. Lib. 1. of Dioscorides saith That a Lee made of Juniper Ashes with white Wine and four or five ounces thereof taken doth powerfully provoke Vrine so that I have seen some men cured of a Dropsie with it alone Moreover In the whol time of the Cure you must use strengtheners to the Liver for it is in vain to purge water if you do not hinder the encrease of it which you cannot do except you refresh the Liver and bring it to its former temper Among the chief Strengtheners is Cinnamon Water of which you may give one Spoonful every morning and before Supper But Galen in his Eight Book Kata Topous commends the Electuary called Cyphoides by the Arabians from the Wine whereof it is made of which you may give half an ounce in the morning according to Hollerius it is thus made Take of Curans clensed half a pound boyl them in old Sack to the consistence of a Pultis strain them after they are pounded and then ad of the conserve of Rosemary flowers Citron barkcandied and Cinnamon of each one dram the Pouder of Aromaticum Rosatum Diamargariton calidum and Diacinamom of each two scruples Lignum Aloes half a dram Saffron half a scruple mix them for a soft Electuary The Opiates prescribed for the Obstruction of the Liver are here very profitable The Conserve of Sea Wormwood is very good made of one part of the Leaves and three of Sugar with which Matthiolus in his Chapter of Wormwood saith some have been Cured Poterius makes an Opiate of Conserve of Roses Specificum Somachium and Crocus Martis and Oyl of Vitriol by which only Medicine he saith he hath Cured Dropsies The Specificum Stomachium is Antimony fixed The Cure of men in Dropsies lieth much in their drink therefore there must be care of that that he drink sparingly and endure thirst as much as may be for it is known that many have been Cured only with abstaining from drink and eating of dry meats without other means For Drink let him take Elicampane or Wormwood Juniper or Steeled Wine or let him use the aforesaid Steel Medicines Avicen forbids men in a Dropsie to see Waters But if you fear too much Heat or Driness or if the Patient be Abstemious he may use the Decoction of Juniper of Guajacum or Sassaphras or of Madder which provokes urin very much either alone or with white Wine But because he must abstain from Drink as we said and yet there is great Thirst it must be asswaged by Fits with washing the mouth with steeled Water and Vinegar or with often chewing Mastich or the like for it wil draw water to the mouth not only as some think out of the head alone but from the Stomach and Cavity of the Abdomen and therefore it will do much good Of Meats we say thus That he must chuse the Dryest and avoid Sweet meats as the Plague While you use Internals forget not Externals for they are of great force to discuss the Humor of the Belly as Fomentations â—ags Oyntments Pultisses and Plaisters The Chief are made thus Take of Marsh-mallow and Lilly Roots Cypress barks Capar barks middle barks of Ash Tamarisk dwarf-Elder the greater Snakeweed of each three ounces Wormwood Agrimony Marjoram Organ Calamints Peny-Royal Râ—e Ground-pine Southernwood and Elder of each one handful Parsley Dill and Cummin seeds of each one ounce Chamomel Melilot and Broom flowers of each three pugils Spickenard Schoenanth Nutmegs Cloves and Cinnamon of each half an ounce Salt and Allum of each half a pound boyl them all in a Lee made of Oak Ashes or branches with this Foment the whol Belly with Spunges dipt therein and strained Or Take the Vrine of a sound Boy four Pints Lapis Prunellae three ounces boyl them to the consuming of the third part for a Fomentation Aqua-pendens Commends Lime Water in which he dips a new Spunge which wil compass the whol Abdomen this he strains and binds on by which he affirmeth That the Waters that Cause the Dropsie are consumed the cold and moist distemper of the Bowels are taken away and the hardness of the Spleen dissolved Claudinus quencheth the Lime in a Salt Bath Water that is either of Brimstone or Salt-peter and bindeth close the Spunges dipped therein and strained with Rowlers to the Belly and keeps them there long and then changeth them You may make Bags of the ingredients of the former Fomentation boyled in white Wine and applied warm to the belly After the Fomentation let the belly be anointed with Oyl of Dill Rue or Flower-de-luce mixed with Pouder of ammoniacum Galangal Dill Bay-berries and the like It is also good to anoint with the Oyl of Scorpions according to Matthiolus and with a little Oyl of Rosemary Many do make Oyntments and Liniments of strong Purgers which draw VVater violently from the Dropsie and asswage the Swelling of the belly but they are dangerous for the Purging Quality getting between the Muscles
us by Hippocrates 6. Epid. Part. I. Aph. 6. and by Aetius lib. 11. cap. 5. And if the Disease last long you may open the Hemorroids according to Hipp. Aph. 11. Sect. 6. who saith That it is good for Melanchollick men and such as have the stone to have their Hemorrhoids bleed From the same branch of the Spleen there are Veins which go to the Reins bladder and Hemorrhoids If the pain be not asswaged by Fomentations Liniments and Cataplasms aforesaid put him into a Bath made of the Emollent Decoction with white Wine added for it asswageth pain at least while the Patient sits therein but you must not use it much least it take away strength And lastly When the pain is very great with watching and weakness you must give Narcoticks and put two drams of Philonium Romanum or five or six grains of Laudanum in a Clyster or three or four grains at the mouth or one ounce of Syrup of Poppies in a convenient Julep After these Topicks have been used in a long pain it is good to apply a Plaister of Melilot malaxed with Oyl of Chamomel and Dill. This pain useth to be bred with some of these Medicines and with repeating Purges if they be needful or giving Cassia often But if after the use of them it continue it is most certain that they are great stones which stop the Ureters which must be sent out by Diureticks which wil break them But you must first begin with the mildest lest by strong and sharp you inflame the Blood and the Reins And you must consider the habit of the Body For a full Body will endure things that do more pierce and make thin but a slender less There are abundance of this kind in Authors that diminish break and expel the stone but we wil give you only the most choyce Take of Smallage Parsley Butchers Broom Couch-grass and Sparagus Roots of each one ounce Mallow and Marsh-mallow Roots of each half an ounce Pellitory of the wall two bandfuls Annis Fennel Dill Caraway Carrot Amye Carthamus Cummin Rue seeds and Bay-berries of each two drams Chamomel Melilot Dill and French Lavender of each one pugil boyl them in white Wine to the consumption of half Dissolve in the straining being one pint fresh Butter four ounces Honey of Roses two ounces red Sugar one ounce Benedicta Laxativa half an ounce one Yolk of an Egg Oyl of Nuts Lin-seed and Dill of each three ounces mix them for a Clyster which let him keep two hours if he can Take of Strawberry Water and Saxifrage Water of each two ounces the best white Wine six ounces Oyl of sweet Almonds two ounces Spirit of Vitriol one dram mix them for three doses Give the first as hot as may be endured after six hours give the second as the former and if this will not do as it seldom misseth let him take the third You may sooner make a Julep of Saxifrage Water and Syrup of Violets with fifteen or twenty drops of Spirit of Vitriol Take of the Juyce of Pellitory drawn without fire three ounces Juyce of Lemmons and Oyl of sweet Almonds drawn without fire of each one ounce and an half Mix them for a Julep to be given three or four times morning and evening Or Take of the Juyce of Lemmons and white Wine of each two ounces Sugar candy half a dram Take it instead of the Julep Concerning Juyce of Lemmons you must note That it must be used warily for being given often and much it maketh Exulcerations in the Stomach from whence cometh the Flux called Lienteria These Pills following are excellent Take of Sal prunella Crystal of Tartar Salt of Ivy Berries and of Water-cresses of each equal parts with some proper Syrup or Turpentine make a Mass of Pills of which give one dram every morning This following pouder of Quercetan is much commended Take of the inward skin of Hens Gizzards and their white Dung of each half an ounce the inward skins of Egg-shels poudered two ounces and an half Rupture and Cinnamon of each four scruples Medlar stones two drams Annis and Fennel seeds of each one ounce make them into very fine pouder and give half a dram or a dram thereof in white Wine The Ashes of burnt Egg-shels from half a dram to an ounce given in white Wine doth powerfully expel the Stone that sticks in the passages of the Ureters Goats blood prepared is commended of all Authors old and modern as the best Medicine to dissolve the stone The Dose is from half a dram to a dram The Water of Goats Blood distilled in a Glass in Balneo Mariae doth wonders But you must feed the Goat one month with Saxifrage burnt Juniper berries Parsley and other Diureticks without Drink Hartman commends the Urine of a Goat in these words as a wonderful Remedy In the stoppage of the Reins by a greatstone or when the Vreters and Bladder are stopped by stones sent thither so that one drop cannot be voided it is excellent if you take the Vrine of a Goat taken out with his Bladder while he is yet alive and drink and apply his Paunch and Guts to the Belly and Privities for so the stone will be presently consumed without hurt to the Vessels and the Patient cured The Pouder of Millepedum or Sows is excellent to dissolve the stone and we will teach the use thereof in the stone of the Bladder Also the infusion of the same in white Wine and continued There is a Wine of Winter Cherries commended of Arnoldus Villanovanus and they say it doth so bring forth the matter of the stone that you may take it up in your hand And this is done by beating the Winter Cherries in white Wine and giving the strained Liquor These also following are good Take of Lapis Judaicus or Jews stone Pulvis Lithontribi Justini of each one dram Peach Kernels Gum Tragacanth and Cherry-stone Kernels of each half a dram bring them to Pouder and with Turpentine make a Bolus which give in three Doses morning and evening Take of Hors-Rhadish scraped two ounces white Wine four ounces steep them a few hours then strain them strongly Let the Patient take the straining twice or thrice at convenient hours Savin Water given to an ounce or two doth purge stones and gravel Take of Mallow Roots clensed in white Wine six ounces Burdock and Couch-grass Roots of each four ounces Asarum Paâ—sley Valerian and Fennel Roots bruised of each two ounces Maiden-hair Saxifrage Burnet Golden rod and Betony of each four handfuls Bazil Burdock Carduus Mountain Osier seeds Medlar stones and Peach stones of each one ounce Gromwel seeds two ounces Lapidis Lyncis and Judaici of each one ounce and an half Turpentine three ounces Goats Blood prepared two ounces and an half Saffron two drams white Wine four pints bruise them that must and mix them all distil them in Balneo Mariae Take two ounces of this Water three hours before Supper drinking after
may bind the Yard on both sides of it and take it out by Incision The Obstruction of the neck of the bladder which comes from Inflamation wil be cured with the proper Medicines against Inflamation But in the mean while if the Urine be there long detained you may gently conveigh in a searing Candle dipt in a little Oyl of sweet Almonds avoiding the Catheter left it cause pain and so encrease the Inflamation If the stoppage of Urine comes from a Caruncle you must take that away This is done by proper Medicines conveighed thither with a Wax Candle which must be done by a skilful hand And if the Caruncle swel and stop the Passage necessity wil constrain you to use the Catheter to draw away the Urine although there be danger lest the part disturbed should swel more But you must first make use of Revulsions by bleeding vomiting and Repellers to the Privities to take away the Inflamation of the Caruncle that way may be made for the Urine If suppression of the Urine come from thick flegm first it is good to purge with a Bolus made of Diaphoenicon and Rhubarb and then to give Turpentine often with Pouder of Liquoris afterwards a Decoction of opening Roots with Oxymel or Syrupus Bizantinus not omitting in the mean while Clysters Fomentations and Baths that mollifie and open And all those things will be proper which were propounded for the dissolving and expelling of the Stone And among the râ—st Experience hath taught us that these following are excellent Take of Benedict a Laxativa half an ounce the Troches of Myrrh two scruples the Decoction of Savin three ounces Mix them for a Potion By this a woman was presently cured of the stoppage of Vrine If there be abundance of Flegm in the whol Body or in the Head after blood-letting from the beginning of the Cure you must purge with an Apozeme three or four daies together Also the Julep mentioned in the Cure of the Stone of the Kidneys made of the juyce of Pellitory of the wall Sea-fennel and Lemmons with Oyl of sweet Almonds The Syrup of Rhadishes of Fernelius his Prescription given two ounces at a time is very excellent Dodonaeus in Observat Cap. 48. reports of one of fourscore yeers of age that was cured of a stoppage of Urine with dropping by a Lixivium or Lye made with ashes of Egg-shels and Rhenish Wine once taken Arnaldus Villanovanus commends the Wine of Winter Cherries in this following History mentioned in his Book of Wines There was in my time a Cardinal who had not pissed for four daies who was desperately swoln and cured by the advice of a weak Physitian with Winter-Cherry Wine and he voided as much Vrine as would fill a Bason By that only Experiment that Physitian being poor and of smal parts became a great rich man Many God bestows his Blessings upon his waies are unsearchable This kind of Wine as Arnaldus shews is made by taking five or seven or more Winter Cherries and beating them with good white Wine and then straining them and giving them to be drunk Hog-lice also beaten with white Wine and given to be drunk are good for the same The Oyl of Scorpions as Mathiolus prescribed it given five or six drops in Broth or other Liquor doth powerfully provoke Urine The often use of the Crystal Mineral doth provoke Urâ—â—â— especially when you fear inflamation which is often caused in the inward Skin of the Bladder by â—â—â— stoppage of Urine The Spirit of Salt doth it better The Vulgar Medicine of the Juyce of Pellitory of the wal â—efined four ounces with half an ounce of Sugar doth very much good You may mix therewith Sal Prunellae or Spirit of Salt If these stoppings from Flegm do often return there is nothing better than Brimstone and Niter Bath-Waters which both by drinking and bathing do easily dissolve clense and consume that slimy matter A certain Noble man having his Urine suppressed many daies after other Medicines taken in vain by this following Clyster kept two hours in his Body was cured Take of the Roots of Smallage Parsley Butchers Broom Dogs-tooth Sparagus Mallows and Marsh-mallows of each two drams Pellitory of the wall two handfuls Annis Fennel Dill Caraway Carrot Ameos Carthamus Rue and Cummin seeds with Bay-berries of each half an ounce Chamomel Melilot Dill and French Lavender flowers of each two pugils boyl them in white Wine to halfs In a pint of the straining dissolve of fresh Butter four ounces Honey of Roses two ounces red Sugar one dram Benedicta Laxariva half an ounce one Egg the Oyl of Nuts Dill Lin-seed of each two ounces Make a Clyster The Chymists brag of their Medicines against this Disease namely Spirit of Salt Vitriol Sulphur and Turpentine which they give to half a scruple in convenient Liquors or Chicken Broth. They Commend also the Salt of Tartar and of Bean Stalks given from half a dram to a dram And for Revulsion of the Humor from the part affected they give Vomits and they boast that very many have been cured thereby You must all the time of the Cure use Liniments Fomentations Cataplasms and Baths and other external things which must be the same that were before mentioned for the pain in the Kidneyes Among the rest a Cataplasm made of Pellitory of the wall fryed in Butter or Oyl of Scorpions is excellent Also a Bladder half full of Oyl which will be of more force if you boyl Spanish Flies called Cantharides therein Commonly they apply a Cataplasm of fiyed Onions with Hogs Grease to the Loyns and Privities with some Eggs. But raw white Onions beaten with Oyl into the form of a Cataplasin do far better if they be applied to the Kidneys Ureters and Privities A Cataplasm made of beaten Rhadishes is good for the same When the Ischuria comes of clotted blood you must dissolve it For this purpose use Troches of Amber the Rennet of a Kid or Hair Mummy simple Oxymel and Oxymel of Squils Syrup of Vinegar and the like Outwardly a Cow-turd doth wonders according to the Judgment of Learned Aetius Tetr 3. Serm. 2. Cap. 27. Lastly When the Urine is stopt by Matter or comes only dropping you must use Clensers and Cutters such as were set down in the Cure of the Ulcer of the Reins and Bladder Chap. 9. Of Dysuria or Scalding of the Vrine BY the word Dysuria we understand all painful pissing which the Modern Writers call Scalding of the Urine Many Authors make it all one with the Strangury because there is painful pissing but they will have it differ from Dysuria in this only but because in Dysuria there is a greater quantity of Urine made than in Strangury which is therefore called pissing by drops But we had rather for Instruction sake call that Strangury which is pissing little without pain and put them in one Chapter because they must be cured both the same way and to treat here of all painful pisling
Glass closely stopped be put into a Balneum Mariae exceeding hot so that it boyl twenty four hours together until the Spleen shall be boyled and consumed into little crums and there remains a great quantity of Broth excellently well boyled and of a very fragrant smel of which let the Patient take in the marning four ounces continuing the same for four or five daies when her Courses ought to flow Distilled Waters ought to be preferred before other Liquors as being more pleasant to the taste and because of their subtil thinness of parts they pierce more easily to the obstructed Vessels of the Womb. The Preheminence above all the rest is by Mercatus Rodericus a Castro and Sennertus given to this following Take a Loaf almost as sowr as Leaven indifferently baked and hot take away the Crust and add thereto of Honey twelve ounces Pounder of Nettle seeds Carrot seeds Amy Annis and Fennel seeds of each one dram Troches of Gallia Moschata red Mirrh of each one scruple Cotula foetida or stinking Fennel half a dram Infuse all in three pints of the Decoction below described which is made of red French Beans and red Vetches of each half a pugil Juniper berries one ounce Roots of Madder Butchers Broom wild Rhadish Asparagus Smallage and Parsley of each two ounces Green Germander one handful Seeds of Amy Annis and Fennel of each two ounces Boil all according to Art Then stil the liquor out in Balneo Mariae of which give to the Patient two ounces early in the morning Also there may be added Syrup of Maiden-hair of Opening roots of Mugwort Also the Dose may be augmented the following daies if the Stomach be not offended A Decoction of Guajacum or Sassafras is good in flegmatick bodies also Dictamnus Creticus may be added taking the same twelve or fifteen daies without sweating Jacchinus relates an Experiment thereof writing upon the ninth of Rhasis Chap. 66. I boiled saies he the Indian wood and added Dictamnus thereto By which I procured both her Courses and Child-bearing to a Woman which had wanted her Courses five years and had been Barren The Chymists commend Tartarum Vitriolatum Spirit of Tartar Mâ—xtura Spiritalâ—s Salts of Mugwort Bawm Celondine roots and Valerian This Treacle-Water following is mervailously effectual to this intent Take old Venice-Treacle five ounces Red Alexandrian Mirrh two ounces and an half Elect Cinnamon Oriental Saffron of each half a dram Camphire two drachms Pour upon them of the best Spirit of Wine till it stand three singers breadth above the Ingredients and draw out the Tincture with a gentle heat whereunto being poured off without straining add a sixt part of the Spirit of Tartar The Dose is one spoonful with some appropriate Water or Wine Whilst the aforesaid Remedies are in Use Clysters frequently injected are exceeding good because the Womb does rest upon the straight Gut or Intestinum Rectum and they may thus be compounded Take roots of Lillies one ounces of Orice and Valerian half an ounce of each of Mercury leaves two handfuls Mugwort and Savine of each one handful Chamomel flowers and Lavender of each one pugil Seeds of Caraway and Nigella of each one dram boil al to one pint In the strained Liquor dissolve of Hiera simplex and Benedicta Laxativa of each half an ounce Oleum Cheâ—rinum two ounces Electuarium de Baccis Lauri half an ounce Mix al into a Clyster Yea And the truth is Purgations repeated at certain convenient seasons will be very good which may be in divers manners prepared And in the first place Galen exceedingly commends the Pils of Hiera simple and compound because over and above their purging of superfluous humors they have a faculty of opening the narrow passages and of clensing the Womb. Or Take Aloes three drachms Mass of Cochie pills one drachm with juice of Savine forme twenty pills of which give the Patient three before dinner every third day Or Take Aloes one drachm Choice Rhubarb one drachm and an half Diagrydium one scruple Mirrh and Asarum roots of each half a drachm Spicknard one scruple With Syrup of Mugwort make a Mass of Pil-Paste The dose is from two scruples to a drachm made into pils Or Take of the Mass of Chochie-pil-paste half a drachm Mercurius dulcis twenty grains with Syrup of Roses solutive forme eight pills or six Let her swallow them early in the morning Also outwardly the Courses supprest are wont to be holpen with these Topick Medicaments following which must be outwardly applied to widen the passages make thin the humors and to rouse and awake the Expulsive faculty Take roots of Briony Lillies Cyperus Valerian Angelica Asarum Orice and of Parsly of each an ounce Leaves of Mugwort Baies Rue Savine Time Rosemary Penyroyal Nep Mallows Mercury of each one handful Flowers of Elder Cheiri Chamomel of each two pugils Juniper berries two ounces Boil all in Water and white Wine with the strainings let the Patients belly and the parts about the Privities be fomented with a sponge With the same Decoction the Quantity of Ingredients being augmented may be made a Bath to â—it in wherein the Patient may sit up to her Navil and the boiled Herbs being put into a bag must be applied to her belly But let her take heed of sweating which doth stop the Courses Take Oyl of Lillies Dill and Rue of each one ounce and an half Generous Wine three ounces Squinanth roots of Bindweed Angelica the two Birthworts and Savin leaves of each half an ounce Let them boil till the Wine be consumed Let them be strained and the Oyl pressed out wherewith warmed let the share and parts about the Privities be anointed after fomentation or sitting in the Bath Moist suffumigations are made of the Vapour of the Decoction for the Fomentation and for the sitting-Bath which being moderatly heated must be covered with a cover that hath a hole in it whereunto must be fastened a long pipe which must reach into the neck of the Womb through which let her receive the smoake morning and evening being covered with cloaths A drie Suffâ—â—migation may be thus made Take Cloves Cinnamon Mace of each two drachms Juniper berries half an ounce Nigella seeds one drachm Storax two drachms Make all into a gross pouder which being laid on Coles let her receive the smoake into the Womb after her manner aforesaid Or Take Storax two drachms Frankinsence one drachm Benjamin Alipta Moschata of each half an ounce Cloves Lignum Aloes Cinnamon of each two scruples With the Mucilage of Gum Tragacanth extracted with Cinnamon Water make little Cakes for to burn as aforesaid Pessaries may be made after this manner Take of leaves of Mercury bruised one handful Pouder of Hiera picra and Benedicta Laxativa of each two drachms Pouder of long Birthwort one drachm Honey and juyce of Mercury as much as shall suffice make all into a Pessary Or Take of Agarick Mirrh of each two drachms Galbanum half
Green Tobacco Leaves beaten and laid on do ease the Gout and are said to be of a stupefactive Nature As for the Efficient Cause of the pain to the Humor flowing into the Part repelling Medicaments must be opposed and to that which is allready in deriving and resolving Medicaments must be applied Howbeit repelling Medicines are disallowed in this Case especially alone and without the commixture of other things For if they shal wholly stop the influx of the matter into the Parts affected it is to be Feared least they retiring to the inward Parts should cause dangerous diseases unless they happen to be translated to some other Joynt Again the Humor which hath already flowed into the Part is the more driven inward by which means the Pains become more violent But yet if in the beginning of the Gout there be a great afflux of Humors especially hot ones which threatens sharp Pains to follow it will be convenient in some measure to repress the same by applying repellers not alone but mixed with such things as mitigate Pain after universal and sufficient Evacuations For then such things as do overmuch relax do help forward the afflux of Humors And therefore we may ad unto the foresaid cataplasmes and other remedies Plantane Lettice Purslane Housleek and such like as also a little Vineger As for example Take Barley Meal three ounces Boyl it in Water and Vineger add two Yolks of Eggs Saffron twenty grains Make all into a Pultis Or Take Red Roses an Handful Barley and Fenugreek Meal of each one ounce Red Sanders one dram and an half Chamomel Flowers one pugil when they are Boyled and beaten add two Yolks of Eggs Vineger four ounces Oyl of Roses as much as shall suffice make all into a Pultis Among remedies which derive the Humor from the Part affected are Horse-Leeches after sufficient Evacuation applied thereunto for then they do much good especially when the Veins in the Part affected do seem distended and swelling with Blood Now resolving Medicaments are wont to be used in divers forms as of Waters Oyls Unguents Balsoms Fomentations Fumigations Cataplasmes Plaisters and the like compounded after this manner Take Vitriol white and green of each one ounce camphire two drams aqua vitae and white Wine of each one pint Mix them and apply them with cloathes dipped in them Or Slake Lime in Urine purifie the Liquor and foment the Pained place therewith It is likewise good if it be done with Vineger and Lime Martinus Rulandus in the Centuries of his Cures doth mightily cry up his Gout-quelling Water but never describes the same But Libavius Petreus and others suppose it was thus made Take Fountain Water a Pint Aqua fortis half an ounce Sublimate one dram Boyl them a quarter of an hour Wet linnen cloaths in this Liquor and apply them luke-warm to the Part affected Quercetanus in his Pharmacopoeia propounds these following Take Pickle of salt and the Vrin of a Boy of each Equal Parts Still them and Wet Linnen Cloathes in the Water and apply to the place affected often changing the cloathes for fresh ones Take Green Elder Leaves and flowers of each one pound beat them and steep them in Aqua vitae for two or three daies still them in a Glass or Copper vessel till they be dry Take Spirit of Wine rectified two pounds of the finest honey one pound Distill them in Balneo Vaporoso So you shall still two Liquors The first is watrish The second much stronger and Sulphureous which you shall keep by it self To the remaining materialls add an ounce and an half of whol Oriental saffron Venice turpentine two ounces Castoreum six drams Tartar calcined till it be white half a pound dissolved salt an ounce Phlegm of vitriol not separate from its spirit four ounces Lie made of Vinetree-Ashes two pound steep them together twenty four hours Then still them til they become dry keep the Liquor which comes likewise by it self To the Dreggs remaining pour on the former Water which you kept Steep them and still them Lastly put all the distilled Waters together and distill them in Balneo Vaporoso Quercetanus saies That this Water is of wondrous efficacy and that it was communicated unto him by a certain most famous German as a special guift affirming that this was the very Water of Rulandus And he averred that he had seen the rare effects thereof in easing the Pains of the Gout if Linnen cloathes being moderately warmed and dipped therein be applied to the Part affected The same Quercetanus in his Councel touching the Gout doth brag that he reserves to himself his Gout-quelling Water as a Master-peice for such an old soldier as himself to boast of which he saies is made of plain Fountaine Water wherein he doth divers times quench certain Metallick substances which are wont to be taken inwardly when rightly prepared whose spirits being impressed into the foresaid Water do contribute thereunto the power of penetrating unto the Roots of the Disease and of truly resolving the Tartarous stony matters with the salts which are combined in the Joynts from whence such intollerable Pains do arise Peradventure this that follows it not unlike it nor a whit inferior in Virtue Take Vnslaked Lime four pound Slak it in River-water as much as you please and let it stand in a Wine Cellar three daies that the Salt may be better extracted out of the Chalk or Lime Afterward let them Boyl a little and strain the Liquor through an Hippocras Bag. In twenty pints of the strained Liquor quench seven or nine times first Plates of steel red hot then Plates of Copper red hot and thirdly to the quantity of ten ounces of Vitriol calcined till it be white fourthly Antimony melted in a Crucible to half a pound fifthly Litharge or Ceruse heated in a Crucible half a pound white Precipitate once washed and no more one ounce and an half Brassburnt and finely Poudered half an ounce After the quenching of these mineralls let the water stand still in a Wine Cellar the space of ten daies Afterward Boyl it a little and strain it through an Hippocras Bag. In this Water being hot doubled cloathes must de dipt and frequently applied to the Gouty Part. Among Fomentations easie to make that is commended which is made of Salt Ammoniack seven times sublimed and fitly dissolved in Wine or Water or of the Urin of a young man in good health Boyled till half be consumed and laid on with Raggs Solenander Writes in his 24. Counsel Section the 4. That a certain Gouty old man was wont to make himself this Medicine When the swelling and Pain was great and the place red he took Salt the Urin of a Boy and Vinegar In these being mingled together he Wet a Linnen cloath and squeesed it and laid it on this he did divers times and so the Pain was much abated As we said before that Anodine or Pain-quelling Oyls did little good in the Gout
thick and clammy humors abound the Syrup of Vineger will be very profitable in stead of those last named Also somtimes Conserve of Roses Violets or Borrage is wont to be mingled with cleer Water boyled with Barley Water and to be strained through an Hippocras bag for ordinary drink unto which some drops of spirit of Vitriol may profitably be added Or a Tincture of Roses is made after this manner most delightful in colour and in tast Take Red Roses one ounce Bloodwarm Water three pints spirit of sulphur or Vitriol one dram and an half Let them stand infusing cold for three or four hours To the strainings add white Sugar four ounces Rose-Water half a pint Make thereof a clear Julep for ordinary drink Also Julepus Alexandrinus is very good and extream pleasant It is thus made Take Fountain Water one pint Rosewater Juyce of Lemmons and white Sugar of each four ounces Boyl them over a light fire till you have taken away the Scum As for other things pertaining to Diet Sleep is extream good and watchings bad Yet over much Sleep doth overwhelm the natural heat and hinder the Evacuation of excrements Rest is necessary in acute Feavers but in long Feavers light and gentle exercise is good Also we must endeavor that nothing be retained which ought naturally to be expelled howbeit al immoderate Evacuations which exhaust the strength are to be stopped and al vehement Perturbations of mind must be turned out of Doors Among manual Operations Blood-letting holds the cheifest place for it doth not only diminish plenitude whether it be a simple fulness so as to stretch the Vessels or only a fulness with reference to the strength of the Patient whether it be in the whol body or in some Part but also revels the influx of Humors Causing obstructions cools the whol body and makes it perspicable keeps back putrefaction and furthers the concoction of putrefying Humors Presently therefore and at the beginning of the Disease blood must be drawn unless weakness hinder as in the Swooning Feaver and other like Cases and that after the Belly hath been loosened with a Clyster or a Suppository How much blood should be taken it gathered from the Patients strength from the greatness of the Pleâ—hora Custom of the Patient to bleed or not to bleed and other circumstances The Antients in the Synochus Putrida and the burning Feaver did let blood til the Patient fainted away But it is much more safe as we have said in the Cure of a simple Synochus to take away at several times so much as shall be sufficient then suddenly to put the Patient in danger of death Avicenna in a burning Feaver and in a continual Tertian doth forbid letting blood unless the Urine be thick and red For he fears lest Choller should be the more inflamed which he saith is bridled by Blood But the wiser Physitians do explode this Opinion of his seeing these kind of Feavers are often terminated even by Nature her self by bleeding at the Nose and they do somtimes cause Frenzies and other Inflamations and finally because Blood-letting doth potently refrigerate doth rather stop than further the Ebulition or boyling and working of the Blood and Choller comes away as wel as Blood when a Vein is opened so that in that Mass of Blood which is in the greater Veins remaining there is the same proportion of blood to Choller which there was before Nay verily when a Vein is opened if the sick party be any thing lusty and the blood flow amain only the putrid Blood which is offensive to Nature is voided the purer remaining in the Veins which few Authors have taken notice of although it be in the course of Practice every where observable For if the Blood flow out of the Vein drop by drop it is the purest Blood because it comes out of the Vein by its own proper motion But if it spring out with a forceable stream it appears foul and corrupted Nature expelling the worser part of the Mass of Blood Howbeit Blood is more sparingly to be taken from such as are of a very Chollerick Constitution in the middle of Summers Heat and the Dog-Daies than in other Natures and times But in Flegmatick and Melanchollick Feavers Blood must be taken away in lesser quantity and evermore great regard is to be had to Coindicants and Contraindicants forasmuch as Quotidian Feavers do for the most part happen unto Children or old Persons in cold Countries and cold Seasons of the yeer which considerations do lessen the Quantity of Blood which otherwise the Disease or its Cause require should be taken away When the Feaver is caused by over much labor blood must be taken away more sparingly If a Feaver happen by over great use of Carnal Embracements Blood-letting is pernicious Concerning the time of Blood-letting it is to be noted That a Vein must not be opened presently after the Patient hath eaten but after Digestion is past and after the Patient hath been at stool Again Blood is to be let when the Feaver is most remiss and not in the vigor thereof for then Nature is not able to bear both the violence of the Disease and the loss of Blood As for the repletion of Blood-letting if the same be necessary to cause Evacuation it must be repeated the same day if for Revulsions sake on another day For where Evacuation is necessary especially in acute Diseases the Body must be suddenly changed into another condition also it often happens that a Disease is quickly past its first time or beginning so that afterward we cannot so conveniently open a Vein But in Revulsion we have respect to the motion of the Humors which is then best ordered when it is done at divers times some space being interposed whereby Nature becomes accustomed to a contrary motion For in the space between Bleedings the Blood which was shed into the parts regurgitates into the Veins and by another Blood-letting is profitably drawn forth We understand that Blood-letting must be iterated if that blood which was first drawn forth were very much corrupted and there is reason to think that there is yet a great quantity thereof abiding in the Veins Yea verily Although the Blood at first seem pure and uncorrupted yet must we not desist from taking the same away but continue so doing until it appear more impure and corrupted And truly that Precept delivered by Hippocrates in his 4. de Victus Rat. in Morbis acutis in the Cure of a Pleutisie may very profitably be observed in acute Feavers viz. That Blood-lettings be so long continued til the blood change color so that if at first corrupt blood come away we must let it run till it appear more pure and on the other side if at the first the blood appear laudable we must suffer to flow til that which is impure and corrupted be come away Yet is there some diversity to be observed in both Cases For if at first good
