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A57358 The practice of physick in seventeen several books wherein is plainly set forth the nature, cause, differences, and several sorts of signs : together with the cure of all diseases in the body of man / by Nicholas Culpeper ... Abdiah Cole ... and William Rowland ; being chiefly a translation of the works of that learned and renowned doctor, Lazarus Riverius ...; Praxis medica. English. 1655 Rivière, Lazare, 1589-1655.; Culpeper, Nicholas, 1616-1654.; Cole, Abdiah, ca. 1610-ca. 1670.; Rowland, William. 1655 (1655) Wing R1559; ESTC R31176 898,409 596

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a hot Catarrh If from a cold Cause you must take that course which is prescribed in the Cure of the cold distemper of the Brain but you must strengthen the Teeth with the Medicines in the Chapter following Chap. 2. Of the blackness and rottenness of the Teeth MAny times the Teeth do contract a black livid or yellow color from the evil Humors cleaving unto them which by long continuance do also corrode them and make them rotten and these Diseases come from filthy vapors that fly upwards and are engendered of evil nourishment or from the distemper of the stomach which corrupteth good nourishment Quick-silver doth black the Teeth whether it be used to the whol Body as in the Pox or only to the Face Hence it is that women which use Mercury to make them fair have black and ill color'd Teeth For the Cure you must first remove the antecedent Cause and if it comes from evil humors in the stomach they must be discharged and the distemper of the parts which produce them must be corrected and a good diet prescribed and those things forbidden which do corrupt the teeth especially sweet things Infinite Medicines are prescribed by Authors for making teeth white which may be experienced We are contented with one which presently makes them white clenseth them and keeps them from rotting namely the spirit of Sulphur or Vitriol in which you must dip a little stick and rub the teeth with the end thereof and then wipe them with a clout In a great foulness you may use the Oyls by themselves otherwise you must mix them with Honey of Roses or fair Water lest by the often use of them the Gums should be corroded Montanus consil 113. reports that he learned that at Rome of a Woman called Greek Mary to whom when he came when he was yong and she twenty yeers old and after when she was fifty he found her almost in the same condition and she confessed that her Beauty and strength was preserved by the Spirit of Vitriol and that her Teeth which were very bad in her youth were by that made very fair and firm and also her Gums and also that she perceived her self by the use thereof to seem more youthful and she used every day one drop or two to rub gently her Teeth and Gums The Ashes of Tobacco is very good also to clense and make white the Teeth For prevention and to preserve the Teeth first clense them with a Tooth-picker made of Mastich Wood or the like then wash the mouth with Wine and rub the Teeth with this Pouder Take of the Roots of Snakeweed Allum and white Coral of each one ounce Make a Pouder to rub the Teeth Or wash them with this Water Take of the fine Pouder of burnt Allum two drams whol Cinnamon half a dram Spring and Rose Water of each four ounces boyl them in a Glass upon hot Embers to the consuming of the third part Wash the Teeth therewith every morning with a cloth dipped therein Chap. 3. Of the Erosion or eating away and of the Exulceration of the Gums THe Gums are eaten away and exulcerated by sharp corroding humors which come unto them The parts from whence they come are the Brain Stomach Spleen and others Men that have Diseases in the Spleen are most subject to Ulcers in the Gums as in the Scurvy somtimes the erosion of the Gums comes from worms or the corrupt humors which cause worms so that it is a plain sign of worms when it continueth long So saith Fabricius Hildanus Obs 59. Centur. 1. the Son of a Citizen of Dusseldorp was long troubled with erosion of the Gums and died after the use of many internal Medicines and Topicks when he was opened we found abundance of worms which had eaten through his Guts and many in his Stomach The Cure is first to be directed to the antecedent cause and the vicious humors are to be evacuated by blood-letting and purging the sharp and hot humors are to be tempered with Apozemes Juleps and Physical Broths and the like The flux of the same is to be diverted by Cupping-glasses and Cauteries fitly applied And lastly the faults of the parts affected are to be corrected Afterwards you must use Topicks which are to be altered according to the greatness of the disease so that to a simple Erosion you must apply only those which astringe and dry as this Water following Take of unripe Galls