Ounces Turbith Mechoacan of each an Ounce and a half Epithymum yellow Saunders of each an Ounce Coriander-seeds an Ounce and a half let them be slic'd and bruis'd and put in a Bag according to Art for four Gallons of Ale the Dose is from twelve Ounces to a Pound either every Morning or twice or thrice a Week CHAP. IV. A Cure for Over-purging or of Medicines that stay too much Purging or a Looseness Also the Cure of the London-Flux with Instructions in each Case TO prevent over-purging upon giving any Purging Medicine we must proceed thus Before we give a Purge we must first consider well the Constitution Strength and Custome of the Body to be Purg'd as also the Nature Dose manner of Working and ordinary effects of the Medicine to be given and then by comparing the one with the other we must proportionate the vertue of the Agent according to the bearing of the Patient Secondly whilst the Medicine is working let the Viscera where digestion is perform'd the Blood and the Animal Spirits be kept free from any other perturbation Wherefore during that time let not the Patient eat gross or viscous food or too great a plenty of any food which may offend the Stomach let him carefully avoid the admittance of any outward cold by which the Pores of the Body are shut up also let the mind be kept calm and undisturb'd free from all Cares and toilsome Studies Thirdly The Operation of the Medicine being ended we must appease the angry rage of the Animal Spirits and allay the effervescence of the Blood and Humours for which ends let an Anodine Medicine or a gentle Hypnotick be given according to the following forms Take Water of Cowslip Flowers two Ounces Cinnamon-water hordeated Syrup of Maeconium of each half an Ounce Pearls half a Scruple make a draught to be taken going to rest Or Take Conserve of red Roses vitriolated two Scruples Diascordium half a Dram Pearls half a Scruple Diacodium what suffices make a Bolus to be taken going to sleep In case this Provision be either omitted or does not hinder a Purging Medicine from working to excess let the Patient presently be put into a warm Bed and be ordered as follows First Let either a Plaister of Mithridate be apply'd to his Stomach and to the whole upper Region of the Belly or let those parts be fomented with warm Linnen Cloaths dip'd in a decoction of Wormwood Mints and Spïces in red Wine and so wiung forth presently upon it let him take inwardly either a Bolus of Venice Treacle or a Solution of it in Cinnamon-water Moreover let him drink every now and then a spoonful or two of Burnt-wine diluted with a little Mint-water if he be troubled with Gripes give him a Glister of warm Milk with Treacle dissolv'd in it and warm frictions must be us'd to the remote parts and sometimes Ligatures to draw the Blood outwards and so keep it from too great a Colliquation and from discharging it self into the Cavities of the Viscera then in the Evening if there be strength and a pretty good Pulse let him take a Dose either of Diacodium or of Liquid Laudanum with some fit Vehicle As to other kinds of excessive Purging which are wont to happen without the Administration of a Purging Medicine for the most part they are meerly Symptomatical depending on other Diseases and their method of Cure is wholly the same as of those Diseases whose off-spring they are Nevertheless sometimes a Looseness or Flux seems to be a Disease of it self and because this kind of Distemper Raging almost yearly in the City of London is commonly accounted Endemious or a Disease peculiarly attending Inhabitants I shall here set down its method of Cure I have often and long observ'd that there are two and that very different kinds of that Flux usually call'd the Griping of the Guts which happens here almost yearly about Autumn In one of them the Stools are watry and in a manner cleer with a sudden failing of the strength in the other they are bloody but tolerable withal In the Year 1670. about the Autumnal Equinox a World of People here were seized with a most dangerous Flux though without Blood and joyn'd with a cruel Vomiting which presently caus'd great faintings and a total decay of strength For the Cure of this Disease no Evacuation did good nay Bleeding Vomiting and Purging always did hurt only Cordials and those of the hottest nature to wit such as abounded with Spirit and Sulphur or a Volatile Salt prov'd commonly of good effect insomuch that Brandy burnt a little with Sugar was a Popular and as it were Epidemick Remedy and in that sort of Flux was seldome given without success though in the other sort of Flux which carry'd Blood with it having been us'd without due regard it has often been found to be hurtful The method of Cure which I then took successfully enough with many and am wont still to take in the like case is after the following manner Take Venice Treacle from a Dram to a Dram and a half let the Patient take it in Bed and drink after it seven or eight spoonfuls of the following Julap and let him repeat this Dose every third fourth or fifth hour Take Mint-water Cinnamon-water hordeated of each three Ounces strong Cinnamon-water Plague-water Treacle-water of each two Ounces Powder of Pearls a Dram Sacchari Crystalin half an Ounce mingle them and make a Julap At the same time take a piece of Bread spread some Treacle on it and dip it in Sack or Red-wine warm'd and let it be apply'd to the Stomach as hot as it may be suffered and change it every now and then In the Evening if the Pulse and Breathing seem strong enough to bear it let the Patient take of Liquid Laudanum Cydoniated twenty Grains in a draught of Plague-water Take Diascordium a Dram Liquid Laudanum half a Scruple Compound Powder of Crabs Claws a Scruple Cinnamon-water what suffices make a Bolus to be taken going to sleep To those to whom Treacle or Mithridate prove nauseous or disagreeing give a Dose of the following Powder or Spirit of Treacle every third hour with the Julap Take Compound Powder of Crabs Claws Roots of Contrayerva or Serpentaria Virgin of each a Dram Cinnamon Roots of Tormentil of each half a Dram Saffron Cochinele of each a Scruple make a Powder the Dose is from half a Dram to two Scruples Take Spiritus Theriacalis Armoniacus three Drams the Dose is a Scruple with the Julap every fourth hour or give that and the Doses of the Powder interchangeably one one time and the other the other After the same manner the Spirits of Harts-horne or of Soot may be given let the persons Drink be Ale or Beer with a Crust of Bread Mace add Cinnamon boil'd in it and sweeten'd or let it be Burnt-wine diluted with Mint-water let his Food be Chicken-broth Gruel or Panada with the shavings of Ivory Hartshorn
the like cause And in truth many difficult Diseases which are falsly imputed to the ill constitution of the Viscera arise from hence viz. that the Blood being distemper'd and obnoxious to coagulations when it cannot continue its full course of circulation deposes the Serum in many places this being too apt of it self to recede from it The Diureticks to be given in these cases are such as do not fuse the Blood but make void its coagulations of this kind are those things that are endow'd with a fixt Volatile and likewise Alkalisate Salt and they must be such as restore and strengthen the Ferment of the Reins which is done by certain Sulphureous and Spirituous things For these ends are given Sulphureous and mixt Diureticks Lixivial Salts of Herbs Powders of shells Salt and Spirit of Vrine c. Millepedes Horse-Raddish Parsly-seed Nutmegs Turpentine and preparations made of it Spirit of Wine The vertues of all which are not to fuse the Blood and to precipitate serosities from its Mass these things are chiefly done by Acids and in those cases do commonly hinder any Purging by Urine but to dissolve the coagulations of the Blood so that its Body recovering a perfect mixture and being more readily circulated through the Vessels drinks up the Serum every where extravasated or depos'd and finally delivers it to the Reins to send it forth Now we shall shew after what manner according to both these as it were opposite ends of Curing Diureticks of all kinds operate and in what forms they are chiefly prescrib'd The Kinds and Prescripts of Diuretick Medicines FIrst then as to Saline Diureticks we say that any Salts whatsoever of a differing nature being put together lay hold of each other and are presently join'd in one and that whilst they are so combin'd other Particles freed from the mixture separate from each other or fly away This is plainly seen when a fluid or Acid Salt is put to a fixt or Alkalisate Salt and so when a fluid or fixt Salt is put to a Volatile or a sharp Salt and indeed on this only disposition of Salts depends the whole business of Solutions and precipitations of what kind soever Wherefore since the Blood and humours of our Body very much abound with Salt which Salt is also wont to be variously chang'd from one state to another and so to cause a Morbid disposition and likewise since Saline Diureticks are of divers kinds to wit consisting of fixt fluid nitrous volatile or Alkalisate Salts it will always require a great discretion and judgment in a Physician to see that the Saline Particles in the Medicine differ from those in our Body We shall shew after what manner this ought to be done by running through each Species of Diuretick Salts Amongst Diureticks containing an Acid Salt Spirit of Salt or of Nitre also Juice of Limmons of Sorrel Whitewine Rhenish and Cyder are of chiefest note amongst the vulgar and pretty often perform that intent for these things without the help of others fuse the Blood and precipitate it into serosities as when an Acid is dropt into boiling Milk but this does not happen equally to all persons nor to every one alike In a sound constitution or not very far from it the Salt of the Blood is partly fixt partly nitrous and partly volatile also in some Scorbutical and Hydropical persons it becomes for the most part fixt In every of these cases Diureticks containing an Acid Salt are given with success but in Catarrhous affects and in some Hydropical and Scorbutical distempers when the Salino-fixt Particles of the Blood are exalted to a state of flowing and the volatile are deprest as it often happens Medicines of an Acid nature commonly rather do hurt than good insomuch as they more pervert the Blood already degenerated from its Crasis and Medicines containing a fixt or volatile Salt are more proper to be us'd by such persons Prescripts of Diureticks that have an Acid Salt for their Basis TAke choice white Tartar powder'd Crystal Mineral of each a Dram and a half Powder of Crabs Eyes a Dram Make a Powder the Dose is from half a Dram to two Scruples in a fit Vehicle repeating it every sixth or eighth hour Take Tartar vitriolated or nitrated two Drams Powder of Egg-shells a Dram and a half Seeds of Parsly or of wild Carrots half a Dram Make a Powder the Dose is half a Dram after the same manner Take of the best Spirit of Salt two Drams Hartshorn burnt and powdred what will suffice to imbibe it Make a Powder the Dose is from a Scruple to half a Dram. Take Juice of Limmons two Ounces Radish water Compound an Ounce and a half Syrup of the five Roots three Drams Make a Potion Take Juice of Sorrel two Ounces Whitewine six Ounces Mingle them for a Potion Take Radish water Compound two Ounces Water of Pellitory of the Wall four Ounces Spirit of Salt a Scruple twenty five drops Salt of Tartar fifteen Grains Syrup of Violets half an Ounce Make a Potion That Medicines containing a fixt or Lixivial Salt move Urine it plainly enough appears from the Vulgar and Empyrical Practice of Physick which commonly gives them for Curing Hydropical persons For it s a usual thing in an Anasarca and sometimes in an Ascites when the Viscera or Fleshy parts are very much swollen by a loading of Waters To give a Lixivium made of the Ashes of Wormwood or of Broom or of Bean-stalks with Whitewine whence it frequently happens that a very plentiful evacuation by Urine follows and that the Disease is taken away Nevertheless I have observ'd that this Medicine has not prov'd Diuretick to some persons and rather to have encreast the Hydropical disposition than to have cur'd it The reason of which if we enquire into we shall find by what is said before that Lixivial Salts neither fuse Milk nor Blood or precipitate them and therefore that they are not Diuretick in their own nature though that effect sometimes follows because that a fixt Salt taken in a good plenty destroys the Energy of the Acid and coagulative Salt predominating in the Blood so that the said Blood which before being too apt to fusion and unable to contain its Serum did cast it off from it self in divers places now by the intercession of the fixt Salt recovers its due Crasis and therefore drinking up again its extravasated Serum and constantly carrying it to the Reins causes a large Evacuation by Urine Prescripts of Diureticks which have a fixt Salt for their Basis TAke Salt of Tartar or of Wormwood two Drams Coral calcin'd to a whiteness a Dram and a half Nutmegs half a Dram Make a Powder the Dose is from half a Dram to two Scruples Take Tincture of Salt of Tartar from a Dram to a Dram and a half Radish water Compound an Ounce and a half Mingle them give it in a draught of Posset drink which has had the Roots and Seeds of the great Bur-dock
boild in it Take the Deliquium of Salt of Tartar which whilst the Tincture is extracted floats under and is impregnated with the Sulphur of the Wine from two Scruples to a Dram and a half Whitewine from four Ounces to six Syrup of the five Roots half an Ounce Mingle them and make a draught to be repeated twice or thrice a day Take Ashes made of the Prunings of the white Vine half a pound Nutmegs two Drams pour to them of White or Rhenish wine two pounds and a half let it stand a day in a moderate heat and close cover'd then keep the straining for use The Dose is four Ounces twice or thrice a day Let Flints be made red hot in the Fire and be quencht in White wine or stale March Beer Give of the Liquor from six Ounces to eight twice a day Take Water of quick Lime from four Ounces to six Tincture of Salt of Tartar from a Dram to a Dram and a half Make a draught to be taken twice or thrice a day For the same reason as fixt Salts sometimes also volatile Salts are given with good success to move Urine in a sourish distemper of the Blood to wit forasmuch as its Particles when admitted into the Blood destroy the predominancy of the fluid Salt in it so that the Blood recovering its due mixture and being freed from coagulations and fluxions drinks up again what Serum is extravasated and conveys what is superfluous to the Reins to be sent forth by the Ureters But we may note withal that Medicines prepar'd of a volatile Salt having particles somewhat fierce in operation and instigating when they correct the Crasis of the Blood dispose what there is superfluous of Serum to be discharg'd sometimes by Sweat as much as by Urine In this order of Diureticks not only the bare volatile Salt drawn forth of Animals and Minerals ought to be numbred but likewise the integral parts of Animals and Vegetables such as are the Powders and Extracts of Insects and Vegetables of a smart nature Prescripts of Medicines that have a volatile Salt for their Basis TAke Salt of Amber Pure Sal Nitre of each two Drams make a Powder the Dose is from a Scruple to half a Dram in a fit Vehicle Take Flowers of Sal Armoniack Crystal Mineral of each two Drams Make a Powder the Dose is from a Scruple to half a Dram in a good spoonful of Radish water compound Salt of Vrine may be given after the same manner Take Powder of Bees a Scruple Lovage-seed a Scruple Make a Powder give it in a spoonful of distill'd water Take Spirit of Vrine from a Scruple to half a Dram Radish water compound from an Ounce to an Ounce and a half Juniper water three Ounces mingle them make a draught Spirit of Tartar may be given after the same manner in a double quantity Take Millepedes prepar'd two Drams Flowers of Sal Armoniack half a Dram Nutmegs powder'd half a Dram Venice Turpentine what suffices Make Pills let four be taken twice a day Take Powder of Burdock-seeds two Drams Wild Carrot-seed a Dram Salt of Amber a Dram Oyl of Nutmegs half a Scruple Balsamum Capivii what suffices Make a Mass form it into little Pills of which let four be taken in the Evening and as many the next Morning Take Roots of Chervil Stone Parsly Fennel Eringo Cammock or Rest-harrow of each an Ounce Leaves of Saxifrage Clivers or Goose-grass of each a handful Seeds of Gromwel Hartwort of each half a handful Juniper Berrys six Drams boil all in four pounds of fountain water till half be consum'd then add Rhenish Wine a pound fine Honey two Ounces Make an Apozem the Dose is six Ounces twice a day Take fresh Millepedes two pounds Leaves of Clivers Chervil Saxifrage and Golden Rod of each two handfulls Roots of Horse Radish six Ounces Nutmegs an Ounce Juniper Berrys Wild Carrot-seeds of each two Ounces being slic'd and bruis'd pour to them of White-wine Posset-drink eight pounds distil it in a common Still Let the whole Liquor be mixt the Dose is four Ounces twice or thrice a day Take fresh Millepedes wash'd from forty to sixty Nutmegs half a Scruple being bruis'd together put to them distill'd Water of Saxifrage three Ounces wring it forth hard and drink it Take Leaves of Chervil Macedonian Stone Parsly of each three handfulls being bruis'd together pour to them of Whitewine a pound and a half wring it forth hard and keep it in a Glass the Dose is three Ounces twice a day Prepare a Tincture of Millepides Bees Grashoppers or of Cantharides dry'd with the Tincture of Salt of Tartar give it from fifteen to twenty or thirty drops in a fit vehicle Nitre is a sort of Salt but differing from any other Salt or from the nature of Saline Particles being neither Acid fixt or volatile but holds the mean state as it were betwixt those three And in truth Nitre is the thing by which all Plants have their vegetation all Animals live and breath and every Sublunary Flame or Fire is kindled and maintained But as to our present purpose it 's well enough known that Sal Nitre cools the Blood and powerfully provokes Urine though it seems somewhat strange how this which is of so fiery a nature should so quallify the Blood and run it into Aquosities to move Urine I conceive that Nitre works those effects in a two-fold respect to wit as it is a Salt ally'd both to a fixt Salt and a volatile and as it carries a living Root of Fire in it As to the first we observe that Nitre ev'n as fixt and volatile Salts being put into Milk hinders or takes away its coagulation so likewise Blood whilst warm being pour'd to this is preserv'd from coagulation and from being discolour'd no less than if put to those Wherefore since Particles of Nitre inwardly taken preserve the mixture of the Blood entire or restore it it follows that they prevent or take away the fusions or coagulations of the same from which heats and a suppression of Urine very often arise So again Nitre in regard it carries in it a living Root of Fire when inwardly taken cools the inflamed Blood and moves Urine because according to what is hinted before it adds a vigour to the flame of the Blood which before was troubled and full of fumes and so renders it more clear and pure and consequently more mild since therefore the Blood burning clearer by the access of Nitre becomes of a more loose consistency the serous Particles easily get clear of the more gross and pass away in a more plentiful manner Prescripts of Diureticks that have Sal Nitre for their Basis TAke Nitre prepar'd two Drams Barley water with Grass Roots and Candied Eringo Roots boil'd in it two pounds Syrup of Violets two Ounces Mix them the Dose is four Ounces twice a day Take Sal Prunella two Drams Sugar-Candy a Dram make a Powder to be divided into six
parts Let one be taken in a convenient Liquor thrice a day Take Sal Prunella two Drams Salt of Amber a Dram Make a Powder the Dose is half a Dram thrice a day Take Sal Prunella Crabs Eyes Salt of Wormwood of each two Drams Mix them the Dose is half a Dram thrice a day It s also well known that Powders of Shells and of certain Stones containing an Alchalisate or Petrifying Salt sometimes promote an evacuation by Urine For Powders of Egg-shells of the Claws and Eyes of Crabs have been to some a present Remedy in great suppressions of Urine and if we enquire into their manner and way of working we shall soon find that these Medicines do not fuse the Blood nor sensibly precipitate it wherefore it must be said that these things in a fourish Dicrasie of the Blood and Humours sometimes prove Diuretick inasmuch as closing with the Acid Salts they bind them and keep them under so that the Blood being free from fluxions and coagulations drinks up again the extravasated Serum and conveys it to the Reins Prescripts of Diureticks that have an Alchalisate Salt for their Basis TAke Powder of Egg-shells from half a Dram to a Dram Give it in a draught of Whitewine or of Posset drink or of a Diuretick decoction twice a day Take Powder of Crabs Claws or of Crabs Eyes two Drams Salt of Amber Sal Nitre of each a Dram Nutmegs half a Dram Make a Powder the Dose is from half a Dram to two Scruples in a fit Vehicle Or let the said Powder be mixt with as much Venice Turpentine as will suffice and make it into small Pills The Dose is three or four Evening and Morning Not only Saline but likewise some Sulphureous and Spirituous substances justly take place amongst Diureticks these often producing the like effect Many substances of the Larix Tree as chiefly Turpentine and things prepar'd from them the Oyls drawn by distillation from Juniper Nutmegs Wax and other Pinguous substances taken inwardly move in many persons a large Evacuation by Urine and this carrying a smell like Violets I have known that in some Hydropical and Scorbutical Persons Brandy and Strong waters nay and strong Wine freely drank have caus'd a Purging by Urine The reason of all which is that when the Blood being weak or turning sour or what for want of fermentation or through the predominancy of an Acid and Coagulative Salt in it has not so sprightly and continued a Circulation that it can contain the superfluous Serum within it self till it delivers it to the Reins The afovesaid Remedies forasmuch as they preserve the mixture of the Blood entire or restore it when faultering conduce to the promoting of that evacuation by Urine Take Ivy Berrys Juniper Berrys Laurel Berrys fresh gather'd of each half a pound wild Carrot-seeds four Ounces Nutmegs two Ounces all of them being bruis'd together put to them in a Glass Retort of Venice Turpentine one pound Rectified spirit of Wine four pounds distill all in a sand Furnace with a moderate heat till it grows dry carefully avoiding an Epyreuma and you will have a spirit and a yellow Oyl both of them egregiously Diuretick The Dose of the Spirit is from a Dram to two or three Drams of the Oyl from half a Scruple to a Scruple in a fit Vehicle To the remaining faeces in the Retort pour Tincture of Salt of Tartar one pound let them digest for many days close luted in the sand Furnace that a red Tincture may be drawn from it The Dose of which is from a Scruple to two Scruples or a Dram in a fit Vehicle Take Millepedes prepar'd three Drams Nutmegs one Dram being bruis'd pour to them the purest Spirit of Turpentine and Tincture of Salt of Tartar of each six Ounces distill it with a gentle Bath heat and you will have a Spirit Oyl and deliquium of Salt of Tartar each of them notably endow'd with a Diuretick force CHAP. VI. Instructions and Prescripts for Curing too much Purging by Vrine and particularly the Diabetes or Pissing Evil. IN a Diabetes as in most other affects there are three Primary Therapeutick Indications viz. Curatory Preservatory and Vital The first of these regarding the Disease and attempting to stay the too great Effusion of Urine cannot be accomplish'd without the second which aiming at the cause of the Disease endeavours to preserve and restore the mixture and due Crasis of the Blood Wherefore as to the Cure of this Disease the chief intentions of healing must be to keep the Blood from fusion and in case that happens to take it away First the fusion of the Blood is prevented so its gross and aqueous parts reciprocally contain each other and do not readily and abruptly sever themselves which thing is effected by Incrassatives commonly so called whose viscous and glutinous Corpuscles being admitted into the Mass of Blood strongly adhere to its Active Particles and so part them from each other and hinder them from mutually combining betwixt themselves or with Saline Particles coming from elsewhere as might otherwise happen through fluxions In this respect Rice Amylum Mucilaginous Vegetables also Gumms and some Rosins are wont to give relief in this Disease Secondly To restore the Blood after fusion those sorts of Remedies are indicated which dissolve the concretions of Salts so that all the Elementary Particles in it coming again to be at liberty recover their former places and so restore the Crasis of the Blood to its first vigour Now it s well known that this effect is produc'd in coagulated Milk by the addition of a fixt volatile or a nitrous Salt to it also by the infusion of Spirit of Hartshorn of Sal Armoniack and the like The reason of which doubtless is that whilst the Salino-fixt volatile or nitrous Particles being in a sufficient quantity put into the Milk meet with the Acid or Precipitatory Particles and are combin'd with them the other Saline Particles which before were bound being now freed and diffus'd through the Mass of the Liquor loosen the Sulphureous and Earthy Parts combin'd betwixt themselves and disperse them every way so that all the Particles being again equally mixt mutually contain themselves and are contain'd yet because Saline Medicaments are accounted by many to be always Diuretick We do not give them lightly or without consideration for the Cure of a Diabetes though in this Disease I have prescrib'd the Tincture of Antimony with good success And a water of the Solution of quick Lime with the Raspings of Sassafras Aniseeds Raisins and Liquorish according to the vulgar Receipt is highly commended by some The Vital Indication is made good in this Distemper by a thickning and gently cooling Diet and by temperate Cordials and chiefly by apposite and seasonable Hypnoticks A Nobleman in the vigour of his Age became very prone to an excess of Pissing and when for many Months he had been us'd at times to undergo this great Flux of Urine
to be found amongst Authors Moreover Tinctures of Vegetables which are of very great effect in a small Dose are made after this manner Take Roots of Contrayerva a pound being bruis'd and put into a Matrass pour to them Spirit of Wine three Pounds Let them digest to draw forth a Tincture then strain it and draw it off in Balneo to the consistency of Honey Keep the Spirit first drawn off apart from the rest pour it again to what stays behind and draw the Tincture again The Dose of which is from half a Dram to a Dram in a fit Vehicle 5. Diets whose foundations are decoctions of Woods design'd for the Cure of the French Pox and other Cronick Affects deeply rooted in the Blood and humours For indeed a very intense and frequent Sweating viz. continued for a long time day by day is requir'd for the Cure of some Diseases to wit that not only the Impurities and Corruptions of the Viscera and humours may be purg'd forth but ev'n the Morbifick Taints deeply Imprinted in them may be wholly abolish'd or as it were eradicated To effect this it will not be enough to give a Sudorifick Powder or Bolus now and then at times but an entire Diet must be ordered for this purpose Wherefore let all the drink the Person takes be a Diaphoretick Decoction after a Dose of which taken each Morning let a copious Sweat be promoted by adding to it the heat of a Bath or of a Hot-house and after that by this means the Pores of the Skin are open'd and Nature is inclin'd to Seeat let the Recrements of the Blood and Nervous Juice for that whole day evaporate by perspiration which must be still maintained by the use of the said Drink By this method not only the French Pox is most safely and for the most part most certainly Cur'd but also some other most difficult Diseases are sometimes easily overcome Take the Raspings of Guaiacum four Ounces Sarsaparilla six Ounces Chinna two Ounces all the Saunders of each an Ounce Shavings of Ivory and Hartshorn of each half an Ounnce Antimony powdred and tied in a rag six Ounces Let them Infuse and Boil according to Art in sixteen pounds of founntain water till half be consum'd and strain it to the remaining Magma add the like quantity of water let them infuse and boil till a third part be consum'd adding to it Raisins a pound Licorice an Ounce Let the straining be kept for a common drink In case of a Bilous Temperament and a sharp and hot Blood leave out the Guaiacum and augment the quanntities of the China and Sarsa Diaphoreticks which consist of the Integral parts of the whole mixt and are easie to be gotten for poor people may be prescrib'd according to the following forms In Malignant Fevers Take Conserve of Wood Sorrel a Dram Mithridate two Scruples and a half mix them Let it be taken drinking after it a draught of Posset-drink that has the Leaves of Carduus Scordium or of Camomil Flowers or Marigolds boil'd in it Take Powder of the Roots of Virginia Serpentary from half a Dram to a Dram Give it with a fit Vehicle or give Powder of the Root of Butter-burr a Dram after the same manner In ordinary cases give the Decoction of Gromwel of the Roots of Butter-burr or Virginia Serpentary or of the Roots and Seeds of the great Burr-dock In the French Pox a Decoction of Soap-wort or of the Raspings of Box and the like may supply the place of the Decoction of Woods which are of greater price 2. Sweating Medicines prepar'd from the Elementary parts of a mixt have for their Basis either a Spirit or a Salt sometimes simple sometimes combin'd with another Salt or with Sulphur Let Spirituous things be prescrib'd according to the following forms 1. Let the Spirit of Treacle Camphorated be given from half a Dram to a Dram or a Dram and a half in a fit Vehicle After the same manner many other Spirits distill'd from the Juices of Vegetables maturated by fermentation and appropriated to certain Distempers may be given to provoke Sweat when it is Indicated Of which kind are the Spirits of Black-cherries of the Berries of Elder Ivy and Juniper with many others the Spirits of Hartshorn Soot Blood and the like ought rather to be numbred in the rank of Salts 2. Diaphoreticks whose Basis are Spirits with other Elementary Particles combin'd may be prescrib'd after this manner Take of the simple mixture a Dram give it in a convenient Vehicle To this place also may be referr'd those things that consist of a Spirit fixt Salt or a Sulphur combin'd Of which kind are the Tincture of Salt of Tartar and Antimony The Dose of which are from a Scruple to two Scruples in some other Liquor Moreover distill'd waters in which the Spirituous Particles are diluted with watry ones are often given to provoke Sweat with good success Take Roots of Butter-burr and Valerian of each two Ounces of Zedoary Contrayerva Virginia Serpentary of each an Ounce and a half Flowers of Butter-burr four handfuls Saffron two Drams being slic'd and bruis'd pour to them four pounds of Sherry Sack distil it according to Art Let the whole Liquor be mixt the Dose is from two Ounces and a half to three Ounces Or take Roots of Angelica and Master-wort of each four Ounces of Zedoary Ele-Campane Swallow-wort low-wort Gentian the lesser Galingal of each an Ounce Tops of Carduus Rue Angelica of each three handfuls the middle Bark of the Ash six Ounces being slic'd and bruis'd add Mithridate Venice Treacle of each two Ounces Mix them and pour to them of Canary six pounds distill'd Vinegar two pounds distil it according to Art The Dose is three Ounces The Doses of the aforesaid Waters may be actuated by the addition of Chymical Liquors or Salts These sorts of Medicines endow'd with a Vinous Spirit are proper chiefly and in a manner only for old people and such as are of a cold temperament and are subject to the Plasy and Dropsy But in a hot constitution and when there is a fervent heat of the Bowels and a Feverish boiling of the Blood by scorching those and enflaming this too much they usually rather do hurt than good Diaphoreticks whose Basis is Saline as they are of a various nature viz. according as the Salt is volatile fixt Acid or Nitrous so they are of a different use and operation and hence in certain cases these and in others those and those are most propper to be given as we have before observ'd in Diureticks 1. Fixt and volatile Salt is most propper for those whose Blood very much abounds with a serous humour Moreover when at any time the Juice which Irrigates the Viscera and the Genus Nervosum begins to turn sharp as it usually happens in Hydropical and Cacochymical persons and in such as are subject to Convulsive Distempers those Medicines are most effectually give to cause a Sweat because that whilst they