yet so that such as respect the most predominant Humor be put in the greatest Quantity For the more nice and dainty soft of Patients Medicinal broaths are prescribed instead of Juleps and also that the sick may not grow weary of the same kind of Medicine too long used and these broths are made of such of the Roots and Herbs aforesaid as are most pleasant to the tast with a chick or part of an Hen of Capon unto which somtimes may be added one dram of Sal Prunella or some drops of spirit of Vitriol when we would have it more cooling than ordinary Howbeit in slow and long lasting Feavers caused by rebellious obstructions hard to be cleared Germander though bitter and Cichory Endive and Dandelyon though bitter may be boyled in Broaths and Montanus in his Counsels doth cry up Cichory and Germander boyled in Broaths as an admirable Remedy for such as have a long Feaver with obstructions In Feavers from flegm a Decoction of Chamomel is excellent Zacutus Lusitanus Observat 26. in the third Book of his Praxis admiranda Also emulsions or Almond-Milks are very good in putrid Feavers and are commonly more pleasing than Juleps They are most in use when the Feaver is Joyned with a dry distemper of the Bowels or a thin Catarrh or an Inflamation of the Lungs and Parts serving to breath withal or for variety least the Patient should be over tired with continual use of Juleps Now the Composition of these emulsions hath been described in the foregoing cures Cold Water given in great Quantity in continual putrid Feavers was wont to be in use among the antients and is commended by very many latter Physitians But as we said the use here of was dangerous in the simple Synochus so in this Case we think the discreet Physitian shal do best to for bear the same for the reasons we delivered in our Chapter of the simple Synochus Yet will it be somtimes good in extream heat of a Feaver to give a good draught of cold Water to ten or twelve ounces with a few drops of Spirit of Vitriol For hereby somtimes the same effects are wrought which Galen attributes to cold Water being drunk the quantity of three or four pints at a time When as notwithstanding there are none of those dangers to be feared which Galen himself confesseth did somtimes happen upon the preposterous drinking down of so great a quantity of cold Water as he adviseth For the Spirit of Vitriol causeth that the Water breeds no Obstructions but rather opens the same quickly piercing and passing through the Bowels not biding in the Hypochondria's as plain and single cold Water is wont to do but is very like the acid Mineral Fountains and Wells which though they are drunk in great quantity do not lie heavy in the parts about the short Ribs but are quickly pissed forth and very good against Obstructions To strengthen Nature which in every violent Feaver is much dejected Electuaries are good and strengthening Conserves and Preserves compounded of Conserve of Roots of Bugloss Leaves of Sorrel Wood-sorrel Stalks of Lettice Flowers of Bugloss Borrage Violet Cichory and Roses Pulp of Citrons Whereunto are added the Pouders of Coral Pearls Ivory Harts-horn Diamargaritum frigidum Diatriasantalon Diarrhodon Abbatis Confectio Alkermes de Hyacintho which are commonly after this manner compounded Take Conserve of Flowers of Borrage Bugloss Roses of each an ounce Confectio Alkermes one dram and an half Pouder of Diamargaritum frigidum Ivory Coral prepared and Pearls prepared of each ten grains Sugar of Roses the weight of all the rest three Leaves of beaten Gold Make of all an Electuary covered over with Gold of which let the Patients take often by it self out of a spoon drinking a little of their ordinary Drink after it or mingle sâ—me of it with their ordinary Drink and with their Broths Take Conserve of Cichory Sorrel Lettice and of the sharp Pulp of a Citron of each half an ounce Pouder of yellow Sanders and of Pearls prepared of each one scruple Spirit of Vitriol half a scruple With Syrup of Violets make all into an Electuary Take Conserve of the Flowers of Bugloss Roses and Violets of each one ounce Waters of Endive Sorrel and Borrage of each three ounces Mix them together let them stand over the warm Embers and heat then strain the Liquor through a searse then add Confectio Alkermes two drams Pouder of the Electuary Diamargaritum frigidum half a dram Coral prepared Pearls prepared and Shavings of Ivory of each one scruple Syrup of Lemmons and Pomegranates of each three ounces Mix all give one spoonful at a time For the more dainty and nice sort of People in great debility of Natural strength this following Julep very pleasant to the tast may be compounded Take Waters of Sorrel Orange flower and Roses of each one ounce and an half Syrup of Lemmons and Pomegranates of each one ounce Confectio Alkermes one dram mix them Let the Patient take hereof frequently in a spoon Altering Medicines having been used for some daies together and such as prepare bad Humors when the Feaver begins to decline we must set our selves to purge out the said Humors when the signs of Concoction do appear avoiding the Critical daies And this must be done with Medicines a little stronger than those which were given at the beginning of which sort are Senna Rhubarb Agarick Catholicum duplex and such like whose Matter and Dose must by the skilful Physitian be accommodated to the Humors offending and the Nature of the Patient And some Physitians are so bold as to proceed to Scammoniate Medicaments as Diaprunum solutivum Diaphoenicon Electuarium de succo Rosarum Diacarthamum Which notwithstanding are very seldom to be used in continual Feavers because Scammony is wont very much to inflame the Humors and to cause vehement thirst and that especially in burning Feavers in which Scammoniate Medicaments are very hurtful Yea verily and Rhubarb it self although a gentle and most excellent Medicament is by some suspected as not safe in very Chollerick Feavers because of its notable heating and drying faculty Howbeit the hurtful faculty thereof may in great part be corrected by infusing the same in Cooling Waters and by mingling therewith a Decoction of Tamarinds and cooling Herbs and by adding thereto Cassia Syrup of Roses Syrup of Cichory with Rhubarb and such like If the Feaver do stil continue Purgation must be ever and anon repeated using between whiles preparatives digestives til the whol seminary of evil humors be taken away For otherwise if we cease Purging before the Feaver be perferctly abated and gone the Patient wil be in danger of a Relapse Yet this Rule needs some restriction For if after many Purgations a lingring feaver continues which doth by little and little pine the Patients and seem to cast them into a Consumption it will be the best course to leave Purging and seek to conquer the Feaver only
on the Well-day but without sweating Somtimes also the Length of Tertian Agues arises from the evil disposition of some of the Bowels especially of the Liver and Melentery which cannot be Cured by purgations though never so oft repeated because that evil Quality remaining stil in the Liver causes new Morbifick Matter daily to breed which produces new Fits Which evil Disposition or Quality of the Bowels is taken away by Diureticks Sudorosicks and other resolving Medicaments With which faculties these following simples are endued viz. Wormwood Centory Carduuâ— Roots of Dictamnus of pimpernel Tormentil c. Of which are made Decoctions Pouders and such like which must be given for divers daies together before the Fit A dram of Uenice Treacle is ordinarily given with white Wine before the Fit three times one after another Some give a walnut preserved in Sugar or Honey after the same manner When the Heat of Uenice Treacle is feared it is at first given by it self and a draught of Plantain-Water is given after it My Master Varandaeus did often use this as a Specifick Medicine A Cup of Hippocras given before the Fit wil work the same effect with which pleasant Medicine many have been Cured Yet must it carefully be observed that these remedies must not be given till the Patient hath been diligently Purged Zechius Frequently used these following Pils which are most effectual for opening Obstructions strengâ—hening the Liver and taking away the distempers of the Bowels Take Treches of Rhubarb of Eupatorium and of Wormwood of each half a dram Pouder of Diarrhodon Abbatis one scruple with Syrup of Wormwood make a Mass of Pils Of which let the Patient take one dram in the morning three daies together drinking after them a draught of Broath made with Cichory and Maiden-Hair Montanus was wont to give many daies together a scruple of Troches of Rubarb or of Wormwood with Broath in which Barley Parseley Roots Cichory and Borrage have Boyled Let the Region of the Liver be anointed morning and evening before Meals with a Liniment made of two ounces of Ceratum Santalinum Juyce of Cichory half an ounce Juyce of Wormwood two drams and a little Vinegar of Roses In lâ—ke manner let the Region of the stomach be anointed with this Liniment Take Nard Oyl Oyl of Wormwood and of Quinces of each half an ounce Gallia Moschata one scruple white Wax as much as shall be requisite Make al into a Liniment Besides the Medicaments hitherto propounded which respect a regular and Methodical Cure there are many other specifick and Empirick Medicaments both internal and external both commended by Practitioners and frequently used by the common People out of the almost infinite number whereof I shal here set down such as are the choicest And among these Medicines may be reckoned such things as were before propounded to amend the evil Quality of the Liver and Mesentery which is wont to make long Agues whereunto these things following may profitably be added And in the first place Spirit of Sulphur in a Legitimate Tertian or one very neer Legitimate after bleeding and Purging being given with Purslain Water in the vigor of the Fit doth powerfully extinguish the heat of the Feaver and if the Humor be thin drives the same out by sweat that there remaines no matter for a new Fit and so is the Disease Somtimes pluckt up by the Roots It is given from half a scruple to a scruple with four ounces of Purslain Water And somtime the said spirit is mingled with Salt of Wormwood which is also of great Efficacy in the Cure of Agues the Composition is thus Take Salt of Wormwood half a dram Spirit of Sulphur a scruple Carduus Water four ounces Mix them Let the Patient take it when the Fit Approaches and he covered with many Cloathes Some Affirm that the Juyce of Plantain Clarified and drunk to the Quantity of four ounces an hour before the Fit doth Cure a Tertian Ague Some give it with Vineger and Saffron after this manner Take of the Juyce of Plantain four ounces Vinegar of Roses half an ounce Saffron three grains Mix them and give the Patient to drink two hours before the Fit Manardus prefers a Decoction of Chamomel or the distilled Water thereof to the Quantity of four ounces two hours before the Fit A Medicine commonly used and often successful is a little Potion made of Rose-Water Plantain Water and Aqua Vita of each a spoonful given before the Fit These following are outwardly applied Take Leaves of Hyssop and Tansie cut smal of each a pugil Mirrh two drams Mace Nutmegs Cloves and Cinnamon of each half a dram Venice Turpentine and Juyce of Tansey of each one ounce Mix all and spread them upon a Rose-Cake fried in a frying Pan with Canary Wine which being covered with a Linnen Cloath must be applied hot to the Region of the stomach an hour before the Fit Or Take Wormwood and Green Mint of each a pound Crust of Bread toasted and steeped in Vinegar half a pound pulp of Quinces or Conserve of Quinces made with Honey two ounces Mastich half an ounce Mace and Nutmeg of each two drams Let al be beaten and lustily wrought together with Oyl of Quinces Make hereof a Cataplasm to be applied before the Fit It provokes sweat and takes away the Pains of the stomach Or Take Nutmeg Cloves Cinnamon of each three drams Mirrh and Ginger of each two drams Make al into a Pouder mix it with Liquid Pitch and make thereof a Plaister for the stomach Also this following Cataplasm may profitably be applied to the Liver Take white Sanders and Red of each one dram Barley Meal two drams Aloes half an ounce Flowers of Violets and Roses dried of each one dram With Juyce of Wormwood and Vinegar make a Cataplasm to be applied to the Region of the Liver one hour before the Fit Neither are those Medicines wholly to be rejected which the common people are wont to apply unto the Wrists of such as have Agues For not only the Opinion of People is hereby satisfied who conceive that many are cured with these Remedies but somwhat they may effect by communicating their vertues unto the Heart by those notable Arteries which are scituate in the Wrists The chief of which kind of Medicines are these that follow Take Leaves of Plantane Celondine the great of each one handful Cobwebs Nettle Seeds Soot from the Chimney and common Salt of each one dram the strongest Vinegar as much as shall suffice Make of all a Cataplasm to be applied to the Wrists a little before the fit and to be repeated fresh three or four times Mous-Ear beaten with Salt and Vinegar is by some accounted of great efficacy being applied to the Wrists before the fit Of some the smallest sort of Housleek or Mous-teat is commended being used after the same manner Others commend the Leaves of Shepheards-purse beaten with Salt and Vinegar Platerus applies unto the Wrists
palate with Skinns of fragrant apples with the pulp and juyce of Citrons and a chick and to them sal prunella may somtimes be added for to cool more effectually Also Emulâ—ions may be made of sweet Almonds and the greater cool Seeds with the Decoctions of the Juleps And for the greater quelling of the venemous Quality to the aforesaid Seeds may be added Seeds of Citrons of Navew or Turnep and of Carduus Benedictus And to commend the tast the aforesaid Syrups may be mingled therewith Now in the whol Course of the Disease Antidotes must be used not only mingled in Juleps Broths and Emulsions as was said before and shal be further declared But also contrived into other forms And because al are not to be used indifferently nor at all times of the Disease that their right Use may be wel distinguished they must be sorted into four Tribes The first conteins those which besides the Specifical Quality by which they resist poyson are cold and dry and moderatly astringent and consequently they hinder putrefaction strengthen the Heart bridle the Venom that it cannot be so easily spred into the whol Body and hinder the dissolution of the parts thereof by a kind of compression as Bole-Armoniack Terra Sigillata Coral Cinkfoyl Roots and the Roots of Tormentil The second Tribe contains such as by their coldness and the tenuity of their substance do resist putrefaction and restrain the venemous Quality as Juyce of Lemmons Spirit of Sulphur and of Vitriol as al acid things and Vinegar it self The third comprehends hot Diaphoretick medicaments which expel venemous Humors and Vapors from the Heart and bring them from the Centre to the Circumference as Angellica Zedoary Dictamnus Meddow-sweet Scordium Carduus Scabious Treacle Mithridate Treacle water The fourth contains such as by a Specifical vertue without any excess of the first Qualities do oppugn the venemous Quality as Bezoar stone Harts-horn Unicorns-Horn Troches of Vipers and such like The Medicines of the First Second and Fourth Tribe do best agree in the beginning and the Augment and those of the Third Tribe in the state and Declination Now these medicaments must be exceedingly varied and diversly mixed according to the different degree of malignity or putrefaction according to the various Intention or Remission of the Feaver and according to the divers temperaments Sex and Age of the Patient and according to other Circumstances the determination whereof depends wholly upon the Judgment and Prudence of the Physitian and cannot be determined by any certain Rules Only one thing I shall advice you of which is very well known viz. That when there is a vehement burning of the Feaver we must chiefly use Refrigerating cooling things but the hot and Diaphoretick must not be medled with which notwithstanding wil be very proper when the Feaver is more remiss and the malignant Qualâ—ty is that which most offends Of these Tribes therefore divers medicaments mâ—y be Compounded according to the judgment of the Physitian But least yong Practitioners should be wholly destitute of some forms I shal ad a few in imitation whereof they may deviâ—e a thousand others as the occasion of practise shal require Take Roots of Sorrel Bugloss and Tormentil of each one ounce Leaves of Endive Cichory Sorrel Pimpernel of each one hand uâ— Tamarinds one ounce Boil al to a pint In the strained Liquor disolve syrups of Pomegranats and Lemmons of each an ounce and half Makes of al a Julep to be taken at thrice adding to every dose a drant of Confection of Hyacinths bezoarstone six graines This form of a Julep may do wel in the beginning of the Feaver But if the Feaver be very high and the Patient of a Chollerick constitution a dram of Sal Prunella may be added to every dose or as much spirit of vitriol or sulphur as may suffice to make it moderatly tart or both of them together â—uâ— in a Feaver not very high may be added to the decoction Rootes of the white-Thistle and of Cinkfovl Leaves of Scordium and Scabious Take sweet Almonds blanched one ounce Seeds of Melones Gourds Navew Citrons and Carduus of each two drams Beat them together in a Marblemorter pouring on by little and little a pint and half of the aâ—oresaid Decoction Syrup of Lemmon three ounces Sal prunellae three drams Make an Emulsion for three Doses to be taken twice or thrice in a day In the whol courâ—e of the Disease let the Patients use in their Broaths the Confection of Hyacinths or the following pouder which is not unpleasant Take of prepared 〈◊〉 Pearls prepared shavings of Ivory Harts-horn and Bezoar of each one scruple Mix them Make of all a pouder of which give half a scruple in every mess of Broath The Innovators of this Age who endeavor to banish Gemms Pearls Coral and al Cordial things from the use of Physick and cure all Feavers even those that are malignant with Blood-letting and meer refrigerating Apozemes may be convinced wiâ—h this one Experiment at least touching Coral and Pearls which being poudred if they be infuâ—ed in Vinegar Juyce of Lemmons Spirit of Vitriol or Aquafortis they take away all the Acrimony of those Liquors Whence we may gather that the same Medicaments taken into our bodies do sweeten and molifie the acrimony and malignant quality of humors and reduce them to a moderation They which have tasted the solutions of Pearles and Corals made in juyce of Lemmons or diâ—â—illed Vineger do know the truth hereof very wel Where the malignant and venemous quality is very rise Alexipharmaca or Poâ—on-quellers are to be given in Juleps broths the ordinary drink of the Patients and 〈◊〉 they take in that by a perpetual and incessant Conflict the troublsom Enemy may be oppoâ—ed Bezoar stone is given alone to the quantity of five or six graines with water of Mead-sweet Scorzonera Carduus or such like not only to oppose the malignant quality but also to help the Diaphoretick motion for this stone is reputed for a sweating Medicament which notwithstanding many approved Authors doubt of because they could never see any sensible effect by the giving thereof And truly to speak out my mind there can no great Confidence be put in this stone because although we may allow to the true and genuine bezoar stone those faculties which are hereunto ascribed yet because the great price thereof Causes that many Traders take a world of paines to sophisticate the same we can now a dayes hardly get any but counterfeit A clear testimony whereof is that the writers of the Indian Histories do aver that Bezoar stone is very scarce and of great price among the Indians themselves when we have plenty of them and cheap enough More credit should of right be given to that same Root which the Spaniards have in this Age of ours brought out of Italy which they cal Contra yerva which signifies the Poison-pelting or Antidotary Herb because the pouder thereof is a
juyce of Scordium juyce of sorrel of Goates Rue of scabious and Carduus of each one pint Shavings of Harts-Horn four Ounces Old Venice Treacle six ounces Let the rinds of the Lemmons be cutt into thin chips let the seeds be beaten and such herbs as have little juyce let them in the beating be moistened with the juice of Lemmons and let al be distilled in balneo Mariae Of the water give one ounce by it self or mixed with other Liquors The hotter sort of Treacle waters are made with white Wine or with spirit of wine which must be warilly given and in lesser quantity yet they pierc more than the other and move sweat and are cheifly used in the true Pestilence Howbeit in some Cases they may by the prudent Physitian be used Among the many Descriptions of such Treacle waters I wil propound in this place two of the most excellent Take roots of Angelica White-Thistle Gentian Tormentil Zedoary Harts-Horn of each one ounce of the three sanders of each half an ounce Treacle three ounces Camphire a scruple beat al and steep them three daies together in two Pints of strong white-wine in a warm place Then distil Them in Balneo Mariae and keep the water for use the dose is from two drams to half an ounce in refrigerating Juleps adding spirit of vitriol to correct the Inflamation thereof Take Spirit of Wine very wel rectified one pint and an half old Treacle eight ounces Elect Mirrh four ounces Oriental Saffron one ounce Camphire half an ounce Infuse al for twenty four hours in Balneo Mariae afterward stil them in the same Bath and you shal have a very effectual water The Chymists do exceedingly cry up their Bezoardica Mineralia because they are Sudorofick or Diaphoretick at least and yet do not at al heat which they endeavor to prove by their having no taste in which regard they are easily taken even by the most nice Patients that loath unpleasant medicaments They also commend their Medicine which is called by them Mixtura Simplex or Mixtura Spiritalis made of Treacle Water Camphorated spirit of Vitriol and of Tartar and they mingle a dram hereof in Juleps and antidotary Potions A Physitian that undertakes the Cure of malignant Feavers ought to have divers Antidotes in a readynes and to change them ever and anon least nature be too much accustomed to one and the same and slight the virtue thereof Also the nature of the venemous quality is not alwayes one and the same but very divers according to the diversity of the patients bodies So that what hath helpt one wil do another no good so that when he hath for some time used one antidote he must try another and another While the foresaid diaphoreticks are using if we have a Mind at any time to help their Operation that they may more powerfully bring out the poison into the surface of the Body some external helpes may be used viz. Cupping-glasses both dry and with scarification many and often set on and Vesicatories of which we spok before which are most convenient in the state of the disease and at what time Sudorofick Medicines are given as also Oyl of Scorpions of Matthiolus which is much commended by al Practitioners for it calls forth the poyson residing in the profound parts of the body unto the external parts And therefore the Emunctories of the body as the Groines and Arm-pits with the Pulses of the Templs Hands and Feet ought frequently to be anointed with this oyl warm viz. thrice or four times in a day or else every third hour Where this Oyl is not to be had a Liniment may be made of Treacle dissolved in Juyce of Lemmons adding a little saffron and Camphire If at any time Nature being oppressed with the malignity of the Poyson and overcome and seem not to act but as it were to submit her self with hands bound to the mercy of the humor The strongest diaphoreticks are then to be given in a large dose that the daunted mettle of the heart may be as it were spurred up And then the strongest sorts of Treacle waters and Bezoardicks which have greatest force to penetrate must be used and the addition of Camphire wil much help their penetration and outwardly at such a time this following fomentation wil wonderfully assist the operation of such things as are taken in and wil help to drive out the malignant vapors For by this Method many have bin reduced from the Gates of Death Take roots of Angelica and Gentian of each two ounces Leaves of Bawm Origanum Scordium of each two handfuls Seeds of Carduus benedictus one ounce Flowers of Chamomel Mullien Melilot St. Johns wort Centaurie the less Staechados Rosemary Marygold of each two pugills Make a decoction of all in water adding towards the end a little white-wine wherewith foment the feet Groins Armepits and sides warm with sponges If drynes of the tongue thirst and other signes do shew that the Feaver doth prevail as much as the malignant quality we must abstain from the fomentation and instead thereof let a Hen cut down through the Back or the Lungs or Caul of a Wether new killed be applied to the patients Belly In the whole Course of the Care the greatest Cure of al must be to preserve the patients strength which is much dejected by the Venemous quality It is best kept up first by Convenient broths made with a Capon unto which when necessity urges may be added the distilled broaths of flesh and especially the Aqua Caponis which is made in Balneo Mariae per Descensum as the common manner is now to make it Consection of Hyacinths given in broaths doth repaire the strength and doth oppugn the malignant quality In the same broaths Gelly of harts-horn doth satisfie both Endications If the strength of the Patient be very much decaied we may make bold with Confectio Alkermes provided the Heat of the Feaver be not very violent And finally wine is the most cordial thing in the world of the use whereof in this disease I spake before treating of the Patients Diet. The only smel of wine doth much refresh the Patients strength and much more a toast dipped in Canary and Rosewater and so held to the Nose And in this Case also Confectio Alkermes and de Hyacintho are wont to be put into alexipharmical Potions Or in extream dejection of strength Potions merely cordial may be thus made Take Orenge-flower water and Rosewater of each one ounce and an half Confectio Alkermes one dram Syrup of Apples one ounce Juyce of Lemmons three drams Make all into a potion If the Feaver be not intense Cinnamon water may be given to the quantity of one dram or three drams and sometimes Amber Griese may be added to the quantity of five Granes or Seven Neither in extream Weaknes of the Patients must we so much fear those hot cordials that we should resuse to save the patient from present death
best being drawn by a good Artificer and smelling of no fire but sending forth a most fragrant scent The Dose is from half a scruple to one scruple The Oyl of Box-tree taken by four drops at a time in four ounces of the Water of the Tile-tree flowers with four drops of the Spirit of Sulphur for some certain daies together is very powerful and is thought by many to be the true Oyl of Lignum Heraclei Crato calls the Natural Cinnaber the Load-stone of the Epilepsy and makes this Pouder of it Take of Natural Cinnaber or Vermilion which is cleer and finely poudred half an ounce red Coral and Pearls prepared of each two scruples Saffron one scruple the Leaves of Gold five Grind them all very finely upon a stone The Dose is from six grains to a scruple in the time of the fit in some proper Liquor The Cinnaber or Vermilion or Antimony which is taken after the extraction of Mercurius vitae is thought by Chymists to be of no less vertue than the former for if it be mixed with an equal weight of the Magistery of Pearl Coral and pouder of a dead Mans Skull it is a specifical Medicine in an Epilepsy though it be old the Dose is from ten grains to fifteen in a proper Liquor The Cure of an Epilepsy by consent is first to begin with the part affected and that part is to be clensed and strengthened by convenient Medicines taken out or those proper Chapters wherein they are mentioned not omitting Specifical and Antepileptical Medicines which are alwaies to be used in every Medicine But if the Epilepsy come from any external part besides the Universal Cure we must have a special eye to that and the malignant matter therein contained is to be evacuated by Cupping-glasses with scarrification Vesicatories and Cauteries And if the Disease continue after the Ephar or Scab is fallen off you must apply the Cupping glasses again and at last when necessity urgeth you must apply an actual Cautery If the disease come from a foulness of the Skul that is to be taken away with the Trepan and burning CHAP. VIII Of the Falling-sickness in Children BEcause this Disease is common among Children and useth to be very dangerous unto them therefore we shal ad a peculiar way for their Cure by it self because it is very much differing from that in elder People First therefore make the Belly soluble with a Suppository or Clyster After or about the same time give a purging Medicine proportionable to the strength of the child We need not fear to give of the Electuary of Diacarthamum two drams to a child of one yeer old if the Disease come of corrupt Milk Take of Hiera Picra haly a scruple or one scruple Pulvis de gutteta half a scruple Give it with a proper Liquor or with Honey of Roses Apply Cupping glasses to the Shoulders and Loyns and with Scarrification if the Child be one or two yeers old Apply a Vesicatory to the hinder part of the Neck If the Purgation have not done well or little profited you must vomit with white Vitriol prepared or with Salt of Vitriol which may be given twice thrice or four times if the Disease encrease The Epileptick Pouder commonly called de gutteta may be given often with Milk or Broth from half a scruple to a scruple That Epileptick Pouder is not found written in our Dispensatory but in the Shops at Montpelior It is usually compounded thus Take of Peony Roots and Seeds white Dictamnus Misleto of the Oak of each half an ounce the seed of Atriplex or Orage two drams the Pouder of Mans Skull three drams red Coral prepared Hyacinths prepared of each one dram and an half Elks hoof prepared half an ounce Musk one scruple Leaf Gold one dram Mix them into Pouder Take it in a smal spoonful of Water against the Epilepsy or instead thereof in Cinnamon Water or Imperial Water or with some drops of the spirital mixture with a proper Liquor Apply to the hinder part of the head a Plaister of Ammoniacum the hair being shaven for it hinders a flux of humors that fals from the Head upon the back bone outwardly Use this Pouder to the fore part of the head Take of Nutmeg half a dram Peony seeds one dram and an half Lavender flowers one pugil Amber two scruples Make a Pouder Or apply the strengthening Plaister prescribed in the Cure of the cold distemper of the Brain Two or three drops of Oyl of Amber with an equal quantity of Spirit of Vitriol given in Bettony Water do presently free a child from a sit of the Falling-sickness The same Oyl is good to anoint the Nostrils Instead of Oyl of Amber give the Oyl of Box as also the Water of Tile-tree flowers and Bettony Water The smoak of Tobacco doth free children from the Epilepsy if you put in the smal end of the Pipe into the childs Mouth and blow in the smoak or if you blow it from your mouth Let the Back bone and the Members contracted be anointed with this Liniment Take of the Oyl of Rue and of Earth-worms of each two ounces Oyl of Castor one dram a little Aqua vitae make a Liniment Take of Old Treacle one dram Confection of Alkermes and Hyacinths of each one scruple Bettony Sage Marjoram and Cinnamon Water of each half an ounce ' Mix them and hath therewith the Nostrils Temples and Ears You may also give a spoonful to be drunk But it is better to anoint the Nostrils Temples and Crown of the Head with the Apoplectick Balsom described for sleepy Diseases as also the Mouth and Pallat. Skenkius in his 5. Century of Exotick Experiments num 85. hath this Receipt out of George Kufner This is an approved Medicine in Childrens Epilepsies Give a little fine Musk in thin Wine twice or thrice in a day and it will cure perfectly While these things are performing you must give once or twice in a day a Clyster thus made Take of the Roots of round Birthwort of Polipody of the Oak of Carthamus seeds of each half an ounce Peony and Cummin seeds of each three drams the flowers of Chamomel and and Rosemary of each one pugil Boyl them to one pint take half a pint of it strained Hiera picra three drams Honey of Rosemary one ounce Oyl of Rue and Lillies of each three drams Two special things are to be practiced The one is the Root of wild Valerian before commended by Columna which he saith he hath given poudered in Milk and thereby cured very many Another is the Gall of a sucking Puppy which is mentioned in Untzerus thus Take a little black sucking Puppy but for a Girl take a bitch Whelp choak it open it and take out the Gall which hath not above three or four drops of pure choller give it all to the child in the time of the fit with a little Tile-tree-flower Water and thou shalt see him cured as it were by
