two drams Flowers of Sage Hyssop Rosemary Arabian Lavender or Cassidony and Spicknard of each one dram and half the Root of Birthwort and Hermodactyls of each one ounce pour in hereunto of the Spirit of Wine one pint or as much as wil suffice let them be macerated for one whol day and afterwards add of the best Turpentine one pound and half and so distil them in a glass Alembick Alexander Trallianus and others commend this and they assure us that by it not only such as have had the Gout from the flowing of a flegmatick Humor but that likewise many that have had the pains of the Gout from the flux of a Coleâ—ick humor have recovered their health and strength again Take Time Organy Savory and Calaminth of each as much as you think fit and boyl them in the sharpest Vinegar and with the hot Decoction often wash and foment the parts affected For the Knobs or Knots If the matter be now grown into the wonted hard Knobs For the Knots in the Joynts it is indeed a most difficult business to dissolve them but if they be not already become old and inveterate there may be yet some hopes left of curing them Now for the discussing of these knobs and knots we are not only to administer External and Topick Remedies but likewise Internal Remedies The Internal Remedies are those Antidotes above mentioned amongst which the Antidote of Trallianus made of Centanty is more especially useful And the same Trallianus writeth likewise That a certain person troubled with the Gout when the knots began first to appear by the drinking of the Decoction of Groundpine or Herb Ivy he prevented the further generating of them The External and Topick Remedies useful for the dissolving of the Knobs are Ammoniacum dissolved in Vinegar Or Take the simple Diachylon Emplaster one ounce Ammoniacum Galbanum Bdellium Sagapenum of each one dram Oyl of Orrace and white Lilyes of each half an ounce powder of Orrace one dram and make an Emplaster Or Take Briony Roots Wilde Cowcumber and Orrace Roots of each two ounces Roots of Marsh-Mallows and white lilies roasted under the hot Embers of each four in number the Seed of Nettle Mustard and Water Cresses of each one ounce Let them all be wel mingled and stird about together with Goose Fat and the Oyl of sweet Almonds as much as will suffice and make a Cataplasm Galen and others do much commend that which is made of old Cheese for the Skin being broken and divided of its own accord without any Section it refresheth and comforteth the Joynts that are from day to day without any hurt at all freed from the Stones Viz. Take Old and tart Cheese three ounces or as much as you think fit dip it in a sufficient quantity of the broth of Salt swines flesh and then after you have sufficiently pounded it in a Mortar let it be imposed upon the part affected Others boyl the Salt Feet of Swine in water until they be very soft and tender and afterwards they mingle with them of old Cheese two parts and Water Cresses one part and so they make an Emplaster which they greatly commend Or Take Juyce of Tobacco three ounces Citrine Wax two ounces Rosin of the Pine Tree one ounce and half Turpentine one ounce Oyl of Camomile as much as wil suffice and make a soft Cerote Or Take Honey Bears Grease and sharp Vinegar of each one pound or pinte Mountain Snakes and Snailes one or two of them boyl them in a Glazed Vessel over a soft fire until the Vinegar be consumed afterwards strein them and add of Wax three ounces Let them then beal dissolved together and kept for use and with this the place affected is to be anointed by the fire side The Dirt that is found in some certain Baths having in them a power to Mollisie and Resolve are here likewise very useful such as are those of St. Peter and Bartholomew in the province of Padua with which the part affected is to be fomented for an hour and better every Morning and Evening and afterwards to be washed with the Bath-Water Erasistratus Sicyonius provided this excellent and effectual Remedy against these knobs and knots Take Oake Missletoe one pound and half Frankincense Wax Fat Torches and Rosin of the Pine Tree of each one pound Those things that were dissolveable he melted and stird them wel about throughly mingling them with the Fat Torches from the which when all the Fat was flown forth he took the Liquor from the fire and strained it and then beating the Frankincense into a very sine powder he put it â—hereâ—nto dayly stirring it about until he had brought it into a Mass that would not foul or stick to his Hands See more of this in Trallianus his Eleventh B. Chap. 6. Of the Sciatick Pain THe pain of the Hips commonly called the Sciatica in indeed a kinde of the Gout The Sciatick Pain so that there may nothing seem needful to be spoken as touching it besides what hath been already said But seeing that both in regard of the part affected it hath somthing peculiar and that in the Cure there is something that is proper thereunto to be observed we shall therefore speak a little further thereof There are indeed some who by the Ischiadick or Sciatica pain understand some other affect differing from the Gout which is to be accounted among the Chronical affects and this happeneth also unto those that never were troubled with the Gout either in the Feet or in the hands from excrements there heaped up together or flowing into that part and this for the most part a little now and then and by degrees But it is not our purpose here to treat of that affect in regard that it pertaineth unto the impotency and inability in walking by reason of something amiss in the Hip and extendeth it self further then the Gout of which only our purpose is here to Treat and therefore we shall here handle the Sciatica pain only as it is Arthritick that is to say a species or kind of the Gout of which we have been hitherto speaking But now as touching the place affected there is here some kind of Disagreement among the learned Physitians Aetius Tetrab 3. Serm. 4. Chap. 1. out of Archigenes writeth thus They are properly saith he to be accounted â—schiadick or Sciaâ—ick persons that have a pain afflicting them about some certain Joynt of the veâ—tebrae But somtimes there goeth before this Malady and as it were to Vsher it in a pain of the Muscles lying neer and especially the Loyns but somtimes again the beginning of the affect is from the very Joynt it self but now somtimes it so happeneth that the pain of the Vertebrae being almost taken away the grief sticketh only about the Ham and in some neer unto the Ankles but in others the whole Leg is equally afflicted with pain and many also have this pain fixed about their Groyns and
