the body be Plethorical if it be not directly on the side affected 2. That if the courses or the Hemorrhoids be suddenly suppressed then the evacuation is in the first place to be out of the ancle vein or that of the Ham but if the suppression hath been of long continuance out of the arm vein 3. That in derivation the blood is to be drawn forth so long as until the color of it be changed 4. That fomentations may be administred to moderate the pain in a body that is not Plethorical yea even before Phlebotomy but not so when the Body of the patient is Plethorical And for this end and purpose excellent good is the Unguent made of dialthea or of Marshmallows one ounce thereof and half an ounce of the oyl of sweet Almonds with the pained parts ought to be al over anointed and upon it the fine small pouder of Camomile flowers is to be lightly strewed and then the leaf of a Colwort or Cabbage anoynted with Butter or hogs fat is to be laid upon it very hot and this is to be continually done dureing the whol time of the cure adding likewise a little of the distilled oyl of dil Champhyre 5. That forthwith in the very first beginning a sweat may very fitly and properly be raysed and excited by exhibiting either of the water of the Poppy Roses three ounces there of with one dram of the pouder of Corral red Filberds the Jaws of the Luce-fish or Pike or else of the simple Mixture one dram with the water of Carduus Mariae or of the Spirit of Nitre with the spirit of Wine of each one scruple the spirit of Tarttar half a scruple in the water of Poppy Roses or else the simple water thereof c. 6. That pectoral decoctions together with their appropriates are continually to be administred after the premizing of universals that so the spitting may be facillitated 7. That these following have in them a Specifical propriety of operation to wit the flower of the wild poppy of the dry dock and of the white Eglentine or sweet Brier the seed of Carduus Muriae the Bulls pizzle or the pizzle of the Hart or Stagg the shavings of the Boars tooth c. see Petraeus Al which are to be made into a very fine pouder and then to be put upon bread that hath been wel dipt in Scabious water 8. That the impostume may best be broken with a Cataplasm of the herb kaly the roots of the White lily while they are new and fresh c. applied unto the side that is payned 9. That after al those aforesaid Chalybeated milk unless a Feaver hinder it is the best I. One is as we may term it Legitimate and exquisite unto the which only whatever was sayd before as to this poynt is to be referred and understood thereof which I. ariseth either from blood that is pure in which there is a bloody spittle an extension of the veins about the Temples and the forehead with a sence of heaviness neer about the hollow of the Eyes the fore parts of the head or else from a blood that is Cholerick in which the spittle is yellow and which if it suddenly vanish without any apparent cause the sick person is immediately surprised with dotage It is best and soonest of al cured by opening the salvatella vein or thirdly from a Phlegmatick blood in which the spittle is frothy more slow and as it were sweet the syrup of Zacutus in the Eight Book Chap. 3. of his History is very efficacious in this kind or else lastly from a Melancholy blood which very rarely happeneth by way of afflux II. It affecteth either the interior tunicle and then the sick person doth with the more ease lie and rest upon the grieved side in regard that now the tumor is not immediately under it neither doth it in this case distend the grieved part or else the Exterior about the bones and then the case is quite contrary unto the former or otherwise both of them and then the patient lying upon the back is the freer from pain III. It affecteth either the right or the left side or the superior part extending it self to the throat or else the inferior reaching even unto the Hypochondria II. Another is bastard and spurious which is distinguished according to the quality of the matter and the manner of its situation One is from Windiness in which the pain is not fixed but runneth from place to place it is mitigated and oftentimes wholly dispelled by fomentations there went before causes generating windiness the pouder of Cummin sprinkled and strewed upon a Cabbage leafe anointed or spread over with butter and outwardly applied unto the pained part is very successful in giving ease Another from a distilation which hath with it a sence and feeling of a defluxion or something at certain times falling down it is exasperated by being touched neither doth it any whit yield unto fomentations the cure is to proceed according to that of a thin catarth Another is externally when the blood thorow the branches from the Axillar is ramus is emptied forth into the External Muscles of the Thorax and then the pain waxeth very intolerable upon the pressure thereof lying down upon the grieved side is extreamly troublesome there is in this case nothing cast forth by spitting and the transition or passing over of it into that which above we termed Vera or the true and exquisite Pluresy is very facile and easy Chap. 3. Of Empyema EMpyema is the Constipation of the Cavity of the Thorax or Breast from an abundant purulent matter causing and producing a difficulty of breathing with a Cough and a purulent or rotten spitting The Subject is the Cavity and capacity of the Thorax being that void space betwixt the Thorax and the Lungs albeit the Lungs themselves and the vessells thereof may not here be altogether excluded But now indeed because that the Lungs by the Mediastine is divided into two parts the Pus is collected either in the one or the other part or else in both of them together The Signs are a difficulty of breathing with a spitting and a perpetual purulent Coughing a sense and feeling of a heavy and dul pain in the bottom of the Thorax and especially neer about the diaphragm a redness of the Cheeks and that chiefly about three or four hours after meals c. The Cause is that very purulent filth it self filling up the Thorax the abundance whereof together with its stinking smell and acrimony inflicteth very sad and grievous pain and mischief There is some hope of a cure if upon the opening or burning there flow forth a white Pus or corruption if it be rather on the right side than the left and that the Patient be strong and able No hopes if the whole Thorax be lifted up in the breathing if the whol cavity be possessed if the left side if upon the lancing or burning of it that
