Emulsions Take the leaves of Blood-wort Apozems Periwincle Mouse-ear Plantane Wood-sorrel both sorts of Daisies of each one handfull red Rose leaves half a handfull Barly half an ounce Raisins two ounces boyl them in three pints of Smith-forge water filtred or water wherein hot Iron hath been often quencht to two pints To the strain'd liquor add two ounces of the syrup of the Juice of St. John's-wort or of Mouse-ear make an Apozeme dose from four ounces to six three times in a day Take the leaves of St. John's Wort roots and leaves of Tormentil of the greater Burnet Meadow-sweet of each one handfull of the seeds of Purslain Plantane Sorrel of each one dram Conserve of red Roses half a pound Spring-water eight pound boyl them for 12 hours in Balneo Mariae to it being strained adde half a scruple of the spirit of Vitriol of Mars to be taken as the former Take of Barly-water with Madder-roots boyled in it a pound and half Tinctures infuse in it being warm a handfull of red Rose-leaves adding one scruple of spirit of Vitriol after three hours strain it adding Syrup of the Juice of St. John's wort one ounce and half take three or four ounces three or four times a day Take of the decoction of the roots of fresh Nettles a pound and a half Emulsions white Poppy and Henbane-seeds of each two drams Melon-seeds 6 drams make an Emulsion sweeten it with Sugar penids the dose is three ounces three or four times in a day 3. Juices of Herbs and juicy Expressions Take of the Juice of Plantane half a pound Juyces of Herbs take two or three drams three times a day in 3 ounces of the distilled water prescribed before sweeten it to please Take of fresh Nettles Plantane the smaller Daisies of each 3 handfulls bruise them and pour upon them of Purslain-water 6 drams make an expression take it as the former 4. Powders and Pills Take of the powder of Blood-stone Dragons-blood ground with Rose-water on a Marble Powders Pearles of each one dram Bole Armenick and Earth of Lemnos of each half a dram Troches of Winter-cherries two drams make a powder divide it into twelve parts one part to be taken three times a day in the former distill'd water Take of Henbane white Poppy-seeds of each 10 drams sealed Earth red Coral of each 5 drams Sugar of Roses three ounces make a powder the dose one dram morning and evening this composition made up with a fit Syrup into a soft consistence was anciently call'd and renowned in Germany by the name of Helidaeus Electuary The aforesaid Powders with the addition of Gum Tragacanth dissolv'd or some fit syrup Pills may be reduced into Pills or Lozenges The spongious excrescence usually growing to the fruit of Hipps or Dog-bryar reduced into powder half a dram taken twice a day is a very profitable remedy in spitting blood Take of Yarrow bruised and dryed in the Summer-Sun as much as you please reduce it into powder to be kept in a Glass the dose from half a dram to a dram twice a day in any convenient liquor Julius Caesar Scaliger's Powder or rather that of Serapion is mightily commended Dose four drams twice or thrice a day 5. Lohochs and Electuaries Take conserve of red Roses of Dog-rose of each two ounces Electuaries powder of white Poppy and Henbane seeds of each two drams species Diatragacanth frig one dram and half of Blood-stone Dragons-blood prepared of each half a dram Syrup of red Poppyes what will suffice to make an Electuary Take the quantity of a Chesnut evening and morning at other times let him lick with a liquorish stick Take conserve of the greater Comfry flowers of Water-lillies Lohochs of each an ounce and half Troches of Winter-cherries of Diatragacanth frig of each a dram and a half syrup of Jujubes what will suffice to make a soft Electuary of which lick often Take of the white of an Egge well beaten two drams Sugar of Roses one dram of white Starch three drams make a Lohoch to be taken often with a spoon Take of Conserve of red Roses 3 ounces Leucatella 's Balsam half an ounce Troches of Winter-cherries two drams Syrup of red Poppies what suffices to make a soft Lohoch the dose is the quantity of a Chesnut night and morning II. The second Indication The second preservatory Indication exhibits such remedies which by containing the blood in its right temper and the Lungs in their due frame do provide against a relapse of spitting blood and the following of a Phthisis Such things which respect the blood The first intention in respect of the blood either are mild evacuators by Stool Urine or Sweat or are meerly Alteratives Every of these are usually prescrib'd either in form of Potion Powder Electuary or Pills We will here shew you the most select patterns of the chief of them 1. A Purge As to Evacuators a gentle Purgative is sometimes appointed after this manner Take of the best Senna three drams Cassia fistula bruised one ounce Tamarinds three drams Coriander-seeds a dram and a half boyl them in Spring-water to 6 ounces to it strain'd add syrup of Chichory with Rhubarb one ounce clarifie it with the white of an Egge Or Take 4 ounces of Gereons decoction of Senna Syrup of Apples purging one ounce mingle them and make a potion 2. Alteratives That the good temper of the blood may be preserved and the superfluities drained from the Lungs may be continually discharged by Sweat and Urine these following Alteratives or some of them are for the most part receiv'd in constant use which also being endued with a healing power do succour the weak Lungs or those whose Unity is dissolv'd For ordinary drink let simple water especially in a hot constituion or being colour'd with a little Claret-wine be drunk Those with whom this doth not agree a Bochet of China Sarsa with shavings of Ivory Harts-horn with white Sanders or small Beer or small Ale with the leaves of Harts-tongue Oak of Jerusalem and the like infused are frequently used with good success Pectoral Decoctions or Hydromels with temperate Vulneraries are taken twice or thrice a day to 6 or 7 ounces Take of fresh Nettles Decoctions Chervil of each one ounce Harts-tongue Speedwell Mouse-ear Ground-Ivy St. Johns wort of each a hand-full boyl them in three pints of Spring-water to two points adding Raisins stoned an ounce and half Liquorish two drams to it strain'd add Syrup Byzantine two ounces clarifie it with the white of an Egge make an Apozeme to be taken from 4. ounces to 6 twice or thrice in a day for a month In a more cold or phlegmatick constitution let the Liquorish and Raisins with the Syrup be omitted adde at last of Hony well clarified two ounces strain it and keep it for use The Dose is the same The use of these is sometimes intermingled with a distilled water
case it be very much wanting and also externally to alleviate the pain of the side Of the former kinde the more usual are the distill'd water syrup and powder of red Poppies which are esteemed Specificks in a Pleurisie and in a Peripneumonie Moreover when the pain is very acute Anodynes and watchings instant upon the patient they may lawfully drink Diacodiates Against pains Liniments Fomentations Cataplasmes and sometimes the hot bowels of Animals newly slain are convenient to be applyed These are the principal Intentions of healing which seem requisite to cure an exquisite and simple Pleurisie before it contracts a Peripneumonie to it self or passes into it or into an Empyema It only remains to adapt to each of these the more select forms of Medicaments First therefore in the beginning of the Disease for taking away the Phlegmon Forms of Remedies Juleps Apozemes Powders and gentle loosening Clysters are wont to be prescribed Take water of Carduus Mariae eight ounces red Poppies 4 ounces First for the removing the Inflammation Juleps Syrup of red Poppies one ounce sal Prunella one drachm make a Julep the dose two or three ounces every third hour Take of Grass-roots 4 ounces Barly half an ounce Apple-parings one handfull Apozemes Raisins one ounce Liquorish two drams boyl them in three pints of Spring-water to two clarifie the strained liquor adding Syrup of Violets one ounce and half Sal Prunella one dram and half make an Apozeme the dose 3 or 4 ounces often in a day Take of Sal Prunella two drams flowers of Nitre one dram Powders powder of red Poppy flowers two scruples Sugar-candy 4 scruples make a powder the dose half a dram three or four times in a day Take of the Decoction of Mallows leaves and roots with Prunes A Purge one pound syrup of Violets three ounces Sal Prunella one dram make a Clyster Take Cassia bruised two ounces Tamarinds one ounce Damask-Rose leaves one handful Coriander-seeds two drams boyl'd in Spring-water to a pint strain it and adde Syrup of Chicory with Rhubarb two drams clarifie it with the White of an Egge the dose is 5 or 6 ounces in the morning continued for two or three dayes Secondly The following are of use to dissolve the clamminess or coagulating viscosity of the blood in form of a Drink of a Powder and of Spirit Secondly for the taking away the Clamminess of the Blood Take fresh Horse-dung 4 ounces Carduus-water one pound and half infuse it warm for two hours after filtre it to which adde syrup of the juice of Dandelyon or of Chicory An Infusion of Horse-dung two ounces Spirit of salt Armoniack one dram let five or six spoonfuls be given three or four times in a day To this end Water of Horse-dung wonderfully profits Take of Horse-dung 4 pounds leaves of Carduus Benedictus Carduus Mariae Scabious And distilled water Pimpornel of each three handfuls upon them cut and mixt together pour six pints of new Milk distill them in common Organs The Dose is from two Ounces to three either with it self or with other distill'd Waters in form of a Julep For the same use the Tinctures or the solutions of other Dungs are administred by some Physitians and highly magnified by them Helmont commends the dung of an Oxe Panarolus commends Pidgeons-dung others the white dung of a Cock for the Pleurisie Epiphanius Ferdinandus was wont to give with success the Decoction of Tobacco with new Wine Valeriola by experiment as a familiar remedy made use of the Decoction of the Flowers of red Poppies Sylvius's Anti-Pleuritick The renowned Sylvius prescrib'd the following mixture to be taken by Spoonfuls within short spaces of time Take Parsly and Hyssop water of each two ounces Fennel-water one ounce Treacle-water simple half an ounce Laudanum Opiate 4 grains Salt Armoniack half a scruple Syrup of red Poppies one ounce Mingle them Frederick Deckers adds to this the Powder of Crabs-eyes and Mineral Bezoar of each one scruple Medicines chiefly efficacious for this use are wont to be administred in the form of a powder for examples sake Take Powder of Crabs-eyes two drams Powders Sal Prunella one dram and half of the flowers of red Poppies half a dram mix them and make a Powder the dose half a dram three or four times a day in a convenient Vehicle Instead of Crabs-eyes the powder of the Jaw of a Pike or the Tusk of a Boar or the Pizzle of a Stag or Bull are used and if they prove ineffective try the following Take of Antimony Diaphoretick or the Ceruss thereof or Bezoar Mineral two drams the volatile Salt of Harts-horn half a dram the powder of red Poppies two scruples make a Powder The dose from one Scruple to half a dram three times or oftner in a day For the same intention of curing it was that Riverius gave of the Powder of Soot from half a dram to a dram others the powder of Pidgeons dung or of a Cock And indeed by reason of this analogie whereby the dungs of Animals stored with volatile Salt do succour in this disease it is probable the dung of a Dog doth no less conduce to cure a Pleurisie than a Squinancy and so much the rather because these diseases frequently change their forms among themselves and one assumes the species of the other Chymical liquors endued with a volatile Salt do also notably help sometimes in a Pleurisie Take of Spirit of Blood two drams Chymical Liquors Water of red Poppies three Ounces the Syrup of the same one ounce Let it be given by spoonfuls often Take spirit of Sal Armoniack distill'd with Olibanum three drams the dose from 12 drops to 15 or 20 twice or thrice a day in any convenient liquor After the same manner the Spirit of Vrine Soot or Harts-horn may be given Take the Spirit of Tartar 3 drams the dose one scruple in a convenient vehicle Take of the simple mixture 3 drams Dose from one Scruple to half a dram As for the third Intention What remedies the third intention requires besides a thin diet Cardiac remedies and Anodynes are prescribed Examples of the former kinde for the first Indication may be supplyed by Juleps and Apozemes for the second Indication they may be supplyed by Spirits and Powders Anodynes are prescribed to be exhibited inwardly upon watching and very intense pain according to the following method Take of Poppy-water two ounces Hypnotick Anodynes the syrup of the same 6 drams Spirit of Harts-horn 12 drops make a draught to be taken at Bed-time If we must proceed higher Take Carduus-water two ounces Diacodium from three drams to half an ounce or 6 drams Spirit of Sal Armoniac with Frankincense half a scruple make a draught and sometimes although rarely Laudanum is expedient which timely given inasmuch as it excites sleep and moves sweat and Vrine does greatly profit Take Cowslip-water two ounces Tartariz'd Laudanum