be understood of an insufficient Purgation And here Vomitories seem to be more commodious then Purgers by the Belly in regard that they evacuate the vitious Humors by a place more remote from the part affected But Repellers have here no place at al because that it may Justly be feared lest by the use of these the blood and other Humors may be driven back toward the part affected and may be there heaped up Having first made use of General and Universal Remedies we come then to the imposing of Medicaments that attract and resolve and these ought to be of the stronger sort that they may call forth into the Superficies the Humor that is gotten into a deep place which kind of Medicaments are provided of Herbs that discuss viz. The Leaves of Eldern Danewort or Wallwort Lawrell Rue Betony Camomil Ground pine Rosemary Melilote Mustard Seed and Stavesacre as also the flies Cantharides Pitch Sulphur Turpentine Ammoniacum Galbanum Bdellium Opopanax and Euphorbium Excellent likewise is that Medicament that is made of Sciatica Cresses of which we made mention above as also of Water Cresses and the Herb Piperites or Pepper-wort as some call it As Take Sciatica Cresses Dittander or Pepperwort and Water Cresses of all or one of them four handfuls boyl them in Wine and sprinkle upon them the Meal of Lupines Beans and the bitter Vetch Orobus of each one ounce the powder of dry Rue two drams Flowers of Camomile one dram Costus Root a dram and half Oyl of Turpentine half an ounce Oyl of Earth-worms as much as will suffice and make a Cataplasm Or Take Mustard seed dissolved in the sharpest Vinegar two ounces sharp and sowr Leaven half an ounce Powder of Hermodactyls two drams Honey three ounces Turpentine four ounces Oyl of Lawrel and Spike of each two ounces the meal of Fenugreek seed one ounce and half Earth of the Antâ—hill with the Ants Eggs one pound Leaves of Lawrel Sage Rue and Rosemary of each half a handful Earth-worms prepared half a pound let the Ants Earth and Eggs with the Earth-worms and Herbs be boyled in white Wine and then being strained let the rest of the Ingredients be mingled therewith Or Take Roots of our Ladies seal which being cut and applied to the Hip are much commended for the removing of the Ischiadick pain six drams the Emplaster Diachylon simplâ—x half an ounce Saffron dissolved in the Spirit of Wine two drams Turpentine one ounce Oyl of Spike as much as is sufficient and make a Cataplasm Or Take Citrine Wax and Turpentine of the Fir Tree of each three ounces let them dissolve together when they shal be cold ad the Powder of Nettle seed and Hermodactyls of each two drams Roots of round Aristolochy or Birthwort Camomile Flowers and Florentine Flower-de-luce of each two drams and half Mirh two drams Saffron four scrupleâ— let them be moulded with the hands being first anoynted with Hogs Grease and make an Emplaster Or Take Wax Missletoe of the Oak Turpentine dry Orrace Mirrh and Galbanum and with the Oyl of Earth-worms make a Cerot Unto which it he pain give not place but stil continue then apply Cupping-glasses with much flame or else Vesicatories But if the Malady wil not yet by these be taken away then we are according to the counsel of Hippocrates in the sixth Sect. of his Aphor. Aphor. 60. to burn the part affected and Celsus likewise approveth of this advice whilest in his 4. B. and Chap. 12. he writeth in this manner It is saith he the last shift and in old diseases also a most efficacious Remedy with glowing hot Irons to exulcerate the Skin in three or four places above the Hip. This Remedy by heating the part dissolveth and evacuateth the thick and viscid humors and if the Ulcers be kept open as they ought to be the vitious matter floweth forth by them As for the manner of burning see more in Paul Aegineta his sixth Book and Chap. 76. and Albucas Part 1. Chap. 43. And some there are likewise that make mention of the Gout of the Verrebrae of the Back in special and we grant indeed that now and then some such kind of Gout there is and this hath also the very same Causes and so requireth the same kind of Cure with the other Gouts But we are here to look wel about us and to have a care that we be not deceived in mistaking every pain of the Back for the Gout For oftentimes it so happeneth that from the serous and wheyish matter flowing down from the Head and descending along the Back and especially according to the Conveyance of the Cucullar Muscle and sticking at the Spina Dorsi in the end of the said Muscle a pain may be excited which yet nevertheless is not the Gout in regard that it happeneth not in the parts pertaining to the Joynt and it is oftentimes likewise of a very short continuance and afflicteth the sick Persons in their sleep but when they awake and arise from their sleep it leaveth them and vanisheth which never happeneth in the true Gout Chap. 7 Of the VVay and Means to prevent the Gout MAny there are that mind only this one thing to wit The way to prevent the Gout that they may be freed from the present pains of the Gout but being freed they take no care at all how they may obtain that they be no more troubled with the same pains neither do they make use of those Medicaments by which they might prevent this Evil nor at all refrain from the Errors of their Dyet and so they suffer the Malady again to arise and so to continue and grow old with them and therefore it is no wonder that there are so few perfectly recovered of the Gout But a precaution and prevention is altogether as necessary as the Cure in special so called Now this Consisteth in three things In what things it consisteth The first is this that there be care taken that there be no matter suffered to gather together which may flow unto the Joynts The second that if any matter be gotten together it be taken away before it rush unto the Joynts And the third is this that the Joynts may not easily receive the same Now if as many do any one shal make it his business only to strengthen the Joynts and in the mean time shal permit the heaping up of the vitious matter in the Body the Patient shal hence reap more burt than good For if there shal be a vitious Matter present in the Body and this not thrust forth unto the Joynts after the usual and accustomed manner being retained in the Body it may flow unto other of the more noble parts and be the Cause of most grievous Diseases And therefore we are here first of all to commend unto the Patient a good course of Dyet and Medicaments that correct the distemper of the Bowels the first intention being best performed by this The second thing
