three Drams Oil of Juniper-berries a Dram Oil of Spike half a Dram. Mix and anoint the Part. Or Take of human Fat two Ounces Oil of Earthworms an Ounce Rock Oil three Drams Oil of Amber a Dram and a half Mix and use as above Take a bowell'd Goose and fill it with the Leaves of Sage Rosemary Spike and Avens to which add of the fat of a wild Cat an Ounce and a half Frankincense Mastic and Amber of each half an Ounce Castor and Euphoâ—bium of each two Drams Sow 'em in and rost the Goose on a Spit reserving the Fat that drops from it â—s an admirable Liniment for Paralytic Parts Or Take a bowell'd Gander and wash it well with Wine then stuff its Belly with Frankincense Myrrh Mastic of each two Ounces Ointment call'd Martialum six Ounces Rost it on a Spit throw away the watry Phlegm that drops from it and take of the Fat well separated an Ounce and Pouder of Earthworms two Ounces Mix and distil thro a Retort an incomparable Oil for anointing paralytic Members These external Remedies are apply'd to the paralytic Members when the Ligaments and Tendons are faulty but if the source of the Distemper be lodg'd in the Nerve then we apply 'em to the Back or Neck or crown of the Head according to the Progress of the Nerve CHAP. IV. Of the Deficiency of Rational Operations THE Intellect or Rational Faculty being immaterial cannot be vitiated of it self by any morbific Cause but for so much as 't is conversant about the Objects of our internal Senses it makes use of their Ministry and if they are out of order shares of the common Calamity The internal Senses are the Imagination and Memory which depend upon the regular Motion of the Animal Spirits in the Brain and run into disorder upon their Enormities as appears a posteriori by ridiculous Gestures Words and Actions Thus whatever impairs the right use of Reason must immediatly affect the Imagination and Memory Our rational Faculty is injur'd either by being diminish'd or abolish'd as by Stupidity and Folly or by being perverted as in Deliriums c. ART I. Of the defect of Memory and Stupidity OUR Reason is impair'd or extinguish'd by the deficiency of Memory which is an Endowment common to us with Beasts and is generally affected by the Disorders of the Head The remote Causes that prejudice the Memory may be reduc'd to three Classes 1. Whatever alters the regular form of the Brain its Pores and Passages as Falls Bruises Wounds or any preternatural form of the Head 2. Whatever corrupts the Blood and Animal Spirits as immoderat Drinking unseasonable Fasting stopping of any wonted Evacuation of Blood excessive Bleeding c. 3. Whatever exhausts disperses or stupifies the Spirits as an indiscreet use of Opium Poyson Love-Potions excessive Venery sudden Fear Care and Watchings and excess and multiplicity of Studies sleepy Diseases Epilepsies Apoplexies Madness acute Feavers the Plague and old Age. A natural want of Memory being incurable dos not fall within the compass of our present inquiry If it be preternaturally occasion'd we ought to consider the Circumstances and past life of the Patient If the Person be old drousy and inclin'd to sleep much and voids a great deal of Phlegm by the Mouth and Nostrils but retains a vigorous Judgment we will find that in his Youth he was not given to study or perplex'd with Business and Care and that the loss of Memory proceeds from an inundation of Lymph in the Brain Old Persons whose Youth was imploy'd in much study and thought have generally a dry habit of Body void but little by the Mouth or Nose sleep not much and are easily wakened and their want of Memory proceeds from the dryness of the Brain and agility of the Spirits If young Persons are seiz'd with a loss or deficiency of Memory whose Apprehension and Genius was and continues lively it argues a dryness occasion'd in the Brain by the nimble Revolutions of the Spirits and generally such Persons are in danger of losing both Judgment and Memory when they grow old And those whose Memory and Judgment are very fresh and keen in their Youth are apt to run the same risque If a Youth have a weak Memory and withal a drousy inactive Temper 't is owing to the Humidity of the Brain and Deficiency of Animal Spirits The sudden loss of Memory without any visible Cause is a Forerunner of an Apoplexy Palsy or Epilepsy If it surprise one already enfeebled and weak 't is a sign of Death If it arise from the moisture of the Brain 't is easier cur'd than when it flows from an excessive dryness If it be caus'd by Poison Love-potions inveterat Diseases of the Head malignant and acute Feavers 't is almost incurable As for the Cure The remote Causes must be specially accounted for If it proceed from a dryness of the Brain aromatic and spirituous Medicines are very noxious nor are there any Medicines so effectual as moist and juicy Food Milk Chocolate c. If it arise from the Moisture of the Brain attended by a stupidity and drousiness of the Spirits Purgatives are first proper then Aromatics sneezing Pouders and Medicines to be chew'd The aromatic Medicines are Rosemary Baum Stechas Spike and all the Spices Three Cubebs taken in the Morning with a fasting stomac corroborat the Memory wonderfully Cardamoms are very good but more proper for old than young Persons Frankincense and Amber are likewise very useful But above all Ambergrease is the most powerful Medicine 'T is given in Pouder with Sugar or by way of Essence or Tincture prepar'd with Spirit of Roses or black Cherries It ought to be given in a small Dose by reason of a Stupidity that sometimes follows it Where the Brain is dry or the Patient young and of a hot Constitution 't is not proper But for old People 't is incomparable if discreetly us'd Besides 't is an incentive to Venery which is a mortal Enemy to the Memory Laurembergius recommends the four following Compositions for corroborating the Memory which are chiefly to be us'd when the Brain is moist and the Spirits drousy Take of juicy Tobacco-leaves two handfuls Roots of Pellitory of Spain three Drams Ginger a Dram. With Hony reduce 'em to the consistence of a Pultice and make little round Balls to be chew'd or roll'd to and again in the Mouth Take of the Herbs Baum Marjoram Sage and Rosemary Bay-leaves of each a handful Flowers of Lavender Lilly Convally Lime-tree and French Lavender of each a little handful Boil them in Spanish or Rhenish Wine and wash the Head with the Decoction every fourth fifth or sixth day Take a convenient quantity of Spanish Wine in which macerat for fourteen or fifteen days the following Ingredients Take of the Herbs Basil Marjoram Sage Baum and Penny-Royal of each half a handful Flowers of Borrage of Sage and Primroses Flowers of Rosemary of French Lavender and of Lilly Convally
with the latter If ye dissolve Quicksilver in Spirit of Nitre the Acid of the Spirit fixes the Mercurial Alcali so that it remains at the bottom when ye draw off the Spirit But if ye throw common salt into it the Mercury precipitates which by separation and sublimation yields a Powerful Corrosive But after all 't is certain that liquid Mercury cannot be Coagulated but by Acids For Alcali's and Urinous salts restore it to its Natural freedom Cinnabar is a mixture of Mercury with an Acid Sulphur that fixes it Now if ye add salt of Tartar Urine or the like it disengages the Mercury and brings it to life again The Common Mercury of the Shops is not this Genuin Alcali that I 've thus describ'd but Adulterated with Sulphur It being liquid is apt to mix with an Acid so that we never find it pure This Acid Sulphur is the hidden cause of Salivation it attenuates and dissolves the viscid stubborn humors and evacuates them by the Salivary Glandules While the Mercurial Alcali absorbs the most fix'd Acids in the Body that wou'd not yield to any other Medicine Crude Mercury is a mild enough Medicine at least its sharpness is so insensible that it seldom procures either Stool or Salivation at first I prescrib'd Crude Mercury to a Woman subject to the Iliac Passions that had been constipated for a long time I order'd her three Ounces to be drunk with her other liquors and continu'd the use of it â—ill she had four and twenty Ounces in her Body It produc'd no sensible effect till the fourth Day that she began to spit and the viscid humors that the Mercury had attenuated were Copiously voided by stool Thus Crude Mercury is inoffensive with regard to the solid parts It does not irritate either the Stomach or Guts to contract themselves and cast out what they contain But only attenuates the viscid humors that block up the Passages and prepares 'em for a spontaneous Evacuation To return to Mercurial Vomits Mercury being of it self uncapable to provoke the Stomach must be mix'd with an Acid in order to become Emetic The more it partakes of the Acid the more fiercely it operates If the Acid Spirit in which 't is dissolv'd be drawn off with a gentle fire and but once 't is a dangerous Medicine and scarce fit to be us'd But if the Acid be sufficiently taken off either by a greater force of fire or reiterated Destillations it becomes milder The mixture of the Acid and the Mercurial Alcali make a Vitriol-like Concrete which provokes Vomiting and moves the Belly for all Cathartic Medicines taste like Vitriol The best Emeric of all the Mercurial Family is Turbith Mineral There are two ways of preparing it The first was invented by Crollius and 't is this Take half a Pound of Mercury and Infuse it in a Pound of Rectify'd Spirit of Sulphur Draw off the Spirit with a strong fire and repeat the Destillation thrice The fourth time add a little fresh Spirit and continue to draw it off till the bottom of the Retort and the Sand become Red hot Then take out the white Mass or Caput Mortuum and infuse it in Rain Water or some Distill'd Water Let it stand and digest till it sweeten that is till all the sharpness of the Water be gone Thus the white precipitat becomes yellow Put this yellow precipitat into a Glass with a long Neck and let it stand for digestion over a fire of Ashes for eight Days that so the resiâ—ue of the Mercury if any there be that is not fix'd by the Acid may be sublimated in the Head of the Glass Then take the Powder that lies at the bottom and kindle fresh Spirit of Wine thrice upon it Here the Spirit of Sulphur is prefer'd to that of Vitriol which generally retains some of its Mineral Particles and by Vertue of their motions if it stand any considerable space of time grows muddy and hot Spirit of Salt and Nitre are two extremes from which that of Sulphur seems to be equally remov'd Therefore Crollius prefer'd it to all other Acids He chose Distill'd Waters for sweetening the Precipitate because Common Water is already Loaden with Salt and therefore unfit to charge it self with Foreign Salts This Turbith Mineral ought not to be given in Powder lest it offend the Gums and Palate Bolus's and Pills are Convenient forms Take of Crollius's Turbith Mineral five Grains Venice Triacle as much as sufficeth to make a Bolus Or Take the same quantity of Turbith Mineral and with Juice of Spanish Liquorice reduce it to the consistence of Pills The other preparation of Turbith Mineral was first Communicated to the World by Mynsichtius 'T is as follows Take Corrosive Sublimat Mercury and dissolve it in Common Water then precipitate with the Oyl of Tartar per deliquium Take this precipitat and sweeten it often with a Distill'd Water or not Common Water and kindle Spirit of Wine upon it several times The Dose is from five Grains to six It is a very Powerful Medicine in all inveterat Distempers arising from an Acid. It absorbs the Acid Particles attenuates and evacuates the viscid humors Salt of Vitriol is a Nauseous Medicine and hurtful to the Stomac It s Emetic Vertue seems to proceed from the oar of Copper of which it partakes The Spirit of Sulphur and Chalybeat Minerals which are its other Ingredients are known to be no Vomits Vomiting ought to be avoided by those who are Subject to a Rupture by Child-bearing Women and such as are troubl'd with a down-falling of the Womb. CHAP. II. Of Purging Medicines THE Humors evacuated by stool are Convey'd to the Guts by the Passage of the Choler or that of the Pancreatic Juice or through the miliar Glandules inserted into the Coats of the Guts The Mesaraic Veins cannot cast forth any serum by reason that all secretion must needs be perform'd by Glandules Our Purging Medicines are all prejudicial to the Stomac except Aloe and Rhubarb They are endow'd with a certain Virulency that offends our Constitutions and do equally assault both the Noxious and Nourishing Juices If they do not meet with Corrupt Humors they make a prey of the good ones Accordingly we see that they weaken the Body disorder the Spirits and sometimes produce very dismal effects Which obliges us to add Correcters to qualify and cicurate their Malignant Qualities The Animal Family produces no Purgatives The Vegetable Boasts of a great many which are all endow'd with a sharp Volatil Salt mix'd with a viscid Oyl Fix'd Salts are the most proper Correcters of Vegetable Purgatives by reason that they open the resinous Textures and remove the offending viscidity Sometimes Fermentation produces the same effect The Mineral Purging Medicines consist of a sharp Vitriolic Sulphur which is admirably Corrected by adding Nitre They all compass their end by twitching and vellicating the Coats of the Guts or the Orifices of the Choleric and Pancreatic Passages or by