Acorn Cups and Flowers of Pomegranates of each one ounce red Roses one pugil Allum three drams boyl them in two parts of Forge-water and one part of old red Wine and wash the Gums often therewith If the Erosion be not taken away with that use this Opiate Take of Dragons blood three drams Lignum Aloes red Roses Spodium and burnt Harts-horn and Cypress nuts of each one dram Mirrh and Tobacco Ashes of each three scruples Allum one dram Make them into Pouder and mix them with Honey and a few drops of Spirit of Vitriol or Sulphur Make an Opiate which must be spread upon linnen cloth and laid to the Gums at night The Spirit of Vitriol and Sulphur as they clense and whiten the Teeth so they take away the rottenness of the Gums either alone or mixed with Honey of Roses or Water as in the former Chapter If the Ulcer be deep and foul anoint with this Take of choyce Mirrh and Sugar-candy of each equal parts pouder them and fill the white of an hard Egg cut in the midst therewith then tie it with a thrid and hang it in a Wine-Celler with a glass under it and there will come forth a Liquor or Balsom with which anoint often But if by the use of the aforesaid the disease be not cured if the Tooth neer the Ulcer be rotten you must pull it out and then it will be presently cured otherwise never Chap. 4. Of bleeding at the Gums SOmtimes abundance of blood flows from the Gums either Critically or Symptomatically although the former be very seldom yet it is somtimes so we may see by Experience and by reading So saith Dodonaeus Obs 14. A certain Quarrier having the smal Pox had a flux of blood from his Gums and being stopt it made the Urine bloody which being stopt it returned again to the Gums and there continued till he recovered of the smal Pox. Amatus Lucitanus Curat 5. Centur. 5. saies that some have had benefit by bleeding at the Gums and have been worse when it was stopped Also Zacutus Lucitanus obs 86. lib. 1. Praxis admir speaks of a Goldsmith who when he fell into a Feaver by laboring at the Furnace being of a strong constitution lost much blood by opening a Vein and amended so that the seventh day having had an itching of his Gums and a pain in the lower Lip the blood gushed from the Veins of his lower Gums for three daies in such a quantity that he lost above five pints more and the more he bled the more
of his who when he had wearied himself with long Study fel into a Catalepsis or Congelation He lay saith he like alog all along not to be bent stiff and stretched out and seemed to behold us with his eyes but spake not a word and he said that he heard us what we said at that time although not evidently and plainly and told us some things that he remembred and said all that stood by him were seen of him and could remember and declare some of their gestures at that time but could not then speak or move one part of his body But Fernelius in his third Book of the Parts of Diseases Chap. 2. relates two Stories which are these One while he being very studious and writing was so suddenly struck with this disease that sitting and holding his pen with his eyes open and looking upon his Book you would have thought he had been hard at study til he was by calling and jogging found to want alsence and motion Another I saw like a dead man lying along with neither seeing hearing nor feeling when he was pinched but he breathed freely and whatsoever was put into his mouth he presently swallowed if he were taken out of his bed he did stand alone but being thrust he would fall down and which way soever his Arm Hand or Leg was set there it stood fixed and firm you would have taken him for a Ghost or some rare Statue You may read the like Stories i● Schenkius Marcellus Donatus Rondeletius Jacotius and others From whom you may gather That in this disease there is found a destruction or hinderance of the internal and external Sences with a stiffness of all the Members and somtimes the Sences are not so much hindered but the sick party heareth those that speak unto him somtimes the Members are not so stiff but they may be bent and bowed by them that stand by and put into divers Postures The Causes of this Disease are divers Galen in his Comments Aphor. 