and make a Pouder Let there be one dram hereof taken for the one half of the yeer and for the other half of the yeer half a dram Doctor Johannes Mattheus out of an old Manuscript produceth this Pouder as he there findeth it prescribed Viz. Take Rhapontick one ounce Agarick two ounces Valerian three ounces Macedonian Parsley seed and Spignel of each four ounces Gentian and Aristolochy of each feven ounces Germander nine ounces and make a Pouder Donzellinus his Pouder is as followeth Take Germander Groundpine both the Centauries or only the lesser Marjoram Sage Betony Gentian and Birthwort of each one ounce the best Guajacum eight ounces or one pound and make a Pouder And by this one Remedy alone Donzellinus writeth that the Gout may be perfectly cured provided that a man live not like unto a Sardanapalus Crato his Pouder is this Take Aristolochy one ounce Centaury the less three drams Gentian six drams Spignel five drams St. Johns Wort six drams Parsley of Macedonia half an ounce Agarick two drams Rhapontick or if that may not be had Rheubarb one dram and make a Pouder Of which he giveth in the morning two scruples in the Water of Groundpine or Betony Water with the Syrup of either of the two former in January five daies in February as many in March two in May three in June one in July two in August one in September October November and December two but it matters not much if it be oftener taken only as he saith it wil be somwhat better to take it in the manner aforefaid This following is Doctor Manard his Pouder Take Germander Dittany of Crete Groundpine or Herb Ivy Roots of the greater Centaury and round Aristolochy of each two ounces the inward Rinds of Walnuts one pound make a Pouder The Dose is one dram for forty daies This Pouder next following is attributed unto Erastus Take Harts-horn burnt Beef bones burnt the Kernels of the Citron Dates Jaws of the Luce-fish or Pike equal parts burnt Coral and burnt Ivory of each half parts make hereof a Pouder Unto which for the tasts sake you may add a little Cinnamon Mace and Cloves and with Sugar make a Pouder Johannes Anglicus greatly commendeth this Pouder The Sarracenick Pouder which he calleth the Sarracenick Pouder Take Herb Ivy or Groundpine one ounce the bones of man or woman burnt two drams Liquoris three drams make a Pouder And yet nevertheless the sick person is not strictly and precisely to be tyed unto any forms of Pouders but of the same simple Medicaments there may with Sugar or some convenient Syrup be made Electuaries or Pills which for the most part are very fitly made up with Turpentine of Cyprus since that most of those that are troubled with the Gout are likewise obnoxious and subject unto the Stone or Extracts or those Medicaments they cal Essences or liquid Extracts or a Wine or a Medicate Drink that so in this manner also the palat of the sick person may be pleased Antonius Gallus a Physitian somtimes of Paris greatly commendeth this Electuary Take Valerian one dram Agarick two drams Spignel three drams Macedonian Parsley seed four drams St. Johns wort five drams Gentian six drams Birthwort seven drams the lesser Centaury eight drams Groundpine nine drams Mans bones taken out of the Joynts and moderately dried ten drams with Oxymel Scillitick as much as will suffice make an Electuary the Dose whereof is one dram for a whol yeer together Or. Take the Conserve of Germander three ounces of Herb Ivy and Betony Leaves of each one ounce and half Seeds of St. Johns wort Roots of round Aristolochy of each half an ounce Angelica two drams the bones of a Man prepared red Corals prepared Ivory prepared of each one dram Cloves and Cinnamon of each two drams and with the Syrup of Betony make an Electuary And we may likewise add the Medicaments of latter Physitians viz. their Magisteria their Feculae and their Salts as also Margarites and Crabs Eyes As Take Roots of Spignel or Masterwort St. Johns wort of each one ounce the Feculae of Cuckowpint two drams the Salt of Groundpine of Germander of Cherfoyl and of Masterwort of each one scruple Magistery of Corals and Crabs Eyes of each half a dram Margarites one scruple Sugar as much in weight as all of them and make a Pouder For the causing and provoking morning sweats there are also given Syrups of the Berries of Eldern prepared with Sugar two spoonfuls and if you please there may likewise a little Harts-horn be added Crato commendeth this Distillation of which one spoonful is to be taken every day in the week once if not oftener Take Balm Valerian Juniper Berries of each what you think fit Let them be sprinkled with good sweet Wine then macerated in Balm Water and afterwards destilled And in cold Bodies there may also very conveniently be used that Aquae vitae which Gilbertus Horstius Hollandus once a famous Physitian at Rome made frequent use of and it is thus prepared Take Rosemary flowers the lesser Centaury Comomile flowers Groundpine Gilbertus Hostius his A qua vitae St. Johns wort Germander Asarabacca of each one ounce the Rinde of Dwarf-Elder Root one handful Orace one ounce Treacle half an ounce Cinnamoin Nutmeg Galingal Mace and Ginger of each one dram and half Hermodactyls and Aloes Hepatick of each one dram Agarick half an ounce Coloquintida three drams all the Myrobalans of each two drams Roots of Polypody of the Oak one ounce and half Leaves of Choyce Sene one ounce Seeds of Anise Dauk and Fenel of each one dram infuse them in the spir it of Wine that so the said spirit may lie a fingers breadth above them for two daies space and then let them be afterwards destilled in Balneo Mariae Of this Water he gave unto such as had the Gout from one ounce to three ounces in the morning But now in the Judgment of very many of Decoction of Groundpine may serve in stead of all the aforesaid Medicaments The Decoction of Ground pine and will do better than any one of them and therefore it was likewise highly commended unto the Emperor Charls the fifth by the Physitians of Genoa and Solenander in his fifth Sect. Consil 1. tels us that it hath been found by experience that very many which had drunk of this Decoction for the space of threescore daies have been wholly freed from the Gout and restored unto their healths whereas before they had both the Joynts of their hands and of their feet also grievously afflicted and tortured by this Disease And no wonder for it attenuateth the thick Humors and consumeth them driveth forth the Excrements by Urine or else by sweat evidently or else it insensibly discusseth them by transpiration and it strengtheneth also all the internal bowels and every kind of Nerve yea and the whole habit of the Body But because that Vesalius writeth so largely and