of the eight pair be disorder'd the Mouth of the Stomac becomes insensible and so eludes the influence of the Acid. These Nerves may be disorder'd upon their own Account or by consent of other Parts as in Nephritic and Colic Pains Or perhaps the Nerves are faultless and the Spirits are stupify'd by the use of Narcotics as Opium or Tobacco Or are diverted and imploy'd upon other things so as not to mind the impulse of the ferment as in the Case of Love Grief Madness c. If the Nerves or Spirits be not faulty the cause must be Lodg'd in the Stomac Sometimes the Acid is blunted by a superfluity of viscid matter in the Stomac Or the Spittle is become viscid and takes off its edge as in Hectic and Hypocondriac Persons This last cause is effectually-remov'd by drinking Wine in which Elecampane Roots Horse Radishes and Scurvy-Grass have been infus'd The hasty swallowing down of much meat drinking new and fermenting Liquors Cloying the Stomac with fat Oyly things or acid and austere Fruits do all cause a bluntness of the ferment The frequent use of Brandy or sulphurous Liquors Corrects the sharpness of the acid and occasions an inappetency The fatness and redundancy of the Bile whether in the Blood or Stomac may also vitiat the ferment When this cause takes place 't is known by a bitter taste in the mouth and a gnawing at the mouth of the Stomac And Lastly the suppression of wonted evacuations as stopping of the Terms or sudden forbearing of Venery c. May concur to the same effect Sometimes the acid it self is deficient If a Volatil Choler reign in the Blood or the Spirits are so disorder'd by a Feaver or otherwise that the alteration of the humors and particularly of the lympha is not regularly perform'd or if the heat of Summer exhausts the Spirits that should serve to exalt the ferment Immoderat drinking especially of whey which enjoys a temperat nitrous Salt allays the acidity of the ferment The frequent use of Alcali's as Chalk Hartshorn and all Chalybeat medicines little stones engender'd in the Stomac and the drinking of Urine which is a specific in hungry feavers are frequently the causes of a weak ferment As for Prognostics If it continue long in the beginning of a disease it weakens nature and adds force to the disease If it do not decline along with the distemper it portends a relapse In Chronical Diseases and such as come by Fits it is the forerunner of the Paroxysm In Children it is more suspected than in adult Persons If the Appetit seem to Answer in general and yet flags when Food is offer'd Or If after a loathing of meat the Patient of a sudden covet food and swallow it down greedily 't is a very bad Omen In the method of Cure a particular regard must be had to the difference of causes which may easily be distinguish'd without a long train of Diagnostics Generally the peccant cause is the abounding of slimy humors or of Choler or Fat in the Stomac Which is only remov'd by evacuating Medicines Of which Vomits are the best One Vomit is of more efficacy in this case than ten Purges As Take of Mynsichtius's Emetic Tartar three Grains fine sugar six Grains make a Powder Or if a liquid be more acceptable exhibit the Infusion of Crocus Metallorum minding heedfully the quantity of the Liquor and not the Crocus When a viscid Matter is lodg'd in the Stomach 't is fit to add some attenuating Ingredients As Take of Hyssop-water one or two Ounces Cinnamom-water two Drams Vinegar of Squills and the Emetic Syrup above prescrib'd of each half an Ounce compound Spirit of Verdigrease from two Scruples to a Dram. Mix c. If the Patient do not Vomit easily exhibit purging Medicines among which Aloe is the best but it ought not to be wash'd It is a common Ingredient into Pills and operates but very gently If there be occasion for a stronger Purgative Take the Pills of Hiera with Agaric adding to them Gum-ammoniac or some attenuating Medicine Thus Take of the Mass of Pills of Hiera with Agaric from twelve to fifteen Grains Extract of Wormwood or Gum-ammoniac dissolv'd in Vinegar eight Grains or half a Scruple Scammonium Sulphuratum one Grain Extract of the Troches Alhandal from half a Grain to two Grains For those who are Obnoxious to Hypochondriac Fits the following Pills are very useful Take of the Pills of Hiera with Agaric half a Scruple or twelve Grains Gum-ammoniac dissolv'd in Vinegar half a Scruple Scammony prepar'd with Juice of Roses two Grains Extract of Troches Alhandal one Grain with the Essence of Steel make Pills Or Take of the Pills of Mastic fifteen Grains extract of Wormwood twelve Grains Extract of Troches Alhandal one Grain Make Pills This purging Powder is likewise very good for Hypocondriac Persons and such as are easily purg'd viz. Take of Tartarum Vitriolatum fifteen Grains Scammony prepar'd with Sulphur four Grains Troches Alhandal one Grain distill'd Oyl of Cummin-seeds two drops Make a Powder If a Potion be more agreeable Take of Hyssop-water Mint-water of each half an Ounce Tartarum Vitriolatum and Extract of Agaric of each six Grains Scammony sulphurated two Grains Mix for a Potion So much for Purging Medicines After gentle Evacuations we proceed to the use of such Medicines as strengthen the Walls of the Stomac and resolve the slimy Mucilage that sticks to them To this purpose all sharp volatil and aromatic Medicines are proper as the Stomachical Herbs Spices the hot Seeds and Antiscorbutic's especially Horse-Raddishes Those of a gentle astringent quality restore the Natural Constitution of the Stomac when vitiated by the use of Opium strong Liquors Brandy c. As for Acid Medicines I cannot much approve them I never saw any good Effect produc'd by them in this case excepting Cream of Tartar and the dulcify'd Spirit of Salt or of Vitriol 'T is true they are fit to provoke the Stomac and imitate Nature in prompting it to crave Food but the Business of a Physician is rather to remove the Encumbrances that annoy the Natural Function than to supply an Artificial Appetit The Essence of Bread distill'd thro' a Retort is a sovereign Restorer of the ferment These Medicines may be prescrib'd thus Take of Wormwood Mint of each a handful Roots of Acorus two Drams Gentian Roots half an Ounce the four hot Seeds of each two Drams Slice and chop 'em small And tie them up in a Bag to be infus'd in Wine Let the sick Person drink a Draught twice a Day adding to every Draught six Drops of dulcify'd Spirit of Salt Or Take of Mint three handfuls fresh Roots of Acorus two Ounces Roots of Elecampane or Horse-Radishes from one Ounce to an Ounce and a half Zedoary Roots six Drams Cinnamom three Drams put them into a Bag to be infus'd in Wine Take of Mint three handfuls Carduus Benedictus one handful Wormwood Tops and lesser
contagious The Cure is perform'd by attenuating and discharging the viscid Matter discussing the Wind and moderating its force In the first place let Antimonial Emerics be exhibited and next to them the Stomachical Purgatives prescrib'd in the last Chapter After the first Passages are clear'd the oyly volatil salin Simples are equally proper for tempering the Acid and attenuating the viscous Humour As for Example Take of Fennel and Mint-water of each an Ounce and a half Carminative-water prepar'd with Wine an Ounce Spirit of Anis Essence of Orange-peel of each three Drams distill'd Oyl of Mace five drops Syrup of Orange-peel six Drams Make a Potion to be taken by Spoonfuls Chamomil with the four hot Seeds both larger and lesser boyl'd in Wine or their distill'd Oyls or their Spirits mix'd with that of Sal-armoniac Castor or its Essence prepar'd with Spirit of Sal-armoniac Myrrh Treacle Orange-peel Amber-grise Cinnamom and all Oyly Volat-Salts are proper for the same purpose As for Example Take of Coriander-seeds half an Ounce Anniseeds Fennel-seeds of each two Drams Zedoary Ginger Galangal and Sal-armoniac of each a Dram â—owder of Diatrion Pipereon a Dram and half aromatic Oyl of Sugar two Drams Make a Coarse Powder Balsam of Sulphur is of very good use as likewise the aromatic compound Waters of the above mention'd Simples but above all the Carminative Spirit de Tribus that is the Spirit distill'd from Tartar and Nitre mix'd with Spirit of Wine tartaris'd and rectify'd Take of Mint-water two Ounces Roman Chamomil water an Ounce Zedoary-water half an Ounce Carminative Spirit de Tribus a Dram and a half Essence of Opium a Scruple Syrup of Orange-peel an Ounce Mix for a Draught Take of Elixir proprietatis prepar'd without Acids three Drams Essence of Castor two Drams Essence of Opium a Dram. Mix. Dose forty drops If Wind be accompanied with Flushings in the Face and a notable heat there is nothing comparable to the Spirit of Nitre dulcify'd with Spirit of Wine and impregnated with the vertue of Carminative-Simples after Sylvius's Method Sylvius's extemporary mixture is very serviceable in this case viz. Take of Fennel and Mint-water of each two Ounces rectify'd Spirit of Wine or Matthiolus's Aqua Vitae or Sylvius's Carminative Spirit an Ounce Spirit of Nitre twenty drops distill'd Oyl of Mace six drops Laudanum Opiatum three Grains Syrup of Mint an Ounce and a half Mix. Dose two Spoonfuls As for inveterat acid Belchings five or six Pepper-corns taken every Morning fasting are very useful as likewise absorbent Earthy Powders mix'd with Aromatics Essence or Juice of Wormwood taken at Meals and the Powder of Coral Cuttle-bone and Ostiocolla mix'd with Spirit of Wine impregnated with Juniper If the Wind proceed from a thick stubborn Mucilage exhibit the Asthmatical Syrup mix'd with a double quantity of Michael's Elixir for the Stomac Externally let the place affected be fomented with the Oyls of Chamomil and of the Carminative-seeds or with a mixture of Anis-water Spirit of Wine camphoris'd and Treacle or cover'd with a Plaister of Tacamahac Balsam of Peru and Treacle 'T is also proper to inject Clysters of Man's Urin in which the Carminative Ingredients have been boyl'd SECT VI. Of the Diseases that hinder the Retention of Food in the Stomac CHAP. I. Of Vomiting and Loathing of Meat HAVING thus accompany'd the Food from its first entry into the Mouth till its arrival in the Stomac we are now to view the Causes that disturb its Repose That Sense which with respect to external parts is call'd Pain is Christen'd Irritation among the Internal Membranes as the upper Orifice of the Stomach is said to be irritated when any Object grates upon or displeases it Now the natural result of Irritation is that Crowds of Spirits are summon'd in by the angry part and upon their arrival it contracts it self Thus the Mouth of the Stomac being extremely sensible contracts it self upon the least Irritation the natural consequence of which is a loathing of Meat or denying admission to it when swallow'd or if it happen to force its passage the imprison'd Wind belches out at the new open'd Gate But if this contraction be continu'd to the Pylorus or lower Orifice of the Stomac its Fibres being stronger than those of the upper throw up the Contents with force sufficient to master the Passage and hence insues a direct Vomiting So that Loathing and Vomiting differ in this point That the one is a contraction of the upper the other of the lower Orifice of the Stomac Vomiting is said to be Essential when the Irritating cause is lodg'd within the Stomach Such Causes are a Wound Inflammation Ulcer Gangren or Schirrus of the Stomac or Pylorus sharp Scorbutic Salts convey'd thither in company with the Spittle or deposited by the Arteries the vicious effervescency or recoyling of the Gall and Pancreatic Juice clotted Blood corrupt Matter or any Humor dislodg'd of its proper Habitation and hurry'd into the Stomac the Assumption of sharp Irritating Medicines Vomits Purges Poyson c. or of fat things which relaxat the Fibres of the upper Orifice and struggle with the acid ferment Crudities Worms c. If the Cause be seated elsewhere the Vomiting is caus'd by consent by reason either of the Stomac's being one continu'd piece with the affected part or of their mutual commerce maintain'd by the Nerves Thus the Disorders of the Bowels Guts Midriff Head Kidneys Womb Liver and Spleen are frequently the causes of Vomiting A Schirrus or corruption of the Sweetbread stagnation of the Seminal Juice in Widows and stale Maids and in a word whatever disturbs or inflames the Animal Spirits will produce the same effect Vomiting is usher'd in by Anxiety and Trouble in the Breast Swiming of the Head trembling of the Under-Lip plentiful evacuations of Spittle and Convulsive Motions of the Stomac An Essential Vomiting ought to be carefully distinguish'd from that which is Sympathical If when the Stomac is empty'd by Vomiting there remains still a propensity to Vomit if the Stomac continue heavy and blown up and nauseat Food if acid or musty Belchings insue we take it for an essential Vomiting If it be incorrigible and obstinat usher'd in at first by a pain in the Breast and after a Day or two a Loathing in a word if no fault can be fasten'd on the contain'd Humours it proceeds from a Callosity Schirrus or such like default in the Stomac If it come in a surprizing manner without the precedent Siâ—ns of Trouble in the Breast Loathing weak Stomac c. 'T is a shrewd Argument that it proceeds by consent from the disorder of some other part that is not yet come to light If it be caus'd by a viscid Humor 't is hard to cure it If the Chyle and Food be frequently thrown up with a feaverish heat 't is an ill circumstance Long and continual Vomiting in Malignant Feavers especially if the Matter be livid blackish or fetid is very dangerous In benign Feavers