the remedies vulgarly call'd pectorals are mixt with anticonvulsives and the use of these with other medicines respecting the preparation of the whole body and emergent symptomes be apply'd between whiles For which purposes the method and ensuing forms of remedies may be administred Take of Aloes rosata a dram and half Forms of Remedies flower of Sulphur a dram salt of Amber half a dram Tar what will suffice make 24 pills take 4 every or every other or every third night or Take of gum Ammoniacum Pills Bdellium dissolv'd in vinegar of squils of each half an ounce flower of Brimstone three drams powder of hedge mustard and savory of each half a dram make a mass with Syrup of Sulphur or Oxymel of squils make small pills take 3 every evening or Take Hog-lice prepar'd two drams flower of Benzoin half a dram salt of Amber two scruples extract of Enula campane half a dram Castor half a dram Saffron a scruple Venice Turpentine enough to make a mass form small pills take 4 every evening and morning except the times of purging But if this form of Pills will not please or the above mentioned Medicines profit little afterwards the ensuing shall be essay'd to free the Lungs from obstruction Take spirit of gum Ammoniacum distilled with sal Armoniac three drams Mixtures the syrup of Ground-Ivy three ounces magistral Snail and Earth-worm water of each an ounce tincture of Saffron two drams mingle them and take a spoonful evening and morning Or Take Tincture of Ammoniacum three drams the dose from 15 to 20 drops in a spoonful of Oxymel or of syrup of Ground-Ivy Or Take Tincture of Sulphur three drams dose from 7 drops to 12 or 20 in a convenient vehicle at the same hours In like manner other spirits endued with a volatile salt and mixt with pectoral Syrups and Cephalick waters may be prescribed successfully evening and morning In place of a mixture or an Asthmathical Julep from distill'd-waters in the shops let this following magistral be prepared for frequent and several uses Take roots of Enula campane Orris of Florence Angelica Masterwort A distill'd water of each four ounces of Bryony a pound the leaves of white Hore-hound Hysop of Savory Penny-royal Ground-Ivy of each four handfuls Juniper and Ivy-berries of each a pound Bay-berries half a pound sweet Fennel Carue Annis Louvage Dill seeds of each an ounce Cubebs two ounces Long-pepper Cloves and Mace of each an ounce all being sliced and bruised pour on them eight pound of Brunswick beer distil it in common organs mix the whole and as you use it sweeten it with Sugar or Syrup of Ground-Ivy or with Oxymel Moreover in lieu of Oxymel or any common pectoral Syrups the ensuing forms of medicines appropriated to an Asthma are prescribed and in the first place the Syrup of Enula-campane invented by Horatius Augenius and called by his name and afterwards commended by Platerus Sennertus Riverius and other renowned Practitioners ought to be observed in this place and used frequently Take of Enula-campane Polypodie of the Oak prepared of each two ounces Magistral Syrups Currance two ounces Sebestens 15 Coltsfoot Lungwort Savory Calaminth of each a handful a large leaf of Tabaco Liquorish two drams Nettle and Silk-worm seeds of each a dram and a half boyl them in Wine mingled with Hony and diluted to a pound and half and with a little Sugar make a Syrup take it by it self in form of a Linctus or a spoonful evening and morning or add a spoonfull to the distilled water or Apozeme Take Florence Orris-roots Enula campane of each half an ounce Garlick peel'd four drams Cloves two drams white Benzoin a dram and half Saffron a scruple slice and bruise them and digest them warm in a pound of rectified spirit of Wine for 48 hours to it strained add fine Sugar a pound put it in a Silver Bason upon live coals stirring it till it flame and let it burn as long as it will then the flame being out make a Syrup of it to be taken as the former Moreover hither may be referred the decoction of an old Cock so much magnified by renouned Physicians as well antient as modern for the cure of an Asthma The decoction of an old Cock which although Septalius damn'd for gross and of no efficacy notwithstanding Riverius after him vindicates and to attest the efficacy of this remedy opposes his own experience to the others These broths are of two kinds viz. either with or without purgers and various Recipes of each do remain in practical Authors all which would be tedious to recount here we shall propose one or two forms This is the common example without purgers Take of Orris and Enula-campane roots of each half an ounce Without purgers Hysop and Hore-hound dryed of each six drams Carthamus seeds an ounce Annis and Dill seeds of each two drams Liquorish scraped and Raisins stoned of each three drams let them be prepared and sewed into the belly of an old Cock which boyl in fifteen pound of water until the flesh depart from the bones strain it and let it settle of the clear liquor the dose six ounces with an ounce of Oxymel simple Or if the remedy be desired to be solutive dissolve of fresh Cassia and Manna of each half an ounce in each draught taken for many days together and sometimes for a whole month Riverius prescribes a convenient form of such a kind of purging broth Take Enula-campane and Orris-roots of each a dram and a half Hysop and Coltsfoot of each a handful Liquorish and Raisins of each two drams Figgs 4 Senna cleansed three drams polypodie of the Oak and Carthamus seeds of each half an ounce Anniseeds a dram and a half boyl them with the third or fourth part of an old cock make broth for one dose to be taken in the morning let them continue it for twelve or fifteen days Of many examples of Asthmaticks I shall propound only two singular ones The first History of a Convulsive Asthma viz. I will describe the History of one who hath been obnoxious to fits of this disease meerly convulsive and of another partly convulsive and partly Pneumonic A Noble person proper and well set and formerly healthful enough after that by chance he had struck his side against some solid body from that time contracted a hurt and afterwards an Asthmatical taint For we may suspect a certain folding of the Nerves belonging to the precordia placed near was prejudiced by that accident and from such a cause afterwards this distemper derived its origine viz. at some incertain times the pain at first troubled him about that place and presently a most painful Dyspnoea ensued with a laborious and lasting contention of all the breathing parts insomuch that while the fit lasted the patient was thought to be in the agonie of death I was first sent for to him after labouring for two days with such
taken Tincture of Antimony or of Salt of Tartar and the simple mixture in a greater Dose for vehicles Apozemes distilled Waters and Juleps for this Intention of curing are convenient Take of the roots of Celandine the greater Apozems stinging Nettles Madder of each one ounce tops of Roman Wormwood white Horehound Agrimony Germander of each one handfull Worm-seeds two drams Shavings of Ivory and Harts-horn of each two drams yellow Sanders a dram and a half Coriander-seeds two drams boyl them in three pound of Spring-water to two pound adding of White-wine four ounces strain it and adde Syrup of Chichory with Rhubarb two ounces water of Earth-worms an ounce and a half make an Apozeme the Dose four or six ounces twice in a day Take of white Horehound dryed Centaury of each one handful Gentian and Turmerick-roots of each three drams Cinamon one dram Saffron half a dram being sliced put them into a Glass with two pound of White-wine or Rhenish-wine make an infusion the dose three ounces To this we will adde Gesners famous Antictericum Take of the roots of stinging Nettles a pound Saffron one scruple bruise them well and draw off the tincture with White-wine the dose three ounces 4 or 5 dayes Like to the former is that of Fr. Joel Take the Roots of Celandine the greater Empirick Remedies two handfuls Juniper-berries a handfull bruise them and pour on them a pound of Rhenish-wine and draw out the juice the dose sour ounces twice a day The juice of white Horehound is mightily commended by Dioscorides and the Syrup of the same by Forestus for curing the yellow Jaundice In lieu of an Elixir and other chymical liquors which to avoid nauseousness are to be taken in very small quantity to others endued with a stronger Constitution Electuaries Powder and Pills may be administred with better success Take of Conserve of Roman Wormwood of the yellow Rinds of Oranges and Limons An Electuary of each two ounces Species Diacurcumae one dram and half powder of Ivory yellow Saunders of Lignum-Aloes of each half a dram Troches of Capers one dram of Rhubarb half a dram Salt of Wormwood two drams with Syrup of Cichory with Rhubarb make an Electuary the dose the quantity of a Chesnut twice a day drinking after it three ounces of the following Julep Take of the greater Celandine-water Fumitory Wormwood Distilled Waters Elder-flowers of each five ounces Snail-water water of Earth worms compound of each two ounces Sugar half an ounce mingle them and make a Julep Or Take of the roots of stinging Nettles Angelica Gentian of each four ounces the greater Celandine leaves and roots six handfuls Wormwood Tansie Southern-wood of each four handfuls the outer rinds of twelve Oranges and four Limons prepared Worms and Snails of each one pound Cloves bruised two ounces being all cut and bruised pour upon them eight pound of White-wine let them be distill'd in a cold still and the whole water mixt Or Take of filings of Steel one pound fresh Strawberries six pound put them into a glazed pot stirring them together and let them stand a day afterwards adde of English Rhubarb sliced one pound the rinds of four Oranges sliced pour upon them of White wine six pound and distill them according to Art let all the liquor be mixt together The dose of this and of the former is three ounces twice in a day after the Electuary or any other medicine Take of Turmerick-roots Rhubarb of each one dram and a half the Bark of Caper-roots of Asarum-roots of each half a dram Extract of Gentian and Centaury of each one dram and a half Salt of Wormwood four scruples Water-cress-seeds half a dram of Rocket half a scruple Elixir Proprietatis one dram gum Ammoniacum dissolved in the water of Earth-worms what will suffice to make a mass form it into small Pills the dose is half a dram evening and morning drinking after it three ounces of the distilled water Sylvius doth much magnifie for cure of the Jaundies Sylvius his Empirical Remedies the Decoction of Hemp-seed in milk and the solution of Sope and from thence endeavours to establish his own Hypothesis as we have above intimated whereby he endeavours to deduce the Aetiologie of the Jaundies rather from an alienation of the choler than from the obstruction of its passages 2. The Second Indication respecting the altering or tempering of the blood The second Indication Remedies against the Jaundies endowed with an animal volatile Salt by which it may breed but moderately and duly separate the choler requires Medicines of that sort which depress the Sulphur and fixt salt too much advanced For these ends I know not by what chance or conduct Medicines endowed with a volatile salt as Worms Snails Millepedes yea Lice Dungs of fourfooted Beasts and Fowl are brought into practice for curing the Jaundies and not only prescribed by Empiricks but the more famous Physicians These sometimes by themselves but oftener joyn'd with Purgers and Deoppilatives become the chief Ingredients in Compositions against the Jaundies Fonseca prescribes Goose-dung gathered in the Spring-time and dryed as also the white excrement of Pullets of both which let the Powder be given in a convenient vehicle from half a dram to a whole one Take powder of Earth-worms prepared of Goose-dung of each three drams Ivory Varlous forms of them yellow Sanders of each half a dram Saffron one scruple make a powder divide it into six parts One to be taken every morning with some appropriate liquor To the Apozeme or Anticterical Tincture prescribed above Earth-worms Goose-dung and also Sheeps-dung are profitably added Take Millepedes fresh and alive from 50 to 100. Saffron half a Scruple Nutmeg a scruple bruise them together and infuse them in Water of Celandine four ounces of Earth worms two ounces express them strongly and drink it after this manner take it first once then twice in a day for a week The vulgar and Empirical remedy with us is that Nine quick Lice be taken in a morning for five or six dayes by which remedy they report to me many to be cured whenas other remedies effected little which truly can help by no other means than by restoring the volatile Salt depressed in the blood Upon the same account of succour even in this disease the flowers of Sal Armoniac Also such as are endued with a mineral volatile Salt the volatile Salts of Amber Harts-horn Soot in like manner their Spirits are frequently administred with great success Take powder of Earth-worms prepared two drams Species Diacurcumae one dram flower of Sal Armoniac half a dram Salt of Amber a scruple Extract of Gentian one dram Saffron one scruple Gum Ammoniacum dissolved in water of Earth-worms what suffices make a mass and form it into small Pills the Dose is three or four morning and evening drinking after it three ounces of the Julep before prescribed Take Spirit of Harts-horn tinctured with Saffron three drams Dose