in his Pharmacop restitut Oyl of chamomel saphirine a bolus made of three drams and a halfe of electuary diaphenicon and two scruples of philonium romanum is most commended by some Four grains of laudanum opiate with the decoction of chamomel After the use of all which things that strengthen the stomach must be applyed 2. The cause it self of which in the differences The differences are taken from the parts and Causes I. There is one pain of the coats which is simple and to which the former things ought to be applied another of the mouth of the stomach which discovers it self by faintings and swounings somtimes by immoderate sweats and anxiety and then it arises both from an attrition of the Stomach which happens after taking of meat with coldness a stoppage of the pulse and breathing either from the meat boyling in the Stomach before it be sent forth or turned into flegm and t is cured with oyl of spiknard applyed hot to the Stomach and one dram of pepper exhibited And from the astriction of the Stomach which happens by reason of the astriction of both orifices and the meat descending it ceaseth they ought to be distinguisht The cure is past hope if it befal them who have an orifice of exquisite sence if their extreme parts be cold and if it proceed from poysenous things II. Another is from external causes as kernels pins sharp corrupt or much meat and then a vomit does good and if poyson have been taken things alexipharmacal must presently be applied Another is from internal causes 1. From humors viz. Cholerick Flegmatick either falling thither from some other part as is wont to be in feavers or generated there which if by mixing with the meat they become less acrid upon taking of nourishment the paine is asswaged if cleaving to the coates they are stirred by taking of meat or sticking to the bottom they be raised up the paine is increased after meat The cure ought to be sought from the chapters of distempers Observe that hiera in a tough humor ought to be mixt with stronger medicines that it may overcome the matter Zacutus his syrup and pouder Lib. ult c. 2. n. 11. hist is very good 2. From vapors either contained there of which Tit. 2. c. 1. a. 4. Or sent from some other part from the womb worms c. 3. From worms ascending to the orifice of which in its place III. Another is from diseases molesting the Stomach viz. distemper tumors wounds ulcers c. of which we treated before II. The heat of the stomach is an ebullition of humors in the stomach caused by the power of preternatural heat so that the heat is perceived even to the throat There is no need of signs in this symptom The CAUSES are acrid vapors raised either from meat acrid in its own nature in cholerick bodies during the concoction of the meat and the Stomach troubled with strong motion raised up from a cholerick humor which whiles they are compelled to break forth by the gullet sticking there they burn that and the mouth of the Stomach The CURE is more difficult in those whose substance of the stomach is as it were besmeared with choler because the Region of it is dyed by the bladder of gal with a saffron color and the same ftain doth penetrate even to the internal membrane It doth respect 1. The heat it self to allay the which many remedies are given the cheif are these a Bolus compounded of two drams of sugar of Roses two ounces of crabs eyes prepared and bole armenick half an ounce swallowed in parcells A pouder compounded of Christal calcined one dram and an half Pearles prepared one scruple Coral prepared Chalk each one dram Sugar Candy two drams the dose is one dram given in drink Spirit of vitriol coagulated one scruple given in drink which ought to follow a liniment of the best pomado half an ounce Camphire one dram oyl of bricks two drams badgers greaâ—e half an ounce Salt of vitriol one dram 2. The cause of the heat which is to be tempered and emptyed Article 2. Of the want of Appetite An anorexy is the prostration of appetite in relation to al meats arising from the defect of the sence of sucking in the upper orifice of the Stomach This symptom needs no Signs The patient complaineth and 't is observable by the standers by The CAUSE is the defect of the sence of sucking in the lower orifice of the Stomach which from whence it proceeds shal be said in its differences The CURE is doubtful if it happen in the declination of a disease or from the long continuance of it or from weakness or moderate evacuation because it indicates the extinction of natural heat and threatens a relapse If it befal children who are naturally great eaters and want much nourishment because it signifies a great preternatural excess If it afflict in a disease of long continuance with sincere stooles because it shews an extinction of the appetitive faculty in the orifice of the stomach either by reason of extraordinary cold or of some matter extreamly putrefied If it arise from the brain by the hurt of the nerves of the sixth conjugation Of little hope if in some disease there presently follow it a great appetite to meat no crisis preceding nor an abatement of the disease because it signifies a hurt of the brain and an extinction of the sensitive faculty It relates to the causes of which we shal treat in the differences The differences of the prostraction of appetite are various I. One is Greater which is properly called Anorexy in which nothing at al is desired with which agrees the former definition Another is less called a dysorexy in which meat is desired but less or later than nature requires it it and arises from the sence of sucking weakned or overthrown II. There is another without nauseousness and hating of meats which may be called shappetency of the Causes of which shal be treated in the following difference Another with hating and t is called a loathing of meats It ariseth from Cholerick and corrupt Juyces yet void of acidity and saltness which because they are unfit to nourish the body they are not suckt in by the veins yet do possess the Orifice of the Stomach 'T is Cured with those things which do correct a hot distemper and empty the Humor See the Cataplasme in Zacutus l. vlt. c. 1. n. 5. III. There is another from the want of Sucking which is Caused 1. By the abundance of nourishment in the whol body in which the strength is not cast down the which is taken away by fasting exercise frictions c. 2. By an impotency in the Stomach to corrugate or wrinkle iâ— self up either by reason of a distemper either hot relaxing the stomach and diffusing the matter or cold destroying the Native heat the first Cause of appetite or by reason of a redundancy of vitious humors especially crude Excrement insipid
contrary meats made use of amongst these are commended asparagus moderately boy led with Oyl of Vineger and Butter taken at first Course the fruit of Eglantine the stones of the same boy led in broths Chevil Radish Oyl of Olives and sweet Almonds 2. The matter collected must timely be emptyed that it do not concrete By vomits given every month twice or thrice by lenitive Medicines especially Cassia Turpentine and chose that purge water By things that break it if any thing be concreted amongst which are commended the Decoction of the Nephritical wood of Alehoof the Juyce of Speedwel with the Water and other things of which hereafter 3. The Peins must be reduced to their state and hert bleeding prevails if the Liver hath raised hot distemper in them the administration of Strawhetry Purslain Barley Water and anoynting with cold Unguents II. The taking away of the stone generated which is performed 1. By clensing of the first Passages by gentle Evacuaters corrected with things that discuss wind 2. By opening a Vein in the Arm if there be a plenitude in the whol body and the pain be great of the Anckle or Ham if it be fallen upon the affected Part. 3. By Relaxing and making slippery the Passages in wardly with the Syrup of Marsh-mallows Liquorish Violets Outwardly with an Oyntment Compounded of Oyntment of Dialthea two drams Hens Grease new Marrow of a Hart each one dram Oyl of White Lillies one dram of Scorpions two scruples Oyl of Wax distilled and spirits of Turpentine of each one scruple Wax and Saffron a liltle By a Bath of sweet Water in which may be taken Oyl of fresh Almonds two ounces Oyl of Turpentine six drops With a drauft or Warm wine 4. By Removing Breaking and expelling the Stone by Medicines that wil do that the more Excellent of simples are the magistral of Tartar Vitriolate of Crabs Eyes of the mandible of a Pike and the Jewish Stone Lapis Prunella the essence of Crystals the Nephritical Stone the Aqua Vitae of Juniper Horstius T. 1. P. 481. Of compounds Zacutus his Confection or conserve of the Nephritical Stone l. 8. c. 16. Mynsichutus his Nephritical liquor Armament P. 338. The mixture of magistral of Tartar Vitriolate dissolved Crabs Eyes Lapis prunella the volatil Salt of Amber and Vntzerus his Saxafrage Water The generous Wine of the same Author in which a sharp radish with the Rind taken off and cut into thin slices was steeped a whol day given with the magistral of Crabs Eyes and spirit of Salt The mixture of Muffet the English man Cistae Medicae p. 34. Of Libavius of white Saxifrage water with Sugar of Violets and Roses streined with a little Spirits of Vitriol Zuingerus his expeller of the Stone Cist Med. p. 35. 