the Disease In order to solve this difficult knot let us consider in the first place that Nature is forc'd to these Evacuations by the sharpness of the humors which ought to be corrected by temperat Medicines in the next place that if they exceed in quantity they may be safely curb'd or if deficient in quantity may be gently incourag'd If the quality of the matter be faulty that is if such things are evacuated as ought not to be 't is allowable to stop it according to Hipp. Sect. 2. Aph. 2. If both quantity and quality be faultless and the evacuation charg'd with no Crime but that of its being ill tim'd it may nevertheless prove Critical Blood-letting is frequently injoyn'd in Feavers but oft-times it do's more harm than good The general Plea for it is that it ventilats and cools the Blood whereas on the contrary the more space be given to the Blood to boyl in the higher it boyls In intermitting Feavers I positively aver that 't is noxious in malignant Feavers 't is next door to cutting the Patient's Throat And as touching the continual burning Feavers it ought to be very cautiously gone about by reason of a latent malignity that oft-times attends them If the Patient be plethoric young and lusty if a Vomit could not conveniently be exhibited in the beginning of the Feaver if any wonted evacuation of Blood be stop'd and such other circumstances indicate Blood-letting 't is well But however it be 't is never safe after the third or fourth Day As for evacuating Remedies Hippocrates's Aphorism is a standing Rule namely that Concocted not crude humors ought to be evacuated So proper Purgatives are inconvenient till after the height of the distemper Indeed gentle lenitives that do not reach further than the first ways may be mix'd with digestive Salts and exhibited in the beginning or progress avoiding the time of the Crisis Vomits are proper in all kinds of Feavers especially if there be any inclination to Vomit sour Belchings murmuring noise in the Guts Head-ach or Giddiness They ought to be Administred only in the beginning of acute Feavers In the progress of slow Feavers they may likewise be given Clysters are proper for mitigating the Heat and redressing the disorders of the Head and Guts But upon the point of Critical Evacuations or Eruptions they are altogether improper Sweating Medicines are authoris'd by Nature's Example They ought to be frequently repeated and that not only after signs of Concoction but during the whole course of the disease especially if it be malignant Such of 'em as are sharp aromatic rosinous oyly or Hot are to be avoided and those which are temperat as the fix'd absorbents and the thin volatils are only proper for this purpose If sweat do not easily insue add Opiats to them Which are never to be us'd without a sudorific mixture nor about the time of the Crisis nor in the very first beginning of the disease In Feavers Sugar and sweet things ought to be avoided by reason that they promote the Fermentation Thirst generally attends Feavers and proceeds from the deficiency of Spittle and from Alcalin Salts lodg'd in the Palat. 'T is a vulgar Error to derive it from Heat for a few drops of Spirit of Sulphur are more efficatious in quenching it than a whole Gallon of Water or cooling Liquors Wine is likewise of noted efficacy for quenching Thirst corroberating the Stomac and Spirits and promoting Urine But it ought to be of a sharp thin Body for the sweet fat Wines from Spain Florence c. are hurtful Hippocrates was wont to exhibit Wine in all Feavers at least in intermitting and malignant Feavers 't is of soveraign use In continual burning Feavers what disorders it may occasion are presently visible and yield to absorbent Powders for 't is not the hot Spirit but the Acid of the Wine that can do the least harm nor that neither but only in some particular Constitutions Ale or Beer is not agreeable to feaverish Persons because the digestive faculty of the Stomac being languid it corrupts and causes bitter musty Belchings Waters and thin Liquors mix'd with Acids are preferable As Take of the Flowers of red Roses two handfuls extract a Tincture from them with Water sharpen'd with Spirit of Sulphur then add the Syrrup of the Juice of Gitrons or of Barberries or of Rasberries and make a Julep Or Take three Citrons slic'd and throw upon 'em white Sugar Then Boyl them in common Water Take of this Liquor strain'd a Pound and half fresh juice of Citrons three Ounces Flowers of Roses and of red Poppies of each a handful with a small quantity of dulcify'd Spirit of Salt Let them stand in a warm infusion in order to extract a Tincture In continual Feavers let the Patient drink at pleasure But the Liquor must not be cold nor much of it drunk at once In intermitting Feavers these Acid potions ought not to be Administred till after the cold Fit The Spirit of Sulphur with common Water is a proper Liquor both for quenching thirst and promoting sweat Or Take of Whey two Pound Citron Juice three Ounces Dasies and red Poppy Flowers of each an Ounce and a half Boyl in a close Vessel till the Tincture be extracted The Citron Juice depurates the Whey It is useful in all continual Feavers and qualifies Scorbutic or Hypochondriac Salts As for Diet. They ought to avoid Meat Fishes and Summer Fruits In a word let them eat but a little and as their Appetit requires What they eat must be thin and watry but never forc'd upon ' em Broth Panado's a Tost in Wine or at most poach'd Eggs are their proper food Quiet and Rest are good Signs and sleep if it be not preternatural composes the Spirits and procures Sweat CHAP. II. Of Intermitting Feavers A Feaver is styl'd Intermitting when the fermentation and agitation of the Blood and Spirits is interrupted and after a certain interval of time revives again If it return with equal force every Day 't is call'd Quotidian If it return every other Day leaving an interval of one intire Day 't is a Tertian if the interval consist of two Days 't is a Quartan Some return after three Days some after four five c. Some every Week some every Month and some every Year but these are very unfrequent If the fit return twice or thrice in one Day 't is call'd a double or treble Quotidian If two Paroxisms happen every other Day or if the intermitting Days of Tertians have likewise Paroxysms corresponding to one another 't is a double Tertian If two Fits come in the Fir Days and but one in the Intermitting 't is a treble Tertian If the Fits return every Day so as that the first for duration and other Symptoms is parallel to the fourth the second to the fifth third to the sixth c. 't is a treble Quartan If the Feaver intermit only every third Day 't is a double Quartan 'T is
grains or Laudanum Opiatum a grain or two Syrup of Carduus Benedictus an ounce Mix for two Doses in order to Sweat This is to be given in the beginning or increase of the Disease after the general Premises As likewise these following Take of Rue Water and that of Vipers-grass Roots of each an ounce of the Mixtura Simplex a dram rectify'd Spirit of Soot half a dram Syrup of Water Germander half an ounce Mix for two Doses Take of the Cordial Saxony Water an ounce Cinnamom Water half an ounce Spirit of Venice Triacle camphoris'd two drams volatil Salt of Harts-horn a scruple volatil Salt of Amber half a scruple Syrup of Clove Gilly Flowers half an ounce Mix and give a spoonful frequently when Delirium's are threaten'd Take of the Water of Carduus Benedictus Water of Goat Rue and that of Elder Flowers of each six drams Spirit of Venice Triacle camphoris'd a dram and a half volatil Salt of Vipers a scruple Diascordium two drams Syrup of Carduus Benedictus six drams Mix for two Doses Take of the Water of Vipers-grass Roots and that of Water Germander and Vinegar of Wine of each an ounce Venice Triacle two drams Diaphoretic Antimony two scruples Camphyr six grains Syrup of Rasberries an ounce Mix for two or three Doses If the Heat be violent exchange the Triacle for Diascordium Take of the Water of Carduus Benedictus and that of Water Germander of each an ounce and a half fresh Juice of Citrons six drams Venice Triacle a dram and a half mineral Bezoar half a dram Laudanum Opiatum a grain and a half Syrup of Mint dulcify'd Spirit of Nitre a sufficient quantity Mix for two Doses Take of the Conserve of Citrons and Conserve of Roses vitriolated of each an ounce and a half Rob of Juniper half an ounce Diascordium two drams Camphyr a scruple With Syrup of Citrons make an Electuary Take of Venice Triacle a dram Diaphoretic Antimony fifteen grains Salt of Wormwood half a scruple Mix for a Dose or two to be taken in Vinegar of Wine This is to be given in case of great Malignity When the Disease is further advanc'd towards the height volatil Sulphureous Medicines must be cautiously us'd As take of Fumitory Water three ounces Harts-horn prepar'd without Fire two scruples mineral Bezoar a scruple extract of Treacle six grains Syrup of Orange Peel three drams Mix for three Doses Myrrh may also be added Take of the simple Mixture six drams the Spirit de tribus distill'd from Antimony Sulphur and Nitre two drams Flowers of Sulphur a scruple Fumitory Water two drams Syrup of the Juice of Citrons an ounce Make a Potion for one Dose Take of Diaphoretic Antimony Cinnabar of Antimony of each half a scruple volatil Salt of Harts-horn four or five grains volatil Salt of Amber two or three grains Camphyr two grains Make a Powder I have seen the good effects of this Powder in the case of Delirium's and imminent Convulsions Take of Harts-horn prepar'd without Fire a dram mineral Bezoar two scruples seal'd Earth and mineral Unicorn of each fifteen grains laudanum Opiatum prepar'd by fermentation four grains Make a Powder for four Doses Nitrum Antimoniatum Poterius's Diaphoretic Gold solar and Jovial Bezoar volatil Salt of Vipers and Myrrh are proper Ingredients for the same purpose Take of Sennertus's Bezoardic Powder prepar'd Unicorn's Horn of each a scruple solar and Jovial Bezoar of each six grains Mix for two Doses Take of the red Powder of Pannonia fifteen grains Nitrum Antimoniatum twelve grains Poterius's Diaphoretic Gold five grains Make a Powder During the use of these or suchlike Alexipharmacal Prescriptions let Acid Mixtures be exhibited for quenching the Thirst and comforting the Spirits after sweating As Take two fresh Citrons slice ' em Add of white Sugar three ounces Vipers-grass Roots two or three drams Spring Water six pound Boyl them till two parts of three be evaporated and strain it for use Take of Mynsicthius his Decoction of Citrons a pound and a half Gelly of Harts-horn an ounce and a half Syrup of Cherries and Syrup of Rasberries of each an ounce with a sufficient quantity of the Juice of Citrons make a Julep Take of the Decoction of Harts-horn with the Roots of Vipers-grass one pound Tincture of Columbine Flowers and that of Piony Flowers of each a dram Syrup of the Juice of Citrons an ounce and a half Syrup of Rasberries six drams with a sufficient quantity of the Spirit of Nitre make a Julep The Syrup of Poppies in case of violent Heat is added with good success Take of the shavings of Sassafras six drams boyl them in Water to a pound and a half of the strain'd Liquor add two ounces of the Juice of Citrons an ounce and a half of the Syrup of Citrons and a sufficient quantity of the Spirit of Nitre to render it grateful Take of the Decoction of Tamarinds with Raisins a Pound Syrup of the Juice of Citrons Syrup of Rasberries of each an ounce with a little of the Spirit of Nitre make a Potion Sometimes the Confection Alkermes or Diascordium or Diaphoretic Antimony is dissolv'd in these acid mixtures During the time of Swearing some apply a little Loaf hot from the Oven the under Crust being par'd off and the Heart excavated and fill'd with Triacle and Wine thus they apply it to the Navel to attract the Malignity If the Patient bleed at Nose which is a fatal Symptom apply a dry Toad to the Arm-pits or take of Vervain Water three ounces Spirit of Wine Comphoris'd an ounce Opium five grains Make an Epithema for the Forehead which is also of use to prevent Head-achs and Delirium's If the Stomac be much disorder'd apply to it a Plaister of Tacamphac Balsam of Peru and Venice Triacle If the Throat and Palat be dry without a slimy Crust make a Gargle of fair Water Spirit of Wine rectify'd and Hony If a Looseness attend a malignant Feaver exhibit two scruples of the red Powder of Pannonia or Venice Triacle mix'd with Opium and fix'd Sudorifics Prepar'd Harts-horn Bole Armenic seal'd Earth mineral Unicorn are also proper to be added to Alexipharmacal Ingredients If a malignant Feaver be attended by Heartburnings and gnawings of the Stomac violent Head-achs Watchings Deliriums and a grievous Prunella 't is call'd the Hungarian or Camp Feaver and is highly Contagious Vomits commence its Cure which ought be follow'd by Acid Juleps and fix'd or meagre Sudorifics The Hungarians are wont to Cure it by rubbing the Body with a Root of Garlic soak'd in Spirit of Wine and bruis'd and then covering up the Person in order to Sweat The Prunella is accounted for by washing the Mouth with a mixture of House-leek Water Juice of House-leek and Sal-Armoniac Some malignant Feavers are accompany'd by Spots in the Skin resembling Flea-bitings These Spots are also compatible to some Tertian and Scorbutic Feavers that are not tinctur'd with Malignity When they attend malign Feavers they
in the Air and attended by fiery Botches Bubo's Carbuncles or malignant Spots This Miasm is volatil and spirituous and fir for encountering Mens Spirits and defiling the vital Spirit of the Air. Perhaps it approaches near to the nature of Arsenic The Passions of the Mind Fear and Apprehension subterranean Damps let loose by Earth-quakes Famine corruption of dead Bodies and such like are its remote causes When this poisonous Miasm afflicts Mankind it joins to the Human Spirits and disperses it self where these meet with the readiest reception upon which account Relations are liable to the Contagion tho' in distant places and the Beasts are secure when Mankind falls an universal Sacrifice The Plague is not always accompany'd by a Feaver When Nature is weak it yields to the oppression and makes no Feaverish resistance The Symptoms are the same as those of Malignant Feavers rais'd to the highest pitch to which we may add swellings in the Arm-pits Groin behind the Ears or in any glandulous place with a pricking shooting pain in the middle Botches and Carbuncles in the Fingers Nostrils Eyes and Lips sometimes fatal Black-spors or malignant Ulcers all over the Body a sudden prostration of strength violent pains of the Head without any cause or following the passion of fear c. the degeneracy of the Pulse from being large and swift to a small languid intermitting unequal state and a burning heat within but moderat on the external surface of the Body An imminent Plague is foretold from unwonted swarms of Insects resorting to a Country The Prognostics of a Plague are very fallacious 'T is an acute Disease ending sometimes in Twenty four Hours sometimes in two three or seven Days in general those who are scabby or Pocky are in least danger as being defended by their peccant Acid. Preceding Fatigue or Fear are bad Omens Black livid Spots are a worse Symptom than Carbuncles and these worse than Bubo's Scars or Marks of mortification are always fatal Many and large Bubo's are a good sign as also copious Sweats But cold Sweats or many Carbuncles coldness of the extream Parts especially the Nose a livid circumference surrounding the swellings Carbuncles growing upon Bubo's in places full of Tendons the imperfect eruption or retreat of the Tumors a Hiccough succeeding to the eruption the white blue or livid Colour of Carbuncles while the Feaver is not abated Pains of the Throat and difficulty of swallowing attending Bubo's in the Neck or behind the Ears are all fatal Symptoms If blistering Plaisters raise no Blisters 't is an infallible sign of Death in all Diseases If a Cautery applied raise a white Crust after the application or if the place be dry or not cover'd with Pushes and the Botch continue to spread further or if Issues dry up of a sudden 't is a desperat case Carbuncles in the Stomac Guts Bladder Eyes and Nostrils are plain indications of Death Anxiety of the Breast without a Feaver frequent sneezing a Looseness Hiccough Vomiting Convulsions Hoarseness a flux of Blood by Urine or Salivation and in short all the dismal circumstances of malignant Feavers related above are the Companions of fatal Plagues A continual Costiveness and numerous Pushes fill'd with laudable Matter appearing