3. Sect. 2. saies that a Catalepsis comes from a cold distemper of the Brain which distemper chiefly seizeth upon the hinder part of the Head makes it stiff and thick from whence the Nerves proceeding are also made stiff and such a distemper may seize upon al the Nerves whether it come of an external or an internal cause but some question this cause supposing that no living body can be so cold as to have such a Congelation But Galen answereth this in his 5. Chap. of his Book of the Difference of Diseases by a Reason taken from Experience in these words For those who in a journey are taken with cold which is unto death are thus stiff whom the Greeks call Emprostotonos or Bowers forward Opistotonos or Bowers backward Tetanos extended streight and others that are killed with cold are taken with this Catoche or Congelation Therefore Galen teacheth us that a Catalepsis may be got by external cold and Reason may easily perswade us to it for they which are killed upon the way with great cold do first grow stiff they have a stiffness or Congelation before they die therefore cold may bring a less stifness than that which bringeth Death So we see that Congelation of the Nerves or Catalepsis may come of a cold Distemper and the sooner if it be mixt with a dry distemper But this Disease is most often gotten by a cold and dry distemper joyned with matter that is an Humor or Melancholly Vapor from which cometh a Constipation or Congealing of the hinder part of the Brain and extention of the Nerves and also a stiffness of the same from this humor it cometh I say not only in respect of its quality which is cold and dry but also in respect of its quantity which by repletion makes a distention or stretching forth of the Nerves Aetius in his sixt Book and fourth Chap. saith that a Congelation may be caused of blood Unto which thing Rondeletius consents saying that it comes to pass when the Veins and Arteries of the Brain are so full that the Body groweth stiff and distended or stretched out like those bodies that are congealed with cold weather he confirms his Opinion by a History of a Noble woman taken with a continual Feaver called Synochus who had in the ninteenth day a Congelation which was cured by a large flux of Blood from her Nose Sennertus hath found out a new cause which he saith is a congealing Spirit by which the Animal Spirits are fixed and made immovable he denies that the force of congealing and fixing depends upon a cold and dry distemper but riseth from some hidden quality Such Congealing Spirits are found in the greater World as in Thunder when men are thereby made stiff and as it were congealed As Cardanus reports of eight Mowers which supping under an Oak were struck with Thunder so as they kept the same shape of Body the one seeming to eat the other to lay hold of the pot another to drink when they were all dead It is usually reported that Wine wil be congealed in the Vessel by the spirit of Thunder In Earth-quakes many times such Spirits break forth suddenly out of the Earth as make men and other living Creatures to be stiff and stark Moreover Sennertus addeth that there is great congealing force in Nitre and other Minerals he brings no Examples We shal only bring one Instance taken from Lead whose Vapor doth so fix and congeal Mercury or Quick-silver that it becomes thereby malleable or to be beaten with the hammer This Opinion of Sennertus were not wholly to be rejected if he had not made this the only cause of the disease and cast off al the rest which when they are allowed and confirmed by Galen and the best of Authors are not easily to be cast off and denyed Nor is it needful that we fal to hidden Causes when there are enough visible and manifest able to produce such effects as is before declared And when Sennertus saies that this his congealing spirit is caused of a melancholly humor he seemeth to differ from the common Opinion which is That a Congelation cometh of a cold and dry or Melancholly vapor The Knowledg of this Disease or Diagnosis is manifest from the Stories of Galen and Fernelius already mentioned for the evil befals a man quickly and leaves him in that posture in which it found him and keeps him unmoved as if he were congealed The diversity of Symptoms which we propounded before is seen plainly We foretel this Disease by the same signs as we do other sleeping Diseases as the Symptoms are greater or less so is the Disease more or less dangerous The way of Cure is Two-fold either in the time of the fit or out of the fit In the fit you may use those Medicines which are set down for sleeping Diseases Out of the fit you must labor to cure Melancholly the disease so called if the Congelation come from a Melancholly humor or
Blood is when Nutrition is hindered there is a corruption of both when their qualities are changed So when the Air is infected in time of Pestilence it begets Leipothymia and Syncope as also stinking vapors and sweet also do the same with some Women and the blood is corrupted from evil meats Too great Evacuations whether sensible or insensible do disperse the Spirits The sensible are chiefly of Blood from the Mouth Nose Womb Belly Hemorrhoids Phlebotomy and great Wounds and next of other Humors which though they are Excrementitious yet because of their great Evacuation the Spirits are much dispersed and cause a Syncope These Humors are discharged by Vomit Stool Urine Sweat the opening of a great Imposthume especially if it be inward as an Empyema or outward as in a