meet the Acido-Saline Particles of the humours and are combin'd with them they loosen the Texture of the Blood and at the same strongly agitate its Mass by reason of their Heterogenous mixture Hence for a ready separation and driving forth of the Serosities through the Pores of the Skin those things are prescrib'd in the form of a Powder Bolus and Liquor Take Flowers of Sal Armoniack half a Scruple Cristal Mineral fifteen Grains Bezoartick Powder a Scruple mix them Let it be given in a spoonful of Sudorifick water Take Salt of Tartar a Scruple Ceruse of Antimony twenty five Grains Make a Powder let it be given after the same manner Take Powder of Bezoartick Mineral from a Scruple to half a Dram Gascoins Powder a Scruple Make a Powder let it he given in like manner Take Ceruse of Antimony from a Scruple to half a Dram Flowers of Sal Armoniack half a Scruple Make a Powder 2. Those things may be given in the form of a Bolus by mixing the aforesaid Doses with Treacle Mithridate or Diascordium or with the extract of Carduus Gentian or the like Take Bezoartick Mineral a Scruple Flowers of Sal Armonicak six Grains Mithridate half a Dram Make a Bolus Take Salt of Hartshorn eight Grains Bezoartick Powder fifteen Grains Extractum Theriacale a Scruple Make a Bolus or three Pills If a Liquid Form be more proper Take Spirit of Hartshorn or of Soot or of Sal Armoniack from fifteen Grains to twently Sudorifick water from an Ounce to three Ounces Make a draught let it be taken with governance Take Flowers of Sal Armoniack half a Scruple Salt of Tartar fifteen Grains Sudorifick water three Ounces Mix them make a draught 3. Diaphoreticks which have a Nitrous Salt for their Basis are wont to give relief generally in the same cases as those above made of a fixt and a volatile Salt because they destroy the predominancy of the Acid Salt and dispose the mixture of the Blood after such a manner that as it boils its Serum and Recrements are readily separated and discharged from it Take Cristal Mineral three Drams Salt of Hartshorn or of Soot or of Vipers a Dram Mix them the Dose is from a Scruple to half a Dram in a fit Vehicle Take Sal Prunella two Drams Bezoartick Mineral or Ceruse of Antimony a Dram Make a Powder the Dose is from two Scruples to a Dram. 4. Diaphoreticks whose ground is an Acid Salt have a peculiar efficacy against the predominancy of a fixt Salt and Sulphur viz. if at any time the Mass of Blood by reason of Salino-fixt Particles combin'd with Sulphureous or Terrene Particles in it comes to be too much lock'd up and close bound that it does not easily let go its Serosities to be expell'd by Sweat as it sometimes happens in continual Fevers and in Scorbutick affects the Acid Salt after the Medicine is given meeting the fixt Salt in the Body and laying fast hold on it makes void its undue combinations and so opens the boiling Blood and disposes it for a Sweat Take Spirit of Tartar from half a Dram to a Dram Sudorifick water three Ounces Flowers of Sal Armoniack half a Scruple Mix them Take of the simple mixture from half a Dram to two Scruples Give it in a spoonful of Treacle water or Bezoartick water Take Bezoartick Vinegar from half an Ounce to an Ounce Carduus water two Ounces Plague water six Drams Mix them make a draught Take Spirit of Guaiacum a Dram Sudorifick water three Ounces Mix them make a draught Some things meerly or for the greatest part Sulphureous are commonly plac'd in the rank of Diaphoreticks As for instance some Natural and other Artificial Balsams also Chymical Oyls as chiefly of Guaiacum Box Camphire Hartshorn and Soot So likewise the Resinous Extracts of Ponderous Woods with many others which though by themselves they do little for raising Sweat yet being join'd with the other Saline Medicines I do not think them altogether unprofitable because in a cold and Over-phlegmatick Constitution Sulphureo-Saline Medicines Rarify the Blood which is then become too watry and dispose it to a free evaporation no less than such as are Spirituous Take of Opobalsamum from Six Drops to twelve Water of Baum or of Ground Ivy three Ounces Sudorifick water half an Ounce Let it be taken every Morning to provoke Sweat for many days together It is proper for Phthisical Persons and such as have Vlcers in the Reins And so but in a greater Dose may be given the Balsam of Peru also the Tincture of the Balsam of Tolu and likewise compounded Balsams gotten by distillation Take Rosin of Guaiacum powdred two Drams Chymical Oyl of the same a Scruple Bezoartick Mineral Gumm Guaiacum of each a Dram and a half Balsam of Peru what suffices Make a Mass for Pills the Dose is from half a Dram to two Scruples drinking after it a Dose of the Sudorifick water or of the Decoction of Woods CHAP. VIII Instructions and Prescripts for Curing an Excessive or Depraved Sweating FRequent and immoderate Sweating is sometimes the Symptom of some other Disease then affecting the Person for in the Phthisick and Scurvy this is a common thing The reason of it is that the Blood tainted with some filthy infection or become of an ill habit is not able duly to concoct and assimilate the nutritive Juice still passing into its Mass and therefore always degenerating and coming now and then to be full charg'd by the addition of other Excrements it separates them and expells them by Sweat The Cure of this Sweating depends wholly on the Cure of the Diseass whose Symptom it is In the mean time those copious Night-sweats happening in those Diseases plainly shew that the Persons Diet ought to be altogether of light food viz. Milk Grnel Cream of Barly and the like whose gentle and mild Particles the Blood can bear and not of Flesh or strong substances Sometimes an excessive Sweating is the effect of some foregoing Disease which is brought to an end and this is so common a thing after long Agues that scarce any recover of them but this Indisposition still sticks upon them more or less I knew a young man who as he grew well of a Quartan Ague which had held him ten Months and began to lose its fits daily melted into such profuse Sweats that he was fain to change his Shift and Sheets thrice a Night being as wet as though they had been dipt in water This Evacuation continuing so for many Weeks his Flesh so fell away and his strength was so exhausted that he look'd like a Skeleton This Person when he had us'd many Medicines a long time without much benefit at length by drinking Asses Milk Mornings and Evenings and his other Diet being ordered of Cows Milk he grew very well in a short time The chief cause of frequent and copious Sweats seems to consist in the ill habit and weakness of the Blood in that it
the Tincture of Salt of Tartar of Steel and other things that chiefly abound with Spirit and havd a plenty of Sulphur of which sometimes these sometimes those may be taken as every patient lists When by reason of the Bloods being not kindled and consequently of its too greatcorwding and stagnation as it were within the Praecordia a languishing and failing of the Spirits with a great oppression of the Heart happens then Aqua Mirabilis the waters of Cinnamon Cloves Wormwood Compound also of the Rines of Oranges distill'd with Wine are proper to which sometimes a Dose of some Spirit Elixir or Tincture may be added But here great caution is needful that a person do no indulge himself too much to these kind of Cordials for many by often sipping of them get an ill habit continuing their daily use and encreasing the Dose which at length proves fatal to them for the Liver chiefly and other entrails are so dry'd and scorch'd thereby that the stock of Blood being diminish'd and its Crasis perverted an unhealthy Cacochymia follows or an abbreviation of Life In the second Rank of Cordials we put those Medicines which somewhat appease the too great boiling of the Blood and put a little stop to and allay its immoderate deflagration of this kind are distill'd Waters Acids and Nitrous things Take the waters of Wood-sorrel of whole Citrons of Straw-berrys of each four Ounces Syrup of the Juice of Citrons an Ounce Pearl Powdred a Dram Make a Julape the Dose is two Ounces three or four times a day Take the waters of Pippins or Garden Apples of Rasberrys of each four Ounces Syrup of Violets an Ounce Spirit of Vitriol twelve Drops Make a Julape Take fountain water a Pound and a half Juice of Limmons two Ounces Sugar an Ounce and a half Make a drink of which let three Ounces be taken at pleasure Take Grass Roots three Ounces Candied Eringos six Ounces two Apples slic'd or Corinths two Ounces Shavings of Ivory and of Harts-horn of each two Drams Leaves of Wood-sorrel a handful boil them in three pounds of fountain water to two pounds to the clear straining add of Sal Prunella a Dram and a half Syrup of Violets an Ounce and a half Make an Apozem the Dose is three or four Ounces thrice a day Take Conserve of red Roses vitriolated four Ounces fountain water two pounds dissolve it close cover'd and warm then strain it the Dose is three Ounces at pleasure Take Conserve of Barberrys Rob of Rasberrys of each an Ounce and a half Pearl prepar'd half a Dram Confection of Hyacinth a Dram Syrup of the Juice of Citrons what suffices Make a Confection the Dose is half a Dram thrice a day The third rank of Cordials furnishes those sorts of Medicines which being destinated against the exorbitancies of the boiling Blood loosen and open its close texture for the separation and discharge of its drossy superfluities These being chiefly and in a manner only of a saline nature are also of divers kinds according to the manifold state of the saline Particles of which they consist but for the most part their Basis is either a Volatile Alchalisate Acid Fixt or Nitrous Salt we shall set down certain forms of each of these In the First place Cordials endow'd with a volatile Salt are wont to be given with good effect according to the following prescripts both in Feavers in respect of the Blood and also in swoonings and sudden faintings in respect of the Animal Spirits Take Spirit of Hartshorn from fifteen Grains to twenty Treacle water two Drams give it with a spoon drinking after it a draught of some appropriated Liquor After the same manner may be given the Spirits of Blood of Mans Scull of Soot of Sal Armoniack Compound Take Salt of Vipers a Dram Sal Prunella two Drams Powder of Crabs Claws Compound a Dram and a half Mix them make a Powder the Dose is from half a Dram to two Scruples in a spoonful of Cordial Julape drinking after it a little draught of the same Take Flowers of Sal Armoniack half a Scruple Bezoartick Mineral a Scruple Make a Powder give it in a spoonful of some proper Liquor Secondly Those are chiefly call'd by the name of Cordials by the Vulgar whose Basis is an Alchalisate or Petrifying Salt as particularly Oriental Bezoar Pearl Coral and other Powders of Shells and Stones Take Gascoins Powder or Powder of Crabs Claws Compound from a Scruple to half a Dram give it in a spoonful of Cordial Julape drinking after it two Ounces of the same Take Oriental Bezoar from six Grains to twenty give it after the same manner Take Powders of Crabs Claws and Crabs Eyes of each a Dram Pearl both sorts of Coral prepar'd of each four Scruples both sorts of Bezoar half a Dram the best Bole-Armoniack Aurum Diaphoreticum of each two Scruples Bezoartick Mineral a Dram Mix them make a Cordial Powder the Dose is from a Scruple to two Scruples or a Dram with a fit Vehicle In Persons seiz'd with a Plurisie the following things are accounted the most proper Cordials for as much as by destroying the predominancy of the acid Salt they take away or prevent the Coagulations and Extravasatings of the Blood Take the Powder of a Wild Bores Tusk from half a Dram to a Dram Cristal Mineral a Scruple Powder of red Poppy Flowers half a Scruple Make a Powder to be taken in any Liquor After the same manner may be given the Powders of Crabs Eyes and of the Jaw-bone of the Pike-fish To this place belong also preparations of Nitre which are often given with good effect in Fevers according to the following Forms Take Cristal Mineral a Scruple Volatile Salt of Hartshorn from three Grains to six mix them Make a Powder give it in a spoonful of Cordial Julape Take Cristal Mineral Antimony Diaphoretick of each a Scruple Bezoartick Powder half a Scruple Make a Powder give it after the same manner Medicines whose Basis is a fluid or acid Salt are prescrib'd in Fevers after the following Forms to loosen the Texture of the Blood Take Spirit of Vitriol from four Drops to six Carduus water three Ounces Treacle water two Drams Syrup of the Juice of Citrons three Drams Pearl half a Scruple Make a draught to be taken twice or thrice a day Spirit of Salt or of Nitre may be taken after the same manner For the same the drink Cherbet called also the Divine drink of Palmarius are proper Take Powder of Hartshorn Calcin'd or of Antimony Diaphoretick three Drams Spirit of Vitriol or of Salt a Dram bray them together in a Glass Mortar and let them dry The Dose is from a Scruple to half a Dram in a spoonful of Cordial Julape Fixt or lixivial Salts of Herbs often enter the Compositions of Alexipharmicks Moreover Medicines which have these for their Basis as they are accounted very famous Febrifuges so they ought to be numbred amongst Cordials for instance we
propose that known Medicine Take Salt of Wormwood a Scruple Carduus water three Ounces Spirit of Vitriol or Oyl of Sulphur a Scruple Syrup of Violets three Drams Make a draught to be taken three or four hours before the Fit Take the waters of whole Citrons and of Wood Sorrel of each half a pound Salt of Tartar a Dram and a half Juice of Limmons two Drams Sugar half an Ounce mix them make a Julape the use of it is in Anomalous Fevers which though always burning have daily returns of sharp fits The Dose is three Ounces twice a day The last rank of Cordials and truly in some respect the chiefest is of Alexipharmicks because these are more vital than the rest But Alexipharmicks being either for preservation or for Curing In the first place we shall set down Select Medicines to be given to persons whilst yet in a state of health against the Infection of the Plague or any Malignity whatsoever omitting in the mean time what is usually ordered concerning the alteration and rectifying of the Ambient Air And then in the second place we shall give you Select Forms of Prescripts to be used after the Contagion is taken 1. Antidotes for Preservation TAke Conserve of the Leaves of Rue four Ounces Mithridate and Confectio liberantis of each an Ounce Confection of Hyacinth two Drams Salt of Wormwood two Drams and a half Pulvis pannonici rubri half an Ounce Bezoartick Vinegar what suffices Make an Electuary the Dose is the quantity of a Chesnut thrice a day Take Powder of the Roots of Virginia Serpentary Contrayerva Zedoary Species liberantis of each two Drams Camphire two Scruples Sugar dissolv'd in Bezoartick Vinegar and boil'd to a consistency for Tablets six Ounces Make Tablets according to art each weighing half a Dram let one or two be eaten often in a day Take Roots of Virginia Serpentary three Ounces boil them in three pounds of fountain water till half be consum'd to the straining add of the best Honey two Ounces Venice Treacle an Ounce dissolve it warm and close cover'd and strain it The Dose is two or three spoonfuls three or four times a day Take Flowers of Sulphur four Ounces melt them in a Crucible then put into it by spoonfuls one after another Salt of Wormwood four Ounces stirring them together 'till the whole Mass grows red then add the Powders of Aloes Myrrh Olibanum of each a Dram Saffron half a Dram stir them again for a quarter of an hour till they are incorporated the Mass being cool'd and put on a glass plate let it stand till it dissolves into an Oyl like a most beautiful Ruby The Dose is from ten drops to twenty in an Ounce and a half or two Ounces of the Bezoartick water twice a day Or pour to the said Powder some spirit of Wine rectified on the Roots of Contrayerva and Virginia Serpentary till it cover them three fingers over draw forth a Tincture The Dose is from twenty drops to thirty in a fit Vehicle Or Take of the same Powder half an Ounce pour to it of the best Canary two pounds let it dissolve close cover'd and warm The Dose is a spoonful twice or thrice a day After the Contagion is receiv'd and the Crasis of the Blood is vitiated and begins to corrupt the same Medicines are still proper to be taken but in a greater Dose and oftner Moreover the Vinegars and fixt Salts of Herbs are very often added with good success to Alexipharmicks because by them the Coagulations of the Blood are resolv'd and then all Heterogeneous Particles evaporating and the other being brought into a due mixture its liquor at length recovers its former state and keeps it There being innumerable Medicines in the Books of Physicians for this end I shall here only set down a few Antidotes for Curing TAke of the Bezoartick water two Ounces and a half Bezoartick Vinegar half an Ounce Venice Treacle a Dram mix them by shaking them in a Glass Make a draught let the person take it and sweat upon it Take Gascoins Powder Roots of Contrayerva and Virginia Serpentary of each from a Scruple to twenty five Grains Make a Powder give it in a spoonful of Treacle water drink after it a little draught of the same or of a Cordial Julape Take Powder of Teads prepar'd Powder of Crabs Claws Compound of each half a Dram Make a Powder give it after the same manner Take Bezoartick Mineral half a Dram Venice Treacle a Dram Camphire six Grains Bezoartick Vinegar what suffices Make a Bolus to be taken after the same manner Take the waters of Wood Sorrel and Dragon-wort of each four Ounces Water of Scordium Compound two Ounces Treacle water and Bezoartick water of each an Ounce Powder of Pearl a Dram Syrup of Clove-Gillyflowers or of the Juice of Citrons two Ounces spirit of Vitriol twelve drops Make a Julape the Dose is three Ounces often in a day sometimes by it self sometimes with other Medicines CHAP. X. Of the Passions of the Heart and their Remedies AFter Cordial Medicines vulgarly though improperly so call'd it now follows for us to treat of the Passion of the Heart in which the Heart is really ill affected and therefore requires true Cordial Medicines Under that name two affects somewhat differing betwixt themselves are commonly denoted to wit The trembling of the Heart and its panting In both affects the motion or beat of the Heart seems to be disorderly and in a manner Convulsive but the irregularity of the first consists in the frequency of its Vibrations and of the other in their vehemency As to the Cure of the panting of the Heart since its Causes are various and manifold its Cure also must be various for what some affirm that those sorts of Remedies vulgarly call'd Cordials which are reputed to revive the Heart and to relieve it when ill affected are proper in any of all these Cases it is contrary both to reason and common experience We say then that the palpitation or panting of the Heart proceeds either from the fault of the Blood or of the Arteries belonging to the Heart If it happens through the fault of the Blood the chief intent of Curing must be to raise the Blood to a better Crasis it being then become too watery and unmeet for accension and fermenting and to exalt or encrease its active principles which are then depress'd or diminish'd for which end spirituous Medicines also saline Medicines of all kinds Sulphureous and especially Chalybeates conduce And to this place may be referr'd those things which are wont to be prescribed in the Pica or longing Disease in the Leucophlegmatia and in the cold Scurvy Take Conserve of Sea Wormwood the outward yellow Coats of Oranges and Limmons of each two Ounces Powder of Winters Barke two Drams Species of Diacurcuma a Dram Steel prepar'd with Sulphur three Drams Salt of Wormwood a Dram and a half with a sufficient quantity of Syrup of
ends the following Method and Forms of Medicines may be us'd Take Aloe Rosata a Dram and a half Flowers of Sulphur a Dram Salt of Amber half a Dram Tar what suffices Make Pills in number twenty four take four in the Evening every Night or every other or third Night Or Take Gum Ammoniacum and Bdellium dissolv'd in Vinegar of Squills of each half an Ounce Flowers of Sulphur three Drams Powder of the Leaves of Hedg-mustard and of Savory of each half a Dram with a sufficient quantity of Syrup of Diasidphur or of Oxymel of Squills Make a Mass form it into little Pills and take three every Evening Or Take Millepedes prepar'd two Drams Flowers of Benzoin half a Dram Salt of Amber two Scruples Extract of Elecampane half a Dram Castoreum half a Dram Saffron a Scruple Venice Turpentine what suffices Make a Mass and form it into small Pills take four every Evening and Morning unless when you Purge If Pills are not grateful or the foresaid Medicines will not do then let the following be try'd to free the Lungs from obstruction Take Spirit of Gum Ammoniacum distill'd with Sal Armoniack three Drams Syrup of the Juice of Ivy three Ounces Magisterial water of Snails and of Earth-worms of each an Ounce Tincture of Saffron two Drams Mix them take a spoonful going to Bed and early in the Morning Or Take Tincture of Gum Ammoniacum three Drams The Dose is from fifteen Drops to twenty in a spoonful of Oxymel or Syrup of ground Ivy. Or Take Tincture of Sulphur three Drams The Dose is from seven Drops to twelve or twenty at the same hours with a fit Vehicle After the like manner also other Spirits endow'd with a Volatile Salt and mixt with Pectoral Syrups and Cephalick waters may be usefully prescrib'd Morning and Evening Instead of a Mixture or Asthmatical Julape of distill'd waters of the shops the following Magisterial may be prepar'd to be us'd frequently and upon several occasions Take Roots of Elecampane Florentine Orris Angelica Masterwort of each four Ounces of Briony a pound Leaves of white Horehound Hyssop Savory Penny-royal ground Ivy of each four handfuls fresh Juniper and Ivy Berries of each a pound Lawrel Berries half a pound Seeds of sweet Fennel Caraway Annise Lovage Dill of each an Ounce Cubebs two Ounces long Pepper Cloves Mace of each an Ounce all of them being slic'd and bruis'd pour to them of Brunswick Beer eight pounds distill them with common Organs Let the whole Liquor be mixt and when it s used let it be sweeten'd at pleasure with Sugar or the Syrup of the Juice of ground Ivy or with Oxymel Moreover instead of Oxymel or of any common Pectoral Syrup let the following Forms of Medicines be prescrib'd which are more appropriated to an Asthma And in the First place the Syrup of Elecampane invented by Horatius Augenius and afterwards recommended by Platerus Sennertus Riverius and other famous Practitioners shall be set down here and ought to be frequently made use of Take Roots of Elecampane and of Polypody of the Oak prepar'd of each two Ounces Currans two Ounces Sebestens in number fifteen Coltsfoot Lungwort Calaminth Savory of each a handful one large Tobacco Leaf Licorice two Drams Seeds of Nettles and of Cotton-plant of each a Dram and a half boil them in Wine and Honey diluted to a pound and a half and with the like quantity of Sugar make a Syrup Let it be taken either by it self in the Form of a Linctus or a spoonful at a time Mornings and Evenings or put a spoonful of it to a Dose of the distill'd water or Apozeme Take Roots of Florentine Orris and of Elecampane of each half an Ounce Garlick pill'd four Drams Cloves two Drams white Benzoin a Dram and a half Saffron a Scruple being slic'd and bruis'd let them digest warm in a pound of rectified spirit of Wine for twenty eight hours To the straining add of the finest Sugar a pound put it in a silver Bason on hot Coles then the liquor being fired keep stirring it as long as it will burn and then the flame going out it will become a Syrup let it be given after the same manner as the former Moreover in this place we may aptly insert the Decoctions of an old Cock so much commended by famous Physicians both ancient and modern for the Cure of the Asthma These Broaths are of two kinds viz. with or without Purgers and we find various and differing sorts of both amongst Practical Authors though I shall only give you a form or two Without Purgers this is a common Form Take Roots of Elecampane and of Florentine Orris of each half an Ounce Leaves of Hyssop and of Horehound dry'd of each six Drams Carthamus-seeds an Ounce Anniseeds and Dillseeds of each two Drams Licorice slic'd and Raisins cleans'd of each three Drams let them be prepar'd and sewed up in the Belly of an old Cock which must be boil'd in fifteen pounds of fountain water till the flesh falls from the Bones strain it and let it settle The Dose of the clear Liquor is six Ounces with an Ounce of Oxymel simple or if you would have it purge in each draught dissolve fresh Cassia and Manna of each half an Ounce Let it be taken for many days together sometimes for a whole Month. Riverius prescribes a good Form of this sort of Purging Broath Take Roots of Elecampane and of Florentine Orris of each a Dram and a half Leaves of Hyssop and Coltsfoot of each a handful Licorice slic'd Raisins clean'd of each two Drams Figs in number four Senna cleans'd three Drams Roots of Polypody of the Oak Carthamus-seeds of each half an Ounce Anniseeds a Dram and a half Boil them with a third or fourth part of an old Cock according to art and make a Broath for one Dose to be taken in a Morning let it be continued for twelve or fifteen days I shall now give you a Relation of a Person who was subject to fits of this Disease which were meerly Convulsive and of another who was subject to fits of the same which were partly Convulsive and partly Pneumonick A Noble Man of a tall Stature and full and strong grown having bruis'd is left Side by a fall found himself injur'd upon it and afterwards fell into an Asthmatick Distemper so that now and then though at no set times First a pain would seize him about that place and presently after a great straitness of Breath followed with a vehement and long continued straining of all the parts of Respiration so that during the Fit the Patient seem'd to be in the very Agony of Death I was first call'd to him after he had lain ill of such an Asthmatick Fit for two days and was look'd upon as almost past Cure Nevertheless finding his Lungs to be without hurt our Prognostick bid us still hope well and presently other Physicians being joyn'd with me in Consultation it was
Empirical Remedy with our Country men to take Nine Lice alive in the Morning for five or six days by which Remedy I have heard that many have been Cur'd when other things did no good which certainly can give relief no other way but by restoring the Volatile Salt which was depress'd in the Blood On the account of the same way of Curing the Flowers of Sal Armoniack the Volatile Salts of Amber Hartshorn and Soot and likewise their Spirits are often given with great success in this Disease Take Powder of Earth-worms prepar'd two Drams Species Diacurcumae a Dram Flowers of Sal Armoniack half a Dram Salt of Amber a Scruple Extract of Gentian a Dram Saffron a Scruple Gum Ammoniacum dissolv'd in water of Earth-worms what suffices Make a Mass Form it into small Pills the Dose is three or four Morning and Evening drinking after it of the Julape before written three Ounces Take Spirit of Hartshorn ting'd with Saffron three Drams The Dose is from fifteen drops to twenty with the distill'd water above mention'd In this rank of Medicines with which the Blood distemper'd with the Jaundise is intended to be corrected Chalybeats also justly claim a place for these give a considerable relief in the Jaundise as well as in other Cachectical Distempers not so much by opening the obstructions of the Viscera as by depressing the exaltations of the Sulphur and fixt Salt and by volatilizing the Blood Therefore to the Decoction Tincture or Infusion above written the Filings of Iron or its Powder prepar'd its Mineral Texture being some way loosen'd or its Vitriolick Salt extracted may be properly added for hence it is that our Mineral waters sometimes cure even to a Miracle such as are quite given over in the Jaundise Though these waters when drank in a very large quantity passing through all the Vessels open also all the Ductus's of the Liver be they never so much shut up Therefore also to the Electuaries Pills and Powders before exprest preparations of Steel sometimes of one sort and sometimes of another may likewise be added in a fit proportion Moreover you may give to the quantity of a spoonful of its Syrup twice a day in three Ounces of the Anti-icterick Apozeme or distill'd water also the Tincture of Steel to twelve or fifteen drops may be given after the same manner with good effect Lastly in this rank of altering Medicines we ought to place those which are said to Cure this Disease not as inwardly taken but outwardly apply'd either by the touch or being put into the Urine of persons troubled with the Jaundise As to the First it s a common Remedy with the vulgar to take a Tench and apply it to the right Hypochondre or to the Ventricle as some will have it or according to others to the Soles of the Feet of the Person that has the Jaundise whence they expect the Disease to vanish in a short time though many promise a certain Cure by this means yet it did not succeed with me having sometimes try'd it The other Cure of the Jaundise at a distance is said to be done by I know not what Sympathy or secret manner of working Take the fresh Vrine of the Patient made at one time ashes of the Ash-tree searced what suffices Mix them and make it into a Paste and form it into three Balls of an equal bigness and put them in a close place near the Fire or a Stove when these Balls grow dry and hard the Jaundise vanishes After this manner I have known this Disease successfully Cur'd when it was grown inveterate and would not yield to other Remedies this is a familiar practice with the vulgar The reason of this Operation is that when the Lixivial Salt in the ashes is mixt in the Urine it presently sets free the Volatile Salt which before was kept under in it or entangled with other Particles and at the same time that this is done in the Icterical Urine it happens by Sympathy that the Volatile Salt also in the Blood of the Patient gets free from the Dominion of the fixt Salt and Sulphur and consequently the Icterical Dyscrasy of the Blood vanishes And thus Phil. Grulingius and Felix Platerus tell us that Making Water on warm Horsedung has Cur'd many Persons troubled with the Jaundise viz. inasmuch as the fixt Salt of the Urine and consequently of the Blood of the Patient is altered by the Volatile Salt of the fresh Horsedung and is reduc'd to its due temperature The Third and Vital Indication orders a fit Dyet and likewise prescribes Cordials and Anodines both which are often wanted As to what concerns the First the Diet in this Disease is wont to be more Physical than in any other whatsoever For Vegetables and their parts vulgarly call'd Hepatick Remedies are boil'd in the Broaths of persons troubled with the Jaundise their Broaths also are usually made of Worms and Snails being accounted the Antidotes of the Jaundise instead of other Flesh Moreover their Ale and other ordinary Drinks are Impregnated with an Infusion of Physical things Take Roots of the greater Nettle and of Strawberries of each an Ounce and a half Candied Eringo Roots an Ounce shavings of Ivory and Hartshorn of each two Drams Earth-worms cleans'd in number twenty a Crust of White-bread Mace two Drams boil all in two pounds of fountain water to a pound Strain it through Hippocrates Sleeve add to it Species of Diatrion Santalon half a Dram Make a Broath of which take from four Ounces to six twice a Day For ordinary drink fill a little Vessel of four Gallons with Ale into which after it has wrought put the following bag Take Tops of Sea Wormwood and white Horehound dry'd of each two handfuls Roots of sharp pointed Dock dry'd six Ounces Bark of the Ash-tree and of the Barbery-tree of each three Ounces the outward Rinds of eight Oranges and of four Limons being slic'd and bruis'd let them be prepar'd according to art Many Persons in the Jaundise being troubled with a great weakness and frequent faintings stand in need also of Cordial Remedies Take small Aqua Mirabilis eight Ounces Earth-worms four Ounces Syrup of Orange Pills two Ounces Mix them the Dose is two or three Ounces Moreover there are some who in this Disease are found subject now and then to very troublesome pains chiefly tormenting them by Night and who are often molested with want of sleep wherefore Anodines also must here come in use Take Aqua Mirabilis water of Earth-worms of each an Ounce Diacodium six Ounces Tincture of Saffron half an Ounce Mix them the Dose is a spoonful or two late at Night when there is want of sleep Take Laudanum tartariz'd two Drams Aqua Mirabilis two Ounces Syrup of Clove Gilly-flowers an Ounce Mix them the Dose is a spoonful after the same manner CHAP. II. Instructions and Prescripts for other Distempers of the Liver THe Liver often uses to be faulty especially in one of