after the Application of a Cautery to any part are look'd upon as hopeful Signs The Cure divides it self into two Branches The first is that of preserving from imminent danger the second rescues from actual Oppression Preservatives regard either the Air the common Vehicle of Contagion or the Bodies of People As for the former the Air is purifi'd by the shooting of Cannon by burning Gun-powder or Nitre and Sulphur with Amber Myrrh Camphyr Pitch Benzoin and Juniper Berries by throwing the Mineral acid Spirits or Vinegar in which Vitriol and Verdigrease are infus'd together with Camphyr upon hot Bricks by burning of Goats Horns and filling the Air with ungrateful Smells such as that of a House of Office of Hogs Dung c. The other sort of Preservatives arm the Body and Spirits against the assaults of the contagious Miasms For this end we ought to avoid fasting or going abroad before eating Butter and Rue Leaves and a draught of good generous Wine upon which Camphyr has been kindled are fit to be taken in a Morning as also the Mineral acid Spirits and the acid Juices of Fruits but above all Vinegar impregnated with the Vertue of Camphyr Myrrh Juniper-Berries Zedoary and other aromatic Simples Next to Vinegar are the sulphureous balmy Ingredients especially Sulphur Myrrh and Amber which cover the Spirits from the attacks of the morbific Matter and ought to be taken in acid Vehicles To these we may add Opium and Diascordium Venice Treacle and such like hot Compositions ought to be cautiously us'd and always dissolv'd in Vinegar Sugar of Lead also given with Camphyr from four to ten grains is of excellent use but 't is very volatil and if indiscreetly us'd may accelerat the Disease Externally there is nothing equals the cutting of Issues A Spunge wet with Aromatic Vinegar impregnated with Myrrh and Camphyr may frequently be applied to the Nostrils Let Ginger and Zedoary or Troches made of Myrrh and Camphyr and Tragacanth dissolv'd in Vinegar be often chew'd and held in the Mouth Let the Temples Wrists and Breasts be anointed with the Apopâ—ectic Balsam mix'd with Camphyr let Sala's magnes Arsenicalis mix'd with Benzoin dissolv'd in Spirit of Wine be form'd into Tablets and hung in a scarlet Cloth-Bag upon the Breast If the Contagion proceed from subrerranean Damps let dry'd Toads be hung over the Breast If it proceed from the Air let Spiders stand in their room Some recommend crude Mercury calcin'd by the fumes of Lead for the same purpose The direct Cure of the Plague consists in expelling the poisonous Miasma's by Alexipharmacal Medicines For the regular performance of which the following Cautions will be of use 1. Let Sudorisics be repeated every eight Hours even after the eruption of Bubo's or Carbuncles and after sweating exhibit a Cordial Draught mix'd with acid Spirits for thickning the Blood and rallying the dispers'd Spirits 2. Avoid sleep in time of sweating and for that end apply Vinegar mix'd with Camphyr or Castor to the Nostrils 3. If the Sudorific cannot procure Sweat let a hot Loaf of Bread be excavated and fill'd with Venice Treacle and Spirit of Wine camphoris'd and applied to the Stomac or Navel the under Crust being taken off 4. If obstinat Watchings threaten Deliriums and prevent Sweaâ— let Laudanum Opiatum be added to Sudorifics in order to procure sleep after sweating 5. If the fermentation be faint and low Venice Treacle and Mithridat are proper But if the Feaver be high and attended by a violent heat they are fitly exchang'd with Antimonial Powders and lixivious Salts 6. Acids mix'd with Sudorifics are always proper 7. Blistering Plaisters are appli'd with extraordinary success to the Neck Legs and Arms. They ought to be very sharp and after they
Stomac or Abdomen Vomits are also proper Hysteric causes require Zedoary Castor volatil Salts and other Hysteric Remedies Externally the same Remedies are appli'd to the Nostrils Temples Pulse Lips and pit of the Stomac The Water of Lilly of the Valley the Apoplectic Balsam Oyl of Cinnamon and that of Citrons Oyl of Amber and Oyl of Cloves are the common Specifics for that use some say that Fumigation with Amber alone is of notable efficacy If the Syncope and Lipothimia proceed from unreasonable evacuations excessive Sweating Heat Labour Fatigue Anger Joy or ungrateful smells let Acids be exhibited as also a Vomit if there be occasion The Swoonings of malignant Feavers are accounted for by exhibiting Camphyr in a small quantity mix'd with Laudanum Opiatum and other Antidots When they are occasion'd by frights excessive Bleeding or immoderat sadness spirituous oily Remedies take place and if the Paroxism is dangerous a Vein may be open'd If we fear a Syncope from an excessive flux of the terms Opiats join'd with Acids and prepar'd Coral are of excellent use For Old Persons there 's nothing equals the following Powder Viz. Take of Ambergrise or Musk eight grains which dissolve in twelve drops of Oyl of Cinnamon and half a Scruple of Oyl of Cardamums add prepar'd Pearl half a Scruple whitest Sugar-candy two ounces Make a Powder SECT XVII Of Nutrition THE eternal motion of our active Principles disturbs the repose of the solid Parts unties their Bonds and exposes 'em to decay In order to repair this their loss the Blood laden with Chyle being finish'd in the left Ventricle of the Heart sets out from thence and makes a Tour round the Body it visits every Part and measures out suitable Recruits which are strain'd thro' the Pores of the Part and nourish it by way of apposition or else ferment with the Guardian Spirits that defend the Place and being thereby coagulated and transform'd into a likeness with the Part consolidat and give occasion to its growth Thus all the Members of the Body are either augmented in our Youth or nourish'd and preserv'd from decay during the remainder of our lives Now the hindrances of a regular Nutrition are such as relate either to the deficiency or want of due Nourishment or to its redundancy or to its depravation CHAP. I. Of a Consumption and Phthisic NUtrition is deficient when the Bones Cartilages and Membranes wither and the Fat and muscular Flesh which are only capable of Consumption are accordingly consum'd If the Fat alone be melted down it amounts to no more than a leanness but if the dewy Muscles are consum'd without restoration we call it a Tabes or form'd Consumption The Causes of a Consumption relate either to the Spirits or nutritious Juice The former are the deficiency or dissipation of the Spirits the one caus'd by the vicious Crasis of Blood or Indisposition of the Brain the other by Fatigue Venery Study or Grief Those relating to the nutritious Matter are first its defect occasion'd by the scarcity or want of proper Food and consequently of Chyle The obstruction of the Vasa lactea the Schirrous Tumors of the Pylorus or those of the Mesentery so frequently met with the compression or wounding of the Ductus of the Breast all which cut off the communication of the Chyle with the Blood Worms in the Guts sucking up the Chyle Excessive evacuations of the nutritious Juice either in Company with the Blood in excessive Bleedings or otherwise by Loosenesses immoderate Sweats runnings of the Reins Whites Ulcers and excessive Venery The second cause relating to the Nutritious Juice is its depravation occasion'd either by a weak digestion in the Stomac or the saltness and viscidity of the Blood or Lymph that follows Acute or Intermitting Feavers or retains to Scorbutic and Hypocondriac Constitutions In fine the Crudities of the Stomac and degeneracy of the Blood are the common causes of a Consumption and reciprocally promote one another The former occasion a saline putrid taste in the Mouth and provoke the Lungs and Larynx to Cough as they pass after joining the Blood The latter viz. The degeneracy of the Blood renders it unfit for nourishing the Parts and is occasion'd either by the crudity of the Chyle or the Ulcer of some Bowel or external part that taints it as it passes In which last case it procures a Phthisic A Phthisic therefore is generally taken for a Consumption arising from the Ulcer of any Bowel or external part as of the Reins Liver and especially the Lungs which are most liable to be vitiated by the Air and the recrements of degenerat Blood 'T is distinguish'd from a Vomica of the Lungs by this Mark viz. That the latter is a close Ulcer inclos'd within its own Membranes and fill'd with laudable Pus whereas a phthisical Ulcer is open and voids sordid corrupt Matter Tho' a Phthisic be generally imputed to an Ulcer of the Lungs yet it may arise from the Corrugation Schirrus or any other disorder of the Lungs or Bowels that disturbs and depraves the Blood It s remote causes are the acrimony and saltness of the Blood or Lymph which is frequently owing to Crudities from the Stomac and was represented by the Ancients as a Catarrh or defluxion from the Head Wounds Bruises clotted Blood or heterogeneous Matter in the Breast Inflamations of the Lungs or Pleura ending in Suppuration the Corrosion of the small Pox corrosive steams as those of Aqua-fortis Quick-lime c. Drinking of Acid Tartarin Wines or Vinegar smoaking Tobacco irregular Passions of the Mind c. A Phthisic propagats it self by a hereditary Succession and is so very contagious that the Breath of a Phthisical Person will corrupt the Lungs of another and convey its virulency thro' the Breasts of a suckling Woman The signs of a Consumption are these a sharp Nose hollow Eyes low Temples the Laps of the Ears contracted the Fore-head dry and hard the Complexion pale and livid the Ribs and Shoulder-blades bend outward the Cartilage of the Breast is bow'd the Back-bone sharp and prominent the Belly falls low the Hips are loose or quite consum'd the Legs Arms Feet and Hands are dry the Knuckles protuberant the Nails bow'd the Skin wrinkled and flaggy the Urin is cover'd with Fat the Veins of the Body are every where apparent and the Hairs fall off Nocturnal Sweats are common to all Phthisical Persons and melting loosenesses and swellings of the Feet conclude the Tragedy If a Consumption or Phthisic proceed from an obstruction of the Glandules of the Mesentery intercepting the Chyle the Belly is swell'd and molested with a hollow heavy Pain the region of the Navel is hard and the Excrements are liquid or mix'd with Chyle If it proceed from a weak digestion or crudities from the Stomac the Symptoms observe this order viz. After much care anger drinking or some such Error in the use of the not natural things there insues a prostration of strength and
grains the Infusion of two or three drams of Hedge-Hyssop or its Conserve given to two drams Syrup of Buckthorn and the Rinds or Leaves of Elder The proper season for exhibiting Purges to Hydropic Persons is immediatly before the new Moon when the Disease of it self relents But if the Hydropic Water lodge in the Purse of the Caul or duplicat of the Peritonaeum or Vesicles of the Mesentery and not in the Cavities of the Womb Purgation is of no use And withal we ought to remark that Purgatives ought to be mix'd with Stomachical Specifics especially Wormwood and not too often repeated by reason that they melt down the laudable Humors as well as the bad and so indirectly strengthen the Disease especially if they do not operat quickly after Administration If the Hydropic Person Vomit easily or be molested with a shortness of Breath Vomits are useful But they ought to be given in large Doses otherwise they do not Operate Opiats in general are pernicious tho' in some singular Instances they may pacify the Spirits appease the irritated Fibres of the Kidneys and so indirectly promote an Evacuation by Urine Diuretics are the choicest evacuating Remedies But they ought not to be exhibited till after the use of Laxative attenuating and opening Ingredients nor us'd without the addition of Chalybeat or Corroborating Medicines Asarum Wormwood Elecampane and Gentian lead the Van. The Juice or Infusion of Celandin the greater is a celebrated Specific to which we may add the Decoction of Swallow-wort in Wine or its Extract it being peculiarly calculated for such Dropsies as proceed from Scrophulous tumors in the Mesentery Hore-hound is much recommended against a Hydropical Jaundice The Infusion Decoction or Juice of Garlic is a powerful Diuretic as also Turmerick and Madder The Decoction Infusion Spirit and Rob of Juniper Wood and Berries are of excellent use and seem to claim a Preference before the Decoctions of Guajacum and Sassafras The Juice of the Herb Kali given to half a dram is much applauded but it ought not to be taken above three Days in a Week for fear of over doing In those Dropsies which approach to Anasarca's fix'd Salts are of good use and perhaps preferable to other Diuretics But in an Ascites 't is not improper to shift 'em for those of a volatil nitrous Character The Heads of the fix'd sort are the Lixivious Salts of Vine-Twigs Bean-stalks Juniper and Lime-tree-wood The volatil are all the volatil preparations of Tartar the Spirit and Flowers of Sal-Armoniac or Elixyr Propritatis prepar'd with it and the volatil Salt of Harts-horn Poppius bestows large Encomiums on the Spirit of Urine rectify'd with Spirit of Wine Ambergrise and Mosch and given to half a dram Morning and Evening nay Man's Urine or that of Sheep is very effectual among poor People Crollius recommends Goose-Dung given to a dram in distill'd Urine The Spirit of putrifi'd Earth-worms given to sixty drops twice or thrice a day in Wine impregnated with Juniper Berries or the Liquor that flows per deliquium from Earth-Worms putrifi'd with Moss of Earth and baken with Dough in an Oven given to a spoonful twice a day the Powder of dry'd Toads the Heads and Guts being thrown away given to a Scruple three or four times in one Day but so as to intermit three or four days before it be us'd again the Liquor which drops per deliquium from Cockle-shells coagulated with Spirit of Salt the Powder of greasie Beetles or of Hog-lice these are all approv'd for their anti-hydropic Vertue Sudorifics are not proper in an Ascites by reason that they heat and fret the Serum and dissolve the Blood so as to occasion a further effusion of Serum into the Cavities In case of an Anasarca or when the Serum stagnates in the Glandules and Bowels they are useful and ought to be given in small quantities lest a stronger force should weaken the Patient Juniper-Wood Millet-seeds and Vegetable Aromatics together with volatil Salts are the most proper Ingredients and ought to be administer'd in a liquid form Sometimes