of a Tincture the dose from 20 drops to 30 in a convenient vehicle Take of the Powder of Spurge from seven grains to ten Cinamon half a scruple Salt of Tartar eight grains mix them together in a glass mortar give it by it self or mixed with a fit Conserve or Syrup make a Bolus or Pills 2. Precipitate of Mercury with Gold The Hercules of Bovius or the Hercules of Bovius which is much extolled by the Author for curing Dropsies it is described in a former Treatise in the Chapter of Vomits and the manner of preparing and the working thereof and the Reasons are there delivered This Medicine inasmuch as it twitches the stomachical fibres by its acrimony and pours out the blood by reason of the mercurial and salt particles causes or stirs up a fierce Vomit and thereby causes the serous humours violently strained into the Cavities of the bowels to be ejected 3. The Pills called Lunares produce the same effect in like manner Pilulae Lunares by reason of the vitriolate particles of Silver sharpened with other saline menstruums viz. by wrinkling of the fibres of the Bowels very much they force the serous humours to be strongly strained into their passages and so to be evacuated A Solation of Silver made in Stygian water and well cleansed and by a little evaporation is reduced into pleasant Crystals which by themselves or with an addition of Salt Nitre to abate the fierceness of the Lunar Vitriol are made into Pills with crums of bread the dose is one Pill sometimes two or three respecting the ability of strength and working Medicines of this kinde are exhibited sometimes with success in a strong constitution and bowels strong and a good habit but they are scarce ever conveniently or rarely without prejudice taken by tender and cachectical persons Hydragogues meerly or chiefly purging are either of a more mild sort as Elder Purging Hydragogues Dwarf-Elder Soldanella and juice of English Orris which seldom being administred by themselves do want the stirring up of sharper Medicines and on the other side they blunt their too much fierceness or they are of a stronger sort as Gratiola or Hedge hyssop Jallap and Elaterium The seeds or grains of Elder and Dwarf-Elder being dryed Elder and Dwars-Elder are reduced into a powder which being taken to the weight of one dram doth gently bring forth serous humours by siege Water and Spirits are distill'd of the juice of either sorts of Berries fermented also Robs and Syrups are made of them which with many other Preparations of those Vegetables are much magnified for all hydropical Distempers Soldanella and Gratiola Soldanella are rarely used by themselves in our age neither are any neat and very efficacious Medicines prepared out of those Simples they are frequently mixt with certain other Hydragogues and chiefly are ingredients in compounding Apozems The Juice of English Orris is a very profitable Medicine The juice of Orris and because to be easily provured for the poor is the more to be esteemed It is given grom six drams to an ounce and a half or two ounces either by it self in a fit vehicle or with other things appropriated thereunto Jalap is a most known Medicine against every Dropsie and common enough Any one of the common people suffering under that disease presently takes of the powder of the root of Jalap a Pennyworth mixt with Ginger and White-wine and the desired effect doth frequently follow this remedy used with intermission Elaterium is rightly esteemed the most powerful Hydragogue Elaterium for that it most painfully provoking the splanchnick fibres and together melting the blood and humours by a certain corrosive force compells whatsoever serosities the Coats of the Bowels Membranes Vessels also the Glandules and flesh do contain in themselves to be poured out into the cavities of the Stomach and guts by which Medicine happily working the asswaging of the Abdomen doth sometimes succeed Truly this is the chief weapon of the Empirical Magazine against any Ascites which they notwithstanding using in all cases do oftener administer to the hurt than benefit of the Patient the dose is from three grains to ten or fifteen taken either by it self only with correcting spices added or it is given with other hydragogues in form of a Powder Pills or Electuary The tincture and essence of it are extracted with Spirit of Wine or with tincture of Salt of Tartar These are the chief simple Hydragogues The forms of Hydragogues from which being prepared with the addition of others many compounded ones as well Magistral as common in Shops are made adn are every where in use moreover very many more might be prescribed extemporarily as occasion serves Of these we will here annex a few more select forms and chiefly those that are taken in the form of Potions Powders Electuary and Pills Take of Dwarf-Elder A Tincture English Orris of each an ounce and half leaves of Soldanella and Gratiola i.e. Hedge-hyssop of each one handful Asarum and Asse Cucumber-roots of each two ounces roots of lesser Galangal six drams choice Jalap half an ounce Elaterium three drams Cubebs two drams shred and bruise them and pour upon them three pound of small Spirit of Wine tartarizated digest it stopt close in Sand for two days strain it clear and depurate it by settling The dose from two spoon-fuls to three in a convenient vehicle Take of Elaterium Powders Soldanella Ginger of each one scruple Galangal Cloves Cinamon of each half a scruple Salt of Tartar fifteen grains make a powder for two doses Take powder of Jalap one dram Ginger one scruple Cream of Tarar 15 gr make a powder to be given in a draught of White-wine Take of Rhubarb one scruple Pills Elaterium 5 grains Tartar vitriolated half a scruple Spicknard three grains with Syrup of Buckthorn make four Pills Take of pill Aloephanginae half a dram Elaterium half a scruple Oyl of Cloves gut 3. make four Pills Bontius hydropick Pills are given from half a scruple to half a dram prepared thus Take of Aloes two drams and a half the preparation of Gum-gutta one dram and a half Diagridium corrected one dram Gum Ammoniacum dissolved one dram and a half Tartar vitriolated half a dram make a mass and form it into Pills Certain hydragogue Electuaries re now every where in use and celebrated by practisers Electuaries Of which sort are 1. One described by the renowned Sylvius and the other by Zwelfer This following pleases us Take of Resine of Jalap two drams Tartar Vitriolate one dram Extract of Rhubarb two drams of Spurge a dram and a half lesser Galangal one dram beat them in a mortar and lastly adde of Conserve of the flower of English Orris four ounces and with Syrup of Peach-flowers make an Electuary the dose from half a dram to a dram and a half or two drams I might here set down or describe many other
the morbific matter sticking within the straiter passages cannot be impell'd straight or throughly Elastick medicines render the stoppage greater and more fixt by enfixing the matter deeper wherefore Spirit of Harts horn of Soot of Sal Armoniack yea also Tinctures Elixirs and other Medicines endowed with a volatile Salt or active particles of another kind do not only acquire heat and a troublesome thirst in the sick person troubled with a Tympanie but also cause the Abdomen to swell the more inasmuch as they melt the blood and nervous Juice and stirre the Spirits insomuch that the particles deposited by each of these are compell'd into the parts affected But truly although Medicine doth so little avail against this disease Only mild Purgers and Clysters are convenient it is not altogether to be neglected as if either it effected nothing or what is ill but it behooves us to turn every stone that by some means we may succour the Patient and at length may obtain a cure for him or at least an alleviation Wherefore in the first place because it is the custom to begin with Purgatives although the stronger do ever hurt and the gentler scarce ever prevail to discharge the conjunct cause notwithstanding these latter inasmuch as they do something substract the nourishment of the disease also make a way by which other Medicines do exert their powers they ought to have their turns in physical practice once in six or seven dayes and at other times let Clysters whose use is much better be frequently administred Hydroticks being prohibited we must rest upon moderate Diureticks whereto are adjoyned things respecting the alteration and reduction of the Spirits and Humours which truly make up the Tympanitical pharmacy Moreover in the mean time the use of Topicks is not to be neglected We will annex certain select forms of Medicines appropriated for every of these purposes For a Medicine mildly solutive let the laxative Wine be used prescribed by the renowned Greg. Horstius for a Tympanie in his book of Observations lib. iiij Chap. xxx or in its place let the following be prescribed with greater ease Take the leaves of Peach-flowers Forms of Medicines of Damask-roses of each two Pugils Broom Elder Centaury the lesser of each Pugil 1. the leaves of Agrimony Roman Wormwood of each one handful Senna one ounce Rhubarb six drams Carthamus-seeds half an ounce Dwarf-Elder two drams A solutive liquor yellow Sanders three drams Galangal two drams slice them and bruise them put them into a silk Bag in a Glass with 2 pound of White-wine Saxifrage-water one pound Salt of Tartar one dram and a half let them stand 48 hours let the patient drink from four ounces to six every third or fourth day In a hotter Constitution let the following form be taken which I have proved with success in this disease Take of purging Mineral-waters eight pound Salt of Wormwood two drams let it evaporate in a gentle Bath to two pound To this I use to adde four ounces of water distill'd from Purgers with Wine the dose from four ounces to six Or to the two pound of evaporated water adde of Mechoacan Turbith of each half an ounce Rhubarb six drams yellow Sanders two drams Cloves one dram digest them close and warm for two hours filtre it through Paper the dose 3 or 4 ounces Clysters are of frequent use in this Disease inasmuch as they loosen the Belly without any great irritation of the fibres Take of the Infusion of Stone-horse dung with Cammomile-flowers a pound Clysters Mellis Mercurialis two ounces After the same manner Decoctions and Infusions are prepared with Carminatives from Dogs-dung Take of the Emollient Decoction one pound Sal Prunella or Sal Armoniack from one dram to a dram and a half make a Clyster Take of sound Vrine one pound Sal Prunella one dram Venice Turpentine dissolved with the yolk of an Egge an ounce and a half make a Clyster 2. Diureticks Diureticks if any other Remedies promise help in this Disease Take of Millepedes living and cleansed three ounces one Nutmeg sliced bruise them together and pour upon them one pound of the Diuretick-water prescribed below Press them strongly the dose from three ounces to four twice a day Take of green Juniper-berries Distilled Waters and Elder-berries of each six pound of Firre-tops four pound green Walnuts two pound Cortex Winterani four ounces the outer Rinds of six Oranges and four Limons Seeds of Ameos Rockets Cresses of each an