Though there are various kinds of the Spurges and all of them work violently by Vomit or Siege by reason of their mighty Irritation of the Viscera and consequently evacuate Serous humours in a plentiful manner yet because of the excessive strength of most of them The lesser or wild Spurge is now in a manner only in use And it s most approved preparations are the Powder of the Rinds of its Roots and its Extract We also add its Tincture which is not Inferiour to the rest Take the lesser Spurge with the Roots cleans'd four handfuls Lignum Aloes Cloves of each a Dram being bruis'd boil them in four pounds of fountain water till half be consum'd ' let the straining Clarifie by settling in an oblong Glass then let the clear Liquor Evaporate by a Bath-heat to the consistency of an Extract The Dose is a Scruple Take of this Extract half an Ounce pour to it in a Matras six Ounces of the Tincture of Salt of Tartar digest them in a Sand Bath till the Tincture be Extracted The Dose is from twenty to thirty Drops with a fit Vehicle Take Powder of the Roots of the lesser Spurge from seven Grains to ten Cinnamon half a Scruple Salt of Tartar eight Grains bruise them together in a Glass Mortar give it by it self or with the Addition of some fit Conserve or Syrup Make a Bolus or Pills 3. Praecipitatum Mercurii cum Sole or Hercules Bovii For as much as by its Acrimony it mightily irritates the Fibres of the Stomack and fuses the Blood by reason of its Mercurial and Saline Particles it raises a violent Vomiting and so forces a discharge of the Serous humours which are violently drawn into the Cavities of the Viscera Pilulae Lunares in like manner by reason of the Vitriolick Particles of the Silver being sharpen'd with other Saline Menstruums produce the like effect viz. by much corrugating the Fibres of the Viscera they strongly force the Serous humours into their Ductus's and causes them to be evacuated A Solution of Silver being made in Aqua Stygia and well purified is redud'd by a gentle evaporation into clear Crystals which by themselves or with the addition of Sal Nitre to repress the force of the Lunar Vitriol are made into Pills with the Crum of Bread The Dose is sometimes a single Pill sometimes two or three according as they work and as the strength will bear these sorts of Medicines are sometimes given with success in a strong Constitution and where the Viscera are sound and of a good habit but scarce ever have a good effect in tender and Cachectical Bodies and are seldom taken by such persons without doing them hurt Hydragogue Medicines which work meerly or chiefly by Seige are either mild as Elder Dwarfe Elder Sea Bindweed and the Juice of English Orris which are rarely given by themselves but want to be quicken'd by such as are smarter and for return they qualify the vehemency of the other or they are strong as Hedg-Hyssop Jalap and Elaterium The Seeds of Elder and Dwarfe Elder being dry'd and powdred and taken to a Dram gently evacuate Serous humours by Seige a Water and Spirit are distill'd from the Juice of both their Berries fermented and Robs and Syrups are made of it which with many other preparations of those Vegetables are highly extoll'd for all Hydropical Distemper Sea Bindweed and Hedg-Hyssop are now rarely us'd by themselves but often enter the Compositions of other Hydragogues and chiefly in Apozemes The Juice of English Orris is a good Medicine and the more to be esteem'd because easie to be had for poor people It s given from six Drams to an Ounce and a half or two Ounces either by it self in a fit Vehicle or with other proper ingredients Jalap is a well known and vulgar Medicine against all sorts of Dropsies Every ordinary Man that has that Disease presently takes a Pennyworth of the Powder of Jalap with a little Ginger in Whitewine and this Medicine taken a pretty many times seldom fails of success Elaterium is justly accounted a most powerful Hydragogue in regard that most powerfully irritating the Fibres of the Viscera and at the same time fusing the Blood and humours by a sort of corrosive vertue as it were it forces whatsoever Serosities the Tunicles of the Viscera Membranes and Vessels also those that the Glands and Fleth contain within them to discharge themselves into the Cavities of the Stomack and Intestines Which Medicine working well sometimes the swelling of the Belly fall This indeed is the chief Instrument of the Empyricks Arsenal against an Ascites though using it in all cases they oftner give if to the prejudice of the Patient than to his advantage The Dose is from three Grains to ten or fifteen It s taken either by it self only with the Addition of Aromatical Correctives or it s given with other Hydragogues in the Form of a Powder Pills or of an Electuary Its Tincture and Essence are Extracted with Spirit of Wine or with Tiacture of Salt of Tartar These are the chief simple Hydragogues of which being duly prepar'd with the Addition of other things divers sorts of Compounds are made some common in Shops others Magisterially prescrib'd and are every where in use and a great many more may be ordered ex tempore on occasion We shall here set down some few Select Forms of them and especially such as are taken in the Form of a Potion Powder Electuary and pills Take Roots of Dwarfe Elder and English Orris of each an Ounced and a half Leaves of Sea Bindweed and Hedge Hyssop of each a handful Roots of Asarabacca and wild Cucumbers of each two Ounces Roots of the lesser Galingal six Drams choice Jalap half an Ounce Elaterium three Drams Cubebs two Drams being slie'd and bruis d pour to them of small Spirit of Wine Tartariz'd three pounds let them digest close luted in a sand Furnace for two days strain off the clear which being purified by settling give from two spoonfuls to three with a fit Vehicle Take Elaterium Sea Bindweed Ginger of each a Scruple Galingal Cloves Cinnamon of each half a Scruple Salt of Tartar fifteen Grains Make a Powder for two Doses Take Powder of the Roots of the best Jalap a Dram Giner a Scruple Cream of Tartar fifteen Granins Make a Powder give it in a draught of Whitewine Take Rhubarb powdred a Scruple Elaterium five Grains Tartar vitriolated half a Scruple Spike three Grains with Syrup of Buckthorn Make four Pills Take Pilulae Aloephanginae half a Dram Elaterium half a Scruple Oyl of Cloves three drops Make four Pills Let the Hydropick Pills of Bontius be given from half a Scruple to half a Dram They are made after this manner Take of the best Aloes two Drams and a half Gummi Gutta prepar'd a Dram and a half Diagredium corrected a Dram Gum. Ammoniacum dissolv'd a Dram and a half Tartar vitriolated half a Dram
Prunella or Sal Armoniack from a Dram to a Dram and a half Make a Glister Take of the Vrine of a sound Man a pound Sal Prunella a Dram Venice Turpentine dissov'd with the Yolk of an Egg an Ounce and a half Make a Glister 2. Dinreticks If any other Remedies premise help in this Disease Take live Millepedes cleans'd three Ounces one Nutmeg slic'd being bruis'd together pour to them of the following Diuretick water a pound express it strongly The Dose is from three Ounces to four twice a day Take of the green Berries of Juniper and Elder of each six pounds Firr tops four pounds green Wallnuts two pounds Winters Bark four Ounces the outward Rinds of six Oranges and four Limons the Seeds of Ameos Rocket and Water-cresses of each an Ounce and a half Dill-seeds two Ounces being slic'd and bruis'd pour to them of Whey made with Whitewine eight pounds distil it with common Organs Let all the Liquor be mixt Take Crystal Mineral half an Ounce Volatile Salt of Amber two Drams Powder of wild Carrot-seeds a Dram Venice Turpentine what suffices Take small Pills take three at Night and in the Morning drinking after it of the foresaid water three Ounces Take sweet Spirit of Salt half an Ounce give from eight drops to twelve twice a day with a Draught of the same water adding Syrup of Violets a spoonfull Take Spirit of Salt of Tartar an Ounce give from a Scruple to half a Dram twice a day after the same manner So also Spirit of Nitre and Tincture of Salt of Tartar may be given Take Leaves of Plantain Chervil and Clivers of each four handfuls being bruis'd together pour to them of the former distill'd water a pound express it strongly The Dose is three Ounces twice or thrice a day with some other Medicine Take Grass Roots three Ounces Roots of Butchers-broom two Ounces Chervil and Candied Eringo's of each an Ounce shavings of Hartshorn and Ivory of each two Drams burnt Hartshorn two Drams and a half Burdock-seeds three Drams boil them in three pounds of fountain water to two pounds In the warm straining put Leaves of Clivers and Watercresses bruis'd of each a handful adding of Rhenish Wine six Ounces let there be a close and warm Infusion for two hours then strain it again and add of the Magisterial water of Earth-worms two Ounces Syrup of the five Roots an Ounce and a half make an Apozeme the Dose is four Ounces twice a day with some other Medicine Whilst these things are taken inwardly let Topicks also and outward applications be carefully Administred not such as are hot and discussing but such as are endow'd with Particles of a Volatile and Nitrous Salt which destroy the combinations of the other Salts and make void the efforts of the Spirits for which ends we propose the following things If Fomentations ought to be us'd at all let them not be apply'd too hot and let them not be prepar'd of the vulgarly call'd Carminatives but chiefly of Salts and Minerals Cabrotius quoted by Helmont says he Cur'd a Person eighty years of Age whose Belly he somented twice a day with a Lixivium in which he boil'd Salt Allum and Sulphur and after apply'd Cow-dung for a Cataplasm I use to prescribe as follows Take Flowers of Sal Armoniack an Ounce Crystal Mineral two Ounces small Spirit of Wine containing much Phlegm in it two pounds Mix them and dissolve them in a Glass Let a Woolen Cloath dipp'd in this warm be apply'd on the whole Abdomen and be chang'd now and then dipping it afresh Let it be done twice a day for half an hours space afterwards let there be apply'd either a Cataplasm of Cow-dung with the Powder of Dogs-turd or the Plaister following Take Emplastrum Diasaponis that is of Minium with Venice Soap what suffices Let it be thin spread on thin Leather and apply'd to the whole Belly renewing it within ten or twelve days The Second Indication requires chiefly altering Medicines viz. such as put a stop to the Fermentations of the humours in the Viscera of the Belly and to the wild Efforts and irregular excursions of the Spirits and which likewise procure the even mixtures and due motions of the Chyle and Nervous Juice For which ends Chalybeats are principally us'd and truly not only for this Disease but for many others belonging to the Viscera of the Belly it 's usual to have recourse to Steel Medicines though in the mean time many Empyricks confidently prescribing them do not consider after what manner such Medicines work or what alterations for the better may be expected from them And indeed it very often falls out that nature her self is destroyed and not the Disease when Chalybeats of which there is a great variety and of diversified Operations are given without any distinction or choice or without respect to the Temperament Constitution and state of the Disease in Patients We have treated elsewhere ex professo concerning Medicines prepar'd of Iron and Steel and of their vertues and manners of working so that it 's needless to repeat the same here As to this Disease if any of them are proper for it certainly they are not all For those in which the Sulphur still remains and being free predominates over the other principles after that the texture of the mixt Body is open'd must be wholly excluded from this number for by their powerful fermentation they greatly ferment the Juices of the Viscera and put the Blood and Spirits in such a Commotion that the whole Region of the Belly is puft up in a greater Bulk as though some Spirit rush'd violently into it Nor are those more proper here from which the Sulphureous Particles are wholly driven away with the Saline as in Crocus Martis prepar'd by a very strong and long Calcination for as this Medicine is good to stay all fluxions so it sixes more any Impactions of Spirits and humours and renders them more obstinate But there remains a Martial Remedy of a middle kind in which the Sulphur being wholly or for the greatest part expell'd the Vitriolick Salt remains and has for the greatest part the Predominancy as it has in a Solution of the Filings of Iron or in its Infusion either simple or in Mineral waters in Salt or Vitriol of Mars in our preparation of Steel with many others preparations and compositions of which have been often found by experience to have done great good in some cases for these destroy the Exotick and restore the Genuine Ferments of the Viscera open their Obstructions fix the Blood and keep its Texture from much dissolution Wherefore Chalybeate Medicines as also some other Alteratives have haply some effect against the Procatarctick and more remote Causes of a Tympany but do little or no good at all against its Conjunct Cause Take of our Steel ground very fine two Drams of the Distill'd water above written two Pounds Syrup of the five Roots two Ounces mix them in a Glass
be hung about the Neck Moreover let Anticonvulsive Medicines be daily given the Nurse Let her take Morning and Evening a draught of Whey in which the Roots and Seeds of Male Peony and the Seeds of sweet Fennel are boil'd Take Conserve of the Flowers of Betony Male Peony and Rosemary of each two Ounes Powder of the Roots and Flowers of the Male Peony of each two Drams red Coral prepar'd white Amber of each a Dram Roots of Angelica Zedoary prepar'd of each half a Dram with a sufficient quantity of Syrup of Peony make an Electuary Let ber take the quantity of a Nutmegg Morning and Evening Take Powder of the Roots of Male Peony two Drams Seeds of the same a Dram make a Powder double refin'd Sugar dissolv'd in the water of Lime-tree Flowers and boil'd to a consistency for Tablets three Ounces Oyl of Amber a Scruple Let Tablets be made according to Art each Weighing half a Dram let her eat one every sixth hour and let her keep an exact Form of Diet. In case any Infant be actually affected with Convulsions because an Issue works but little and slowly it is proper to apply a Vesicatory to the Nucha and behind each Ear and unless a cold Temperament forbids it let Blood be drawn from the Jugular Veins by Leeches Let Liniments be applyed about the Temples Nostrils and Neck and Plaisters to the Soles of the Feet Let Clysters be daily injected which plentifully empty the Belly Moreover Let Specifick Remedies be taken inwardly often in a Day to wit every sixth or eighth hour Take Oleum Capivii and Oyl of Castoreum of each two Drams Oyl of Amber half a Dram make a Liniment Take of the Emplaster Oxycroceum two parts Galbanum dissolv'd one part Oyl of Amber a Scruple make a Plaister for the Soles of the Feet Let the Powder of Gutteta according to the description of Riverius be given twice or four times a day Take Mans Scull prepar'd Peony-seeds Elks-hoof Pearl prepar'd of each half a Dram Amber-greice six Grains make a Powder the Dose is six Grains in a Spoonful of the Liquour beneath written three or four times a day Or Take Mans Scull prepar'd Pearl of each half a Dram Salt of Amber a Scruple Sugar of Pearl a Dram the Dose is half a Scruple Or Take Spirit of Harts-horn three Drops let it be given every sixth or eight hour in a Spoonful of the Julape beneath prescrib'd To poor peoples Children let Powder of the Root of wild Valerian be given from half a Scruple to a Scruple let it be given twice a day in a Spoonful of Milk or of an Appropriated Liquour Vntzerus greatly commends the Gall of a Sucking Whelp viz. that all the Juice of the Gall-bladder be taken forth and given to the Child with a little Water of Lime-tree-flowers A Learned Physitian lately told me that he had known many Cur'd with this Remedy Moreover Empiricks after the Gall is drank are went also to give to greater Children to eat the Liver roasted Julapes distill'd Waters and other Appropriated Liquours may be prepar'd according to the Forma following Take black Cherry-water three Ounces Antiepileptical-water of Langius an Ounce Sugar of Pearl two Drams mix them Take fresh Roots of Male Peony cut into slices six Ounces Hungarian Vitriol eight Ounces Mans Scull two Ounces Antiepileptical Water of Langius half a Pound mix them and let them distill in a Glass Retort by a Sand heat The Dose is from a Spoonful to two Spoonfuls Take fresh Roots of Male Peony slic'd four Ounces being bruis'd in a Marble Mortar pour to them of Spanish Wine a Pound express it strongly add Manus Christi perlated half an Ounce let it be kept in a Glass close stopt the Dose is a Spoonful or two twice a day When Convulsions happen by reason of a difficult breeding of Teeth this Symptome is look't upon as secondary and not dangerous and therefore in the Method of Cure it is not always the first or chief thing which requires help but sometimes we are rather sollicitous of appeasing the pain and removing the feverish Distemper wherefore both the Patient and Nurse ought to use a thin and cooling Diet when the Teeth are upon eruption let the passage be made open for them either by a rubbing or Section of the Gums And also let Anodines be applyed to those parts when swollen and full of pain Clysters and Bleeding often have place here We must procure sleep and allay the fervour of the Blood Mean while let Anticonvulsive Remedies be us'd but of the more moderate kind and such as little trouble the Blood and Humours Vesicatories in regard they evacuate the Serum which is too apt to be discharg'd on the Head often give relief When Children are troubled with Convulsions and that neither presently upon their Birth nor by reason of an Eruption of Teeth but through other occasions and accidents the cause of such an affect for the most part lyes either in the head or somewhere about the Viscera of Concoction When there is a suspicion of the former as it is wont to appear by signs which shew that a Mass of Serous Filth is gathered together within the head the above-cited Remedies ought to be given in a little larger Dose moreover in those who bear Purging well sometimes a Vomit and a gentle Purge may be order'd them Wine and Oxymel of Squills also Mercurius Dulcis Rhubarb and Rosin of Jalap are of excellent use As often as the cause of the Convulsive Affect appears to be in the Bowels either Worms or sharp Humours causing Gripes in the Belly are found to be in the fault Against Worms a Purge of Rhubarb or of Mercurius Dulcis with the addition of Rosin of Jalap is ordered Formerly to a Child miserably troubled with Convulsions so that he seem'd even a Dying I gave a Dose of Mercurius Dulcis with Rosin of Jalap With his Stools whereof he had four he voided twelve Worms and presently grew well Take Roots of Virginia Serpentary powdred a Dram Coral caloin'd to a whiteness half a Dram make a Powder the Dose is from half a Scruple to a Scruple twice a day for three days one after the other drinking after it a Decoction of Grass Roots Take Species of Hiera a Dram and a half Venice-treacle two Drams make a Plaister for the Belly or let a Plaister of Galbanum be applyed to the Navel If the Convulsive motions are thought to proceed from the Irritation of the Ventricle and the Intestines caus'd by sharp Humours a gentle Purge either by Vomit or Seige or of both the one after the other ought to be ordered For this purpose let gentle Emeticks of Wine of Squills or of Salt of Vitriol be taken to wit if at any time the Diseas'd be of their own accord seis'd with a straining to Vomit but if the Evacuation seems rather fit to be attempted downwards an Infusion of Rhubarb or its Powder Syrup
in the Groin or on the Thighs or Calves of the Legs viz. sometimes in this part sometimes in that to wit that the little Sores made here and there flowing continually may plentifully discharge the Serum filled with Heterogeneous and Morbid Particles Moreover Remedies gently conveying the Serum to the Reins and Urinary passages are often given with good effect for this purpost let Diuretick Apozems ans Julapes be ordered according to the following Forms Take Roots of Scorzonera Chervil Grass Eringo's preserv'd of each six Drams one Apple slic't Leaves of Burnet Meadow sweet of each a handful Raisins an Ounce and a half burnt Harts-horn two Drams being slic't and bruis'd let them boil on a clear Fire in four Pounds of Fountain-water till a third part be consum'd to two Pounds of the clear Straining add Syrup of the Juice of Citrons or of Violets two Ounces Sal Prunella a Dram and a half make an Apozeme the Dose is from four Ounces to six thrice a day Or let that Straining be pour'd on fifteen sineet Almonds blanch and on the four cold Seeds of each a Dram being lruis'd make an Emulsion according to Art Take water of Dragon-wort and of black Cherries of each four Ounces of Scordium compound two Ounces Treacle-water an Ounce and a half Syrup of Clove-gillylowers two Ounces Spirit of Vitriol twelve drops wake a Julape Let Sal Prunella be giben often in a day in small Beer or Whey from half a Dram or two Scruples Moreover in this Fever Medicines gently promoting Sweat especially such as restore the Animal Spirits and free them from any Heterogeneous Combination are of excellent use Wherefore either let Powder of Pearl or Spirit of Harts-horn or of Blood be given in a small Dose twice a day viz. Morning and Evening Let Glysters be injected alniost daily and if it seems convenient let a gently loosning Medicine be repeated twice in a week Let none but a thin Diet be ordered viz. such as is wont to be in other Fevers Flesh or its Broath being wholly forbidden let the Sick eat only Oat or Barley-broath let his Drink be small Beer or Whey But if notwithstanding any Physical provision the Morbifick Matter gets possession of the Brain or Lungs or both of them together so that a failing and disorder of the Animal faculty or also a violent Cough come upon the Diseas'd we must consider what is to be done in either state of the Disease rais'd after this manner to an ill condition for then the Curative Indications ought to respect a stupor or madness or the Cough and at length if the Disease being upon declining these Symptoms remit let appropriated Remedies be given against the Atrophia it being as the last fortress of this Disease 1. Therefore if the Morbifick Matter as it frequently is wont being brought to the Head causes there a Stupor or Sleepy affects Remedies ought to be carefully administred which draw it to another place and derive it some way or other from the Head and likewise such as raise up the Animal Spirits and make void the impure Combination Wherefore in this case let the use of Epispasticks be very much encreast outwardly let Spirit of Harts-horn be given every sixth hour in somewhat a large Dose let Blood be drawn again from the Jugular Veins the Salvatella or also from the Veins of the Fundament by Leeches If the affect does not remit the Hair being shav'd off let Emollient Fomentations be often applyed to the Head Moreover let Cupping-glasses Plaisters and Cataplasms be applyed to the Soles of the Feet and other ways of administration such as are vulgarly indicated for Curing a Stupor ought to be us'd In like manner if to the evil or defect of Crisis in this Fever a Frensy or Mania Supervene let Remedies appropriated to those affects be administred 2. But if together with or without this Detriment brought on the Head the Lungs also are injur'd by the Disease so that the Diseas'd not yet freed of their Fever seem to have fall'n into a Consumption or Ptizick with a troublesome Cough much and thick Spittle and that often discoloured Medicines commonly indicated in such affects are proper wherefore Pectoral Decoctions Lohoch's Syrups Waters of Milk and Snails distill'd and other Remedies of this kind ought diliently to be us'd The Forms of which are to be found in their above written cases Hitherto we have describ'd a continual Fever for the most part Convulsive and taking its rise both through the default of the Nervous Juice and of the Blood I shall now set before you an example of a Disease resembling an intermitting Fever and chiefly radicated in the Nervous Juice A fine Woman of a very tender Constitution and a weak temper of the Brain and Genus Nervosum and consequently very subject to Convulsive affects after she had conceiv'd about the fourth Month of her Child-bearing upon taking cold was most sorely afflicted with Asthmatick Fits and likewise with frequent Faintings of the Spirits But by the use of remedies endowed with a Volatile Salt she grew well of these Distempers within a fortnight nevertheless after six weeks were past an unusual and very wonderful affect seis'd this Lady On a certain morning awaking after her sleep which had been somewhat troubled that night she felt in her whole body a light shivering as tho' the fit of a Tertian Ague were coming upon her Frequent Gapings and Retchings follow it with a frequent straining to Vomit Then her Urine which just before was of an Orange colour with a laudable sediment became pale and watery and was very frequently voided viz. every munute of an hour Moreover about the Loins and Hypochondres and in other places pains with light Convulsions passing from one place to another were rais'd Which kind of Symptoms being manifestly Convulsive with the frequent making of Limpid Water continued from the morning almost to the evening In which space of time a vast quantity of Urine viz. thrice more than the Liquor drank was made In the mean while the Heat became not more intense nor did Thirst seem pressing nor was the pulse rais'd In the eveing the foresaid affects ceast and the Urine came again to be of an Orange colour and in a small quantity and she enjoyed a moderate sleep during the whole night and then the next morning the Fit returned near the same hour accompanied whol'y with the like Symptoms and daily acted over the very same Tragedy Going to see this Lady after the had lain ill after this manner for twelve days I judged that this disease being chiefly rooted in the Genus Nervosum depended on the effervescency and flowing of the Humour that lies in the Nervous parts to this Breeding person I Prescribed Bleeding and to take twice a day a Powder made of Coral Pearl Ivory and other Cordial things in an appropriated Liquor morning and evening she took twelve drops of the Tincture of Antimony the effect whereof I
the Nostrils so the like being pour'd into the Mouth often give help wherefore we often give with good success to Hysterical persons the Tincture of Castoreum Solutions of Assa Foetida and of Galbanum also the Spirits of Harts-horn and of Soot with appropriated Waters Take Spirit of Harts-horn from twelve drops to fifteen or twenty let them be taken in a little Draught of the following Julape Take Water of Penny-royal and Mugwort of each four Ounces Water of Bryony compound two Ounces Castoreum tyed in a Nodulus and hung in the Glass half a Dram double refined Sugar an Ounce Mix them Take Tincture of Castoreum from a Scruple to half a Dram let it be taken in a little Draught of Small-beer Take Assa Foetida or Galbanum two Drams let them be dissolved in Spirit of Wine till a red Tincture be extracted the Dose is a Scruple in two or three Spoonfuls of Water of Featherfew Riverius greatly extols that of Solenander Take Musk Dragons-blood of each a Scruple let more or less be taken in three or four Ounces of Water of Navews Johannes Anglicus commends the Seeds of Parsnips or of Columbines in Wine or an appropriated Water as most certain Remedies If the Fit continuing a long time renders the Person senseless or without any Pulse let smart Clysters as of the Roots of Briony with Carminatives boil'd with them in Water be injected let Frictions be us'd to the Legs and Feet and if we must proceed to stronger things let Cupping-glasses be applied to the Belly or Groin nay and let sneezing be often provok'd it is good for some to give them in the midst of the Fit a Draught of cold Water either simple or in which Camphire has burnt The preservatory Indication comprehends these three chief intents viz. First To take away or to drive to some place else the impurities of the Blood which are apt to be discharg'd on the Brain and Genus Nervosum Secondly To fortifie the Brain and so strengthen the Spirits in it that they either admit not at all the Heterogeneous Combination or readily shake it off Thirdly to amend whatsoever is amiss in the Womb and contributes to the Convulsive Disposition 1. The first Intention is perform'd by Purging and Bleeding and other common ways of Cleansing and Purging the Blood and Humours If there be room for a Vomit I Judge we must always begin with that especially in Cacochymical persons or such as are troubled with the longing disease in whom a mighty load of Viscous Phlegm sticking in the Folds and Coats of the Stomach hinders the vertues of other Medicines Within a few days after the Vomit unless somewhat indicates the contrary let Blood be drawn in Women of a hot temperament presently from the Arm and afterward if need be from the Foot or from the Veins of the Fundament by Leeches but in Bodies troubled with obstructions and less hot let Blood be drawn more sparingly and rarely and only in places seated below the Womb. After these evacuations provided always that they are indicated being duly perform'd let a Purge be given once within six or seven days according to the forms following Take Pil. Foetidae Majores a Dram and a half Rosin of Jalap twelve Grains Tartar Vitriolated Castoreum of each a Scruple Ammoniacum dissolved in Hysterick Water what suffices make twelve Pills for three Doses Or Take Rosin of Jalap eighteen Grains Calomelanos a Dram Castoreum a Scruple make a Powder divide it into three parts for three Doses give it in the Pap of a boil'd Aple or in Conserve of Borage To persons of a Hot temperament a dose of our Extract or Loosning Syrup may be properly given For the revulsion of the Morbisick matter from the Head an Issue in the Leg or Thigh and somtimes Vesicatories Ligatures and Painful Frictions are wont to be us'd Nor must we only have regard here to the cleansing of the Blood and to the Revulsion of its superfluous Dreggs from the Head but likewise to the alteration of its Liquor and the reducing of it to its due Crasis Wherefore in certain Hysterical persons Chalybeats prove beneficial in others Mineral Waters or Whey in some the use of Hot Baths are wont to do mighty good 2. The second intention viz. the rectifying of the Brain and of the Animal Spirits is perform'd by Cephalick and Particularly by Anticonvulsive Medicines and let them be carefully given almost every day when there is no Purging or Bleeding There being various kinds and ways of Administration of such Medicines I shall here give you some of the more choice forms of them Take Faecula of Briony Assa Foetida Castoreum of each a Dram Salt of Coral Amber and of Jupiter of each half a Dram Galbanum dissolv'd in Hysterick Water what suffices made a Mass the Dose is from half a Scruple to a Scruple Morning and Evening Drinking after it a Dose of an appropriated Liquor Or Take seeds of Wild Parsnips and of Nettles of each two Drams Vitriol of Mars a Dram extract of Gentian and Feverfew of each a Dram and a half with a sufficient quantity of a Syrup of Mugwort make a Mass let it be taken to half a Dram after the same manner If the form of a Powder be more grateful Take roots of Virginia Serpentary and Contrayerva of each a Dram and a half Coral prepar'd Pearl White Amber of each a Dram mix them make a Powder the Dose is from a Scruple to half a Dram Morning and Evening with an appropriated Liquour Let Opiates be made after this manner Take Conserves of the Flowers of Lillies of the Valley Male Peony and Betony of each two Ounces Peony Seeds Red Coral prepar'd of each two Drams Powder of Bastard Dittany a Dram and a half Salt of Wormwood two Drams with a sufficient quantity of Syrup of Citron Pills make an Electuary The Dose is Morning and Evening the quantity of a Nutmeg After the same manner to the Poor let Conserves of the Leaves of the Tree of Life or of the Leaves of Rue be given twice aday The Liquours appropriated to Hysterical affects and to be Drank after the foresaid Medicines are either Distilled Waters which may be taken by themselves or with others in the Form of a Julape or they are Decoctions or Tinctures and Infusions Take Water of Mugwort and Pennyroyal of each half a Pound Hysterick Water four Ounces Tincture of Castoreum half an Ounce Syrup of Coral an Ounce and a half mix them the Dose is from an Ounce to an Ounce and a half with any of the Medicines above prescribed Take Leaves of Penny-royal Feverfew both Southernwoods Calamint Nep both Horehounds of each a Handful Briony Roots four Ounces Parsnip-Seeds two Ounces being Slic't and Bruis'd pour to them of White-wine or Sider six pounds distil them according to Art Take roots of Male Peony Angelica Valerian of each half an Ounce Leaves of Mugwort Ground Pine Calamint Peny-royal Misteltoe