Dropsie when the Navil is tapped The insensible Evacuations are by the Rarifaction of the Skin and by the acrimony and thinness of the Humors immoderate heat hot Baths or Houses great Labors Also long watchings and fasting Lechery great anger and joy long and violent sickness do dissipate the Spirits as also great pain of the Heart Stomach Guts Reins Ears Teeth and of all Nervous parts An evil disposition of the Bowels doth alter and corrupt the Spirits and whatsoever doth procure a malignant quality which is adverse to the Heart as Air Stinks venemous and pestilential taken in by the Breath or bred in the Body from putrifaction of Humors as also poyson taken in or applied outward or sent to the Heart by biting of venemous Creatures Lastly The vehement returning of blood and Spirits to the Heart and an abundance of evil vapors gathered about the Heart and the parts adjacent and too much cold and thick blood gathered about the Heart and its Veins Arteries and parts adjacent do suffocate and destroy the Spirits We lately saw a Noble Lady a Virgin which from her Infancy was subject to this Disease that with every light passion of the mind she was taken therwith taken with a violent Syncope which ushered death in by a sudden return of blood and Spirits to her heart for when she should have been married to a fine yong man which loved her deerly and her Parents Friends and Kindred were solemnly met about it they gave her a Pen to write her hand to the Contract but she having not fully written her name fel down dead upon the ground Hence we easily conjecture that there was a great and sudden retraction of the Blood and Spirits to the Heart by a vehement passion of the mind which choaked the Natural heat and the Spirits therein of which she died suddenly Petrus Salius Diversus saw as he reporteth Lib. de aff part cap. 4. a Girle of fourteen years old fal into a Syncope from abundance of cold and thick blood garhered about her heart and the great vessels for having for a whol day a heaviness of head with giddiness and disturbance she died the next day after suddenly After being opened the blood appeared so congealed in the great Artay and Vena Cava or hollow Vein that taking it by the end you might draw it out like a Sword from a Scabbard Wherefore we judged That the sudden death came from the interception and stopping of the Veins by congealed blood This happeneth seldom for you shal seldom see blood in dead bodies so congealed for the veins have such a property to retain blood that even after death they keep it thin though without them it growth alwayes thick But Salius gives the Reason of this Congealation by comparing it with blood without the Vessels which as soon as it is cold is congealed and the sooner from the coldness thickness and slyminess of the Melanchollick or Phlegmatick humor therein contained Somthing like to this may be-sal blood constrained in the veins which abounding with vicious juyce thick and cold doth ●o sill the greater Veins that it stops the spirits and so extinguisheth them and then the blood grows cold and thick from those humors which otherwise would have been thin The Spagiricks refer this to a congealing Spirit made of a peculiar and extraordinary mixture of Humors which since it seldom happeneth the Disease is very rare And truly a simple Refrigeration cannot cause that concretion for then in dead bodies especially in winter the blood would alwayes be thick in the Veins but we find it alwaies thin but we may suppose that this Congealing Spirit is like that which causeth a Catalepsis or Congealation which makes the parts inflexible The Chymists do acknowledge such kind of Congealing Spirits to be in many Creatures Vegetables and Minerals such as are reported to be raised out of the Earth in some Histories of Men and Beasts who have been Congealed by filthy vapors coming from Earth-quakes or Dens so that their bodies became presently stiffe And Cardanus saith That such spirits are in Thunder-bolts in his History of the Eight Mowers who Supping under an Oak were struck stiffe and remained as at first the one seeming to Eat the other to reach the Pot and the other to Drink The Signs to this Disease by either are from the Subject which is more capable to receive it or from the Fit either coming or present or from the Causes that produce it The Subjects which are most fit to receive a Syncope are men who by some Natural Debility or Weakness from some Disease become faint-hearted Women rather than Men especially in their Terms or with Child As also they who have fine Constitutions subject to the Jaundice Spleen or Melancholly These things signifie that a Syncope is coming to them who are subject to it Anxiety and sudden disturbance of mind heaviness in the head giddiness an apprehension of divers colours green and yellow a sudden and often change