ounce and half Dill-seeds two ounces slice them and bruise them and adde of Posset-drink made with White-wine 8 pound distill it in common Organs let the whole liquor be mixed Take of Crystal Mineral half an ounce Pills Volatile Salt of Amber two drams the powder of Carrot-seeds one dram Turpentine of Venice what suffices to make small Pills the dose Numb 3. in the evening and morning drinking after it three ounces of the distilled water Take of the sweet Spirit of Salt half an ounce Spirits take six drops to twelve twice in a day in a draught of the same water with a spoonful of Syrup of Violets Take of spirit of Salt of Tartar one ounce take one 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 taken Take of Plantane An Expression Chervil and Clivers-leaves of each four handfuls bruise them and pour on them a pint of the former distilled water Press them strongly the dose three ounces twice or thrice in a day with other Medicines Take of Grass roots three ounces of Butchers-broom two ounces Apozems Chervil and Eringo candied of each one ounce shavings of Hartshorn Ivory of each two drams of burnt Hartshorn two drams and a half Burdock Seeds three drams boyl them in three pound of Spring-water to two pound in it strained hot infuse the leaves of Clivers Water-cresses bruised of each one handful adding of Rhenish wine six ounces make an infusion close and warm for two hours after strain it again and adde of Magistral-water of Earth-worms two ounces Syrup of the five opening Roots an ounce and a half Make an Apozeme the dose four ounces twice a day with some other medicine While these are taken inwardly Topicks also Topicks and outward Applications may be carefully administred not those which are hot and discussing but those which are endowed with particles of a volatile Salt and Nitrous to wit those which destroy the Combinations of other Salts and dissolve the impactions of the Spirits for which we propound the ensuing things If Fomentations ought at all to be admitted into use let them not be applyed too hot also let them be prepared not of those that are usually call'd Carminative but chiefly of Salts and Minerals Cabrotius cited by Helmont says That he cured one of 80 years of age whose Belly he somented twice a day with a Lye in which he
while a great Mill is driven about with a screeking noise and a dreadful aspect of the wheels the distempered be put into the Trough or Receiver of the Grain or Corn and from thence the sudden cure of this disease sometimes happens The reason whereof without doubt consists in this that the Animal spirits being put to flight and forced into fresh distractions they relinquish their former disorders moreover the convulsive matter is either dissipated by that disturbance or is forced into other nerves where it is less troublesome The Empirical cure of this disease being described after this manner The rational cure together with the remedies vulgarly used and the rendring a reason of the cause at least probably unfolded from hence it will be lawfull to design a rational method of curing and perhaps more efficacious against childrens Coughs of this kind Wherefore in such a case sometimes successefully enough I have prescribed according to the following forms And seeing we ought to begin with purging Take of the syrup of Peach flowers one spoonfull of Aqua Hysterica one scruple mix it Purging and let it be taken with government Or take of Mercurius dulcis 6 grains Scammony prepared with Sulphur Resine of Jalap of each three grains make a powder give it in a little Pulp of a preserv'd Cherry to a lad six years old and let the dose be encreased or lessened according to the age let the Purge be repeated in 6 or 7 days If the Patient as it often happens be prone to vomit Take of Oxymel of Squils 6 drams Salt of Vitriol 4 grains mix it for a child of six years old and according to this proportion let the dose be accommodated to others I have known a Vomit of this kind taken every morning for four or five dayes together with good success Vesicatories or Medicines drawing blisters are in daily use Vesicatories and are applyed sometimes to the Nucha or nape of the neck another while behind the ears then to the inside of the arms near the arm pits and as soon as these sores begin to heal in these places let others be raised in other places Instead of Beer let the following Decoction be used for ordinary drink Take China-roots an ounce and half of all the Sanders of each half an ounce the shavings of Ivory and Harts-horn of each three drams let them be infused and boiled in six pints of spring water to the consumption of half adding Raisins stoned an ounce and half Liquorish three drams Take of Spirit of Gum Ammoniac with Salt Armoniac a dram Mixtures Syrup of Chin-moss three ounces Aq. hysterica an ounce the dose is a small spoonful in the evening and morning fasting Or Take of tincture of Sulphur two drams dose three drops in the evening and first in the morning in a spoonful of the Syrup of Cup-moss To some endued with a hot constitution and while they cough their countenance is spread with redness or rather blackness I have prescribed Phlebotomy or drawing of blood with Leeches to two or three ounces with good success Take Hog-lice living and cleansed two ounces powder of Aniseed a dram Nutmeg half a dram fine Sugar an ounce bruise them together and pour upon them six ounces of Hysop-water of Magistral Snail-water two ounces stir them together a little and press them out hard the dose two or three spoonfuls twice a day Hitherto of a Cough and its Remedy while it is only an entrance to a Consumption now it remains to treat throughly of the distemper it self having passed the limits of this dangerous disease and to design a method of curing and the forms of romedies which are proper to heal an inveterate Cough when either being neglected or not easily giving place to remedies it begins to degenerate into a Phthisis namely when it arrives to that state that the blood being dissolved in its consistence doth not only pour out the superfluous Sorum but also the nutritive Juice and perhaps the nervous the Lympha and other its superfluities on the Lungs and lodges them within its passages Of what sort the beginning of a consumptive Cough it and in the mean time the corruption of the Lungs is so much increased that the little Bladders being distended or many of them broke into one so that a solution of continuity or an Ulcer being caused a greater plenty of corruption is daily heaped in and moreover the matter in that place gathered together because it is suffered to abide there long putrifies and for that reason doth still more corrupt the Lungs themselves and defile the blood flowing through In this case the Therapeutical indications shall be chiefly these three Three indications concerning its cure 1. To stop the dissolution of the blood 2. To draw out the filth from the Lungs 3. To heal the Lungs hurt viz. in the first place to stop the dissolution of the blood which is the root of all this evil and to make provision that it pour not out the matter any longer in such abundance upon the Lungs Secondly by expectorating the purulent matter heaped up within the Lungs and to evacuate it quickly and sufficiently Thirdly to strengthen and dry the Lungs loosned from their unity or being too loose or moist or otherwise infirm lest they be daily more and more corrupted and give more reception to the morbific matter Every of these indications suggests various intentions of healing and requires remedies of divers kinds and many ways of administrations The chief of which we shall here briefly treat of 1. The first indication suggests three intentions of healing Therefore what the first indication suggests that the dissolution of blood may be prohibited these three things as much as may be ought to be procured viz. First that the mass of blood may contain and assimilate whatsoever of nutritive juice it may be furnished with and that it be so proportioned that it neither offend in quality nor in quantity Secondly that the acidities either generated in the blood or poured into it from some other place may be so destroyed that the blood retaining as yet its mixture or temperament may not be prone to flowings and pourings out Thirdly and lastly that all the excrements produced in the blood may be derived from the Lungs to other Emunctories and places of Evacuations 1. The first intention that the nutritive juice may be proportioned to the blood and assimilated by it As to the first intention of healing viz. that the nutritive Juice may be proportioned to the blood let it be advised before all things that they who cough and are phthisical abstain chiefly from drink and that they take liquid things in a very small quantity for that the blood being infirm in its temperament so long as it is not too much imbued with fresh juice may be able to digest small portions and retain it within its own consistence Moreover let that fresh juice consist
of such kind of particles which being mild and thin may be tamed by the blood and assimilated without any effervescence or heat Wherefore Asses milk also sometimes Cows or Goats milk also Water-gruel Cream of Barley Ptisan Almond-milks and other simple nourishments will better agree and nourish more than Flesh Eggs and Gelly-broaths strong Ale Wine or any other kind of richer fare Secondly 2. That the acidities of the blood and other humours be taken away that the blood retaining its own temperament be not easily dissolved into serosities injurious to the Lungs it behoves that as well the acidities of it self as of other humors mixt therewith and chiefly the nervous and limpid ones be destroyed which intention Medicines prepared with Brimstone will best accomplish which for that cause in this case provided a hectic Feaver be not present may be more frequently and in abundance taken Wherefore the Tincture the Balsam the Syrup the Flowers and Milk of Sulphur in somewhat a large Dose may be exhibited twice or thrice a day For the same reason traumatic or vulnerary Decoctions also Decoctions of the pectoral Herbs commonly so called also of the Woods are to be taken instead of ordinary drink Moreover the Powder of Crabs eyes Hog-lice and other things endued with an Alcali or volatile Salt are often administred with great success 3. That the excrements of the blood be drawn off from the Lungs The third intention of healing respecting the first indication viz. that the superfluous dregs of the depraved blood if they shall be very much predominant being commanded out from the Lungs may be discharged by other Emunctories suggests very many ways to be used for their dispatch For besides Phlebotomy Diuresie and sometimes a gentle Purgation which take place in all Coughs yea in the beginning of a consumptive Cough or Phthisis hither also ought to be referred Baths taking in a more warm air whereby they may more freely transpire also Frictions of the extreme parts Dropaces Issues Blisterings or Depilatories Errhines Gargles and other private or public sluices either of humors or vapors The second indication in the beginning of a Phthisis viz. that the consumptive matter laid aside within the Lungs may be easily and daily evacuated Second indication requires expectorating Medicines is performed by expectorating Medicines These are said to operate after a twofold matter according to which their virtue is conveyed two ways to the Lungs For of those being taken by the mouth some immediately dismiss their active particles into the Trachea which partly by making the way slippery and loosning the matter impacted and partly by provoking the excretory Fibres into Convulsions do procure expectoration in which number are chiefly accounted Linctus's and Fumigations The expectorating Remedies of another kind which deservedly are accounted more available do exercise their energie by the passage of the blood For whereas they consist of such kind of particles which cannot be digested and assimilated by the mass of blood being spread through the blood because they cannot be mixt with it they are presently again exterminated and so penetrate from the pneumonic Arteries into the tracheal passages where lighting on the matter they divide and attenuate and so disturb it that the little fibres being irritated from thence and successively contracted while they cough the contents of the Trachea and of its little bladders are ejected upwards into the mouth Medicines proper for this use besides Sulphur and the preparations of it are artificial Balsams distilled with Oil of Turpentine Tinctures and Syrups of Gum Ammoniac Galbanum Asa foetida Garlick Leeks