3. The removing of the pain which is performed by the Oyntments formerly prescribed for relaxing of the Passages with a half bath prepared of things anodine Cratoes Cataplasme of pellitory of the Wal Parsly Onions c. 4. The Discussion of wind if there be any See concerning the Stone the excellent most satisfying Treatises of Vntzerus Franciscus Collutius and Beverovicius Article IV. Of an Vlcer and Wound of the Kidneys Concerning an Vlcer of the Kidneys Let it suffice to have observed these things I. That it doth very seldom happen from an Impostumation of a phlegmon by the Acrimony of the matter flowing thither corroding the Kidney by a blow or fal breaking the Veins yet if it do happen the Cure doth require that the falling down of Humors be stopt by Diet by bleeding and purging they already fallen must be temperd with coolers nephritical means must be emptyed with turpentine reduced with the yolk of an Egg into a liquor or with the pouder of liquorish into a Bolus II. That it is alwaies truely Cause by a Stone restraineth within it which either by its weight doth bruise the Kidney or by fretting diminish and corrode it Then the Urin before it begins to be purulent becomes bloody especially after exercise and labor none or an obscure feaver troubles them If at any time the matter be stopt by the obstruction of the Head of the Ureter that by degrees either redounding by the emulgent into the greater veins will defile the blood and habit of the body or heaped up in that place wil distend the Loyns from which the Skin being opened it wilflow much and a long while III. In the Cure the Decoction of Parsly discribed by Doringius in his Mithridatotechina p. 150. Bears the Palm from al others Concerning a Wound of the Kidneys it shal suffice to have noted these things I. That it is known by the Situation suppression of Urin or difficulty of it by its bloodiness by a pain extending to the groins II. That it is divided into that which is in the Superficies and fleshy Part and then much blood flows forth the Urine goes not forth the stronger agglutinatives may presently be administred and into that which Penetrates even to its Cavity and then the blood goes forth with the Water In the Cure the blood must be stopt This stopping things agglutinating must be given inwardly and laid upon it and here is of force unguentum Sanctum of Andreas a Cruce which see in Sennertus c. Chap. 2. Of the Symptomes of the Kidneys COncerning the Symptomes of the Kidneys Viz. The Separation of the serum hurt and Pain few things present themselves I. The separation of the Serum is hurt by the fault of the emulgent Vessels and Kidneys which either labour of a cold distemper and then the Urine is not suddainly supprest Or of a streitness of which formerly In the Cure Diureticks must be given an hour or two before meat II. The Nature of the Pain may be fetcht from the Chapter of inflamation and stone of the Kidneys At the seat of the Kidney 't is fixt and firm on either side unless that somtimes 't is extended either to the Hip or to the Stone of the same side by the Course of the ureter They that are accustomed to it by reason of the dilatation of the ureters are not so easily affected unless perchance the stone be thick and rough but they who are not accustomed to it or have been seldome and gently troubled with nephritick pains are tormented with the least stone c. Title IX Of the Affects of the bladder Chap. 1. Of the Diseases of the Bladder Article 1. Of the Stone of the Bladder THe Diseases of the Bladder are The Stone Inflamation Vlcers to which ought to be added the streitness of the passage for Vrin What the Stone of the Bladder is may be perceived by the definition of the Stone of the Kidneys The SIGNES of it are an Itching and sharp pain in the Neck of the Bladder the Pubes and Perinaeum which by progression and distention of the Bladder torments with great tortures the Patients are wont to scratch their Privities and often to distend
and others IV. The Fermentation of Medicaments is nothing else but their union by mutual Alteration by which meanes the old virtues of each of them do no longer remaine entire It is cheifly to be regarded in Treacle and Methridate V. As for the Division compound artificial Medicaments are Internal or External The former are fluid Solid or middle consistence And the latter are divided into as many sorts Chap. 4. Of Compound artificial Medicnies in Special Article I. Of Internal Medicaments Point I. Of internal fluid Medicaments WE cal those internal Medicaments which are received by the mouth into the Body and those we terme fluid which wil run like water and they are 1. Decoctions 2. Infusions 3. Potions 4. Medicinal Wines 5. Medicinal Beer or Ale 6. Oxymel 7. Barley water 8. Medicinal Vinegar 9. Distilled waters 10. Syrup 11. Juleps 12. Emulsions 13. Essences 14. Spirits 15. Tinctures 16 Oiles I. Decoctions are made of vegetables animals sometimes of mineralls if need be cut bruised or shaven boiled in simple or prepared water over a slow or quick fire in a vessel open or shut to the consumption of a third or fourth part of the liquor the Decoction being afterwards strained aromatized and clarified The most noted decoctions are The greater aperitive decoction of the Physitians of Augsburg with their Decoction of Rubarbe Decoction of Maiden haire Fumitory Carminative Gallinae consummatum of a Capon and the Vulnerary Decoction II. Infusions are made of Vegetables or minnerals purgers or vomitories steeped a certaine time in some liquor and afterwards strained forth The proportion of the Ingredients to the liquor is one and an half or double III. Potions are made when purgeing Electuaries Extracts pouders roules c. are mixed with liquors without boileing IV. Medicinal Wines are prepared when new or clarified Wine is impregnated with the Virtues of simples either suddenly by their oyles spirits and tinctures or by long Infusion either with or without sugar The principal are wine of Barberies Quinces Pomgranates red Corants V. Medicinal beers and Physick Ales are made after the same manner VI. Oxymel is made when vinegar is mingled with Honey and plants are sometime steeped therein The most famous are the Simple that of squils the Helleborate Oxymel of Gesnerus VII Barley water is made when barley is sufficiently boiled in water alone or with raisons anis-feed cinnamon strained and made tart with a drop or two of spirit of Vitriol or of Sulphur VIII Medicinal Vinegar is made when simples or compounds are steeped in vinegar or it is made of their juices It is made of Plants 1. Of their Flowers as vinegar of rosemary-flowers of