this Caution and good cause there is also for it that these Oyls and Fat 's are warily and carefully to be made use of For in regard that the Gout hath often some kind of alliance with the Erysipelas as to the cause thereof and that it is a thing generally wel known how that all fat things that stop up the pores in the Erysipelas do more hurt than benefit the very same seemeth likewise to be feared in the Gout lest that the Pores being stopt up by these fats the humor being detained within the pain may be augmented and this even very experience testifieth And it was related unto me by a certain honest Neighbor of mine that he himself in the asswaging of the Gout pains in his own Body found nothing to be better than Cheese of Sheeps Milk new and fresh made and laid on but often renewed For no sooner did the Cheese begin being made hot by the heat of the part to become fat and to drop forth butter as it were but as he said his pain was thereupon very much increased Take the Pith of wheaten Bread half a pound and boyl it in as much new Milk as wil serve to make a Cataplasm and then add of the mucilage of Marshmallow seeds two ounces the meal of Linseeds and Fenugreek of each two drams Powder of Camomil flowers and Melilote of each one ounce Saffron one dram Oyl of Roses and Camomil of each half an ounce and mingle them wel together Or Take Milk newly come from the Cow one ounce and half Crumbs of white Bread five drams Barly meal one ounce and half the common Hermodactyles six drams Saffron one dram Oyl of Camomile as much as wil suffice and make hereof a Cataplasm Or Take white Bread six ounces Milk as much as wil suffice and mingle them wel at the fire and then add the Yelks of two Eggs Electuary of Roses two ounces Saffron one scruple and mingle them Or Take the Meal of Barly of Beans of the bitter Vetch Orobus of each one ounce of Linseed six drams the Powder of Camomile flowers three drams of Melilote two drams of Saffron one scruple boyl them in a sufficient quantity of the Water of Camomile flowers then add the Yelks of two Eggs Oyl of Camomile and Roses of each one ounce and mingle them Or Take the soft Crumbs of Wheaten Bread one ounce Powder of the Mullein flowers two ounces boyl them in Milk and then add of the flower of Cassia one ounce and mingle them Or Take of Linseeds and Fenugreek seeds equal parts of each let the Mucilage be drawn out of them with Rose-water and then add the yelks of two Eggs and a little Vinegar and then sprinkle in Bean Meal and make a Cataplasm Or Take Meal of Barly of Linseed of Fenugreek of Beans Powder of Camomile flowers of each half an ounce Marsh-mallow Roots one ounce Oyl of Roses and Camomile of each one ounce and half Yelks of three Eggs the Rob of Wine one ounce mingle them and make a Cataplasm Or Take the flowers of Mulleyn as much as you think fit infuse them in a sufficient quantity of Red Wine for two months and then let them be distilled let the place be fomented with the distilled water and then after anoynted with the Oyl or Liquor of Mulleyn flowers that is in the Summer time collected by the Sun-beams in a Glass close stopped Or Take the yong and tender buds of the Hazel Tree press the Oyl out of them after the same manner as it is wont to be made of Linseed The Body of it that remaineth after the pressing forth of the Oyl let it be burnt and out of the Ashes let there be the Salt drawn forth with pure spring water and let this be mingled with the aforesaid Oyl The Oyl when it is mingled with the Salt let it be clarified by pouring and passing it through a Box of Wood as Painters are wont to clarifie the Oyl of Linseed for their own use and so it becomes a very excellent Medicament for the mitigating of pains But now these very Anodynes themselves may be somwhat varied according to the quality of the humor and in a humor that is more hot there may be added some certain things that are cooling as Roses and the Water that cometh from them Plantane Water and the like But in a cold Cause the Flowers of Camomile and Melilote Wormwood Linseed and Fenugreek may be added Narcoticks If Anodynes be not sufficient for the aforesaid purpose Narcoticks then Narcoticks are to be made use of which in regard that they bring a certain kind of numness upon the part they do not only forth with asswage the pain but they likewise by their heat which they obtain do also withal resolve the humors and so with benefit and safety and without any danger at al as it is thought they may be made use of as Platerus writeth in the 2. B. of his Practice and therfore he as likewise many others have done much commendeth the Leaves of Henbant and Mandâ—ake and Poppy if while they be new they be first bruised or boyled and so laid upon the part and their Oyls are also very useful and so is the Juyce also that is pressed forth of them and used for a fomentation as likewise the Root of Mandtake and Henbane seed applied together with other things in the form of a Cataplasm The new and fresh Leaves likewise of Tobacco bruised and laid upon the pained part do asswage the pain And the same Platerus as likewise other Authors have here recourse unto Opium also and they mingle it together with other Anodynes and unto two ounces of these they add a dram of Opium And he writeth also that if it be dissolved in the infusion of the Spirit of Wine alone or the infusion of Saffron four ounces of the yellowest of it and one scruple of Camphyre with a dram of Opium and the part where the pain is be wel washed or bathed with the said Liquor it is a most efficacious and soveraign Remedy And so likewise the Opiate Antidores as Treacle Mithridate Philonium may be added while they are new especially in case the quantity of the Opium may be augmented And yet notwithstanding we are not to continue long in the use of these Opiates in regard that they are enemies unto the native heat and Nerves And yet nevertheless the same Platerus tels us in the first B. of his Practice Chap. 5. of the burting of the Touch that he could never find that the Skin could be made stupid and sensless of pain by any external Narcotick applied thereunto albeit that so he might know somwhat of a certainty he had applied a Mass of Opium when he had first softened it unto the part pained with the Gout But the truth indeed is that Narcoticks when they are administred do very easily asswage the pain but then withal it being so that they hinder the motion