and such like yielding a strong scent from which also Lohochs and Eclegma's are prepared And these work both ways partly by slipping into the Trachea and partly by entring the Lungs by the circulation of the blood and assault the morbific matter both before and behind and so exclude it with the greater force 3. What belongs to the third indication viz. that the frame of the Lungs being hurt or their constitution vitiated may be either restored or amended Third indication is performed by Balsamicks and vulneraries such things are of use as resisting putrefaction do cleanse heal dry and strengthen to which intent also Remedies prepared of Sulphur Balsamics and Vulneraries do agree Hence some Empirics do not only successfully prescribe the smoak of Sulphur vivum but also of Auripigmentum to be suckt through a Pipe or Funnel into the Lungs Moreover it is for this reason that change of air and soil viz. from Cities to the Country or sulphureous air or the passage from one Region into another that is hotter is of such a signal advantage Hitherto of the Method of Healing which seems to be of use against the more painful Cough or Phthisis beginning now it remains according to all those curatory indications to subjoin certain select forms of Medicines which also according to the way of healing described above in a slight Cough which is short of a Phthisis Forms of remedies for a consumption we shall distinguish into certain ranks viz. which are Mixtures Linctus's Lohochs Tinctures Balsams Troches Lozenges Powders Pills Decoctions and distilled Waters We shall set down some Examples of each of these whereto also may be referred some of the forms of Medicines before described for a beginning Cough and not as yet consumptive 1. Magisterial Medicines and Syrups Take of our Syrup of Sulphur three ounces Mixtures water of Earth-worms an ounce tincture of Saffron two drams mingle them Take one spoonful at night and first in the morning Take of Syrup of the juyce of Ground-Ivy three ounces Snail-water an ounce flour of Brimstone a dram mix them by shaking The Dose one spoonful at night and morning Take of tincture of Sulphur two drams Laudanum tartarizated a dram Syrup of the juice of Ground-ivy two ounces Cinamon-water two drams the dose one spoonful at bed-time and if sleep be wanting towards morning Syrupus Diasulphuris Take of Sulphur prepared after our manner half an ounce Syrups best Canary wine two pints let them be digested 28 hours in a water or sand Bath which being done take of the finest Sugar two pounds dissolved in Elder-flower-water and boil to a height to make tablets afterwards pour to it by little and little Wine coloured with Sulphur and warm let it boil a little on the fire strain it through woolen You will have a most delicate Syrup of a gold colour and for coughs and other distempers of the lungs where a hectic Feaver and heat of the Praecordium is absent most profitable the dose a spoonful morning and evening by it self or with other Pectorals Syrup of Garlick Take ten or twelve cloves of Garlick stript from the little skins and cut into slices Aniseeds bruised half an ounce Elicampane sliced three drams Liquorish two drams let them digest for two or three days in a pint and half of spirit of Wine close and
and vigorous he recovered his former health in a short time Fits of this kind more seldom infested him in Summer-season but in the restof the year repeated three or four turns and brought the sick even into great hazard of life If disquisition be made of the nature causes and formal reason of this unwonted and as it were irregular kind of Coung it is manifest it proceeds like all other from the provocation of the Lungs nevertheless as to the matter exciting its seat and manner of affecting it is doubted because neither thick spittle nor plentiful thin as is usual in other distempers is here cast out neither doth the Patient complain of feeling a Catarrh nor of any weight of the Lungs Wherefore not as in a common Cough does the serous humour either slowly or plentifully sweating out of the Trachea or pneumonic vessels into the little bladders or pipes of the Trachea induce the afore mentioned symptoms But it is plain from thence that the passages of the aspera Arteria are wholly empty of the serous or thick humour because the deep and sounding Cough throws off nothing Moreover neither from the blood impacted in the Membranes of the Lungs doth this Cough take its origine because neither feaver nor thirst nor pain are present here as in a Peripneumonie Besides neither doth the morbific matter seem to adhere to the nerves or muscles appointed to the function of breathing because then besides a Cough Asthmatical or otherwise convulsive fits would sometimes urge with a sense of strangling which notwithstanding did not happen to our patient Having frequently and seriously meditated about the aetiologies of this very difficult case I am at length induced to think that a certain serous and sharp matter as being loaded with a scorbutical taint falling from the head by the passage of the nerves doth enter into the nervous fibres and Membranes of the lungs or Trachea which cleaving throughly to them is by degrees encreased to a fulness The conjuct cause of the disease and at length being chaf'd and grown turgid with a perpetual provocation creates so troublesom a Cough We have in another place declared the matter of this kind impacted in the Coats of the guts and the neighbouring parts about them not rarely to excite a scorbutical Colick for many days yea sometimes weeks infesting them with vo miting and a most sharp torment and what else is this Coungh but a certain convulsive distemper of the lungs whose taint notwithstanding according to the capacity of the part labouring is imprest rather and more on the motive than on the sensitive Power For the lungs however twicht adn hurt do suffer small pain or scarce any at all notwithstanding from any light occasion they are invaded by storms and fits of coughing Indeed we compare this distemper of coughing so much the rather to the Colick because the subjects of either of them that is to say the Trachea and the guts as to their coats vessels little fibres and glandules are after the same manner fashioned The chief cause of the Cough now deseribed depends upon the morbific matter heaped together within the little fibres of the rough arteries to a provoking fulness wherewith when they are loaded first a quick and painfull breathing infests onely with amornings Cough because from the beginning onely some small portion of that matter being disquieted provoke the part afterwards when the whole mass thereof growing turgid almost perpetually twitches the fibres there follows a most troublesom cough which also being often repeated endures a long season because the morbifick mass impacted in the parts affected is neither presently cast off by the strength of nature nor easily gives place to any remedies For in all the fits of this disease I have made tryal of various methods of curing and of medicines of divers kinds though with little success That distemper beginning at any time is wont to make a long period maugre all remedies The medicines commonly called pectoral as Syrups Lohochs Eclegma's or Lambitives have conferred little benefit to its cure not withstanding sometimes it hath seemed good to admit of them into use for this purpose that they might make slippery and moisten the Lungs lest they run the hazard of being rent by a violent Cough and their vessels burst asunder for sometimes a more fierce fit troubling our sick Patient he hath been wont to cough out a little blood though no thick spittle A gentle Purge both in the beginning and declination of this distemper hath succeeded well Opening and diuretical Apozemes are ever administred with success both which he used enough through his whole course instead of ordinary drink Evening and morning he took some drops of the Tincture of Sulphut with the Milk-water of Snails late at night I was sometimes constrained to administer a Dose of Diacodion or of liquid Laudanum his belly for the most part loose enough that it seldom required Clysters in two of his fits he breathed a vein whereby nothing of success ensued In the last fit The usual method of curing beinning about the Autumnal Equinoctial which passed away a little more lightly and gently this following method of healing was observed First of all this Purge was given A Purge and after four days repeated Take of Mercurius dulcis ten grains Resine of Jallop four grains mix and make a powder to be taken in a spoonful of Syrup of Violets Take China-roots sliced a dram A Drink Grass-roots three ounces Chervil an ounce candid Eringoes six drams shavings of Ivory Harts-horn each three drams Raisins of the Sun stoned three ounces boil these in three pints of Spring-water to two pints strain it and use it for ofdinary drink Take syrup of Jujubes two ounces A Mixture Diacodion an ounce spirit of Salt Armoniac with Gum Ammoniac a dram mix them the dose a spoonful at night and early in the morning He was mauch relieved with this medicine notwithstanding he took it only every other or third day and for change sometimes a dose of the tincture of Sulphur with syrup of Violets The disease declining a Purge was twice repeated and afterwards recovering his health by degrees within two weeks he became healthy enough But when I beheld him not only obnoxious to frequent relapses of coughing but every fit to be irresistible when it assaulted him and its stay very long notwithstanding the use of remedies and all this threatning no less than a Phthisis at length I advised that as well for his preservation as for the more easie cure of the distemper if it should return he should travel into a hotter Region Hereupon he did not much delay but sails into France about the beginning of November and from thence by a straight journey to Montpelier where abiding half a year he was sick only twice and both tiems lightly afterwards returning into England quite free from a Cough praise be to God he enjoys his perfect health
may be some-how shut 1. That the blood may not flow to the part distempered 1. It stops the flux of blood there are many intentions of healing in use viz. it will be requisite to diminish the abundance of blood to restrain the boiling thereof to alter the intemperament and depress its motion or divert it another way for which purposes Phlebotomy Ligatures and Frictions are often convenient also Juleps Decoctions Emulsious and succulent Expressions of Herbs ought to be drunk Likewise moderate Hypnotics and in the first place Diacodiates are exhibited with success for these by restraining the motion of the Heart do force the blood to cool 2. That the opening of the vessel may be shut 2. It shuts the opening of the Vessels astringent and agglutinating remedies are in the first place convenient The chief of these are used to be exhibited in the form of a Linctus so that while one swallows certain particles gliding into the rough Artery may more immediately communicate their power to the part diseased But the reason of this operation seems not to be of any great moment because the efficacy of the Medicines themselves chiefly and almost only by the conduct of blood reaches to the seat of the disease Wherefore not only Lohochs but also Decoctions Powders and Pills of vulnerary and balsamic Ingredients are prescribed with success The forms hereof we shall annex beneath II. The second indication which is also preservatory II. The second preservatory indication respecting the healing of the dissolution of unity without any remaining hurt of the Lungs ought to provide against two sorts of evils viz. lest the spitting blood whereunto the distempered are afterwards always prone begin again and lest a Phthisis succeed which threatens every body subject to the Haemoptosis For these ends for the prevention of this disease daily care and constant course of healing ought to be ministred to the blood and Lungs 1. As to the blood the mass thereof ought to be contained ever in a due quantity 1. It respects the blood which is to be kept in a right Crasia and a right temperament with a mild and equal motion Hence lest it superabound or distempered with a Dycrasie enter into turgescencies or lodge its impure feculencies in the breast it is requisite sometimes to use Phlebotomy and a gentle Purgation An exact course of Diet is always necessary Moreover for the depurating and sweetning the blood drinking of Asses milk or of Medicinal waters sometimes does greatly help But Decoctions distilled Waters Juices of Herbs which carry away the ill temperaments of