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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A90381	De morbis puerorum, or, a treatise of the diseases of children; with their causes, signs, prognosticks, and cures, for the benefit of such as do not understand the Latine tongue, and very useful for all such as are house-keepers, and have children. With the contents of the several chapters, as also an alphabetical table of all the diseases mentioned herein. By Robert Pemell practitioner in physick, at Cranebrooke in Kent. May the 29. 1653.	Pemell, Robert.	1653 (1653)	Wing P1132; Thomason E721_3; ESTC R207213	39,973	64

joyned therewith Those sores and ulcers of the mouth in children that are black and with crusts or scales are worst of all and many times prove mortal The cure In the beginning we must use astringent or binding and repelling or medicines to drive back afterwards medicines binding but withall discussing If there be onely heat and inflammation then we must use cooling means and a little binding If these sores come from the fault of the milk then the Nurse must keep a good Dyet and avoid all hot sharp and salt meats Give the child often sirup of Mulberries with hony of Roses and if need be with Oxymel If they be red then use medicines moderatly binding as sirup of dry Roses sirup of Purslain sirup of Grapes Sorrel Citrons and Mulberries with the powder of Lentils Sumach and red Roses If they be yellow use cooling meanes as sirup of Violets sirup ●f Purslain c. Or take the juyce of Lettice Purslain Nightshade of each half an ounce mix them together and use it with a feather Or take of red Roses and Violets in powder of each a drachme Hony one ounce and a half or as much sirup of Mulberries mix them together and use it Or take of Plantain water half an ounce hony of Roses and sirup of Mulberries of each half an ounce mix them together and wash the childs mouth often with it Or take of French Barly half an ounce Agrimony Plaintain red Roses of each a handful boyl these in water strain it and in six ounces thereof mix of sirup of Mulberries half an ounce hony of Roses one ounce and a half and if there be need you may add half a drachme of Allom which will make it more cleansing Or take of Rosewater or Plantain water one ounce hony of Roses half an ounce oyl of Vitriol so many drops as may make it sharp mix them together and wash the mouth therewith CHAP. 8. Of fevers in Children CHildren are many times taken with burning fevers as well as with Quotidian Tertian and quartain Agues The cause The cause of fevers in children may arise from corrupt milk for when the milk doth putrifie choller is stirred up and also the rest of the humours are inflamed from whence cometh fevers Sometimes fevers may proceed from the breeding of teeth sometimes from pains inflammation and overmuch watching as Hippocrates witnesseth Hip. Aph. 3. 25. The Signs The signs of a Fever in children are these Great heat and drynes rednes of the tongue and throat want of rest urine red sometimes thick and sometimes thin quicknesse of the pulse much inquietnesse and many times raving and idle talke if they be of any bignes If fevers come from the breeding of teeth then you have the signs in the Chapter of breeding of teeth The Prognosticks These fears being but gentle are not dangerous for the cause being taken away they soon cease but if the milk continue long corrupt and vitious then children are much indangered by these fevers If sharp fevers come upon children while they breed their teeth they are seldom taken with convulsions sometimes fluxes of the belly and great watchings accompany these fevers whereby children are soon suffocated The cure If the fever proceed from corrupt milk then choller doth abound the mother or nurse therefore must use cooling and moistening means as broth or posset-drink made with Lettice Endive Sorrel Violet leaves straberry leaves c. Also Almond milk made with the four cooling seeds and Barly water are very useful The mother or nurse must abstain from Wine hot water and all hot spices and may use some purging means as Manna two ounces thereof may be taken in broth or clear posset drink or three ounces of sirup of Roses solutive or one ounce or one ounce and a half of Cassia in the same you may give the child often sirup of Violets sirup of the juyce of Citrons half a spoonful at a time or Take one ounce of sirup of Violets and add to it as much Endive water and give the child a spoonful at any time A Julep Or take of Borrage water four ounces sirup of Violets or sirup of Citrons one ounce and a half spirit of Vitriol five or six drops mix them together and let the child take often two or three spoonfuls at a time If the body of the child be bound you may put up a Violet comfit or two first