in like manner dissolved in Wine or some other liquor And whereas Adrian Spigelius writeth that he saw when a Mans Urine being kept till it was Stale was laid upon the part affected the pains as yet abiding and continuing even in their heighth and that it was wonderfully beneficiall in giving ease and how much rather then must the Salt of Urine perform this Yea and there are some that use likewise other Salts to evacuate the aforefaid Humor And I my self know also one that was wont to administer the spirit of Salt tempered with other liquors And very fitly may it be tempered with the Water of Meadowsweet for being then with a Feather laid upon the part in pain it extracteth the Humor in such a manner as that it may even seem to exhale in the likeness of a Vapor Yea some there are that commend also those things that are wont to be made use of for the causing of redness in any part and the raising of blisters when there is occasion and these they mingle with Anodynes Neither are these things the inventions of the latter Physitians and the Modern Chymists but that plants abounding with a volatile and sharp Salt were heretofore in use likewise with the Ancients for the curing of the Gout we are taught even by that one plant which we call Lepidium or Sciatica Cresses whose Roots as they write being bruised and mingled with old Grease are with singular benefit applied unto those that are troubled with these pains of the Gout as it appeareth out of Dioscorides and Damocrates whose verses upon this subject we may read in Galen his 10. B. of the Composition of Medicaments according to the place and Aetius Tetrab 3. Serm. 4. Ch. 2. and others And as touching Mustard Seed Alexand. Tralleanus writeth That he knew a certain person who by the use only of the said Mustard seed mingled with dried Figs in extraordinary great pains arising from a cold Humor was freed from the said pain of the Gout Some commend the wild Radish throughly bruised and I my self have seen that it hath done good to many If we fear its Acrimony and that from thence some heat may be excited we may then first boyl it a little The Liquor of Snails is likewise very much extolled by some as Take Snails taken forth of their Shels in number twenty five the berries of Danewort or Dwarf-Elder and Salt of each as much as will suffice These being put into the Alembick in a clean Vessel with holes through the bottom thereof let there be a Vessel put under it that may receive the Liquor as it distilleth in the which you are to wet cloaths and apply them unto the part affected This Suffumigation is likewise much commended Take Lign Aloes yellow Amber Frankincense Gum Juniper Henbane seed Styrax Calamite Gum Tacamabaca of each one dram Pouder them grossly and cast the pouder upon live coals of fire and so for half an hour let the part affected receive the smoak hereof Quercetan in the seventh Chapter of his Pharmacop restit hath four Waters al good against the Gout The first is this Take Water of the Sperm of Frogs of white Mullein and Sallow of each a quart and half a pint the Vrine of a Boy that drinketh Wine three pints Treacle new and fresh two drams and half Vitriol Salt dissolved and Allum of each four ounces Let them be distilled till they be dry upon the Embers then add Salt of Vitriol one ounce and half Camphire and Saffron of each two drams and mingle them Let Linen cloaths be throughly wet in this Water and applied unto the grieved part and be very often renewed The Second Water is this Take Salt Vrine of a Child of each as much as you think fit and then distil them The third is this Take Leaves and Flowers of green Elder of each one pound let them be well bruised and macerated in a sufficient quantity of Wine for three daies together in Balneo and afterward let them be distilled The fourth Water is this Take Spirit of Wine rectified one quart the purest Honey one pound Let them be distilled in Balneo and let two Liquors be gathered from hence severally and apart to wit One watery and the other Sulphureous Add unto the remainders of whol Saffron one ounce and half Venice Turpentine two ounces Tartar calcined to a whiteness half a pound Salt one ounce the flegm of Vitriol four ounces Lye made of the tender shoots of the Vine two pints Let them be macerated for twenty four hours and then distilled till they be dry Vnto the feces that remain add the first Water and let them be distilled And at length mingle together all the Liquors and distil them in a Balneum where they may evaporate Andreas Libavius in the first part of his Apocalyps Hermet Cap. 8. preferreth before all others that Water in which Brass and Iron have been extinguished and afterwards Mercurius vitae hath therein been macerated Or Take venice Soap one ounce and half Spirit of Wine Water of Elder Flowers of each two ounces and mingle them Or Take River Crevishes eight in number Juniper grains one handful Myrrh and Frankincense of each one ounce the best Wine one pint let them be distilled Or Take Mastick Frankincense Myrrh Ammoniacum and Bdellium of each two ounces Vitriol one pound Honey a quart Tartar an ounce and half Spirit of Wine the best four pints let them be distilled according to art Solenander in his 24. Consil Sect. 5. writeth That he knew an old man that was much troubled with the Gout who made for himself a Medicine in this manner When there was a swelling and a real pain and the place red he took Salt Cinders the Urine of a Child and Vinegar in these wel mingled together and stirted up and down he throughly moistened a white woollen cloth and then squeezing it he applied it now and then unto the part that was pained And when he had now by this means in great part asswaged the pain and the disease declining he boyled live Sulphur and the pouder of white Hellebore in the Oyl of Linseed and with it he anointed the places affected And the same Solenander writeth also that this following was known to benefit many that made trial thereof There groweth unto the Roots of the Oak in the Autumn for the most part a certain kind of Mushrom that is red and tender and proportionably big enough according to the growth of the Tree which he therefore calleth Hypodrion the same no doubt that we have made mention of above in our 3. B. of Practice Part. 2. Sect. 2. Chap. 7. touching the Dysentery this when he hath cut it into many smal thin slices with Salt finely poudered he puts it into an Earthen pot so sprinkling the aforesaid Salt that every laying of the several pieces may receive some thereof betwixt each other he then puts them deep in the Earth for certain daies and