White-wine half an Ounce let them boil in two Pounds and a half of Fountain-water till a half be wasted add of Rhenish-Wine a Pound and strain it presently into which put of the best Sena half an Ounce Rhubarb six Drams Leaves of black Hellebore half an Ounce the yellow Coats of Oranges two Drams make a close and warm Infusion for twelve hours let the Straining be kept in a stopt Glass the Dose is from five Drams to six It were easie to set down here many other forms of Catharticks but there is no great variety requir'd in these But of the foregoing let these or the others be given as they best agree and now and then let them be repeated within five or six days as occasion requires An over frequent and violent Purging casts down the powers of the Body greatly impairs the strength of the Viscera and in the mean time does not take away the Disease After a Purge or two if Bleeding be indicated let Blood be drawn from the Arm or from the Vessels of the Fundament by Leeches It matters not much which Vein be open'd nor is the opening of the Salvatella Vein of as much moment as it is said As to the large Discourses made by Authors concerning the opening of the Liver or Cephalick Veins rather than any others in the Scurvy since the Circulation of the Blood has been known it comes to nothing Phlebotomy is indicated by a plenty and vitiousness of the Blood which it is better to let forth at several times in a small quantity than at once in a great For when the Liquour of the Blood is become very impure it is corrected by no kind of Remedy more certainly than by a frequent and spare letting of it forth for the old corrupted Blood as often as it is drawn forth is succeeded by a better and clearer fresh Blood mean while there is need of caution that it be not drawn away at once in too great a quantity for its store being much drain'd together Sanguification fails so that a Dropsy or Cachexia ensues Besides Purging and if need be opening a Vein many Remedies of another kind no less necessary are requir'd in the Scurvy And that they may be prescrib'd in order we must forthwith consider whether only Preservatory Indications have place here and whether certain Curatory Indications viz. such as have regard to some severely pressing Symptoms ought not to be interchangeably pursued with them And if you are to imploy the whole work of the Cure against the cause of the Discase you may proceed after the following method We shall shew you hereafter what sort of Cure is to be apply'd to Symptoms if haply occasion requires it Therefore if nothing hinders but you are to imploy the chiefest stress of Physick in rooting out the cause of the Disease principally and by it self for this purpose let Digestives likewise and Specificks or Antiscorbuticks as we hinted before be us'd at all times unless on the days of Purging To which sometimes if it be needful let Diaphoreticks or Diureticks be added Manifold forms and prescripts of Medicines and of various kinds for performing these intents are every where to be found amongst Authors I shall here set down some of the more choice of them which I here thought good to distribute into two ranks according to the twofold nature of the Scorbutick Cause viz. the Sulphureo-saline and Salino-sulphureous Dyscrasies of the Blood And first I shall deliver such as are proper in this latter kind of affect viz. where there is need of Medicines endow'd with a certain instigating vertue and such as are very much fill'd with a Volatile Salt Let Digestive Medicines that restore the Ferment of the Stomach and help the Functions of that and of other of the Viscera which serve for Chylification and Anti-Scorbuticks or Specificks which take away the Dyscrasy of the Blood either be joined in the same Composition or at leastwise let them be taken the same day one after the other Among digestive Remedies are justly counted the Cream Crystals Salt and Tincture of Tartar Tartar Vitriolated and Chalybeated Elixir Proprietatis the simple mixture The use of each of these given twice a day oftentimes does good Moreover you may easily make Magistral Tinctures and Elixirs of various kinds both digestive and appropriated to the Scurvy with the two following Menstruums Take rectified Spirit of Vitriol Six Ounces Spirit of Wine Alcholized sixteen Ounces mix them and Distill them in a Glass retort with three Cohobations keep it for use in a Glass well stopt Elixir Proprietatis is more easily and better prepar'd with this Compound Menstruum than the vulgar way Take Winters-bark Lignum Aloes Roots of the lesser Galingal of each two Drams Cinnamon Cloves Cubebs of each a Dram Seeds of Bishops-weed and Watercresses of each half a Dram being bruised pour to them of the foresaid Menstruum enough to cover them three Fingers over let them digest in a Matrace in a Sand Furnace for six days let the straining be kept in a Glass close stopt The Dose is twenty Drops more or less in a Spoonfull of Canary or of an appropriated Liquor Let it be given twice a day Take white Amber Gum of Ivy Caranna Tacamahaca of each a Dram Saffron half a Dram Cloves Nutmegs of each two Scruples being bruised pour to them the aforesaid Menstruum and let a Tincture be extracted according to Art The Dose is twenty Drops as above Take blew Salt of Tartar four Ounces let it digest in a Matrace with a Pound of Spirit of Wine Alcholized till a Tincture be extracted Let this be another Menstruum with which you may prepare Elixirs out of Gums Spices c. after the same manner as with the former Menstruum While these kinds of Medicines are given in a small Dose in the Evening and early in the Morning at Physical hours viz. at eight a Clock in the Forenoon and at four in the Afternoon let the Antiscorbutick Medicines of the other kind be taken which for the most part we are wont to prescribe in a twofold form viz. in a solid form and a liquid to be taken all under one so that the solid Medicine being taken first the liquid is drank after it there are various kinds and ways of Composition of both viz. in a solid form Electuaries Confections Powders Pills and Tablets in a liquid form are Decoctions Infusions Expressions Distill'd Waters Physick Wines and Ales. We shall give you some of the more select Medicines of each of these kinds Electuaries TAke Conserve of Scurvy-grass Roman Wormwood Fumitory of each two Ounces Powder of Winters-bark Roots of Angelica and Aron of each two Drams Species Diatrion Santalon a Dram and a half Powder of Crabs-eyes a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrup of the Juice of Citrons make an Electuary Take Conserve of the Leaves of Scurvy-grass and Brooklimes made with an equal quantity of
is either in fieri or in its disposition or in facto or in its habit both require a peculiar way of Cure Of the former there are two chief cases in both of which the Therapeutick method regarding only the Procatarctick causes is ordered after the like manner to wit whether any Person be in danger of being seiz'd with the Palsey or recovering from it be in hazard of a relapse we must insist in a manner on the same Medicines Therefore the Intentious of Curing must be first that the functions of Chylification and Sanguification being duly perform'd a laudable matter for the generation of Animal Spirits be sent to the Brain in a sufficient plenty and then secondly that the Brain being still firm and of a due conformation admits into it and duly exalts into Animal Spirits all apt particles excluding such as are heterogeneous for these ends we have thought good to propose the following method which ought to be varied according to the various constitutions of the Diseased Spring and Fall let solemn courses of Physick be entred upon nay and the whole year besides let some Remedies be constantly used Bleeding is not generally proper for all Persons and if we forbid this it is not for the same reason with the Ancients supposing the Palsey to be a cold Disease but because the Animal Spirits are both engendred from the Blood and become elastick within the moving Fibres by reason of a sanguineous combination therefore if the store of this be lessened too much they will fail and flag Which truly I have observed in many and that for the most part in the Arm from which the Blood was drawn languishings and tremblings have begun Nevertheless a spare and moderate Bleeding sometimes agrees with some that are endued with a Blood that is hot and sharp and apt to too great effervescencies tho they are disposed to the Palsey About the Equinoxes purging ought to be ordered and to be repeated by due Intervals three or four times but in the first place let a Vomit if nothing indicates the contrary be given of Salt of Vitriol Sulphur of Antimony or an Infusion of crocus metallorum or Mercurius vitae afterward let Pillulae de succino or Aloephanginae be taken by themselves or with Rosm of Jalap every seventh or eighth day At other times let Cephalick Remedies such as we have prescribed for the sleepy affects viz Electuaries Powders Spirits and volatile Salts Tinctures Elixirs with distill'd Waters or Apozemes viz. sometimes these sometimes those or others be frequently used Let Issues be burnt in the Arm or Leg nay in gross and cachectical Persons together in both or near the Shoulder-blades Let a Physick-drink of Sage Betony Stoechas the wood Sassafras Winters bark c. be drank the whole year Wine and Venus ought either to be forbidden or to be allowed only sparingly But if the Palsey after a previous disposition in the whole or in one side or in certain members throughly seises and notwithstanding the first encounter of Physick comes on again for its cure a long and complicated method which is alwayes requisite often times does not suffice for not only the Disease or its conjunct or procatarctick Cause severally but all together must be assaulted for which ends blooding for the most part being forbidden only a gentle purge and that but now and then is proper Again and indeed chiefly against the Procatarxis of the Disease Cephaliâ—â— and Antiscorbutick Medicines are wont to do good but not all of these kinds agree with all Persons but as we have observed in the Scurvey according to the various Constitutions of the Diseas'd the Remedies also must be of a differing kind and vertue for with bilous paralyticks in whose sharp and hot blood there is much Salt and Sulphur and very little Serum hot Medicines and such as are endowed with very active Particles do not agree nay often prove offensive to them which nevertheless prove greatly beneficial to phlegmatick persons whose blood is colder and contains a great deal of Serum and a few active Elements Wherefore according to this two-fold state of the Diseased it seems fit for us to propose here a double method of Cure and two Classes of Medicines whereof this will do well to be given to cold paralyticks and the other to such as are hot In the former case for the removal of the procatarctick Cause after a Vomit and a Purge duely ordered I advise to be prescribed according to the following forms Take Conserve of the leaves of Garden Scurvy-grass and of Rochet made with an equal part of Sugar of each three ounces Ginger condited in the Indies an ounce the yellow coats of Oranges and Limons preserv'd of each six drams powder of the Claws and Eyes of Crabs of each four Scruples species diambroe two drams winters-bark a dram and a half roots of Zedoary the lesser Galingal Cubebs the seeds of Garden-cresses rochet of each a dram Spirit of Scurvy-grass and of Lavender of each two drams Syrup of the conditure of Ginger what suffices make an Electuary Let the quantity of a Walnut be taken at eight a clock in the Morning and at five in the Afternoon drinking after it a pound of the following decoction or six ounces of the Tincture of Coffee with the Leaves of Sage boyled in it or three ounces of Viper-wine Take Raspings of Guaiacum six ounces Sarzaparilla Sassafras of each four ounces red and yellow Saunders shavings of Ivory and Harts-horn of each half an ounce infuse them according to art and boyle them in sixteen pounds of fountain-Water to a half adding Crude Antimony powdred and tyed in a Nodulus four ounces roots of Calamus Aromaticus the lesser Galingal of each half an ounce Florentine Orris an ounce Cardamum six drams Coriander seeds half an ounce six Dates make a Decoction and let it be used for ordinary drink Going to Bed and early in the Morning let a dose be taken either of the Spirit of Soot or of Harts-horn of Sal Armoniack succinated of Blood c. with three ounces of the following distilled Water Take of the Leaves or Roots of Aron a pound Leaves of Garden Scurvy-grass the greater Rochet Rosemary Sage Savory Time four handfuls Flowers of Lavender three handfuls the outward rinds of ten Oranges and six Limons Winters bark three Ounces Roots of the lesser Galingal Calamus Aromaticus Florentine Orris of each two ounces Cubebs Cloves Nutmegs of each an ounce all being slic'd and bridsed pour to them of White-wine and Brunswick Beer of each four pounds let them be distilled with common Organs and let the whole Liquour be mixt Sometimes instead of the Electuary for fifteen or twenty dayes let a dose of the Tincture of Sulphur terebinthinated or the Tincture of Antimony or of Amber sometimes also let the Elixir Proprietatis or of Peony be taken in a spoonful of the distilled Water drinking after it three ounces of the same Sometimes also let the
and every of them in certain cases inasmuch as they fuse the Blood and cause a copious separation of its Serosities are in some sort Diuretick Nevertheless for the reason above-mention'd to wit for that meeting with the Acid Salt when it is predominant in the Blood they prevent and take away its fusion and dissolution I do not doubt but sometimes they may be given with good success to stop Fluxes of Urine And I have heard for certain that one was Cur'd of a Diabetes by an Infusion of quick Lime Now in regard the Saline Medicaments which we suppose to take away the predominancy of the Acid Salt and to fetter it as it were contain either a fixt volatile or Alchalisate Salt I shall give you some Forms of Diureticks which have each of these for their foundation 1. First then when a fixt Salt by it self or join'd with Sulphur is requir'd for a Basis Take Tincture of Salt of Tartar or its Deliquium what suffices Give it thrice a day in a draught of the decoction or distilld water before describ'd Take Tincture of Antimony let it be taken after the same manner thrice a day I have found by frequent experience the use of this to be very profitable in this Disease Take Tincture of Salt of Coral a Scruple let it be taken after the same manner Take of the Infusion of quick Lime a pound The Dose is three or four Ounces thrice a day giving before a Dose of the Electuary or Powder above prescrib'd Take Conserves of the Flowers of blind Nettles and of the great Comphry of each four Ounces of the reddest Crocus of steel half an Ounce Coral calcin'd to a whiteness two Drams Syrup of Comphry what suffices Make an Electuary the Dose is two Drams thrice a day Take Lapis Specularis calcin'd an Ounce The Dose is from half a Dram to a Dram twice or thrice a day Country People with this Medicine successfully Cure their Cattle that piss bloody water Take Coral calcin'd to a whiteness and powdred three Drams Powder of Gumm Arabick and Tragacanth of each a Dram Make Powder divide it into ten parts let one part be taken thrice a day with a fit Vehicle to wit with the decoction or the distill'd water Take the reddest Crocus Martis six Drams Gumm Lac powdred half an Ounce red Saunders a Dram Make a Powder divide it into twenty parts whereof let one be taken thrice a day Take Hartshorn burnt and powdred half an Ounce boil it in four pounds of the water of a Smiths forge till half be consum'd adding towards the end a Crust of Bread Roots of great Comphry and water Lillies dry'd of each an Ounce and a half Sacchari Perlati two Ounces let him take four Ounces thrice a day 2. Medicines containing an Alchalisate Salt such as Coral Pearl Cuttle-bone Hartshorn Ivory Powders of Shells and the like as they are commonly us'd against Rheumatick affects so likewise for a Diabetes And inasmuch as they imbibe the Acid Salt abounding in the Blood and so free the Mass of Blood from fusion we may justly expect a benefit from them Take red Coral ground to a great subtlety Cuttle-bone of each half an Ounce Hartshorn Philosophically calcin'd three Drams Pearl Ivory Crabs Eyes of each a Dram Mix them make a Powder the Dose is half a Dram thrice a day with a fit Vehicle Take of the said Powder three Ounces Species Diatragacanth frigid two Ounces Sugar Candy two Ounces Make a Powder and with a sufficient quantity of the Solution of Gumm Arabick make a Paste and let it be form'd into Troches weighing half a Dram let three or four be taken thrice or oftner in a day Take of the said Powder two Ounces of the Resumptive Electuary four Ounces Conserve of the Flowers of water Lillies three Ounces Syrup of the same what suffices Make an Electuary let him take the quantity of a Chesnut thrice a day drinking after it a draught of the Apozeme or of the distill'd water above prescrib'd 3. For the same reason as Medicines endued with a fixt and Alchalisate Salt seem proper in Curing the Diabetes for the same reason do such as have a volatile Salt For these as well as those lay hold on and draw of the Acid Salt by which the Blood is fus'd and dissolv'd into Serosities so that its Liquor recovers its due Crasis Take the Solar Tincture prepar'd as I readily do it with Sal Armoniack an Ounce The Dose is twenty Drops thrice a day The Spirits of Blood Soot and Hartshorn may also be try'd in this Disease Take Salt of Amber a Dram the reddest Crocus Martis two Drams Mix them divide it into twelve parts the Dose is one part thrice a day III. As to the third kind of Remedies in the Diabetes to wit Hypnoticks which by putting a stay to the Animal Spirits retard the course of the Blood and so hinder in some measure its effervescency and fusion I use to prescribe to some persons Diascordium to be taken every Evening and when that does not do I give sometimes every Night and sometimes every other Night Liquid Laudanum Cydoniated or Tartariz'd and that with good success Take the decoction of Barly with the dry'd Roots of Comphry six Ounces white Poppy-seeds two Drams sweet Almonds prepar'd in number six Make an Emulsion according to art let it be taken every Night going to sleep Take of the Magistral distill'd water above prescrib'd four Ounces Solution of Tragacanth two Drams Diascordium from half an Ounce to six Drams Give it going to sleep Take Conserve of the flowers of water Lillies two Drams Laudanum Tartariz'd or Cydoniated a Scruple Tincture of Saffron six Grains Make a Bolus to be taken going to sleep CHAP. VII Instructions concerning Sweating and Diaphoreticks or Medicines causing Sweat with Prescripts of them FOr a ready and plentiful eruption of Sweat these three things are requir'd First that the Blood boiling more than its wont circulates with a more rapid motion Secondly That its Latex abounds with many watry Particles and those loose that is apt to be separated from the rest of the Liquor and to be resolv'd into Vapours for if there be a deficiency of Serum or if it be not easily separable from the Blood through its too great compactness or incrassation by reason of Faeculencies strongly mixt in it scarce any sweat at all will follow though the intense heat of a burning Fever presses for it and most powerful Diaphoreticks are given at the same time Thirdly The Pores of the whole Body must be set wide open for a free passage of the Sweat Therefore Sweating Medicines to be taken inwardly must be such as make the Blood boil more than ordinarily and consequently cause it to evaporate Also such as somewhat loosen and fuse its often too compact and incrassated Mass that its Serosities may more readily depart from it and be separated and they must be such as at the same
and likewise moderate Hypnoticks especially Diacodiats are taken with good success For these by putting a stay to the motion of the Heart allay the fervour of the Blood 2. To close the Aperture of the Vessel Astringent Remedies and Agglutinatives are most proper The chief of these are usually given in the Form of a Linctus so that some of its Particles in swallowing falling on the Aspera Arteria may more immediately communicate their vertue to the part affected But the way of this Operation seems to be of no great moment because the Efficacy of the Medicines reaches chiefly and in a manner only by the way of the Blood to the Root of the Disease Wherefore not only Lohoch's but likewise Decoctions Powders and Pills of Traumatick and Balsamick Ingredients are successfully prescrib'd The Second Indication which is for preservation having regard to the Cure of the dissolution of Unity without leaving any blemish in the Lungs ought to provide against two sorts of evils viz. That the Spitting Blood to which the Persons affected will be always subject does not return at times and that the Consumption which threatens all those that Spit Blood does not follow it For which ends in order to the prevention of this Disease we must take an assiduous care of or use a constant method of Cure to the Blood and Lungs 1. As to the Blood its Mass ought always to be kept in a due quantity a just temper and a gentle and continued motion Hence lest it abound too much or being affected with an evil temperament grows turgid or deposes impure dregs in the Brest we must sometimes use Bleeding and a gentle Purge an exact Form of Diet is always necessary Moreover drinking of Asses Milk or of Mineral Waters contribute sometimes egregiously to the purifying and sweetning of the Blood Again Decoctions Distill'd Waters Juices of Herbs which take away the Dyscrasies of the Blood and derive the Serum and other Impurities from the Lungs and carry them forth by Sweat or Urine must be diligently taken Issues also mightily conduce for this end 2. Nor must less care be taken of the Lungs themselves that their whole frame and especially the place affected be preserv'd in a due Conformation and right Tone Hence all violent motion by which Unity is farther dissolv'd or its restauration hindred is carefully to be avoided Let the Person live in a clear and brisk Air though it must not be too sharp and piercing Let him abstain from gross Food long Sleeps large Suppers and other errours in Diet which cause a Repletion or Obstruction in the Praecordia Besides this let Remedies be us'd which are said to Cure the Lungs by a peculiar or certain Specifick Vertue Having given you the method of Curing Blood Spitting I shall now set down some Select Forms of Medicines answering to each of the Therapeutick Indications and to the various intentions of Curing that belong to them And we justly give the precedency to those which encountring the most urgent Symptome presently stop the flowing forth of Blood cast out of the Lungs by a Cough or otherwise In the First rank of these Medicines we place those which hinder the Blood from flowing to the part affected and have a certain Astringency together with an Agglutinative Vertue by which the Aperture of the Vessel is clos'd and after a Glyster and Blooding unless the weakness of the Pulse and a deficiency of heat forbid it they are presently given in the form of a Julape Decoction Emulsion Juicy Expression Powder Pills and Lohochs I shall give you some of the choicest and most efficacious prescripts of each of these as also of Hypnoticks which nevertheless must not be us'd at random and indifferently but every of them methodically and seasonably according to the various Constitution of the Patient and Nature of the Disease as a prudent Physician shall direct 1. Julapes and distill'd Waters TAke the Waters of Purslain and red Poppies of each six Ounces Dragons Blood finely Powdred half a Dram Syrup of red Poppies two Ounces Spirit of Vitriol of Mars half a Scruple Mix them the Dose is three Ounces repeating it within five or six hours Take Plantain water a pound the Gums Tragacanth and Arabick Powdred of each half a Dram mingle them and dissolve them then add Syrup of dry'd Roses an Ounce and a half Make a Julape the Dose is three or four Ounces every third or fourth hour Take the Waters of Oak-buds red Roses and Nymphaea of each four Ounces Blood-stone very finely Powdred Bole Armeniack Powdred of each half a Dram Syrup of Nymphaea two Ounces Mingle them the Dose is three or four Ounces three or four times a day Take of the Dew or insipid Phlegm of Vitriol a pound Syrup of Myrtles two Ounces Mix them the Dose is two or three Ounces often in the day or in the night Take Cypress tops eight handfuls Willow Leaves or Flowers six handfuls Roots of the greater Comphrey and Nymphaea of each half a pound Balaustia two handfuls all being slic'd small together pour to them of fresh Milk eight pounds distil them in Common Organs The Dose is three or four Ounces thrice or oftner in a day Take of this distill'd water and of Plantain water of each half a pound the Gums Tragacanth and Arabick of each two Drams Dissolve them the Dose is three Ounces every third hour The following Mixture is prescrib'd by Frederick Deckers to be taken a Spoonful at a time and seems to be a good Medicine Take Plantain water two Ounces Cinnamon two Drams Confection of Hyacinth a Dram and a half distill'd Vinegar half an Ounce red Coral prepar'd half a Dram Balaustia Dragons Blood of each half a Scruple Laudanum Opiatum three Grains Syrup of Myrtles an Ounce Mingle them Take the Waters of Plantain red Roses and Purslain of each four Ounces Blood-stone and Dragons Blood reduc'd into a fine Powder of each half a Dram Sugar Candy six Drams Make a Julape A Solution of common Vitriol or of Vitriol of Mars made in fountain water and apply'd to a Wound with a rag excellently stops all Fluxes of Blood but it is not proper to be given inwardly 2. Decoctions Tinctures and Emulsions TAke Leaves of Blood-wort Perwincle Mous-ear Plantain Wood-sorrel both sorts of Daisies of each a handful Flowers of red Roses half a handful Barley half an Ounce Raisins two Ounces boil them in three pounds of Water in which red hot Iron has been quench'd till it comes to two pounds add to the straining Syrup of St. Johns wort two Ounces or of Mous-ear Make an Apozeme the Dose is four or six Ounces thrice a day Take Leaves of St. Johns wort Roots and Leaves of Tormentil great Burnet Meadow-sweet of each a handful Seeds of Purslane Plantain and Sorrel of each a Dram Conserve of red Roses half a pound fountain water four pounds Let them boil close in B. M. for twelve hours to the straining add
Spirit of Vitriol of Mars half a Scruple take it after the same manner Take Barley water with madder Roots boil'd in it a pound and a half Put into it when grown pretty cold of red Rose Leaves a handful Add Spirit of Vitriol a Scruple let there be a close and warm infusion for three hours Make a Tincture to the straining add Syrup of the Juice of St. Johns wort an Ounce and a half Take three or four Ounces thrice or four times in a day Take of the Decoction of the Roots of fresh Nettles a pound and a half Seeds of white Poppies and of Henbane of each two Drams Melon seeds pill'd six Drams Make an Emulsion according to Art sweetned with Sugar Penids The Dose is three Ounces three or four times a day 3. Juices of Herbs and Juicy Expressions TAke Juice of Plantain Leaves half a pound Let two or three Drams be taken thrice a day with three Ounces of the distill'd Water above written and sweeten it at pleasure Take Leaves of fresh Nettles Plantain the lesser Daisy of each three handfuls being bruis'd together pour to them of Purslain water six Drams Wring it forth hard take it as the former 4. Powders and Pills TAke Powder of Blood-stone of Dragons Blood ground on a Marble with Rose-water and of Pearl of each a Dram Bole Armeniack Terra Lemnia of each half a Dram Troches of Winter Cherries two Drams Make a Powder divide it into twelve parts let one part be taken thrice a day with the distill'd water above written Take of the Seeds of Henbane and white Poppies of each ten Drams Terra Sigillata red Coral of each five Drams Sugar of Roses three Ounces Make a Powder the Dose is a Dram Morning and Evening This Composition brought into a soft Consistency with some proper Syrup is call'd Helidaeus's Electuary so Famous heretofore in Germany The foresaid Powders may also be made into convenient Pills and Tablets by adding the Solution of Tragacanth or some fit Syrup The spungy Excrescency usually growing to the fruit of the Dog-Rose Tree made into Powders and given twice a day to the quantity of half a Dram is a very good remedy in spitting Blood Take Yarrow bruis'd and dry'd in the Summer Sun what you think good Make it into a fine Powder and keep it in a Glass for Vse The Dose is from half a Dram to a Dram twice a day in a fit Vehicle The Powder of Julius Caesar Scaliger or rather of Serapion is mightily commended The Dose is four Drams twice or thrice a day 5. Lohoch's and Electuaries TAke Conserve of red Roses and of the Dog-Rose of each two Ounces Powder of the Seeds of the white Poppy and of Henbane of each two Drams Species Diatragacanthi frigidi a Dram and a half Blood-stone Sanguis Draconis prepar'd of each half a Dram Syrup of red Poppies what suffices Make an Electuary let the quantity of a Chesnut be taken Evenings and Mornings and at other times suck it with a stick of Licorice Take Conserve of the Flowers of great Comphrey and of Water-Lillies of each an Ounce and a half Troches of Winter Cherries and Diatragacanthum frigidum of each a Dram and a half Syrup of Jujubes what suffices Make a soft Lohoch of which take often with a stick of Licorice Take of the White of an Egg well beaten two Drams Lucatellus's Balsam half an Ounce Troches of Winter Cherries two Drams Syrup of red Poppies what suffices Make a soft Lohoch take the quantity of a Chesnut Morning and Evening The Second Indication being for preservation suggests to us those Remedies which keeping the Blood in a just temper and the Lungs in a due Conformation provide against a relapse of Spitting Blood and an ensuing Consumption such as regard the Blood are either gentle Evacuatives by Seige Urine and Sweat or meer Alteratives Every one of these are wont to be prescrib'd either in the Form of a Drink Powder Electuary or Pills We shall set down some Select Forms of some of the chief of them 1. As to Evacuatives a gentle Purge may sometiems be ordered after this manner Take of the best Sena three Drams Cassia bruis'd with the Fistula an Ounce Tamarinds three Drams Coriander-seeds a Dram and a half Boil them in a sufficient quantity of fountain water to fix Ounces to the straining add Syrup of Cichory with Rhubarb an Ounce Clarify it with the White of an Egg. Or Take Gereons Decoction of Senna four Ounces Purging Syrup of Apples an Ounce Mix them and make a Potion For preserving the Blood in a good temper and that its dreggy Excrements deriv'd from the Lungs may be continually discharg'd by Sweat and Urine the following Alteratives or some of them must be constantly taken which being also of a healing Nature relieve Lungs that are infirm or dissolv'd in their Unity For ordinary Drink let it be pure Water especially in a hot Constitution or water a little ting'd with Claret Wine Those with whom this Drink does not agree may use with as good success a Bochet of China and Sarsa with the shavings of Ivory Hartshorn and white Saunders in it or sinall Beer or Ale with the Leaves of Harts Tongue Oak of Hierusalem and the like infus'd in it Let Pectoral Decoctions or Hydromels with temperate Traumatick Herbs be taken twice or thrice a day to six or seven Ounces Take Roots of fresh Nettles and Chervil of each an Ounce Leaves of Harts Tongue Speedwel Mous-ear Ground Ivy St. John's-wort of each a handful Boil them in three pounds of fountain water to two pounds adding Raisms stone'd an Ounce and a half Licorice two Drams to the straining add Syrupus Byzantinus two Ounces Clarifie it with the White of an Egg Make an Apozem to be taken to four or six Ounces twice or thrice a day for a Month. In a cold or Phlegmatick Constitution the Licorice and Raisins being omitted with the Syrup add towards the end two Ounces of the best Clarified Honey strain it and keep it for use The Dose is the same as the former Let these things sometimes be taken betwixt whiles with a distill'd water appropriated to the same end which also may be more frequently taken by some Persons to whom Apozems are nauseous and loathsome Take Cypress Tops Leaves of ground Ivy of each six handfuls Snails half boil'd a pound and a half All the Saunders bruis'd of each an Ounce Being slic'd and bruis'd pour to them of new Milk eight pounds distil it with common Organs The Dose is three or four Ounces with a spoonful of Syrup of the Juice of ground Ivy twice a day 2. In respect of the Lungs viz. that the Union of its parts and the due Conformation of the whole may be preserv'd without any obstruction or opening of its Vessels temperate Balsamicks are of chiefest use For this end Lucatellus Balsam is perscrib'd even by the vulgar to be taken constantly and for a