anointed with a little oyl or give one ounce of sirup of Roses solutive more or lesse according to the age of the child in posset drink in a morning Or give half an ounce of Manna dissolved in posset drink Anoint the back and ridge of the child with oyl of Violets mixed with a little wax And anoint the stomach with some of this oyntment following An oyntment Take oyl of Roses and Mastick in powde of each half an ounce red and white Saunders in powder red Coral in powder of each x scruple wax two drachmes make an ointmen and use it as before mentioned A Pultis Or take of red Roses in powder two drachmes the juyce of plantain Housleek and Endive of each half an ounce with the white of an egg and some Barly flower make a pultis and apply it to the stomach Anoint the temples and wrests with oyl of Roses and oyl of Populcon of each a little quantity mixed together If the fever proceed from breeding of teeth use means to help nature herein as in the first Chapter CHAP. 9. Of the small Pox and measels Of smal Pox and Measels are diseases that most children are troubled with first or last They are both of one nature and proceed from one cause saving that the measels are ingendred of the inflammation of blood and the small Pox of the inflammation of blood mingled with Choler What the small Pox are The small Pox are spots red pustules appearing in the skin with a continual fever stirred up or excited from the strength of the expulsive faculty and ebullition or boyling of the blood What the Measels are The Measels are spots or risings upon the outside of the skin in some parts more or lesse with a Fever by reason of the strength of of the expulsive faculty and heat or boyling of the blood The difference between the small Pox and the Measels At the first appearing they are so like one another that you can hardly discern the difference The Measels most times come more suddenly the face the skin of the whole body looks redder and the rednes continues longer without rising there being joyned therewith most commonly a greater itching and pricking But the small Pox come not forth so suddenly neither is the skin so red nor doth the colour stay so long and the pimples rise higher neither is the itching and pricking so much and at length grow white The cause There are two chief causes thereof First the reliques and impurity of the mothers blood with which the child was nourished

in use as Aloes Sea-mosse Wormseed c. The manner of giving them you may see in my Book of the nature of Simples Wormseed and Figs Wormseed and hony or wormseed and muscadine is a very good medicine for children that are of some bignesse if you give it in the morning fasting and let them fast one hour after it Give this powder following Take of Wormseed and mosse of each a drachme and a half white Dittany roots and Tormentil roots of each half a drachme make all into powder and give it from ten grains to a scruple or more in any convenient liquor Or Take of Wormseed two drachmes Seamosse Harts horn burnt of each a drachme Piony root white Dittany magister of Coral of each a scruple make all into powder and take it as before If a Fever be joyned therewith then use medicines more cooling and such as resist malignity as the juyce of Lemons and Oranges Vinegar Harts horn Bezar c. Or make this Potion Take of the distilled water of Grasse four ounces sirup of Citrons one ounce sirup of Violets half an ounce spirit of Vitriol two or 3. drops mix them together for a Julep and give a spoonful or two thereof at any time Also note that in killing worms bitter things be given at the mouth and sweet things administred by Clysters for by the bitter things they descend lower and feeding on the sweet they are soon brought away after the giving of any medicine to kill worms you may give a Clyster of milk and Sugar or this following Take of Raisons in number ten Figs in number seven boyl them in water strain it and in 4. or 6. ounces of the decoction dissolve of Sugar one or two ounces Note also if one medicine do not bring away Worms that you must use variety of medicines or continue one medicine for some time as about the full of the Moon give your medicine at the least two or three dayes together Give a spoonful of sirup of Succory with Rubarb for divers mornings together Before you give medicines to children for the Worms it is convenient to give sweet and fatty things as milk Hony Sugar c. And it is very profitable to mix sweet things with such medicine as we give for the Worms Outward means to kill worms Outward means are to be used also as you may boyl Wormwood and Centory Peach leaves and Lupins in water and apply them warm to the belly or apply Cumin seed with Ox Gall or Bulls gall or anoint the belly with the oyl of Savin or oyl of Rue morning and evening warm Or