of the colour in the face and of the beating of the Pulse When Leipothymy is present the same signs are but greater and there is often a cold sweat as also the sick complain of their faintness But these signs shew a Syncope A sudden failing of al strength a slow pulse low and at length stopping a pale and blewish face coldness of al the body especially externally a cold sweat especially in the temples neck and breast from whence the Disease is named The signs of the Causes are commonly manifest for Feavers malignant acute syncopal or fainting cause a proper Syncope or Swoonding are easily known As also those external Causes which make a sudden Syncope may be plainly seen As Anger extraordinary and Joy a sudden Fright stinking smels great bleeding and other large evacuations long watchings and fasting much lechery and grievous pain These things do signifie that the Humors and the Body are thin a sharp nose hollow eyes temples fallen and the gnawing of the mouth of the stomach trouble of mind pricking heat and great pain do shew abundance of Choller When there is abundance of crude Humors you may know by the enlarging of the body swelling about
Diseases But the Heart hath a Natural Faculty to contract and dilate it self therefo●e a Palpitation cannot be without its motion And they do in vain muster up Galens Reasons so thought by them to prove that the Palpitation of the Heart comes not by Nature but by a Di●ease or cause of a Disease For Galen in all those places speaks of no other Palpitation than that which is in the Skin and other external parts and not of the palpitation of the Heart which is of another Nature and Galen 2. de sympt caus cap. 2. saith that the Palpitation of the Heart and Arteries is different from that of the other parts Therefore the Palpitation of the Heart is an immoderate and preternatural shaking of the part with a great Diastole or Dilatation and a vehement Systole or contraction which somtimes is so great that as Fernelius observes it hath often broken the Ribs adjoyning somtimes displaced them which are over the Paps and somtimes it hath so dilated an Artery forth into an Aneurism as big as ones fist in which you might both see and feel the pulsation This immoderate shaking of the Heart comes from the Pulsative Faculty provoked But here may be objected That in Feavers all these things are found for this is an immoderat● Systole and Diastole by the provocation of the Faculty through some troublesom matter or by encrease of heat in the Heart To this we answer That the motion of the Heart in Feavers is distinguished from Palpitation only by its degrees and the depraved motion of the Heart when it is vehement is called Palpitation but if it be not vehement it is called a quick great and swift Pulse and is referred to the difference● of Pulses Now the Efficient Causes of this Palpitation may be referred to Three Heads Either it is somwhat which troubleth and pricketh or necessity of Refrigeration or defect of Spirits which two latter may be referred to the encrease of Custom The Molesting Cause is most usual so that many Authors knew no other the other are rare and that is either a vapor or wind which troubleth the Heart either in quantity or quality or both The quality is either manifest or occult A vapor troublesom in a manifest quality is either in the Heart and its parts adjoyning or it is sent from other parts and this suddenly getting to the inmost parts of the Heart doth stir up the Expul●ive Faculty which being Naturally very strong ariseth powerfully with all its force to expel the enemy In the Heart and thereabout especially in the Pericardium are gathered somtimes cold and thick Humors which send up vapors to the Ventricles of the Heart which cause Palpitation But from more remote parts vapors and wind are sent to the Ventricles of the Heart as from the Stomach Spleen Mother and the other parts of the lower Belly Many times a Vapor that troubles the Heart by an occult quality ariseth in malignant Feavers Plague and after Poyson and somtimes from Worms putrified and the terms stopped from corrupt feed or other putrid matter which do much stir up the Expulsive Faculty thereof Divers Humors do molest the Heart either with their quantity or quality so too much Blood oppres●ing the Veins Arteries and Ventricles of the Heart so that they cannot move freely makes a Palpitation by hindering motion which that the Faculty may oppose it moveth more violently So Water in the Pericardium being in great quantity doth compre●s the substance of the Heart and its Ventricle so that they cannot freely dilate themselves The same do Humors flowing in abundance to the Heart as it happens somtimes in Wounds Fear and Terror Humors offending in quality hurt the Heart if they be venemous putrid corrupt sharp or too hot especially burnt Choller coming to