or thrice in a day Also divers Juleps to cool the Liver use to be prescribed of which the Forms following may be Examples Take of Sorrel Succory Dog-tooth and Dock Roots of each one ounce Endive Succory Sorrel and Maiden-hair of each one handful Succory Bugloss and Borrage Flowers of each one pugil boyl them to a pint In the straining dissolve Syrup of Lemmons three ounces â—â—ake a cleer Julep for three Doses to be taken twice in a day If you will make it cooler add a little Spirit of Sulphur or Vitriol to every Dose to make it sharp And to make it colder yet add a dram of Sal prunellae VVhen Herbs are wanting you may make a Julep of stilled VVaters thus Take of Endive Succory and Sorrel Water of each three ounces Syrup of Lemmons and Pomegrantes of each one ounce and an half Make a Julep for three Doses You may also make Juleps that are good and pleasant of Juyces an Example of all which may be this that followeth Take of the Juyce of sweet Apples newly drawn and taken from the faeces four ounces the juyce of Lemmons three ounces Rose Water two ounces the Juyce of Pomegranates one ounce white Sugar half a pound Make a Julep for three Doses Instead of Juleps Physick Broth may be made for the dainty folk of the Herbs aforesaid boyled with a Chicken To which you may add one dram of Lapis Prunellae that it may cool the better or make it sharp with some drops of Spirit of Vitriol Blood of Succory and Germander brought into a Syrup as followeth are good to clense the blood open obstructions and cool the Liver Take of Succory Water made in Balneo Mariae as much as you please the Leaves of Succory two parts Germander one part Steep them together and digest them in Balneo Mariae three daies then strain them and add to the Liquor fresh Succory and Germander then digest them again three daies then strain them and let this way of Infusion be repeated eight or ten times The Liquor will turn red like blood to which you must put as much Sugar and make it into a Syrup Besides You may make Opiates and Tablets to cool the Liver and strengthen it thus Take of Conserve of the Flowers of Succory Violets Water-lillies and Bugloss of each one ounce the pouder of the three Sanders one dram and an half With Syrup of Lemmons make an Opiate to be taken often Take of the Lozenges of the three Sanders with a double quantity of Rhubarb four ounces Let him take every morning two hours before meat one of the weight of two drams Conserve of Hips of the Canker Rose well clensed and boyled with Sugar into the Form of a Marmalade doth powerfully cool the Liver if the Patient taketh it instead of the former Opiate The Tincture of Coral made with Juyce of Lemmons doth cool and strenthen the Liver if you give two spoonfuls thereof every day or twice in a week at the least A Bath of warm VVater used often doth more powerfully and profitably cool and moisten the Body than any other Remedy especially in lean folk VVhey is good for the same if it be used fifteen daies or more together It is made best by boyling the Milk and powring in a little Vinegar or Juyce of Lemmons and afterwards straining it Amatus Lusitanus prepareth it thus Take of Whey one pint very sharp Syrup of Vinegar three ounces Mix them and after a little boyling let it be taken as Mineral Waters twice or thrice and then walk upon it The Ancients took it five pints at a time Quercetan prepareth it thus Take of Whey two pints Juyce of Lemmons two ounces the new made Juyce of sweet Apples three ounces Clarifie them all together at the fire with the white of an Egg and put to them a little Sugar When it is strained take six or eight ounces every morning for fifteen or twenty daies together And if the Body be lean and consumed you may give Milk alone especially if it be of an Ass for many daies The Decoction of China prepared with the Juyce of Lemmons is also good for this purpose especially if there be Obstructions It is made thus Take of China Roots sliced one ounce Spring Water six pints the Juyce of Lemmons three ounces Steep them twenty four hours then boyl them till the third part be consumed then strain them through a Hippocras Bag and let him take six ounces thereof morning and evening and mix it with Wine when he pleaseth Lastly Mineral Waters that have Vitriol are good because they open and cool If the Disease continue after all this open the Hemorrhoids with Hors-leeches once or twice in a month And also use outwardly Epithems and cooling Oyntments to the Region of the Liver Make Epithems of Sorrel Succory Rose or Plantane Water or of Vinegar and Camphire to which for the strengthening of the part add a little Pouder of the three Sanders The Oyntments are Galens cooling Oyntment and the Cerat of Sanders Chap. 2. Of the Inflamation Imposthume and Vlcer of the Liver THe Inflamation of the Liver is a hot Tumor arising from Blood which is out of its Vessels and sent into the substance thereof And as the Blood is either pure or mixed with other Humors so doth it produce divers kinds of Tumors For if it be pure it makes a true Phlegmon but if it be mixed with Choller Flegm or Melancholly it produceth an Erysipelous Oedematous or Schirrous Phlegmon And if the said Humors predominate over the Blood there is a Phlegmonous Erysipelas oedema and schirrus There is another difference in respect of the place in which the Inflamation is it is either in the gibbous part or Cavity of the Liver Which is thus to be understood according to Galen 5. de locis aff cap. 7. An Inflamation cannot be in either part of the Liver distinct so that the other shal be free because the flesh in the part is contained in all parts and therefore when one part suffereth the other also suffereth in some measure Moreover That which Galen taught 13. Meth. Cap. 14. is worth observation When the hollow part of the Liver is offended it is necessary that the Inflamation reach to the Veins of the Mesentery which come from the Gate Vein And Experience teacheth that they who have died of this Inflamation have had not only an Imposthume in the Liver but also in the Mesentery VVe must also observe from Hippocrates Aph. 45. Sect. 7. That an Imposthume somtimes is only in the Membrane which covereth the Liver and somtimes in the substance or Parenchyma of it For saith he they who have a hot Liver suppurated if pure white quittor or matter flow from thence do escape for it is contained in the Tunicle But if it be like Lees of Oyl they die Galen in his Comment saith thus They who have matter in the Tunicle of their Liver and the substance not
of Tragacanth and after put in a Glass otherwise they will grow moist You may continue this Medicine for a month or two not only without hurt but with great profit Fonseca commends these Pils following which he cals Diatartarum for opening Obstructions by degrees and purging Melancholly gently and for allaying it Take of the Pouder of Senna and Salt of Tartar of each one dram Pouder of Cinnamon half a scruple with Syrup of Lemmons make a Mass of which give three Pills made of half a dram one hour before Supper to give him two or three stools for Salt of Tartar hath great Vertue to allay black melanchollick Humors for it draweth to it self by certain propriety sowr things as you may perceive when it is mixed with Vinegar or Spirit of Vitriol whose sowrness it taketh away For we must know that Fonseca by Salt of Tartar meaneth Crystal of Tartar Yet you may as well infuse your Senna with the Salt of Tartar and some drops of Spirit of Vitriol in some convenient Liquor To open the same Obstructions some commend the Decoction of China as we said in the Obstruction of the Spleen which a wise Physitian may do with good success Some commend the Juyce of VVormwood thickened into the form of a Pill given either by its self or with Gum Ammoniacum and after that presently Oxymel made of the Decoction of Asarum Roots and Liquoris Others say That Hypochondriack Melancholly hath been cured with the Decoction or Wine of Wormwood taken thirty or forty daies together The Juyce of Bugloss is excellent not to open Obstructions as Wormwood but to qualifie the Melanchollick Humor Therefore they give two ounces thereof with two drams of Sugar and as much Wine as of both for ten or twelve daies every morning The principal thing for this Cure is to keep the Body alwaies soluble Therfore the Patient must have some familiar Medicines which he may often use before meat somtimes one somtimes another lest he grow weary of them For this he may take the Magisterial Syrup and the aforesaid Pils and those which were preâ—cribed for a costive Belly To which he may add out of Montanus Venice Turpentine which he orders to be swallowed in the quantity of an Acron three hours before dinner once twice or thrice in a week for besides that it looseneth the belly it also clenseth the Stomach opens Obstructions provokes Urine warms the Stomach and doth not heat the Liver but doth it good by opening and clensing it For his ordinary Drink let him use Water wherein Gold hath been quenched or the infusion of Tamarisk Agrimony Burnet in thin Wine either alone or made Physical in Vintage time with the Roots of Bugloss Borrage with a little white Sanders and Rosemary Flowers The Decoction of the Sweet Bryar Root is commended for ordinary Drink for it openeth and strengtheneth all natural parts The Decoction of Lignum Nephriticum doth open the Obstructions of the Bowels without any manifest alteration But steeled Water is more usual All which Waters and Decoctions you may also mix with Wine While in the internal Medicines mentioned or any of them are used you must apply External as Fomentations and Oyntments to the Hypochondria such as are prescribed for the Obstructions of the Liver and Spleen making Choice of the Coolest You must also apply strengthners to the Stomach because that part doth alwaies suffer in this Disease therefore you may use those Fomentations Oyntments and Emplaisters mentioned in the Diseases of the Stomach Also those Internal which wil not inflame the Liver and especially the Digestive Pouder to be taken after meat in a Fit when the Vapors arising from the Hypochondria do trouble the Heart Brain and other parts and produce great Symptomes as Swoonings Palpitations Tremblings Convulsions Head-ach and the like you may use those things which are given in Swooning or the Mother but among the rest Laudanum used wisely doth wonders Chap. 6. Of the Scurvy THe Scurvy is usual in the North in most places thereof Common but almost unknown in the South so that al Writers that have Practiced in these Parts have never mentioned it and we may wel leave it out because in our Preface to this Book we promised to meddle only with the usual Diseases of the Spleen but Experience hath taught us That our Country is not altogether without it for though it be not in every Symptom the same with that of the North yet it hath enough to confirm it to be the same for the aforesaid Authors say that one Symptome is sufficient to discover it we have seen many Symptomes of it in many people but because it is not familiar here and al our Physitians say we have it not we would not absolutely cal it a Scurvy but we thought it better to cal it a Scorbutical Disease such an one as comes next to it though it be not a true Scurvy For the Scurvy is nothing else but an Hypochondriack Disease having a peculiar degree of Malignity from which more Symptomes arise than in the Hypochondriack Disease this malignity comes from the putrefaction of Melancholly not of every kind of melancholly for it is often corrupted from which other Diseases arise and not the Scurvy as a Quartan Ague â—â— Imposthume in the Mesentery and other parts but of a peculiar and proper Melancholly which is aâ—â—â—â—able to that Malignity This is known by the Infection which is found in this Disease because authorâ— hold it to be infectious And because al the degrees of malignity which lie in the Humors and produce divers Diseases are unknown unto us and 〈◊〉 therefore is this of the Scurvy obscure 〈◊〉 hidden and it is wonderful that so many Diseases should arise from the variety of malignity which is in the Humors as malignant Pestilential Feavers 〈◊〉 〈◊〉 〈◊〉 Measels Cancers and Elephantiasis the Pox and many others And especially Elephantiasis comes from a peculiar malignity in a Melanchollick Humor and so doth the Scurvy and yet these two Diseares differ so much that none can tel their divers degrees of malignity Divers Symptomes common to both do shew a great likeness of the Scurvy and Hypochondriack Melancholly for al they which were mentioned in the former Chapter are found in this Disease as crudities and want of Concoction in the stomach often spitting flegmatick sharp and stinking vomitings noise in the Hypochondria belchings breaking of Wind downwards vomiting of blood and purging of blood pains from wind under the ribs and in the stomach somtimes Costiveness and somtimes Looseness heat in the Hypochondria beating of the Left side Urine now thin than thick heart beating thirst drought of the mouth short breath head-ach noise in the ears dimness of sight giddiness sorrow and sadness and divers dolings convulsions falling-sicknes numbness coma watchings troubled sleep and terrible dreams The Reasons of al which were shewed in the Chapter above and they may agree with this of the Scurvy But if any
the Patients belly above the Navel be strongly girt with a swath-band that the womb may be thereby reduced and the vapors hindred from ascending Concerning letting blood it is a great question Whether it be convenient in the sit or no For seeing there is at that time a great weakness in the Patient and somtimes despair of life and the body is cooled all over by malignant vapors which infest the Brain and Heart which can no waies be expelled by blood-letting no question the use thereof is very dangerous during the fits And of this Opinion are Varandaeus and Sennertus But Mercatus and Rodericus a Castro do determine contrarily That a Vein ought to be opened in the Patients Ankle or Instep when the Disease springs from an abundance of Menstrual blood retained and that the Patients strength oppressed with the burden the passages obstructed with too much blood and the danger of suffocation hence arising can be remedied by no other means but bleeding seeing in this case neither stinking smels nor sweet smels nor Cupping-Glasses can bring the Patient out of her fit Philippus Hoechstetterus in the second part of his Observations makes it appear by certain Histories that bleeding in the Foot hath done much good Insomuch as a certain Nun which had been speechless and in Convulsion fits for two daies together two hours after she had bled began to speak and to eat and drink Iam of Opinion a Vein may be opened if the Pulse be strong and there be evident tokens that blood doth super-abound But if the Pulse be weak we must forbear and stay till the fit is over for a more convenient season in which blood may be safely taken away Plaisters are profitably applied under the Navel of the Mass of Emplastrum Ceroneum which mollifies and discusseth and so is better than the vulgar Womb-Plaister which doth somwhat bind and therefore may retain the vapors and malignant humors Plaisters are likewise made of Galbanum and Assafoetida or of Caranna and Tacamahaca either alone or with some Spices mingled with them As for Example Take Gum Caranna half an ounce Pouder of Nutmegs and Cloves of each half a dram Oyl of Amber four drops Turpentine two drams Make all into a Plaister Such Plaisters are to be in fashion of a Shield or Scutcheon and in the pointed part of the Plaister which must be laid towards the Water-gate some of Musk or Civet are to be put that they may send forth a sweet smell and thereby allure the Womb back again Three grains of Musk may be put in a little Cotton moistened with Oyl and thrust into the hole of the Navel then lay on a sinal Plaister of dissolved Galbanum This some Women for a Secret Or four grains of Camphire may be dissolved in Oyl of sweet Almonds and put into the Navel and a Diapalma Plaister laid over it If the Disease seem to be fostered by plenty of wind and vapors Fomentations and Baths will be good of the Decoction of Rue Mugwort Time and Calaminth Fennel seed Annis seed Cummin seed Bay-berries Chamomel Flowers Dill flowers c. Also little bags may be prepared with Cummin seed Annis seed Carrot seed Salt Rue Bran in them and applied very hot and often renewed Or Take Oyl of Rue four ounces Spirit of Turpentine half an ounce Mingle them and dip therein a piece of Bread hot out of the Oven and lay it upon the Navel Also it will be good to anoint the lower part of the belly the Region of the womb Share and Loyns because such anointings do dilate the Passages attenuate the Vapors and discuss them They may be made of Nard Oyl Spike Oyl Oyl of Dill Sesamine Saffron Lillies and Sweet Almonds Authors do very much commend a fume of the warts which grow upon Horses Legs which being dried in an Oven and beaten to Pouder they are burnt under the Noses of women in these fits as a present Remedy whereby women are wont to be in an instant delivered of their fits to the admiration of the by-standers If the Disease spring from Retention of Seed nothing is better than carnal Conjunction as soon as the Patient is out of her fit if she be married Instead of carnal Conjunction where that cannot he had many advise that the Patient be rubbed and tickled by a Midwife in the Neck of her womb into which the Midwife must put her fingers anointed with Oyls of Spices that so the offensive Sperm may be voided But seeing that cannot be done without wickedness understand by a silly superstitious Papist that counts it a meritorious good work to burn Mother and Child in her womb alive as at Jersey and a wickedness to free a sick body of a little offensive humor a Christian Physitian must never prescribe the same To Discuss those malignant Vapors which cause the womb-fit many Medicines are wont to be given down the Throat among which is a dram of old Venice Treacle with water of Mugwort Penyroyal and Balme Troches of myrrh to the quantity of two scruples or Oyl of Amber to five or six drops with the said Liquors Pills are frequently used the best are made after this manner Take Castorium Myrrh Assa-foetida of each one scruple faecula Brioniae half a scruple seeds of Rue and Saffron of each seven grains with Syrup of Mugwoâ—t make twelve pills Let her take three or four if she cannot swallow them let them be dissolved in Water of Mugwort These following Pills are good in a violent fit which they are wont to remedy without fail Take Assafaetida one scruple Castoreum six grains Laudanum three grains make all into three or four Pills Let her take them presently Pilulae Faetidae majores although they be purging yet are they given to good purpose in the Fit to half a dram For they gently evacuate and are not wont to work till the fit be over so that there is no danger in their working Also many waters are wont to be given in the fit viz. Aqua vitae Cinnamon water or Treacle water Or a specifical water may be made after this manner Take Zedoary roots Carrot seeds Lovage roots of each two ounces red Myrrh Castoreum of each half an ounce Piony roots four ounces Misleto of the Oak gathered at the wain of the Moon three ounces powr upon all these being prepared four pints and an half of Feaver-fewwater Spirit of Wine half a pint let them digest three daies and afterward still them The dose is a spoonful by it self or with some other convenient liquor A more easie water to make more pleasant to taste and no less effectual is this following Take of the juyces of Bawm and Borrage clarified of each two pints the best Saffron one dram Let them be infused and distilled in Balneo The Dose is a spoonful with Broth. This following potion is vulgarly used Take of Cinnamon Water half an ounce Turnep Water four ounces Castoreum four grains Make all into
larger Housleek and Camphire or Vnguentum Populeon or Oyl of Roses Lillies and Poppies or with an Epithem made of Plantane Water Rose Water Vinegar of Roses and Camphire or with a Mixture of Rose Water Oyl of Roses and Vinegar all which are to be applied actually cold in the Summer and a little less than blood-warm at other Seasons of the Yeer Disquietness and tumblings and tossings which are wont to happen in the Feaver Assodes and in the Fits of a Tertian Ague are best cured by purging away the Chollerick Humor which vexes and frets upon the Stomach and other sensible parts and that by Vomit or Stool according as Nature seems more or less to affect the one or other way also it may be drawn downwards by Clysters and presently all Art is to be used to make the Patient rest and cold Drink is given as also cooling Juleps whereunto somtimes Syrup of Poppies or a little Laudanum may profitably be added Swooning Fits are wont to happen in those kind of Feavers which are commonly called Febres Syncopales or Swooning Feavers of which there are two kinds as was said before and the one is called Minuta the other Humorosa The Cure of which Feavers much differing from the Cure of other Putrid Feavers we have reserved unto this place in regard of the said Symptome of Swooning The Minuta Syncopalis which is bred of Chollerick Humors sharp and venemous must be cured after this manner Let the Air be cold and moist and a little astringent that dissipation of the substance of the Body may be thereby prevented Let the Patients Diet be thin cooling and restorative of the Broth of Chickens boyled with Sorrel Purslain c. To which may be added Rose-water Juyce of Pomegranates and a little Sugar Bread steeped in the Juyce of Pomegranates or of Oranges may be given if a more liberal Diet is to be granted as also Cream of Barley or Panada's with Juyce of Lemmons or Pomegranates Also Restorative Broths of pressed Flesh with the foresaid Juyces To the stronger sort are given the Yolks of Eggs with Juyce of sowr Grapes the Stones of Cocks the Flesh of Pullets Hens Partridges qualified with the aforesaid Juyces Let the Patients drink with their Meat if they have no Inflamation of any bowel thin Wine not very old nor yet new and windy or Beer that is indifferent strong not new or very stale When they eat not or otherwise if there be Inflamation let their Drink be Barley Water or Water in which a piece of a Loaf hath been boyled with Syrup of Pomegranates Lemmons Citrons Julep of Roses c. Sleep is good out of the Paroxysm but in the same it hurts And finally special Care must be taken that nothing provoke the Patient to Anger Sadness and the like Passions In the Paroxysm Resolution of the Spirits must be prevented by blowing cool Air with Fans upon the Patients and by sprinkling them with sweet smelling Waters Their Face must be sprinkled with cold Water or Water of Roses and Vinegar minled With which the Stones of Men and the Dugs of Women must be bathed cold If Heat and Spirits will not be revoked from the Heart to the outward Parts of the Body it is to be revelled and forced back by binding of the extream Parts and by nipping and pinching them also pluck the Patients often by the Nose pluck them by their Hair and call upon them often by their Christen Name Give of the Crum of White-bread steeped in the Juyce of Pomegranates of thin fragrant Wine tempered with Rose-Water and when necessity urges some Cinnamon Water mingled with Rose Water In the mean space Restorative Broths are not to be omitted wherewith Confectio Alkermes and such like may be mingled Also Cordial Potions are often to be given out of a Spoon made after this manner Take Water of Roses two ounces Orange flower Water one ounce Cinnamon Water half an ounce Confectio Alkermes one dram Pearls prepared and Coral prepared of each half a scruple Sugar Cakes made with Pearl six drams Mix all and make thereof a Julep or Cordial Potion To these may be added the Electuaries and Conserves and Preserves described in the foregoing Chapter Also the inner side of a Loaf hot out of the Oven sprinkled with Rose water and Vinegar may be applied to the Patients Nostrils and Mouth To the Heart Cooling and strengthening Epithems may be applied To straiten the Pores and prevent the Evaporation of the Patients strength and Spirits wrap them in Linnen sprinkled with Pouder of Roses Balaustians and Sanders or let their shifts be sprinkled with Rose water and a little Vinegar Let their whol Body especially the Back be anointed with this following Liniment Take Oyl made of unripe Olives one ounce and an half Mirtles Quinces and Mucilage of Seeds of Flea-bane of each six drams Gum Arabick dissolved in Rose-Water two drams white Wax as much as shal suffice make all into a Liniment A special regard is to be had of the stomach because the Humor offending is cheifly there collected Now the region there of must be anointed with Oyl of Roses and Quinces and then also may be laid on a Toast of Bread wet in Juyce of Quinces and unripe Pomegranats Or if it be afflicted with great heat soment the stomach blood-warm with a Decoction of Purslain and Roses oâ— with Juyce of Night-shade Purslain Sowr-Grapes adding thereto Oyl of Roses and Quinces The Swooning Fits being removed and the Patient strengthened we must bend our minds to remove the Feaver and its Cause Which may be done by Alteratives and Evacuators proper for turning Feavers which we have described in their proper place viz. Where the Cure of burning Feavers is set down The Cure of the second sort of Swooning Feavers which is called Febris Syncopolis Humorosa which is caused by abundance of Flegmatick and crude Humors is in a manner contrary to the Cure of the Minuta newly described For the Air ought to be temperate inclining to heat light pure and dry Meats of good Juyce easily digested prepard with Hyssop Fennel and such like Herbs Let their drink be thin and not very strong Let their sleep and Watchings be Moderate But Frictions or artificial Rubbings of the Body and by Galen much extolled in this Case In the 12. Method Cap. 3. They must be used from the beginning of the Disease with Course Cloaths beginning above and so Rubbing downwards first on the Thighs and Legs afterwards on the Arms shoulders and Back Let the Cloaths with which the Frictions are performed be first Smoaked with Storax Lignum Aloes Frank-Incense Cloves c. When after friction the Limbs are lustily warm anoint them with Oyl of Dil of Chamomel of Orice of Castus and others of a resolving Faculty Such Frictions as these are highly commended because they call the natural Heat and spirits together with the Humor offending which did Choak the natural strength into the outward
of Wax Nutmeg and Sage of each two drams After you have anointed you must cover the part affected with a hot Sheeps skin and when it is cold iâ— you have not a fresh one make it warm again with the Oyl of Dill or the like hot Oyl We apply successfully to the part affected the hot Lungs of a Sheep as also yong Pidgeons Whelps and â—hickens slit in the middle Put the pâ—rt aâ—fected into an Ox or Sheeps Belly or other great Creatures newly killed and let it remain there â—hile it is warm Baths of Head herbs are good putting to them a third part of Oyl or anointing afterwards Some commend this Emplaster Take of Colopâ—ony two ounces Rozin and Pitch of each one ounce Frankinsence Mastich Ceruss of each haâ—f an ounce Sanguis Draconis common Salt Ammoniacum and Terepintine of each two drams new Wax two ounces white Vitriol two drams Mother of Pearl two ounces Load-stone half an ounce yellow Amber one dram and an half Oyl of Egs and Roses of each two drams Make a Plaister upon Leather Baths coming of Brimâ—tone are excellent especially in constant Convulsions Also dry Baths of the fume of the Decoction of Sage Rosemary Stoecnas Chamepitys or Ground-pine Origan and the like in white Wine sprâ—nkled upon stones fire hot or Iron It is very good to foment the hinder part of the Head and the Neck with hot Aqua vitae Penotus doth wonderfully extol the following Medicine for quite Curing of a Convulsion Take Oyl of Turpentine half an ounce Oyl of Cloves six drops of the Mucilage or slime of Briony so much as is sufficient to make a Limment Anoint the part affected and the root of the Nerve which comes unto it Others say they quickly cure a Member with the Oyl of Turpentine of Wax Chamomel and the like mingled with Spirit of Salt The following Liniment is very powerful Take old Butter and Bacon of each a quarter of a pound Bdellium and Ammoniacum of each one ounce Mirrh and Castor of each two drams Stoechas and Rosemary flowers of each one pugil Nutmeg and Cloves of each one dram a Kitten or yong Cat flead bowelled and cut in pieces Stuff a Goose with these and roast her cast away the first dripping which is watery the next which is fatty receive in a Vessel half full of Vinegar Anoint the parts affected and the backbone therewith Sometimes the pain is so intollerable that it must first be cured For which this is good Take of Oyl of Violets Lillies and Chamomel of each an ounce and an half Oyl of sweet Almonds Mastich and Roses of each one ounce If you wil have stronger make this Bath Take of Marsh-mallow Roots and Lillies of each one pound and an half of the Leaves of Origan Violets Mallows Sage and Wormwood of each two handfuls Linseeds and Fenugreek of each one pound Boyl them for a Bath in which let the party fit not long but come ouâ— as soon as he finds ease It is sufficient if the parts affected be only bathed therewith Others make Baths only of Oyl and if the Patient be rich they boyl a Fox or two in it While these are doing purge the Head with neesing and chewing described in the first Chapter As also you must strengthen with the Cephalick or Capital Opiate Apoplectick Water Treacle and the like Rondoletius speaks thus of his Water of Swallows A Water made of Swallows and Castor presently cureth a Convulsion coming of Repletion You may find the description of it in his Chapter of the Epilepsie CHAP. VII Of the Epilepsie or Falling-sickness THe Epilepsie is a Convulsion of the whol Body not continually but by fits with a hinderance both of the Mind and Sences The Word Convulsion is not here taken properly and strictly for a true Convulsion but improperly for a Convulsive Motion For an Epilepsy is a Convulsive Motion not a true Convulsion But we keep the name of Convulsion in imitation of Galen who calls an Epilepsy alwaies a Convulsion This Definition is taken out of Galen 3. de loc aff cap. 7. and lib. de diff sympt cap. 3. and defines a perfect Epilepsie in which all the Body is contracted and all the Sences both internal and external are abolished Yet there are imperfect Epilepsies in which only the Head or Arm Leg and Thigh or half the Body is only contracted There is also an Epilepsy in which the mind remains sound and the external sences and also the voluntary motion of some parts I saw a Nun which in her Epileptick fits had divers contractions somtimes of the Arms then of the Legs somtimes of the Head afterwards of the whol Body yet she saw those that stood by and spake nay she also endeavored a voluntary motion against the Convulsive so as she did in a manner diminish the involuntary motion somtimes she was in a smal fit only and walked about her Chamber but with a disorderly motion leaping and using strange antick postures by which she caused the rest of the Nuns to be very merry and she at that time laughed with them and spake when she pleased Every convulsive motion as I said in the former chapter cometh of provocation which proceedeth from the quantity or quality of the matter The quantity of matter which causeth the disease burdening Nature stirs her up to expel that which is troublesom to her Whence the Opinion of Galen is confirmed which is so disputed by late Physitians That an Epilepsy comes of an imperfect obstruction of the Ventricles of the Brain for if the humor obstructing or stopping is burdensom to Nature the Brain will labor to expel it In the quality there is no difference for all agree in this That the expulsive faculty is stirred up by sharpness and acrimony and by any quality which is offensive to Nature The Causes stirring up or provoking are either contained in the Brain and make a proper Epilepsy or come from other parts and so make an Epilepsy by consent or sympathy And that provoking or irritation makes an Epilepsy when the Brain laboring to expel that which is offensive shakes its self and by consequence all the Nerves which are adjoyned to it There is in Galen and almost all Authors a threefold Epilepsy The first is that which hurts the Brain in which the Disease is The second is that which hurts the Brain by consent from the Stomach The third is when the disease is sent from other parts of the Body to the head And these have their proper names The first as being chief is called Epilepsia the second Analepsia the third Catalepsia But by Galens leave that division is superfluous and in vain is that Epilepsy which comes from the Stomach separated from those which comes by sympathy from other parts when all ought to be called Sympathicae or Epilepsies by consent Neither is it sufficient to say that an Epilepsy from the Stomach is distinct from others because it is most frequent