Take of London Treacle or Mithridate half an ounce mix it with the juice of Wormwood spread it on leather and lay it to the belly Or Take of Pills called sine quibus half a drachme Wormwood in powder a drachme Myrrhe and Aloes in powder of each two scruples Lupins in powder a drachme and a half with Ox gall make a plaister and lay it to the belly CHAP. 20. Of Ruptures or Burstings The cause CHildren are often troubled with this disease and that chiefly male children and the cause may be from too much crying coughing and too frequent going to stool In elder children it may come by too much motion of the body as running or leaping by a fall or riding astride for the Rim or film of the belly in children is but weak and doth soon break or grow loose and so the guts fall into the cods The signs The signs are manifest The Prognosticks The Rupture in children is more easie to cure then in Elder persons and that because the Rim of the belly is as yet more soft and so is sooner joyned together Some hold that all watery Ruptures are worse to cure then the Rupture wherein the guts fall into the cods but in infants 't is not so for experience doth witnesse that the watery Rupture is cured soon with fit means as they grow up to any bignesse The cure In Ruptures of the bowels care must be had that the childe be loose bellyed and that it take not too great plenty of nourishment wherby the belly may be distended or swollen also the child must be kept from crying and from all vehement motion For the cure hereof lay the childe upon his back that his head may be lower then his feet and gently reduce the bowels with your hand into their due place but first let the place be anointed with oyl of water Lillies or oyl of Cammomil then apply this Pultis following A Pultis Take of Plantain leaves and Sanicle of each half an ounce meal of Lentils and Lupins red Roses of each three drachmes Olibanum a drachme Allom half a drachme make them into powder and take part of it and with the white of an egg beaten make a Pultis and apply it warm or make this Plaister A Plaister Take of the oyntment called Desiccativum two ounces Mastick Olibanum Sarcocol Cypresse nuts in powder of each a drachme with a little wax and oyl of Mastick make a loft plaister apply it to the place and binde it on or get a Trussand put on Or you may apply a Plaster of the plaister called Emplastrum ad Herniam Or take the leaves of thorough wax and the root of great Comfrey bruise them and apply it warm on a linnen cloth after twelve hours put on fresh and so apply four or five one after another Or take great Comfrey root bruised and cleansed apply it as the former Inward means Inward means are also very necessary as give the childe five or ten grains of Osmund oyal or water Fern more or lesse as the childe is in bignesse in milk or pap morning and evening or give as much of the herb called Rupturewort Or Take Sanicle Plantain of each half an handful Egrimony a handful Comfrey root the greater half an ounce boyl them in about a pint of water strain it and being sweetned with Sugar give the childe often to drink of it Or Take Comfrey the greater and Knotgrasse of each a handful Boyl them in milk and give the childe often of it Mous-ear in powder is very profitable being given in milk or pap So is small Moonwort boyled in red wine alone or boyled with Comfrey and so taken Thorough wax also taken in powder or decoction helpeth Ruptures Be sure the bowels be wel put up before inward or outward means be used If the Cod be swollen of reason of water use oyl of Elder oyl of Rue or oyl of Bay or make Pultis of Bean flower Linseed Fenegreek Camomil flowers Elder flowers and Cumin seed in powder and with a sufficient quantity of oil of Elders make it up Let the childe be kept in bed and as quiet as may be and to avoid all windy and watery meats CHAP. 21. Of swelling or coming forth of the Navel The cause THis may happen when the Navel is not well bound and when it is cut too long or when the

teeth or from fears the signs of those diseases will manifest If fear be the cause the standers by or tenders can evidence the same Now if none of these be the cause then it is probable it may arise primarily from the brain The Prognosticks The Falling sicknesse and convulsion are diseases very horrible to behold and dangerous in all persons and ages and doth kill many children that are taken therewith so soon as they be born Where these fits happen to young children 't is more dangerous then in grown persons because they can bear and endure the fits better The cure For the cure of these diseases somthing must be done in the fit and something when the fit is over What is to be done in the fit First in the fit give three or four drops of spirit of Castor in beer or milk also black Cherry