Mercurial Salivations are also of use in desperat Dropsies After the internal Remedies for evacuating the hydropical Serum we come in the next place to what assistance external Operations can afford If the Navel be much rais'd we apply aperients to it and if they do not open it we tap it with a Needle A Paracentesis is also frequently perform'd on the side of the Belly with good success But we ought to remember that in Dropsies the Peritonaeum is very thick that 't is dangerous to take out above eight or ten Ounces of Water at once that if the Disease be confirm'd and the Bowels beset with Schirrus's or already corroded by the Water and if the larger Lymphatic Vessels be broken or if the Dropsy be universal a Paracentesis is of no use Sometimes if Nature tend that way the Scrotum opens of it self or if it do not 't is artificially open'd with a Cautery or a Launce But it ought to be carefully defended by proper Preservatives from a Gangrene to which 't is very liable Slight scarrifications of the Legs are oft-times of good use but the Wounds must be gently handled and frequently fomented with the Spirit of Wine camphoris'd in order to prevent a Gangrene If Blisters rise in the Legs we apply Cole-wort Leaves to 'em nay oft-times the Leaves of Water-Plantane bruis'd and applied raise Blisters of themselves which void a great deal of Serum Blistering Plaisters are us'd with good success but they ought to be cautiously applied to the outermost Parts because they extinguish the native heat and promote a Gangrene Upon which account Caustics which fortifie the Part with an Eschara and do not attract the Humors so violently are more proper But if the Disease be confirm'd and if the Person be weak and cold then they may introduce a Gangrene or at least will only give vent to the Water under the Skin as not being able to extend their influence to the Cavities Some choose to pair the Nails of the Toes very close and tye strait Ligatures upon the Parts The former Stratagem drains the Water and the latter cuts off all further Supplies and forces the imprison'd Matter either to retire into the Lymphatic Vessels or march out by the proper Passages Having thus dispatch'd the first Indication we are arriv'd at the second which was to corroborat the Stomac and Crasis of the Blood for which end chalybeat Medicines ought to be mix'd with the above mention'd Ingredients especially to Worm-wood and Ground-Ivy which last is of excellent use both inwardly and outwardly The Salt of Wormwood coagulated with the Spirit of Salt the Tincture of Tartar Tincture of the Vitriol of Steel the Terra foliata of Tartar and the Lapis Fulminaris pounded with Alcohol of Wine and mix'd with the Powder of Snakes Cast-Coats are much applauded for the same purpose If the Fibres of the Skin be weak and relaxated it
which Worms are the Head The Spirit of putrifi'd Earth-worms rectifi'd upon Cephalic Plants or the Infusion of bruis'd Worms in Wine Milk or Whey are most effectual Medicaments Some apply living Worms to the Part which die if the Pain be violent and as the Symptoms relent prolong their life Therefore this Application is renew'd till the Worms cease to die When the Paroxysm declines we endeavour to root out the radical Cause by preparations from the Pine-Tree China Roots and Juniper-Berries mix'd with Antiscorbutics The Decoction of Wormwood and lesser Centory Bags of Antiscorbutical Ingredients infus'd in Wine and the carminative Spirit or Spirit of Sal-Armoniac mix'd with the Spirit of Scurvy-grass are all of good use In a Word if the Patient be of a moist Constitution and apt to sweat volatil Ingredients are best if not Milk especially Goats Milk or Whey in which softning and Antiscorbutical Ingredients are boyl'd is preferable Take of Cinnabar of Antimony a scruple Poterius's diaphoretic Gold twelve grains Laudanum Opiatum two grains Make a Powder to be exhibited in the beginning of the Disease Take of the Water of Mother of Thyme Pine-Apples and Scurvy-grass of each an ounce the Essence against Catarrhs three drams the spirit of putrifi'd Earth-Worms a dram the volatil salt of Harts-horn a scruple the volatil salt of Amber half a scruple prepar'd Crabs Eyes half a dram Laudanum Opiatum three grains Syrup of Elecampane Roots an Ounce Mix and give a Spoonful in order to sweat Take of the Buds of the wild Pine-Tree three ounces China Roots slic'd an ounce and a half Juniper Berries an ounce Boil them in Water and exhibit four ounces in order to sweat every Morning and as much at Night without sweating Externally we ought to avoid all oily Applications Let the part be forcibly rub'd with a Cloth outwards or toward the Circumference and fumigated with the steams of the Decoction of Earth-worms and Ants. Then apply Cataplasms of Horse-Radish Roots or Briony Roots boil'd with Camomil Flowers and Comfrey Roots in Milk or of Cats Dung and Earth-Worms or of Venice Soap dissolv'd in Spirit of Wine sprinkl'd with the Spirit of Earth-worms and mix'd with Camphyr but 't is worthy our notice that these Cataplasms ought to be always kept warm for if they grow cold upon the Part they wring and straiten its Pores Upon which account some choose rather to foment it with the Spirit of putrifi'd Earth-worms Spirit of Ants the Spirit of Juniper Berries camphoris'd or the Spirit of Wine impregnated with Aromatic Plants and then apply a Plaister of Tacamahac and Mynsichtius's Diaphoretic Plaister VII Scorbutical Head-aches are cur'd by volatil Sudorisics such as the volatil Salt of Amber Spirit of Harts-horn the Cephalic Spirit of Vitriol the Anti-scorbutical Elixir Proprietatis and sometimes Opiats To these we subjoin a Milk Diet which tho' noxious in other Cases is of admirable efficacy in this VIII A scorbutical Palsie is for the most part usher'd in by a sense of a creeping sort of Pain like the motion of Emmets 'T is Cur'd thus administer a Vomit unless the Person be liable to Pains in the Belly Avoid Bleeding unless the Person be Plethorick inject emollient Clysters and exhibit the mildest Laxatives Then order the Decoction of Juniper and Pine-tree-wood or the Pine Apple with Rosemary and cephalic Plants in Milk or Whey The Decoctions of sudorific Woods the Essence of the Pine Apple the Essence of Juniper Berries the volatil Spirit of Tartar or the Carminative Spirit de tribus mix'd with the Spirit of Scurvy-grass the volatil Salt of Amber and especially Poterius's diaphoretic Gold or fulminatory Gold are all recommended upon this occasion Externally the same Medicines are requir'd as we order for the wandring Gout especially the Spirit of Juniper Berries Essence of Castor Spirit of Earth-worms Some order the Person to be set up to the Waste in a Heap of Grapes while they ferment either naturally or by the addition of Quicklime Cataplasms of Briony and Comfrey Roots are oft us'd with good success some fumigate the Part with the steams of Goose-fat thrown upon burning Coals and anoint it with the Oil of Scurvy-grass the Oil or Spirit of Earth-worms distill'd Oil of Amber and Balsam of Peru. Some apply Plaisters such as Oxycroceum and Nervinum Vigonis but all oily things are improper by reason that they shut the Pores Of the natural hot Baths those of the meekest force and heat are best IX Scorbutical Convulsions are cur'd by Vomits Purges and Antiscorbutics mix'd with nervous Ingredients Lac Cinnabar of Antimony the volatil Salt of Amber and Camphyr exhibited in the Decoction of Elecampane and Juniper Berries are of excellent use Some recommend Castle-Soap dissolv'd in Milk as also the Essence of the Pine-Apple the Essence of Sassafras carminative Spirit and Spirit of Sal-Armoniac mix'd with the Spirit of Scurvy-grass and Laudanum In the last extremity we must have recourse to the Decoctions of sudorific Woods China Roots and Fennel Externally the Oil distill'd from a mixture of Quick-lime and Oil of Lin-seed is of noted efficacy and likewise all cephalic Spirits and Oils Some recommend Bathing every Day for eight Hours in the Decoctions of Gentian Juniper-Berries Rue and Agrimony X. Asthma's attending the Scurvy are cur'd by the Extract of Saffron spirits of Hart's-horn Castor Amber and Sal-Armoniac Benzoin and Birth-wort-Roots with Antiscorbutical Decoctions If the Asthma's are merely Convulsive Laudanum Hystericum is a sovereign Remedy XI Vomitings require Artificial Vomits gentle Purges and stomachical Medicines mix'd with absorbent Powders and Antiscorbutics Loosenesses are cur'd after the same method rather than by Astringents which frequently occasion Anxieties in the Breast and Swoonings Bleedings at Nose or any other part are best stopp'd by exhibiting inwardly chalybeat Astringents such as Chalybeat Diaphoretic Antimony Vitriol of Steel the Antiphthisical Tincture c. XII A scorbutical Consumption is generally accounted for by a Milk Diet which is of excellent use when it proceeds from the degeneracy of the Blood But if the disorders of the Stomac and first Passages gave Birth to it Milk is improper and is fitly exchanged for Vomits and stomachical Aromatics In general Elixir Proprietatis without an Acid the spirit of Sal-Armoniae the Antiphthisical Tincture and Raisins eaten after Meals are very proper If the Animal Spirits are flat nervous Remedies will be useful If the milky Vessels or Glandules of the Mesentery and other Parts are charg'd with Obstructions volatil Aperients are necessary XIII Scorbutical Fevers take their Original from the Corrosive sharpness of the Blood and generally pass for Hectics Their Symptoms are an excessive Appetit follow'd by Vomiting or love for salt Victuals Costiveness Sweats smelling like Acids and leaving red Sand in the Bed and livid Spots in the Skin They are cur'd by Antiscorbutics mix'd with Steel and volatil and fix'd Salts especially the Flowers and spirit of Sal-Armoniac the Spirit of Sassafras and Arcanum Duplicatum
especially Crabs Eyes mix'd with Vinegar Tho' Vinegar be an acid yet when joyn'd to Crabs Eyes and absorbent Powders it ferments and assumes a lixivious Urinous form which is of admirable efficacy for dissolving clotted Blood To these we ought always to add Sperma Ceti and the Decoctions or Waters of Vulnerary Plants as being inrich'd with a plentiful Alcali The dulcify'd Spirit of Nitre and all the Preparations of Nitre are also of excellent use especially if the Feaver be high As for external applications I refer the Reader to the sixth Book and shall only now take notice of two Particulars 1. The mistake of those who apply repelling Astringents in order to straiten the Vessels and hinder the Corruption of Blood Whereas the Doctrine of Circulation teaches us that the Blood convey'd thither by the Arteries cannot be beat back or return any other way than by the Veins Now to straiten the Vessels that are already straitned by the swelling is the ready way to hinder the Bloods access to the Veins and augment the Inflammation 2. If the tumor cannot be discuss'd we must bring it to a Head by ripening Applications and when the Ulcer is open see it throughly cleans'd before we attempt to consolidat The general Cure of Inflammations being thus accounted for we proceed to Particular Inflammations ART 1. Of a Quinsey Thrush and falling of the Vvula or Palat of the Mouth THE Inflammation of the Muscles of the Neck especially those of the Windpipe and Gullet is stil'd a Quinsy under which we comprehend all Inflammations relating to the Chops If the Internal Muscles of the Throat or Head of the Gullet are inflam'd 't is call'd Synanche if the External Parasynanche if the Internal Muscles of the Head of the Windpipe Cynanche if the External Paracynanche If a Quinsey proceed from the simple Stagnation of pure Blood 't is accounted Genuin if the Viscidity of the Lymph be the first Author of the Swelling and so accompany or rather cause the Stagnation 't is a spurious or white Quinsey The causes of a Quinsey are the unseasonable suppression of a Flux of Blood malignant Miasma's in the Air irritating the Throat and Windpipe the assumption of Corrosive Liquors which provoke the Muscles to contractions cold Air Bones Pieces of Glass or whatever happens to disturb the repose of those Parts or thicken the Blood or Lymph The viscidity or sharpness of the Lymph has a peculiar tendency to the Inflammation of the Tonsillae or Glandules in the Throat which causes 'em to throw out large Quantities of glutinous Lymph upon the Tongue and Jaws An Imminent Quinsey is usher'd in by a difficulty of Breathing swallowing and moving the Neck and a notable Heat in the Throat The Symptoms that accompany it are a difficulty of Breathing especially in a Cynanche the tumor pain and redness of the Neck and Tongue a viscous Film or Crust proceeding from the Tonsillae and covering the Tongue a difficulty of swallowing especially in a Synanche A genuine Quinsey is also attended by an acute Feaver and a distending Convulsive Pulse like that in a Peripneumonia But a spurious one by a slow Feaver and meeker Symptoms If this Inflammation be not quickly discuss'd it either choaks the Patient or becomes an Ulcer which sometimes distils a purulent matter into the Lungs and occasions tragical Symptoms If the swelling and redness display themselves visibly upon the external Muscles 't is a good Circumstance If the internal swelling and difficulty of breathing increase without an apparent Tumor and be attended by Froth in the Mouth If the Feaver observe the period of a continual Tertian if the Vein under the Tongue when open'd do not bleed these I say are bad Omens If the Swelling disappear of a sudden without the Signs of Concoction in the Spittle or diminution of the anxiety of the Breast or if the Head Pleura or other parts are seiz'd with Pain and inflammation by vertue of the Translation of the morbifical Matter we look for Death The Cure is either internal or external The former is the same with that of Inflammations in general providing a due regard be had to the peculiar constitution of the Parts as appears by the following Rules 1. The volatil Salts and absorbent Powders above mention'd join'd to the dulcifi'd Spirit of Nitre and Laudannm are given with good success in order to sweat Especially Horse-Dung and the Dung of Birds as being plentifully impregnated with a Volatil nitrous Salt Nitre dissolv'd in the ordinary Drink is also much approv'd 2. Amber Myrrh Spirit of Harts-horn and all Medicines recommended for Catarrhs are very proper in Quinseys by reason that the Lymph is always faulty as well as the Blood 3. In the beginning of the Disease we first open a Vein in the Leg then in the Arm and towards the height under the Tongue Before the Invasion of a Quinsey if the Patient be not Plethorick nor the Blood very high we may order Blood-letting under the Tongue but in no other case before the height If the Piles or Terms are suppressed we must always let Blood in the Leg. In desperate cases we apply Scarify'd Cupping-Glasses to the Neck Shoulders and Chin. In fine the Constitution of the Patient and other incident Circumstances must be our Directory for regulating the Measures of Bleeding 4. Epidemical Quinseys or such as proceed from the malignity of the Air must be treated as malignant Diseases without Bleeding or Purging And the Physician ought to avoid their Breath as being very catching 5. Antimonial Vomits are of singular use in the beginning of the Disease especially if it be epidemical or if the Patient be molested with a bitter rusty taste in the Mouth a tickling heat in the Gullet and a loathing of Meat They are improper at any other time besides the very height of the Disease when the suppuration is in some measure advanced and the Swelling cannot be laid open Then indeed a Vomit is the last Refuge If the Person cannot swallow any Liquor let the Throat be tick'ld with Mercurius Vitae with Hony upon a Feather 6. Purgatives are improper as being apt to augment Inflammations Perhaps in the beginning 't will not be improper to cleanse the first Passages with a Laxative But Clysters ought to be injected every Day during the whole progress of the Disease 7. Blistering Plaisters applied to the Neck after the first Blood-letting are not improper 8. If the Inflammation of the Tonsillae arising from viscid Lymph be apt to relapse frequently let an Issue be cut in the Arm. 9. We must be very nice in distinguishing a Quinsey from a Prunella which generally follows Feavers and requires the application of Medicines improper for a Quinsey See the Chap. of Acute Feavers The external part of the Cure of a Quinsey is perform'd 1. By Gargarisms Ointments Cataplasms and Plaisters of discussing Ingredients such as Chamomil and Elder-Flowers Mint Penny-Royal Wild Marjoram Sage Hyssop the