a miracle presently If the Child suck look that the Nurses Milk be good let her have meat of good juyce and light of digestion Let her drink no Wine but Water or Water and Honey and a smal drink made of Sarsaparilla Some Children are so subject to this Disease that it will return again after it is once cured Nay in some Families al the Children use to die of this Disease Therefore you must use preventing Medicines not only to those which are newly born but to those also which have recovered First therefore give to Children newly born before they suck give one scruple of the Pouder de gutteta mentioned before in a little milk and give the same quantity thrice in two daies It is good both for them which have been cured and children when they are a few daies old to apply a Caustick to their Necks But an actual Cautery is much better which our Physitians wil not use because they abhor violent and terrible Medicines Rondeletius affirms that the Actual Cautery is so used in Florence that the women do use to apply it themselves And this doth Aquapendens witness in his Chyrurgery Operations and teacheth the way of applying them in his proper Chapter of the burning of the hinder part of the head in children Let the Child be purged twice in a month with Manna Syrup of Roses or of Cichory with Rhubarb Every new Moon give it a dose of the Epileptick Pouder de gurteta above mentioned Make a Bag to strengthen the head and a Fume for the Head-cloaths as in the cure of cold Diseases of the head and also pouder its hair with the pouder before mentioned For the Cure of this Disease this is a good Preservative Take of Spirit of Wine four ounces Spirit of Castor one ounce Peony Roots three ounces Let them be infused and strained Wash the whol body of the child with it warmed CHAP. IX Of Giddiness called Vertigo Avertigo is a false Imagination in which all objects and the head it self seem to turn round so as the Patient often falls to the ground unless he lay hold on some stay at hand It may be objected That in a Vertigo the Imagination is not hurt for if it were so the Patients would think the objects truly turned round as men in Madness and Phrenzy do think what they imagine to be truly so We answer That in a Vertigo the Reason is not hurt which perceiveth the error of the Imagination but in a Phrenzy or Melancholly the Reason is hurt as wel as the Imagination There are two sorts of Vertigoes the one simple called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which the Sight remains unhurt the other is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a dark Vertigo in which the Eyes are both darkned as it were with smoak or a cloud In both kinds the Sight is somwhat hurt because the Spirits which use to go directly to the Eyes are moved out of order by the visive Nerve by reason whereof the Eye doth not so sitly enjoy them But in a dark Vertigo there is a more violent Motion of the Spirits so that they come less to the Eyes from whence the sight is darkned or hindred The immediate Cause of a Vertigo is the circumvolution of the Spirits coming of a vaporous matter or wind which coming into the Ventricles of the Brain and Plexus Choroides disturbs the Spirits and makes them run round whence the species of the Objects brought by those spirits are moved in like manner and so the objects themselves seem to be moved also the same way But here we may doubt since a Vertigo is a symptom of a hurt action and every action hurt depends immediatly upon a Disease how the Circumvolution of the Spirits can be the immediate cause of a Vertigo when it can be referred to no kind of Disease To which we thus answer A Circumvolution of the Spirits is a Disease in respect of Scituation for at that time the Spirits do not keep that place or position which they Naturally ought but move preternaturally and amiss And this Answer hath a weighty instance For a Disease is an affection of a true part but spirits are not true parts We answer That Axiome is not alwaies but sometimes true according to Galen that which is principal and hinders the action of its self is the true Disease We say that the word Part ought to be taken in a larger sense comprehending all those things which go to the making up of the Body and whatsoever hinders the action of any part is called a Disease So a yellow color in the Eye hurts the sight immediately and therefore it is called a Disease in number so a better savor in the tongue and noise in the Ears are Diseases in number in regard there is something in those parts besides which offendeth the actions After the same manner is the Circumvolution of the Spirits a Disease in Scituation or Position for the Reason above mentioned But those Vapors are sent up from evil humors not continually without intermission but by compass and going about and at a distance namely as often as they are raised up by an external cause and the humors are such as use to produce vapors namely Blood Choller Flegm and Melancholly and the watery Humor because both a cold as well as a hot vapor may cause a Vertigo as Galen 3. de loc affect chap. 8. and Comment Aphor. 23. Sect. 3. These evil humors are either contained in the Brain or in the inferior parts Hence a two-fold Vertigo ariseth one Proper the other by Consent Waterish and flegmy humors heaped up in the Brain send wind and vapors to its ventricles which stirring about there do cause a Vertigo And so a proper Vertigo comes to be a forerunner of an Epilepsy or Apoplexy But Humors contained in the inferior parts especially the stomach and the spleen do easily send up Vapors to the head which if they touch the Ventricles and the Arteries cause a Vertigo The external Causes are all such things as will quickly dissolve the Humors and turn them to Vapors or make an inordinate motion in those Vapors Among which are reckoned by Hippocrates Aphor. 17. Sect. 3. a South wind and sudden change of Air. To these ad the heat of the Sun windy Meats Garlick Mustard Radish Pease and Beans Drunkenness Gluttony immoderare Exercise and unseasonable the suppression of a wonted evacuation Anger Baths Hunger especially in those which are ful of bitter Choller often turning of the Body round long looking upon Wheels and things that run round and of Waters that run swift looking down from a high place a Fall a stroak upon the Head a Fracture or depression of the Skull compressing and lying upon the Brain We shall lay down no Diagnosis or general signs to know this Disease by because it is of it self manifest Yet in particular we shal declare those signs which
what is received into the brain or what is nigh unto it For the most part once bleeding wil not be sufficient in this Disease but twice or thrice or oftener in the beginning or encrease of the Disease you may adventure upon it according to the condition or plenty of the Humor the age temper and strength of the patient If a Phrenzy taketh one that hath a constant Feaver as it is often in the encrease of Feavers or in the state of them when nature is out of order and disturbed by the malignity of that matter which causeth the Disease sendeth Chollerick humors to the head you must again let blood though you have done it before in respect of the Feaver but you must do it sparingly because the strength is abated by the Feaver and former bleeding Therefore at that time open the Head vein or if strength wil not bear that open the Saphena in one foot or both which is approved in such Diseases neither is it less beneficial to open the Hemorrhoid veins by Leeches But in all Bleedings which are made in time of a Delirium you must observe this that the Orifice be not large for then it wil quickly heal and you must bind it up carefully lest the Patient being unruly cause it to bleed again as also 't is very good for the sudden Cure of it to lay a plaister of Aloes white of an Eg and the hair of a Hare After Bleeding provoke sleep For if after bleeding there comes watchfulness the Humors wiâ— be again inflamed and the patient grow worse Sleep is caused by repelling Medicines laid to the forehead which are cooling and narcotick or causing sleep which we shal mention hereafter When you cannot conveniently let blood apply Cupping Glasâ—es with deep Scarrifications first to the lower than to the upper parts and also to the Thighs and other parts without Scarrification Use Frictions in the same parts and use Ligatures to the Legs for reuulsion Apply Vesicatories to the Shoulders and Arms. Give every day a Clyster made of cold and moist things For by these the Acrimony of the Humors is qualified and they are put downwards And they are thus made Take of Marsh-mallow Roots one ounce the Leaves of Mallows Violets Lettice Pellitory Beets of each one handful the flowers of Water-lillies and tops of Dill of each one pugil Prunes six boyl them in Barly water to one pint of the straining ad of Cassia newly drawn and Diaprunes simple of each six drams red Sugar one ounce make a Clyster Use no Oyls in these kind of Clysters because they wil then inflame You must not Purge in a primary Phrenzy such a one as comes not from another Disease but it is good somtimes to Purge when the Phrenzy comes upon a continual Feaver For if there be an evil digestion or ill juyce in the Body and the Phrenzy begin then the matter is wandering and is taken for that which is called Turgent or abounding And therefore by the Counsel of Hippocrates Aphor. 22. Sect. 1. is to be presently evacuated But the Purge must be made of cold things with gentle as Senna Rhubarb Cassia Tamarinds Catholicon and Syrup of Roses Presently after blood letting you must use repelling Medicines which hinder the assent of humors and cool the head as Vinegar of Roses made of Oyl of Roses and Vinegar in time past but now we use distilled Waters and Juyces of Herbs with it and we repel and cool more or less as there is a greater or less flux of humors and inflamation which we must diligently observe Therefore we wil lay down many forms that in particular cases we may chuse those which are most fit Take of Oyl of Roses three ounces Vinegar of Roses one ounce Rose and Plantane Water of each two ounces lay them on the forehead shaven and with four-folded cloaths Or Take of Rose water four ounces Oyl of Roses two ounces Vinegar of Roses half an ounce two whites of Egs mix them together Or Take of Oyl of Violets and Water-lillies of each half an ounce Rose Lettice and Housleeâ— Water of each two ounces Vinegar half an ounce Or Take of the Juyce of Lettice Purslain Night-shade Penny-grass or Venus-navil of each two ounces Oyl of Roses three ounces Vinegar of Roses one ounce Or Take of Oyl Olive in which Roses are infused one ounce and an half new Poplar Oyntment for the old inflameth one ounce Vinegar of Roses half an ounce one white of an Eg Beat them together and apply them with Flax. The Milk of a Woman which hath brought forth a Girl with the Juyce of Lettice and Oyl of Roses is very excellent Concerning these cooling Medicines you must observe that they be administred warily and with judgment because the Brain is of its own Nature cold and a principal Member therefore it is to be feared left the Patient by too much use thereof should fall into a contrary Disease as a Coma or the like especially if he be weak or old and although they are used somtimes more sometimes less yet the extent of the time of their usage ought not to be above three daies Moreover Those Medicines do stick to the face and eyes therefore you must lay about them a cloth or a little wool in the fore part of the head you must apply them to the middle of the forehead in the sides of the head above the ears in the hinder part about the nape of the neck and towards the crown of the head and these are in Winter to be applied hot in Summer cold as Galen saith 2. de comp med cap. 2. But it is best in old and weak people never to apply them actually cold If the Inflamation cometh to the Skin as it somtimes doth then we must avoid repelling Medicines especially those that are strong lest the matter driven to the Brain should augment the Disease You must apply cloths wet in Rose-water and Vinegar to the neck to hinder the humors from flying into the head Causticks applied to the Legs do very well for revulsion or drawing down of the humor to the inferior parts While these things are doing you must use al those things which do cool the whol Body especially the principal parts both internally and externally Inwardly you must use Juleps Emulsions and Electuaries Take of the distilled Waters of Lettice Purslain Roses and wild Poppies of each three ounces Syrup of Violets and Pomegranates of each one ounce and an half Sal Prunellae three drams Make a Julep for three Doses to be taken twice or thrice in a day Or Take of Lettice Purslain and Plantane of each two handfuls Water Lillies and Violet flowers of each a pugil Boyl them in Barley Water to one pint and being strained dissolve in it Syrup of Violets three ounces Sal Prunellae three drams Make a Julep for three doses or draughts It is very good to put to your Juleps besides the Sal prunellae the spirit of
of Barley boyl a little and mix it with Sugar Let him drink ten ounces at a time some mornings in his bed and sleep after it and somtimes in the evening Hold the Troches in the mouth Take of Gum Traganth and Arabick of each two drams Bole-armenick and Terra Sigillata washed in Rose water of each one dram white Poppy seeds and juyce of Liquoris of each half a dram Sugar Penids one ounce With the Mucilage of Quince seeds extracted with Rose water make little Cakes to be held in the mouth day and night The Spirit of Sulphur and Vitriol three or four drops given morning and evening in convenient Liquor hath great force against all Catarrhs especially against those which come from Inflamation of the Bowels It may be given in drink in a smaller quantity for it goes with the drink through all the veins and hinders the motion of the humors The Crystal Mineral is for the same use given with Juleps and other Medicines When these do not avail we must be constrained to use Narcoticks or Stupefactives Among which Laudanum is the best given to four or five grains at bed time or one ounce or half an ounce of Syrup of Poppies These do wonders being used in the beginning of the Disease New Treacle given at night from a scruple to half a dram hath the same force Benedictus Faventius useth the following Pills in a Salt Catarrh with good success Take of the Juyce of Liquoris two drams wash'd Aloes one dram Filulae de Cynoglosso half a dram With Syrup of Violets make a Mass of which take a scruple at bed time The Troches of Solenander before mentioned are excellent Diacodium album prescribed in the Cure of the Phrenzy is good for this In the mean while the matter flowing must be revelled by Clysters Cupping Glasses Frictions and binding of the external parts and chiefly by Vesicatories in the Neck and finally with Issues in the hinder part of the Head and Arms if the Catarrh be old But for the strengthening of the Head and stopping of the fluxion and consuming the remainder Pouders Bags and Emplasters are good Take of white Amber Sandarach Mastich Benjamin Nutmeg of each one ounce Frankinsence Grains of Kermes and red Roses of each half an ounce all the Sanders Mirtles and Pomegranate flowers of each two drams make a Pouder Vse it to the Head at night and 〈◊〉 it off in the morning Take of the Gum of Juniper two scruples red Roses two pugils Mirtles one dram Mace and Nutmeg of each one scruple Frankinsence and Peony seeds and Poppy heads of each two scruples Cyprus nuts half a scruple Pouder them and take them up with red wool and with a red cloth make a lining for a Cap to wear constantly Take of Mastick and Frankinsence of each half a dram Sandrach red Coral red Roses Mirtles Pomegranate flowers and Peels of each one dram Labdanum two drams Wax and Oyl of Roses as much as is sufficient Make an Emplaster for the Coronal Suture But because this Catarrh for the most part comes from a hot distemper of the Liver therefore you must use Medicines to that Finally This is most remarkable which is also mentioned in the Cure of a cold Catarrh That Excrements use to cause Catarrhs by flowing to the Head when their usual natural passages are stopped And then a Catarrh is best cured by opening those passages with a gentle and constant purging in Broths or the like CHAP. XVI Of the Head-ach THe word Cephalalgia is used generally for every pain of the Head but more especially it signifieth a new Head-ach But the word Cephalaea signifieth an old Head-ach and Hemicranea signifieth that pain which only is in one side of the Head There are other differences of Head-aches they are divided into Internal and External Pains by consent and by propriety and of these one is called a pricking pain another a stretching or extending pain another a heavy another a beating or shooting pain The internal pain of the head is in the Meninges or Membranes that is very deep and reacheth to the roots of the Eyes But an external pain is in the Pericranium or Membrane without the Skull and will not endure the roots of the hairs to be combed back and is made greater by the least compression of the Head This is the Doctrine of Galen which he teacheth 3. de loc aff cap. 1. and lib. 2. de comp med secundum loc cap. 3. saying very solidly That the internal Head-ach is distinguished from the external by this peculiar sign That in the internal the pain comes to the roots of the eyes not in an external and he gives this Reason Because the coats of the Eyes come from the Meninges of the Brain whence it comes that the grief is conveighed to the Eyes But Fernelius contradicts this Doctrine lib. 5. Pathalogiae cap. 1. and affirmeth that external pains do reach to the roots of the Eyes because the Pericranium or Skin of the Skul wherein those pains are doth reach to the cavity of the Eyes to whom Rondoletius answers lib. 1. meth med cap. 5. that the Cavity of the Eye doth not suffer with the Pericranium although it reach to it by reason that the pain of the Pericranium comes for the most part of external cold for a cold part will easily suffer from the like quality But that cold cannot reach to the hollow of the Eye because it is preserved by the heat blood and spirits of the Eyes but if at any time a headach cometh of external heat or the like the Skin of the head is only affected not the Pericranium which lieth deep But this Doctrine of Rondeletius doth not altogether take away all difficulty for although all things which he alledgeth should be granted yet if a pain arise from a tumor gathered upon the Pericranium or of some other cause that dissolveth continuity and divideth there is no reason why the grief should not reach to the hollow of the Eye We can say this in defence of Galen that this sign was given by him for two Reasons First Because the Membrane which reacheth to the hollow of the Eye from the Pericranium is not so sensible and therefore cannot suffer but obtusely but the coats of the Eyes which come from the Meninges are very sensible and therefore have great pain Moreover that Membrane which cometh from the Pericranium doth not touch the Eye so inwardly and deeply towards the optick Nerves as the coats which come from the Meninges whence it is that the external pain cannot extend it self to the roots of the Eyes as Galen saith A pain by propriety is constant and permanent nor doth it follow the disease of other parts But a pain by consent or sympathy depends upon the infirmity of another part so that as that encreaseth or diminisheth the Headach encreaseth or diminisheth Now this pain by sympathy is either by consent from the whol Body as in Feavers
Arteries the blood is stanched by good Ligature and bondage only nor is the Plaister mentioned by Galen in the same place necessary which is made of Bole Frankinsence Mastick and the Hair of an Hare with the white of an Egg yet for the better security they who are afraid of the opening of an Artery may make use of it you may see what we have said concerning the opening of Arteries in the Cure of the Head-ach Vesicatories also are very profitable in this Disease both applied to the Neck and behind the Ears When you have bled sufficiently you must purge that the Chollerick Humors especially such as make the blood hot may be evacuated And Hippocrates saith it is very requisite Aphor. 17. Sect. 6. For it is good for him that hath an Ophthalmy to fall into a flux And Galen 13. Meth. Cap. 11. saith That he hath seen some who began to have sore Eyes to be cured in one day only by a Purge But it must be made of gentle ingredients and such as do allay the heat of the blood taking heed of al Medicines that have Scammony in them and they be made thus Take of Tamarinds half an ounce clean Senna three drams Annisseeds half a dram Endive Succory and Fumatory of each half a handful boyl them to four ounces and when it is strained infuse in the liquor of the best Rhubarb and yellow Myrobalans rubbed with the Oyl of sweet Almonds of each one dram yellow Saunders half a scruple after strain it again and dissolve of Manna and syrup of Roses of each one ounce Make a Potion Or in Form of Bolus thus Take of Cassia newly drawn six drams Diacatholicon three drams Pouder of Rhubarb one dram make a Bolus with Sugar So many times we prescribe Pills in an Ophthalmy which comes of Flegm namely Lucis majoris of Agarick and the like which though they are very good in the state of the Disease yet it is better to abstain from in the beginning lest the Humors moved with too violent a Medicine should fal more upon the part Nor is one Purge sufficient but you must repel it a distance if the Disease be old first giving good preparatives by Apozemes or Juleps proper for the Humor offending therefore in the beginning allay the heat of the Humors with cooling Juleps and such as thicken or with Emulsions made of the greater Cold Seeds Lettice and white Poppy seeds in some cooling Decoction with a little Rose water After universal Revulsions and Evacuations come to Topical Medicines with that part which from the beginning must be repelling yet the soundest Practicioners do warn us not to use repelling Medicines to the Eyes at first because for the most part they stop the Humor and retain it in the Eye and so increase the grief and inflamation For Galen Comment Aphor. 31. Sect. 6. reproves a certain Oculist which used these kind of Medicines in the beginning of the inflamation for they may be suspected in the beginning not to stay violent defluxions but rather to keep them from coming forth Hence it cometh to pass that when the humors are sharp the Cornea is somtimes ulcerated but when they are many it is streaked and somtimes broken But Avicenna fen 3. lib. 3. tract 1. cap. 9. saith That it is fit that if possible we abstain from Collyriums the first three dayes And a little after he saith That we ought not in the beginning to apply strong Astringents and thickners because they thicken the Tunicles or coats and hinder resolution and increase pain Yet we need be so exact in the time and number of dayes because the Disease is in some older and in some yonger But we may with profit apply Astringents at the beginning to the Forehead and Temples for by those the veins by whith the humors flow to the Eyes are stopt and they driven back The Form of this is as followeth Take of Bole-Armonick sanguis Draconis Frankinsence Mastich of each one dram red Roses Balasts or Pomegranat flowers the pouder of Lentils of each two scruples mix them with the white of an Egg and Vinegar of Roses and make a Cataplasm for the Forehead and Temples Moreover A Cataplasm made of the Juyce of Nettles and Wheat flower applied to the Forehead and Temples is excellent to stay a defluxion by reason the Juyce of Nettles hath a special Vertue for the stopping of al sorts of Bleedings as it doth the bleeding at the Nose or Mouth But if the pain be very great which useth to encrease the defluxion upon the Eyes you must apply Anodines or Medicines asswaging pains upon them Among which new milk especially if it be that which a sound woman giveth is best if it be often milked fresh into the Eyes from the breast and not be used stale for then it wil grow sowr and be offensive to them instead thereof you may use fresh Cheese made of Sheeps milk which you must often change lest it turn like Butter and so inflame the Eye The white of an Egg wel beaten til it turn to water is commended of Galen for it asswageth pain and gently stayes the Flux Also an Apple roasted in the Embers doth much asswage the pain of the Eyes The Mucilages or slime of the seeds of Fleabane Quinces Foenugreek drawn with Rose-water do take away pain but they must be renewed every day or they wil grow sowr Of these things you may make divers kinds of Medicines As for Example Take of the pap of a sweet Apple roasted in the embers an ounce the Mucilage of the seeds of Fleabane and Quinces drawn with Rose Water of each six drams the white of a new laid Eg beaten into water and womans Milk of each one dram Make a Cataplasm and apply it to the Eyes Or Take of the pap of a roasted Apple one ounce Crums of white Bread half an ounce one Egg mixed with Breast milk Make of these a Cataplasm Thin slices of Goats Flesh Veal or Mutton often applied to the Eyes do very much asswage pain A Cataplasm may be made more easily with crums of white Bread and Womans Milk mixed with Rose Water If the pain be intollerable you must fly to Narcotick or stupifying Medicines which you must use sparingly and with good advice because they do thicken the visive Spirits and make the Humors and Tunicles gross by which the Sight will become dim Among Narcoticks for the Eyes the white Troches of Rhasis are principal made with Opium thus Take of Rose water two ounces the Water of an Eg well beaten one ounce the white Troches of Rhasis with Opium one dram Make a Collyrium or Water for the Eyes When the pain is aslwaged you must come to repelling Medicines which must be gentle and mixed with Anodines continually for this end make this Collyrium following Take of Plantane and Rose water of each one ounce and an half the Water of the white of an Egg beaten one ounce the
a hot Catarrh If from a cold Cause you must take that course which is prescribed in the Cure of the cold distemper of the Brain but you must strengthen the Teeth with the Medicines in the Chapter following Chap. 2. Of the blackness and rottenness of the Teeth MAny times the Teeth do contract a black livid or yellow color from the evil Humors cleaving unto them which by long continuance do also corrode them and make them rotten and these Diseases come from filthy vapors that fly upwards and are engendered of evil nourishment or from the distemper of the stomach which corrupteth good nourishment Quick-silver doth black the Teeth whether it be used to the whol Body as in the Pox or only to the Face Hence it is that women which use Mercury to make them fair have black and ill color'd Teeth For the Cure you must first remove the antecedent Cause and if it comes from evil humors in the stomach they must be discharged and the distemper of the parts which produce them must be corrected and a good diet prescribed and those things forbidden which do corrupt the teeth especially sweet things Infinite Medicines are prescribed by Authors for making teeth white which may be experienced We are contented with one which presently makes them white clenseth them and keeps them from rotting namely the spirit of Sulphur or Vitriol in which you must dip a little stick and rub the teeth with the end thereof and then wipe them with a clout In a great foulness you may use the Oyls by themselves otherwise you must mix them with Honey of Roses or fair Water lest by the often use of them the Gums should be corroded Montanus consil 113. reports that he learned that at Rome of a Woman called Greek Mary to whom when he came when he was yong and she twenty yeers old and after when she was fifty he found her almost in the same condition and she confessed that her Beauty and strength was preserved by the Spirit of Vitriol and that her Teeth which were very bad in her youth were by that made very fair and firm and also her Gums and also that she perceived her self by the use thereof to seem more youthful and she used every day one drop or two to rub gently her Teeth and Gums The Ashes of Tobacco is very good also to clense and make white the Teeth For prevention and to preserve the Teeth first clense them with a Tooth-picker made of Mastich Wood or the like then wash the mouth with Wine and rub the Teeth with this Pouder Take of the Roots of Snakeweed Allum and white Coral of each one ounce Make a Pouder to rub the Teeth Or wash them with this Water Take of the fine Pouder of burnt Allum two drams whol Cinnamon half a dram Spring and Rose Water of each four ounces boyl them in a Glass upon hot Embers to the consuming of the third part Wash the Teeth therewith every morning with a cloth dipped therein Chap. 3. Of the Erosion or eating away and of the Exulceration of the Gums THe Gums are eaten away and exulcerated by sharp corroding humors which come unto them The parts from whence they come are the Brain Stomach Spleen and others Men that have Diseases in the Spleen are most subject to Ulcers in the Gums as in the Scurvy somtimes the erosion of the Gums comes from worms or the corrupt humors which cause worms so that it is a plain sign of worms when it continueth long So saith Fabricius Hildanus Obs 59. Centur. 1. the Son of a Citizen of Dusseldorp was long troubled with erosion of the Gums and died after the use of many internal Medicines and Topicks when he was opened we found abundance of worms which had eaten through his Guts and many in his Stomach The Cure is first to be directed to the antecedent cause and the vicious humors are to be evacuated by blood-letting and purging the sharp and hot humors are to be tempered with Apozemes Juleps and Physical Broths and the like The flux of the same is to be diverted by Cupping-glasses and Cauteries fitly applied And lastly the faults of the parts affected are to be corrected Afterwards you must use Topicks which are to be altered according to the greatness of the disease so that to a simple Erosion you must apply only those which astringe and dry as this Water following Take of unripe Galls Acorn Cups and Flowers of Pomegranates of each one ounce red Roses one pugil Allum three drams boyl them in two parts of Forge-water and one part of old red Wine and wash the Gums often therewith If the Erosion be not taken away with that use this Opiate Take of Dragons blood three drams Lignum Aloes red Roses Spodium and burnt Harts-horn and Cypress nuts of each one dram Mirrh and Tobacco Ashes of each three scruples Allum one dram Make them into Pouder and mix them with Honey and a few drops of Spirit of Vitriol or Sulphur Make an Opiate which must be spread upon linnen cloth and laid to the Gums at night The Spirit of Vitriol and Sulphur as they clense and whiten the Teeth so they take away the rottenness of the Gums either alone or mixed with Honey of Roses or Water as in the former Chapter If the Ulcer be deep and foul anoint with this Take of choyce Mirrh and Sugar-candy of each equal parts pouder them and fill the white of an hard Egg cut in the midst therewith then tie it with a thrid and hang it in a Wine-Celler with a glass under it and there will come forth a Liquor or Balsom with which anoint often But if by the use of the aforesaid the disease be not cured if the Tooth neer the Ulcer be rotten you must pull it out and then it will be presently cured otherwise never Chap. 4. Of bleeding at the Gums SOmtimes abundance of blood flows from the Gums either Critically or Symptomatically although the former be very seldom yet it is somtimes so we may see by Experience and by reading So saith Dodonaeus Obs 14. A certain Quarrier having the smal Pox had a flux of blood from his Gums and being stopt it made the Urine bloody which being stopt it returned again to the Gums and there continued till he recovered of the smal Pox. Amatus Lucitanus Curat 5. Centur. 5. saies that some have had benefit by bleeding at the Gums and have been worse when it was stopped Also Zacutus Lucitanus obs 86. lib. 1. Praxis admir speaks of a Goldsmith who when he fell into a Feaver by laboring at the Furnace being of a strong constitution lost much blood by opening a Vein and amended so that the seventh day having had an itching of his Gums and a pain in the lower Lip the blood gushed from the Veins of his lower Gums for three daies in such a quantity that he lost above five pints more and the more he bled the more
and first open the Veins called Ranulae under the Tongue it is commended by Hippocrates Galen and the Modern Physitians by which the blood which doth immediately cause the inflamation is drawn forth The Ancients in a desperate Angina open the Jugulars which though some late Writers have approved yet it is out of fashion being thought dangerous by reason of the bleeding which can scarcely be stopped by reason of the largeness of the Veins But Experience hath taught that this operation is not so dangerous if it be well administred First then bend the Patients Head on one side as much as you can til his chin almost touch his shoulder then open the Vein without a Ligature with a smal Orifice according to its longitude for so it will more easily cicatrize and having taken a sufficient quantity of blood bring the Head to its natural position and so somtimes the blood will stop of its self But you must presently apply Galens Emplaster described 5. Meth. Cap. 4. made of Hares hair Aloes Frankinsence and the white of an Egg so the flux of Blood is surely stopped Trallianus reports in Lib. 4. Cap. 1. that he cured many of the Squinzy with opening of the Jugular Veins and Zacutus Lucitanus obser 89. lib. 1. Praxis admir tells of a Spaniard which was cured of a most violent Angina A Cupping-glass with Scarrification under the Chin is good for derivation by which Zacutus Lucitanus obs 88. lib. 1. Prax. adm saith he cured a woman of a Cunagche or dog Squinzy Scarrifications under the Jaws and upon the Neck are good if deep by which means Benivenius faith in lib. de abdit morb caus cap. 38. Nicholas Rota was cured of a desperate Angina whose story Sennertus hath fully related Pract. Med. lib. 2. part 1. cap. 24. While the aforesaid Medicines are used the inflamation of the Throat and Jaws is to be allayed with Topicks and they are to be varied according to the time as in other inflamations so in the first Repelling Medicines are good made into Gargarisms that they may presently touch the part inflamed Take of Plantane Nightshade and Woodbine Water of each three ounces Syrup of Mulberries three ounces Sal prunellae one dram and an half Make a Gargarism Or of a Decoction thus Take of Plantane Sorrel and the tops of Brambles of each one handful the Grains of Sumach half an ounce one Pomegranate beaten with grains and peel red Roses one pugil make a Decoction to a pint Dissolve in the straining Syrup of Mulberries and the composition made of Nuts of each one ounce and an half Sal prunella two drams Make a Gargarism Concerning Gargarisms you must observe that they are to be suspected because the parts inflamed are moved thereby which should be at rest but you may remedy that if you hold the Gargarism in the Mouth turning backwards and not move it Without Gargling you may use the Spirit of Salt Sulphur or Vitriol which mixed with Water to qualifie their sharpness are to be taken by little and little for by passing through the part affected they qualifie its heat and being sent from the Stomach to the Liver and Veins it allaies the heat of the blood which remedy is also good in the Inflamation of the Jaws and Tonsils While you use repelling Gargarisms you must apply outwardly to the neck loosning and resolving Liniments that the matter may be brought forth thus made Take of Oyl of Chamomel Lillies and sweet Almonds of each one ounce Hens grease and fresh Butter of each one ounce and an half Saffron one scruple Make a Liniment to be applied with greazie wool This Liniment will asswage pain which if violent it may be qualified also with a Gargarism made of Milk or an Emulsion made of the four cold great seeds or of Mucilages of Fleabane and Quinces drawn with Rose water adding Syrup of Violets or Cassia dissolved in Whey or in a Decoction of Marsh-mallow Roots After the beginning of the Disease when it encreaseth or is at a stand you must mix Digesters and Dissolvers with Repellers which must be done the second day because the Disease is most acute Take of the Leaves of Hysop and Plantane of each one handful Liquoris Raisons stoned of each one ounce fat Figs twelve red Roses and Barley of each one pugil make a Decoction of a pint Dissolve in the straining Honey of Roses and Syrup of Violets of each one ounce Make a Gargarism Observe That as long as the Inflamation continueth you must mix some things that repel with Dissolvers and Astringents lest the part which by Nature is soft should be more relaxed and made more fit to receive a defluxion But outwardly you must apply Dissolvers most with a Swallows nest which by the Opinion of all Writers hath a specifical property against this Disease Take of the pouder of a Swallows nest and of Album Graecum of each one dram the pouder of Flower-de-luce Roots and Chamomel of each half a dram Hens grease and Oyl of Lillies of each one ounce yellow Wax a little Make a Liniment Or it may be made into a Cataplasm thus Take one Swallows nest Mallows Violets of each one handful Althaea Roots Lilly Roots of each half an ounce fat Figs three or four Chamomel and Melilot Flowers of each one pugil boyl them and beat them then put to them Barley meal Linseeds and Foenugreek of each three drams Saffron one scruple fresh Butter one ounce Oyl of Chamomel and sweet Almonds of each as much as will make a Cataplasm to be applied to the fore part of the Neck In the mean while you may use Eclegma's or things to be licked now and then that the matter which breaths forth of the part or falls upon it from the head may be clensed Take of the pouder of the Electuary of Diatragacanth frigid two drams Simple Diaireos one dram Sugar-candy and Penides of each half an ounce Diamoron one ounce Syrup of Jujubes as much as is sufficient Make a Lohoch If the Tnmor will not be discussed but tendeth to suppuration which useth to be upon the fourth or fifth day you shall assist it with the Cataplasm aforesaid and other Emollients and Suppuratives and he must hold those Medicines at the same time in his mouth which was prescribed formerly for asswaging of pain Or Take of sliced Liquoris and Raisons stoned of each one ounce fat Figs six Althaea and Quince seeds of each two drams the flowers of Chamomel one pugil boyl them in Hydromel Dissolve in the straining boyled Wine two ounces Make a Gargarism It is also good to hold Cassia new drawn in the mouth that by degrees it may dissolve into the Throat for it asswageth pain dissolveth and maturateth If the Tumor come to suppuration which may be known by the decrease of symptomes and will not break let the sick man or some about him put their fingers into his mouth and endeavor to break the imposthume which