Marrygolds of Gillyflowers of Lavendar of Poppie of Red-poppie of Roses of elder flowers 2. Of their Leaves as of Mints Rue Scordium 3. Of their Fruits as of Citron peeles Strauberries Rasberries 4. Of their Roots as vinegar of Squils There are also compound vinegar Antidotary Preservatory Bezoardick c. IX Distilled waters either by a Cucurbita in Balneo Mariae of plants for the most part of cold Nature whol or beaten and juiced or in Vesica out of hot plants and such whose force is not easily drawn forth and which must first ferment They are made either with wine as Wormwood water Agrymony Betonie Carduus Cinnamon Liverwort Lavendar Lilly-convally Baume Penny-royal Garden sage Veronica or without wine as are those of Sorrel Wood-sorrel c. Or which see the Dispensatory of Augsburge They are also made of Animals as of Capons Singing birds Kidnies Mans blood dung of Beasts c. X. Syrups are made of decoctions Infusions clarrified juices they are preserved with honey or sugar boiled to the consistence of honey almost and are used both to alter and purge seldom alone frequently mingled with a double quantity of distilled waters Those kept in the Shops are Syrup of wormwood of juice of Citrons of Sorrel wood-Sorrel Vinegar simple of vinegar compound of Maiden haire of sowr grapes of Marsh-mallows of Orenges of Mugwort of Betony Simple of Betony compound of borrage Byzantious so cald simple and compound of Maidenhaire simple of Cichory simple of Cinnamon of Corals of Citron peeles of Quinces of Endive simple and compound Of Eupatoruim of Colts foot of Fumitory Simple and compound of Lycorize of Pomgranates of Jujubees of Hyssop of Lemons of Hops of Baum of Mints the Simple and compound of Myrtiles of waterlillies of Poppies of red poppies of Cowslips of Pionie of Mouse-eare of Apples Simple and Compound of Purslain of Horehound of the five opening roots of Roses Simple of dried roses of Rasberries of Scabious of stechados of Comfrey of Violets XI Juleps are made of distilled waters juyces conserves and sugar either without decoction or with decoction XII Emulsions are made of seeds nut kernels perles corals hearts-horne certaine fruites being beaten with some liquor poured on and then strained forth XIII Essences are made of the juice of green herbes pressed out with spirit of wine and digested in Balneo Mariae where they receive their color separated by inclination and with a little sugar reduced into the forme of a Syrupe XIIII Spirits descend in the distillation both of Simple and compound waters together with the waters themselves and are afterwards separated from them by a Cucurbita vial c. But this must be understood of the more volatil sort The fixer sort are drawen out by a Retort and a stronger fire viz. With sand or the bare fire The cheife drawen from Minerals are of Alum of coral Mercury Sal ammoniack Common Salt Nitre Lead Ambar Sulphur Tartar Vitriol of Vegetables are of Wormwood Wine-vinegar Angelica Anisseed Carduus Centorie black-cherries Scurvy-grass Quinces Elder-berries Fenel Strawberries Guaiacum Juniper-berries Lilly-convally Baume Rosemary Roses Sage Danewort Linden-flowers Fluellen wine c. XV. Tinctures are made of dry Plants for the most part hot beaten steeped in some liquor which is called the Menstruum as spirit of Wine May-dew or some other set in an hot place and the vessel shut so longe as that the liquor wil receive no more colour and then they are filtred through a Paper or purified by digestion The most renowned are 1. Of Minerals Of the Sun Moon Mars Saturne Antimony Sulphur Vitriol Smaragd 2. Of Vigitables and cheifly of flowers of Winter-cherries Safron Black-cherries Strawberries St. Johns wort Peony Red poppie Roses Violets Elder-berries Dwarfe elder c. XVI Oyles are drawen out of gummie rosiny substances either descend with waters in distillation or are separated from them either by a separatory or by thick linnen threds or by brown or otherwise sinking paper in some materials they sink to the bottom the more remarkable are oile of wormwood Dil Angelica Of which see beneath in the first point of the third article Point 2. Of internal solid Medicaments INternal solid Medicaments are 1 Pouders 2. Salts 3. Saffrons 4. Flowers 5. Precipitates 6. Vitra Glass 7. Feculae dregs 8.
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
those that speak unto them and it is soon removed and taken away by the use of Emollient Fomentations In this greif there have their use that which we term Luna Potabilis Hartmanni six drops thereof and that they cal Pharmocum Phantasticum of Bartoletus the dose whereof is from one dram to two drams lastly the spirit of Terra sigillata or the sealed earth brought from the Isle Lemnos Article IV. Of Melancholly Melancholy is a dotage arising from a Melancholy phantasme with the which whosoever is affected and deteyned therunder he becomes wholly and only addicted to thoughtfulness being as it were altogether ingulphed therein without either fury or Feaver but yet without pensiveness and fearfulness The SIGNS are a deep sadness and fearfulness without any apparent cause and then likewise another sign is Taciturnity and a long continued silence or else incongruous discourse and talk at random and this more especially of some oâ—â— thing more than other The CAUSE is a Melancholy Phantasm that proceedeth from an error vice and distemper of the Animal spirits the which when as they ought to be clear thin subtile and moveable are hereby rendered and made obscure and misty opacious thick and dark as also fixed and almost wholly immovable And hence it cometh to pass that al kind of objects are imprinted upon their several species according to the condition and quality of the vitiated and depraved disposition of the spirits And they acquire and gain this disposition from a default in the Brain declining from its genuine whitness and generating such like spirits as these or else they have their original from some default in the matter out of which they are made and bred to wit the blood and the Vital spirit or else lastly they got this vitious disposition from some impure and melancholy Matter which is mingled together with the blood and spirits whether it be an Humor or a vapor or both The CURE is facil and Easie if the distemper be recent and but now beginning for so it is cured by diet alone together with the humectation of the whol body and somtimes of the head in particular as likewise if the Body receive any augmentation and growth from the aforesaid food if only the imagination be no more than hurt and then again if it be with some kind of laughter accompanying it But Cure there is none if the affect be hereditary See above further hereof touching the Progress to be made in attempting the Cure in the Chapter of the Melancholly distemper of the brain and below in the differences Notwithstanding observe here 1. That in this case an especial regard is to be had of the diet and that sleep by al manner of means be procured lest that haply the Patient fal frantick and mad Vinegar is not here to be administred but only that by it the dry Vapors may be diverted and called away from the brain A Bath of sweet water is by no means to be neglected 2. That the sick person is to be wrought into an Imagination quite contrary 3. That now and then for some certain time the Patient must wholly abstain from Medicaments The Remedies that in this case are commended are Confection of Alkermes the Tincture and Extract of Lazulus Elixir proprietutis the