Cure of a Gâ—â—uin Pleurisie it remains to touch briefly at the four Spurious kinds above mention'd The first of which is treated as other external Inflammations in general The second proceeding from a sharp Acid Lymph stagnating in the Pleura requires volatil Salts such as the spirit of Sal-Armoniac c. mix'd with Antipleuritical Specifics and during the increase of the Disease with Opiats If the Urine be muddy and Precipitat a Sediment 't is proper to add Diuretics in order to discharge the Matter by Urine according to Nature's Direction Externally Oily fat things wo' not be so convenient as dry hot Bags or Frictions with a hot Cloth and a Plaister of the volatil Salt of Urine and Turpentin The third sort is also cur'd by volatil Salts and Diaphoretics mix'd with Opiats to which in scorbutical Cases we add Adtiscorbutics And Lastly the spurious Pleurisies that proceed from Worms are admirably accounted for by exhibiting Carduus Benedictus Waterin which Quick-silver is boyl'd and the spirit of Sulphur or dulcify'd Spirit of Vitriol ART 5. Of Inflammations and Vlcers of the Liver and Spleen INflammations of the Liver are frequenty caus'd by the external application of hot Plaisters and Cupping-glasses not to speak of the common Causes of other Inflammations As for Diagnostics 't is needful to observe that when the convex Part of the Liver is inflam'd they 're attended mostly by the Symptoms of a Genuin Pleurisie and when the Concave is chiefly troubled the Symptoms of the Stomac and Guts such as Vomiting Looseness Inappetency Loathing Sighing Hickcup c. are most notorious The Pain of an Inflam'd Liver is always obscure heavy and distending for the shooting Pains that sometimes infest the right Hypocondrium are justly charg'd to the Colon The Feaver heat and such like Symptoms are not so Acute as in other Cases by reason that the Liver enjoys only a small quantity of arterious Blood Oft-times the Midriff shares the Inflammation with the Liver by means of the Ligament which annexes the one to the other and then the Person is sensible of Pain in the Throat as if it were pull'd downward when he breaths he is troubled with a dry ineffectual Cough difficulty of Breathing and a quick unequal Pulse and chooses rather to lye on his Back than on either side Thus the Inflammation of the Liver is distinguish'd from a Pleurisie in the Right-side by the remissness of its Symptoms the absence of a stitch or shooting Pain the dryness and meekness of the Cough the largeness and openness of the Pulse the sense as it were of a weight hanging upon the Right-side of the Thorax and the easiness of Respiration in respect of Inspiration 'T is distinguish'd from the Colic by the Feaver Cough and difficulty of Breathing that the Colic is a stranger to as also from the Inflammation of the Muscles of the Belly by the anxiety of the Breast Comparative invisibility of the Tumor intenseness of its Symptoms and the absence of a beating Pain Sometimes a reddish black line appears in the right Hypocondrium and by its pain discovers the Inflammation of the Liver Sometimes the Liver reaches to the very middle of the Belly and discovers its Tumor in the Centre As touching the Prognostic the Inflammation of the Concave part is more dangerous than that of the Convex especially if attended by a Hiccough if the Feaver be very acute the Belly swoln and the external Parts cold while the Internal burn within or if black greenish Matter be Vomited 't is a desperat Case If the Inflammation and Feaver continue above twenty Days it degenerats into an Ulcer or Schirrus and the purulent Matter is voided mostly by Stool or Urine or at least but very rarely by Vomiting or Spitting If a Copious evacuation of Urine follow the use of Nitre 't is a good Omen The internal Cure is compass'd by Antipleuritical Medicines such as the Sugar of Lead or rather the Crystals of Lead with Spirit of Nitre Antimonial Nitre Diaphoretic Antimony volatil Salt of Vipers and the common Sudorifics mix'd with Laudanum Opiatum and bitter Apperients Externally we apply the spirit of Wine Camphoris'd with Plantan Water or Nitre with Vinegar of Roses and the Juice of Houseleek or what follows Take of the Ointment of Marsh-mallows half an ounce Oyl of Wormwood two drams distill'd Oyl of Dill a scruple Camphyr nine grains Make a Liniment and anoint the Part. Or Take of the Waters of Henbane Plantan and Water Lillies of each an ounce purify'd Nitre half a dram Camphyr dissolv'd in spirit of Wine fifteen grains make an Epithema to be applied Warm Sometimes the Inflammation of the Liver proceeds from excessive Venery and 't is cur'd thus Take a living black Cock and cut out his Liver which bruise in four ounces of Vinegar of Roses till it be quite dissolv'd Then strain the Vinegar and exhibit it warm for a Draught in the mean while let the Patient take every Morning a Draught of the Decoction of Liquorice Cichory Rhubarb Lesser Centory Liverwort and the inner Rinds of Elder adding to Every Draught a scruple of Sperma Ceti If notwithstanding these Precautions the Inflammation come to a head which will appear by the Feaver Heat and Shiverings that attend it and their abatement when 't is over in that Case we exhibit inwardly the Decoction of China Roots Liquorice and Raisins And apply Emollient Cataplasms with Saffron and Wormwood Tops If the swelling be seated in the Convex part it may be open'd with a Knife or a Potential Caustic If it lye in the Concave side we must endeavour by all means to break it and when 't is broken follow the conduct of Nature in promoting the evacuation of the purulent Matter As if it be emptied into the Guts we exhibit Mead for tempering its sharpness and inject Clysters if it be dischar'd by Urine we administer Oxymel with the Decoctions of Smallage Parssey Juniper-berries c. in Mead. If it recoyl into the Stomac and cause Vomiting we forward it with fat Broth Oyl of sweet Almonds c. If it corrode the Membran and cast it self into the Cavity of the Abdomen 't is a very dangerous case in which some choose to open the Abdomen and give vent to it in the mean while we exhibit inwardly the Decoctions of China Sarsaparilla and the Vulnerary Ingredients to which we add Turpentin dissolv'd in the yelk of an Egg or the Balsam of Sulphur prepar'd with Oyl of Turpentin The Inflammations of the Spleen ought to be nicely distinguish'd from those of the adjacent right Kidney as being attended by a beating Pain towards the fore-side of the Abdomen difficulty of Breathing a moderat continual Feaver whereas the Inflammations of the Kidney display themselves mostly in the Back and their Feaver is very high without any sensible Pulsation In Inflammations of the Spleen Bleeding at the left Nostril Fluxes of the Piles a Looseness and Pleutiful evacuations of Urine
of Spirits From whence ensues the variety of the animal or sensitive Phaenomena's 2. That the Brain and Spirits have a peculiar dependance upon the Moon and upon that account the Diseases of the Head encrease or diminish in proportion to its Age. The Spirits when disorder'd are more sensible of this Influence than in their natural State 'T is true the Sun has some Ascendant over our Bodies but that properly relates to the vegetable and vital Functions the Animal Province being more peculiarly allotted to the Moon 3. That there is an admirable Sympathy betwixt the Brain and the Bowels especially the Stomac An ungrateful Imagination disturbs the Stomac and Vomiting and Giddiness do equally give rise to one another The Disorders of the Stomac and lower Belly have a visible Influence upon the Fancy as in the case of Hysteric or Hypocondriac Fits and the ridiculous Appetites of Women Helmont was very happy in this Observation and the practical Inferences he deduc'd from it but his Theoretic Conjectures are frivolous The reason why the Spirits and the Stomac do so sensibly affect one another seems to be this That the Mouth of the Stomac is the first part of all the Body that receives any sensible Impression in the Womb for so much as all Alterations in the Embryo must be produc'd by the Nourishment convey'd to the Stomac This establishes an early Correspondence betwixt it and the Spirits and lays the lasting Foundation of their future Intimacy 4. That the Spirits are liable to the same material Alterations with the Blood CHAP. I. Of immoderate Watchings WE are said to wake when the Spirits are distributed through the Organs of Sense and extend their Fibres On the contrary Sleep unbends the Fibres and imprisons the Spirits The Privation of which causes Disorders in the Body The immediate Cause of Watchfulness is a continued or violent Incursion of Spirits into the Organs of Sense The remote Cause barring some external Object must either be the Disorder of the animal Spirits or some defect in the Brain The Spirits are oft-times too nimble and moveable as in young People and such as feed high and drink generous Liquors The Heat of Summer or travelling in a hot Climat eating of Venison immoderat Care Study and the Passions of the Mind the accession of foreign heterogeneous Particles from malignant Distempers or drinking Tee and Cossee are the natural Causes of the Mobility and Disorder of the Spirits and consequently of Watchfulness As for the Brain Watchings will insue upon the Openness of its Pores occasion'd by a Dryness or want of Moisture to fill up the Intervals This may happen through Fasting or eating of sharp volatil Meats immoderat Venery Sweating smoaking Tobacco which tho it be an Opiat exhausts the Moisture of the Brain an unseasonable Use of purging Medicines or a Deficiency in the first Digestion which not only affects the Spirits by Consent but robs the Brain of its wonted Recruits in neglecting the regular distribution of the Chyle This Disease is manifest of it self As for Prognostics It infers a Weakness and Feebleness 'T is more sufferable in Youth than in a State of Manhood and among Men than among the Female Sex It portends ill in acute Distempers But in Chronical Diseases may be longer endur'd tho 't is oft-times follow'd by Phrensies Folly or Stupidity The Cure is perform'd by taking off the remote Causes If it be caus'd by the Inflammation and Impetuosity of the Blood a Vein must be open'd If the Blood be sharp and oppress'd with heterogeneous Particles Purgation and Sweating take place If it spring from the Disorder of the animal Spirits they must be reduc'd to Order by the use of pacific Medicines such as Opium or Laudanum opiatum or their Compounds Bartholetus commends the Essence of Opium prepar'd with Spirit of Vitriol or Spirit of Cockle Ens Veneris which consists of Vitriol and Salt Armoniac and likewise the Anodvn Sulphur of Vitriol are proper in this case But in using Opium we ought to observe these Causions Not to exhibit it when the Watchings are owing to the Efforts of Nature endeavouring a Solution of a Disease or when attended with a straitness in the Breast or difficulty of Breathing or when they proceed from the deficiency and want of Spirits as in old Men c. The mildest Opiats are the safest Let them be given in small Quantities and repeated often As Take of the Conserve of wild Poppy Flowers one Dram Venice Treacle or Diascordium half a Dram Laudanum Opiatum one Grain Make a Bolus Or Take of native Cinnabar fifteen Grains Saccharum Saturni eight Grains Laudanum Opiatum one or two Grains with the Extract of Saffron make Pills to be taken in the Evening about an hour before Supper The Seed of Thorn Apple is of excellent use in this case As for the Watchings which arise from the Dryness and Openness of the Brain moist and cooling Medicines are most proper such as Emulsions and other oily temperat Compositions Take of the four greater cold Seeds of each half an Ounce Garden Poppy Seeds two Drams sweet Almonds from two Drams to half an Ounce with a sufficient quantity of the Water of Water Lillies make an Emulsion Add of Cinnamom Water half an Ounce and sweeten it with Syrup of Poppies Or the Emulsion may be accommodated to whatever acute Distemper accompanies the Watchings as in a malignant Fever Take of sweet Almonds and Garden Poppy Seeds of each two Drams of the four greater cold Seeds of each a Dram With Viper Grass Water make an Emulsion sweeten it with pearl'd Sugar and add half an Ounce of Ciâ—namom Water and a Scruple of Bezoar Mineral It pacifies the Spirits and obviats the Malignity of the Distemper The Decoction of Barley with Poppies and Liquorice is much applauded And in general all moist nourishing milky chilous Medicines are very conducive in this caseâ— especially the Seed of Thorn Apple of the Fruit we make Pills thus Take of Thorn Apples six Pound bruise and boil them in twelve Pints of Lettice Water to eight Pints express the Decoction and digest it in the Sun sprinkle it with Spirit of Wine and set it to dry To an Ounce of the Juice thus thicken'd and dry'd add half an Ounce of Saffron and two Scruples of the Oil of Citron Peel Make a Mass for Pills Dose a Grain or two It procures Sleep and stops all Fluxes In the Watchings of old Men or such as proceed from a scarcity of Spirits or a frigid Crudity in the Stomac Opiats are inconvenient Comforting and aromatic Medicines are only proper Some give Opiat Clysters or Suppositories to procure Sleep but 't is a dangerous Method unless the Watchings be accompany'd with a Loosness or Pains in the Guts Besides the internal Use of moistening and quieting Medicines some apply them outwardly to the Forehead Temples Feet and Hands They foment and bathe the extreme Parts with the Decoctions of Anodyn and