Vein opened an hour after the blood will continue pure Hors-dung dissolved in Carduus Water and strained doth powerfully disperse the pain and the humor in the Pleurisie White Hen-dung given in a dram of the same Water doth as much These Dungs have much Volotile Salt which is very piercing and discussing You may make a Potion of them both thus Take of Hemp seed one ounce bruise them then put to them of the white Dung of a Hen and of Horse Dung of each half an ounce dissolve them in five ounces of Carduus Water strain them and drink it The Blood of a wild Goat given to ten drops with the aforesaid Water doth powerfully discuss the Pleurisie In the want thereof you may give the blood of a tame Goat But because the strength of him is little you may give thereof to the quantity of one dram You must prepare it thus Hang up the Goat by the Horns and bend his hinder Legs backward to his Horns then cut out his Stones and take the Blood in a broad Vessel dry it in the Sun in Summer or at other times upon an Oven It is far different from the Goats Blood in the Shops The Soot of a Chimney given to a dram is very good but much rather the spirit of Soot described by Hartman in his Practice of Physick In an Epidemical Pleurisie Sudoroficks are to be given such as are prescribed in malignant Feavers which also ought to be made as proper for this Disease as may be A Diarrhoea coming upon a Pleurisie is dangerous therfore you must give Syrup of Myrtles which doth stay the Diarrhoea and also expectorate and this is to be mixed with other Syrups Let me Belly and Reins be anointed with astringents as useth to be done in all Diarrhoea's Give Clysters made of Barley Water which as Galen saith doth cool and astringe if it be boyled with red Roses and also Yolks of Eggs be dissolved in it Chap. 3. Of Peripneumonia or Inflamation of the Lungs PEripneumonia hath the same essence with a Pleurisie and is distinguished only by the part affected because that is the inflamation of the Lungs and this of the Membrane that compasseth the Ribs They differ somwhat in the matter for a Pleurisie comes often of Choller but a Peripneumonia of Flegm although all humors as we said of a Pleurisie may produce this disease I mean humors which are like blood and make up the mass of it For as thick humors do hardly penetrate the thick Membrane called Pleura but thin and Chollerick easily so on the other side thick flegmatick humors do easily go to the soft and thin substance of the Lungs and stick close thereto but thin and Chollerick humors do easily pass by But this hindereth not but the Chollerick blood may somtimes cause the Inflamation of the Lungs as Hippocrates 1. de morbis describeth the Erysipelas or Chollerick tumor of the Lungs which comes from Chollerick blood thrown into the Lungs from the right Ventricle of the Heart by the Arterial Vein But an oedematous Inflamation comes from flegmatick blood falling upon the Lungs by way of defluxion from the Head But only excrementitious flegm falling as a Catarrh from the Brain can make a Peripneumonia because it putrifieth in the Lungs and attracteth blood by the mixture whereof there is an Inflamation and this often happeneth in old folk Mesue saith that this Peripneumonia comes rather of Choller because the Lungs are nourished with Chollerick blood which cometh in great plenty to them by the Arterial Vein To whom we answer that fresh thin and steeming blood made in the right Ventricle of the Heart is carried into the Lungs which by reason of its purity is easily governed by Nature and is sent by the Venal Artery to the left Ventricle of the Heart and it seldom is altered from its Natural condition which useth to make a Peripneumonia But contrarily a defluxion from the Head cutting through the large passages into the Bronchia of the Lungs if it there putrifie will draw blood unto it and make a Peripneumonia This Peripneumonia is somtimes alone without another disease somtimes it followeth other diseases as Squinzy or Pleurisie Galen in Com. 11. Sect. 7. Aphor. teacheth that a Peripneumonia doth follow a Pleurisie two waies Either when a Pleurisie is turned into a Peripneumonia or when an inflamation of the Lungs followeth a Pleurisie This transmutation is when the former disease ceaseth and the other comes but it comes upon it when it is white the former remaineth Therefore the immediate internal cause of a Peripneumonia is blood often flegmatick seldom chollerick and most seldom melanchollick Which either comes from the whol body being plethorick or cachochymical that is full or of evil habit or from some part which is replete or distempered The External Causes of Peripneumonia and Pleurisie are the same namely whatsoever defluxion can come to those parts the chief whereof are First great exercise and violent motion of the Body especially after long rest and high feeding For then the humors abounding from high diet and kept in by long rest by exercise are dispersed attenuated and heated and are after sent to the weaker parts most fit to receive them among which the Breast and Lungs are chief because by strong exercise there is caused great and often breathing and so they become wearied and the substance of the Lungs being soft and loose can easily receive the humors coming to them Secondly Among the external Causes the cold and Northernly Air is reckoned when it comes suddenly after a Southern and warm for the pores are opened by warm Air and the humors are more fluid which by the cold Air coming after are compressed and the humors sent to the weak parts Lastly From Hipp. lib. of Air Places and Waters the drinking of standing Pools and Lakes begets the Peripneumonia for saith the Divine old man we observe diseases of the Lungs to be most in Marshy Countries Also the Signs of a Peripnumonia do agree with the signs of a Pleurisie Two are the same as a sharp Feaver and a Cough which somtimes is dry somtimes moist or with more Flegmatick spittle coloured with Choller or Blood and in the progress of time the spittle becomes Mattery when the matter of the Disease grows ripe and concocted by heat which somtimes comes to pass when the substance of the Lungs is not hurt for if they ulcerate a Consumption wil sollow So we may observe That in sore Eyes that are Mattery the humors are converted into Matter when the substance of the Eye is neither suppurated nor ulcerated The other signs differ in respect of the part affected the difficulty of Breathing is greater than in a Pleurisie by reason of the narrowness of the part inflamed so that the Patient seems to be choaked and cannot breath but with the head upright For the part cannot be compressed by reason of the extention and repletion nor be more dilated
Diseases But the Heart hath a Natural Faculty to contract and dilate it self therefoâ—e a Palpitation cannot be without its motion And they do in vain muster up Galens Reasons so thought by them to prove that the Palpitation of the Heart comes not by Nature but by a Diâ—ease or cause of a Disease For Galen in all those places speaks of no other Palpitation than that which is in the Skin and other external parts and not of the palpitation of the Heart which is of another Nature and Galen 2. de sympt caus cap. 2. saith that the Palpitation of the Heart and Arteries is different from that of the other parts Therefore the Palpitation of the Heart is an immoderate and preternatural shaking of the part with a great Diastole or Dilatation and a vehement Systole or contraction which somtimes is so great that as Fernelius observes it hath often broken the Ribs adjoyning somtimes displaced them which are over the Paps and somtimes it hath so dilated an Artery forth into an Aneurism as big as ones fist in which you might both see and feel the pulsation This immoderate shaking of the Heart comes from the Pulsative Faculty provoked But here may be objected That in Feavers all these things are found for this is an immoderatâ— Systole and Diastole by the provocation of the Faculty through some troublesom matter or by encrease of heat in the Heart To this we answer That the motion of the Heart in Feavers is distinguished from Palpitation only by its degrees and the depraved motion of the Heart when it is vehement is called Palpitation but if it be not vehement it is called a quick great and swift Pulse and is referred to the differenceâ— of Pulses Now the Efficient Causes of this Palpitation may be referred to Three Heads Either it is somwhat which troubleth and pricketh or necessity of Refrigeration or defect of Spirits which two latter may be referred to the encrease of Custom The Molesting Cause is most usual so that many Authors knew no other the other are rare and that is either a vapor or wind which troubleth the Heart either in quantity or quality or both The quality is either manifest or occult A vapor troublesom in a manifest quality is either in the Heart and its parts adjoyning or it is sent from other parts and this suddenly getting to the inmost parts of the Heart doth stir up the Expulâ—ive Faculty which being Naturally very strong ariseth powerfully with all its force to expel the enemy In the Heart and thereabout especially in the Pericardium are gathered somtimes cold and thick Humors which send up vapors to the Ventricles of the Heart which cause Palpitation But from more remote parts vapors and wind are sent to the Ventricles of the Heart as from the Stomach Spleen Mother and the other parts of the lower Belly Many times a Vapor that troubles the Heart by an occult quality ariseth in malignant Feavers Plague and after Poyson and somtimes from Worms putrified and the terms stopped from corrupt feed or other putrid matter which do much stir up the Expulsive Faculty thereof Divers Humors do molest the Heart either with their quantity or quality so too much Blood oppresâ—ing the Veins Arteries and Ventricles of the Heart so that they cannot move freely makes a Palpitation by hindering motion which that the Faculty may oppose it moveth more violently So Water in the Pericardium being in great quantity doth compreâ—s the substance of the Heart and its Ventricle so that they cannot freely dilate themselves The same do Humors flowing in abundance to the Heart as it happens somtimes in Wounds Fear and Terror Humors offending in quality hurt the Heart if they be venemous putrid corrupt sharp or too hot especially burnt Choller coming to the Heart and provoking its Expulsion Also Tumors though seldom cause this Disease as Inflamation of the Heart Imposthumes or Swelling in the Arteries of the Lungs neer the Heart which Galen saith befel Antipater the Physitian 4. de loc aff by which after an unequal Pulse he fell into a Palpitation and an Asthma and so died so Dodonaeus reports that he found a Callus in the great Artery next to the Heart which caused a Palpitation for many yeers Also Tumors in the Pericardium whether they be without humors and scirrhus or with humors in them as the Hydatides or watery Pustles and little stones bones and pieces of flesh are somtimes growing in the Heart which cause Palpitation So Platerus reports that in one who had a long Palpitation and died thereof there was found a bone in his Heart But Schenkius reports that in a Priest who was from his youth to the age of forty two troubled with a Palpitation there was found in the bottom of his Heart an Excrescens of flesh which weighed eight drams and resembled another Heart The Second Cause of Palpitation is necessity of refrigeration which is when there is a pretâ—â—natural heart in the Heart by which the Spirits are inflamed within and therefore the motion of the Heart and Arteries is encreased that what is spent may be restored and the heat cooled and this comes somtimes from an internal cause which is rare but oftener of an external as anger vehement exercise and the like As Platerus observed in a yong man who being hot and angry at Tennis fell into a Palpitation of the Heart and so died The third Cause is the defect of Spirits which comes by hunger watching anger Joy fear shame and great Diâ—eases and other causes which do suddenly dissipate the Spirits which defect the Heart laboring to repair that it may beget more quick and plentiful and send them into the whol Body sooner it doth enlarge its motion and make it quicker You must observe for conclusion that it is more ordinary to see a Palpitation which comes by consent from other parts than from the Heart it self For it hath a consent with all parts by the Veins and Artâ—ries by which Vapors Wind and Humors are sent Which all shall be shewed in the Diagnosis following The Diagnosis or knowledg of this Disease is directed either to the Disease or the Causes which produce it The Disease is subject to sence it may be felt with the hands somtimes seen and heard for the Artery may be seen to leap especially in the Jugular And Forestus saith it may be heard by an Example of a yong man that they who passed by might hear it by laying their Ear to the Window Also the Causes are distinguished by their Signs A hot distemper is known by the greatness of the Pulse and swiftness by a Feaver and heat of the Breast by great and often breathing and desire of cold things If the Palpitation come of wind it quickly comes and goes and is presently raised by little motion and the Breath is difficult with trembling somtimes at the knees mists in the Eyes noise in the Ears and somtimes pain of some
one ounce Oyl of Sulphur twelve drops mix them to be taken now and then a spoonful Clarret Water is usual and it is made thus Take of Cinnamon grosly poudered two ounces steep them in one pint of Aqua Vitae in a glass in another glass put six ounces of sugar with half a pint of Rose water let these Glasses stand two or three dayes every day shaking them often then mix them both together and strain them by filtration keep the Liquor in a Glass close stopt and let the Patient take a spoonful or two Fasting In Paris the Syrup of Wormwood made by Pena is highly esteemed made thus Take half a pound of candied Citron barks sliced boyl them in equal parts of the Waters of Succory and Agrimony make a strong expression and put to it the juyce of Quinces and Wormwood water of each half a pint in which infuse for four dayes four ounces of Schoenanth in a close vessel well glassed and set upon the Embers dissolve in the straining as much sugar as is needful then boyl them to a syrup in which when it is hot dissolve one dram of ash-coloured Amber keep it in a close Glass Cinnamon Water alone is excellent good in a Cold Stomach or with other Medicines as Syrup of Wormwood Mints or Coral to which you may also put Amber-greece The Syrup of Cinnamon made with Aqua Vitae according to Quercitanus Dispensatory is no less powerful And Cinnamon Water distilled with Juyce of Quinces And also the Spirit of Mastich made thus Take three ounces of Mastich one ounce of Galangal half a pint of spirit of Wine digest them and distil them The Elixir Proprietatis described by Crollius is good if you give twelve or fifteen drops in Wine they wonderfully strengthen the Stomach You may make Tablets for the same purpose thus Take of the pulp of Rinds of fresh Oranges and Aromaticum Rosatum of each two drams white Sugar dissolved in Orange flower water four ounces Make Lozenges Tablets of Aromaticum Rosatum Opiata Solomonis and old Treacle are good for the same A Decoction of Guajacum or Sassaphras taken many dayes togâ—ther with a little sweating or without in weak people is very good in this Disease being oâ— long continuance Also Sulphurous and Nitrous Baths as our Bellilucanae being taken in great quantity many dayes do powerfully clense the Stomach and Gutts from al slimy filth Take of Agrimony Centaury the less and common Wormwood of each half an handful boyl them to half a pint and ad one ounce of sugar drink it either in a cold or hot Cause Hartman exceedingly commends the use of Zeadoary in these words The often use of Zedoary doth so strengthen the stomach as nothing more therefore we may commend it having tryed it often and never missed you must eate it often Costaeus Commends hot Wine thus Hot Wine drunk ordinarily doth amâ—nd the imbecillity of the stomach It is usually observed that they who have been continually vexed with Wind and Pain from an evil Concoction when they have begun to drink warm drink have been cured and lived after a long time more comfortably You must give him Wine in Water wherein Coriander hath been boyled for his ordinary Drink But observe That if a hot distemper of the Liver meet with that of a cold stomach as often it doth you must give hot Medicines warily and rather those that are temperate Zechius Commends this Bolus following in these words That the stomach may be warmed gently and not dryed you can use no Medicine inwardly more powerfull Take of washed Turpentine two drams Pouder of Mastich half a dram Aromaticum rosatum haâ—f a scruple make a Bolus to be taken two hours before meat This digestive Pouder is usual to help Concoction Take of Coriander seeds prepared half an ounce sweet Fennel seed and Annis seed of each two drams Cinnamon and Cloves of each half a dram Sugar twice as much as the rest make a Pouder of which let him take one spoonful after every meal The Ballom of Peru is good if you give a few drops in Wine one hour before meat Or in form of a Pill one or two drops in sugar for many dayes There are some ordinary Medicines for this Hippocras Wine a Decoction of Annis Coriander and Cinnamon mixed with sugar for ordinary drink The Dukes Pouder commonly so called made of two parts of Sugar and one of Cinnamon to sprinkle upon al meats A Salt to be eaten with meat made of Coriander Annis seeds long Pepper Galangal and Nutmegg mixed with an equal proportion of Common salt Some Grains of Pepper whol or beaten taken fasting Acrons stuck with Cloves and Cinnamon and candied with Sugar Citron and Orange peels candied together Annis seeds Fennel Coriander and Cinnamon infrosted with Sugar al these men may use as they please Citron Peels are more pleasant than the rest but because it wil grow so dry that it wil hardly be chewed we are often constrained to make it up in a Mortar with Rose Water in the form of an Opiate Candied Myrobalans and Nutmegs may be used for the same and be made up as the former though they are not so apt to grow hard The Essences of Annis Cinnamon Citron peels Nutmegs and Olives are excellent to strengthen the stomach and they must be used as above in the Diseases of the Heart Of Meats They which are Salt do most provoke Appetite and Sharp things in a smal quantity and mixed with other things lest they cool the Stomach Outwardly apply Liniments Fomentations and Emplaisters thus made Take of Cypress Roots Galangal Flower-de-luce and dried Citron peels of each two ounces Mints Hysop Sage Rosemary and Marjoram of each one handful Annis seeds Bay-berries Nutmegs Cloves and Cinnamon of each three drams the flowers of Stoechas Schoenanth and Rosemary of each one pugil slice those that must be sliced and bruise those that must â—e bruised according to art and put them into two Bags with holes pricked through and steep them in strong Wine and lay them warm to the stomach one after another Take of the Oyl of Wormwood Mints and Spike of each half an ounce Oyl of Nutmegs two drams Wood of Aloes Mace and Cinnamon of each one scruple with a little Wax make a Liniment which will be better if you ad six drops of Oyl of Cloves and of Musk and Ambergreece of each eight grains Also there is a Liniment of Oyl of Nutmegs Balsom of Peru or of Oyl of Wormwood Mastich and Balsom of Peru. Take of the Emplaister of Mastich one ounce Aromaticum Rosatum one dram Oyl of Nutmegs as much as is fit to make a Plaister like a Buckler for the Stomach Crato doth wonderfully commend this following Plaister Take of Labdanum two ounces Wax four ounces Oyl of Nutmegs three drams Make an Emplaister Galen adviseth 7. meth not to keep these Plaisters long upon the part for at length they will dissolve the heat
few Grains of the best Mastich taken in the Morning is good to stay Vomitting Three Grains also of Balsom of Peru taken in a rear Egg or in Sugar like a Pill do it better Also a Decoction of Beans or Pease after the first Water is cast away with a little Vinegar is much Commended And the Crude Juyce of Quinces taken Two or Three spoonfuls at a time doth Wonders Camphire often smelt to or taken with a little Rose Water and a little Pouder of Diaâ—oscum is good for the same The Spirit of Vitriol mixed with Plantane or Spring Water to make it sharp doth also powerfully stay Vomiting If it be very violent make the Water sharper with Spirit of Vitriol or give it in Sack or rich Wine if you want Spirit of Vitriol use the strongest Vinegar without mixture one spoonful or two at a time One Scruple of Salt of Wormwood mixed with a spoonful of the Juyce of Lemons is a most Excellent Medicine especially in those Vomitings which happen in Malignant Feavers If the Patient grow very Weak with Vomiting give him Laudanum with Conserve of Quinces or Syrup of dried Roses and then apply a Cupping Glass to the Stomach and a Cataplasm of Leaven pouder of Wormwood and Orange peels made up with juyce of Mints Apply also outwardly a Fomentation to the region of the Stomach a new Spunge dipt in Rose-water and Rose-vinegar or let the Spunge boyl in strong Vinegar and apply it hot to the Stomach Or make a Fomentation of the Decoction of the Roots of Snake-weed Plantan-leaves Purslain Mints Bramble-tops and Willow-tops and then anoint it with this Oyntment Take of Acacia Hypocistis grains of Sumach and Myrtles of each two drams Mastich and grains of Kermes of each one dram Oyl of Myrtles two ounces Wax as much as is sufficient make an Oyntment or apply this following Cataplasm Take of Quinces boyled in Rose water and Vinegar or Marmalate thereof well beaten three ounces the pouder of Mastich Grains of Kermes and Myrtle berries and Plantane-seed of each two drams with the Juyce of Mints or Quinces or Syrup of Wormwood make a Cataplasm Or Steep a Crust of Bread in Rose Vinegar and sprinkle it with this pouder following Take of red Roses and Pomegranate flowers and Coriander seeds prepared of each one dram and an half Mastich red Coral Sorrel seeds Spodium of each half a dram yellow Saunders one scruple mix them into a pouder Or Apply this following Emplaister Take of Mastich plaister one ounce the pouder of Myrtles and Bistort-Roots of each half a dram with the Oyl of Mastich make an Emplaister in the form of a Buckler If the Vomiting be very violent and bring a Feaver Symptomatical and the Body very full it is good somtimes to let blood to prevent inflamation which may bâ— in the internal parts by reason of the violent straining and this must be done warily and but a little least the strength be abated Moreover It is good to apply Cupping Glasses to the Back and Navel and to rub and bind the extream parts You may bind about the Neck Linnen Clothes dipt in Oxycrate to repel the humors putting of the hands into cold Water doth stay al kinds of vomiting And Last When other things avail not use Narcoticks which do very quickly stop al Evacuations In a Flegmatick Vomiting if it wil not be staid with the aforesaid Vomits give Pills of Hiera with Rhubarb and Agarick or other fit Purges Then come to strengtheners for the Stomach such as were prescribed for the Cure of Want of Appetite to which ad this following Take of Conserve of Roses and Comfry Roots of each one ounce confection of Hyacinth three drams the pouder of Diambra and Aromaticum Rosatum of each half a dram Troches of Spodium terra Sigillata and grana Kermes of each one scruple with syrup of Quinces make an Opiate The Spirit of Vitriol with Wormwood water or Juyce of Mints doth mightily stay Vomiting and Strengthen the Stomach Or One or two spoonfuls of Aqua Imperialis given after Vomiting if the Stomach be very Cold. Apply these things following outwardly Take of Wormwood Mints and Balm of each three handfuls boyl them in a sufficient quantity of Vinegar and Wine to the consumption of the third Part make a Fomentation for the stomach After apply the Plaister afore-mentioned or the Cataplasm of Quinces using the Pouder of Nutmegs and Cloves instead of Myrtles and Plantane Or Take of Wormwood and green Mints of each one pound a Toast dipt in Rose-water weighing half a pound the Pulp of Quinces or Marmalat of the same two ounces Mastich half an ounce Mace and Nutmegs of each two drams beat them all well together with Oyl of Quinces and make an Emplaister Or Make a Cataplasm of Quinces boyled in strong Vinegar and then beaten with a little Mustard-seed and Pouder of Cloves Or Apply a Toast dipped in strong Wine and Juyce of Mints and sprinckled with pouder of Nutmeg Cloves Frankinsence Mastich and Graines of Kermes Villanovanus much Commends sharp Leaven which he applieth to the Stomach twice or thrice being steept in strong Vinegar and juyce of Mints this doth most certainly stop Vomiting after convenient Evacuations and Revulsions In a long Vomiting where the Stomach is very Weak you must use strong Astringents made thus Take of the Roots of Snakeweed and Tormentil Pomegranate peels and flowers and Hypocistis of each two drams Leavs of Mints and dried Wormwood of each half an handful Sumach and Myrtle berries of each one dram red Roses one pugil Cinnamon Cloves and Mastich of each half an ounce green Galls and Cypress Nuts of each two drams boyl them in Iron water and Red Wine in which dissolve a little Musk for sweet things do much asswage Vomiting of which let the Patient take two ounces every morning and Foment his stomach with the same After the Fomentation apply some Plaister or Cataplasm made as aforesaid Chap. 8. Of Vomiting Blood THis Disease is a casting forth of Blood from the Stomach by the Mouth And as al other Bleeding it comes from the Veins either by Anastomosis or opening of them by Diapedesis or Rarefaction by Rixis breaking or by Diabrosis corroding which Diseases of the Veins were shewed in the Cure of Spetting of Blood called Haemoptysis The Causes also are the same And First the Conjunct Cause Excess of Blood in quantity or quality Blood offending in Quantity wil break or open the mouths of the Veins and so comes Rixis or Anastomosis which happeneth in ful bodies If it offend in Quality as when it is too hot or thin it may cause an Anastomosis because heat doth open the Orifices and thinness makes it flow easily through The same Qualities may Cause a Diapedesis for heat doth make thin the Tunicles of the Vessels and thinness Causeth the Blood to pass through their pores Lastly Sharpness gnaweth and Ulcerateth the Tunicles of the Veins and so produceth a
and he kept free from passions After his Diet is thus ordered we must go on to Chyrurgery and Medicine And first take away a little Blood often for the greater Revulsion and that out of the Liver Vein called Basilica in the right Arm if it come from the Liver in the left if from the Spleen or from the Ankle Vein if from stoppage of the Terms Use Frictions and Ligatures to the extream parts and give clensing Clysters Apply Cupping-glasses to the Buttocks Thighs and Loyns and to the Hypochondria Give half a scruple of Camphire with four ounces of Oxycrate or Plantane Water Which Rondeletius commends in his Counsels for excellent If you suspect there is congealed Blood give him a glass of Vinegar and Water or Oxycrate for it easily dissolveth blood and sends it from the Veins of the Stomach and shuts them up And foment the Stomach cold with the same When Vomiting ceaseth to astringe the Veins use these following Take the white of an Egg Rose Water and Vinegar of each one dram and an half Beat them well then ad two drams of Chalk Let the Patient take now and then a spoonful Or Take of prepared Coral Terra Sigillata Bole-Armenick Blood-stone and Troches of Amber of each one dram Plantane Water and Syrup of Myrtles of each two ounces mix them for to be used as the former or the pouder in Broths Or Take of the Juyce of Plantane four ounces give it cold morning and evening Galen saith there is nothing better for to stop any kind of Bloody flux The Juyce of Purslain and Polyganon or Knot-grass taken with Sugar is very good for the same Take of Plantane and Purslain Water of each one ounce and an half the Syrup of Myrtles half an ounce the Syrup of Poppies two or three drams Sal Prunellae one dram Mix them for a Julep often to be repeated Or make a Julep of the Decoction of the said Herbs Take of old Conserve of Roses and of Comfry Roots of each one ounce of Cydoniatum half an ounce one candied Myrobalan Troches of Carabe and Terra Lemnia of each two drams Coral prepared and Crocus Martis of each one dram With the Syrup of dried Roses make an Oplate to be taken often The Troches of Carabe do not only astringe but dissolve congealed blood therefore use them often The Syrup of Coral is good but the Tincture drawn newly with the Juyce of Lemmons is better When Blood is vomited violently and will not be cured by what hath been said so that death threateneth you must give Narcoticks either at the Mouth or by Clysters Anoint the Stomach without with Oyl of Roses and Myrtles washed in Vinegar and after sprinkle on the pouder of Coral Bole-Armenick and Terra Sigillata Or anoint with this Take of the Juyce of Plantane and Knot-grass of each one ounce and an half Vinegar of Roses one ounce Oyl Olive six ounces Boyl them till the Juyces are consumed then ad os Sanguis Draconis Mastich Pomegranate peels and Myrtles of each two drams Camphire one scruple as much red Wax as will serve to make an Oyntment Let him drink ordinary Water wherein Iron hath been quenched with Syrup of Quinces and Spirit of Vitriol also make all his Broths of Iron Water Let his Hypochondria and Loins be Fomented with the Decoction of Plantane and Purslain mad in Oxycrate Let his hands be put into cold Water for so al Vomiting is staied After use the Oyntment of Galen called Refrigerans washed in Vinegar to the same parts After sufficient Phlebotomy you must appoint an often and gentle Purge to take away the 〈◊〉 and destroy the Disease by which the blood wil be purged from Waterish and Chollerick Humors which produce this Disease These kinds of Purges given by a wise Physitian do Miracles as we have learnt by Experience They must be made of Rhubarb Myrobalans Tamarinds and Tryphera Persica which Medicines do al astringe with their Purging do no wayes stir the Humors so that you need not fear they wil provoke Vomiting of blood you may give them in form of a Bole with Syrup of Myrtles â—â— of dried Roses or in form of a Potion with the Decoction of Succory Sorrel Purslain or the like In time of Purging which may continue three or four dayes in a smal Dose at night you may give the aforesaid Opiate or Syrup of Coral or some of the afore-mentioned Astringent and strengthening Medicines Finally To prevent you may give for a long time once in a Week one dram of the Pouder of Rhubarb or the Magistral Syrup prescribed for to prevent Spetting of Blood as also almost al other Medicines laid down in the Cure and Prevention of that are very good here Chap. 9. Of the Disease called Cholera THis Disease is a violent sending forth both by Stool and vomiting corrupt sharp and chollerick Humors It is called Cholera Apo tes Choles from Choller as Galen shews from the opinion of the Gnidian Physitians 2. meth c. 2. that it comes from yellow Choller and evil humors like it which is sent upwards and down-wards But Alexander Trallianus lib. 7. c. 14. wil not have this Name to be derived from a Chollerick humor because Choller is not alwayes vomited but also often times a serous and Flegmatick Humor but it comes rather Apo toon Cholastoon from the Intestines which were câ—lled Cholados by the Antients because these Humors come from the Intestines and intrals yet the first Etymology is more to be approved because it is used not only by Galen but by Hippocrates 7. epid text 19. by Celsus lib. 4. cap. 11. and Aurelianus lib. 3. acut cap. 19. And although a chollerick humor is not alwayes sent forth yet one like Choller sharp biting and corrupt is alwayes voided Some say the Stomach is the part affected others the Guts others both but we must be of Galen's mind who saith 3. de sympt caus cap. 2. The part which is principally affected is the Stomach whose expulsive Faculty is vehemently stirred up so that it expels the noxious humors at both orifices But there is no doubt but the Gullet and Guts are secondarily affected Therefore this Affect is a Symptome of the expulsive Faculty being hurt and vehemently stirred up for it cannot depend upon the retentive faculty debilitated for then the humors flow by degrees as in Lienteria and Coeliaca Passio but we must confess that the Disease is more violent if the Retentive Faculty being weak do not resist the expulsive Moreover The Concoction is hurt also by which evil humors are bred in the Stomach which stir up the expulsive Faculty but this is an Antecedent Cause Hipp. 4. de victus ratione in acutis textu 104. laies down Two kinds of Choller the one Moist and the other Dry the Moist is that which hitherto hath been described and which is meant only in this definition as being the more usual but the Dry is more rare and