blood and derive the Serum and other impurities from the Lungs and bring them forth either by Sweat or Urine are to be carefully drunk Besides for this purpose Issues do chiefly conduce 2. Neither ought there to be less care of the Lungs themselves 2. A 〈◊〉 frame of the Lungs to be procured namely that the whole frame thereof and chiefly the place affected be preserved in due frame and right tone Hence every violent motion whereby its unity is more dissolved or the restitution thereof hindred should be industriously declined Let the party live in a clear and open air but not too fierce or sharp let him abstain from grosser foods from Noon-sleeps from plentiful Suppers and other errors in diet which induce either repletion or obstruction upon the Praecordia But let remedies be admitted in daily use which by a peculiar property or certain specifick vertue are reported to heal the Lungs The method of healing requisite for spitting of blood being shadowed after this manner there yet remains as to all the therapeutic indications and according to the various intentions of healing which belong to them for us to subjoyn some more choice forms of Remedies whose Van those deservedly lead which meeting with the symptom most urging do suddenly restrain the flux of blood cast out by coughing or otherwise out of the Lungs In the first rank of these Medicines those are reckon'd which hinder the blood from flowing to the part affected and together are impregnate with a certain astrictive and agglutinative power whereby the opening of the vessel may be shut The forms of Medicines and after the Belly being cleared with a Clyster and Phlebotomie unless a weak pulse and defect of heat withstand it made use of there is wont to be given somewhat in form of a Julep Decoction Emulsion juicy Expression Powder Pills or Lohochs We will annex certain more elegant and more efficacious Receipts of all of these as likewise of Narcoticks which notwithstanding ought not every where and indifferently to be used but methodically and seasonably according to advice of a discreet Physician according to the various constitution of the patient and condition of the disease 1. Juleps and Distilled Waters Take of Purslain and Poppy-water of each 6 ounces Juleps Dragons-blood in most fine powder half a dram syrup of red Poppies two ounces spirit of Vitriol of Mars ℈ ss mix them the dose ℥ iij. repeated once in 5 or 6 hours Take of Plantane-water lb j. Gum Tragacanth and Arabick powder'd of each ʒss mingle and dissolve them after adding syrup of dryed Roses ℥ j ss make a Julep the Dose ℥ iij. or ℥ iiij every third or fourth hour Take of the water of Oak-buds red Roses Water-lillies of each ℥ iiij of Blood-stone finely ground Bole-Armenick powder'd of each ʒss syrup of Water-lillies ℥ ij mix them the dose ℥ iij. or ℥ iiij three or four times a day Take of the Dew or almost insipid Phlegm of Vitriol lb j. Syr. of Myrtles ℥ ij mix them Distilled Waters the dose ℥ ij or ℥ iij. often in the day or in the night Take of Cypress-tops M. viij of the leaves or flowers of Willow M. vj. the greater Comfry-roots Water-lillies of each lbss Pomegranate flowers M. ij All being cut small together pour on them lb viij of new Milk let it be distill'd in common Organs the dose ℥ iij. or iiij often in a day Take of this distill'd Water and of Plantane-water of each lbss Gumm Tragacanth and Arabick of each ʒ ij dissolve them the dose is ℥ iij. every third hour The following Mixture is prescribed by Dr. Frederick Decker to be taken a spoonfull at a time in spitting blood and seems a very beneficial one Take of Plantane-water ℥ ij Cinnamon-water ʒ ij conf of Hyacinth ʒ iss distill'd Vinegar ℥ ss of red Coral prepar'd ʒss Balaustins Dragons-blood of each ℈ ss Laudanum Opiate gr iij. Syr. of Myrtles ℥ j. mingle them Take of Plantane red Rose and Purslain-water of each ℥ iiij of Blood-stone and Dragons blood reduced into fine-powder A Julep of each half a dram Sugar-Candy ʒ vj. make a Julep A Solution of common Vitriol or of Vitriol of Mars made in Spring-water and applyed with a rag to a wound wonderfully stops bleeding but is scarcely convenient to be given inwardly 2. Decoctions Tinctures and
Prunella one dram make a Clyster 3. Medicines for the third intention Things dissolving the clamminess of the blood viz. for the dissolving the Clamminess of the Blood are wont to be administred in form of a Powder of a Spirit a Potion or of a Bolus according to the manner following 1. Powders Take of Crabs eyes two drams sal Prunella one dram and half pearl'd Sugar one dram Powders make a powder for 6 doses one to be taken every sixth hour with a proper Julep or Apozeme Or Take of the Tusk of a Boar or the Jaw of a Pike of Crabs-eyes of each one dram and half flowers of Salt Armoniack Powder of red Poppy Flowers of each half a dram mix them for 4 doses 2. Spirits and Chymical Liquors Take of spirit of salt Armoniack distill'd with Olibanum 3 drams Spirits the dose from 12 drops to 15 or 20 three times in a day Or Take Spirit of Vrine or Soote after the same manner three drams Take of the sweet Spirit of Nitre viz. often cohobated with Spirit of Wine 3 drams the dose from 6 drops to ten after the same manner Take half an ounce of Spirit of Tartar dose 15 drops to 20 or 25 in a fit vehicle Take of the simple mixture one ounce the dose is one scruple to half a dram after the same manner 3. Potions Take of Carduus-water one pound fresh Horse-dung 3 ounces dissolve it warm Potions and filtre it the dose is 3 or 4 ounces twice or thrice in a day with half an ounce of Syrup of Violets or red Poppyes Take of the Leaves of Dandelyon two handfuls bruised and infused in half a pound of Cardnus Mariae water Treacle-water half an ounce press it out and adde powder of Crabs-eyes one dram take 4 or 6 spoon-fuls three times a day The fourth intention of Healing in respect of the symptomes greatly urging The cure of the Symptomes doth suggest divers sorts of preparations of Medicines 1. In respect of the Feaver the Juleps and Apozemes above recited are convenient Moreover the use of Mineral Crystal ought to be frequent 2. For the Cough and difficult Breathings Linctus's Eclegma's and Decoctions or pectoral Juleps are administred with success Take of Syrup of Jujubes of Maiden-hair of each one ounce and half Linctus's of Violets one ounce flowre of Nitre one scruple make a Linctus to be lickt now and then Take of syrup of Marsh-mallowes one ounce Diacodium red Poppyes each half an ounce powder of Crabs-eyes two scruples make a Lohoch to be taken the same way Take Syrup of Hyssop of Liquorish of each one ounce and half red Poppy-flowers powder'd Lohochs one scruple Crabs-eyes one dram Lohoch de Pino 6 drams make a Lohoch take the quantity of a Nutmeg four times or oftner in a day Take the roots of Grass Chervil Marsh-mallows of each one ounce An Apozeme Figgs numb 4. Jujubes and Sebestens of each numb 6 Raisins one ounce Liquorish three drams Barly half an ounce boyl them in three pints of Spring-water to two strayn it the Dose three or four ounces Take Raisins stoned one ounce and half Filberds numb 4. cut Liquorish sliced 3 drams of Hyssop-water a pound and half infuse them warm in a closed Vessel 6 hours strain and adde Syrup of Marsh-mallows an ounce and half make a Julep the dose is 3 or 4 spoonfuls often in a day swallowing it by degrees 3ly Against Watchings Against Watchings Take Poppy-water 3 ounces Syr. of red Poppies 6 drams Aq. Epidemica 2 drams for a draught to be taken at night If the Pulse be strong and the strength agreeable Take Cowslip-water 3 ounces syrup de Meconio half an ounce for a draught at night 4. If the pain be troublesome about the place affected For Pain Take Oyntment of Marsh-mallows two ounces Oyl of sweet Almonds an ounce and half mingle them for a Liniment to be applyed with thin Lawn-paper Take of Oyntment of Marsh-mallows and pectoral Oyntment of each an ounce and half Linseed Oyle fresh drawn one dram to which adde the Plaister call'd Emp. de Mucilaginibus make a Plaister for the Region of the breast to be applyed on the place affected Fifthly For the last intention of curing which answers to the secondary Indication and prescribes Medicines ripening and expectorating the following forms are convenient Take Linseed Oyl fresh drawn three ounces Maturating medicines Syrup of Violets two ounces Hyssop-water half a pound mixe them in a Glass take two or three ounces three times in a day shaking the Glass first Take powder of Olibanum one dram put it into an Apple made hollow and roast it in hot Embers let him eat it at night repeating it three or four times Take Oyl of Almonds fresh drawn Expectorating Medicines Syrup of Maiden-hair of each an ounce and half Sugar-Candy two drams stirre them well in a Glass-mortar untill they are perfectly mixt make a Linctus to be taken often in a day with a Liquorish stick also let a spoonfull be taken three times a day in a draught of Posset-drink As to the rest Remedies prescribed against a beginning Consumption do also profit in this case It would be easie to heap up here many Histories and Instances of Patients affected with a Peripneumonie but whereas the same order and figure of the disease and the same reasons of the Symptoms are almost in all it suffices here to note one or two Examples only The first History And while I was writing these things I am sent for to a Patient grievously sick with a Peripneumonie He was aged about Fifty years lean in body and of a cholerick temper by taking cold he fell into a Feaver with a Cough with pain of the Breast and difficult breathing when he had laboured thus four dayes without any remedy or physical administration I found him in a notable Feaver with thirst and a huge inflammation of the Precordia breathing very difficultly with labour of the Thorax and painfully with a noise of the Bronchia insomuch that he seemed evidently in the very Agony of death His Pulse being strong enough although quick and disturbed I immediately prescribed Phlebotomy to eight or ten ounces by which when he received a little relief after three hours intermission a Clyster being first administred I ordered him to repeat his bleeding to twelve ounces Moreover I ordered Spirit of Harts-horn to be given twelve drops every sixth-hour with an appropriate Julep and in the distance between I ordered a dose of the following Powder to be administred Take powder of Crabs-eyes sal Prunella of each one dram and half Pearles a dram Sugar-Candy two scruples make a powder to be divided into 8 doses Moreover he took as often as he pleased a draught of a pectoral Apozeme By the use of these within three hours all the symptoms began to abate and the night following he sweat and slept a little the day
from 16 drops to 20. the Spirit of Blood half a Scruple Syrup of Violets two drams mingle them for a draught Outward Anodynes in form of a Liniment External Anodynes Fomentation and Cataplasm are usually prescribed Take Oyntment of Marshmallows two ounces Oyl of Almonds one ounce Dogs-turd two drams mix them by grinding together Take the Plaister of Mucilages two ounces and a half moistened with Linseed-Oyl and applyed upon Lawn-paper Take the tops of both Mallows the leaves of Mercury and Beetes of each 4 handfuls boyl them in Spring-water and strain'd let it be used for Fomentation Take the Dregs of the herbs after the liquor expressed to which adde the bran of Oats 6 ounces Linseed and Foenugreek-seeds of each two Ounces Oyntment of Marsh-mallows two ounces make a Cataplasme There is no occasion to go far for Histories and Instances of patients sick of a Pleurisie An History for a notable Example of this disease is now under our hands to wit A very lovely Maid frequently and as it were habitually obnoxious to that distemper is committed to our care This Virgin being very amiable of a sanguine complexion but of a weakly constitution upon any the smallest occasion viz. by taking cold or by errors in any of the six Non-naturals yea sometimes from the meer alteration of the year or the air has for many years been wont to fall into a feaver whereupon immediately pleuritick pains with a Cough and difficult breathing come upon her and afterwards for the most part hideous Convulsions under which passion in time past she did so grievously labour that frequently every year for or above six months she was constrain'd to keep within her Chamber But of late although she is not acquitted from this hurt yet she is seldomer punish'd with it The last year all the Summer and almost the Autumn she enjoyed her health indifferently in the beginning of Winter she took her bed with this sickness and now