water with a little sirup of Pyony or give a small spoonful of this following Julep A Julep Take of Piony water and linden water of each one ounce sirupe of Piony compound half an ounce spirit of black Cherries two drachmes magister of Coral a scruple mix them together and give it as before is shewed Put to the nostrils Rue bruised or oyl of Amber or Balsam of Amber Apply to the Region of the heart and to the Temples Mithridate or London Treacle with the juice of Rue and a little wine or water Epileptick of Langius Let the nape of the neck and the ridge of the back be anoynted with this following Take oyl of Castor or oyl of Euphorbium half an ounce the juice of Rue one ounce boyl them together to the consumption of the juice and use it Hang about the neck of the childe a thin slice of Piony or white Briony roots as green as you can What must be done when the fit is over Secondly something must be done out of the fit If the child be five or six years old you may give it this potion A purging potion Take of Agarick trochiscated four scruples infuse it five or six hours in Oxymel of Squils strain it hard and add thereto of Castor in powder three greins sirupe of Roses solutive with Agarick one ounce Balm water one ounce make a potion and give it in a morning fasting Let the child constantly take of the Julep before mentioned and be kept anointed with the oyl of Castor and juice of Rue also let it wear about it's neck constantly a root of male Peony or white Briony In Italy and other places where this disease is very frequent 〈◊〉 soon as children be born they cauterize or burn them in the neck with a hot iron or else drop a burning wax candle upon the place where they desire to make an Issue and that to prevent the falling sicknesse for hereby they think the brain is dryed and by pain the humour which doth flow or may flow is drawn and derived ●o the hinder part of the head especially if the Issue be made by burning for thereby whatsoever is gathered together in the brain that is offensive is evacuated Cornelius Celsus was of the same minde Lib. 3. Cap. 28. fol. 40. for he adviseth to have an Issue made there in two places and he saith it is the last refuge or remedy for to cure the Falling sicknesse But I conceive that it is not safe to use such a remedy in young and tender bodies for if the bodies of such young and tender children will not suffer purging or bleeding how shall they endure burning when as this must needs bring continual pain and watchings whereby the strength must also decay Again although an Issue may be profitable where the falling sicknesse ariseth primarily and chiefly from the brain yet when the Falling sicknesse ariseth from the lower parts which doth often happen to children it doth not profit when as the matter or ill vapor that cometh from the lower parts cannot be turned from the brain If the Falling sicknesse arise from worms then use means against worms as you may see in the Chapter of worms to which means may be added the root of Piony red Coral c. Let the Mother or Nurse keep a good dyet and neither eat nor drink any thing that may offend the childe or occasion these fits See more in my book of the chief diseases of the head in the 6. 7. Chapters CHAP. 5. Of the pain in the ears with inflammation moistures ulcers and worms thereof AMong the diseases of children a Hippocrat Appli sect 3. 24. Hippocrates in his Aphorismes doth nominate the moisture or running of the ears For when the brain of infants is very moist great part of that superfluous moisture is evacuated or purged by the ears yet this doth not often happen without inflammation Therefore when abundance of moist humours do flow plentifully to the ears they cause inflammation also grievous pain is joyned therewith which in moist bodies of children cannot be dispersed or dissolved but is turned into matter so that blood and matter doth flow out of the ears The cause The cause is abundance of moist humours and excrements of the brain which nature cannot expel by the nose and Palat. The signs The moisture of the ears is easily known by it's running but pain and inflammation thereof is not so easily discerned because infants cannot declare the same but it may be known by their crying out and unquietnesse especially being touched neer their ears also rednesse and heat is perceived about the ear or ears The Prognosticks These diseases are not to be sleighted for such pains in grown persons have proved dangerous much more therefore in children if it continue long Inflammation of the ears is many times dangerous and brings a delirium or dotage and indangers life In ulcers of the ears if the matter be white not too thick nor too thin neither bloody nor much stinking it is the better Inveterate and long continued Ulcers of the ears are