bezoar stone Cachunde an Indian Medicament the description whereof see in Lacutus his Physical History 1. Book Page 310. It is divided into some certain species I. One is that of the brain when the brain in the Nature and quality of its substance departeth from its natural cleerness and purity It is known by this that the doting is perpetual and vehement that there are present signs of Melancholy abounding in the head that the blood if it be let out is not thick nor black It ariseth Externally from a strong Phansie or imagination from fear other such like sad and grievous affections of the mind It ariseth Internally from a Melancholick Humor heaped up in the head and this either by reason of some acquired cold distemper of the brain or else in regard of its Melancholly constitution which may soon be known from the affects or otherwise lastly by reason of some cold and dry matter left behind in the brain after some hot distempers there the heat now abating and the thinner part of the matter being now resolved and gone It is Cured 1. By the Alteration and Preparation of the peccant matter by Fumary the water or syrup of sweet smelling Apples and Tartar of Vitriol 2. By the Evacuation thereof with the Extract of Hellebor the inferior waies and passages being first opened by Errhines and Sternutatories 3. By Procuring rest and sleep in the use of Hypnoticks 4. by Corroberating and strengthening the Head by the Tincture of the Chrysolite and other appropriate Remedies II. Another is that of the whole Body when a Melancholy blood aboundeth throughout the whol body and is from thence transmitted unto the brain It is known by this that the deliry or dotage is indeed continual but yet so that it is with some certain exasperations exacerbations and remissions and likewise in that there are present signs of Melancholy abounding in the body and that there went before the Causes thereof It ariseth from its own proper Causes of which we shal speak further in the Differences It is Cured by the frequent repetition of Venesection or blood-letting But because there are but very few spirits in Melaucholly persons it must not be of too much blood at once it may be either in the left Arm or in the Ankle or else the thigh Veins if large may be opened by Leeches 2. By a Preparation of the Humor by the Syrup of Odoriferous Apples Fumary with the cream of Tartar Tartur vitriolate by the fection of Alkermes the Whey of Milk with the Juyce of Cichory and Fumary 3. By a gentle Evacuation thereof often Reiterated and corrected by such things as corroborate the spirits and the principal parts and likewise by those things that Humectate moisten and mollifie but then the Evacuation may and ought to be stronger if so be the blood be over thick and unless the body be already extreamly and over much wasted This Evacuation must be seconded and followed by Moystening Baths unto the which Emollients are to be added 4. By drinking of tart sharp and somwhat sowr potions and also by the use of hot baths 5. By the strengthening of the Head both by internals and externals among which Embrochations are highly and indeed cheifly commended 6. By a Diet in the which there ought to be a careful and continual abstinence from al sorts of pulse It is divided according to the Nature and diversity of the Causes 1. One is from Causes altogether external as Fear watchings Cares al which exsiccate and dry up the Radical Moisture have in them a power sufficient to alter and change the blood in the whol Body and to detain the Melancholy Humor Now then
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
distinguished from the paine of the stone in the kidnies because it pricks more possesses a greater space is increased after meat by reason of the compression of the stomach it doth less afflict the back and the thighes 't is wandering and there appeares no Gravil in the urine From that of the womb because this seizeth for the most part upon the stoppage of the courses is communicated only to the hipps and Groins The cure must be hastened because the pain dissolves the strength and spirits and draws the principal parts into consent There is little hope if they vomit often and cannot keep their drink and little or nothing is voided if it be changed into an impostumation of the Collick gut If the matter which was contained in the hypochondries be poured forth and carried to the spina and pass into pains of the back and by a malignity contracted doe produce a falling sickness 'T is performed 1. By taking away of the Causes of which we shal treat in the defference 2. By mittigating of the paine if it be too vehement where note that we act most commodiously with anodine glisters the frequent use of outward applications may be if some evacuation have preceded that narcoticks or stupefying means must not be used neither where the strength is dejected nor in a cold cause That Compounds are more safely used than simples and that the same are more securely cast up into the belly than taken by the mouth That we never be unmindful of things appropriate as are the guts of a wolfe dryed and poudered the stones of a horse Quercetans powder compounded of the inward coate of a hens mawe and the white dunge of the same each half an ounce the pouder of the inward skin which is found in eg-shels two drams and an half of rupture wort cinnamon each four scruples of medlar kernels two drams of an is and fennel seeds each one dram the dose is from half a dram to a dram at the most with white wine c. Crato prescribes for preservation 1. A glister made of one pound of the decoction of speedwel in hen broth adding half a pound of mallego wine and half a dram of mirrh 2. Outwardly oyl of mirrh 3. Three hours after supper one scruple of Zedoary sliced 4. Every month in the morning before meat one scruple of treacle See more in Practitioners The diffences are taken either from the part it self or from the causes I. One is of the whol gut in which the pain is about both the loyns and below the region of the stomach neer to the navel which is very dangerous Another is of part of the Gut in which if the beginning of it be opprest the pain afflicts in the right loyn If the middle of it the paine shows it self in the left If the end of it the region of the navel next to the left is pained There is less danger ariseth because glysters may have access but note that sometimes the loyn is affected with a pain above the navel in the hypochondries II. Another is from diseases as 1. Worms whose signs and cure see in its place 2. An inflamation of the Guts which was formerly described and is increased by meats and drinks that are hot 3. From Stones of the cure of which elsewhere Another is from humors I. Thick and viscous sticking between the coats of the gutts which is known by this that the pain is as if a stake were driven through them by reason of the violent distension of the coats in that place neither is it asswaged by belching or breaking of wind and the gut it selfe is corroded which proceeds from glassy flame They arise cheifly in them who are given to drunkenness and idleness and in whom choler which is the spurre of the expulsive faculty flows not to those places In the Cure observe 1. That strong glisters cast in at first and often repeated do more hurt than good because they stirre the matter but bring it not forth 2. That we use not for attenuation things eminently hot lest the matter being suddainly resolved wind be multiplyed 3. To attenuate and discuss the oyle of