about the end is again sick A pain from the Pleurisie constantly afflicts her right side where the blood sticking in its passage and being extravasated about the intercostal muscles the Fibres being provoked fall into a most troublesom condition together with a convulsive motion of Coughing and almost perpetually repeat it In the mean while her Lungs being sound enough and open as to the passages do readily convey the blood without any stop by its clamminess which frequently is the author of a Peripneumonie No remedies that are used will do her good without phlebotomie which continually is so very necessary that upon every return of the sickness in spite of all things we are compelled three or four times to repeat it and sometimes oftener the blood let out in the Superficies hath constantly a viscous and whitish silme This disease was ever a simple Pleurisie void of a Peripneumonie and for cure she with constant success used the following method Take Spirit of Sal Armoniack distilled with Gum Ammoniacum three drams take from 15 drops to 20 three times a day with the following Julep Take Carduus and Black-Cherry water of each six ounces Hysterical Water one dram Sugar 6 drams Between whiles she took a dose of this Powder with three ounces of Apozeme Take Powder of Crabs-eyes of a Boars tooth Sal Prunella of each one dram make a powder for 6 doses Take Grass-roots 3 ounces candied Eringo one ounce Shavings of Ivory and Harts-horn of each two drams the Parings of Apples one handful Raisins one ounce boyl them in three pound of Spring-water to two pound to it strain'd adde Syrup of Violets one ounce sal Prunella one dram mix them and make an Apozeme Clysters of Milk with Syrup of Violets were injected sometimetimes every sometimes every other day If Opiates however mild were given to allay pain upon it a pain and drousiness of the head and Convulsions did infest her most grievously SECT I. CHAP. X. Of an Empyema IT is clearly manifest from what hath been said before An Empyema is the product of other diseases of the breast that a Pleurisie and Peripneumonie ripneumonie are diseases not only akin but commutable among themselves and successive to one another Moreover as well this as that and frequently both together not being well cured doe pass into an Empyema For when a Phlegmon rais'd about the Pleura is brought to suppuration at length the Imposthume being broke the matter falling into the cavity of the Thorax produces this disease In like manner sometimes it follows from the Lungs being inflamed inasmuch as the ichor accumulated about the place affected turns into a thick and yellow homour by a long digestion which unless it be ejected by a Cough either sensibly corrupting the inner substance of the Lungs it causeth a consumptive disposition or dissolving the unity of the intire Lungs and at length corroding the outmost membrane it slides down into the breast and so engenders an Empyema And one labouring with an Imposthume or ulcer of the Lungs although he do spit out abundant and foetid matter at it frequently happens in an Imposthume of the Lungs is not therefore accounted obnoxious to an Empyema For in truth by the common acceptation of this Term is signified a Collection of rotten matter within the cavity of the Thorax by which the Organs of breathing are oppressed but that rotten matter is wont to have a conflux thither either by a Pleurisie or Peripneumonie and sometimes perhaps from a Squinancy brought first to suppuration and afterwards broke Forasumch as an Empyema never begins primarily and of it self It rarely or never begins of it self but for the most part is the effect or product of other diseases not duely cured it will not be requisite to make much inquisition about the causes thereof The formal reason or conjunct cause thereof is known well enough to wit it is a purulent matter poured out from the Pleura or the Lungs or the Larinx into the cavity of the Thorax But the other proper causes of the previous effects appertain to the Etiologies of every of them There is a certain dispute about the morbific matter What the morbific matter is for some contend that it is meer corruption others not that but that it is a purulent matter of which opinion is Johannes Heurnius who averring a purulent matter for the conjunct cause of an Empyema distinguishes between this and mere and pure Pus affirming this to come to pass from a bloody nutritious homour i.e. from the blood it self somewhat corrupted but capable of digestion but that a purulent matter is an excrementitious homour viz. a Serum or Ichor which proceeds from the blood obstructed and hindered somewhere in its Circulation From hence we may observe concerning an Imposthume which affords true and laudable Pus or matter that it is for the most part compact every way shut up and wrapt up together either in a bladder or as it were within private Apartments and then
breathing be procured as well upon the account of air as of the Lungs at least so far as may suffice to support life and secondly that the organs of breathing may be withdrawn and restrain'd as soon as may be from the Convulsions begun and usually obstinately continuing 1. As to what respects the former 1 Intention to facilitate breathing let the Patient be placed in an upright position of body in a more open place and pretty airy free from Smoak and breath of by-standers then let it be indeavoured that the Lungs being made free from all obstruction and inward oppression and also external compression may be able to draw and change the breath more easily For these purposes lest the bulk of the nether bowels compress or straiten the precordia the belly is to be loosen'd by a Clyster the apparel and what ever binds about the Breast to be loosened also when in this case either from the blood swelling up inordinately within the Pneumonic vessels or from the Serum distilling out of the Arteries and Glandules into the tracheal passages they are wont to be oppressed the impetuosity and instigations of either humour ought to be restraind and appeased insomuch that if strength endure and the pulse be strong enough Phlebotomy is oftentimes convenient Moreover those things are carefully to be administred which dispatch away the Serum and superfluities of the boiling blood by urine as well as sweatings to which intention Juleps Apozemes commonly call'd Pectorals do notably conduce yea powders of shells millepedes prepared Spirits and volatile salts are successfully used In the mean time besides let there be administred whatsoever opens and makes slippery the passages of the Trachea and moves expectoration and whatsoever if need be gives stop to a Catarrh distilling upon the fame for which purposes Lambitives Lohochs pectoral Decoctions and suffumigations are good 2. As to the other intention of curing in these Convulsive fits 2 Intention to free from Convulsions the moving parts Remedies which dissipate the spirits profit for this end viz. that the organs of breathing may be restrained from the Convulsions begun and may quietly return to their ordinary task unless this succeeds of its own accord after the boiling of the blood and Serum in the Lungs be appeased we must use Antispasmaticks or remedies against Convulsions and Anodynes for medicines which are used to be administred in hysterical passions do conduce in a convulsive Asthma Spirit of Harts-horn of soot and especially of fal Armoniac distill'd with gum Ammoniacum also the tinctures of gum Ammoniacum of Sulphur of Castor of Asa fetida Syrups of Ammoniacum Sulphur Oxymel of squils and such like which because they are of an ingrateful tast or smell as it were dissipate the spirits and withdraw them from tumults do sometimes help notably But if the spirits being outragious cannot by this means be appeased we must assay Narcotics Or do bring them asleep that some of them being subdued the others may be reduced to order for surely unless a stuffing up of the Lungs with a great oppression of the Precordia do hinder Opiates do sometimes greatly profit In the dreadful fits of this disease when other medicines had effected less I have often administred successfully Diacodium as also Laudanum Tartariz'd But these may not be exhibited without great circumspection because whereas more or less they hinder breathing which already is difficult and too much hindred they frequently bring the Patient into danger of life Besides this that the Pneumonic spirits may be diverted from their Convulsions it is many times expedient to molest the spirits in other places for some of the spirits being in other places afflicted most commonly the residue as well as those that are smitten do dismiss their irregularities Wherefore Vesicatories Cupping-glasses ligatures and painful frictions bring help also for this reason vomits are successfully taken in the midst of a fit The scope of healing being now design'd after what manner the patients in an urging fit of an Asthma ought to be handled it yet remains for us to propound some more select forms of Remedies appropriated to the same ends In the first place therefore to give a stop to the flux of blood and serum Forms of Remedies and to dismiss their superfluities deriv'd from the Lungs by sweat and urine these ensuing are prescrib'd Take the water of ground-Ivy eight ounces of Rue Pennyroyal Dragons of each two ounces of sal prunella one dram and a half Syrup Byzantinus red Poppies of each one ounce make a Julep take it three or more times in a day the dose three or four ounces Take grass roots three ounces An Apozeme roots of Kneeholm two ounces candi'd Enula campane one ounce and a half barly half an ounce Raisons of the Sun one ounce boyle them in three pound of water to two pound adding to your strain'd liquor sal prunella one dram and a half sweeten it if there be occasion with Syrup Byzantinus or of Violets Take tincture of Sulphur three drams A Tincture the Dose six drops to ten evening and morning in a spoonful of Syrup of the juice of ground-Ivy or Violets Take of faecula of Aron and Briony of each one dram and a half flower of Sulphur one dram flowers of Benzoin half a dram Suger-candy half an ounce Liquorish two drams make a powder to be taken to half a dram or two scruples twice in a day with the former Julep or Apozeme or Take of the powder prescribed two ounces A Powder hony or Oxymel what will suffice make a Linctus take about half a spoonful evening and morning and at other times lick it with a stick of Liquorish Take Syrup of Horehound of Garlick of each one ounce and a half tincture of Saffron Castor of each two drams mix them take a small spoonful in the fits Take of spirit of sal Armoniack with gum Ammoniacum three drams Mixtures of snail water and of Earth-worms of each three ounces Syrup of Horehound two ounces mingle them take by a spoonful once in four or five hours Take of the powder of Hedge mustard or of ground Ivy gather'd in the heat of the Sun one ounce of Oxymel simple enough to make a Linctus 2. 2. The Indication preservatory proposes what is to be done out of the fit So much concerning the method and medicines requisite in the fit of an Asthma The other indication preservatory designing the taking away of the whole procuring causes and the morbific matter contains two parts or distinct scopes of cure both which for the most part are wont in the practice to be complicated and administred together One of these endeavours to amend the conformation of the Lungs if it be any way hurt or faulty Suggests two Intentions of healing and the other to take off the irregularities of the moving parts and spirits appointed for them We shall best answer both these intentions if