and Baum of each four Ounces Powder of a Boars Tusk a Dram Syrup of Violets ten Drams Make a Julape and take it after the same manner Take Grass Roots three Ounces shavings of Ivory and Hartshorn of each three Drams Raisins ston'd an Ounce and a half Licorice two Drams boil them in three pounds of fountain water to two pounds to the straining add Syrup of Violets an Ounce Sal Prunella a Dram Make an Apozeme take to three or four Ounces thrice a day For the same Intention viz. that the emptied Vessels may withdraw the matter maintaining the Disease or may drink up again the Morbifick matter it self a Purge also is prescrib'd by some In the Practise of the Ancients it was a thing in constant use after bleeding to Order Preparatives and Purgers against this Disease as well as against most others And Chymists of late with a greater confidence give Vomits and cry them up before all other Remedies in a Peripneumonia Nay further neglecting bleeding or forbidding it they lay the chief stress of their Cure in Antimonial Emeticks though I know not whether any thing can be imagin'd more pernicious than that their rash proceeding In rustick and robust Bodies sometimes this Medicine is given without harm but in tender Constitutions it may be reckon'd little Inferiour to poyson And as to purging though it be not proper in the very beginning but in a manner always does harm yet the Morbifick matter ceasing to flow to the part and the effervescence of the Blood being appeas'd you may empty the Body gently with a Purging Medicine Take Gereons Decoction of Sena four Ounces Syrup of Roses Solulutive and Ounce Mix them make a Potion Take the best Sena three Drams whole Cassia Tamarinds of each half an Ounce Coriander-seeds two Drams Boil them in a sufficient quantity of fountain water to six Ounces to the straining add Syrup of Violets an Ounce Clarifie it with the White of an Egg and give it Let not Purges be given always nor ever in this Disease without consideration but Glysters must be given frequently nay for the most part every day but let them be only Lenitive and Emollient so that they gently loosen the Belly without much stirring the Blood and Humours For this end Milk or Whey with brown Sugar or Syrup of Violets often do well Or Take the Leaves of both Mallows Melilot and Mercury of each a handful Linseed and sweet Fennel-seeds of each half an Ounce sweet Prunes in number six Boil them in a sufficient quantity of fountain water to a pound to which add Syrup of Violets an Ounce Sugar ten Drams Sal Prunella a Dram Make a Glyster 3. Medicines for the Third Intention viz. For dissolving the clamminess of the Blood are usually given in the Form of a Powder Spirit Draught or Bolus according to the Forms following 1. Powders TAke Crabs Eyes powdred two Drams Sal Prunella a Dram and a half Sugar of Pearl a Dram Make a Powder divide it into six parts take one every sixth hour with some proper Julape or Apozeme Take Powder of a Boars Tusk or of the Jaw-bone of a Pike Crabs Eyes of each a Dram and a half Flowers of Sal Armoniack Powder of red Poppy Flowers of each half a Dram Mix them for four Doses 2. Chymical Spirits and Liquors TAke Spirit of Sal Armoniack distill'd with Olibanum three Drams The Dose is from twelve to fifteen or twenty Drops thrice a Day Take Spirit of Vrine or of Soot three Drams give it after the same manner Take Spirit of sweet Nitre viz. often Cohobated with Spirit of Wine three Drams The Dose is from six drops to ten after the same manner Take Spirit of Tartar half an Ounce The Dose is from fifteen drops to twenty or twenty five with a fit Vehicle Take of the simple Mixture an Ounce The Dose is from a Scruple to half a Dram after the same manner 3. Draughts TAke Carduus water a pound fresh Horse-dung three Ounces dissolve it warm and filter it The Dose is three or four Ounces twice or thrice a day adding Syrup of Violets or of red Poppies half an Ounce Take Leaves of Dandelion two handfuls being bruis'd pour to them Water of Ladies Thistle half a pound Treacle water half an Ounce Wring it forth hard to which add Powder of Crabs Eyes a Dram take four or six spoonfuls thrice a day The Fourth Intention of Curing having regard to the most urgent Symptoms suggests to us various preparations of Medicines 1. In respect of the Feaver the Julapes and Apozems before set down are proper Moreover you must frequently use Sal Prunella 2. For the Cough and difficulty of Breathing Linctus's Lohochs and Decoctions or Pectoral Julapes are given with success Take Syrup of Jujubes of Maiden-hair of each an Ounce and a half Syrup of Violets an Ounce Flowers of Nitre a Scruple Make a Linctus to be taken now and then with a stick of Licorice Take Syrup of Dialthea an Ounce Diacodium Syrup of red Poppies of each half an Ounce Crabs Eyes finely powdred two Scruples Make a Linctus to be taken as the other Take Syrup of Hyssop of Licorice of each an Ounce and a half Powder of red Poppy Flowers a Scruple Crabs Eyes a Dram Lohoch de Pino six Drams Mix them make a Lohoch of which take the quantity of a Nutmeg four times or oftner in a day Take Roots of Grass Chervil Marsh-mallows of each an Ounce Figgs in number four Jujubes Sebestens of each in number six Raisins of the Sun an Ounce Licorice three Drams Barley half an Ounce boil them in three pounds of fountain water to two pounds Strain it the Dose is three or four Ounces Take Raisins ston'd an Ounce and a half Filberts slic'd in number four Licorice slic'd three Drams Hyssop-water a pound and a half Make a close and warm Infusion according to art for six hours to the straining add Syrup of Althea an Ounce and a half Make a Julape the Dose is three or four spoonfuls often in a day swallowing it down by little and little 3. Against want of Sleep Take of red Poppy water three Ounces Syrup of the same six Drams Plague water two Drams Make a draught to be taken going to Bed It the Pulse be strong and the strength holds Take Cowslip water three Ounces Syrup of Meconium half an Ounce Mix it and drink it going to Bed 4. If the pain be pressing about the part affected Take of the Oyntment of Marsh-mallows two Ounces Oyl of sweet Almonds an Ounce and a half Mix them for a Liniment to be apply'd with thin Lawn Paper Take Oyntment of Marsh-mallows and the Pectoral Oyntment of each an Ounce and a half Oyl of Linseed fresh drawn a Dram to which add of the Emplaister of Mucilages what suffices Make a Plaister for the Region of the Brest to be apply'd on the part affected Fifthly For the last Intention of Curing
are wont to use not only by injecting it but by applying it Sympathetically to a Bloody Linnen-cloath I have also known a Water prepar'd of an Infusion of white Vitriol with Bole and Camphire us'd successfully to Wounds and often to other Eruptions of Blood But in regard a water injected into the Nostril does not stick enough to the Mouths of the Vessels but is washt away by the Bloods breaking forth before it can exert its Vertue therefore it is better either that a Stiptick Powder be blown into it or that a Pledget dipt in the water of Vitriol be thrust into the Nostril to the upper part of it either by it self or strew'd to the Nostril to the upper part of it either by it self or strew'd with an Astringent Powder Many Stiptick Powders and of divers kinds are wont to be prescrib'd for this purpose I commonly use either Crocus Martis Calcin'd to the highest reduess or the Powder of Vitriol Camphorated or a Vitriolick Soot scrap't from the bottom of an old Brass Kettle the Powder of which I have often try'd with success in this case In obstinate Haemorrhagies and not yielding to other Remedies let a Pledget having on its top a Caustick Colcother be thrust up into the Nostrils as far as it will go that the little Mouths of the Vessels being burnt and covered with an Eschar all Eruption of Blood may be presently stopt There are many other Errhines famous amongst Practitioners for stopping Blood as Hogs-dung thrust up into the Nostrils which is thought meerly by the Nastiness of its Odour to repel the Blood ready to burst forth Also the Fume of the Blood dropping on a red-hot Iron and return'd up into the Nostrils the Powder of which also when burnt is blown up into them Vsnea or the growing Moss on a Mans Scull which has not been inter'd is highly commended by some for this effect So much of outward Remedies for stopping Bleeding whose Vertue ought likewise to be promoted by inward things seasonably given and cooperating Therefore a thin Dyet being prescrib'd and the Patient ordered to keep himself in an erect posture or not much leaning back whilst the foresaid Administrations are orderly apply'd let Medicines appropriated to the same end be prescrib'd also to be inwardly taken Remedies of this kind have two chief scopes viz. First to cause the Blood being kept within its Vessels to be quietly Circulated its Effervescence whether happning through its Accension or Fermentation being supprest Secondly to retard by fit Remora's the violent Motion of the Heart driving round the Blood too rapidly 1. The first intention requires those kinds of Medicines which suppress the too great Accension of the Blood and appease its undue Fermentation for which uses I am wont to prescribe the following Take the waters of Plantain red Poppies Purslain and of the Spawn of Froggs of each four Ounce Syrup of Water-lillies two Ounces Sal Prunella a Dram mix them make a Julape the Dose is three Ounces thrice or four times a Day Take Barley-water two Pounds red Rose-leaves a handful Spirit of Vitriol as much as will give it a grateful Acidity or about half a Dram make a warm Infusion for extracting the Tincture add Syrup of the Juice of St. John 's Wort two Ounces the Dose is three or four Ounces to take at pleasure often in the Day time or by Night Take Leaves of stinging Nettles and of Plantain of each three handfuls being bruis'd pour to them of Plantain water four Ounces express it strongly and take it 2. For the Second intention viz. to retard the over-violent beat of the Heart Hypnoticks and Opiats are proper Take red Poppy-water three Ounces Syrup of Diacodium half an Ounce Mix them make a Draught to be taken going to Bed Or Take Conserve of red Roses an Ounce and a half Powder of the Seeds of Henbane and of white Poppies of each two Drams Syrup of Poppies what suffices Maek an Opiate The Dose is the quantity of a Nutmeg every six or eight hours Or Take Laudanum Cydoniated a Dram the Dose is fifteen Drops twice a Day in a proper Vehicle So much of an immoderate Eruption of Blood and its Cure whilst it happens without a Fever but when it happens in a Fever and must be stay'd because of too much loss of Blood it is either Critical growing to be immoderate by reason of some Accident to which the Method and Medicines even now prescrib'd may be accommodated though with some caution and a due respect to the State of the Fever Or it is meerly Symptomatical which hapning in a Malignant or Spotted-fever the Small-pox Meazles or Plague it scarcely either can or ought to be repell'd or stopt by the foresaid Remedies For letting Blood is not proper repelling Topicks also cooling Julapes or Decoctions or Narcoticks have no place The chief intention of Curing will be to change the Eruption of Blood into a Sweat for upon raising a gentle Sweat the Flux of Blood if it be not extreamly dangerous ceases of its own accord Take water of Meadow-sweet and Tormentil of each four Ounces Of the cold Cordial of Saxonius two Ounces Treacle-water an Ounce and a half Bezoartick Vinegar three Drams Syrup of Coral an Counce and a half Confection of Hyacinth two Drams make a Julape the Dose is six spoonfuls every third hour Take Powder of Toads prepar'd half a Dram Camphire two Grains let it be taken with the foresaid Julape every sixth hour Or Take Pulvis Pannonici Rubri from half a Dram to two Scruples give it after the same manner Take Confection of Hyacinth three Drams Pulvis Pannonici Rubri a Dram Syrup of Coral what suffices make a Confection the Dose is the quantity of a Nutmeg every other hour Take Roots of Bistort and Tormentil of each an Ounce Leaves of Meadow-sweet Burnet Wood-sorrel of each a handful burnt Harts-horn two Drams Shavings of Ivory and Harts-horn of each two Drams boyl them in three Pounds of Fountain water to two Pounds add towards the end Conserve of red Roses three Ounces sirain it the Dose is three Ounces often in a Day So far of the first Indication which is Curatory together with the scopes of Curing and the forms of Medicines destinated for an Eruption of Blood from the Nostrils hapning either with or without a Fever The second Indication which is Vital prescribes only a thin Dyet temperate Cordials and a fit ordering of the Patient The provision for the two For former is so small and easy that it seems not necessary to set down a form and rules particularly for them Concerning the latter the chief question is whether we ought to keep those that are seiz'd with an Eruption of Blood either in Bed or out of it It 's an unquestion'd thing that those that are weak and subject to fall often into Swounding Fits ought not to be stir'd from Bed unless haply it be to try a Cure as we have
Medicines it either terminates immediately in Death or is chang'd into some other Disease viz. a Palsy Stupidity or Melancholy for the most part incurable Concerning the Cure of the Falling-sickness the Indications as vulgarly set forth are either Curatory having regard to the Fit and either keep it off as it is coming or soon force it off when it has seiz'd Or they are Prophylactick and regard the cause of the Disease which if they remove its accesses will be kept off for the future As to the first intention general Evacuatives have scarce place nor ought a Vomit or Purge and very seldom Bleeding to be us'd in a Fit if the person continues depriv'd of Sense a long time Clysters are sometimes wont to be administred but the chief thing to be done is to fix the Animal Spirits which are too Exorbitant and Volatile and to suppress their beginning Explosions For which ends two kinds of Remedies chiefly conduce viz. First Such as repress the Animal Spirits apt to rise to an Exorbitancy and to shoot and repel them by a certain Fumigation as it were ungrateful to them and force them into their due course Which Medicines endow'd with a Volatile and Armoniack Salt or also with a Vitriolick Sulphur will effect Of which kind are Salt and Oyl of Amber Spirit of Blood of Harts-horn of Soot Tincture of Castoreum and the like For these being inwardly taken or held to the Nostrils often give relief nay and are thought to drive away the evil Spirits of this Disease even as in Tobit the Fume of the Gall of a Fish burnt did the Devil Secondly the Animal Spirits are diverted or hindred from entring upon Explosions when they are allur'd to and kept imploy'd in some work that is usual to them wherefore in the Fit Frictions us'd over the whole Body and continued for some time often do good But as to raising up persons seiz'd and wholly restraining the Arms and Leggs from the Convulsive motion or binding them in this or that Posture as some people use to do and so as to blowing Sneezing-powder into their Nostrils and pouring strong Cordials into their Mouths or applying Cupping-glasses and Scarifications and dealing roughly with the Diseas'd by other ways of Administration thus disturbing the course of the Fit I say this sort of practice is very often ill taken in hand because by this means Nature is doubly toil'd viz. both by the Disease and no less by standers by and Servants whereas it were much better to let the Fit pass according to its course that so the Diseas'd might escape with one affliction Truly the greatest care of a Physician and efficacy of Remedies is in the Prophylactick part of this Disease that its cause being taken away or its root cut off all the Fruit may wither The Medicines requir'd for this Indication have regard to many intents which nevertheless may be reduc't to these two chief heads viz. First that the fuel of the Disease supplyed immediately from the vitious Blood and Nervous Juice and more mediately from the Viscera and first passages be cut off And then Secondly that the evil Disposition of the Brain and Spirits in it which is peculiar to the Epilepsy be remov'd As to the first thing indicated here Vomits and Purges and other both Evacuatives and Alteratives nay and Bleeding and Cauteries have place for as much as by these means and ways the Impurities both of the Viscera and Humours are drawn away and their Discrasy is corrected For though these Medicines and Physical Administrations seldom or never Cure the Epilepsy alone yet they remove Impediments raise up Nature and stir her up to set upon her Enemy They also prepare the passages that thereby Specifick Remedies may more certainly and efficaciously exert their Vertues Wherefore when the Cure of this Disease is attempted Spring and Fall and at other fit seasons by Secrets and Arcana's it's usual to use betwixt whiles those sorts of Medicines As to Specifick Remedies which are affirm'd even alone though not always to reach the cause of the Epilepsy and to overcome it of which kind are the Male Peony Mistletow of the Oak Rue Castoreum Elks-hoof preparations of Mans Scull Amber Coral with many others In regard these things are taken without any sensible Evacuation or even Disturbance following in the Viscera or Humours it seems strange by what formal way or Vertue of working they are wont ever to do good in this Disease If there be any room for conjecture in this intricate and obscure thing in regard the Procatarctick cause of the Epilepsy consists in the Heterogeneous Combination hapning to the Spirits in the Brain it follows that those things which overcome and remove such a cause are of such a Nature that by strengthening the Brain and constringing its Pores they keep off that Combination and so fix and as it were constipate the Spirits that abound in the middle of the Brain leaving their Combination that they are no longer apt and prone to irregular Explosions After the like manner haply as when the Powder of Aurum Fulminans ground with Sulphur and sprinkled with Spirit of Vitriol loses its fulminating Vertue And in truth we may conjecture nay in some measure discover that these kinds of properties to wit one or both of them together are in many Antiepileptick Remedies for the Peony Mistletow of the Oak Rue Lillies of the valley with many others excel in a manifest sort of Astriction whence it is very likely that their Particles inwardly taken and so by the Vehicle of the Blood or Nervous Juice convey'd to the Brain so constringe and close its over Lax and Gaping Pores that they no longer lie open for the entrance of the Morbifick matter Moreover because these concrets breath forth an Armoniack as it were and dissipating vapour therefore the same are said to purify the Animal Spirits and to fix and corroborate them having left their Heterogeneous Combination This Vertue of purifying the Spirits proceeding from the Armoniack Salt shews it self most in Remedies taken from Minerals and Animals such as are the preparations of Mans Scull Blood Amber and Coral as the other Astringent Vertue appears most in the parts and preparations of Vegetables There is no need for us here to set forth a compleat Method of Curing the Epilepsy with exact Forms of Prescripts because general Precepts and excellent Remedies are every where to be had amongst Authors and a prudent Physician will easily accommodate both the Indications and that plentiful Apparatus of Physick to particular cases of sick persons But because we give a clearly new Theory of this Disease a Therapeutick Method also adapted to the same ought to be here given Which we shall presently fully delineate after I have given you a story of a person troubled with the Epilepsy The Daughter of an Alehouse-keeper at Oxford had been very subject from her Infancy to a Catarrh falling on her Eyes being otherwise strong and
to half add of White-wine a Pound let it be strain'd into a Matrass to which put Leaves of choice Sena an Ounce Rhubarb six Drams Gummous Turbith half an Ounce Epithimum yellow Saunders of each two Drams Salt of Worm-wood and of Scurvy-grass of each a Dram the outward yellow Coats of Oranges two Drams let them digest close luted in a Sand heat for twelve hours let the straining be kept for use Let it be sweetned if need be with a sufficient quantity of Syrupus Augustanus or with Syrup of Cichory with Rhubarb the Dose is six Ounces once or twice in a week Each day in which Purging is omitted let Remedies be given for strengthning the Brain and for garding the Animal Spirits from incurring Heterogeneous Combinations or from entring upon Explosions Of which nevertheless let a certain choice be made according to the Temperament Habit of Body and Constitution of the Diseas'd For to such as have a thin habit of Body and a hot Blood Medicines must be given which are not hot and which do not stir the Blood too much On the contrary to phlegmatick and gross Bodies whose Urine is thin and watery and whose Blood circulates but dully let hot Remedies be ordered and such as are apt notably to ferment the Humours In the former case you may prescribe after this manner Take Conserve of the Flowers of Betony Tamarisk and Male Peony of each two Ounces Species Diamargariti Frigidi a Dram and a half Powder of the Roots of Peony and of the Seeds of the same of each a Dram red Coral prepar'd two Drams Vitriol of Mars two Scruples Salt of Worm-wood two Drams with a sufficient quantity of Juice of Oranges make an Electuary Let it be taked twice or thrice a day drinking after it a little draught of the Julape beneath prescrib'd Take of red Coral ground with the Juice of Oranges on a Marble or in a Glass-mortar and dryed half an Ounce Powder of Mistletow of the Oak and of the Roots of Male Peony of each two Drams Sugar of Pearl three Drams make a Powder the Dose is from a Scruple to half a Dram twice or thrice a day Take Species Diamargariti Frigidi two Drams Salt of Worm-wood three Drams Aron Roots powdred a Dram mix them make a Powder let it be divided into twenty parts and let a Dose be taken in the Morning and at four of the Clock Take Powder of the Roots of Butter Bur an Ounce the Dose is from half a Dram to a Dram twice a day Take Leaves of the Bur-dock and of Aron of each six handfuls being slic't and mixt together let them be distil'd The Dose is from two Drams to three twice or thrice a day after a Dose of the Electuary or Powder Take of this distill'd Water two Pounds of our Steel prepar'd two Drams mix them in a Glass let them be taken after the same manner Take Water of Wallnuts simple and of black Cherries of each half a Pound of Snails four Ounces Syrup of Flowers of the Male Peony two Ounces the Dose is from an Ounce and a half to two Ounces after the same manner Take Shavings of Ivory and Harts-horn of each three Drams Roots of Chervil Bur-dock Valerian of each half an Ounce Leaves of Betony Ground-pine Scolopendrium tops of Tamarisk of each a handful Barks of Tamarisk and of Bitter-sweet of each half an Ounce let them boil in four Pounds of Fountain-water to the consumption of a third part add of White-wine eight Ounces strain it into a Flaggon to which put Leaves of Brook-limes and of Cuckow-flower of each a handful make a warm and close Infusion for four hours let the straining be kept in Glasses close stopt The Dose is six Ounces twice a day after a Dose of a solid Medicine Sometimes in such an Apozeme let two Drams of our Steel be infus'd and taken after the same manner In the Summer time the use of Mineral Waters is proper for want of them let our Artificial Waters be given in their stead But if for the reasons above cited hot Medicines are indicated we may proceed after the following method Take Conserve of Rosemary-flowers and of the yellow Coats of Oranges and Limons of each two Ounces Wallnuts and Mirobalans condited of each in number two Lignum Aloes yellow Saunders Roots of Serpentaria Contrayerva Angelica and Aron of each a Dram Vitriol of Mars or prepar'd Steel four Scruples Salt of Worm-wood and of Scurvy-grass of each a Dram with a sufficient quantity of Preserve of Wallnuts make an Electuary Let the quantity of a Nutmeg be taken twice a day drinking after it a Dose of an appropriated Liquour Take Roots of Male Peony Angelica red Coral prepar'd of each two Drams Sugar dissolv'd in water of Snails boil'd to a consistency for Tablets six Ounces Oyl of Amber highly rectified half a Dram make Tablets according to Art each weighing about half a Dram let one or two be taken twice or thrice a day drinking after it a Dose of an appropriated Liquour Take Roots of Virginia Serpentary Contrayerva Valerian of each two Drams red Coral prepar'd Pearls of each a Dram Winters-bark Roots of bastard Ditany of each a Dram Vitriol of Mars Salt of Worm-wood of each a Dram and a half Extract of Centory two Drams Ammoniacum dissolv'd in Hysterick-water what suffices make a Mass for Pills Let four Pills be taken in the Morning and at four in the Afternoon Take Spirit of Harts-horn or of Soot or of Mans Blood or of Sal Armoniack what suffices take from ten to twelve Drops Morning and Evening in a Spoonful of the Julape drinking after it a little draught of the same Take Leaves of Betony Vervain Sage Cuckow-flowers Aron Bur-dock of each two handfuls green Wallnuts in number twenty the Coats of six Oranges and four Limons Cardamoms Cubebs of each an OUnce being slic't and bruis'd pour to them Whey made with Cider or White-wine six Pounds let it distil according to Art The Dose is two or three OUnces twice a day after a Dose of a solid Medicine To two Pounds of this add of our Steel two Drams Take Water of Earth-worms and of Snails of each six Ounces of Wallnuts simple four Ounces Raddish-water compound two Ounces double refin'd Sugar two Ounces make a Julape The Dose is four or six Spoonfuls twice a day after a Dose of a solid Medicine Take Millepedes cleans'd a Pound Cloves slic't half an Ounce pour on them of White-wine two Pounds let them distil in a Gourd-glass the Dose is from an Ounce to an Ounce and a half twice a day We may prescribe for poor People Remedies more easie to be had after this manner Take Conserve of the Leaves of Rue made with an equal part of Sugar six Ounces Let the quantity of a Nutmeg be taken twice a day drinking after it a Decoction of the Seeds and Roots of Bur-dock made in Whey prepar'd of White-wine Or let a
Rising from her Bed at ten a Clock in the Morning she was well and carryed her self so well in her countenance walking and discourse that no man would have suspected that any thing ail'd her At eleven a Clock she began to complain of a Plenitude and as it were Inflation in the Brain and a Deadness of the Spirits with a light Scotomia by and by she felt in the left Hypocondre a mighty beating and Springing as it were of a live Animal I plainly felt this Motion by applying my hand to her side then a Retching and great Crying followed whereupon she was presently led to Bed and given to be held by a maid servant sitting on the Bolster This person clapping her Arms about the middle of the diseas'd held her very hard in her Lap during the Fit Moreover servants were at hand and relations standing about her who sometimes held her Hands and Arms sometimes prest down her Belly and Hypocondres which rise to a mighty Bulk still forcing upwards The chief Symptoms of the disease which being rais'd by turns divided in a manner the whole Fit were these two viz. Sometimes violent Convulsions of the Viscera infested her so that the Abdomen rising to a mighty Bulk withstood the hands of standers by prest against it that it could not be kept down and withal the Praecordia being drawn upward the Motion of the Heart and Blood was in a manner stop't For which space of time the Virgin hanging down her head with a weaken'd and no Pulse as it were lay Speechless and almost insensible After two or three minutes of an hour these Fits ceast And then the Sick raising her self look't round her chearfully and for some time converted the Impetus of the disease into Discourses and Songs both which she uttered most Pleasantly and Elegantly above her Natural disposition she past such Sayings and Scoffs on all persons about her that there is nothing in any Comedy to be met with more facetious then she would Sing most Sweet and Pleasant Tunes of Harmony such as neither any person else could Sing or herself at another time After the she had thus past about six or seven Minutes of an hour in Jesting and Singing she fell again into the Convulsions of the Viscera and Hypochondres and the loss of Speech as before And these remitting in a short time and the Impetus of the Spirits flying back from the inferiour Nerves to the Brain she gave her self again to the pleasantryes of Talking and Singing When at any time she discourst with the standers by if any thing that was Sharp or Ignominious were replyed by them she fell into more Violent and Lasting Convulsions of the Bowels After this manner she uses to be troubled with an alternate affect of the Viscera and Brain for about the space of an hour Then the Fit drawing toward an end the Convulsions of the Bowels becoming more gentle return'd three or four times with very little intermission Afterward these wholly ceasing the Impetus of the disease passes into the outward Members whence presently it wholly vanishes For the Arms and Legs undergo contractions and twitchings for a minute of an hour and presently after the diseased rising up comes off from her Bed and is free from all Convulsion till a new Fit returns nay and having an indifferent good strength walks up and down the house and during the interval of the affect cheerfully performs the usual Offices of Life still excepting that her Stomach being weak loaths food during the day time in the evening after the second Fit of the disease she eats a little supper About the beginning of this sickness of the Convulsions of the Bowels were much more violent and she lay Senseless with them and during their intervals she would talk absurdly Sing Songs out of tune and fall out a Laughing or Crying without any ground of reason But at length the Animal Spirits being forc't into lasting explosions perform'd them so regularly sometimes this way sometimes that as it was most proper that they seem'd to be done in some sort by the moderation and command of the will After I had been again to see this Lady having lain under these periodical Fits for many weeks I ordered that three hours before the second Fit ten Ounces of Blood should be drawn from the Vein of her foot whereupon the Fit expected in the Evening wholly left her nor did it ever return afterward But the other Fit obsrving its ancient course return'd daily till upon Bleeding a little before its coming the Patient was free of it that day which nevertheless returning the next day after followed her for many months according to the same form In the mean while because the winter cold was very fevere she delai'd for some time the use of Remedies But as the Spring came on the noble Lady being brought to Oxford was cur'd by the following Method In the first place I gave her this Purge and took care for it to be repeated every sixth or seventh day Take Sulphur of Antimony six Grains Mercurius Dulcis a Scruple Rosin of Jalap four Grains Ginger six Grains Let them be bruis'd together on a Marble then adding Conserve of Violets a Dram make a Bolus It was wont to make her Womit twice or thrice and to give her three or four Stools Her Menses constantly flowed from her at set time in a plentiful manner Wherefore her Blood seeming to be in great plenty and hot in the middle time betwixt the monthly periods I ordered Bleeding twice or thrice Moreover on all those days that she did not Purge she took four Pills of the following Mass Drinking after it a little Draught of the Julap beneath prescribed Take Roots of Male Peony half an Ounce of Virginia Serpentary Contrayerva and Bastard Dittany of each two Drams Mans Scult prepar'd a Dram and a half Elks Hoof a Dram red Coral prepar'd Pearl Powdred of each a Dram Salt of Wormwood two Drams Salt of Coral a Dram with a sufficient quantity of Syrupe of Male Peony flowers make a Mass Take the Waters of Male Peony Flowers Black Cherries and Wallnuts of each four Ounces the Antiepileptical Water of Langius two Ounces Syrup of Peony Flowers an Ounce and a half Castoreum tyed in a knot and hung in hte Glass a Dram mix them make a Julap When she began to loath the Pills omitting them she took twice a day viz. early in the morning and late at night about a Scruple of the following Powder in a spoonful of the Julap Drinking after it four or five spoonfuls of the same Take Bezoar Stone of both kinds White Amber Pearl prepar'd Red Coral of each a Scruple Mans Scull two Scruples Roots of Virginia Serpentary Seeds of Rue of each half a Dram mix them make a Powder let her take a Scruple Morning and Evening with a Dose of the Julap above prescribed Afterward when this also began to nauseate her she us'd Pills or