Zedoary often given from three grains to one scruple is good White whorebound the decoction of Speedwel the Oyl of Orange pills given four grains with wine 4. If the paine continue we must proceed to dry fomentations by which that which was melted and attenuated may be dryed up and discussed 5. We must abstaine from Agrick for feare of vomiting which at that time is in no wise safe 6. Where gentle purgers do not good the essence of the trochisks of alhandal extracted with distilled mallegoe sack and Rulandus his golden spirit of life must be given from half an ounce to an ounce half at the most 7. we must wholy abstaine from opiates II. From sharp and cholerick humors sticking in the coats and vessels which are knowen by the accute pain thirst bitterness of the mouth watchings though by the first glister some excrements be brought forth yet afterwards nothing almost is emptied There are oftentimes joined with it tertain Feavers double tertians bastard tertians In the Cure note 1. That the collick from those causes is of long continuance and is wont to afflict the patient with many relapses 2. That those humors transmitted to the joints do cause an arthritis to the back pains of the back to the nerves a palsey 3. That they are best of al cast forth with the extract of Rhubarb or Hiera picra mixt with cooling things lest they offend by their heat 4. If the pains continue after evacuation Mallego wine may wel be administred with oyle of sweet almonds 5. That warme milk may also be given in glysters with honey of mercury 6. In dyet the fruit of the guord by a certain natural propiety doth oppose the disease III. Another is from the retention of hard excrements of which formerly and in which we must at the beginning abstaine from giveing any purging medicines by the upward parts lest they move the excrements Another is from wind conteined in the cavity which cannot get passage which is known by the distension of the belly a rumbling murmuring which shew themselves in the bowing of the left side It ariseth cheifly from meats apt to produce a fermentation of the humors as are corruptible-fruits Grapes new wine new and thick drink c. In the Cure observe 1. That the cure must be begun with anodyne and emollient glysters 2. If these profit not Some laxative must be given in fat broth of manna Oyl of sweet almonds and other things 3. Afterwards we must use discussives Inwardly are commended a glister made of Mallego wine and oyl of Nuts each three ounces aqua vitae one ounce the distilled oyles of Juniper and Rue each two drams apply it very hot A mixiture of Spirits of wine and Spirits of niter each half a dram or two scrupels given in common water warme
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
are an increase of the Corporal bulk greater than in a Cachexy equal through the whol body so that the feet and Leggs swel in the begining a softness of the body a Laxness Paleness and weakness upon the least labor a continual Feaver slow with a puls smal oft and unequal the Urine white thin crude c. The CAUSE is the fault of the nourishment which by reason of the immoderate coldness of the Liver and Veins of which we spake in distempers is Flegmatick and crude nay the body is spred over with a clammy and congealed water and though the nourishment doth both concrete and adhere to the part that is to be nourshed yet 't is not assimilated The CURE is Easter than in others because a Flegmatick Humor comes neerer to the Nature of blood than a serous besides a strong diarrhy comming at the beginning while the strength is firme the Disease is Cured 'T is Performed 1. By emptying the watry matter dispersed throughout the body both by things that Evacuate by the lower Parts amongst which is commended the extract or Salt of Hedg Hyssop mixt with Rhubarb And by vomiters which see else where and by bleeding if it arise from a Plethorick Cause or retaining the blood least by the plenty of the cold Humor the heat be overwhelmed which must be done at the beginning And by sweaters as the Decoction of swallow wort used especially in a Laconick Bath before you enter into it some of Weckerus his water is wel administred concerning which see Hartman 2. By strengthning of the Bowels the Liver especially and stomach of which in their places Fardinandus commends the covering of the Patient in a heap of Wheat for to dry up the matter Article VI. Of the Jaundice The Jaundice is either Yellow or Black of which shal be spoken in the Symptomes of the Spleen The Yellow Jaundice is an effusion of a Yellow or greenish Humor into the habit of the Body proceeding from its Causes 'T is called also from the Name of a smal bird Galgulus from the variety of colors in the Rain-bow Arquatus and because 't is tenderly handled at Court Regius or because 't is beleeved to be Cured with Honey and wine a Princely drink The SIGNS of it are a yellowness of the whol body a Citron or pale green which is observed in the white of the Eye and at its inner Angle where the great Veins are A distension of the Veins under the Tongue a pain of the right Hypochondry or a hardness too Bitterness of the spittle with Cholerick Vomiting the Hickops and pain in the Head The CAUSE is a Humor of the same color which is poured forth into the habit of the Body for the Causes to be mentioned in the Differences The CURE varies according of the Nature of the Differences Yet it respects two things 1. The Cause which must be removed 2. The Symptomes which must be taken away after universals have been premised For the Face and Eyes is commended the fume from hot Vineger in which Rosemary hath been boyled The Specisicks are the extract of Columbine and Celandine which with a little Bezoar is given to the rich An Emulsion of Columbine Seeds with the distilled Water of the same for the poorer sort the pouder of Earth worms three or four live Lice in a poched Eg if we beleeve Zacutus which is a most sordid medicine A live Moth laid on the Navel til it die A live Spider in a Nut shel hung about the Neck placed to the pit of the heart til it die Amongst Magick things are reckoned the Patients bepissing of Nettles Cloths dipped in his Urin and exposed to the Air and many other things concerning which see Petraeus The Differences are taken from the Causes One is from those things that generate plenty of choler which are either External as sweet things hot meats and drinks Poysons especially as the Gal of a Leopard the biting of Vipers and venenate things and then we must act with things Alexipharmacal peculiarly opposite to the Nature of the Poyson in which also we must have regard to the manifest qualities Or Internal as are 1. A hot and dry distemper of the Liver and then the Urine is vehemently colord and thick the Excrements of the Belly are dyed of a Saffron color the Feet and hands are hot 2. An Inflamation and Impostumation of the same of which formerly Another is from those things which do hinder the puresying of the blood and the separation and Exclusion of Choler as are 1. The compression of the bladder of Gal by a Schirrus of the Liver or some other Tumor which see above 2. The Obstruction of the same from thick flegm plenty of Choler stones and other Causes which is either in the passage reaching to the Liver by which it is attracted and then the Excrements are dyed or in that tending to the Duodenum by which 't is cast forth and then the Excrements are white or it comes to pass by default of the Liver and then the right Hypochondry is distended if it