are certain Tumors of the Skin which being wrinkled if it swel by Humors it is called Condyloma It is distinguished from a Hemorrhoid because a Hemorrhoid is greater black and round in a Vein but this is long of the same color and not in the Veins Thymi are carnous swellings which are not only in the Fundament but Privities of Men and Women like Warts and like the flowers of Thyme from whence they have their name These are little white or reddish without pain but the Hemorrhoids are greater black for the most part painful Fici are also fleshy Swellings but greater than Thymi also they are blew and painful and therefore more like Hemorrhoids but they are distinguished from them because they are all flesh but the Hemorrhoids shew the Veins full and enlarged at the ends Moreover Fici for the most part ulcerate and are malignant so that they are like a Cancer Those Caruncles or pieces of flesh which grow in the Fundament are like these Fici called Cristae or Tufts usual in Italy but unusual among us because they come from an impure and unnatural Lechery they look like the Combs of Cocks and thence they have their name Because they are nothing like the Hemorrhoids they need no distinction But let this be for a Conclusion All the aforesaid Diseases are cured only by Chyrurgery so that a peculiar way is not to be layed down here As for the Prognostick The Swelling Hemorrhoids they are seldom dangerous but somtimes so inflamed that you may fear a Gangrene or else they extreamly torment the Patient Hemorrhoids if they come to Suppuration or an Ulcer often times leave a Fistula which is many times incurable by reason of the tenderness of the part and the great moisture which hindereth the healing of it For the Cure hereof first let blood in the Arm and make a Revulsion from the part affected Which being sufficiently done you may also open the Vein in the Ancle for revulsion The same is done by Cupping of the Hypochondria for Revulsion and the Hipps for Derivation Strong Purges are not good in this case because they draw the Humors to the part and encrease the Tumor But you must constantly keep the Body open because hard Excrements and voided with straning encrease pain An Infusion of Cassia given morning and evening is good for this thus made Take of Lettice Bugloss tops Mallows of each one handful Liquoris scraped and Raisons sioned of each half an ounce Bugloss Borrage and Violet flowers of each one pugil Boyl them to eight ounces In the straining infuse Cassia new drawn one ounce strain it and clarifie it and then put thereto one ounce of Syrup of Violets Give it twice a day as aforesaid Somtimes to asswage the sharpness of the Humor you may give the Emulsions of the cold Seeds made with the aforesaid Decoction In the mean while divers Topicks are to be used to appease pain take away Inflamation and discuss the Humor Or Oyl of sweet Almonds newly drawn and which is better the Oyl of Peach Kernels or Gourd Seeds Poppy or Henbane Seeds Oyl of Box-tree is best because it is stupifying And as it cures all Tooth-ach miraculously so doth it mitigate all other and this if you lay but a drop with a little Lint upon the Hemorrhoids or if you mix it with Lin-seed Oyl in this proportion that there be half an ounce of that and one scruple of Oyl of Box. Quercetan highly commends the Oyl of Nuts in which Sows or Hog-lice have been boyled You may also boyl Hog-lice in common Oyl and it will much asswage pain Plain Oyl of Eggs or made in a Leaden Mortar doth the same Divers Liniments and Oyntments may be prescribed for the same Some whereof do only appease pain some discuss the Tumor and dry others heat the Ulcers And you may apply them with Lint Take one Yolk of an Egg as much Oyl of Roses or Violets as will make a Liniment To which if you put Populeon it will asswage pain better and when the pain is very violent you may add a little Opium Or Take of Hens Grease half an ounce the pap of an Apple roasted in the Embers one ounce Saffron half a dram Populeon half an ounce With the Yolk of one Egg make a Liniment Or Take of Oyl of Violets two ounces Populeon half an ounce With one whol Egg make an Oyntment or let the white of an Egg be beaten with Breast-milk and applied to the part with clouts dipped therein Or Take of the Mucilage of Fleabane seeds two ounces Oyl of Violets three ounces Make a Liniment Or Take of the Mucilage of Fleabane and Foenugreek seeds extracted with Wine of each two drams Fresh Butter three ounces Goats Suet one ounce Mix them in a Leaden Mortar for a Liniment Or Butter alone set in a Leaden Mortar in the Sun till it wax black is an excellent Medicine Also fresh Pomatum is very Anodine Take of the Juyce of Purslain and Honey of each four ounces Mix them in a Leaden Mortar into the form of a Liniment Take of Vnguent of Roses two ounces Quick-silver two drams Mix them into a Liniment Or Take of white Diachylon mollified with the Oyl of Chamomel two ounces Saffron one scruple Opium three grains Make an Vnguent Horstius much commends an Oyntment made of wild Flax with its flowers boyled in Hogs grease To which being strained and a little cooled you must add the Yolk of an Egg and apply it to the part with Lint He saith that it asswageth these kind of pains miraculously and that he had from John Wolf that famous Physitian of Hesse who refused to discover it to his Prince the Landgrave of Hesse till he promised him every yeer a fatted Ox. These Liniments following are good to discuss the Tumor and asswage pain Take Leeks and roast them in a wet cloth in the embers and beat them with fresh Butter and they will take away pain and swelling A red Onion doth the same boyled with the pap of a Lilly and beaten with Oyl of Myrtles Take the Oyl of Peach Kernels and bitter Almonds of each two ounces Liquid Storax and Bdellium of each two drams Dissolve them in Oleo and mix them for a Liniment The Balsom of Sulphur made of the Flower of Brimstone and Spirit of Turpentine is good to asswage pain and swelling and to clense the Ulcers of those parts And better if instead of Oyl of Turpentine you use the Oyl of St Johns-wort and of Eggs. Also when there is great swelling with Inflamation you may use Oyl of Roses or of Violets instead of the Oyls aforesaid Also Cataplasms are good for the same purpose Of which the most common for taking away all pains is that of white Bread and Milk boyled adding Oyl of Roses and Yolks of Eggs. Aquapendens commends a Cataplasm of Plantane Pellitory of the wall and Mallows boyled in Water and after with Oyl of Roses to
Senna Polypody of the Oak and the Kernels of Carthamus seeds of each two ounces Epythimum or Dodder of thyme one ounce Ginger and Cloves of each one dram the flowers of Tamarisk Marigolds and Red Fitches of each one pugil make a Decoction to a Pint and a quarter dissolve in the straining of the Syrup of the Five Roots and of Roses Solutive of each two ounces make an Apozeme clarified and aromatized with two drams of Cinnamon for four mornings draughts adding to every Dose one dram of Cream of Tartar salt of Wormwood and Tamarsk of each half a scruple In the last Dose if the first hath not sufficiently purged dissolve of the Electuary of Citrons Solutive and Diacarthamum of each one dram and an half Somtimes we put white Wine in the Decoction before mentioned Somtimes a little Vinegar according to the nature of the Patient If the Patient be dainty and will not take an Apozeme instead thereof you shal give these Broths Take of Smallage Parsley and Sparagus Roots of each half an ounce Agrimony Hysop Maidenhair of each one handful Cristal of Tartar one dram boyl them with a Chicken or a neck of Mutton make Broth for nine dayes together every morning The Cristal of Tartat dissolved in new made Broth and strained is better for when the Decoction is cold for the most part it congealeth again and is separated from it and when you give it in the Broth you must stir it about well with a Silver Spoon afore it be taken or you will leave the greater part in the bottom of the Dish Every other day infuse in his Broth half an ounce of Senna and one dram of Annis seeds As long as he taketh these Medicines and after as often as need requires let the Region of the Liver be somented every morning one hour before he taketh his Broth and every evening one hour before Supper with this following Fomentation Take of Marsh-mallow and Briony Roots of each one ounce and an half the Roots of Danewort Cypress Eryngus the Barks of the Roots of Capars and the middle rind of Tamarisk of each one ounce the Leaves of Mallows Marsh-mallows Violets Agrimony Germander Mints and Wormwood of each one handful Lin-seed Foenugreek and Juniper Berries of each half an ounce Coriander seeds and yellow Sanders of each three drams Broom Elder Chamomel and Melilot flowers of each one pugil boyl them all in two parts of Chalybeate Water and one of white Wine added in the end and when it is strained add half a pint of Vinegar Foment the part as aforesaid After the Fomentation let the part be anointed with the following Oyntment Take of Oyl of Lillies and Capars of each two ounces the Juyce of the Roots of Briony and Smallage of each three ounces Boyl them till the Juyces are consumed adding the Oyntment of Marsh-mallows and Gum Ammoniack dissolved in Vinegar and strained of each one ounce Carrot seeds and Spicknard of each one dram and an half yellow Wax as much as will make an Vnguent Vse it as aforesaid adding in the time of anointing a little Vinegar of Roses After the use of these Remedies this Opiate following is good to wear away the reliques of the Obstructions and recover strength to the part Take of Conserve of Wormwood Maiden-hair and the Flowers of Tamarisk of each one ounce the Conserve of Elicampane Roots and Citron peels candied of each half an ounce one candied Myrobalan candied Nutmegs three drams Confection Alkermes two drams the Pouder of Diarrhodon Abbatis one dram Salt of Wormwood and Tamarisk of each two scruples Saffron one scruple Amber-greece half a scruple with the Syrup of Citrons make an Opiate of which let him take the bigness of a Chesnut every morning two hours before meat and drinking after it a little Hippocras Warm Baths are also very good in which softening and opening things have boyled If the Obstructions are very stubborn these following Pills are very good Take of the best Aloes infused in the Joyce of Wormwood very well half an ounce Gum Ammoniack dissolved in Vinegar and strained three drams Myrrh dissolved in warm Wine and strained two drams the pouder of the three Sanders and Crystal of Tartar of each one scruple Agaricknewly made into Troches and of the best Rhubarb of each two drams the Salt of Wormwood and Tamarisk of each half a dram Saffron half a scruple With the Syrup of Roses solutive make a Moss of Pills of which let him take half a dram two hours before dinner twice in a week Instead of the Apozeme aforesaid you may make an old Cock Broth when the Obstructions are old and stubborn Take of Polypody of the Oak and Carthamus seeds of each one ounce and an half the tops of Time and Epithimum of each one pugil Annis Fennel and Caraway seeds of each two drams clean Senna two ounces Crystal of Tartar half an ounce beat them and fill the Belly of an old Cock therewith boyl them in three parts of Water and one of white Wine till the flesh of the Cock fall from the Bones Make Broth and let the Patient take it four mornings Or which is better make a Decoction for one draught every day of the fourth part of the Ingredients To this Broth you may ad Herbs and opening Roots in a smal quantity Quercetan commends exceedingly in his Dispensatory the Compound Pouder of the Root of Cuckoo-pintle to open Obstructions of which you may give two drams for divers daies together in a convenient Decoction But of all Remedies to take away old Obstructions Medicines made of Tartar Vitriol and Steel are the best Of Tartar there is made Crystal Salt and Spirit which are to be given in divers forms The use of Crystal of Tartar is formerly mentioned in the Apozeme and Physick Broths made either of a Chicken or old Cock Concerning this Medicien yong Physitians are to be admonished that it is of more-force than it is commonly supposed to be although we seldom observe it in Practice by reason of the negligence of Apothecaries the deceit of false Chymists and vulgar Distillars which still Chymical Medicines to the Apothecaries of which few are good but most adulterate The negligence of Apothecaries for the most part is That they had rather buy Crystal of Tartar of such fellows than make it themselves though it be the easiest of all because they sell it cheaper than they themselves can make it for those Impostors wil sell a pound for seven pence or eight pence from which alone the Apothecaries might argue deceit perceiving that they would be loosers in so selling if it were rightly made The deceit lieth here Those Impostors put a little Tartar and a great deal of Allum into their Decoctions not because Tartar is sold dearer but because it yields but a little Crystal but Allum will run all into Crystal Hence it is that the Physitians are deceived of their intentions because Allum is astringent which is
as the Liver or Spleen are most affected Then give these Broths Take of Sparagus Dog-tooth and Succory Roots of each half an ounce Agrimony Ceterach Maiden-hair Bugloss and Succory of each half a handful Cream of Tartar one dram boyl them with a Chicken and make Broth ten or twelve daies adding four drops of Spirit of Vitriol to cool and open more In old Obstructions you may add to the former China Roots Sassaphras white Sanders Smallage Roots and â—â—le Fern Roots Bettony Scabious Coriander prepared Raisons and the like If the Belly be bound or the Body very foul give in every third draught of Broth half an ounce of Senna with Annis seeds Or this Apozeme instead of the Broth Take of Bugloss Sparagus Succory and Sorrel Roots of each one ounce the middle rind of Tamarisk and Ash of each half an ounce Agrimony Ceterach Maiden-hair Dodder Succory Fumitory Hops Bugloss and Borrage of each one handful the four cold seeds Annis and Fennel seeds of each two drams Currance one ounce Senna and Polipody of the Oak of each two ounces Dodder of Time one ounce the best Agarick and Rhubarb infused by themselves in Cinnamon Water of each two drams Mace and Cloves of each one dram the three Cordial Flowers of each one pugil Boyl them to a pint and dissolve in the straining Syrup of Succory with Rhubarb and of Roses solutive of each two ounces Make an Apozeme clarified and aromatized with two drams of yellow Sanders for four morning draughts Or give Cock Broth thus made Take of Roots of Asparagus Bruscus and the bark of Capar Roots and Tamarisk of each half an ounce Agrimony Ceterach and Maiden-hair of each one handful Annis Citron and Carduus seeds of each one dram Senna half an ounce Polipody of the Oak and Epithimum or Dodder of Time of each three drams Cinnamon one scruple Crystal of Tartar one dram Boyl them all with half a Cock which let him take four mornings After you have sufficiently purged a Bath of warm Water is most convenient used many â—â—ieâ— in which cool Herbs have been boyled and sweet Apples Somtimes it is made of Barley and Almoâ—â—â— beaten and put into a Bagg and boyled in Water It must be often repeated if the season will permit for Galen 8. de loc aff cap. 6. saith that he cured many melancholhck men only with the use of hot baths without any other Medicine And if the Patient cannot endure a whol bath let him have one for half the body And least often washing should hurt the Stomach when he enters into the Bath let it be perâ—â—â—â— with Oyl of Nutmegs by Expression or the like When he goes forth of the bath let the Region of his Liver be anointed with the Cerat of Sanders or Oyntment of Roses washed in Oxycrate After his last bath let the Hemorrhoids be provoked with sharp Suppositories or with rubbing the Anus with Fig Leaves or with a rough linnen Cloth and with two or three Hors-leeches apphed to the most apparant places take away five or six ounces of blood And this must be done every Spring and Fall and somtimes once a Month. They who are used to have the Flux of the Hemorrhoids if it hath been long stopped so that they wil not appear must have a Cupping Glass applied If after the Leeches are fallen off they bleed stil as somtimes they wil stop them with Clay or Pouder of Coal or with Spiders Webs or with Pouder of Lime or with astringent Pouders taken up with the white of an Egg and Pledgets And if you cannot conveniently open them it is good to draw blood from the inferior Veins that the most impure may be voided An Issue burnt in the left Legg doth purge the Spleen and other Bowels from superfluous Humors and therefore forget it not But because this Disease useth to be very stubborn and after Purging new Humors return you must purge by sits that the Body may be freed from them by degrees which may be wel done by a Magistral Syrup made thus Take of new drawn purified Juyces of the Flowers of Borrage Bugloss Endive Succory Fumitory and Sorrel three pints the Juyce of sweet Apples newly drawn and clensed two pints fresh Polipody of the Oak half a pound clean Senna eight ounces Dodder of Time three ounces Agarick newly made into Troches one ounce Ginger and Cloves of each one dram Infuse them and strain them according to art till there remain five pints and a quarter of the Liquor in which dissolve the straining of an ounce of Rhubarb dissolved in the said Juyces by themselves with a little Cinnamon and one pound of Sugar Make of these a well boyled Syrup clarifie it and aâ—â—matize it with two drams of the Pounder of the three Sanders keep it in a Glass and let him take into ounces thereof twice or thrice in a month with a little Chicken Broth boyled with Endive Sorrel Borrage and Burnet Or instead of the Syrup you may give Pils especially in Winter such as were mentioned in the Obstruction of the Liver or if you fear they are too hot you may make these following Take of Polypody of the Oak half an ounce Asarabacca Roots and Broom buds of each one dram Currance three drams Crystal of Tartar one dram and an half Bugloss and Borrage flowers of each half a pugil Boyl them in Spring Water Take half a pint of the straining being well clarified and six ounces of the Juyce of sweet Apples also well clarified and infuse therein one ounce of clean Senna Turbith and Agarick of each three drams Mace Cloves Cinnamon and Dodder of Time of each one dram digest them four daies in Balneo Marioe then strain them and add to the straining one ounce of the Extract of Aloes made in Endive and Sorrel Water Myrrh dissolved in Wine and strained two drams Salt of Tartar one dram Evaporate them all and inspissate and thicken them at a gentle fire adding towards the end when the matter is almost evaporated Diarrhodon Abbatis Loetisicans Galeni and the Troches of Dialacca of each half a scruple bring them into a mass for Pills and let the Patient take half a dram once in a week two hours before meat Pereda witnesseth that the hath cured many Melanchollick men with this following Pouder and he cals it Blessed and Divine Take of Dodder of Time half an ounce Lapis Lazuli and Agarick in new made Troches of each two drams Scammony one dram Cloves twenty mix them into a Pouder and give two drams twice or thrice in a month with Whey or Borrage Water If you cannot conveniently give often Purges it is good every other day to give a Clyster to revel vapors and draw forth some part of the Humor for if they go deep into the Guts they take away the greatest part of the filth from the Meseraicks We knew a Noble Man who being long troubled with this Disease was cured by often Clysters
when other Medicines did nothing While you give intermitting Purges let the Body at other times be moistened with Baths or half Baths or Fomentations by which both the violence of the Humor is restrained and the Body made moister Also at those times you must use strengtheners which will also open Obstructions and they use to be made often like Opiates or a hard Electuary or Lozenges thus Take of Conserve of Bugloss Roots half an ounce Conserve of Borrage Flowers and Violets of each one ounce Conserve of Roses and candied Citron peels of each half an ounce one candied Myrobalan Confection Alkermes three drams Pouder of Ivory Harts-horn and Bezoar stone of each one dram Loetisicans Galeni and Diarrhodon Abbatis of each two scruples Coral and Pearl prepared of each half a dram Amber-greece half a scruple the best Musk five grains Gold three Leaves with Syrup of Apples and of candied Citrons make an Opiate of which give the quantity of a Chesnut two hours before meat every day drinking after it a little white Wine A plainer and better tasted Opiate is made of one part of Confection Alkermes and four parts of Conserve of Borrage Flowers And to open more powerfully if you fear no hurt by hot things add Conserve of Tamarisk flowers Elicampane Roots Wormwood Maiden-hair and the Salts of Wormwood and Tamarisk c. You may make Lozenges thus Take of Diambra Diamoschi dulce and Loetisicans Galeni of each one scruple Confectio Alkermes three drams Sugar dissolved in Borrage and Rose Water four ounces make Lozenges of two drams in weight gilded Let him take one every day two hours before meat Or you may make them more pleasant thus Take of Confectio Alkermes two drams Amber-greece one scruple Sugar dissolved in Rose Water four ounces Make Lozenges Amber-greece alone given five or six grains at a time every day with Wine or Rose Water doth cheer the Spirits and the Natural Heat and much rejoyce the Heart Some Authors do much commend the use of Bezoar stone against all Melanchollick Disease because it doth much strengthen the Heart and you may give five or six grains in Rose Water or other Liquor After the Body is well purged if it be Spring or Summer you may give Whey for fifteen or twenty daies which will open the Obstructions of the Bowels and amend the hot distemper Make it by boyling and clarifying it and putting into it every night two drams or half an ounce of Epithimum You must proportion the quantity according to the strength of the Stomach For if it can easily pass through the Veins being somwhat open and be sent forth by stool and urine it is good to give it in great quantities as Mineral Waters prescribed in the hot distemper of the Liver with this Caution That you strengthen the Stomach with Baggs and other things hereafter mentioned and give every day at evening a Cordial strengthening Opiate Instead of Epithimum you may mix with the Whey the juyce of Succory Borrage or of any other proper cool Herb thus Take of Goat Whey four or five pints the juyce of fresh Lemmons four ounces the new juyce of sweet Apples six ounces Conserve of Roses or Violets or white Sugar one ounce Clarifie these with whites of Eggs. Let him take every morning three or four more Cups thereof if his Stomach will bear it In Bodies that are very lean after the Obstructions are a little opened you may give Asses Milk with Sugar of Roses and if there be rumbling in the Hypochondria a little Aromaticum Rosatum or Diarrhodon Abbatis wil do very wel But your sharp and Vitriol Mineral Waters are beyond all Medicines which by correcting the distemper of the bowels do powerfully open Obstructions especially the warmest which do make the Humor thin and clense it There is great dispute among Authors concerning drinking those Waters Some with Sennertus do allow it because they receive Vertue from their Minerals and do thereby both clense the passages and send forth the filthy Humors which stick to them by stool and Urine they warm the Stomach and strengthen the Liver and Spleen And we may rather fear that these Waters wil hurt by the use of them external than internal by heating and drying Others with Claudinus do altogether deny them by reason of their drying quality Others with Montanus do neither altogether reject them nor wholly approve of them they say they are good by reason of the coldness of the Stomach which is alwaies in this Disease and by reason of Obstructions But in regard the Liver and Spleen are hot they wil have them defended with the cool Oyntment of Galen And also the Loyns for then saith he the water will not hurt because it staies longer in the Stomach and cold places but only passeth through other parts We suppose that the use of them is convenient if the Stomach being cold have much thick and clammy flegm in it and if the heat of the Liver be not very great Which part is not like to suffer if the aforesaid Oyntment be not only given but also cool Broths after the Waters and after they have been used enough cold and moistening baths for some daies Medicines made of Steel use to be of great Vertue to open these Obstructions such as are mentioned in the Obstruction of the Liver and of the Spleen avoiding those which do heat and dry much In hot bodies you may give Steel prepared with Brimstone or Vinegar with Conserve of Borrage and Succory made in the form of an Opiate For dainty folk the Syrup of Steel afore mentioned in the Obstruction of the Liver and Spleen is excellent or the Froth which remains in the Glass after the Evaporation of the Wine which hath been often steeled mixed with the aforesaid Conserves But Salt or Vitriol of sron goes beyond all Medicines because it opens Obstructions strengthens the Bowels and qualifies their heat The Dose is from twelve to twenty grains with a fit Liquor Syrup or Conserve But because it is displeasing to the taste I use to make it into Pils with the Mucilage of Gum Tragacanth You must use it long and therefore get a great quantity which is not easie to be got after the way that Beguinus and others make it We will shew you the easie way of making it which few men know Take of the Oyl of Vitriol or of Sulphur half a pint the Spirit of Wine one pint Put them in a new Iron Pan that is clean and cover them well within fifteen daies of them there will be a Salt-like gathering which you must set in the Sun to dry it throughly somtimes stirring it with an Iron Spatula In Winter you may dry it upon a gentle fire or in a Hot-house Let the Salt being well dried be kept in a close Glass for if it be exposed to the Air it easily turneth moist Also the Pills that are made thereof of Tragacanth must be hardened with the Pouder
full by which means they make thin and fluid that thick earthy and salt humor and at length discuss it Moreover they have a certain preservative and opposing Vertue against the poyson of the Scurvy which is in the Melanchollick Humor Among these the chief is Dutch Scurvy-grass which is not in France Another is Cresses of both sorts but the Water-cress is best Brooklime Hors-Rhadish the lesser Celandine Woâ—mwood and Fumitory To which may be added many others but of less vertue and all they are such which can prepare correct and tame the Melanchollick Humor Hence it is that we directed the Cure against Hypochondriack Melancholly to be used here Those are Carduus Ceterach all the Capillar Herbs Hysop Germander Bettony Agrimony Borrage Bugloss Elicampane Asarum Ditch Dock Polypody of the Oak Capar Ash and Tamarisk barks Flowers of Elder Tamarisk and Dodder of Time In the choyce of these Plants you must alwaies observe this That you give the least quantity of hot things and that you alwaies mix with them cold or moderate things and in a greater quantity especially in hot Countries in which Melancholly is burnt And besides the Capillar Herbs with Borrage Bugloss and Agrimony before mentioned when there is a Feaver or we fear heat you may ad Endive Succory Sorrel Juyce of Citrons Lemmons Orrenges and also Spirit of Sulphur or Vitriol or whey Of these former Plants you may make many sorts of Medicines which are all gathered by Sennertus out of all Authors which every man may imitate as he pleaseth Yet this we must mark which all Authors mention That the aforesaid Plants work more powerfully if you â—ake their Juyce or make them into Conserves because the flying salt wherein all their vertue remaineth is gone by decoction as also if the Plant be dried We have used these following forms with good success Take of câ—eer Juyces of Water-cresses and Brook-lime of each one ounce the Juyce of Fumitory two ounces white Sugar two drams Make a Potion Or Take of the Juyce of Fumitory and Water-cresses of each two ounces mix them Or Take of the Juyces of Sorrel Fumitory and Water-cresses of each two ounces Miâ— them You may give more Juyce of Sorrel if you desire to cool more or Juyce of Lemmons oâ— thâ— like The power of the Medicines will be more to dissolve that sticking clammy Tartar if you add one dram of Salt of Tartar with Spirit of Sulphur or Vitriol one scruple or half a dram and because in the use of these Medicines we purge often it is good to infuse one dram or two of Senna all night in the said Juyces and give it every other day or every third day It is worth your while to give somtimes also some steeled Medicines such as we prescribed in Hypochondriack Melancholly as also the strengthening and opening Opiates and others as in wisdom you shall think fit And last Mineral Waters that are sharp and of Vitriol used in due season are very beneficial for the Cure of this Disease The End of the Twelfth Book THE THIRTEENTH BOOK OF THE PRACTICE OF PHYSICK Of the Diseases of the Mesentery Sweet-bread and Caule The PREFACE MAny Authors are very short in the explaining of the Diseases of the Mesentery Sweet-bread and Caul and the most of them have left them out because they are hard to be known and for the most part only from Dissection of dead Bodies as appears by stories in Schenkius Sennertus and others Yet they are very ordinary and usual from whence Fernelius saith That oftentimes there are causes of many Diseases in the Mesentery as of Choller Melancholly Diarrhoea Dysentery evil Habit Consumption Faintness of lingering Feavers Vomitings Chollicks Tumors and Imposthumes And Sylvius called the Mesentery the Mother of many Diseases by others she is called the Physitians Nurse We may say the same of the Sweet-bread and Caul for they are ignoble parts and as it were sinks of the Body to which the noble Members do send their Excrements And although these parts as all other are subject to all kinds of Diseases Similary Organical and Common and many Symptomes arise from them yet we will only speak of those which are most in practice and comprehend this Book in five Chapters The first shall be of the Obstruction of the Mesentery The second of the Inflamation of the Mesentery The third of the Imposthume Scirrhus and Vlcer of the Mesentery The fourth of the Diseases of the Sweet-bread The fifth of the Diseases of the Caul Chap. 1. Of the Obstruction of the Mesentery THese Obstructions in the Mesentery come of the same Causes which are mentioned in the Obstructions of the Liver and Spleen but they happen more easily and more often by reason of the straitness of the Meseraick Veins and especially of the Milky Veins which carry the Chylous Matter to the place of the second Concoction and when that Chylous Matter is filled with crude and thick juyce it comes to pass that not having a free passage it sticks in those little Veins and makes Obstructions Also the Meseraick Veins are stopped by thick Humors sent from the Liver Spleen and other parts and there continuing till they grow thicker so that somtimes they cause a Scirrhus With these Humors somtimes gross Vapors are mixed which use to be the cause of great Symptomes To the Obstruction or rather making narrow of these Veins we refer compression which comes from the Glandles which are spread through the whol substance of the Mesentery for when these grow beyond measure as in those who have the Kings Evil or Struma they compress the Meseraick Veins and hinder both the passage of the Chylus and of the Blood The Signs of these Obstructions are to be divided into three kinds as we did in the Obstructions of the Liver namely into such as shew the Disease the Part affected or the Cause The Signs of the Disease that is of the Obstructions lying in the Hypochondria and also the Signs of the Causes are the same with the Obstruction of the Liver and Spleen and are from that Chapter to be taken But those Signs which properly shew the peculiar Disease of the Mesentery are stretching and resistance in the middle of the Belly and under the Stomach and about the Navel a weight in the same parts and somtimes a dull pain and somtimes a most sharp when wind is contained in those parts somtimes there is pain in the back because the Mesentery is tied to that part there is rumbling in the Belly belching and vapors flying to the Head from whence come divers Symptomes and lastly all those which use to happen in Hypochondriack Melancholly signifie Obstruction of the Mesentery because that also proceeds and is maintained by the same Obstructions As for the Prognostick This Disease of its self is not dangerous because an ignoble part can endure great evils without danger of death moreover you may apply strong Medicines for the Cure which being well administred