Sugar of each three Ounces Troches of Capers and of Rhubarb of each two Drams Salt of Wormwood and of Scurvy-grass of each a Dram Ivory Powdered Coral Calcined of each a Dram with a sufficient quantity of syrup of the Juice of Scurvy-grass Make an Electuary I use to prescribe the Conserves of the outward Coats of Limons and Oranges also of the purple Flowers of the Ash-tree of the Leaves and Flowers of Lady-smocks of the Roots of sharp pointed Docks and of English Rhubarb to be prepared with an equal quantity of Sugar which being mixt between themselves or with other Conserves and Species enter these kinds of Electuaries Take Conserves of the Yellow-coats of Oranges and Limons of Flowers of the Ash of each two Ounces Powder of the Roots of Contrayerva a Dram and a half of the lesser Galingal half a Dram Roots of Aron two Drams Species of Aromaticum Rosatum a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrupe of the Confiture of Nutmegs make an Electuary The Dose of these kinds of Medicines is the quantity of a Nutmeg drinking after it an appropriated Liquor To Rusticks and poor People by whom Medicines easily prepar'd and cheaper are desir'd I prescribe after this manner Take Leaves of Scurvy-grass and Brooklimes of each four Ounces double refin'd Sugar eight Ounces let them be bruis'd together in a Mortar adding Powder of Winters Bark half an Ounce Tartar Calcin'd with Nitre three Drams with a sufficient quantity of Spanish Wine let them be made into an Electuary The Dose is the quantity of a Nutmeg twice a day drinking after it an appropriated Liquor Take Leaves of Scurvy-grass a pound Raisins ston'd double refin'd Sugar of each half a pound Faecula of the Roots of Horse-raddish two Ounces let them be bruis'd together in a Mortar and made into the Form of an Electuary The Dose is the quantity of a Wall-nut twice or thrice a day Confections TAke Powder of Aron Roots compound an Ounce Winters-bark Powdred half an Ounce Species Diatrion Santalon Troches of Capers of each two Drams Salt of Wormwood and of Scurvy-grass of each a Dram and a half the Yellow Coats of Oranges preserv'd three Ounces let them be bruised together in a Mortar then add of double refin'd Sugar dissolv'd in a sufficient quantity of Water of Earth-worms three Ounces make a Confection according to Art Take Roots of Eringo and Scorzonera preserv'd of each two Drams Wallnuts preserv'd and Mirobalanes Condited of each in number two the Electuary of Sassaphras six Drams Powder of Cubebs and Cardamoms of each two Drams Powder of the Roots of Zedoaria and Angelica of each a Dram and a half Salt of Woormwood two Drams with a sufficient quantity of Syrup of the Confiture of Wallnuts make a Confection Take Powder of China Roots of the Wood Sassaphras of each half an Ounce Yellow and White Saunders of each two Drams Seeds of Rocket Cubebs Garden-cresses Grains of Paradise of each a Dram and a half Species of Dialacca Cinnamon Orrice the lesser Galingal of each a Dram Salt of Wormwood two Drams Conserve of the Yellow Coats of Oranges and Sugar of Rosemary Flowers dissolv'd in a sufficient quantity of Water of Snails of each three Ounces make a Confection according to art the Dose is the quantity of a Nutmeg twice a day drinking after it an appropriated Liquor In some cases of the Scurvy where the use of Steel is indicated either let three Drams of Steel prepar'd with Sulphur or two Drams of Vitriol of Mars be added to each of the prescripts either to the Confection or to the Electuary and after the taking of the Medicines once or twice a day let the body be exercis'd according as the strength will bear Powders TAke Powder of Aron Compound an Ounce and a half Winters Bark half an Ounce Cubebs Grains of Paradise Cardamoms of each two Drams Salt of Wormwood three Drams Tablets of Oranges three Ounces make a Powder the Dose is a Dram in an appropriated Liquor To the foresaid Powder add Kernels of the Indian Chocholate Nut half a Pound let them be brought into a Mass or Paste in a warm Mortar The Dose is two Drams after the manner that the confection of Chocolate is taken viz. in Fountain Water with the leaves of Rosemary or of Betony or the Root of Scorzonera or also the shaving of Ivory or of Harts-horn boyl'd in it Pills FOr those to whom a Medicine in a less Dose and in a form of Pills is more pleasing Take Roots of Virginia Serpentary of Contrayerva of each two Drams Winters Bark Cubebs Rocket Seeds of each three Drams Salt of Wormwood and of Scurvy-Grass of each a Dram and a half Extract or Rob of Juniper half an Ounce with a sufficient quantity of Syrupe of the Confiture of Nutmegs make a Mass The Dose is four Pills twice a day drinking after it an appropriated Liquor Tablets FOr nice persons let Tablets or Tragaea's be prescrib'd after this manner Take Powder of Winters Bark of Crabs eyes of each a Dram and a half Pearl powdred half a Dram double refin'd Sugar dissolv'd in a sufficient quantity of water of Earth-worms and Boyl'd to a Consistency for Tablets Six Ounces Spirit of Scurvy-grass two Drams make Tablets according to Art each weighing half a Dram. Let about half a Dram be taken twice a day drinking after it an appropriated Liquor Tablets of Oranges which are to be sold by the Oxford Apothecaries TAke Rinds of Oranges Limons Citrons preserv'd of each an Ounce preserv'd Eringoes half an Ounce Pine-Nut Kernels Fistick Nuts of each twenty Sweet Almonds blancht in number ten Annise Seed Powdred half an Ounce Ginger Candied two Ounces Species of Aromaticum Rosatum Nutmegs of each a Dram and a half Roots of Galingal a Dram Cloves in number ten Ambergreice four Grains Musk Civet of each two Grains double refin'd Sugar dissolv'd in Rose-water and Boyl'd to a Consistency for Tablets a Pound and a half make Tablets according to Art So much of Medicines which are wont to be given to Scorbutical Persons in a solid form or in a gross substance and that their vertue may be convey'd the better into the Mass of Blood and with more benefit Liquids are prescrib'd for the most part to be drank after them Though there be a great variety of these and a diversifyed way of their composition yet the chief and most usual are such as we have hinted before and of each of which we shall now give you forms Decoctions THough Decoctions are a very familiar kind of Liquid Medicines yet they are seldom us'd in the Scurvy because the Simples which chiefly do good in this Disease lose their vertues which they have from the volatile Salt by Boyling Nevertheless because remedies are easily and soon prepar'd after this manner they ought sometimes to be admitted nay and experience has shewn that some of them are efficacious For
Spirit of Blood Tincture of Antimony of Coral Decoctions of the Roots and Seeds of the great Burdock Ground-pine and Germander do excellently well and let those kinds of Remedies be taken twice or thrice a day with Antiscorbutick distill'd Waters A Water distill'd from Horse-dung with the addition of Scurvy-grass Brook-limes Ground-pine and the like is sometimes very profitable mean while let Fomentations Liniments Cataplasms or applications of other kinds which appease Pains be outwardly Administred Of the Scorbutick Gout moving from one place to another OF this Affect Eugalenus Wierus Medicus Campensis and Georgius Horstius have written peculiar Tracts If is said to be very Common in the Northern Parts of Belgia a certain token of which appears by putting a live Earth-worm to the place affected for its presently wont to spring bend and knit it self and to faint and dye which indeed I have found pretty often to happen in this Disease even amongst us which effect seems to proceed from the very sharp and as it were Corrosive Effluvia that plentifully flow from the place Pain'd and Swoll'n By Reason of the effect of that Experiment the Cure of the Disease is wont to be undertaken by Worms viz. by Remedies prepar'd of them though I know not whether being inwardly taken they will as certainly destroy the Disease as being outwardly applied they are dispatcht by it However Earth-worms as also Snailes Millepedes and other exanguious little Animals in as much as they abound with a volatile Salt often prove a pretty efficacious Remedy Henricus Petraeus tells us of two Remedies very much us'd in Westphalia against this Disease Take nine Earth-worms bruis'd with two Spoonfuls of Wine in a Mortar and strain'd through a Cloth to these let half a Measure of Wine be added let three Spoonfuls be taken at Morning Noon and Night for many days 2. Take two or three Branches of Savine Virgin Hony two spoonfuls boyl them with a Measure of Wine till it pitches two Fingers Let the straining be taken to four or five spoonfuls thrice a day To the former Medicine a certain vulger potion mentioned by Horstius called Monasteriensis is allied Take Sage Betony Rue of each five Leaves Earthworms with Circles about their Necks in number five a little Savine and Roots of Devils-bit in number two let them be bruis'd with Water of Elder Flowers and let the exprest Juice be given for raising a Sweat A like prescript also is propos'd in Forestus à Medico Campensi Certainly in this affect the Magistral Water of Earth-worms prescrib'd in the London Dispensatory is of excellent use And I have often given with good success the Spirit and Salt of Harts-horn Spirit of Blood and Flowers of Sal Armoniack Moreover teslaceous Powders viz. Crabs Eyes Coral Pearl and Vegetables which are accounted Antidotes against the Gout as Roots of round Broth-wort Leaves of Ground-pine Germander and the like being joyn'd with Antiscorbuticks conduce to the Cure of this Disease outwardly for appeasing Pains besides Anodynes which are us'd under the form of a Liniment Fomentation or Cataplesm Oyl of Earth-worms of Frogs and Toads are often very availing I have been told by a worthy Person who was very obnoxious to this Disease that Water drawn by Destillation from the Contents taken out of the Stomach of a Beefnewly kill'd and Cloaths being dipp'd into it when Warm and applied as a Fomentation would most certainly give ease Of Convulsive and Paralytick Affects that are wont to ensue upon the Scurvy IF at any time the Scrobutick taint passing into the Brain and Genus Nervosum greatly corrupts the Liquor residing in each Province thereupon divers kind of Affects and especially Paralytical or Convulsive are wont to arise viz. according as the Morbisick Matter brought in to be Animal Aeconomy is either Narcotick or Explosive Which kind of Affects though in this case they are Symptomatical yet when they are grown to a hight they challenge both the name and the better part of the Cure before the Scurvy their parent so that the diseased are said to be troubled with the Palsy or Convulsions rather than with the Scurvy also Medicines design'd against those Affects have the preference to any others at the same time required by reason of other intents For Curing these kinds of Affects hapning upon the Scurvy let this chiefly be observ'd that Remedies appropriated to those same be duly Complicated with Antiscorbuticks As to Convulsive Diseases the Remedies that are in the foregoing Tract may easily be Transfer'd hither And as to the Palsey Lethargy and many other Affects of the Brain and Genus Nervosum we shall discourse of them particulary in some other Tract Of the Atrophia also of the Scorbutick Fever which is often the Cause of the other or its Effect THere are three kinds of Causes having some orderly dependance on each other from one or more of which a Scorbutical Atrophia is wont to be produc'd without a Consumption of the Lungs viz. either the Chyle is perverted through the fault of the first passages so that a laudable or sufficient Store or it is not convey'd to the Blood Secondly or being brought into it yet through the fault of the Blood it is not duly chang'd into Blood and a nutritive Juice Thirdly and lastly the nutritive Juice prepar'd in the Mass of Blood is not duly assimilated to the solid parts through the fault of the nervous Liquor The Remedies appropriated to this Symptom regard either the amendment of the first Passages or the correction of the foresaid Humours As to the former it sometimes happens by reason of the Tone of the Stomach being broken or its Ferment being vitiated that the Food taken into it is not duly concocted but passes into an unprofitable Mass of Corruption For these sorts of evils let gentle Catharticks Digestives and Corroboratives be us'd But the work of Chylification is oftner hindred by reason of a Schirrous Tumour rais'd sometimes in the Ventricle sometimes in the Mesentery or in other adjacent parts In this Case Deobstruents and Dissolvents are proper the use of Spaw-waters has the preferance to any other Rinds of Medicines Moreover Fomentations Liniments or Plaisters ought to be outwardly applyed Again it sometimes happens that without any Tumour rais'd in the Viscera the Lacteal Vessels are so much obstructed by a gross and viscous matter sticking in them that a sufficient store of the Chyle though it be laudable enough and plentifully prepar'd is not convey'd into the Blood In this affect the Belly for the most part discharges Excrements plentifully but they are White like coagulated Milk and not as other Excrements ting'd with Choler or Stinking The reason of which is that the Blood being depauperated more sparingly engenders Choler from the eflusion of which into the Intestines the Colour and Stink of the Excrements proceed In this case Spaw-waters are chiefly proper also Deobstruents being inwarldly given let Liniments Fomentations and Baths be outwardly us'd
through their own fault in as much as being spent or affected with a stupefactive force they are congeal'd as it were or because their Paths or tracts are obstructed in the outward part of the Brain and are possess'd by a strange guest so that they have not a space granted them fit for their expanson The chief Symptoms of this Disease are Sleep and Forgetfulness a cessation of every other knowing or spontaneous function an uneven and slow respiration a Fever and often the affect growing worse Cramps leapings of the Tendons and lastly universal and mortal Convulsions The prognostick of the Lethargy is included in very narrow bounds for the Fit of the Disease being for the most part acute is soon terminated in Death or a Recovery and most commonly is wont to give more cause of fear than hope If it happens upon a Fever that is malignant or of a difficult determinations or if upon other cephalick or convulsive Diseases as the Head-ach Frensy Mania Epilepsy or also if on a long continued or severe Cholick or Gout the Physician can prognostick nothing but ill nor is it less to be fear'd if it happens in a cacochymical Body or in one long subject to sickness and in old age In like manner it is an ill Omen if the Diseas'd being presently overwhelm'd with a great deadness and becoming almost Apoplectical cannot be awak'd if he breaths unevenly and flowly or with great snoarings Moreover if the Disease growing worse and worse the sick Person be affected with Tremblings Cramps leapings of the Tendons and lastly with convulsive motions he is to be look'd upon as in a desperate condition But if the affect without any great Procatarxis be rais'd by an evident Cause alone as from over-eating drunkenness the use of Narcoticks or from a stroak or wound of the Head that are not very dangerous we may expect a less fatal event Moreover if the affect arising on such an occasion happens to a Body which was sound and robust before if at the first invasion it does not wholly take away the Sense and Memory and after a little time the symptoms begin to remit we may not despair of such a sick Person In any Lethargy if the cause of the Disease seems somewhat to be shaken and mov'd so as plentiful and laudable evacuations by Sweat Urine or Seige happen by the help of Medicines or by the instinct of Nature and give ease if upon the application of Vesicatories a great glut of filthy Waters flows forth if inflamed swellings or great pushes arise behind the Ears or in the Neck if a great sneezing with a dropping at the Eyes or Nose shall happen we may thence conceive some hope of recovery And sometimes an Empyema hapning upon a Lethargy puts an end to it viz. inasmuch as the morbifick matter which was fix'd in the Head and first caus'd the Lethargy being afterward drank up again by the Blood and depos'd in the Breast produces the Empyema In the description of the Epidemical sleepy Fever which reign'd An. 1661. we have observed that this hapned to many Concerning the Cure of this Disease since it allows no truce we must not be long deliberating After the injection of a smart clyster presently let a Vein be open'd for the Vessels being emptied of Blood more readily drink up again the Serum or other humours depos'd in the Brain Moreover I advise in this case the Jugular Vein to be open'd rather than a Vein of the Arm because by this means the Blood very much heap'd together and haply stagnating within the Sinus's of the Head will be more easily reduc'd to an even circulation After Bleeding other Remedies of every kind are presently to be applied to use let large Visicatories be applied to the Neck and Legs the Faces and Temples are to be anointed with Oyl of Amber or Cephalick Balsams let Cataplasms of Rue Pepperwort or Crowfoot well pounded together with black Soap and Sea-Salt be applyed all over the Feet let smart frictions be us'd to the Limbs let Salt of Vrine or Spirit of Sal Armoniack be frequently held to the Nostrils In the mean while let Cephalick Remedies be now and then taken Take Water of Peony Flowers Black Cherries Rue Walnuts simple of each three ounces compound Peony Water two ounces Castoreum tyed in a Nodulus and hung in the Glass two drams Sugar three drams mix them make a Julep let four or five spoonfuls be taken every third or fourth hour moreover to each dose of this add from twelve to fifteen drops of Spirit of Harts-horn Amber or Sal Armoniack or a paper of the following Powder Take Powder of Male Peony Roots Mans Scull Roots of Virginia Serpentary Contrayerva of each a dram Bezoar Pearl of each half a dram Coral prepar'd a dram make a Powder divide it into twelve parts Moreover it is here to be considered whether a purging by Vomit or Seige ought not to be ordered just at the beginning I know that this is variously controverted amongst Authors and I have known it us'd in practice with a various success which being considered and compared betwixt themselves I shall briefly declare what is my opinion If a Lethargy has arose from a fresh over-eating or being drunk or if from taking improper and narcotick things presently let a vomit be raised Wherefore let Salt of Vitriol be given with Wine and oximel of Squils or in robust Persons an infusion of Crocus Methallorum or Mercurius Vitae with Black-Cherry Water and afterward unless it works of its own accord let a Vomit be provoked by thrusting a Quill into the Throat But if the invasion of the Disease happens upon a Feaver or other Cephalick affects or if it be raised primairly or per se by reason of a Procatarxis first laid in the Blood or in the Brain Vomits and Purges given presently at the beginning whilst the matter is flowing are wont oftner to do more hurt than good to wit inasmuch as whilst the humours are in motion those Medicines more exagitate them and since they are not yet able to subdue them and lead them forth they drive them into the part affected On the second day if the dead sleepiness be not yet remitted let bleeding in case the Pulse indicates it be repeated or in its stead let Blood be taken away in the Shoulder-blades by Cupping-glasses after Scarification Then a little afterward let an Emetick Medicine if nothing prohibits it or a Cathartick be given Take Sulphur of Antimony five grains Scammony sulphurated eight grains Cream of Tartar six grains mix them make a Powder let it be given in a spoonful of the Julep prescribed Or Take Scammony sulphurated twelve grains Cream of Tartar fifteen grains Castoreum three grains make a Powder give it after the same manner Mean while let the same or the like altering or deriving Remedies be still continued On the third day and afterward those things which at the beginning of the Disease were
In this case tho declaring a sad Prognostick however I did not forbear to use Physical means abstaining from Phlebotomy by reason of his strength being much spent and his Blood depauperated I presently ordered a large Vesicatory to be applied to his Neck and a smart Clyster to be given him of a decoction of Briony Roots with Carminative Flowers and Seeds adding likewise two drams of the species of Hiera His Temples and Nostrils were anointed with Balsams Cataplasms of Rue and Briony Roots were applied all over his Feet Moreover every other or third hour I gave him a dose of Spirit of Harts-horn with a Cephalick Julep and many other administrations usual in this case were carefully put in practice To which nevertheless the Disease not at all yielding the day following I prescrib'd him a Purge of Scammony prepar'd to be taken in a spoonful of Broth After which when he had frequently and freely Purg'd he began to open his Eyes to speak and to know standers by and a little after coming to himself he fully awaked This Disease as I ghess was therefore cur'd more easily and sooner than was hop'd because that cloud sent haply into the Brain by a Medicine could the better be drawn thence by the help of another Medicine A renowned man fifty years of age of a gross Body and formerly abnoxious to a Vertigo and asthmatick affects had lived very sound for two years having used Physick Spring and Fall and having a large Issue near both Shoulder-blades At the beginning of Summer he living in the Country and his Issues being neglected for many weeks the filth which was wont to be purg'd forth ran much less from them yet he was still in good health till about the Solstice when as he was sitting one morning in a Porch and talk'd cheerfully with his friends arising on a sudden he complained that he was ill going in a doors and setting himself down in a Chair he vomited very much then presently leaning to one side he fell into a profound sleep and lay so overwhelmed with it that he could scarce be raised from it all that day Coming in the Evening I ordered Blooding a Clyster Vesicatories and many other Remedies proper in such a case carefully to be administred The next day after his Brain began to grow a little clear so that he looked about and spake distinctly a few words Seeming to know his Friends he could tell no ones name but by reason of this matter sinking deep in the Brain a Palsey of the whole right side seized him Moreover a mighty sleepiness yet persisting on that day Blood was taken from the other Arm Other Remedies also being continued as before on the third day becoming less drowsie he began to know many and to call some by their names to perceive his illness and to be sollicitous for Remedies But whilst the Brain grew better the injury communicated to the Cerebellum and Genus Nervosum discovered it self for on the fourth day his breathing became uneven and difficult and his Pulse weaker Moreover he was often affected with a shivering and a Convulsive concussion of the whole Body On the fifth day the Cramps and Convulsions becoming more violent oftner infested him then the Pulse growing weaker by degrees on the sixth day tho more free from sleepiness he dyed In this and other the like cases it 's probable that the morbifick matter invades the Brain and Cerebellum together but whilst it sticks in the Cortex of this contrary to what happens in the Brain it causes no very sensible injury because here the parts offended are neither the seats of sleep nor memory but afterward haply about the fourth or fifth day the matter sinking further to the Medulla of the Cerebellum whilst as to other things the Diseased was better the Vital function by reason of the Spirits appointed for it being opprest in their very source began to fail and afterward declining on a sudden unexpectedly cut off all hope of recovery which before was great CHAP. IV. Instructions and Prescripts for curing the Watching Evil and the Watching Coma. AS Light and Darkness so Sleep and Watching being set together excellently illustrate each others natures Concerning a continual waking or the Watching-Evil we must in the first place here distinguish that either it is a symptom which happens upon some other Disease as a Fever Frensy Mania or Colick Gout and the like and then its consideration and cure belong to that affect whose offspring it is or else immoderate Watchings arising alone with out any other known cause seems to be a Disease as it were of it self as I have known it in some Persons and some of these Watchers tho destitute of Sleep seem scarce to want it For the Spirits appear not thereby either torpid or wearied or exhausted but others bearing ill watching soon become thereupon languid and lose their Stomacks and are forc'd to have recourse to Opiats which sometimes they use daily and in a large dose without hurt We have intimated before that the cause of natural waking which has Sleep interlaced with it consists in these two things viz. in one of them or both together To wit first that the animal Spirits being sufficiently refresht and freed from the fetters of the Nervous Liquor vigorously exert themselves and are expanded every way and especially from the middle part of the Brain to its circumference then secondly tho they enjoy a clear space every where and especially in the outmost part of the Brain being then free from the incursions of the Nervous Juice yet lest this expansion of the Spirits which is being awake be any where protracted longer than is fitting to their too great loss both the Spirits being now and then weary flagg and as it were repose themselves of their own accord and withall the Nervous Liquor coming to overspread the Cortex of the Brain stuffs and closes their Passages Hence it follows that preternatural and immoderate watching depends also on one or both of those two for either the Spirits being two exhorbitant and struck as it were with a rage do not retreat of their own accord and withall the Nervous Liquor does not so fill and stop the Pores of the outward part of the Brain that the Spirits may be forc'd thence inward to a repose Types of both these every where present themselves to be observed And first we may observe that the Animal Spirits becoming sometimes exhorbitant and so elastick or otherwise irregular cannot only be appeased and repose themselves but are scarce able to be contained within the proper Sphere of their emanation Wherefore being expanded in a continual watching they so fill the Brain and keep it extended that the nervous Juice tho heapt together in a great plenty at the entrance cannot be admitted and if the Spirits are recall'd inward from the Cortex of the Brain for that to enter presently being there restained or making a tumult within the midst
somewhat waver so that the Diseased fall down and are often offuscated with Darkness In a fit of this it is to be observed that the Imagination and common Sense are in some sort deceived whilst they think the Objects that stand still do move but the rational judgment holds good for we know our Errour That the morbifick cause of the Vertigo and the preternatural way of its hapning may be known we must enquire after what manner the same affect how suddenly soever it comes upon us is wont to be raised by non-natural things for by a long turning round of the Body by looking from an high place passing over a Bridge by sailing in a Ship or going in a Coach by Drunkenness or taking Tobacco and certain other ways Persons every where become Vertiginous or contract a Giddiness which Affect those occasions produce in as much as the animal Spirits being greatly disturbed in their set Series and orders are both moved loosely and in a disorderly manner this way and that within the Passages of the Brain and break off certain Lines or Threads as it were of their wonted irradiation into the genus Nervosum for those two things being in a manner always reciprocal mutually succeed and depend on each other viz. the Perturbation of the Spirits within the middle of the Brain and their letted emanation into the genus Nervosum On whatever cause either affect is produc'd presently the other follows A turning round of the Body being carried in a Coach or Ship also Drunkenness an unusual taking of Tobacco force the Spirits to fluctuate or to reel disorderly in the Brain which thereupon are presently hindred from their due emanation into the Nerves so that the Persons affected are scarce able to stand or go In like manner a looking from an high place passing over a Bridge a Fainting or Swoon seizing us recall the Spirits from their wonted emanation into the genus Nervosum which therefore falling in a tumult or being disorderly mov'd within the Brain cause a Scotomia or a running round of Objects these things being thus premitted concerning the Vertigo rais'd by reason of some accident or by some evident solemn and non-natural cause we must now enquire how and after how many ways it is wont to be produc'd by an intrinsecal and preternatural cause Concerning this you may observe that the Vertigo is sometimes a symptom depending on some other affect seated sometimes within the Brain sometimes without it but that sometimes it is a Disease by it self which being raised within the middle of the Brain is very troublesome and often terrible and difficult to be cured As to the former many Diseases of the Head viz. an acute Pain the Lethargy Epilepsy Carus Apoplexy with many others have often a Vertigo joyned with them viz. inasmuch as an even expansion of the Spirits in the Brain and their irradication thence into the Genus Nervosum is lightly disturbed from those various morbifick causes Moreover this symptom is wont sometimes to be produced by reason of other affects seated far from the Brain and that chiefly after two manners For first it is usual for a Scotomia to arise by reason of the afflux of Blood call'd on a sudden from the Brain as in a swoon and great fainting in great hunger hard labour a very great hemorrhagy long fastings violent passions of fear or sadness nay through other occasions if at any time the motion of the Blood fails or faulters in the Heart so that the affected are ready to fall into a fainting of the Spirits presently because the supply of the Vital Liquor is withdrawn the Animal Spirits also failing in the Brain withdraw their irradiation from the Genus Nervosum For their Head-spring being cut off those that remain flying back from their emanation run to and fro confusedly in the Brain and raise vertiginous and often delirous affects Secondly a disorderly retreat of the Animal Spirits from some one of the Viscera or some outward member into the Brain often causes a Vertigo viz. inasmuch as the Spirits being troubled in a long series from the Part affected by the Ductus's of the Nerves at length trouble others inhabiting the middle part of the Brain and force them into the like disorders for this cause it is that sharp humours twitching the Fibres of the Stomach and that often an offensive and irritative matter stirr'd in the Spleen Pancreas or Intestines and an acute pain Ulcers c. in the Foot or Arm often cause light Scotomias in the Brain But the Vertigo is not only a symptom but sometimes is a disease primarily and of it self for the through understanding of the nature of which we must enquire into its subject formal state and causes The Immediate Subject of the Vertigo are doubtless the Animal Spirits which every person troubled with this affect perceives to be very much troubled and to move about in a confused manner but the mediate subject are those parts of the Brain in which Imagination and common sense reside and whence the next way leads into the Genus Nervosum Now these are the Corpora Callosa and Striata For the Animal Spirits love to expatiate themselves within these medullous Bodies and when they smoothly flow in one series from the two extremes attending the Corpus Callosum viz. from the Corpora Striata and Gyri of the Brain towards its middle part they represent pleasant imaginations and fancies and when in another series and haply by other Pores they flow from the midst of the Corpus Callosum into the Gyri of the Brain they carry thither the signatures of notions for the memory and when they direct themselves thence into the Corpora striata and origines of the Nerves they actuate all the moving parts and as often as there is occasion convey to them the Instincts of setting upon motions Now in a Vertigo those even emanations of the Spirits seem to be intercepted in various places and to be diversly perverted for some files of the Spirits are rendred obscure others are wrested another way and are driven this way and that into Gyri and Vortex's and often are forcibly drawn cross-wise wherefore by reason of the Spirits being so troubled in the Brain confus'd fancies erring and unconstant species of sensible things or turnings round of them are represented And then according as the Irradiation into the Genus Nervosum is lessen'd or stopt a Scotomia and sailings and faulterings of the locomotive function ensue It seems probable that such disorders of the Spirits depend on two causes viz first that some exorbitant and extraneous particles being entred the Brain deeply together with the Nervous Juice cleave to the Spirits and force them into irregular motions it being manifest to vulgar experience that this happens to some persons after immoderate drinking of Wine or Strong Waters unusual smoaking Tobacco the eating of certain Vegetables an anointing with Mercury c. Secondly we may imagine that sometimes