become hard it foretels a Dropsie or by default of the bladder it self and then it invades suddainly the belly is slow to stool the Excrements because they are not dyed look white It is cured 1. With things that open obstructions amongst which prevails Dodder of Vetches the Decoction of the Strawberry Plant with horehound and Raysons the Juyce of Nettle Roots bruised in wine with Saffron Young Geese Dung gathered in the Spring dryed and given one dram weight Cremor Tartar diluted with steeled Wine spirit of Tartar c. 2. With Purgers given by course with openers amongst which Rhubarb and Hiera Picra are the best Another is from those things which do suddenly expel choler from the inward parts to the Circumference of the Body which cheifly comes to pass in acute Feavers in which either it is cast forth critically and then there went before Signs of coction and the Disease is Cured Or Symptomatically by reason of its plenty and Acrimony and then it happens before the seaventh day If it be without a coldness 't is thought to be either from a weakness of Nature or from an Inflamation if with a coldness the Feaverish matter is cast forth from the Bowels and veins to the Skin In the Cure we must have respect both to the Feaver and the Liver Article VII Of an Atrophy An Atrophy is a drying and wasting of the whol body arising from the disappointment of its nourishment The Subject is the whol body especially in relation to the soft Parts the Fat and Flesh the harder Parts indeed may be dryed but they cannot be so diminisht that from thence the whol body should decrease There is no need of SIGNS whenas the affect is apparent to the Eye The CAUSE is the disappointing of nourishment which proceeds either by default of the nourishment when that either failes that it is not taken not attracted not
Rue Galick gentian must be applyed Inwardly we must act with things alexipharmacal By an Hors-leech which if it be ill applyed that the wound go not wel a Cataplasme of Agrimony bruised must be laid upon it If it have got into the Guts t is voided by applying to the Anus Oxe dung dryed moderately hor strewed with the pouder of woodworms or castor first casting in a Clyster only of the juyce of Onions VI. By a Toad which infects somtimes by breathing on somtimes by urin cast upon plants In the Cure let Treacle be given to drink with the Decoction of Rue Let pure wine be drank liberally plenty of sweat be provoked in a bath VII By the fish Araneus which is either taken inwardly into the Body or by a blow sends its poyson to the Body which way soever it be a swelling of the Belly involuntary Tears a desire to Piss a distension of the Yard in young men a relaxation of it in old men does afflict them In the Cure inwardly Treacle is wel given after a Vomit outwardly the place bit must be often washed with Salt water VIII By Fleys Waspes and Spiders whose sting must be taken out and the place afterwards washt with Salt water and the Creatures bruised must be laid on the wound to suck out the Poyson THE TWELFTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the diseases of Children Title 1. Of the diseases of the Head WEE might here now stop and conclude our little work but that the diseases of children do hinder us in which we meet with some things singular Concerning them therefore we wil speak very breifly in this last book as an appendix and we shal not unprofitably divide them into the diseases of the head middle and lower belly The diseases of the Head in Children are I. A milky crust achores and favi or ulcerous bunchings out arising cheifly in the head but somtimes in the whol body pouring forth of their holes somtimes mattery They arise from a humor conteining partly thick partly thin serous salt and nitrous parts either collected in the womb or out of it by default of the milk In the cure if no evil be feared things that drive it out must be administred as syrup of fumitory burnt harts-horn the nurse must be purged the matter offending be qualified by giving syrup of burrage fumitory c. if an eminent putrefaction be feared under the crust the head must be washt with an emollient decoction afterwards gentle drying ointments must be applyed if the skul be hurt we must provide for that II. Asiriasis or inflammation of the brain and membranes which a hollowness of the forehead and eyes doth follow 'T is known by this that the bones of the fore part of the head at their upper part where the coronal and sagittal future do meet are as it were membranous the lower parts of them al are hard It may arise also from the milk if the nurses use spirituous and hot drinks As Lucretius is Author that the goats tender young ones are made with milk and wine In the cure wee must endeavor that the brain be not hurt with the too much use of things cooling III. A falling sickness which proceeds 1. From a fright all occasions of which must be avoided 2. From milk corrupted in the stomach and then a vomit is best 3. From Worms moving themselves in the Guts of which Care must be taken 4. From hard breeding of Teeth which must be promoted 5. From the smal Pox Meazles and Feavers which also must be Cured 6. From a primary affect of the Brain the Cure in general respects both the time of the fit and the time after the fit There is comended the Emrald stone The Stone found in the stomach of Horseleeches opened about the opposition of the Sun and Moon Elkes Hoofe put into the left Eare a vomit here A Nodulus of Harts-horn prepared Salt of Corals Crystal prepared the wood of Missleto of the Oake put into the drink and renewed every fifth day a Plaister made of white Amber Frankincense Mastick of each one dram and an half Galbanum Opoponax of each one scruple Misleto of the Oake two drams Amber Greese six grains Musk three grains Male piony Seeds half a dram Labdanum one dram and an half with a litte Oyl of Nutmegs and sprinkled over with the pouder of Cubebs The Forehead and Neck also may be anointed with Oyl of white Amber IV. Feats in sleep which because they arise from impure and filthy Vapors mixt with the Animal Spirits and troubling them raised from the Stomach therefore they happen to Infants that do greedily such In the Cure we must see that the Infants do not too much ingulfe themselvs in Milk or that bad Milk be not generated or that the little ones be not carryed to bed on a ful stomach Let the stomach about its Orifice be anointed with Oyl of Quinces Mastick with Oyl of Nut-megs before they sleep let a rowle of Diamoschum dissolved in Milk be given and unless they be very hot let a little Treacle be given weekly V. A Convulsion of the joints in the Hands and Feer which ariseth from the plentiful heaping in of thick Milk and with which they are for the most part troubled about the time of breeding of teeth In the Cure we must have a care of a cold and hot distemper the Neck and joynts must be conveniently anointed VI. Too much Watchings which for the most part do arise From sharp Vapors raised from the Milk corrupted in the stomach somtimes they rise from Feavers or some painful affect In the Cure 't is better ther the soles of the Feet be anointed with the Marrow of Deers bones than that strong Hypnoticks be given by which they are made more stupid VII A Squinting which is Cured in the new born if the light be placed on the contrary part to which the Eyes decline or a Vizard with holes be put on the Face of which See Hartman VIII A Moisture of the Ears arising from the moisture of the brain heaping up many Excrements in which we must not be over hasty in the Cure The Vrin of Children distilled dropt into the Eare is commended Title II. Of the Diseases of the middle Belly THe Diseases affecting the middle Belly in Children are I. Hard breeding of Teeth which is known by this that 't is the time of Toothing which happens about the beginning of the seaventh Month the Infants often put their fingers in their Mouths the Nurses feel their Nipples to be griped stronger the place where the Teeth endeavor to break forth looks white a great pain afflicts them especially when Dog Teeth are cutting with watchings a loosness Convulsions The Cure is of good Hopes if the Belly be loose if an acute Feaver happen because the matter causing the Convulsion being wasted by the Feaver the convulsion ceaseth If the Teeth break forth in the Winter or spring