The volatil Remedies prepar'd from human Urine and the Parts of Animals are all proper Antidots against a volatil Acid. As for example Take of Aqua Articularis for external use from an Ounce and a half to two Ounces Spirit of Urine or Spirit of Sal Armoniac prepar'd with Quicklime six Drams putrify'd Earthworms or Earthworms mix'd with a volatil Salt two or three Drams Mix and bathe the Part affected Or Take of the Leaves of Tobacco of Sage of Rosemary of each one handful Angelica Roots half an Ounce Roots of Cuckow Pint and Pelsitory of Spain of each two Drams Rosemary Flowers Lavender Flowers and Flowers of Arabian Stechas of each two little handfuls Rocket Seeds six Drams Castor three Drams pour upon them two Pints of Spirit of Wine and one Pint of Spirit of Worms Let them stand warm for some days in a close Vessel And then strain the Liquor to be us'd as above Venice Soap dissolv'd in Spirit of Wine is good for Arthritic Pains In case of a burning Pain it ought to be mix'd with Water of Frogs Spawn or Spirit of Wine with Camphyr and Saffron Camphyr Oil of Frogs and the Oil of the Juice of Dwarf-Elder and all emollient Oils are convenient in Arthritic Pains Paracelsus's Oil prepar'd from Galbanum with Turpentine and Oil of Spike and the Oils distill'd from Aromatic Seeds from the Bones and Fat of Animals or from Wax digested with Spirit of Wine are celebrated Medicines in all Pains arising from an Acid. Or Take of Balsam of Peru one Ounce dissolve it with the Yelk of an Egg and add three Ounces of the Spirit of Juniper Berries or of Elder Flowers Mix for external Unction The Gums and Plaisters prepar'd from 'em are proper in the case of a viscid Acid. And likewise Cataplasms of human Dung or the Dung of Animals with Oil of Roses Among Purgatives in this case sweet Mercury is the best And Sudorifics are the best internal Medicines 2. All Anodyn Pacific Medicines are us'd for Aches As Milk Emulsions Mucilages or Oils of softening Herbs Cataplasms made of white Bread Milk and Saffron Or Take of the Crum of white Bread a sufficient quantity let it soak in Cows Milk Mix it with Yelks of Eggs and fresh Butter and an Ounce and a half of the Oils of Chamomile Dill white Lillies and Earthworms Apply it to the Part affected with a warm Cloth Swallow-water with Castor Liniments of the Fat of Animals and emollient Oils and all oily softening Liquors or Ointments are all proper for external use 3. Narcotic Medicines stupify the Part and so lessen the Sense of Pain But where a viscid Acid prevails they are inconvenient In case of a sharp Serum they are not amiss As Take of the Hypnotic Ointment two Drams express'd Oil of Nutmegs two Ounces Oil of Henbane Seeds one Ounce mix Or Take of Oil of Dill and express'd Oil of Poppies of each a Dram Oil of Henbane half a Dram mix The Oil of the Seeds of Henbane mix'd with Camphyr Saffron and Spirit of Wine cover'd with fermented Dough and bak'd in an Oven yield an incomparable Liquor for Pains of the Legs ART II. Of the sharp tearing Pains in the Joints THese Pains are frequently met with in Scorbutic Cases They proceed from a subtil Acid fix'd in membranous and musculary Parts And generally rage more by Night than by Day Blood-letting sometimes gives Relief Blistering Plaisters conveniently applied and Issues are oft-times not improper The volatil Sudorifics Decoctions of Woods and all volatil Alcali Salts such as we call Antiscorbutic together with Anodyn Absorbents as Chalybeat and Antimonial Preparations are proper to be given inwardly Take of the Roots of Swallow-wort an Ounce and a half Myrtle Leaves one handful Seeds of St. Johns Wort and choice Rhubarb of each a Dram and a half Boil them in common Water and in six Ounces of the strain'd Liquor dissolve an Ounce and a half of the Syrup of Maidenhair Mix and give it inwardly Or Take of the Shavings of Juniper-wood three Ounces Sprouts of a young Pinetree two handfuls of the Herb Rosemary one handful Infuse them in six Pints of simple Water and let them stand over night in a Balneum Mariae In the Morning boil it to four Pints and give it for a Draught It has a peculiar Virtue in the Obstructions of the Glandules about the Head and Chops External Medicines must be cautiously us'd fat unctuous things are hurtful Take of the Spirit of Lilly of the Valley not much rectify'd four Ounces Spirit of Sal Armoniac prepar'd with Quicklime two Ounces Essence of Castor half an Ounce Mix for external Use Or Take of Aqua Articularis for external Use an Ounce and a half Spirit of Sal Armoniac six Drams Spirit of putrify'd Earthworms three Drams Mix and apply with a warm Cloth Or Take of the Leaves of Tobacco Leaves of Origanum Flowers of Elder of each one handful Roots of Angelica an Ounce Roots of Cuckow-Pint and of Pellitory of Spain of each two Drams Flowers of Arabian Stechas of Lavender and of Lilly Convally of each two little handfuls Rocket-Seeds six Drams Castor three Drams Infuse them in two Parts of Spirit of Wine and one part of Spirit of Earth-worms Let 'em digest for some days Strain the Liquor for use Venice Soap dissolv'd in Spirit of Wine and volatil Spirit of Tartar Cataplasms of Comfrey Roots and the use of hot Bathes are much commended ART III. Of the Toothach THE Toothach proceeds from an acid Humor that corrodes the Membrane surrounding the Tooth Sometimes the nutritious Juice of the Teeth is vitiated and causes the Pain Sometimes an acid Humor is distill'd from the neighbouring Glandules or collected in the Cavities of the Bones of the upper Jaw under the Eye and gives rise to it This Corruption of the Humor sometimes runs to that height that the Substance of the Teeth is eaten away and little Worms ingendred in ' em The Membrane is the original Seat of the Pain which oft-times seizes the whole side of the Head attended by an Inflammation of the Jaw or a Swelling of the Face For the nervous Fibres being contracted in Sympathy with the Membrane the Passages of the Blood and other Juices are straitened The remote Causes are a Depravation of the Juices of the Body and consequently of the nutritious Juice of the Teeth as in Scorbutic and Venereal Cases the use of acid Liquors Sugar or Honey which ferment and acquire a notable Acid very prejudicial to the Substance of the Teeth The Toothach is not dangerous of it self but may be follow'd by Convulsions Inflammations Tumors and Ulcers If the Tooth be corrupted it must be drawn If it proceed from a Scorbutic Cause Antiscorbutics must be added to the Remedies exhibited If from a venereal Cause the Decoction of Guajacum or its Oil must be us'd As for the common Remedies some use Decoctions of Herbs As Take of the
Epileptic Specifics and Anti-Acids as the Bones and Dung of Animals native Cinnabar Castor Vitriol Amber Misselto of the Hazel-tree Piony Opium Camphyr c. The true Cure of this Disease consists in preservation and preventing the Paroxysm Vomits are the first in order Next are purging Medicines which ought to be strongest in an essential Epilepsy Take of the Extract of black Hellebor sweet Mercury right prepar'd of each fifteen Grains Extract of Troches Alhandal one or two Grains distill'd Oil of Amber two Drops with Essence of Myrrh or of Castor make Pills Or Take of sweet Mercury fifteen Grains Scammony prepar'd with Sulphur four or five Grains Make a Pouder Or Take of the Conserve of Rosemary-flowers a Dram Pouder of Jalap half a Scruple sweet Mercury fifteen Grains with the Syrup of Apples make a Bolus Sweet Mercury and Mercurius vitae well pounded and exactly mix'd prove laxative and are mighty useful in this case The Specifics for this Disease are very numerous I shall briefly recount those that are most universally receiv'd In the vegetable Province Male Piony is a famous Specific if gather'd in its proper season the neglect of which has abridg'd its Reputation It ought to be gather'd at Noonday in July or August or before the Sun rising when both the Sun and Moon are in Aries during the wain of the Moon It is both given inwardly and ty'd about the Neck with good Success Next are the Flowers of Lilly of the Valley They ought to be gather'd before the rising of the Sun while they are wet with the Dew and presently distill'd with Spanish Wine which may be distill'd again several times upon fresh Flowers If you infuse Castor in this Spirit it extracts a noble Essence which may be given from half a Dram to a Dram. Hazelwood yields an excellent Spirit and Oil. The Misselto of this Tree and the Catkins that grow upon it are endow'd with an Anodyn Sulphur and are very successful Specifics against this Disease The Misselto ought to be gather'd in the wain of the Moon in March and may be given from half a Dram to a Dram. Misselto of the Oak is likewise useful But while they are us'd 't is needful to purge now and then lest their fixing Quality should occasion other Diseases In the Spring we gather a Sulphur from the Catkins of Hazel that may be given inwardly from a Scruple to a Dram. The Misselto and Flowers of the Limetree Boxwood Lavender Flowers Flowers of Dill Angelica and Valerian Roots Roots of Swallowort Acorus Briony Seeds of Soapwort and Rue are much esteem'd Black-cherries Assa faetida Camphyr Spirit of Soot Extract and Essence of the Wood of Aloe are likewise Specifics Some commend the Coals dig'd from under Mugwort which Deckers takes to be the antient Roots of Mugwort resembling Coals These are the most noted vegetable Specifics to which we generally add Cephalic and Aromatic Medicines As Take of the Leaves and Flowers of Sage six Ounces Flowers of Lilly of the Valley three Ounces Flowers of sweet Lavender an Ounce Male Piony Roots two Ounces Leaves and Flowers of Marjoram half an Ounce choice Cinnamom two Ounces Cubebs half an Ounce Cloves three Drams Mace two Drams infuse them in fourteen Pound of Rhenish or Spanish Wine Let them macerat for fourteen days then distil in a Balneum Mariae You may add Castor and Spirit of Sal Armoniac In the Animal Province the Spirit Oil and volatil Salt of human Blood taken from a beheaded Criminal are celebrated Specifics The Spirit of a human After-birth putrified given from fifteen to forty Drops is reserv'd by some for a Secret Or the Pouder of it dried in an Oven may be given from half a Dram to a Dram. The Skull of one that dies a violent Death may be given in Pouder from a Scruple to a Dram. It yields a Spirit and volatil Salt of wonderful use and its Oil when rectify'd and applied to the Crown of the Head prevents the Epileptic Fit Oil of Amber distill'd with the Pouder of Man's Soul yields a most penetrating Oil for the same use The human Brain its Spirit and Oil and Bones of Men are likewise much esteem'd The Bones of other Animals especially the Teeth of a Sea-horse the Livers of green Frogs the Liver of a Wolf the Gall of a black Cat the Spirit of Urine the Blood of a hunted Hare Castor together with Spirits and volatil Salts are much in use As Take of volatil Salt of Amber volatil Salt of a human Skull of each a Scruple Castor two Drams Infuse in Spirit of Wine let them digest and circulat and they yield an admirable Tincture against this Disease Peacocks Dung Quails Eggs Spirit of Sal Armoniac prepar'd with Quick-lime Spirit of Tartar Assa faetida Elks Claws Swallows with the Spirits and volatil Salts are common Specifics In the mineral Family The fix'd Sulphurs of Antimony lead the Van. Cinnabar of Antimony sublimated several times and reduc'd to a fine Pouder with some spirituous Water is given in Substance or a Tincture may be extracted from it with some vegetable Spirit that is of sovereign Virtue in this case Or the Cinnabar may be dissolv'd in a Menstruum prepar'd from Nitre and Sal-Gem and precipitated into Crystals which pass by the name of Astrum Mercurii Secretum Native Hungarian Cinâ—abar is likewise very useful But above all the Sulphur taken from the Dross of the Regulus of Antimony after this manner After you have separated the Sulphur Auratum by a second Precipitation take the same strain'd Liquor and pour on some distill'd Vinegar and Spirit of Urine It precipitates a noble Sulphur of incomparable use against an Epilepsy Three Grains may be given to adult Persons Next to the fix'd Sulphurs of Antimony is Vitriol It s fix'd Anodyn Sulphur and its sulphureous volatil Spirit right prepar'd are mightily applauded by Helmont and Paracelsus The common Spirit of Vitriol is corrosive not volatil but the true volatil Spirit is drawn from Vitriol expos'd to the Air and the preceding Phlegm is chamfer'd The Spirit drawn from Vitriol and human Urine is an excellent Medicine for the Alcali of the Urine dissolves the Metallin Sulphur and the Spirit renders it volatil In like manner any other vegetable Spirit mix'd with Vitriol yields a cephalic Spirit of Vitriol which may be mix'd with Spirit of human Blood and exhibited in an hereditary Epilepsy Amber concludes the mineral Catalogue It yields a Spirit volatil Salt and Oil which may be mix'd with Spirit of Hartshorn or of human Blood Sometimes Camphyr may be added which is a noted Pacific and of singular use together with Opium against the Epilepsies arising from the Womb. The Methods of prescribing these Specifics are as follows Take of Black-cherry-water Lilly Convally-water and Langius's Epileptic Water of each one Ounce Spirit of Hartshorn succinated or rectify'd Spirit of a human Skull a Dram Syrup of Clove Gilly flowers an Ounce Mix.