morning and evening drinking after it of the following water two or three ounces Take roots of male Peony Angelica Master-wort of each half a pound roots of Zedoary the lesser Galingal of each an ounce leaves of Mistletoe of Apple-trees Rue Sage Betony of each four handfuls the outward coats of ten Oranges and eight Lemmons Cardamums Cloves Nutmegs of each half an ounce all being slic'd and bruised pour to them of White-wine in which two pounds of Peacocks dung hath been infused for a day ten pounds let there be a close infusion for three dayes then distill it according to art let the whole Liquor be mixt Take species Diambroe two drams powder of the roots of male Peony choice Zedoary of each a dram and a half Pearl a dram Oyle of pure Amber half a dram double refined Sugar dissolved in Peony Water and boyled to a Consistency for Tablets six ounces make Tablets according to art weighing half a dram let the Patient eat one or two often in a day at pleasure Within fifteen or twenty dayes the Remedies that they may be less loathsome and more advantageous ought to be changed therefore instead of the Electuary give for a fortnight or three weeks sometimes Spirit of Sal Armoniack saccinated or coralliated or impregnated with Mans Scull or Castoreum sometimes the Elixir of Peony or the tincture of Amber or Coral or Quercitans Elixir of Life mixtura simplex Also instead of the compound Waters let them take either the Water of black Cherries or of Walnuts or of Rosemary or of Lavender simple sometimes a draught of Posset-drink with the Flowers of male Peony or of Lillies of the Vallies boyled in it or a draught of Tea or Coffee in the Morning those Ingredients being first boyled in the Water of which it is prepared or let a Confection of Chocolate be made after this manner Take powder of the Roots of male Peony mans Scull prepared of each half an ounce Species Diambrae two drams make a Powder to every paper of which add Cocao-nut-Kernels a pound Sugar what suffices make a Confection let half an ounce or six drams of this be taken every Morning in a draught of a decoction of Sage of Peony Flowers or the like Take Powder of the Roots of male Peony mans Scull prepared of each an ounce and a half Roots of choice Zedoary bastard Dittany Angelica Contrayerva of each two drams make a subtle Powder of all of them add the yellow Coats of Oranges and Limons preserv'd of each two ounces let them be bruised together to a Powder let about half a dram or a dram be taken an Hour before and after meals For ordinary Drink let a Vessel of four Gallons be filled with midling Ale in which boyle the Leaves of white sweet-smelling Hore-hound dryed six handfuls Anacardiums Cardamums of each an ounce and a half being slic'd and bruised make a Bag. But especially let an exact form of Dyet be observ'd Let a temperate dry and well ventilated Air be chosen let food only of an easie concoction and light be eaten let the Supper be spare or none at all let sleeping at noon drinkings and other ill accustomances about nonnatural things be shunned I might here instance several stories of Apoplectical persons viz. of some who tho seiz'd once or twice are still living and of others kill'd by the first or second or afterward at the third Invasion The Right Reverend Father in Christ Gilbert Lord Arch-bishop of Canterbury lives still who escap'd above six years since from a severe Apoplectick fit God to whom ever be praise giving success to Physical endeavours and from that time tho he has now and then undergone light touches of the Disease yet he has never been so prostrated by it as to become speechless or insensible But it 's to no purpose to dwell long in setting forth this and other examples in regard they contain nothing very rare whence the Aetiology of the Disease may be illustrated I have dissected some dead Bodies but they were in a manner only of such Persons as were seiz'd Apoplectical after the Head being greatly hurt as by a stroke or a fall in all which the Blood extravasated or an Abscess was the cause of Death As to the opening of Persons dead of an habitual Apoplexy we are most commonly hindred by Friends who expecting their revival both delay the Interrment and wholly forbid Anatomy But I shall give you here one notable Anatomical Observation made about five years since at Oxford An ancient Divine an honest and pious man of a gross Body and having a short and full grown Neck being long ill-dispos'd in his health and leading a sedentary life had contracted a very Scorbutick Cacochymia being affected with a difficult and pursy breathing and with an unwonted heaviness and drowsiness of his Head he was scarce able to perform any thing of labour or exercise but to go and come daily from his Chamber to the Chappel and Refectory On a certain morning entring the Chappel a little before Prayers as he set himself on his knees being struck on a sudden and presently becoming speechless and insensible he fell on the ground but being forthwith rais'd up and his Cloaths taken off he was put into a warm Bed My self and other Physicians being call'd and coming as quick as might be we found him not only without Sence Pulse and Respiration but cold and absolutely stift throughout his whole Body Nor could he be brought to life or to a heat by any Remedies or ways of administration tho applied with all diligence for some time Whence we imagin'd that from his first being struck the beat of the Heart was wholly stopp'd and its flame being extinct that presently all motion of the Blood was suppressed The next day after we opened the Body it appearing to be quite dead and stiff nothing doubting but very clear footstepts of an affect so suddenly mortal left within the Brain would shew themselves to the eye but neither there or in any other part was there remaining so much as any shadow of the Disease tho very violent the vessels irrigating the Meninges were indifferently fill'd with blood but without any inflammation or extravasation the Brain Cerebellum and medulla oblongata with all their processes and prominences appear'd every where firm and well-coloured throughout both within and without neither was there Serum nor extravasated Blood heapt together any where within their Pores and Passages nor also within the greater Ventricles nay and the plexus choroeides plac'd both within the Cavity of the Brain and behind the Cerebellum seemed free from all fault so that the morbifick matter being as fine and subtle as the Spirits which it affected remained wholly inconspicuous and we could only argue its presence there from the effect Nevertheless lest it should lye hid elsewhere without the Head after having accurately inspected all the Contents of the Brain we came to the Thorax where the Lungs
let a gentle purge sometimes and letting blood in a small quantity if the strength will bear it frequently be used for the same pursose and likewise for deriving Faeculencies from the Brain Issues are proper in the Arm or in the Leg or together in both in gross Bodies and such as have a moist Brain it is good sometimes to cut two by the Shoulder blades Moreover it is on this account that some mightily extoll trepanning to wit whereby the Brain may transpire and evaporate the more freely let the diet belight and attenuating the Habitation in a free and dry Air the Sleep moderate After that these things have been used for some time and in a solemn manner if there be found no change it will be in vain to waste any more physical Oyle and Labour but if after the use of those things signs of benefit or some hope appear sometimes it seems proper to add altering Remedies to be taken daily at Physical hours for a long time Forms of these may be taken from our curatory part of Physick before delivered for removing the Procatarxes of most Cephalick Diseases Moreover I have thought good to add here besides some Magistral Receipts which particularly regard this case Take Spirit of Armoniack succinated six drams give from fifteen drops to twenty in the Evening and early in the Morning in three spoonfuls of the following distilled water drinking after it seven spoonfuls of the same Take fresh leaves of mistletoe growing on Apple-trees six handfuls Sage Rosemary Savory Wild-time Calamint Penny-royal Marjoyam the greater Rochet of each four handfuls roots of Angelica Master-wort of each six ounces Zedoary the lesser Galingal Calamus Aromaticus Winters bark of each two ounces Cloves Nutinegs Mace Cinnamon Ginger of each an ounce Cubebs Cardamums Grains of Paradise of each six drams all being slic'd small and bruised pour to them of the best Canary wine twelve pounds let them digest cold and in a close Vessel for three dayes then distill them according to Art let the whole Liquor be mixt and sweeten it with Sugar as you use it the Dose is two or three ounces After the use of Spirit of Armoniack for fifteen or twenty dayes let other Medicines have their turns for about the same space of time such as are the Spirits of Soot Harts-horn mans skull the tincture of Coral Antimony Castoreum Amber Quercitan's Elixir of Life Elixir Proprietatis Spirit of Lavender c. Or Take Conserve of the flowers of Lillies of the Valley six ounces roots of Aromatick-reed preserv'd six drams Ginger condited in the Indies Nutmegs condited of each half an ounce Species Diambrae two drams Lignum Aloes yellow Saunders roots of choice Zedoary Cubebs Jamaica Pepper of each a dram and half Coral prepar'd two drams Syrup of the Preserve of Ginger what suffices make an Electuary the Dose is two drams morning and evening drinking after it three ounces of the distill'd Water Let those whose Brains abound with too much moisture drink every morning a draught of Coffee with the leaves of Sage first boyled in it to those whose animal Spirits are effaete and depauperated the drink of Chocolate such as before describ'd seems profitable For ordinary drink prepare small Ale or Beer and in a Vessel of three or four Gallons let the following Bag be put after it has wrought Take leaves of Salvia acuta dried four handfuls Cubebs an ounce Cloves Nutmegs being slic'd and bruis'd mix them according to art Outward Applications have place here or which kind are a Cucupha or Cap Plaisters and Liniments and sometimes let these sometimes those or the others be us'd Take Flowers of Lillies of the Valley Rofemary and Staechas of each a handful Celtick spike two drams Roots of Cyperus the lesser Galingal Florentine orris of each three drams Labdanum Benzoin Balsam of Tolu Amber of each two drams Nutmegs Colves Mace Cinnamon of each a dram and a half make of all a jubtle powder and sew it into a cap interlacing it with Cotton Take of the Plaister call'd Flos Vnguentorum two ounces Tachamahacha Ceranna Balsam of Tolu of each three drams powder of Amber and Myrrhe of each two drams Cloves Nutmegs Mace of each a dram being melted together let them be made into a mass of which let a Plaister be made to be spread on Leather and to be apply'd to the Head shav'd Take Oyle of Palm half an ounce oleum Capivii three drams Balsam of Peru a dram oyl of Nutmegs by expression two drams oyl of Amber half a dram make a liniment for the Head I could add here many other Medicines and wayes of Administrations but let these suffice in a Case almost desperate where most commonly no Remedies do good and the Cure is never perfected CHAP. XIII Instructions and Prescripts for curing the Gout AMong the Diseases of the Head and Genus nervosum we justly rank also certain Affects which are wont chiefly to infest the Feet and Belly to wit the Gout and Colick For we may conclude from the primary symptom viz. Pain that the Seats of both are in the nervous parts I shall speak in the first place of the for mer. The Gout most commonly is wont to arise about the Internodia of the Bones of the Feet tho often it happens in the Joynts of the Hip Knee Elbow Shoulder Wrist Ancle and of other Parts The Fits of this Affect which in a manner is always intermittent either seize at random or periodically which ending sometimes sooner sometimes later good lucid Intervals ensue presently upon the first invasion Pains for the most part arise without any swelling tho afterward about the height of the Disease the Part affected often swells the Pains about the beinning scarce yield to any Remedies but are wont to be very much exasperated by Catharticks and not presently to be driven away or asswag'd by Topicks the Fits most commonly seize on a sudden and without a precious affect tho sometimes it has a fore-running effervescence in the Blood or a little Fever The Disposition to this Disease sometimes is Hereditary sometimes acquir'd through an ill Diet the Occasions or Causes which being wont to actuate the Disposition raise the Arthritick Pains are some violent alterations or Passions inflicted on the Humours and Spirits Hence Surfeiting immoderate drinking especially of acid and thin Wines Transpiration letted Anger immoderate Venery Sadness also the Revolutions and great changes of the Year and Air every where bring Fits of this Disease those that are obnoxious to this are also in danger of being sometimes troubled with the Stone or Gravel in the Kidneys and on the contrary moreover the Gout increasing gathers together every where about its chief Seats to wit the Joynts a calculous matter and there raises a tophous mass The Parts affected upon the twitching of whose Fibres the Pains are raised for the most part are the Periostia or the Membranes covering the heads of the Bones also the Tendons and
beginnings of the Disease the reason of the difference seems chiefly to lye in this viz. that in some gouty Persons who are yet firm in the Constitution and Tone of the Humours and the containing Vessels and whose Joynts are not yet weakned as often as the Blood and Nervous Liquour are troubled by a medicine their Superfluities and Recrements are not presently precipitated into the Minera of the Disease but yielding to the Medicine irritating and stirring them they are drawn from the Mouths of the Arteries into the Cavities of the Intestines and mean while the emptied Vessels withdraw or drink up again a part of the morbifick matter but on the contrary in tender and weakned constitutions upon the gentlest commotion of a Medicine the Recrements of both humours fall into the Place troubled with the Gout To those therefore with whom purging agrees it ought to be ordered with a strong and exagitating Medicine for this purpose are vulgarly famous the Electuary Caryocostinum Syrup of Buckthorn compound Powder of Hermodacts Pilul ex duobus Pil. Rhasis which if we may believe the Authour will make such as are not able to goe presently to walk about Take of the best Aloes half an ounce red Roses two Scruples Hermodacts pill'd a dram and a half Diagridium a dram Honey of Roses what suffises make Pills Rodericus a Fonseca wonderfully extolls the roots of black Hellebore and amongst other things an Apple with the Fibres of it stuck in it to half a dram rosted under the Embers and eaten Take Calomelanos a Scruple Rosm of Jalap three grains or of Scammony three grains Oyle of Cloves a drop Balsam of Peru what suffises make three or four Pills for one dose In purging what Solenander prescribes happily may be of some moment viz. by putting a Plaister or some other defensive Medicine on the place to hinder the falling of the humour to it Vomiting with those with whom it uses to be safe and easie does well also in this Disease for which end the Emetick Tartar of Mynsicht Sulphur of Antimony its Flowers Mercurius Vitae Vinum Emeticum Gutta Gamba may be given Moreover in a Fit of the Gout Powder of Stones Bones and Shells and also of smart Vegetables do good which being said to be the Antidotes of this Disease subdue all Particles and fermenting with them mortifie them as it were and at length being subjugated send them forth by Urine or sweat Take compound Powder of Crabs Claws two drams Ivory Roots of bastard Dittany Roots of male Peony of each a dram Lignum Aloes yellow Saunders of each half a dram make a Powder let it be taken from half a dram to a dram either by it self in a Spoonful of red Poppey water drinking after it six Spoonfuls of the same or let it be made into a Bolus or Pills with Venice Treacle or Venice Turpentine what suffises the dose is a dram twice a day drinking after it of the distilled water beneath prescribed two or three ounces Or Take of the same Powder six drams conserve of Clove-gilliflowers and Betony Flowers of each an ounce and a half Diascordium two drams Syrup of Maeconium what suffises make an Electuary the dose is a dram to two drams Evening and Morning Mean while that these things are done for withdrawing elsewhere the morbifick Matter which would flow into the places affected or for sending it forth let altering and qualifying Medicines likewise have their turns which may appease the Turgescencies of the Blood and Nervous Juice and stop the fluxions of the Recrements falling from them for this end a thin diet and a drinking of Water if it be proper being ordered let Emulsions Juleps Apozemes of mild things and Anodines be prescribed As to what concerns the other Scopes of curing viz. the discussion of the Minera sticking in the Parts and the mitigating the excandescencies of the Fibres and Spirits we must insist first on this latter without the performance of which we cannot answer the other intent for this end therefore it is expedient to use both outward things viz. Topicks of various kinds and inward things viz. Hypnoticks There being a vast number of Topicks they either being only Anodines have regard to the Pain it self or levelling at this together with the Tumour they are either Repercussives or Resolvents and Discussers there are various Forms and Wayes of Administrations of every kind of these but those of cheifest use are wont to be Fomentations Cataplasms and Plaisters we shall set down some of the most noted of these and first Anodyne Applications which moderate the Fibres and appease the Spirits by a certain soothing for this use a Cataplasm of Milk and Crum of Bread or of those things with the poúndings of the Leaves and Roots of Mallows and Althea and the like are every where in common Practice with the Vulgar Others commend a Cataplasm of fresh Cow-dung applyed warm Take Water of Night-shade or of the Spawn of Frogs of each six ounces Saccharum Saturni a dram mix them let linnen Cloaths dipt in this be applyed warm Take of red Lead three ounces distilled Vinegar two pounds digest them for many dayes let either this Liquour by it self or a Water drawn from it by distillation be used for a Fomentation Also a distilled water made of the Tincture of Verdigrease distilled in Vinegar often appeases Pains I was told by a Gentleman often troubled with a severe Gout that he in the cruel Tortures of that Disease had always present ease from a Fomentation with a Water distilled from the contents of a Bullocks paunch newly killed Against extream Tortures of the Gout outward Narcoticks sometimes ought to be used Take Leaves of Henbane and Hemlock of each three Handfuls let them be put into boyling Water and as soon as they grow tender let them be taken forth to which being bruised add Powder of the Flowers of Cammomil about two drams the yolk of one Egg make a Cataplasm Or Take Tincture of Saffron made in Spirit of Wine four ounces Camphire and Opium of each a dram let there be a close and warm digestion till they are dissolved let the part that pains be anointed with this Liquour there are innumerable Medicines of this kind every where to be found in Books of Physick and are every where wont to be prescribed by every vulgar Person which likewise may suffice for fulfilling the other intent to wit the repercussion of the Humours if at any time it seems to be indicated As to what regards resolvent and discussing Topicks such are not required which only open the Pores that the Serum may evaporate and the Blood may be restored to Circulation as in a Phlegmon or Aedema but whose saline Particles being destinated for strongly assaulting the saline Particles of the Arthritick Minera may either draw them forth by laying hold of them or by precipitating them keep them from their Pain causing Effervescencies wherefore in this Disease when Fomentations or
Cataplasms of Chammomil Mallows Marshmallows Linseed and Faenugreek seeds do little or no good nay often much offend the nervous parts by relaxing them the Dissolutions or Stillatitious Liquours of Sal Armoniack Sea-salt Nitre Vitriol quick Lime and the like which in other Humours and Pains are always offensive are wont to prove very beneficial Of these kinds of Liquours to be applyed to the part pained in Fits of the Gout several are prescribed by Quercitan Crollius Hartman and other Chymists which since other famous Physicians upon frequent tryals have approved off we conclude them to have given relief for the foresaid reason I need not repeat here the forms of these as I could suggest many other Preparations of the same sort I shall here only add one or two Take Salt of Tartar and Armoniack powdred of each two ounces dissolve them in four pounds of Rain-water or Fountain-water let it be used luke-warm with Linnen-Cloaths dipt in them Take spirit of Vitriol not rectified a pound Sea-salt calcin'd and powdred a pound mix them and distill them in a Glass Retort with a sand heat there will come forth a pure spirit of Salt to wit which being driven from its seat by the distilled Liquor of the Vitriol and leaving to it its possession will easily dscend to the Caput mortuum pour Spirit of Wine two pounds make a close and warm digestion adding of Camphire two drams let it be applyed warm to the part grieved with Linnen Cloaths Take filings of Iron Flowers of Sal Armoniack of each six ounces mix them by boyling them together let it be distilled in a Glass Retort till the Flowers are sublimed to the caput mortuum bruis'd pour spirit of Wine digest and keep it for use I have heard that some for appeasing Pains of the Gout put the foot affected in a bag fill'd with Sea-salt calcin'd and powdred from which they still expect a certain and quick relief In the declination of the Fit to strengthen the part and to discuss the remainder of the morbifick matter Plaisters are usefully applyed which nevertheless do not all agree indifferently with all Persons but with these more hot with othérs less hot tho with most those are wont to be most efficacious in which are red Lead Litharge Mercury and other mineral or saline things we use chiefly a Plaister of red Lead Cerusse and Soap boyled with Oyle or take the red Lead Plaister two parts Paracelsus's Playster one part mix them and spread them on Leather Inward Remedies to be used against Pains of the Gout are in a manner only Narcoticks which ought to be given in a cruel and long continued Pain Of these we most commend Preparations of Opium with Salt of Tartar or its Tincture Moreover for this use Paracelsus's or the London Laudanum Pilul de Styrace de Cynoglosso Syrup of Meconium Venice Treacle and Diascordium are wont to prove beneficial The second indication called preservatory has respect to the removal of the Procatarctick Causes of the Gout so that the Fits of the Gout may molest with invasions more seldom and less or not at all For this end evacuating altering and corroborating Remedies together with an exact sorm of Dyet are prescribed to be used out of the Fits 1. Therefore Gouty persons ought to Purge solemnly Spring and Fall and it will be convenient then to give a Vomit if nothing indicates the contrary and afterward to repeat it sometimes by intervals Those who have a strong Stomach and Praecordia may take Mineral Emeticks prepar'd of Antimony and Mercury Those who are of a more tender constitution after having eaten slippery food may take Wine of Squills or Salt of Vitriol with Whey Afterward the Stomach being filled with warm Water or plain Posset-drink or with the leaves of Carduus boyled in it let a Vomiting be raised twice or thrice or oftner For Purging to be used also frequently at fit intervals of time the forms of Purges above prescribed may be proper enough Or Take threads of black Hellebore cleansed an ounce lignum aloes Cloves of each two drams being bruised pour to them of Spirit of Wine not rectified two pounds let there by a close and warm digestion for many days the dose is two or three spoonfuls in the morning twice or thrice a week and let Vomiting and Purging always be begun before the Equinoxes lest haply the fit hapning first may prevent the course of Physick Blooding or opening of the hemorrhoid Vessels are sometimes proper Spring and Fall to Persons of a hot temperament and a sharp Blood Cauteries made in the Arms and near the Shoulder-blades are useful in a manner to all that are obnoxious to this Disease Moreover altering Remedies call'd by the Ancients the Antidotes of the Gout are of excellent use and being taken sor a long time together with an exact governance as to the six nonnatural things often give great relief In this rank Medicines endow'd with a Volatile Salt or a Balsamick Sulphur to wit inasmuch as these exalt the fixt Salt and those reduce the acetous are accounted the chief again bitter and astringent things as the Herbs Germander Groundpine Centory Roots of Gentian and Birthwort c. since they are approv'd of by experience in this Disease seem to be profitable for this reason that they help the offices of Concoction and Chylification and keep the saline faeculencies from being carried into the Blood Let us set down certain forms of each of these Take Powder of Groundpine six dram Crabs-eyes two drams Venice Turpentine what suffices make small Pills let three or four be taken in the evening and morning for thirty or firty days drinking after it of the following distill'd Water two or three ounces Take leaves of Cypress Firr Misteltoe growing on Apple-trees of each six handfuls Roots of Avens the great Burr-dock of each a pound the outward rinds of ten Oranges and six Limons Nutmegs Mace of each an ounce being all slic'd and bruis'd pour to them of fresh Milk seven pounds Malaga Sack a pound let them be distilled according to art let the whole liquor be mixt Or let a plain Water be prepared of the leaves of the great Burr-dock cohobating it twice or thrice on fresh leaves Take Powder of the Seeds of the great Burr-dock six drams Crabs-eyes two drams Nutmegs half a dram Balsamum Capivii what suffices make a mass and let it be made into little Pills let four be taken in the evening and morning for many dayes Take Tincture of Antimony an ounce the Dose is twenty drops to twenty five in the evening and early in the morning with three ounces of the water even now describ'd To poor People I use to prescribe after this manner Take powder of the leaves of Sage half a pound Crabs-eyes Saccharum Crystallinum of each two ounces mix them let it be kept in a glass let a spoonful be taken twice a day with a draught of the decoction of the leaves of
Colick they may sometimes be given with success in order to agentle Salivation Baths and Sudorificks are generally wont to be prescribed in Pains of the Colick tho as far as it has appear'd to our Observation seldom with good success for these by exagitating the Blood and nervous Humour make them depose more yet of Matter into the Minera of the Colick nay and make the Matter there deposed serment more and be more unruly and very seldom perfectly discuss it Diureticks are wont to be given much more advantageously by which in regard the Blood it fus'd and its Serosities are copiously precipitated thereby the Fuel of the Disease is cut off and the mass of Blood being emptied receives into it a part of the morbifick Matter so that the remainder of it is easily discust For this end Take Spirit of Tartar excellently rectified half an ounce let half a dram be given twice or thrice a day in a Spoonful of two of the following Julep drinking after it of the fame four or five Spoonfuls Take Water of the Leaves of the great Bur-dock or of Aron or Arsinart a pound Water of the flowers of Elder and Cammomil of each four ounces compound water of Gentian and compound Raddish water of each two ounces Sugar six drams mix them After the same manner as Spirit of Tartar you may give in a meet dose sometimes Tincture of Salt of Tartar sometimes Mixtura Simplex or Spirit of Sal Armoniack succinated Take Millepedes prepar'd two drams flowers of Sal Armoniack tartariz'd a dram Oyl of Nutmeggs half a scruple Turpentine what suffises make a mass let it be form'd into Pills let three or four be taken once or twice a day drinking after it a dose of the Julep or five or six spoonfuls of the following distilled Water Take fresh Millepedes cleansed a pound and a half the yellow Coats of six Oranges and of four Limons Nutmeggs in number six being slic'd small add to them Crum of stale white Bread a pound all being bruised together and well mix'd pour to them of fresh Milk four pounds Sack two pounds distill them according to Art let the whole Liquour be mixt and sweetned with Sugar or Syrup of Violets at pleasure In a long continued and obstinate Colick where there are a hot Temperament and Viscera purging Spaw-waters or Whey with Syrup of Viclets is often wont to be drank with great relief for both Liquours where they agree being drank in a plentiful manner cool the Stomack and hot Intestines and presently ease and relax them being contracted with Cramps and painful Corrugations or being convulsively extended with Flatus's Moreover whence I conceive they chiefly give help insinuating saline Particles of another Nature into the morbifick Minera they conquer and subdue the Saline and Irritative Particles residing in it and often carry them forth by purging In this Disease since all things do not agree with all Persons nay nor the same alwayes or a long while with the same Person there is need of the careful observation and daily advice of a prudent Physician that by coindications taken from things that do good good or hurt the method of Cure may be rightly ordered and now and then chang'd The Vital Indication ought to be joyn'd to the Curatory and be now and then interchangeably us'd with it for since the Diseased being almost continually affected with tortures watchings vomiting and abstinence often fall into faintings and are sometimes in danger of Life let Remedies which support the strength refresh the Spirits and procure certain times of truce against the Fits of the Disease viz. Cordials and Hypnoticks have their turns Take water of the Flowers of Camomil and Elder of each four ounces of Cinnamon hordeated of the whole Citron of each two ounces Pearl powdred a dram Sugar four drams make a Julep let five of six spoonfuls be taken now and then Take powder of Pearl Crabs-eyes of each a dram divide it into four parts let one part be given twice or thrice a day with the Julep or with the Decoction of the roots of Contrayerva Take Conserve of Clove-gilliflowers an ounce Confection of Hiacinth Alkermes of each two drams Pearl powdred a dram and a half Syrup of the Juyce of Citrons what suffices make a Confection let the quantity of a Nutmeg be given twice or thrice a day with a Julep In Constitutions that are not hot Spirit of Harts-horn of Soot of Sal Armoniack succinated also Tincture of Antimony or of Coral often do excellently well Opiats in the Cholick are of necessary Use without which the Diseased can neither live nor the Physicians be at any rest or quiet Take water of Cowslip-flowers three ounces Syrup of Meconium half a dram Aqua mirabilis two drams mix them make a draught to be taken going to rest If the pain being very intense will not yield to such a Remedy you must give Preparations and Compositions of Opium Paracelsus's or the London Laudanum Pillul de Styrace or Cynoglosso are proper a Solution of Odium tartariz'd to sixteen or twenty drops is wont to be of chief use with me Which Medicine I have truely given to some Persons long and miserably troubled with this Disease sometimes for a long time one while every night another while every other night with good success 3. The Preservatory Indication having place only in the Intervals of the Fits endeavours the removal of the present Procatarxis of the Disease and the hindring of a future so that the Invasions of Pains may return seldom or never afterwards In order to these things the Blood and nervous Liquour ought to be purified and kept in a due Crasis that they do not engender a morbifick Matter and the Brain and nervous Plexus's of the Abdomen to be strengthned that they do not receive it too readily For these ends a way of dyer being ordered Spring and Fall let solemn Courses of Physick such as we have prescribed for the Prophylaxis of the Gout be entred upon Let Vomiting if it agrees never be omitted in this Case as by which the Emunctories of the Viscera being emptied they may more plentifully receive the Recrements of the Blood and nervous Liquour which would otherwise encrease the morbifick Matter And likewise that the nervous Plexus's and all the parts may be so shaken that nothing which would turn to a Minera of the Disease may be permitted to stagnate or be heap'd together there Let purging for three or four times by due Intervals also in a hot Constitution let blooding be used Moreover let altering Remedies and chiefly Chalybeats when the Person rests from purging be daily taken at physical Hours But above all other Medicines whatsoever Spaw-waters coming from Iron drank in the Summer time for a Month are wont to give most relief but when they are drank diligent care must be taken that they pass off well and quick by Urine or Seige least happily if they stay long in the Body by taking