One spoonful of the tincture of orange peels extracted with spirits of wine Sperma ceti with oyl of sweet almonds Outwardly gum taccamahac and Caranna applyed to the Navel The antiapoplectical balsome with one or two grains of Zivet c. IV. One is exquisite of which we have hitherto spoken Another Spurious whose cause sticks either in the peritoneum or in the membranes which are spred over the abdomen and parts of the belly 'T is known by this that the paine is most greivous and very lasting and cannot be mitigated neither by glysters nor medicines nor fomentations nor by those remedies by which the true collick pains are abated and yet it succeeds to long continued feavers and other cholerick diseases whose solution is difficult For nature endeavoring a crisis and the expulsion of the hurtful humor by the stoole when she can no where find a ready and cleare way to empty it doth often cast it out of the veins and bowels into the membranes whence do arise pains more grievous than the former disease 'T is observed by Fernelius that both continuall feavers and tertians and more frequently quartans are terminated with these pains which a long time had their exacerbations at certaine circuits and retained the like order of fits See concerning this Mattheus Martinus on the diseases of the Mesentery V. Another is which tends to a particular palsey which Palmarius was wont to cure with a syrup compounded of white wine six ounces Rose water two ounces pouder of Alarbazi or antimony prepared one dram choice cinnamon one dram and an half infused al night strained by gentle pouring it off adding of Sugar eight ounces The dose is from half an ounce to an ounce after a draft of chicken broath Article 3. Of Costiveness of body Costiveness of body is no casting forth of excrements or very little in proportion to the nourishment received There is no need of signs The causes shal be explained in the differences The cure is not to be neglected for from thence the head is assaulted with vapors the whole body grows heavy the concoction of the stomach is hindred the appetite destroyed the loines grow weak to wit the veines being burthend and a preternatural heat caused in them Sometimes the belly is moved by sneezing and coughing sometimes if the diseased walk on the ground bare sooted c. The difference is taken from the excrements and guts I. One is by default of the excrements which either are not by reason of fasting and the use of meats of good juice Or do not stimulate either by reason they are small in quantity or by reason of the want of choler which either is carried to other parts as in the jaundice or is not produced out of cold meats Or they are hard either by fasting and a hot habit of body or by a continued restraint there by which it comes to pass that they forthwith grow dry and the veins of the mesentery do suck forth somwhat of their juice Or by reason of gross tough astringent meat eaten at first and not moistned by reason of the too great heat of the liver and kidnies and then there must be care taken of those parts we must act by mollefyers Solenanders liniment is approved of if the navil be anointed therewith 't is compounded of new oyle of sweet almonds goose grease May butter dialthea each two drams Coloquintida sixteen grains Salt one scruple and half the pouder of Simple hiera one scruple diagridium four grains II. Another is by fault of the guts which either do not feel either by reason of their long custom or by their stupidity such as is caused by the drowsy disease palsy apoplexy or by reason of flegme adhering to their coats of which in the chollick Or do not cast it forth either by reason of the narrowness of the passages from the obstruction of the guts of which formerly or of some tumor of the mesentery or bowels pressing the guts or from the fault of the muscles of the belly or from the strength of the retentive faculty from the moderate dryness Article 4. Of a Looseness Point 1. Of a Lientery and Coeliaca Fluxes of the belly are A Lientery Coeliaca Diarrhy Dysentery and Hepatick flux A Lientery is too sudden a voiding by the stool the nourishment in that forme in which it was received proceeding from the fault of the retentive and expulsive faculty of the stomach and guts The SIGNES are evident whether you consider the consistence or the colour smel and other qualities of the aliments taken The CAVSE we have laid in the definition on the faults of the retentive and explusive faculty of which hereafter in the differences The CURE must be hastened because this symptome proceeds from a great prostration of the natural heat and a weakness of the tone of the stomach 'T is difficult if it be supervenient to acute and chronical diseases because the strength is impaired It respects 1. The cause which must be taken away 2. The symptome which must be stayed by astringent means and things that stregthen the stomach and guts The Diffence is taken from the causes One is by default of the retentive faculty which is hurt 1. By the refrigeration of the guts which is caused I. By immoderate drinking of cold water especially when the body is hot by a southerne wind over moist and excessive cold especially in bodies of a fine texture c. 2. A cold distemper which ariseth from flegm either generated there or sent from some other part covering over the wrinkles of the guts doth make them laxe and slippery duls their heat and closeth up the mouths of the mesaraick veins In this for the most part a Celiaca was precedent If sour belching which was not before be supervenient to this of long continuance it is a good signe The Cure requires a casting forth of the matter either by vomit or stoole to which end serve Myrobalans Chebul Citrini tamarinds Rbubarb A restraint of the same and strengthening of the stomach by the distilled oyles of masticke wormwood mint c. order of dyet in which wine takes place II. by a laxness from the continuall use of things oyly fat and emollient from whence is too great a mollification of the Mouth of the stomach whether also belongs the resolution of the nerve of the sixth payre that contracts the fibres of the inward coat III. By a strange quality inured and that either from an evil constitution of the aire as happens in a popular lientery or from the unseasonable eating of mushrums melons cowcumbers c. IV. By a thick and smooth scar such as is wont to follow a great disentery and a deep ulceration which by its thickness stopping the Mesaraicks hinders the distribution by its smoothness the Retention This must be rubbed off and wiped away as it were by eating of sharp things attenuating and strong abstersive as musterd Seed Onions Garlicks honey of