quality of the liquor for some boyl the wood in water some in Barly water some in distilled waters others in wine others in Whey and others in broth of Flesh L. Septalius lib. 7. adnimadu nu 204. reprehends those who deny that the decoction of this wood may be made in wine only when as nothing is more fit to extract the faculties of medicines than wine and the water of wine he had spoke righter than the spirit of wine and therefore he prepares his decoction with wine which he useth when the disease is inveterate with an evil habit of body and a cold matter predominant after this manner eight ounces of the bark of the best holy wood grossely poudered being infused in forty two physical pints of the best white wine for two days the wine being first heated and alwaies kept hot those two days in a double vessel or in the ashes afterwards with a slow fire boyl it away in a double vessel to the consumption of the third part which let the sick make use of both in the morning instead of a syrup and for his drink at meales let him take in the morning seven ounces an hour after move sweat but at dinner and supper let him not exceed fourteen ounces But though we grant that wine is most commodious to extract the vertues of vegetables yet this cannot be denied that by boyling the strength of wine doth vanish and when the spirit is exhaled there is left a nauseous phlegme less profitable than plain simple water And therefore I am of that opinion that either the wood is to be boyled in water and towards the end the wine is to be added or else the wood is only to be a long while infused in wine or to be boyled in a double vessel that nothing be lost but by no means to the Consumption of the third part Therefore most commonly and rightly the decoction is made in pure water which doth both a little correct the Heat and driness of the Medicine and further the distribution and provocation of sweat yet if the body and especially the stomach be cold and weak and the Patient accustomed to wine Wine is not unprofitably mixt with it as was said even now and shal be said hereafter for by the admistion of Wine the stomach is less hurt and the vertue of the Medicine doth the easier penetrate to al the parts And a different proportion of the wood to the water is observed according to the age constitution of the body and season of the year The proportion of wood to the water and they take to twelve pound of water from three ounces of the wood to twelve for if the season of the year and the body be hot 't is safest to take a less quantity of the wood and in a longer time to perfect the Cure than by too strong a Medicine to damnesie the patient especially at the beginning of the cure and before the superfluous Humors in the body be abated and sweat begin to flow easily and exquisitly and the patient be accustomed to the Decoction afterwards by degrees you may take more of the Wood which unless it be observed the Patient is easily brought into danger And Eustachius Rudius writes Lib. 5. de Morb. occult Cap. 13. That he hath seen patients who by this error viz. too great a quantity of the wood given on the first daies have fallen into a Feaver that afterwards they have been forced to abstaine from the use of the decoction to their great detriment but where there is no such thing to be feared in those of ripe years we commonly add to one pound of the wood rasped or turned smal twelve pound of water in an earthen Vessel glased and let it infuse twenty four hours in a warm place afterwards the vessel being wel covered boyle it with a gentle fire til half or the third part remain and let the decoction cool in this vessel stil covered afterwards strain it Fallopius Lib. de morb Galli cap. 46. After what manner 't is to be boyled disputes whether it be better to boyle it with an open fire or in a double vessel as was said or in Balneo Mariae and reprehends them who hold that the decoction made in Balneo is more dilute or less powerful and that the decoction made in Balneo is more excellent than that which is made with an open fire he endeavors to prove by the example of distilled waters which by the balneum are made most excellent when as there is no adustion in them but the greater eliquation which is made in that hot and moist doth render the decoction more excellent but experience teacheth otherwise which reason also doth confirme For though out of some moister plants as Roses Violets Lilly of the vallies and the like being fresh whose vertue consists in the volatile part as the Chymists speak the best waters are made in balneo without the affusion of water yet in hotter plants especially in Roots and woods whose vertue consists in the oyly part their vertue can never be extracted by the too gentle heat of a Balneum as happens also in many seeds but they must be distilled by a †Vesica through which by the vehicle of the water A chymical Vessel those more fixed parts may be elevated when as then the whol vertue of Guajacum doth consist in that oyly and rozeny part and there is need of strong boyling that that may be extracted the gentle heat of a Bolneum cannot do it but it must be boyled in an open fire which nevertheless causeth no adustion if there be added a sufficient quantity of water Some for the better gust and that the bitterness and acrimony may be abated a little before 't is boyled enough add of Raison and Liquorish of each one ounce and you may add Sugar or some Julep to rellish it Aurelius Minadous de virulen Vener Cap. 4. holds the Decoction ought chiefly to be Dulcorated with Honey for he thinks that a smal quantity of Honey if it be boyled with it and Skimmed wil rebate al the bitterness and the Decoction acquire a greater power to cleanse attenuate open and make fusil the Humors and strengthen the parts which we grant may take place in phlegmatick bodies and especially in a cold stomach so whenas honey doth easily turn to Choller we think it cannot safely be used in chollerick bodies hot and dry but more conveniently and safely Raisons Liquorish or Sugar Some also in those who have a hot and dry Liver do add towards the end of the decoction a root or two of Succory one or two handfuls of Endive Sowthistle but whenas such decoctions are to be continued along while we must have a care least by the admistion of such things they be made ingrateful and provoke nauseousness in the Patient besides whenas for the most part there is boyled at one time Decoction enough for many daies but the