the Heart and provoking its Expulsion Also Tumors though seldom cause this Disease as Inflamation of the Heart Imposthumes or Swelling in the Arteries of the Lungs neer the Heart which Galen saith befel Antipater the Physitian 4. de loc aff by which after an unequal Pulse he fell into a Palpitation and an Asthma and so died so Dodonaeus reports that he found a Callus in the great Artery next to the Heart which caused a Palpitation for many yeers Also Tumors in the Pericardium whether they be without humors and scirrhus or with humors in them as the Hydatides or watery Pustles and little stones bones and pieces of flesh are somtimes growing in the Heart which cause Palpitation So Platerus reports that in one who had a long Palpitation and died thereof there was found a bone in his Heart But Schenkius reports that in a Priest who was from his youth to the age of forty two troubled with a Palpitation there was found in the bottom of his Heart an Excrescens of flesh which weighed eight drams and resembled another Heart The Second Cause of Palpitation is necessity of refrigeration which is when there is a pret●●natural heart in the Heart by which the Spirits are inflamed within and therefore the motion of the Heart and Arteries is encreased that what is spent may be restored and the heat cooled and this comes somtimes from an internal cause which is rare but oftener of an external as anger vehement exercise and the like As Platerus observed in a yong man who being hot and angry at Tennis fell into a Palpitation of the Heart and so died The third Cause is the defect of Spirits which comes by hunger watching anger Joy fear shame and great Di●eases and other causes which do suddenly dissipate the Spirits which defect the Heart laboring to repair that it may beget more quick and plentiful and send them into the whol Body sooner it doth enlarge its motion and make it quicker You must observe for conclusion that it is more ordinary to see a Palpitation which comes by consent from other parts than from the Heart it self For it hath a consent with all parts by the Veins and Art●ries by which Vapors Wind and Humors are sent Which all shall be shewed in the Diagnosis following The Diagnosis or knowledg of this Disease is directed either to the Disease or the Causes which produce it The Disease is subject to sence it may be felt with the hands somtimes seen and heard for the Artery may be seen to leap especially in the Jugular And Forestus saith it may be heard by an Example of a yong man that they who passed by might hear it by laying their Ear to the Window Also the Causes are distinguished by their Signs A hot distemper is known by the greatness of the Pulse and swiftness by a Feaver and heat of the Breast by great and often breathing and desire of cold things If the Palpitation come of wind it quickly comes and goes and is presently raised by little motion and the Breath is difficult with trembling somtimes at the knees mists in the Eyes noise in the Ears and somtimes pain of some
contrary to the opening Faculty which they desire Moreover There is another wrong done to this Medicine when it is made in a Brass Kettle which leaves a malignant quality upon the Medicine for it is a known and vulgar saying among Apothecaries You must not boyl sharp things in Brass Vessels because they easily pierce and attract a noxious Tincture from them But the Crystals of Tartar are most sharp called by some Acidum Tartari or the sharpness of Tartar This Error is often made by Apothecaries and almost all they who make this Crystal themselves use Brass Vessels so that I have seen some Tartar look Skie-colored from the Verdugreece which it hath taken from the Copper Therefore Physitians shall do conscienciously honorably and for the good of their Patients if they cause their Apothecaries to make Crystal of Tartar themselves and in Glass Iron or Earthen Vessels glassed The Salt of Tartar hath great power to open Obstructions and may well be mixed with Apozems Opiates and opening Pills But the chief use of it is in a loosening Ptisan or Barley Water made of two drams of Senna infused in eight ounces of cold Water with one scruple or half a dram of Salt of Tartar by which the Tincture of the Senna will be powerfully extracted so that this Ptisan shal work better than any ordinary one and continued many daies it takes away all Obstructions we have seen Quartan Agues cured by the use of it fifteen daies together If you fear the sharpness of the Salt of Tartar you may correct it with the Spirit of Sulphur or of Vitriol putting fifteen drops of Spirit to half a dram of Salt You may find the use of the Spirit of Tartar in our Observations for the Cure of the Dropsie under the Title of a Diuretical Spirit Of Vitriol only the Oyl or Spirit is used in Apozemes Syrups and other Forms of Medicines This