are Necklaces of Blood-stone hung about the Neck also the moss of a humane Skull carryed in the hand Epithemes of the leaves of Nettles bruised and applyed to the soles of the feet and the Palms of the hands the Empirical administrations of which kind when they may be administred without trouble or cost we make no refusal of since in a dangerous case every thing is to be attempted and applications of that sort do help sometimes in respect that they fortifie the imagination of the patient While such like outward Administrations are used Topicks closing the mouths of the Vessels for repressing or calling aside the flux of blood out of the Nostrils also other Topicks are put up into the Nostrils which may shut the gaping mouths of the vessels for which use the injections of liquid things Pledgets Powders to be blown in and Fumes are wont to be prescribed which not helping in the last place we descend to Escharoticks Ninthly 6. Escharoticks The injection of Vitriol water Among Liquids not only first but as good as all others is esteemed the solution of Vitriol in Fountain-water Some boast this for a great secret and a most certain Remedy Indeed the same being applyed to a fresh wound forasmuch as it shuts the ends of the cut vessels by wrinkling them up it restrains and presently stops the flux of blood But that application in Hemorrhages of the Nostrils where the blood being brought to the gaping mouths of the little Arteries ought to be received by the Veins in regard it shuts them as well or rather than those it succeeds little and sometimes not at all as I have known it frequently experimented This Medicine is prepared of Green Vitriol viz. of Hungary or of our Countrey also of the fictitious Vitriol of Mars dissolved in a sufficient quantity of Spring-water I know some commend the solution of Roman Vitriol which they not only apply by injection but also to a linnen cloath dipt in the blood are wont to administer it sympathetically Moreover the water of the infusion of white Vitriol prepared with Bole and Camphire I have known to be used successefully as well in wounds as often in other Hemorrhagies Tenthly 10. Pledgets Since water cast into the Nostrils doth not adhere enough to the mouths of the Vessels but is washed away by the breaking out of the blood before it can exert its Virtue it is therefore more expedient either that a Styptick powder be blown in or that a Pledget dipt in the water of Vitriol either by it self or strewed with an astringent powder be thrust into the upper part of the Nostril For this purpose many and several kinds of styptick powders have been prescribed I have frequently used either Crocus Martis calcin'd to the highest redness or the powder of Camphorated Vitriol or the vitriolic Soot scrap't from the bottom of an old Brass Pot the powder whereof I have often used with success in this case In obstinate Hemorrhagies not yielding to other remedies let Pledgets whose tops are dipt in Caustick Colcothar be put up deep into the Nostrils that the mouths of the Vessels being burnt and covered with an Eschar all flux of blood may be presently stopt Many other Errhines to stop bleeding are accounted famous with Practitioners Hogs-dung as Hogs-dung thrust into the Nostrils which by the meer ill savour is thought to repell the blood also the smoak of Blood dropping on hot Iron Burnt Blood repercuss'd into the Nose the Powder being burnt is also taken inwardly The moss of a humane Skull unburied put into the Nostrils is commended by many for this effect but these latter applications ought to be referred to the sympathetick Aetiologie if they avail any thing These things concerning outward Remedies stopping blood the vertue and efficacy of which ought at the same time to be promoted by intern Remedies seasonably exhibited and cooperating Therefore a slender Diet being instituted Inward Remedyes whereof are two intentions and the Patient ordered to keep himself in an upright posture or not much supine while the aforesaid Administrations are orderly administred medicines appropriated to the same end are also prescribed to be taken inwardly There will be two scopes of Remedies of this sort viz. 1. That the effervescency of Blood whether incentive or fermentative being suppressed the liquor thereof being restrained within the vessels may pleasingly circulate 2. That the more impetuous motion of the heart driving about the blood too rapidly may be dedpressed by apt Sufflamina's 1. 1. Things appeasing the effervescency of the blood The first Intention requires Medicines that suppress the too much kindling of the blood and appease the undue fermentation thereof for which intents I usually prescribe the ensuing Remedies Take of the water of Plantane red Poppy Purslain and frog-Spawn Juleps of each four ounces Syrup of water-Lillies two ounces Sal Prunella one dram mix them for a Julep the dose three ounces three or four times a day Take Barly-water two pound Red-rose leaves one handfull Tinctures Spirit of Vitriol what suffices to make it gratefull or about half a dram make an Infusion warm for extracting the Tincture adde Syrup of St. John ' s-wort two ounces the dose three or four ounces as oft as they please day or night Take leaves of stinging Nettles of Plantane of each three handfuls pour upon them being bruised Plantane-water 6 ounces press them strongly let the strained liquor be taken 2. For the second Intention to wit 2. Intention to cool the motion of the Heart for the cooling of the heart too vehemently beating Hypnoticks and Opiates are convenient Take water of red Poppies three ounces Is done by Hypnoticks Syrup of Diacodium half an ounce make a draught to take at night Or Take Conserve of red Roses an ounce and a half Powder of Henbane and white Poppy-seeds of each two drams Syrup of Poppyes enough to make an Opiate The dose the quantity of a Nutmeg every six or eight hours Take of Laudanum Cydoniatum one dram the dose fifteen drops twice a day in a convenient Vehicle These things touching an immoderate Hemorrhage and the Remedies thereof Of a Hemorrhage in a malignant Feaver when it happens without a Feaver but that which coming in a feaver ought to be stopt in regard of the too great loss of Blood is either Critical making an immoderate excursion by reason of some accident for which the Method and Medicines even now prescribed with caution and respect had to the Feaver may be accommodated or meerly Symptomatical which being excited in a malignant and Spotted Feaver Small-pox Measles or the Plague neither scarcely can nor ought to be stopt with the Remedies above recited For letting of blood is not convenient repelling Topicks also cooling Juleps or Decoctions and Narcoticks have no place here The chief intention of Healing will be to change the Hemorrhage into Sweating for a gentle Sweat
is lest the spirits should saint be closed with the finger when again it is opened the blood pure enough will issue next but the bad sliding by if there be any remaining will not return presently to that orifice Besides Phlebotomy many other remedies viz. whatsoever do repress the trugency of blood and empty the passages thereof whereby the morbific matter may be suckt up are here to be used Wherefore a very thin diet is prescribed for the most part meerly of Barley and Oats and if Cathartics are altogether prohibited because they disquiet the blood and hurry it more impetuously into the part affected notwithstanding Clysters which gently loosen the Belly and draw the recrements of the blood towards the Belly ought to be daily used Moreover Juleps and temperating Apozemes which bridle the fervor of the blood and draw out the superfluous serositles thereof and which also do gently open the passages of the Breast are taken with success 3. The third intention of healing The third intention of healing is that the clamminess or viscosity of the blood may be taken away which respects the withdrawing of the clamminess or obstructing viscosity of the blood is altogether to be performed by remedies which unloose the frame thereof being too much bound and dissolve the coupling together of its salts And truly the remedies of this kind which in this respect reason and analogy would dictate are now received into use by long experience For Powders of Shell-fish the Tooth of a Boar and the Jaws of a Pike and other things endued with an Alkali Salt also Sal Prunellae for the most part are prescribed by all Practitioners as well modern as ancient I have more frequently known the Spirit of Salt Armoniac and of Harts-horn to have yielded notable relief in this disease and for the same reason it is viz. because the volatile Salt is useful that the infusion of Horse-dung though a common remedy affords oftentimes singular help 4. As to the Symptoms and their Cure 4. That the most urging Symptoms may be helpt very many remedies appropriated to these fall in together with the former for against the Feaver the same Juleps and Apozems which appease the heat of blood and withal recreate the animal spirits are of most common use to which besides in respect of the Cough and difficult breathing temperate pectoral Remedies are added The great difficulty is what ought to be exhibited against want of sleep when it shall grievously oppress for Opiates because they do further prejudice the breathing which in this disease is already hindred are scarce safely administred nay sometimes become mortal Wherefore Laudanum and the strong Preparations of Opium are to be shun'd in a Peripneumony worse than a Dog or a Snake nevertheless Anodynes sometimes and mild Hypnotics as water and Syrup of red Poppies are not only allowed but accounted specific remedies in this disease and in a Pleurisie but sometimes it will be expedient to use Diacodiates as long as strength endures and as long as the Pulse is strong and good enough For the pain of the breast if at any time it be troublesom it is expedient sometimes to apply Liniments Fomentations and Cataplasms The second curative inoication The second indication respects the maturation and expectoration of the morbific matter whose intentions are to digest the matter impacted in the Lungs if it cannot be discussed or suckt up and to throw it out by spittle requires ordinary maturating and expectorating Medicines both which notwithstanding ought to be temperate that is to say such as asswage thirst and appease the feaverish heat rather than exasperate it We have above recited in the Chapter of a Cough the kinds of these sorts of Remedies properly called Pectorals the more select Receipts and chiefly accommodated to this affect shall be annexed here beneath The Forms of Remedies 1 2. The Medicines conducing to the first and second intention are prescribed according to the following Forms Take the water of Carduus Mariae ten ounces Juleps red Poppies three ounces Syrup of the same an ounce Pearls prepared a dram make a Julep the dose six spoonfuls every fourth hour Take water of black Cherries Carduus benedictus Balm each four ounces powder of a Boars tooth a dram Syrup of Violets ten drams make it into a Julep to be taken after the same manner Take Grass roots three ounces Apozemes shavings of Ivory and Harts-horn each three drams Raisins stoned an ounce and half Liquorish two drams boil them in Spring water from three pints to two to the strained iquor add Syrup of Violets an ounce Sal prunella a dram make an Apozem to be taken thrice a day about three or four ounces For the same intention Purgation viz. that the Vessels being emptied may withdraw the nourishment from the disease or sup up the morbific matter a Purge is prescribed by many In the Practice of the Ancients against this disease even as against many others after Phlebotomy Preparatives and Purgatives were usually appointed in a constant course and of late the Chymists with greater boldness do recommend Vomits and in a Peripneumony prefer it to all other remedies Yea Phlebotomy being omitted or countermanded they place the chief Cure in stibiate Vomits than which rash advice of theirs I know not any thing may be thought of more pernicious Indeed in rustic and robust bodies sometimes this Cure has been effected without danger notwithstanding for the most part no less unsuccessful but in tender constitutions it ought to be reckoned little inferior to poyson But for what respects Purgation although it may not be presently convenient from the beginning because it is then for the most part prejudicial nevertheless the flowing of the morbific matter being finished and the effervescency of blood being appeased we may safely and gently evacuate the body with a loosning Purge Take of the decoction of Senna of Gereon four ounces Purges syrup of Roses solutive an ounce mix them for a Potion Or Take the best Senna three drams Cassia and Tamarinds each half an ounce Coriander-seed two drams boil them in a sufficient quantity of Spring-water to six ounces to which strained add syrup of Violets an ounce clarified with the white of an Egg and let it be given Purgatives are not always to be exhibited nor ever unadvisedly in this disease but frequent Clysters and almost daily are in use but let them be gentle and emollient only which easily loosen the belly without any great agitation of humours or blood For this purpose Milk or the Whey thereof is often convenient with red Sugar or syrup of Violets Or Take the leaves of either sort of Mallowes of Melilote of Mercury of each one handfull Linseed and sweet Fennel-seeds of each half an ounce sweet Prunes Clysters numb vi boyl them in a sufficient quantity of Spring-water to a pinte to which adde syrup of Violets one ounce Sugar ten drams sal