guarded with a defensive Oyntment the Ulcer must be washt with the Decoction of Scabious Horehound and especially Soape-wort and Guajacum afterwards let the Ulcer be anointed with some convenient unguent those Oyntments are chiefly profitable which have Mercury in them either a live or sublimate or precipitate or Cinnabar And in Ulcers of the Yard and rottenness of the Nut as they speak Hercules Saxonia writes there is no Medicine yet found out more profitable then precipitate yet it ought not to be applied but where there is a thick filth but in clean Ulcers t is not to be used Eustachius Rudius Lib. 5. de Morb. occult Cap. 19. commends two Oyntments especially The first is Take of Oyl of Roses sweet Almonds of each half an ounce The Mercurial Vnguent Oyntment of Rozin which is made of pure oyl Rozin of the Pine Turpentine and Yellow Wax six drams Mercury Precipitate one dram a little Wax Mix al over the fire except the Mercury precipitate and taking them of the fire stir them carefully til they are cool then add the precipitate yet according to the Nature of of the Vlcer and the part affected with it you may add more or less of the mercury precipitate The other is this Take of Oyl of sweet Almonds Oyntment of Roses of each three ounces new wax one ounce Mercury precipitate half an ounce Mix them And those Oyntments are good not only for the Ulcers of the Yard but for French Ulcers of other parts for the Disease called Ficus swellings in the Fundaments and Crusts The Balsame of Mercury also is good which is thus prepared Take of Quick silver dissolved in spirit of Nitre to one pound of this dissolution pour of Oyl of Olives three ounces Let them stand and digest eight daies afterwards separate the oyl and keep it for your use Or Take the Yelk of one Egg boyled hard Honey one ounce Mix them over a gentle fire let them boyl and add of Mercury Sublimate half a dram After mundification this Oyntment also may be used Take of the best aloe half an ounce Crocus Martis two drams Frankincense red Lead of each one dram Honey half an ounce Turpentine two drams the Yelk of an Egg. Mix them But occult and hidden ulcers are wont to lie hid either bound up under the foreskin Hidden Vlcers or else are in the internal passage of the Yard if the Ulcer be under the fore-skin contracted either a convenient medicine is to be injected by a syringe and afterwards a tent dipt in oyntment is with a probe to be applied to the part affected or the fore-skin must be cut long waies and necessary Medicines be layed to it But if the ulcers be in the very passage of a mans Yard Vlcers in the passage of the Yard they are hard to be cured and have caruncles joyned with them or fleshy excressences which hinder the emission of the urine therefore in a slight ulcer we must inject Plantane water in which Alum litharge and white Lead have been boyled but in more grieous ulcers use this Liniment Take of Mercury precipitate one ounce Mercury sublimate one dram burnt lead two drams Grind them on a Marble stone wash them often with Rose-water and let them dry in the shade Afterwards take of Hogs Fat six ounces White Wax two drams Let them be dissolved over the fire and add the pouder and two scruples of Camphire Make a Limment which must be besmeared over a Candle made of five ounces of White Wax and one ounce of Turpentine and let the Candle be put up into the Vrinary passage or let some convenient plaister wrapt over a smal probe be thrust in the Caruncle being taken away a drying and consolidating oyntment must be cast in But if there be an ulcer in the womb In the womb and that sordid and creeping the evil is incurable but the slighter are cured by injections of Alum waters in which Guajacum and Sarsaparilla is boyled or with pessaries of the juyce of Plantane with pouder of Aloes Bole Armenick white Lead and the like In a very sordid ulcer the Oyntment Aegyptiacum may be added or some Mercurial unguent and at last a drying and consolidating Oyntment may be used as that of Tutty or the like In more grieous ulcers suffumigations of the Womb are most profitable but whenas the Pipes are overheated by the coals these candels of Hercules Saxonia are good for a fume Take of Styrax Calamite Beniamin of each six drams wood of Aloes seven scruples white Frankincense one ounce Ladanum one dram and an half Orrice Cloves of each two drams Damask Roses six drams Cinnabar two drams coales of Willow half a pound Aqua Vitae as much as is sufficient Make Candels By the same Medicines the ulcers of the Guts are Cured But to the ulcers of the jaws whenas such Medicines cannot be applied make a Gargarisme of the Decoction of Sarsaparilla Vlcer of the Jaws the bark of Guajacum the Leaves of plantane scabious mittle red roses pomegranate pil sumach to which ad a little alume the decoction may be made in water and towards the end ad a little austere wine after they are washt the ulcers must be clensed with oyl of sulphur adding a convenient liquor or the compound water of alum which is thus prepared Take of mercury sublimate roch allum each one ounce The compound water of alum Grind them on marble stone then ad to them juyce of Lemons three ounces plantane water one pound and an half rose water nine ounces Boyl them in a glass to the consumption of the fifth part But you must have a care that no part of such medicines be swallowed down butter of antimony so called is very efficacious if the ulcer be gently touched with a piece of cotton moistned with the butter but there is need of the same caution here but whenas it cannot alwaies be prevented but somewhat wil slide into the stomach and so such medicines cannot be given safely enough but on the contrary other more gentle medicines are of little efficacy these ulcers are hard to be cured nay oftentimes are incurable the solution of gold is more safely applied to these ulcers prepared after this manner Take fifteen leaves of Gold roch alume nitere Salt each one ounce grind them on marble and poure to it some drops of spirits of vitriol afterwards poure on it spirits of wine two fingers bredth above it and let them stand in warm ashes last of al boyl that the leaves of the gold may be dissolved and the spirits of wine grow yellow Seperate the Spirits of wine by distillation then poure more on again and digest it and do this so often til the spirits of wine dissolve the gold and the salts be left at the bottom at last seperate the spirits of wine by distillation till t is dry and pour on spirits of turpintine and digest it eight dayes in a warm