following Syrup which is good against all Obstructions of the Liver Mesentery and Veins may be for an Example by which many through continual Feavers falling into evil Habits and Dropsies have been perfectly cured Take of the Roots of Smallage Elicampane Sparagus Eringus of each one ounce Leaves of Agrimony Ceterach Maiden-hair Dodder Carduus of each one handful the tops of Sea Wormwood and of the lesser Centaury of each half a handful Winter Cherries one ounce Spring Water six pints boyl them till two pints of the straining remain in which dissolve of the Juyce of Succory and Burnet refined of each one pint the juyce of Fumitory and Hops of each six ounces Fennel and Parsley juyce of each three ounces Vinegar of Squils one pint and an half white Sugar six pound make a Syrup to which add of the Oyl of Vitriol as much as will make it sharp of which let the Patient take three spoonfuls before Break-fast and as much before Dinner and Supper The Natural sharp Baths shew the Efficacy of Vitriol the use whereof is frequent and profitable in all Diseases coming of Obstructions But the Spirit of Vitriol mixed with the Salt or Spirit of Tartar is much commended by the Chymists and of them they make Tartar Vitriolate and that rare mixture of Spirit of Vitriol Tartar and Treacle which may be mixed with other openers Lastly There are divers Medicines made of Steel both by Galenists and Paracelsians which plainly opening Obstructions presently compel al men to use them even those who reject all Medicines made of Mettals as Enemies to our Natures These Medicines of Steel are made either in the Form of Wine Syrups Opiates Pills or Lozenges Steeled Wine is made thus Take of the Filings of Steel four ounces Eryngo Roots and Elicampane of each one ounce and an half yellow Sanders one ounce red Coral and shavings of Ivory of each six drams Cloves Nutmeg and Cinnamon of each two drams Flowers of Broom Rosemary and Epithimum of each two pugils the best white Wine six pints steep them eight daies in Balneo Mariae or behind an Oven then strain them through a Hippocras bag and let the Patient take two or three ounces every morning two hours before meat for fifteen daies or more if need require Or make it thus Take of Steel prepared with Sulphur one ounce Elicampane and the middle rind of Tamarisk of each half an ounce Senna three ounces Epithimum one ounce Foecula Brioniae and Cinnamon of each two drams Pouder of the three Sanders one dram and an half Agrimony Water and white Wine of each one pint Infuse them three daies in Balneo Mariae Let him take three or four ounces when it is strained three hours before meat Commonly they use the Infusion of Steel in white Wine or Claret for ordinary Drink with much Water for two or three months together You may make a Syrup of Steel thus Take of Filings of Steel steeped in Vinegar two ounces the inward rind of Tamarisk half an ounce Ceterach half a handful Cinnamon three drams Wormwood and Agrimony Water of each half a pint white Wine one pint Infuse them six daies in a warm place add to the staining Sugar one pound and an half make a Syrup Let the Patient take every morning two or three ounces For the Preparation aforesaid of Steel you must steep it in Vinegar in the Sun while the Vinegar is consumed three times and then grind it upon a Marble This Syrup may be made Purging and better if you dissolve the Sugar with a pint of Water wherein three ounces of Senna and half an ounce of Rhubarb have been steeped a whol night The Pouder of Steel is made thus taken out of Quercetan's Dispensatory Take of the shavings of Steel either commonly prepared or with Sulphur one ounce the faecula of the Root of Cuckow-pintle one dram and an half Amber-greece half a dram for the Poor a Cordial Species will serve instead of Ambergreece Coral and Pearl prepared of each two drams Amber prepared and Cinnamon of each four scruples Sugar as much as is sufficient to make a pleasant Pouder of which let him take half a spoonful or two drams with Wine for fifteen dayes Of the same Pouder and Sugar dissolve in Turnep Water and Confection Alkermes may be made very pleasant Lozenges to be taken as the former Or Take of Steel prepared with Brimstone half an ounce confection Alkermes two drams Ambergreece one scruple Sugar dissolved in Rose Water four ounces make Lozenges Let him take two drams every morning Instead of the Pouder the Extract of Steel may be used made in white Wine for those who are dainty Divers Opiates are made also of Steel these following are best Take of the conserve of the Flowers of Tamarisk and Maiden-Hair of each one ounce and an half conserve of the Roots of Elicampane six drams Steel prepared either with Sulphur or Vinegar one dram Salt of Tamarisk one dram Spirit of Vitriol half a scruple with the syrup of candied Citrons make an Opiate of which let him