four ounces of white Wine Take of the bark of the Roots of Carduus Asininus one ounce Liquoris two drams boyl them to six ounces let him take the straining many daies It doth wonderfully clense Stone and Gravel Take four pounds of shred Onions that are white two pound of Sugar one pint and an half of white Wine distil them in Balneo Mariae till they are dry Give every morning two or three ounces for many daies together The Ashes of a Scorpion is commended by Practitioners if you take one scruple at a time with Waâ—er of Couch-grass Pellitory or white Wine but it is seldom used Mathiolus his Oyl of Scorpions is more in use a dram taken at the Mouth with the aforesaid Liquors The Chymists brag much of their Salts among which the best is Salt of Bean Cods or Stalks half a dram whereof with white Wine works very well And also Tartar vitriolate in the same quantity They commend also Spirit of Salt Vitriol Mercurius dulcis with their proper Vehicles or Liquors Outwardly you may help the Stone if you continually chafe the Reins and Ureters with warm hands anointed with Oyl of Scorpions Also many Cupping-glasses from the Kidney affected downwards applyed without Scarrification Then anoint the Part with Mathiolus his Oyl os Scorpions to which add a little pouder os Cantharides Or make a Liniment of Oyl of Wax Bricks and Scorpions of each equal parts it is very piercing and good if you fear no inflamation of the Reins You must observe in the use of Medicines to break and expel the stone That they must not be used twice or thrice but often till the passages stopt are open and while you give them you must cherish the Reins and Bladder with Baths Fomentations Oyntments and Cataplasms that the other may work the better And you must give thin Liquor as white Wine often and use inward Emollients Looseners and Openers to enlarge the Passages and temper the sharpness of other Medicines By these Remedies the pain of the Reins is cured and stone dissolved and expelled But because they who are diposed to this Disease and cured do often relapse therefore we must appoint some Preservatives that we may hinder it as much as may be And first if there be a Plethora or fulness or the Reins and Liver hot it is good to open a Vein Spring and Fall a Clyster or gentle Purge being first given And then to purge the Matter away which is proper to breed the stone before it come to the Kidneys which you may do by a Vomit twice or thrice in a month to those which easily vomit Or you may give a Purge by a Bolus of Cassia Diaphoenicon and Rhubarb prescribed in the Cure or some other convenient Medicine every month or two or three according to the habit of the Patient and the plenty of Humors and that in the last quarter of the Moon Or if there be evil Humors they must be purged Spring and Fall with a convenient Apozeme for by that not only the Antecedent and remote cause wil be taken away but also some part of the conjunct cause as also the Obstructions of the Bowels which usually accompany this disease wil be taken away if you mix therein clensing and cutting Medicines Or instead of the Apozeme you may use the Decoction of an old Cock made thus Take of Polypody of the Oak Carthamus seeds of each one ounce and an half Thyme and Epithimum of each one pugil Cummin Annis Dill Fennel Caraway and Carduus seeds of each two drams Senna one ounce and an half Gummy Turbith half an ounce Cinnamon one dram Crystal of Tartar two drams beat them and mix them together and put them into the belly of an old Cock and then boyl them till the flesh come from his bones Let him take the Broth being strained at four mornings draughts Or you may give this following Pouder commended of Solenander by the use whereof he testifieth that he cured many of the pain of the Reins giving it in the fit Take of Senna two ounces the best Rhubarb half a dram Turbith one dram and an half Hermodacts two scruples Polypody half a dram Cinnamon Ginger Gromwel seeds Saxifrage Broom seeds of each one dram pouder them finely Give one dram or a dram and an half in white or thin red Wine once in a month Carolus Piso doth extol this following Pouder Take of Annis Fennel Caraway and Cummin seeds of each one dram Coriander prepared half a dram Liquoris and Burdock seeds of each one dram and an half Cinnamon and Galangal of each one scruple Gromwel and Broom seeds of each half a dram Diatragacanth frigid two drams Diagridium one scruple Senna as much as all the rest make a Pouder The Dose is one dram with the Broth of gray Pease Or you may make a Magistral Syrup thus Take of Sparagus Couch-grass Marsh-mallow Knee-holm and Parsley Roots of each one ounce Bettony Burnet Saxifrage and Pellitory of the Wall Maiden-hair of each one handful Bazil Parsley Gromwel Broom and Burdock and Mountain Ofier seeds of each two drams Liquoris Raisons and Polypody of the Oak of each one ounce Make a Decoction to one pint and an half Infuse in the straining four ounces of Senna white Agarick two ounces Ginger two scruples boyl them a little and strain them after dissolve in it one pound of white Sugar Boyl it up to a Syrup and give thereof two ounces once or twice in a month with the Decoction of Barley Couch-grass and Gray Pease Or if the Body be very foul make Pils of Aloes and Agarick and give two or three of them every other day before Dinner After Purging give Diureticks to bring forth the slimy Matter and Sand that is about the Ureters For this end make Decoctions of the Diureticks mentioned in the Magistral Syrup with Sugar into the form of a Julep or Apozeme Or Chicken Goat or Mutton Broth to be taken many daies together after general Evacuations Also after every Purge take some of these following once or twice in a week Take of the stalks and flowers of Beans three pound Calcitrah one pound beat them and add one pound of Sugar candy the Juyce of Lemmons one pint and an half the Juyce of Oranges half a pound the Decoction of Mallows and Marsh-mallows wel strained two pound Honey one pint Distil them with a gentle fire and let them not be burnt nor the Liquor wholly consumed Let the Patient take four ounces of this Water every morning Take of the stones of Medlars and the pouder of Diatragacanth frigid of each one ounce dried Rest-harrow Roots Liquoris Melone and Gromwel seeds of each two drams Saxifrage Broom Rhadish Knee-holly Calcitrap seeds of each one dram Marsh-mallow and Sparagus seeds of each one scruple Sugar candy two ounces make a Pouder Of this let him take one spoonful thrice in a month in the morning about New moon Fullmoon and Wain drinking after
affected with the pain of the Reins were cured by them Which Amatus Lusitanus Curat 78. Cent. 7. wisely confirmeth where he thus saith A man that had the pain of his back and pissed often red hairs complained of his Loyns and Guts for which he had took many things in vain but contrary to all hope he was cured with eating of Filberts For one counselled him that if he would be cured he should eat Filberts with their inward Husks before Dinner and Supper But he considering the Innocency of the Medicine eat them at meat and after also by which he was cured perâ—ectly and his pain never returned Amatus Lusitanus in his Notes adds this That not only that man but many others have been cured thereby These are those vulgar Nuts that Avicen reckons among the Medicines that consume the Stone But the question is by what faculty they work whether by the dryness of the inward skin But some say that they work by their Oyly quality The Chymists commend the Spirit of Salt and give some drops thereof in a morning with Broth or other Liquor Zechius commends boyled Water given warm the quantity of six or seven ounces once or twice in a day before meat For it clenseth the Reins and extinguisheth the heat so that they cannot after breed stones Let his Drink be thin Wine with the Decoction of Sea-holly This Crato commends And we have seen excellent effects thereby Sowr Wine called in French Vnies drunk often doth so much good that some have Vinyards of those Grapes on purpose To correct the hot distemper of the Reins is the best Preservative by such things as are mentioned in the hot distemper of the Liver For they help the Reins and the Liver from whence many times they are distempered Among the rest Whey drunken in Summer a whol month together is the best And sharp Mineral and Vitriol Waters to cool al the Bowels You may apply this following Epithem often to the Reins Take of Lettice Water-lilly and Rose Water of each three ounces Rose Vinegar two ounces Apply them very warm morning and evening This following Liniment is good especially in Winter Take of the Oyl of Roses Water Lillies and Violets washed in Vinegar and Rose Water of each one ounce the Mucilage of Marsh-mallows drawn in Pellitory Water six drams Wax a little Make a Liniment for the Reins morning and evening The extraordinary heat of the Reins is allayed with a plate of Lead alwaies warm And lastly Because the Crudities of the Stomach do breed the Stone you must have an eye to that and strengthen it with such things as are prescribed in the Chapter of the Weakness thereof Chap. 2. Of the Stone in the Bladder ALthough we should speak of these Diseases of the Reins in order yet because the Stone in the Kidneys and Bladder aâ—e of the same Nature and what hath been said of the one may agree with the other we shal speak next of the Stone in the Bladder The Material and Efficient Cause is the same of both only this Difference there is That Children are most subject to the Stone in the Bladder and Men to that in the Kidneys The Reason of which is given by Galen 6. Epid. Sect. 3. because thickness of Urine which Children often have by Reason of their gluttony is dissolved by their gentle heat neither doth it stay in the Reins by the help of the Expulsive Faculty of the Reins which is stronger in that age but being fallen into the Bladder there it staies longer because children given to play and sleep piss more seldom Moreover their Urine is not so sharp neither doth it provoke the expulsive faculty of the Bladder while the quantity is burdensom and so the dregs remain because the Passage is very narrow besides the bladder being stretched by the plenty of Urine cannot so exactly contract it self to empty out all the Urine but some remains in the bottom which is thick and fit to breed the Stone On the contrary old men do often piss forth that Matter which is in the bladder and their passage is larger but the thick humor remains in the Reins because it is clammy and cannot be dissolved by their weak heat or strain through by reason of its dryness Hence Hippocrates in Coacis saith that the Stone in the bladder is not bred after fourteen yeers of age to three score except it was there before Fernelius mentioned a new Opinion of the Stone breeding in the Bladder saying That every stone in the bladder had its beginning from the Kidneys and grows afterwards in the bladder For when in a fit of the stone it fals from the Reins if it be great it staies in the Bladder and by getting new Matter it encreaseth by degrees For he affirmeth that in grinding of some stones taken out of the Bladder he found as it were a Kernel which fel from the Reins of another color and substance and that he never knew any that had a stone in the bladder who was not formerly vexed with pains in the Reins But this Opinion is cast off by divers very good Authors who by their Experience have found the contrary and have taken many stones from the bladders of children which have been wholly of the same color and substance within And common Experience teacheth us that Children have the Stone in the Bladder who never had pain in the Reins which would be otherwise if the stone came first from the Reins It is true that in men many times stones fall from the Kidneys into the Bladder and encrease by the addition of new Matter but we deny that it is alwaies so and we constantly affirm that many stones have taken their beginning in the bladder The knowledg of the stone in the bladder is difficult especially in the beginning when it is little but when it is great it is evident But we shall discover it as much as we can by Art The First Sign is pain in the neck of the bladder which is worse towards the end of pissing and reacheth to the end of the Yard like that which is in difficulty of Urine from Inflamation called Dysuria and it is scarcely at first distinguished from it but when other signs appear The Second Sign is Itching in the Yard which makes the Patient scratch it often The Third Sign is Weight in the Peritonaeum or inward covering of the Guts and all about the Pecten where the Hair groweth with a heavy pain when the stone is great The Fourth Sign is When there is a great stone there is great stoppage of Urine with pain like women in travel and dropping of water and often endeavoring to pils The Fifth Sign is Stoppage suddenly in time of pissing by reason of the stone falling to the Orifice of the Bladder The Sixth Sign is Easier making Water lying upon the back because it puts the stone from the Orifice to the bottom of the bladder The Seventh Sign
Julep of Violets to cool him thus Take of the pouder of Sows prepared one scruple Aqua vitae two scruples red Pease Broth eight ounces Mix them and give it six hours before meat Thus Augenius Sennertus in his Chapter of the Stone in the Bladder tels a famous story of William Lauremberg Professor of Rostoch who being old and troubled with the stone was unwilling to be cut and therfore sought for other Remedies First he tried the famous Water against the Stone which is so much prized by Princes which is thus made Take of Salt of white Tartar one ounce Parsley Water one pint Mix them and strain them with a brown Paper and with Orange peels make it yellow He used also the Indian Jewel called in Spanish Igiada which is most famous for breaking the Stone but both to no purpose Therfore be desired to make tryal of the Medicine of Sows which Horatius Augenius saith cured two yong men In imitation of whom after general Physick and good Diet he took of Sows one scruple the Spirit of Juniper two scruples red Pease Broth ten ounces which he took in the morning but the first and second time he found a straightness in his Breast and a fainting so that he was constrained to take one dram of Treacle with the Potion and so used it fifteen daies but all this while he voided no gravel And then he added other things and made it thus Take of prepared Sows two ounces a Hares and Goats Blood prepared wild Rose Flowers and purple Violet seeds of each one ounce Species Lithontribi two scruples mix them for an Antidote of which take two scruples the Diuretick Decoction ten ounces the Spirit of Juniper two scruples Which Medicine after he had taken it the second time at five a clock in the morning four hours after he felt a great pain under the Os Publis about the Neck of the Bladder A little after he made a little Water and therewith some thin red things like scales of fishes which though they seemed to be slimy yet when they were touched turned to sand So that it plainly appeared that they were the outside of the Stone By the continuance of this Medicine every fourth or fifth day he voided the like scales and somtimes bigger pieces especially when he used a sweet bath But when the neck of the bladder was wounded by the fragments and the stone he used Medicines to asswage pain and by the use of these Medicines was in seventeen months cured The Decoction was Take of Liquoris four scruples Roots of Marsh-mallows Couch-grass Rest-harrow of each half an ounce Winter Cherries twenty red Pease six ounces Raisons one ounce the four great cold Seeds of each one scruple Barley two handfuls Boyl them in Winter Cherry Water Rest-harrow Strawberry and Bean Flower Water of each one pint and an half to the straining add of the Syrup of Marsh-mallows four ounces The Sows are thus prepared Take of live Sows two pound wash them in Rest-harrow Water then drown them in Spanish Wine then powr the Wine out and put them in Glasses the more Glasses the better because then they will dry better Put these Glasses well stopt into the Oven when the Bread is drawn that they may dry gently till they will pouder then put some Spanish Wine upon this Pouder as much as it will take in and dry it again do so thrice and fourthly wash it with this Liquor Take of Straw-berry Water three ounces Spirit of Vitriol half a dram mix them Then dry it and make it fine and keep it in a Glass for your use Besides the aforesaid the use of the distilled Water of Goats blood or of the Urin of a Goat newly slain which was formerly mentioned in the Stone of the Kidneys If the Stone cannot be broken with Medicines necessity requireth the manual operation though it be dangerous lest the Patient die with lingering pain This requires a skilful and wel exercised Artist and that it may have good success as we have observed It is the Duty of the Physitian before the operation to prepare the body by bleeding purging and diet as the state of the business requireth And observe that the taking away of a stone from a Woman hath no danger because it is done only by enlarging the Passage of the Urine which in them is very short If the Patient fear cutting or want a good Chyrurgion he may use asswaging Medicines least the Stone should cut and ulcerate the neck of the bladder such as are prescribed for heat of Urine But if a stone fastened in the neck of the bladder stop the Urine it must be shaken back with lying upon the back with the leg up and the body shaked and then by a good somentation or bath and with a Catheter let the stone be sent back into the bladder Chap. 3. Of the Inflamation of the Reins and Bladder BEcause the Inflamation of the Reins and Bladder are cured with the same Medicines therefore we will put them in the same Chapter although the Signs are different as shall be shewed This Inflamation is a Tumor of those Parts from the flowing of Blood or Choller unto them This is not very ordinary because the substance of those parts is solid and thick but somtimes it happeneth because the Kidneys are fleshy and apt to receive blood but the Bladder though it be without blood and spermatick because it receives blood for its Nourishment through the smal Veins is without question subject to Inflamation by too much blood as other Membranes of the Brain or Meninges the Pleura Mediastinum and the like We said that these Inflamations come from Blood or Choller as when Flegm or Melancholly in the Blood make the parts thicker because they cannot pierce into their thick substance The Causes of this Disease are either from things Natural not Natural or Pretematural From Natural things when there is a Natural Infirmity of those parts from the Parents or a great loosness of them a great heat originally in them by which they draw plenty of Humors In Youth these conduce much to an Inflamation From things not Natural as much Venery which weakeneth those parts and draws much blood or other Humors to them Gluttony Drunkenness and eating of Salt and Spiced Meats great Passions of the Mind lying upon the back in a soft bed great Exercise stoppage of some great Eâ—acuations as of the Months and Hemorrhoids or usual bleeding at the Nose those things which cause repletion and evil concoction and drive the humors to the inward bowels From Preternatural things as a stroak or wound upon the Reins or about the Bladder a pressing or bruise of those parts constant Feavers foulness of the Vessels or other parts that purge themselves by Urine as in a Pleurisie Empyema or imposthume in the side Obstruction of the Spleen breaking of the Mesentery and the like And lastly Disease of those parts do cause Inflamation as the stone
roots of Endive Borrage Lettice and Purslain of each half an handful of new Sebestens and Jujubes of each seven in number of the four greater cool Seeds and white Poppy Seeds of each half a drachm of red Rose-leaves a pugil Boil al in Water sufficient unto a pint and in the strained liquor dissolve Syrup of Quinces or of dried Red Roses three ounces and make a Julep for three Doses But if Melanchollick humors abound they are to be altered and Purged away by Medicines proper to that intent The use of Chalybeate milk taken forty daies together the quantity of four or five ounces is very proper for either of the aforesaid Humors whereunto may be added towards the end a little Bolearmoniack or Terra Sigillata In the whole Course of Curing it is to be considered whether any part of the Body be misaffected and so may send the matter of the Flux into the Womb and if so then care must be taken for the use of that part For if Humors flowing from the Brain do cause this Disease Remedies are to be applied to that part especially such as revel and divert the Fluxion viz. Cupping-glasses frequently fastned upon the shoulders and Back Medicines snuft up into the Nostrils Masticatories Vesicatories and Issues made in the hinder part of the Head or in the nape of the Neck instead where of Setous may be used which are more effectual And Febritius Hildanus in the forty one Cure of his first Century relates that he cured a Woman long troubled with the Whites and thereby Barren by a Seton If the Humors flow from the Stomach Liver or any other part suitable Remedies must be applied to that part The Body being prepared and the offending Humor for the most part evacuated or derived another way We must proceed to corroborating and Astringent Medicaments But they must never be used until the Antecedent matter be wel evacuated and diverted Otherwise those Humors retained do rush into the more noble parts and stir up more grievous Symptoms As Galen in the afore-cited place relates to have befallen the Wife of Boetius Whose Belly swelled by meanes of the unseasonable use of Astringents by which the Wheyish Humors were retained in her Body which were wont to pass away in the Flux It is likewise to be remembred that whilst we are in the use of Astringent Remedies we do then divert the Antecedent Matter and hinder the same from increasing by the Remedies aforesaid Amongst these principal corroborating Medicines Treacle is reckoned which is to be used in flegmatick Constitutions Conserve of Roses and of Wormwood may be mingled with the Treacle Or the following Opiate may be compounded Take Conserve of Rosemary flowers one ounce Conserve of Calamus Aromaticus two drachms Species of Diarrhodon Abbatis and of Aromaticum Rosatum of each one drachm Red Coral prepared half a drachm Treacle two drachms with Syrup of preserved Citron peeles Make all into an Electuary Or Take old Conserve of Red Roses Roots of Comfry Bugloss and Citron peeles of each one ounce Red Coral burnt shavings of Ivory Bole-armoniack Terra Sigillata Dragons-blood of each one drachm with Syrup of Red Roses dried make all into an Opiate The pouder of Sage Salsa-parilla and Baula stians taken every morning in broath is the Court-Ladies Medicine Zecheus commends this following Electuary which he had often used with happy Success Take Gum Arabick and Gum Tragacanth of each two drachms white and red Coral burnt Eg-shels Harts-horn Dill seeds Amber of each four Scruples Honey of Roses as much as will make all into an Electuary Of which give half an ounce two hours before meat Let the Patient swallow it down and drink after it four ounces of Plantane Water mingled with two drachms of red Wine Juleps may be made of Rose-water Knotgrass and Plantane waters with the Syrup of Myrtles dried Roses and the like Some of the aforesaid pouders being added Mercurialis saies he frequently used a Decoction of Oak-leaves with the Runnet of an Hare wherewith he cured many Women of this Disease His manner of making his Medicine was thus Take of the Decoction of Oak-leaves five or six ounces of the Runnet of an Hare one dram Let her take this Medicine eight or then daies When the Disease comes from Choller the following Syrup may be prepared which is strengthening Astringent and cooling Thus Take red Rose Water four pints Spirit of Vitriol so much as will make the Water a little sharp but so as scarce to be perceived by taste red Roses dried three pugils Steep them in the Water cold two daies Sâ—ain it and add thereto so much Sugar of Roses as will make a Syrup And Finally Those Astringent remedies mustred up in the former Chapter touching the Immoderate Flux of Courses may be likewise useful in this Cure The Patient may use instead of ordinary drink a Diet drink of China-roots or Mastich wood with Astringent Wine mingled The same time that the Patient takes in such things as are Astringent and do strengthen the Womb she must likewise use outward Remedies applied to the place affected viz. Fomentations Baths to sit it Oyntments Plaisters Injections Fumigations and Pessaries such as have been prescribed against Immoderate Courses But before these external Astringents are applied the Womb must be well clensed Otherwise such impurities would be therein retained as returning back into the Body may cause more grievous Diseases And in our clensing we must regard the Humor offending for one sort of Clensers are fit for Flegmatick another for Chollerick Humors If the Humor be Chollerick let the Clensing Injections be made of Barley-Water Whey Water sweetened with Sugar If it be Flegmatick let them be made of Hydromel or of the Decoction of Wormwood Fever-few and the like Also a Detergent Pessary may be made of Treacle and Turpentine or of Mercury leaves bruised and wrapped up in a fine Linnen rag very thin worn Let the Patient use these Clensers before the Astringents be applied until her Womb be well purified which may be known if little or no Humors come therefrom After the Use of the Clensers the Fumes are first to be received over a Close-stool because they dry and strengehen the Womb and they may fitly be made of Frankinsence Ladanum Mastich Sanders Nutmeg and Red-Rose leaves And afterwards we must proceed to other Astringent Remedies Chap. 5. Madness from the Womb. WOmb-Furie is a sort of Madness arising from a vehement and unbridled desire of Carnal Imbracement which desire disthrones the Rational Faculy so far that the Patient utters wanton and lascivious Speeches in all places and companies and having cast off all Modesty madly seeks after Carnal Copulation and invites men to have to do with her in that way This Immoderate desire of Carnal Conjunction springs from the abundance of Seed from it's Acrimony and heat transcending the bounds of Nature whereby it is made to heave and work in the Seminal vessels as
Toe lay on this following Take two whites of Eggs a little Salt beaten to Pouder a few drops of Vinegar of Roses Mix all and apply it upon Tow or course Flax to the part affected Other Cataplasms are likewise made of greatest efficacy compounded on this manner Take Water of white Mullein and of Fern Root and Branch of each half a pint calcined Vitriol exquisitely poudered one ounce and an half Meal four ounces Saffron two drams Make all into a Pultiss Take Mallows leaves and Roots as much as you please Boyl them in a new Earthen Vessel with equal parts of Wine and Vinegar till a third part be consumed then ad as much course Rye Bran as will make it into a Pultiss which being well wrought together and spread upon a Linnen Cloth let it be applied to the parts pained as hot as the Patient can endure it Solenander doth exceedingly commend this Pultiss Forestus relates that a Cataplasm made of Duck-weed and Chamomel Flowers boyled in Milk adding a little Barley Meal wil do miracles Montagnana affirms this following to be most excellent in extream pains Take the Yolks of ten Eggs beat them in a Frying Pan with half a pound of Oyl of Roses Let them boyl gently till they grow thick adding two drams of Saffron and lay it on hot In the beginning of the Flux many lay on a Cataplasm of Salt and Soot wrought into a Body with whites of Eggs. Or of two ounces of Chamomel Flowers red Rose Leaves one ounce and an half Mullein flowers half an ounce Pouder them and boyl them in sweet Milk to the stiffness of a Pultiss adding three or four Yolks of Egs. Or of Barley Meal and Bean Meal of each one handful Flowers of Chamomel and Roses of each half a handful Mullein Water and Willow Water or Plantane Water and Wine of each as much as shal suffice Incorporate all together in form of a Pultiss Also divers Fomentations may be made to be applied to the place affected after this manner Take of the Leaves of Mullein six pounds red Wine a Quart Beat the Leaves and stâ—ep them in the Wine for three daies Distil them and bathe and foment the parts affected therewitâ— warm with Linnen Cloaths dipped therein Or Take Flowers of Mullein as much as you please fill a glass Bottle therewith and stop the mouth and set it in the Sun for so they will turn to Liquor which being applied to the part affected with Linnen mitigates the pain Salsaturni that is Salt of Lead dissolved in subtil Spirit of Wine easeth pains wonderfully Frog-spawn-Water stilled in May applied to the parts pained doth wonderfully asswage the pains and tempers the Inflamation and redness of the part These following Simples may profitably be mingled therewith Take Frog-spawn-Water Water of Tapsus Barbatus or of Mullein and of Fern of each one pound and an half Infuse therein Lapis tutiae and Litharge of Gold of each two ounces Vitriol calcined and Allum of each one ounce Foment the pained Parts herewith warm An Infusion of Litharge made in Vinegar the Vinegar being a little evaporated till it grow sweetish doth much good to an hot Gout Oyl of Calves Feet is excellent to allay the pains of the Gout and it is thus prepared Let the Calves Feet be beaten and the Bones broken then boyl them all to a Pap. Take the Oyl which swims on the top of the Water mingle it with Aqua vitae and Salt and therewith bath or anoint the parts pained Also Oyls and Fat 's are by many used But seeing the Inflamation which befals those Members which are troubled with the Gout doth draw very neer the Nature of an Erysipelas or red fiery swelling oftentimes those fat things may do more hurt than good for by stopping the pores they may keep in the Humor and so encrease the pain According as Sennertus makes relation of a man troubled with the Gout who found great good by very new Sheeps-milk Cheese laid upon the pained part for as soon as the Cheese being heated by the pained part began to melt and shed its Butter the pains were encreased Yet in some Bodies Oyl of Roses and such like may do good especially mixed with other Medicaments because according to the different Natures of Mens Bodies several things do good to several persons And therefore we must be furnished with a mighty company of Medicaments that upon al occasions we may have change because there is scarce any one so effectual as to do good to al that are troubled Take these following for an Example or Pattern Take Crum of the whitest Manchet half a pound Boyl it in new Milk to the consistence of a Pultiss then ad of the Mucilage of Marsh-mallow seeds two ounces Meal of Line seed and Fenugreek seed of each two drams Flowers of Chamomel and of Melilot poudered of each one ounce Saffron one dram Oyl of Roses one ounce Mix all into a Cataplasm Or to the Cataplasm of white Bread Crum before described Oyl of Roses may be added Also Liniments and Oyntments are wont to be made to mitigate pain Take Yolks of Eggs two or three dissolve them with Oyl of Roses or Violets or Wine and apply them luke-warm Balsamum Saturni prepared with Oyl of Roses or Violets allaies pain most effectually Take Ceruss two ounces dissolve it in Endive Water and a little Vinegar make thereof a Liquid Oyntment Of the said Ceruss is made a Plaister of great efficacy which may be laid on in the beginning of the Disease even whiles the Tumor and Inflamation is present It s composition is thus Take Common Oyl one pound Wine a pint and an half Boyl them till half the Wine be consumed Then ad a pound of Ceruss finely Poudered and two drams of Camphire Boyl them to the Consistence of an Emplaister When there is great Inflamation Vinegar must be used instead of Wine Spread this plaister upon Linnen Cloathes that it may the more commodiously be wrapped about the Parts affected A Living whelp laid to the pained Part doth very much asswage the pain When the pain rages extreamly we may have recourse to Narcoticks howbeit they must not lie long upon the Part because they are adverse unto the naturall heat and to the nerves Take Henbane Leaves two Handfuls Nightshade and Housleek of each one Handful Garden Poppy-Head one pugil Mandrak Roots one ounce Chamomel Flowers and violet Flowers of each one pugil make a Decoction in Water or Milk with which let the Part be bathed Beat the residue after the Liquor is strained out and add of the Flower of Lin-Seed one ounce and an half Wheat meal two ounces Oyl of chamomel three ounces and make a Pultis Or Take Spirit of Wine somwhat Yellow by infusion of Saffron four ounces camphire one scruple Boyl them a little then dissolve therein one dram of Opium With that Liquor let the pained Part be bathed It is a safe and most effectual Medicine
wont to do in this Disease which alone being opened doth often heal this Disease It is wont to be opened on the Leg of the same side the Gout is on yet hath it done much good being opened on the contrary side and hath been seen suddenly to take the Pain quite away Galen in his Book of Blood-letting Section 18. I remember saith he that I have Cured divers troubled with the Sciatica in one day opening a Vein in their Thighs viz. the Cause being not from cold but fullness of those Veins which are in the Hip so that a Vein opened about the Ham or Knee is more Proper and commodious in such cases than in the Ankles Also Blood drawn out of the Hemorrhoids by Leeches doth wonderfully help those that are Hip-Gouty because the Blood conteined in the Veins of the Hip is thereby drawn out for there is the greatest Consent fellow-feeling that can be between these Parts by means of their Veins Strong Purgations are proper in this case for lighter purges do rather precipitate the Humors into the Parts affected And therefore the Arthritical Pouders are most convenient Carpocostinum Pils of Hermodactils and such like The Chimists do somtimes successfully use Mercurial and Antimonial purges in strong Bodies Mercurius dulcis wich Scammony or other purgatives given frequently doth powerfully eradicate the Humor causing this Hip-Gout Many preferr Vomiting Medicaments before purgatives because they Evacuate the Humors by a place more remote from the Part affected Rondeletius prefers Alarum before other Vomitories After sufficient Purgation we must proced to local Medicaments And as for repelling Medicines they are no waies convenient because it is to be feared least the Humors be so much the more fixed into the Part affected but at the beginning Resolving things must be applied first milder and less hot least they should attract the Humors more into the Part affected after such as are more vehement in this manner Take Briony Roots two pounds Dwarf-Elder Roots one pound Juniper Berries half a pound Leaves of Groundpine Mint Marjarom Sage Rosemary flowers of Chamomel and Melilot of each four handfulls Make a Decoction for a bath to sit in which let the Patient sit in twice a day for two or three daies together At the beginning the Decoction may be made of Water alone afterward in Water and White Wine With the same or like Decoction hot may the Part Pained be fomented frequently Also Bags may be prepared of Salt Millet and Bran fried with rich Canary in a frying Pan and laid on Warm Or Bags very effectual may be made only of Juniper Berries beaten and fried in a Pan as aforesaid Also anointings will be convenient of Oyl of Chamomel Oyl of Dill Orice Nard and Rue which by relaxing the exterior Parts will draw the motion of the Humors to themwards by which means the inner parts wil be less affected Oyl of Scorpions of Mathiolus anointed on wil be very effectual To resolve more powerfully The Aqua Balsami Guidonis being anointed on wil be exceeding good Oyntment of Marsh-mallows doth loosen the external parts and doth gently discuss the Morbisick Matter therefore towards the beginning the whol Thigh may be anointed therewith and the Legg to the Foot by a flaming fire In the Progress of the Disease this following being hotter and stronger may be used Take Oyl of Worms Tiles Turpentine of each two ounces Oyl of Foxes one ounce Gum Ammoniack and Sagapenum dissolved in Aqua vitae of each six drams Fat Castoreum three drams Euphorbium two drams Wax as much as shall suffice Make all into an Oyntment Spanish Soap or Castle Soap dissolved in Spirit of Wine is most excellent smeared on by the fires side Oyl of Tiles or Bricks alone being anointed hot after six Cupping-Glasses have been fastened upon the pained place and about the same and after the anointing the place being covered with very hot Linnen Cloaths hath in one day cured a very stubborn Sciatica Lacuna in his Comments upon Dioscorides doth commend the following Oyntment as wonderful Take the Juyce of the Roots and Leaves of Dwarf-Elder or Danewort of each one ounce Oyl of Chamomel six ounces Boyl them to the consumption of the Juyces Then add Wax as much as shall suffice and a few drops of Vinegar to make the vertue pierce Make of all an Oyntment A Cataplasm of the Herb Iberis wild Cresses or Sciatica Cresses is much commended by Authors because this Herb is very effectual in the Cure of this Disease It may be made after this manner Take of wild Cresses four handfuls boyl them in Wine and beat them adding thereto Meal of Lupines Vetches and of Beans of each three drams Pouder of dried Rue Chamomel flowers and Costus Root of each one dram Oyl of Turpentine half an ounce Oyl of Earth-worms as much as shal suffice Make all into a Cataplasm Platerus witnesseth that it hath done much good when green Sage hath been put on an hollow hot Tile and often stirred lest it burn and thus being half boyled and sprinkled with Vinegar and a Clâ—th put about the Tile and the same put under the Hips the vapor thereof hath been received into the part affected Also a Loaf very hot out of the Oven cut in the middle sprinkled with Aqua vitae and laid on wil be very helpful To draw the Morbifick Matter outwards a Cupping-Glass is good four times fastened upon the highest part of the pained place which appertains to Os sacrum without Scarrification To the same intent eight or ten Leeches fastened to the part affected do much help which are allowed and approved of by Paulus and Aurelianus And Zacutus Lusitanus saies that in ten hours space he therewith took away the pain of the Sciatica which no other Remedies could help Plaisters are likewise frequently used and in this Case may do much But in the use of them this is alwaies to be observed as it hath been said generally of the rest that at the first mild ones be applied which if they do little good we may arise to more vehement Which order we will likewise observe in our setting down the making of such Plaisters Take Pitch used in Ships two ounces Brimstone poudered very fine three drams Mastich two drams Turpentine half an ounce Mix them and make of all a Plaister adding as much Wax as shall be requisite Take Ship-Pitch two ounces Gum-Ammoniack Bdellium dissolved in Vinegar of each one ounce Live Brimstone Turbith Hermodactils of each half an ounce Castoreum one dram Turpentine a little Wax as much as shall suffice Make of all a Plaister Take Gum Ammoniack and Sagapenum dissolved in Vinegar and then thickened again of each two ounces Emplastrum Diachylon cum Gummis one ounce and an half Melt all together Then add Cinnabaris Cinoper or Minium and burned Brass of each one ounce Orpment and Verdegreece of each two drams Make all into a Mass or Plaister If it raise Bladders lay a