day sometimes every other or fourth day resumes its febrile accension as it were the reason of this which seems to me most likely is as follows In a continual Fever there are two chief things as we have hinted above which for the most part cause the Effervescence of the Blood viz. an exaltation and acsion of the sulphureous part in the Blood and then consequently a heaping together of the adust matter remaining after the deflagration of the Blood to a Turgescency on the former the continuity of the Fever on the other its height and critical Perturbations depend to these sometimes a third thing is added to wit a fulness and turgescency of a crude Juice from Aliments fresh gathered together which at set intervals of times causes a greater effervescence in a continual Fever as in the fits of Intermittents Concerning the Cure of putrid Fevers of what kind soever there are four general intentions on which the whole stress of the Business lies First that the Blood if it may be be freed from its burning and that the Flame or Fire kindled in its sulphury part be wholly supprest which often happens to be done about the first beginnings of this Disease Secondly that when the Blood being set a burning cannot presently be extinguisht it may go on with it at least mildly and with as little dammage as may be Thirdly that the burning being over the Liquour of the Blood may be clear'd of the Recrements of the burnt and adust Matter and be restor'd to its natural Vigour and Crasis Fourthly that the Symptoms chiefly pressing be seasonably obviated without the removal of which the attempts both of Nature and Physick will be in Vain As to the particular Remedies with which those intentions are answer'd there are various Prescripts and Forms of Medicines every where in use not only amongst Physicians but likewise old Women and Empricks from which nevertheless in regard they are us'd like a Sword in a blind Mans Hands without differences and an exact Method of Healing more dammage than benefit often accrues to the Diseased It will not be needfull for me to repeat in this Place the Forms of Purgers Cardiacks or other Medicines neatly enough delivered in many Authors I shall briefly set down some of the chief Indications and Physical Cautions which ought to be observed in the course of this Fever according to the various Seasons and divers Symptoms of it 1. About the first Invasion of this Disease you must endeavour that the Fever be forthwith supprest and that the inflammation of the over-heated Sulphur may be stopt to which breathing a Vein chiefly conduces for by this means the Blood is ventilated and the hot Particles too much crowded together and even ready to fall a burning are dissipated from each other as when Hay being apt to take on Fire if it be expos'd to the open Air its kindling is prevented Moreover let a thin diet be ordered in which nothing spirituous or sulphureous ought to be us'd let the Viscera and first Passages be freed from the Load of Excrementious Matter Wherefore Clysters will be of necessary use sometimes also Vomits and gentle Purges which being now and then given seasonably and with judgment the Fever presently at the beginning its Fuel for accension beig withdrawn is extinguisht But if notwithstanding this Method the burning gets Ground and daily more and more lays hold on the sulphureous Particles of the Blood let it be procur'd as far as may be that the deflagration goes on gently without any great Commotion 2. Wherefore when the Fever is in its Increase if the Blood boyls too much and very much extends the Vessels with a strong and vehement Pulse if Watchings a Frenzy or Head-ach violently press bleed a second time and let as free a Transpiration as may be be procur'd wherefore let the Diseas'd for the most part lye in Bed let the Diet be sare of very thin Food also let the Drink be small and plentiful that the burning Blood may be freely diluted with Serum Clysters are given with Safety and indeed with good Effect but let Medicines whether Catharticks or Diureticks and which too much exagitate the Blood be avoided with the same Industry as Blasts of Wind are where Houses are on fire nay rather Opiates and Anodines which fix and constipate the Blood and Spirits are to be used also Juleps and Decoctions which cool the burning Bowels qualifie the Blood and refresh the Spirits are frequently to be given Acetous Liquors of Vegetables or Minerals also Nitre purified because they restrain the burning of the Blood and quench Thirst agree well let hot and spirituous Waters cordial and Bezoartick Powders so the Disease be without Malignity be let alone In case the Blood circulates unevenly and be carried more violently toward the Head than the Feet Epithemes of the warm Flesh or Inwards of Animals applyed to the Feet do well 3. When the Fever is at its height let the motion of Nature be diligently minded whether it be about to make a Crisis or not wherefore nothing is to be attempted rashly by a Physician breathing a Vein or strong Purging are wholly forbidden but aftenward when the burning of the Fever is in some measure remitted after the Deflagration of the Blood and signs of Concoction appear in the Urine in case the Motion of Nature be sluggish a Sweat or gentle Purge may be procured which nevertheless are performed better and with more Safety by a Physician when Nature before by a critical motion has set upon a seclusion of the morbifick matter But if all things are crude and in a Perturbation the Urine be still troubled without a Sediment or a Separation of Parts if the Strength be faint the Pulse weak if no Crisis or only a fruitless one has preceded any Evacuation either by Sweat or Purging is not attempted without manifest Danger of Life but we must expect longer that the Spirits of the Blood may recover themselves and in some measure subdue the recrementitious and adust Matter and afterward by degrees separate them mean while let the Strength be refresh'd with temperate Cordials let the immoderate Effervescence of the Blood if it be so be stopt and let its due Fermentation be upheld which in truth is excellently performed by Coral Pearl and those kinds of Powders which are dissolv'd by the Ferments of the Viscera and afterward ferment with the Blood and greatly restore its weak and wavering Motion Mean while whilst Nature labours let all Obstacles and Impediments be removed and especially let the store of Excrements heapt together in the first Passages be withdrawn by the frequent Use of Clysters 4. After what way or method the Symptoms chiefly pressing ought to be handled it is not an easie thing to prescribe by certain Rules because the very same sometimes require to be forthwith restrain'd and appeas'd sometimes to be moved on faster and those that have somewhat greater in them haply ar
and Thirst abated by degrees the Urine was less ruddy with somewhat of an Hypostasis afterward for three days the Fever leisurely declin'd yet he had every Night a certain Fit tho more remiss than before On the eleventh Day he sweated more freely and came to a perfect Crisis During the whole time of the sickness he used a very spare Diet as desiring no Food but small Ale and Whey made with it he took now and then cooling Drinks and Juleps of a Decoction of Barley and distill'd Waters every day if he had not a Motion to Stool of his own Accord an emollient Clyster was injected he used no Medicine beside viz. either Cathartick or Cardiack but the Fever being over he was twice purg'd and afterward soon grew well A young Student about twenty five Years of Age of a pale Countenance and a melancholy Temperament without a manifest Cause in August 1656. began to be sick first he complain'd of a feverish Distemper with a Thirst a spontaneous Lassitude and a want of Appetite On the second day he was troubled also with a Pain in the right side and a Distension of both Hypocondres also with an almost continual Vomiting Watchings and a violent Head-ach On the third day a Physician being called presently twelve Ounces of Blood were taken away in the Evening he grew hotter and delirious afterward a Sweat tho small hapning he was better the next Morning On the fourth day he presently threw up again whatsoever was given him and was troubled with an almost continual striving to vomit the giving of a Vomitory being propos'd by the Physician both the sick Person and his Friends refused to admit of it being taught by Experience of the Danger of it before a Clyster being given him he had six Stools and seem'd to be somewhat relieved and the Night following he slept a little On the fifth day again there was a frequent Vomiting with a continual Thirst he burned inwardly but the sense of that immoderate Heat was not perceivable outwardly to the Touch because the Recrements of the boyling Blood which ought to have breath'd forth through the skin seemed to stagnate within and so float the Viscera therefore in the Evening for provoking a Sweat this Bolus was given Conserve of Roses vitriolated a dram Gascoins Powder a Scruple Laudanum dissolv'd in Bawm Water a Grain That Night he slept indifferently and a copious Sweat ensuing the Symptoms seem'd to be mitigated nevertheless on the sixth day all things grew bad again a Heat throughout the whole Body a Thirst and a burning of the Praecordia prest violently On the seventh and eighth days the Pulse was uneven and disorderly for the most part he spoke delirous and if he was stirr'd in his Bed he fell frequently into a fainting Fit On the ninth Day the same Symptoms continued moreover he was troubled with a Contraction of the Tendons in the Wrists and with Convulsive Motions of other Parts so that we despaired in a manner of his well-doing That Morning because Nature seemed to yield her self overcome it concerned us to do what Art could afford wherefore intending a copious Sweat as the last Refuge I gave him at one taking a Dram of Spirit of Hart-born in a little Draught of a Cordial Julep from thenceforward for four Hours being very restless and raving he could scarce be kept in Bed but afterward Sleep stealing upon him he sweated very much and his Case was soon brought to be out of danger the following Night in order to continue the Sweat I ordered a Dose of the Powder of Contrayerva to be given him every six Hours The Fever and the Affects of the Genus Nervosum ceas'd in a short time and the sick Person recovered A Woman about thirty Years of Age of a robust Body and a melancholy Temperament as we might guess from her very austere way of Behaviour in the third Month after Child-birth as she gave her Infant suck in the Night the Cloaths falling from her took Cold and shortly upon it fell into a cold Shivering a Heat greater than usual followed it which afterward a gentle Sweat arising soon remitted On the second and third days she was very thirsty and had no Appetite tho without any immoderate Burning that she scarce yet believed her self in a Fever every Night she lay quiet but wholly without Sleep the Urine was intensly ruddly and somewhat thick and opake through the multitude of contents which nevertheless being not disturbed by the cold continued still after the same manner without an flypostasis or subfiding of the parts on the fourth day the heat was kindled throughout the whole wherefore a Physician being then first called about twelve ounces of Blood were taken from the Arm after the letting Blood and the Belly being copiously emptyed the same day by a Clyster given in the Evening she fell into a Sweat by which Nevertheless being not relieved she past the Night without Sleep as before tho an Anodyne Medicine were given her on the fifth day after a Clyster injected she had three stools and found ease the Urine still continued the same ruddy and troubled when it was prescribed her to have Blood taken from the Vein running under the Knee the Diseased earnestly refused it thinking herself upon a Recovery the Night following after that she had lain without Sleep and restless for a long time at length she fell into a sore fit such as is vulgarly said to be Hysterical and in the first place she was affected with a certain Numness or a Sense of pricking which seised the extream parts of the Body especially the Feet Leggs and Thighs and withall with a Flatus violently distending the Intestines Ventricle and Hypochondres she selt in the lower part of her Belly a certain great and heavy things as it were to rise up gently which when it was risen to the Heart and thence to the Brain presently the Diseased failed in her Understanding and for all the Night afterward lay delirous and talkt light-headed on the sixth day after the Belly 's being loosned by a Clyster she came to her self again was very sound in her Mind and seemed to be indifferently well but in the Evening as she was moved in her bed she began to feel an invasion of such a kind of fit as before to wit in her whole Body she had a sense of Pricking as tho she were stung with Nettles and withall in her Belly she felt a Ball as it were which creeping upwards distended the intestines and Ventricle so that store of Flatus'd and Belchings were thence caused for relief she desired cold Water might be given her to drink moreover Remedies usual in Hysterick Affects as Castoreum a smell of Assafetida Fumes of Feathers burnt Ligatures and Frictions of the Legs and Thighs and the like things were used by which she seemed for the present free from the said affect and was wholly cleared from it for four hours but as she lay
Case somewhat of Hope has shewn it self the Pulse and other Symptoms promising a little better tho the Cure has seldom succeeded but when that use of Cordials was remitted the Diseased fell headlong into Death with a weak Pulse and a Loosness forthwith arising 3. When still the case of the Diseased grows worse and worse that the Fever being increased the Pulse is weak and uneven and frequent Shiverings and convulsive Motions infest the whose Body with a Delirium or a Stupor then let the Physician first giving a Prognostick of Death insist on fewer Remedies and those in a manner only Cardiack and let him wholly abstain from Blooding Scarifying Vesicatories or the use of Cupping Glasses for such Administrations bring only an ill-will and Disgrace that thereby we are accounted by Women hard-hearted and cruel The Symptomatick Fevers of Women in Child-bed THE acute Diseases of Women brought to bed do not only follow the Type of the foresaid Fever but are sometimes attended with some notable Symptom to wit the Quinsey Plurisie Peripneumonia Dysentery Small Pox or of some other kind and then they are call'd by the Names of those Affects It is not proper to repeat in this Place what belongs to the Natures and Essences of each of them at large but I shall briefly set down what those Diseases complicated with the Affects of Women in Child-bed have peculiar to them as to their Causes or Cures We judge that all those Symptoms proceed from a certain Coagulation of the Blood and afterward its Extravasation now while the Blood is extravasated in one part every natural nad critical Effiux of it is restrain'd in another wherefore there is danger lest while the Blood begins to be coagulated either in a particular and usual Focus of Congelation or universally in its whole Mass presently the flowing of the Lochia be stopt which in reality happens for the most part and therefore those Affects are most commonly mortal to Women in Child-bed nevertheless the Cause of their Death for the most part happens with some difference to wit in the Small Pox the flowing Lochia call inward the Malignity began to be sent forth outwardly and wholly poison with their Taint the Mass Blood and the Heart it self and therefore in the Small Pox those uterine Purgations ought to be stopt but in the Pleurisie Quinsey and the rest when the Stimulus of the Disease fix'd here or there in a particular Place calls to it self and wholly derives from the Womb the Impurities of the Blood which ought to be voided by the Lochia thereby it increases the Taint of the BLood the Lochia restrain'd in the Small Pox might be sent forth by a more general way of Excretion with the venemous Particles of the Disease with indeed does not succeed in the rest by reason of the small and more spare way of Excretion Among these the Quinsey Plurisie and Peripneumonia by reason both of the great likeness of their Cause and the Analogy of their Cure may be considered together When a Woman in Child-bed is affected with either of these it is to be judg'd that besides the Miasms heaped together during the time of Ingravidation there happens a certain acid disposition of the Blood by the means of with whilst it feverishly boyls certain Particles of it being imbued with a sharpness fall into a Congelation in this or that place like Milk turning sour and consequently coagulated the Blood letted there and hindred in its Circulation hinders the Passage of the rest now the Blood being obstructed in its Motion butts against its dam and so being heaped together round about and driven out of its Vessels grows into a Tumour thence presently whatsoever haeterogeneous and separable is contained in its Mass is deposed in the Part affected as in a Sink wherefore the Corruptions of the Blood which ought to be purg'd forth by the Womb are deriv'd thence toward the Seat of this Disease which since they cannot be purged forth sufficiently this way both the Liquor of the Blood is more notoriously corrupted and a Crisis of that particular Affect to wit of the Quinsey Plurisie or some other is rendred more difficult For the Cure of these kinds of complicated Diseases presently from the very first beginning it must be endeavoured that the Blood fixt any where and begun to be extravasated be restor'd to Circulation and do not make an Impostume because it is very rarely that Women in Child-bed seised with those symptomatick Fevers are cured by an Abscess or spitting forth of the Matter wherefore inward Remedies which fuse the Blood and free it from Coagulation are to be used of which kind are chiefly Diaphoreticks filled with a volatile Salt as Spirit of Harts-horn of Soot of Urine and the Salts themselves also testaceous and bezoartick Powders Sal Prunella Decoctions and Juleps of Vegetables promoting the menses or the Urine in all which those things ought to be mixt which by Experience are found to be appropriated to uterine Affects moreover discussing Remedies which drive away and expell the Matter stinking in the Part affected of which kind are Liniments Fomentations and Cataplasms are carefully to be applyed to it Mean while let the violent Motion and immoderate Effervescence of the Blood be removed far from thence and let its Excretions of Filth be conveyed still to the lower Parts by what ways we may for this end Frictions Ligatures Epispasticks and if need be cupping Glasses may be applyed to the Feet or Legs in case the Affect growing very much worse blooding be indicated unless there be a great Plethora in the whole Body and a very acute Inflammation in the Part affected it will be best to breath a Vein in the Foot or to open the haemorroid Vessels with Leeches but if necessity presses for it to be done in the Arm after Blooding there let another Bleeding if it may be admitted follow in the Leg nevertheless we must give a Hint that opening a Vein ought to be very cautiously ordered in these Cases for unless it gives Relief which I have seldom known to happen presently the Pulse being rendred more weak the State of the Diseased becomes worse A Dysentery takes its Rise in a manner from the like Cause as the foresaid Affects but because in this the extravasated Blood is presently poured forth nor being restrain'd in the Body creates a mischief there and is still more corrupted and since this way of Excretion is performed near the uterine Efflux and does not derive it afterward another way hence less danger is feared from this Disease than from the others before mentioned tho oftentimes this Affect is mortal to Women in Child-bed and that the rather because by a Dysentery things that qualifie and gently astringe the Blood are indicated and these are found too apt to stop the flowing of the Lochia wherefore in this case till Women delivered are in a manner purg'd enough by a long flowing let the Cure
viz. such as are prepared of Tartar Sulphur the fixt Salts of Herbs of burnt Harts-horn also of the Claws or Eyes of Crabs For Example Take Cream of Tartar three drams Salt of Wormwood a dram and half the Dose is half a dram in an aperient Decoction twice a day out of the Fit Or Take Cream of Tartar two drams Powder of Crabs-eyes a dram Nitre purified half a dram mix them let it be giv'n after the same manner Or Take burnt Harts-horn two drams Spirit of Vitriol as much as the Powder will receive by imbibing the dose is a Scruple It is of excellent use when those that are in the Fever are troubled with Worms These kinds of Remedies promote the Secretion of the febrile Matter and restore the almost lost Ferments of the Blood and Viscera The second Intent to wit the due Management of the Diseas'd in the Fits comprehends many things first a neat Form of Dyet ought to be ordered that a large heaping together of the degenerate Juyce for a Matter for the Fit may be hindred wherefore let the Diseased feed only on a thin Food let them wholly abstain from Flesh or Broth made of it from Eggs generous Wine and all rich Fare being content only with Barley or Oat Broths Panada Whey and small Ale in regard a more plentiful Dyet is not concocted or assimilated but it oppresses the Stomach and being mixt with the Blood it troubles its Liquour and forces it to boyl vehemently as the Fit comes on and during the while it lasts unless it be for quenching Thirst let no Food be taken but for qualifying the Heat and Drought cooling Juleps and Decoctions and especially small Ale and Whey ought to be allowed Secondly a little before the feverish Access is expected let a gentle Medicine be given which either may keep off the Fit by preventing it or may render it easie by procuring an easie Sweat For this Use the febrifuge Potion of the Learned Riverius does well made of Carduus Water with Oyl of Sulphur and Salt of Wormwood Or take Cream of Tartar Salt of Wormwood Nettle Seeds of each a Scruple let it be given in a Decoction of the Roots of Sorrel When the Fever begins to decline and the Fits are a little more remiss Febrifuge Epithemes outwardly apply'd often stop the febrile Accesses tho in the mean while as long as the Fits return let the Diseased be so managed that every Access the feverish Matter heap'd together in the Blood may be wholly blown off wherefore when a Sweat happens with difficulty let it be a little raised with temperate Medicines also let the Diseas'd be kept in Bed with a gentle Sweat for many hours nor let them be permitted to rise too soon for I have often observ'd that the Diseased have still grown worse because being impatient of lying in Bed they put on their Cloaths before the watery Effluvia were exhal'd enough Thirdly as to the Symptoms and particular Accidents with which the Diseased are wont to be troubled in this Fever a great many of them are sufficiently provided against with the Remedies and Method of Cure hitherto deliver'd against the Thirst Burning the Roughness of the Mouth and Tongue Vomitings the Loosness a Swooning or danger of Fainting the Prescripts commonly used in other Fevers may aptly enough be transferr'd hither But the Things which in this Disease seem to require a peculiar Method of Healing are chiefly the Affects of the Head and Brain with the Genus Nervosum by which unless seasonably obviated the Diseased are soon brought into a great danger of Life Concerning these kinds of Evils of the Head the Indications are of two kinds If it appears by a Drowsiness a Sleepiness a Vertigo or a Head-ach that the nervous Juyce is too dull and as it were vapid and therefore that it does not vigorously enough actuate the Brain and nervous Bodies besides the Remedies above deliver'd and especially the Vesicatories Medicines full of a volatile Salt excellently conduce in this Case wherefore Spirit of Harts-horn of Blood also the Salts of the same are of excellent Use but if the nervous Liquor be too sharp or the Effluvia sent from the boyling Blood drive the Animal Spirits into Distractions those kinds of Remedies of volatile Salt are given with benefit in somewhat a less quantity Moreover a frequent Letting Blood and Medicines allaying its fervour do good as Emulsions Whey pure Water plentifully drank let Opiates be used in this Fever with great Caution for the Frenzy appeas'd by them is oftentimes chang'd into a Lethargy or a deep Stupor FINIS THE TABLE A. AChes in the Head see Headach Ach in the Belly see Belly Aches or Pains in the Limbs hapning by Night their cure p. 361. Ague see Fever Alexipharmicks see Cordials Anasarca its Description p. 167. Whence it proceeds ibid. The least dangerous of Dropsies ibid. The two chief Scopes of curing it ibid. Hydragogue Medicines of good use in curing it p. 168. How Catharticks work in this Disease ibid. Lixivial Medicines the best Diureticks in this Disease p. 169. Some Praescripts of them ib. Diaphoreticks of use when the swelling begins to abate p. 170. A Praescript of them ib. p. 171. Outward Administrations to be used in this Disease ib. p. 172 173. Medicines for Preservation against this Disease p. 174 175. An Instance of a Person falling into this Disease and recover'd of it p. 176. Antidotes see Cordials Apoplexy where seated p. 420. What the Word Apoplexy imports p. 421. Two kinds of it ib. The various Invasions of the Apoplexy and the causes of them ib. p. 422. The Subject of this Disease ib. Its Prognosticks ib. p. 423. The Therapeutick Method for removing the Fit ib. p. 424. The prophylactick or preservatory method with Praescripts of Medicines p. 425 426. Instances of Persons seis'd with the Apoplexy ib. p. 427. Ascites its Description and whence it proceeds p. 150. what to be considered in order to its Cure ib. Catharticks often do well in it p. 151. An Enumeration of hydragogue Emeticks and Purgers and Prescripts of them ib. p. 152 153 154 155. Diureticks when proper in an Ascites ib. p. 156. What Diureticks proper ib. Diaphoreticks of little or no use in an Ascites p. 157. The best Remedies when we will not proceed to an Incision are Clysters and Plaisters ib. An Incision in whom to be admitted p. 158. An Instance of a Woman cur'd of an Ascites ib. p. 159. Asthma or difficulty of Breathing its description p. 126. Two primary Indications in the method of Cure ib. What to be done in the Fit ib. p. 127 128. What to be done out of the Fit for Preservation ib. p. 129 130 131. Two Instances of Persons troubled with the Asthma and the Methods used with them ib. p. 232. Asthma Convulsive see Cough Asthmatick Fits hapning in the Scurvey their Cure p. 353 354. Atrophia Scorbutick its Cure p. 363 364. B. BElly-ach in the
also Elixir Proprietatis sometimes also Spirit of Harts-horn for many days afterward at long run upon taking that Powder daily for some space she began to find help Inthe mean while that this Method of Cure was followed her Hair being Shav'd off her Head was cover'd only with a thin Dress she wore the Hysterick Plaister with a mixture of Galbanum on the Abdomen She drank for her ordinary drink a Boâ—het of Sarsa and China with the Roots of Male Peony and other appropriated things infus'd and boil'd in Fountain Water Within a Month the Fits remitted a little Afterward becoming more mild by degrees and lesser at length they ceas'd in a manner altogether unless that near the time of her Menses she was wont to be troubled with an assault or two of that disease Moreover she was troubled almost with a constant Giddiness and a loathing of Meat in the midst of Summer the drank Astrope Waters for six weeks and grew perfectly well As to the way of Cure to be us'd in general for such Marvellous Convulsions it is not an easie thing to assign Remedies equal to so Hereulean a Disease or a certain method of its Cure confirm'd by frequent experiments For besides that cases like those seldom occur we may likewise observe that the same Medicine which did good to this sick person at one time gave not the least relief to another person or the same when given at another time the reason of which seems to be that the cause of the Disease seems to consist in the Discrasy of the Nervous Juice Which liquor is not always perverted after one and the same manner But from the manifold combination of the Salts and Sulphurs gets a Morbid disosition of a various kind and condition and often changes it Wherefore in those difficult affects we must not prescribe vulgar Medicines taken from Apothecaries Shops but Magisterial ones as occasion requires according to the appearances of the Marvellous Symptoms A Gentle Vomit a Purge and Bleeding ought in the first place to be us'd and sometimes to be repeated as it shall seem convenient And as to Specifick Medicines and such are appropriated in those cases since the chief Indication will be to amend the Crasis of the Nervous Juice we may try a great many things and sift their vertues from the effect Therefore we may try what things endued with a Volatile or Armoniack Salt will do For this purpose let the Spirits and Salts of Harts-horn Blood Soot the Flowers and Spirits of Sal Armoniack be taken These giving no relief we must come to Chalybeats let the Tinctures and Solutions of Coral and Antimony be given which sort of Medicines must be given in such a Dose and form and for so many times that some alteration may be made by them in the Blood and Nervous Juice Again if these have not success we must proceed to Alexipharmicks which are good against Poyson and a Malignity gotten into the Humours viz. of these we must order Decoctions Destillations Powders Conserves and other Preparations of Vegetables and we must variously compound them the one with the other and administer them several ways It seems likely that those sorts of Medicines which being inwardly taken are wont to do good to such as are bit by a Viper or by a Mad Dog and likewise against Wolfs-bane and Napellus may also be of use in the above mentioned Convulsions We may here after the example of Gregor Horstius in his Tracts of the Malign Convulsive disease prescribe also Magisterial Remedies in form of a Purging Electuary also of a Powder and Convulsive Antidote for these Marvellous Convulsions and variously Compound the same of Simples partly Alexipharmical and partly Antiepileptical CHAP. VIII Of the Affects which are vulgarly call'd Hysterical IF at any time an unusual sort of Sickness or of a very Secret Origine occurs in the Body of a Woman so that its Cause lies hid and the Therapeutick Indication be wholly uncertain presently we accuse the evil influence of the Womb which for the most part is guiltless and in any unusual Symptom we cry out that there is somewhat Hysterical in it and consequently the Physical intentions and the uses of Remedies are directed for this end which often is only a starting hole for Ignorance The passions which are wont to be rank't in this number are found to be various andmanifold which seldom agree in divers Women or happen wholly after the same manner the most common of them and which are vulgarly said to Constitute the formalstate of an Hysterick affect are these viz. A Motion in the lower part of the Belly and an Ascent as it were of some round thing there then a Belching or Straining to Vomit a distention of the Hypochondres and a Rumbling with a Belching forth of Wind an uneven and for the most part a letted Respiration a Suffocation in the Throat a Giddiness an Inversion or Rotation of the Eyes often Laughing or Weeping a Talking Idly sometimes a Speechlesness and Immobility with an obscure or no Pulse and a Cadaverous aspect sometimes Convulsive Motions rais'd in the Face and Limbs and sometimes in the whole Body But universal Convulsions seldom happen and not unless the disease be raised to its worst state for the Tragedy of the Fit is acted through for the most part without any contraction of the Members only in the Belly Breast and Head viz. one of them or successively in all Women of all Ages and Conditions are obnoxious to these affects to wit Rich and Poor Virgins Wives and Widows I have observed those Symptoms in Girls before the time of Puberty and in old Women after their Menses ceast to Flow nay and men are sometimes troubled with such kind of Passions instances of which are not wanting The cause of these Symptoms must not be imputed to the Ascent of the Womb and to vapours rais'd from the same nor to the Impetuous rushing of the Blood into the Lungs as the Learned Highmore has Judg'd But we say that the affect call'd Hysterical chiefly and primarily is Convulsive and depends principally on the Brain and Genus Nervosum being affected and is produc't wholly by the exposions of the Animal Spirits as other Convulsive Motions And whatever disorder or irregularities happen else about the Motion of the Blood they are only secondary and depending on the Convulsions of the Viscera The way of the difference whereby the kinds of this disease both differ from each other and from the other Convulsive affects is taken from the various Origine and chiefly from the extension of the Morbisick Cause for the Origine of this as of many other Convulsive affects sometimes resides in the Head the Womb being wholly without fault Though sometimes this affect happens through the fault of the Womb and sometimes through that of other parts As to the extension of the Disease from whatever Origine it proceeds for the most part it chiefly affects the Interiour