bottom of a Kettle and mix'd with the Powder of the Blood that runs from the Nostrils the French Styptic Liquor or a solution of Allum and Vitriol of Steel in Plantan-Water and above all the rectifi'd Spirit of Wine The Gums are also very liable to Bleedings occasion'd by the laxity of their Substance or the Corrosion of sharp scorbutical spittle or the drawing of a Tooth or by the general Causes of other bleedings If their bleeding be periodical customary or critical it ought not to be stop'd If it be caus'd by the drawing of a Tooth apply the Tincture of the Sulphur of Vitriol with Cotton and gargle the Mouth with the Decoction of Tormentil and Snakeweed-roots with Galls and White Poppy-seeds in Water mixing it with Bole-Armenic Allum and a little Vinegar Sometimes the Spirit of Salt mix'd with Water is useful for washing the Mouth But when every other thing proves ineffectual an actual Cautery is the surest Remedy Scorbutical Bleedings are accounted for elsewhere ART 2. Of a spitting of Blood THE Blood that is evacuated by spitting may either proceed from the Stomac of which elsewhere or from the Palat Nostrils and Gums as was related in the last Article or from the Organs of Respiration viz. the Wind-pipe Bronchia or Lungs in which case the Disease is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Hemoptysis or a spitting of Blood and is the subject of this Paragraph The general Causes are already accounted for The particular Causes are 1. The Rupture of some Vessel in the Breast occasion'd by a redundancy of Blood suppression of the Terms or Piles violent Crying bearing heavy Burdens Falls Blows vehement Coughing or immoderat Laughter 2. The Corrosion of the Vessels in the Breast especially in the Lungs occasion'd by the Inspiration of Mineral Sulphureous steams or by a sharp Lymph reigning in the Body as in the small Pox or when a sordid Ulcer is unseasonably dry'd To these we may add the accidental swallowing of Leeches and immoderat Bathing A Spitting of Blood is of it self manifest But to trace out the part from whence it proceeds is a piece of Difficulty For this end the Physician ought to weigh the antecedent Causes such as excessive Crying Falls Bruises of the Breast and violent Coughs which generally arraign the Lungs while other Causes are apt to affect other parts Besides the Circumstances attending the Evacuation will give some further light into the Matter as if the Blood be clotty if it be voided without Coughing or much Hauking and that in small quantities then it proceeds from the Palat Gums Throat c. and not from the Breast If it be copiously voided with a Cough that not only accompanies but precedes the evacuation and makes a hollow Noise then it comes from the Wind-pipe or Lungs and if the respiration be difficult if the Blood be florid thin and frothy as being rarify'd by the Air and if a pain beset the lower part of the Breast it certainly takes its rise from the Lungs If the Blood be black clotty and thick and voided with a Cough and hollow Noise it springs from the Veins in the Cavity of the Breast As for the Prognostic A Spitting of Blood from the Lungs is most dangerous and apt to degenerat into a Phthisic or Ulcer of the Lungs especially if it took its rise from the Corrosion of a sharp Humor If it be only a Symptom of another Disease as of a Pleurisie Peripneumonia c. it is not so dangerous as when it stands upon its own Legs If a Spitting of Blood occasion'd by a suppression of wonted evacuations or by the Turgescence of Blood be unseasonably stop'd it degenerats into a Peripneumonia or Consumption The Cure is perform'd in the Paroxysm by removing the cause appeasing and thickening the Blood and repairing the losses of the Vessels out of the Paroxysm the clotty Blood remaining in the Breast ought to be discuss'd and the Lungs strengthen'd Now in order to answer these Indications let 's mind the following Rules 1. When a Spitting of Blood is caus'd by the Corrosion of sharp humors Blood-letting is improper in some other cases it may be serviceable but regard must still be had to the Rules of Revulsion and Aversion as if it proceed from the suppression of the Piles or Terms a Vein must be open'd in the Leg When it arises from the suppression of a customary Bleeding at Nose the vein of the Fore-head or that under the Tongue is the proper place 2. Purgatives are highly pernicious But Diuretics and Diaphoretics are very useful 3. Internal Astringents ought not to be us'd before the Blood be turn'd off for fear of imprisoning the Blood in the Breast and so causing a Suffocation or Peripneumonia 4. All external Astringents and cold things applied to the Breast are more apt to enflame than mitigat the Disease 5. Opiats are always safe and useful but such of 'em as are very hot as Venice Treacle Mithridat c. are not so proper as Laudanum Opiatum and especially Henbane Seeds which are unanimously approv'd both by the ancient and modern Writers Hence an Electuary of Henbane and white Poppy Seeds with Coral Blood-stone and the stale Conserve of Roses is of excellent use However the safest way is to give but a small quantity of Henbane Seeds at a time and repeat the Doses oftner because they are very Narcotic and apt to cause Madness 6. In all Compositions we ought still to have an Eye upon the corrosive sharpness of the Humors for tempering which we use the same Medicines as were recommended against Bleedings in general especially Plantan Purslain and Comfrey their Decoctions Juices and Syrups for their Waters have no astringent force The Decoction Syrup and Conserve of Ground Ivy a noble Pectoral the Juice of Nettles the stale Conserve of red Roses Diascordium the Troches of Amber which at once temper sharp humors dissolve clotty Blood and stop its Flux The Oyl of Linseed given by Spoonfuls the Oyl of Vitriol when there 's no apprehension of a Phthisic the Juice express'd from Quinces boyl'd in Water till they be soft given to two or three Spoonfuls three or four times a Day the Decoction it self being mix'd with that of Barly or Corants for ordinary Drinking Mice Dung given to a dram twice a Day with the Juice of Plantan and Sugar the Tincture of the Sulphur of Vitriol Bloodstone the Antiphthisical Tincture Mynsichtius's Species Diaplantaginis c. 7. When the Paroxysm is over we ought to add dissolving and expectorating Medicines such as Sperma Ceti Diaphoretic Antimony Crabs Eyes with Vinegar Oyl of Amber Oxymel of Squills c. 8. In the last place the Lungs ought to be fortify'd by Vulnerary Balmy Medicines As for external Applications some apply a dry'd Toad under the Arm-pits some trust to the Sympathetic Powder of Vitriol and others choose to wet or wash the Testicles with Rose Vinegar and that with good success Take of the Conserve
of Ground Ivy and that of Comfrey of each an ounce Conserve of Roses an ounce seal'd Earth impregnated with spirit of Vitriol providing the Lungs are not corroded two scruples prepar'd Blood-stone a scruple Troches of Amber a dram Laudanum Opiatum six grains With the Syrup of Comfrey make an Electuary Of which take the Quantity of a Nutmeg twice a day Take of Plantan Purslain and Chervil Waters of each an ounce Tincture of the Sulphur of Vitriol a dram Troches of Amber two scruples Crollius's Sperniola fifteen grains Laudanum Opiatum five grains Fernelius's Syrup of Comfrey and the Syrup of Purslain of each half an ounce Make a Potion The Spaw Waters Milk and the vulnerary Decoctions are us'd as preservatives SECT XIX Of Diseases relating to the Alterations of the Blood in the Spleen Liver and Kidneys AS the Blood visits the Bowels for their nourishment so it is variously alter'd according to the Nature of every Bowel In the Spleen 't is impregnated with a Volatil sour Ferment that prepares and qualifies its parts for separation in the Liver 't is separated from the Bile which is convey'd thence in t othe Gut either directly thro' the Ductus Hepaticus or after some stay in the Gall-bag thro' the Ductus Cysticus Now there are several Cases in which this separation is lamely perform'd viz. When the Animal Spirits are exhausted or disorder'd or the innate Spirits of the respective Bowel vitiated or when Inflammations or Tumors invade the Part as in Chronical Diseases not as if the Obstructions or Tumors of the Spleen or Liver were the Causes of Chronical Distempers but only as being their effects or at least troublesome Companions that ought to be accounted for in the Cure of those Distempers it being generally compass'd by Chalybeats or such Medicines as conquer an Acid and clear the first Passages which are the Original Source of all Obstructions In the Kidneys the Blood being carry'd thither by the Emulgent Arteries is dissolv'd by a lixivious Ferment and its Serum laden with acid and urinous Salts invelop'd with Oily Particles is strain'd thro' the small Fibres that convey it to the Corpus Papillare from whence it sweats through into the Pelvis and passing thro' the Ureters and Bladder is voided under the name of Vrine If the Salts of the Urine be exactly united together they entitle it to transparency if their mixture be unequal it is muddy or crude and betokens the unequal temperature of the Salts in the Blood But so soon as the Blood has conquer'd the prevailing heterogeneous Salt that over-match'd and disturb'd the Harmony of the rest then the Urine precipitats 'em as a Sediment and becomes clear In perfect Health it contains nothing but these Salts incorporated with Oyl and a serous Vehicle but when the Chyle is not elaborat or perfectly digested then its Crudities and the Sulphureous vicious Salts occasion'd by them are voided with the Serum and impart to it a high or flat Tincture according to the various Exaltation of the Salts and their mixture with Sulphur CHAP. I. Of Distempers relating to the separation of Serum in the Kidneys ART 1. Of an Ischuria in the Kidneys or a suppression of Vrine arising from the want of a due Separation in the Reins THE Causes of an Ischuria in the Kidneys relate either to the Blood or the Kidneys The former are the Redundancy of the Blood or its vicious thickness and the close Cohesion of its Parts occasion'd by Acid or viscous Lymph and an imperfect Fermentation as in Feavers before the Height in Chronical Diseases obstructions of the Bowels c. The latter relating to the Kidneys are 1. The Obstruction of their Passages occasion'd by clotted Blood as in the case of a Fall Purulent Matter either residing there or convey'd thither from other Ulcers viscid tough Humors a Stone in the Kidneys external cold contracting the Fibres nephritic Tumors c. 2. The Paralytic Laxity of the Fibres occasion'd by a weakness or deficiency of Spirits by preceding Wounds or Ulcers by the disorders of their Nerves the dislocation of the Vertebrae of the Back c. 3. The Convulsive Contractions of the Fibres which are frequently occasion'd in one Kidney by a Stone in the other thro' the correspondence of the Nerves 4. The flatness of the Ferment in the Kidneys or its degeneracy from a volatil salin Acrimony as in Dropsies Cachexies c. A Suppression of Urine arising from the default of the Kidneys is distinguish'd from that in the Bladder by a sense of weight about the Loyns the insufficiency of a Catheter for procuring Urine and the absence of a Tumor or pain about the Pubes or Perinaeum sometimes 't is attended by stinking Sweats or such as smell like Urine a stinking Breath Anxieties in the Breast Vomiting an universal Benummedness Epileptic Symptoms and Tumors of the Abdomen and Legs If the Urine before the suppression was thick and muddy with a copious slimy Sediment the Body being universally infested with tough coarse Humors then the suppression is caus'd by Slime stopping the Passages If the Urine before the suppression was Bloody or if a Blow Fall or violent Riding occasion'd it then clotted Blood is the immediat Cause If the Urine was mix'd with Purulent Matter or if any considerable Bowel be ulcerated the Obstruction is caus'd by the corrupt Matter If the Urine was voided without any other remarkable Symptom than that of losing its wonted Smell and Taste the Ferment is faulty An Ischuria in the Kidneys is worse than that in the Bladder If it be attended by Symptoms disturbing the Breast 't is very dangerous If the Urine force its Passage before the Seventh day it affords a comfortable Prediction tho' not infallible especially if the Blood and solid Parts be much corrupted Some Instances there are of a total suppression of Urine for ten fourteen or twenty Days that was cur'd but these are unfrequent besides they are generally attended by a perpetual Sweating Vomiting or some notable evacuation of Serum otherwise they would prove Mortal If a suppression of Urine be free from pain it proceeds from the Paralytic Laxity of the Fibres and is always Mortal The Cure varys according to the Difference of the Causes In general gentle Laxatives mix'd with Diuretics and Turpentin Clysters are proper as being apt not only to irritat the Guts but to promote Urine If the Obstruction be caus'd by clotty Blood Madder Sperma Ceti Crabs Eyes mix'd with Vinegar Chervil Ground Ivy St. John's-wort especially its Seed and above all the volatil Salt of Amber are proper Ingredients If the Obstruction be occasion'd by Purulent Matter we exhibit the Balsam of Sulphur prepar'd with Oyl of Turpentin the Essence of Agrimony Juice of Ground Ivy and such like vulnerary Medicines If a slimy humor beset the Kidneys we must first evacuat the slimy Crudities by Laxatives before we attempt to use Diuretics for fear they should augment the Evil as