the fore-cited place That he cured the most of such as had this Feaver suddenly by letting them bleed til they fainted away which bleeding was attended by a loosness vomiting of Choller and plentiful Sweat Yet in these daies of ours that same large blood-letting is out of date which is not without danger seeing Galen himself relates in his Book of Curing by Phlebotomy Chap. 12. That it besel three Physitians while they were practising this large Blood-letting that instead of fainting away their Patients died out-right It is better therefore at several times to take away so much blood as the Nature of the Disease doth necessarily require Before Blood-letting if the Patient be Costive or the Guts abound with Crudities an Emollient and Laxative Clyster must be given As for the point of cold Water Galen orders it to be given in so great quantity that the Patient grow pale tremble and be cold all over and so he saies it extinguisheth the fiery heat it strengthens the solid parts and drives out unprofitable Humors by stool by urine and by sweat But he saies there must be many Cautions in the use thereof viz. That it be given in the Vigor of the Feaver the signs of Concoction appearing that the Patient have been used to drink cold Water in time of health have strong bowels and full of juyce a fleshy and wel-set Body have a constant and vigorous strength be not full of thick and clammy Humors have no tumor in any bowel nor stomach throat or sinews weak Otherwise if these conditions be wanting it is to be feared lest the Patient fall into shortness of breath Dropsie Trembling Convulsion Lethargy or some other grievous Disease This kind of Medicine is likewise grown out of date in our times seeing it is hard to observe all those conditions and so many dangers attend the undue use thereof For it is better to use other more safe Medicines which cool the whol Body and the Blood as Juleps and opening Emulsions Epithems Liniments and a Diet altogether cooling Juleps are made of the Decoction of Barley or Sorrel or Cichory or with Water of Cichory Endive Sorrel Lettice adding Syrup of Juyce of Cichory Lemmons Pomegranates Vinegar c. Whereunto also for the greater cooling and opening may be added some drops of Spirit of Vitriol or Sulphur If the distilled Waters seem too crude or raw let them boyl with a little Species Triasantalon or Diamargaritum frigidum Emulsions may be made after this manner Take sweet Almonds blanched and steeped in Rose Water one ounce the four greater cool Seeds and Seeds of white Poppy of each two drams Beat them in a Marble Mortar powring on by little and little a pint and an half of Barley Water In the strained Liquor dissolve Sugar of Roses three ounces Make an Emulsion of Almond Milk for three Doses Which will be convement and is to be preferred before Juleps if there be want of Rest Epithems to be laid upon the Region of the Heart and Liver may be thus made Take Water of Roses Bugloss and Lettice of each three ounces Vinegar of Roses one ounce Pouder of the Electuary Diamargaritum frigidum one dram and an half Camphire six grains Make an Epithem lay it upon the Region of the Heart Take Water of Endive Cichory Sorrel of each four ounces Vinegar of Roses an ounce and an half the three Sanders two drams and an half Make an Epithem for the Region of the Liver A cooling Oyntment may be anointed upon the Liver and Loyns of Vinegar of Roses Vnguentum Rosatum Vnguentum Refrigerans Galeni or Ceratum Santalinum washed in Vinegar tempered with Water If the Disease seem to lengthen after bleeding we must purge lest the wheyish and Chollerick Excrements putrefie and thereby a putrid Feaver arise But we must use such Medicines as purge without heating and agitation of Humors as Cassia Manna Syrup of Roses Tamarinds Catholicon and such like Ad hereunto a convenient Diet viz. Cooling moistening and thin of Broths made with cooling Herbs Prunes and sharp Apples boyled and Panadaes Let the Patients Drink be a Decoction of Barley Water boyled and Water with Bread boyled in it or mixed with Syrups of Maiden-hair or of Pomegranates Chap. 3. Of an Hectick Feaver AN Hectick Feaver occupies the solid Parts of the Body which constitute the Habit thereof and are commonly called Spermatical or fleshy in regard of which parts it is more fixed and rooted than other Feavers which are in the Spirits or Humors For which cause it is also termed Habitual because it is become Habitual and can hardly be removed from its subject There are many Divisions of this Feaver For first of all there is a Primary Hectick which begins of it self and another Secondary which follows other Feavers Secondly an Hectick Feaver is simple and solitary or joyned with a putrid Feaver Thirdly some Hecticks begin at the Heart others from other Parts as the Lungs Liver Spleen Kidneys Womb and other Parts inflamed ulcerated corrupted or possessed with some other grievous Disease And this Feaver though it have its habitual seat in the Heart and the whol Body yet is it commonly termed Symptomatical because of its first Original which it hath from other parts Galen makes three Degrees of an Hectick Feaver The first is the very beginning of an Hectick in which the Body is hardly extenuated yet the moist Humidity of the Body is inflamed consumes and dries The second comprehends the Augment and therein is an evident extenuation of the Body the fleshy and fat substance of the Body perishing The third contains the state of the Disease and its last age for it never comes to a declination because therein viz. in that degree it is incurable for then the fibrous and membranous substance of the Body is consumed and the whol Body is so extenuated that the Face of the Patient is like that described by Hippocrates nothing but skin and bone This last Degree is called Marasmus or rather Hectica Marasmodes because in a true Marasmus cold is joyned with dryness The Causes of an Hectick Feaver are divided into an Internal and External To the External are referred what ever Causes may occasion any of the other Feavers if the Action of Heating be continual and vehement or the Patients Body be apt to entertain this kind of Feaver Such are the heat of the Sun or of the Fire vehement Exercise Meats and Drinks that are heating immoderate Evacuations as in a Loosness and bloody-flux vehement passions of Mind and finally fasting in a Chollerick Body that is hot and dry of Constitution seeing Galen affirms that those Physitians that were wont to enjoyn their Patients to fast three daies together did bring Chollerick Constitutions by that means into burning and hectick Feavers The Internal Causes are burning and pestilential Feavers which do speedily consume the moisture of the Heart also a long slack Feaver Also some peculiar Disease of any of the bowels
Body Howbeit the sick must be covered only with light and soft Coverings and not loaded with over many blankers or Rugs also the Feather-bed must be taken away and a flock-bed put in place upon which also in the extremity of Summer a covering of Leather wil conveniently be laid on Let the bed be wide that the sick may change place therein Let the Patients Linnen Shifts be often changed contrary to the vulgar opinion provided they be not newly washed nor smel of Soap and that the Time of the Crisis be not at hand in which nothing is to be stirred least the motion of Nature be hindred and disturbed The Sun-beams are to be kept out of the Patients Chamber and store of Company is to be avoided Water is often to be powred out of one Vessel into another in the sick Persons chamber The Pavement of the Chamber is to be sprinkled with Water Vinegar and Rose-Water mingled or with cooling Herbs and flowers as Vine Leaves Willow Leaves Leaves of Water Lillies Flags Roses and flowers of Violets and of Water Lilly which must be kept at hand in good Quantities in a cool place and be often fresh sprinkled and strowed about the Patients Chamber for when these Herbs and flowers are dried they heat the Chamber If the Chamber be cold as in winter it must be a little tempered with a fire avoiding Smoak Howbeit in flegmatick Feavers the Air must be Moderately hot and dry As for Point of Nourishment the Diet ought to be thin and spare in acute Feavers And therein the Antients were so severely diligent as to place the greatest Part of the Cure in ordering the Diet enjoyning such as were sick of a most acute Feaver to keep a most thin and slender Diet and giving them nothing but a ptisan drink of Barley Water as most convenient for persons in a Feaver seeing it cooles and Moistens withal extenuating and opening and hindering no Evacuation And they had two kinds of Ptisans One simply so called or whol Ptisan not strained the other was strained which we cal Barley Cream Barley clensed of the Husks boyled in sair Water to a Consistency or Pottage is the whol Ptisan this being strained with pressing is called Cream or Juyce of Barley But in our Times at least in our Country by the refractoryness of Women who fear nothing but that the sick person shal be starved as al their care in a manner is to cram their Children with meat like Pudding Bags how empty their Brains be of wit or their Hearts of Grace and wisdome matters not and the Indulgence of Physitians who the best of them smel too strong of the Mountebank it is grown into a fashion in al Feavers yea the most acute and violent to allow the sick at al times broaths of the flesh and Hens Chicken Capons mutton and that for the most Part they give every third or at most every fourth hour And in the Summer the flesh of a pullet kid or Lamb is added to the former Diet. And somtimes again broaths are made of nothing but a chick with cooling Herbs as Lettice Endive Sorrel and Purslan Or to ordinary broaths is added Juyce of Oranges Lemmons or Pome-Granats when the heat of the Feaver is very great or the putrefaction very intense Moreover in Feavers not so very acute Panadaes are given twice or thrice in a day made of washed bread and broath Also Barley broaths are somtimes used of the Ptisan of the Antients being strained with the broath of the flesh aforesaid and Sugar or without broath adding sweet Almonds But these for the most Part do oppress the stomach and therefore the use of simple broaths and Panadaes seems more convenient Howbeit very profitable it it to boyl a little Barley with flesh and thereof to make broaths In long Feavers a fuller Diet is fitting of the flesh of Chickens Veal Hens and Pullets Capons Partridges Mutton or of the Juyce pressed out of them Gellies made with them and such like Concerning the time of giving the Patients meat this is principally to be observed that they never eat in the time of the Exacerbation or fit but in the time of the Feaver But if the Exacerbation be very long let the Patient eat in the declination thereof For drink the Ptisan of the later Physitians made of the Decoction of Barley with Liquoris is usually given in all Feavers To which if the Feavers be very burning may be added a little Lettice Sorrel Tamarinds But more ordinarily are added the Roots of Grass or Sorrel which makes the Water look of an Elegant Colour like Wine But in long Feavers may be added sweet fennel Roots Parsley Roots Annis Seed Coriander Seed or Cinnamon as oft as the stomach through weakness is offended with drinking Take of the ordinary Ptisan-drink of Barley and Liquoris two pints spirit of sulphur as much as shall suffice for to make it pleasantly tart Harts-Horn burnt till it be white one ounce Let the Patient use it for ordinary drink shaking the Vessel before it be powred forth Also Water that hath had a peice of bread boyled in it either by it self or sweetned with Sugar is good or mingled with a little Vinegar or Water alone boyled to take away the Cruditie wherewith somtimes a little Suger is mixed and somtimes a little of the Juyce of Lemmons Pomgranats Barberries Cherries or of their Syrups or as much spirit of sulphur or Vitriol as may serve for a great full Acidity or a little Sal Prunellae if need be of potent refrigeration Water is commended wherein are steeped Tamarinds Berberies or Prunes A Decoction of french Prunes is very pleasing to the tast Or Barley is boyled with Tamarinds and towards the End the broath is Aromatized with yellow Sanders and Cinnamon Which drink doth not only Quench thirst but loosens the belly and cools and strengthens the Liver Take Sugar eight ounces Sal Prunellae one ounce Make it into a Pouder to be taken with the Patients ordinary drink Whereunto if thirst be extream the spirit of vitriol may be added Touching spirit of Vitroil and of Sulphur this is diligently to be observed that in putrid Feavers the use thereof is great because they have a mighty cooling opening and putrefaction quelling faculty prohibit the Inflamation of the Humors and quench thirst Howbeit in the Pleurisy Inflamation of the Lungs Spitting of blood Consumption of the Lungs and other Diseases thereof unles they spring from thick flegm stopping the Vessels thereof Inflamation of the stomach Dysentery or bloody flux Pissing of blood Ulcers of the Kidneys and Bladder they do very much hurt and therefore we must abstain form them In Feavers arising from very thin and hot Choller or Joyned with a sharp thin distillation sharp things are not convenient but rather such as gently thicken as Syrup of Violets of dried red Roses with Barly Water or Bread boyld-Water or simple Water boyled or smal beer mixed therewith Where
also in the beginning of these Feavers Vomit is to be procured viz. when the Patient is much vexed with illness of stomach and with vomiting for then Nature endeavours to evacuate the morbifick matter upwards and the Physitian ought to assist her endeavours And many times it falls out that great Quantity of matter is conteined in the stomach and Parts thereabout which must be Evacuated as soon as possible may be by Vomit seeing no concoction can be expected of such excrementitious matter in so great a Quantity and what ever the Patient eats or drinks is changed into such a like Humor and encreases the Matter which is cause of the Disease For Fernelius hath well observed in his third Book of the Method of Healing Chap. 3. that all superfluity of Humors in the stomach spleen Pancreas Mesentery and the Cavity of the liver is conveniently emptied out by a Vomit which somtimes wil not be removed with Medicines that work downwards though divers times administred And it comes often to pass that the Matter being Vomited up the Feaver is taken away at the first which otherwise would have proved long in case that matter had been transmitted into the more inner Parts of the body and very wel mixed with the blood Now of the three degrees which we reckon of Vomitories the mildest is to be Chosen as Barley Water Luke-warm with Oyl of Almonds or common Oyl or with a little Quantity of white Vinegar Also Syrup of Vineger or Oxymel simple which Chicken broath or a Decoction of Dil Seed Raddish or Orach whereunto also Oyl may be added All which are to be given to the Quantity of a pint or more for in a less Quantity they abide in the stomach And seeing these weaker sorts of Vomits are of little efficacy we may somtimes apply our selves to those of the middle Rank which shall be propounded hereafter in the Cure of a Tertian Ague And not only in the beginning of the Disease before Blood-letting but also the whol Course thereof Clysters must be given every day or every other day if the Belly be not of it self very free made of a Decoction of Emollient and refrigerating things such as French Barley Prunes Mallowes Violet Leaves Mercury Leaves Beares-Foot Orach Lettice Endive Houseleek Water-Lillies dissolving therein Catholicum Cassia Diaprunum simple Red-Sugar Honey of Violets and Honey of Mercury Oyl of Water-Lillies Violets c. But in a violent hot Feaver it is better not to add the Oyls because they are easily enflamed Observe in the first place that not above three or four blades of Houseleek must go into one Clyster because it cools most potently and being taken in greater Quantity may hurt the Guts Observe secondly that in all Feavers of Choller Clysters are not to be injected actually hot but only Blood-warm In Feavers that spring from flegm Decoctions for Clysters are made of the Emollient Herbs with Annis Seed Seeds of Fennel and of Carthamus flowers of Chamomel and Melilote dissolving therein Hiera Picra Diaphoenicum Honey of Roses Honey of Mercury Oyl of Chamomel Dil or common Oyl And because as we noted before absolute and perfect Purgation which they cal Eradicative is not to be attempted till the Morbifick Cause be ripened and digested the Physitian from the beginning of the Disease after the first Blood-letting and when the passages nearest the stomach are clensed ought to use such Medicaments as prepare crude Humors for digestion and Evacuation and withal temper the Feaverish Heat hinder Putrefaction and open obstructions such as are Juleps broaths Emulsions and other things which shal be hereafter described Juleps are compounded in a Chollerick matter offending of Syrups of Lemmons Pomegranats Sowr-Grapes Vinegar simple of the Juyce of Sorrel of Cichory simple with Waters of Endive Sorrel Grass and Cichory Or better of the Decoction of the Roots of Sorrel and Cichory of the Leaves of Sorrel Maiden-Hair Garden Endive Dandelion the four cool Seeds Tamarinds with the Syrups aforesaid And sometimes that we may cool more effectually a dram of Sal Prunella is added for every Dose of the Julep or so much spirit of Vitriol or Sulphur as shall suffice for a moderate sharpness Sowr things are never to be omitted in Feavers springing from Choller because bitter things are sweetened by Sowr and acid things which if they are Sowr in an high degree as spirit of Vitriol and of Sulphur they deface the bitterness even of Aloes and Coloquintida Now yellow Choller being plundred of its bitterness iâ— dead And Harmles Juleps also of great Virtue may be made of Juyces and which are very grateful to the tast after this manner Take Juyce of Apples that smel sweet newly drawn out and setled four ounces Juyce of Lemmons three ounces Rose-Water two ounces Juyce of Pomegranats one ounce finest Sugar half a pound Make of al a clear Julep for three Doses If very thin Choller and sharp be in motion and cause either a Loosness or some other greivous fluxion Juleps must be compounded which thicken of Waters of Lettice Purslain Plantan flowers of Water Lilly Red Poppy and Violets with the Syrups aforesaid Yet we must observe that Syrup of Violets and other of the sweeter sort of Syrups are not to be given alone both because they loosen the stomach as also because ere they can Pass into the Veins they are turned into an hot Vapor which doth afterwards cause thirst to encrease And therefore there must evermore some Quantity of sharp Syrup be mixed with the sweet Syrups aforesaid that they may more easily peirce into the Veins and the better resist the Heat of the Feaver In the Progress of the Feaver when Coction begins to appear to the foresaid Decoctions must be added Roots of Asparagus and Liquoris Leaves of Agrimony Pimpernel Liverwort and Maiden-Hair In Flegmatick and Cronick Feavers things more cutting attenuating and opening are prescribed beginning with the more weak such as are Syrup of Vineger of Maiden-Hair Syrupus Bizantinus with a Decoction of Egrimony Maiden-Hair Betony Liquoris Raisens And in the progress of the Feaver unto the former we add Syrup of the opening Roots Vineger compound of Hyssop Oxymel simple and compound And to the Decoction we add the five opening Roots Leaves of Hyssop Carduus benedictus and if the matter be very impact Clammy and roapy of Germander and Centory Whereunto if Salt of Tartar and spirit of Vitriol be added they work more happily In Feavers springing from Melancholy such things are added which do moisten as Syrup of Violets of bugloss of Borrage and Apples towards the Beginning and afterwards Fumitory of Epithymum of the five opening Roots Oxymel of Squils with a Decoction first of Bugloss Borrage Cetrach or wall-fern Maiden Hair Fumitory Hops and afterward Dodder Scordium Centory Bark of Capers of the Ash-tree and of Tamarisk And finally in bastard Feavers which arise from the mixture of different evil Humors the Medicines aforesaid must be mixed together
Sulphur or Vitriol for those do much allay the heat of Choller Take of the four great cold Seeds six drams white Poppy seeds two drams Barley Water half a pint Lettice and Water-lilly Water of each two ounces Rose water one ounce Make an Emulsion according to art to two Doses putting thereto Syrup of Violets two ounces Take of Conserve of Violets and Roses of each one ounce Conserve of Water-lillies and candied Lettice stalks of each half an ounce the pouder of Diamargariton frigid half a dram With the Syrup of Violets make an Electuary You may also make an Electuary of white Poppy Seed beaten in a stone Mortar and mixt with Sugar this may be called Diacodium album this temperates sharp and hot humors and brings rest it is made of one ounce of Poppy seeds beaten with so much Rose water after put two ounces of Sugar to it Or make it of equal parts of each Outwardly you must apply cold Epithems to the Heart and Liver Take of Rose water three ounces Borrage Bugloss and Sorrel Water of each two ounces white Wine Vinegar half an ounce the pouder of three Sanders one dram and an half of burnt Ivory half a dram Wood of Aloes one scruple Saffron eight grains Camphire six grains Make an Epitheme for the Heart Take of Lettice and Rose Water of each three ounces Endive and Purslain Water of each two ounces Vinegar of Roses one ounce white and red Sanders and burnt Ivory of each one scruple Camphire and Spicknard of each six grains the pouder of Diarrhodon one dram Make an Epitheme for the Liver Let the Liver and the Loyns be anointed with this Oyntment Take of the Vnguent of Roses one ounce and an half the cerate of Sanders one ounce the Juyce of Lettice and Oyl of Roses of each half an ounce Make a Liniment Let the Breast be anointed with supling Oyls as Oyl of Violets and the like Apply cloaths wet in Water and Vinegar to the Stones or Cods or which is better let them be wet with Rose water and Vinegar It is good to wash the feet with an actually hot decoction made of cold things for it will soften those parts by its hot moisture and make the humors descend and its potential coldness will be communicated to al the Body and to the Brain especially by the Nerves whereby sleep will be provoked It is made thus Take of Violets Mallows Willow Leaves Vine Leaves Water-lillies of each two handfuls the flowers of Roses and Water-lillies of each one handful Poppy heads ten Make a Decoction for the use aforesaid Fair Water may suffice to wash the Feet and if the feet of the sick man be put therein when it is a little warmed for three or four hours it frees him from his Delirium and makes him sleep The same effect is wrought by Housleek beaten into a Cataplasm and laid to the soals of the feet and also by Pompions or Guords beaten and so applied Sweet Scents often applied to the Nose cool the Brain they are prepared after this manner following Take of Violet flowers and Water-lillies of each one pugil of Roses two pugils yellow Sanders one scruple Tie them in a clout and dip it into Rose water and let the Patient smel to it often Or Take of yellow Sanders Roses and Water-lillies of each one dram Camphire half a scruple put them with Rose water into a narrow mouth'd Vessel Let them boyl over the fire and after let the Patient receive the vapor at his Nose But because watchings do chiefly trouble in this Disease you must use all your skill from the beginning of the Disease to provoke sleep For which the repelling Medicines before mentioned are very good especially if you anoint the head with Oyl of Violets cold before you apply Rose Vinegar which is good against watchings and Convulsions which come in this disease But the Medicines following will do it more powerfully Take of the heads of white Poppies with their seeds in number six the flowers of Water-lillies two pugils beat them together and with Rose and Lettice water make them like a pultiss which apply to the forehead between two cloaths Note that in Medicines to provoke sleep you must use but little Vinegar because it causeth watching Take of Lettice flowers one handful and an half Roses half a handful white poppy seeds half an ounce boyl them in water till they grow soft stamp them in Barley Meal and womans Milk of each haâ—f an ounce and a little Oyl of Violets Make a Frontal thereof Take of Oyl of Violets water-lillies and new Oyntment of Poplar of each three drams Opium and Oyl of Nutmegs of each three grains Mix them into a Liniment to anoint the Forehead and Temples Great Housleek bruised with Womans Milk and laid to the Forehead appeaseth a Phrenzy and provokes sleep But as soon as the Patient begins to sleep you must take it away lest he fall into a Coma or sleeping Disease Guords of Pompions do the same thing with less danger Penotus doth extol this Epitheme Take of Musk twelve grains Camphire twenty grains red Rose water in which Sanders hath been infused twenty ounces mix them Shave the head and wet double cloaths therein and apply them warm to all the Sutures of the head When they are dry wet them again and continue the application twenty four hours and so doing you shall provoke sleep strengthen the brain and wonderfully recover the Patient except the very substance of the brain be corrupted Inwardly you may give one ounce of Syrup of Poppies somtimes in his Juleps and Emulsions Or you may give four or five grains of Laudanum which also given in a Clyster doth provoke sufficiently to sleep and with more safety The Physitian must be wary in the use of Narcoticks or Medicines that provoke sleep for they must not be given if the Patient be very weak lest the Spirits and Natural heat be thereby extinguished Having sufficiently used Evacuations Revulsions Derivations and Interceptions we must come to the bringing forth of the matter And first we must open the forehead vein if it appear and may be taken not tying a Ligature about the Neck as usually they do for so the blood will be forced upwards But you may with most profit open the veins in the nostrils and if the Disease be any waies curable it will be cured thus You must bleed plentifully and betimes in the beginning of the Disease after you have made general Evacuations And they are opened with Bristles put up into the Nose and pricking often therewith Or you may draw blood from behind the Ears from the Nostrils Forehead Hemorrhoids with Hors-letches Apply to the Head things that resolve with things that repel in that proportion that first you use a little of the resolvers and as the disease declineth encrease the quantity so that at length you use only resolvers to discuss the reliques of the Disease For this end we use Oyl
bladder of which you may give two three or four drops in Broth or in Juleps or in this following Syrup Take of Cinnamon Water four ounces the best Rose and Orange flower Water of each six ounces Mix them and dissolve therein as much Sugar candy as you can and make it into a Syrup without fire with a spoonful whereof mix four Drops of the aforesaid Cordial Liquor Of the Ingredients remaining from the former Liquor with as much of Damask Roses and four times as much Benjamin you may make Cakes to perfume the Chamber Apply both Liquid and Solid Epithems to the Heart and yong Pidgeons slit and sprinkled with Cordial Pouders Apply to the Stomach bags of Spices dipped in Wine Let the Stones and privy Members be fomented with Confection of Alkermes dissolved in Wine Let the Arteries of the Temples Hands and Feet be touched with Confectio Alkermes adding a little Cinnamon Water Apply this following to the Nose Take of the Leaves of Balm Bazil and Marjoram of each two drams Citron peels yellow Sanders and Cloves of each one dram Saffron half a scruple Amber-greese six grains Musk four grains tie them in a clout and dip them in Rose and Cinnamon Water and smell thereto often Or make a Balsom to anoint the Nostrils with the Chymical Oyls aforesaid of Nutmeg Cinnamon and Cloves with a little Wax The End of the Eighth Book THE NINTH BOOK OF THE PRACTICE OF PHYSICK Of the Diseases of the Stomach The PREFACE AS there are divers Actions of the Stomach so there are divers Hinderances of those Actions which Cause variety of Diseases For this part being ordained to Concoct meat and make the Chyle for the performance thereof first it is constrained to desire Meat and Drink by the Appetite which may be diminished abolished or depraved When it is abolished it is called Anorexia Apositia When 't is diminished it is called Inappetentia and Loathing But when it is depraved it is called Doggshungs or Pica or Malacia Too great desire of Drink is called Sitis Morbosa These Diseases mentioned do concern the attractive Faculty they which concern Concoction as it is diminished abollished or depraved are comprehended under the name only of Concoction hindered if the Retentive and Expulsive Faculty be hurt it consists in Vomiting and Hickocks There are divers kinds of Vomitings according to the divers Condition and nature of the Matter Vomited forth And because the Stomach is of exquisite sence of Feeling by reason of the famous Nerve it hath from the sixth Conjugation it is therefore as other sensible Parts subject to pains and it hath somtimes Tumors as other parts and Inflamations Imposthumes and Vlcers That therefore we may in this Book explain all the Ordinary Diseases of the Stomach we will Comprehend it in Eleven Chapters The First Of Inappetentia or Loathing or meat The Second Of Fames Canina or Dogs Appetite The Third Of Pica and Malacia or Green-sickness The Fourth Of Sitis Morbosa or diseased Thirst The Fifth Of Concoction hindered or hurt The Sixth Of Hickocks The Seventh Of Vomiting The Eighth Of Vomiting Blood The Ninth Of the Disease called Chollera The Tenth Of Pain in the Stomach The Eleventh Of its Inflamation Imposthume and Vcer Chap. 1. Of Want of Appetite or Loathing of Meat INappetentia and Loathing is either from the abolished or diminished Action of the stomach When it is Abolished it is called Anorexia Apositia but when it is Diminished it is called Dusorexia but by Custom Anorexia Apositia are used for both The Causes of this Disease are divers which that we may bring into Order let us consider the Natural Causes of Hunger or Appetite These are called by Galen lib. 1. de symp caus cap. 7. Symptomes and are Five The First whereof is emptiness of the parts The Second is the Natural Appetite of those parts so emptied The Third is the Sucking and Attraction of the Mesaraick Veins in the Stomach and Guts The Fourth is the sense of their sucking in the Stomach The Fifth is the Animal Appetite wch cometh from the Nerve in the mouth of the stomach which comes from the Brain and is endued with great sense and feeling As also the Melanchollick Humor which comes from the Spleen to the mouth of the stomach which with its sharpness gnaws the inmost Tunicle of the stomach and is like sawce to stir up Appetite which that it may be natural it is necessary that al those Causes be in Order for if there be any fault in either then there is a hurt or hinderance of Appetite Therefore the First Cause which is Emptiness of Parts if it be wanting there is no Attraction made by them from other parts and the stomach and so there is no Appetite now this Emptiness is wanting either when the parts are filled with plenty of crude juyces by reason of gluttony or drunkenness or for want of exercise or usual evacuations or when there is so much fat that it is sufficient to nourish the parts Also the great stoppage of the pores of the skin doth hinder the emptiness or the parts or great weakness of the natural heat so that it can disperse none or but little of the substance of the Parts or the calling of that heat to the concoction of the matter of a Disease wherby the nourishment of Parts is neglected as in Feavers The Second Cause is Natural Appetite and the Attraction of nourishment to the stomach and this is depraved when the Parts though empty wil not draw by the veins by reason they have lost their strength but languish and forget their duty As happeneth in acute malignant pestilential syntectick and hectick Feavers And in immoderate evacuations as in Flux of the Liver Womb Haemorrhoids Bleeding at the Nose Great Sweat much Lechery long Fasting and the like The Third Cause is The Attraction of the stomach by the Mesaraick Veins which useth to be depraved by stoppage of those veins by which means the empty Parts cannot attract their Chylus nor make the mouth of the stomach sensible so we may perceive in Children troubled with Struma to consume by a long Flux of Chyle by reason al the Mesentery is full of Glandles which stop its Veins and hinder the passage of the Chyle to the Liver by which means it is sent half concocted forth by siege and the Parts are deprived of their necessary nourishment The Fourth and Fifth Causes which are Sense of Sucking and Animal Appetite do require a good disposition in the Stomach brain and nerves Therefore whatsoever can alâ—er their dispositions may also destroy Appetite so every great distemper of the belly especially if it be hot and dry doth hinder Appetite Great heat by dispersing the moist substance of the stomach doth take away Appetite as also great Cold not only positive as when the bowels are so cold that they are stupified by Air Water Frost Snow and the like but also privative when