of the humors unto the external parts they may also very easily cause some inconvenience and make the pain longer since that the pain is wont to return again in a short time after As for example Take Barly Meal four ounces the Crumb of Wheaten Bread three ounces Milk as much as will suffice boyl them to the consistence of a Cataplasm and then add of the Oyl of Roses one ounce the Yelks of three Eggs Opium one scruple and mingle them Or Take the soft pith of white Bread as much as wil suffice pour thereon of Cream of Tartar a sufficient quantity and then add Saffron one dram Frankincense half a dram Powder of Earth-worms two drams the Yelks of four Eggs Henbane and white Poppyseed of each three drams let them boyl in a double Vessel for half an hour and make a Cataplasm Or Take Leaves of Henbane three handfuls the Berries of Nightshade one ounce let them be boyled til they be soft and then bruised to a Mash then strew upon it one ounce and half of Barly Meal and a little Oyl of Roses and so make a Cataplasm Or Take Barly Meal the soft Crumb of white Bread of each half a handful Leaves of Henbane Mallows Violets of each one handful Flowers of Camomile Rindes of white Poppy of each half a handful Oyl of Earth-worms and Poppy of each one ounce and make a Cataplasm If you think fit you may also add of Opium and Saffron of each one dram Or Take Roots of Mandâ—ake and Leaves of Henbane of each as much aâ— you think wil suffice boyl and bruise them all to a Mash and then add of Barly Meal and Bean meal with Oyl of Roses a sufficient quantity of each and make a Cataplasm Or Take Crude Vitriol two pound Spirit of Wine three pints the Water of the Elder Tree one Quart Mingle them all well together in a Glass Vessel well Luted and then puting to the Alembick and the Receiver in which there may be put the Seeds of Henbane bruised two ounces the flowers of Mullein Elder and Camomile of each two hand fuls let there be a destillation by degrees until the Glass be Fire hot After the distillation let the spirit with the flegm be separated from the Seeds and flowers and so let it be kept in a Glass for use Or Take Leaves of Henbane one handful Nightshade Sengreen the Heads of Garden Poppyes of each half a handful Mandrake Roots one ounce Flowers of Camomile and Mulleyn of each one pugil Seed of Fleabane one ounce and half of Henbane one dram Let them be boyled in Milk for a Fomentation then let the Remainders be bruised to a mash and then add of the Meal of Lin-seed one ounce Barley Meal and Oyl of Roses of each two ounces and make a Cataplasm And there are some also that refer hither the washing of the grieved part with cold Water and indeed this they do by the authority of Hippocrates who in his 5 Sect. 25. Aphorism writeth in this manner The Gout pains of the Joynts as also Convulsions and many more of these kind of pains are lessened and taken away by the large affusion of cold Water and plentiful pouring of it upon the part that is in pain for a Moderate stupifying and benumming removeth the pain And so likewife Donat. Antonius Ferrus in his 2 Tract of the Gout Chap. 9. writeth that he had oftentimes had experience of this Remedy and that when all other Remedies were to no purpose he betook himself unto the pouring of cold Water upon the part as unto his last shift and that the pain was forthwith asswaged thereby And the very truth is that it cannot indeed be at all denied that cold Water being poured forth upon the pained part doth not only drive back but likewise produce a kind of stupidity and benummedness and thereby asswage the pain but it is to be feared lest that by this means the innate heat of the part be destroyed and so a weakness brought upon the part by reason of which the Malady may afterward be rendred more grievous and moreover the Humor may be impacted into the part and there condensed and thickned or else haply by this violent Repulse the Humors may be made to rush unto the more inward parts Repellers or Medicaments that drive back But now as for Topicks Repellers that are directed unto the Cause and in the first place touching Repelling Medicaments we say that although they are by some commended yet alone they have here scarcely any place at all For seeing that Nature her self hath ordained this Motion and that she endeavoureth to drive forth the vitious Humors from the more internal unto the external parts that are less noble if this motion be hindered and the Humors driven back again unto the internal and more noble and principal parts this cannot be done without the extream hazard of the life and hereupon there will arise the worst and most dangerous Symptoms that will not cease unless Nature again expel forth the vitious Humor unto some other Joynt And moreover when the pain is a little mitigated in regard that the matter is diffused unto the external parts that are about the Joynt if by the Repellers it be driven back unto the internal parts the pain happeneth then to be increased and hence it is also that very many cannot so much as endure the cold Air from without neither yet somtimes the external Air although it be not so very cold but that there is a Necessity of covering the affected Member if they expect to have their pain Mitigated And furthermore if the matter hath already flown out of the part into the Joynt by the use of Medicaments that drive back and Cool it is made more thick and impacted into the part and so the Malady rendred more difficult to be cured But yet never the less if by the sudden and overgreat afflux of the humors especially such as are more hot the pain be much increased even in the very first beginning of the sit in so much that it seemeth to cal for all the Care and to require that al the means that are used may be for the removal thereof and that therefore we have a mind to moderate it and somwhat to drive it back we may then indeed make use of Repellers but not of them alone and by themselves but mingled with Anodynes Venefection and Purgation having gone before Like as on the Contrary we are not in the beginning to make use of those Medicaments that are over loosening since that they help forward the afflux of the Humors but we ought in the first place to make use of those Medicaments that do somwhat stop and stay the afflux of the Humors And therefore we may then lawfully add Lettice Sengreen Purflaine Violets Plantane Roses and such Compounds as are made out of them as also what Vinegar we think fit As Take Barly Meal three ounces boyl it in