dangerous because they soon turn to a Fistula The cure For pain of the ears use oyl of Roses or oyl of Violets warm or milk warm dropped into the ears and afterwards stopped with wool or drop therein the juice of Origanum and milk mixed together Or drop in a little Linseed oyl warm or use a decoction of the heads of white Poppy or the white of an Egg beaten and mixed with a little milk or put a little Saffron into the ears Against moistnesse of the ears and ulcers thereof use hony of Roses and water of hony dip a clout or tent therein and put it warm into the ears or put in oyl of bitter Almonds warm For worms in the ears use oyl of bitter Almonds and Myrrhe in powder as in two drachmes of oyl put of Myrrhe in powder a scruple or thirty grains or put the juyce of Wormwood warm into the ears Or take of Aloes Myrrhe and the seeds of Coloquintida of each a drachme boyl them in two ounces of oyl of Roses

that are used are not easily detained or kept but are hindered by the excrements coming forth so frequently The cure The whole cure of this disease doth consist in reducing the same into it's proper place and so keeping it Therefore presently let the fundament be reduced into his place thus Take a warm soft cloth and with your hands gently return it into his due place and then let the childe sit upon a hot Oaken board or hold a hot napkin doubled to his fundament and an other to his belly But if there be any tumour or swelling about the same make a decoction of Mallowes Marshmallowes and Linseed with which bath the fundament warm and afterwards anoint it with oyl of Lillies warm or anoint the fundament with oyl of Linseed warm morning and evening and strow upon the same the powder of white Dogs turd The powder of burnt bones and Bean flowr also is much commended for the same Or Take red Roses Pomegranat flowers Cypresse nuts Pomegranet pills of each half an ounce Sumach Olibanum Mastick of each two drachmes boyl them in red wine and bathe the fundament with some of it warm then use this following powder Take red Roses and Pomgranat flowers of each half a drachme Olibanum Mastick and Myrrhe of each two scruples make all into powder and being strowed upon Cotten wool apply it to the fundament or let the powder be strowed upon hot coles and let the child sit over the same to receive the fume thereof Or take onely Olibanum in powder and strow it upon hot coles and let the childe sit over the fume thereof The powder following is commended Take Galls Pomegranat rinde Goats clawes burnt red Roses Acorn cups dryed Harts horn burnt make them into powder strow some upon the fundament and being reduced in it's place binde on hot Linnen clothes Give the childe often to eat Marmalade of Quinces or rosted Quince or warden with Cinamom and Sugar Let the childes legs and thighs be kept close together for fear of coming forth again If the childe be often provoked to go to stool and can expel or void little or nothing then that disease is called Tenasmus and may be thus cured Take a handful of Garden Cresses and half an ounce of Cumin seed bruise them and fry them in Butter then lay it hot to the belly and make a fume below with Turpentine and Pitch and let the child sit long upon a board of Cedar or Juniper as hot as may be CHAP. 25. Of the Stone and difficulty of making water AMong all those diseases that happen to children these two are not the least dangerous The stone in the bladder is most frequent in children for with the stone in the Kidneyes they are seldom troubled as on the contrary old men are most frequently troubled with the stone in the kidneyes The cause The stone in children is ingendred or bred from the milk they suck which if it be impure and corrupt doth not onely cause the stone but many other diseases or it may come from a grosse dyet whereby tough humours are bred especially in such as have weak stomacks and hot Kidneyes The urine in children may be stopt from some stone bred or breeding or from some thick and flimy humours stopping those parts or children that eat much have much crudities and are subject to the stone or from winde or it may proceed from the ill quality of the urine as when it it is too hot sharp or pricking so that the childe is afraid to pisse because of the pain it feels when the water comes away or the abundance of urine in the bladder may stop the urine for thereby the bladder is over-charged so that the Fibres thereof being over stretched cannot draw themselves together to expel the urine as it happens to those that have kept their water too long The signs The stone in the bladder in children is thus known They make water with pain and sometimes by drops yea many times the urine is altogether suppressed When they do void urine it is sometimes clear as water sometimes white as milk or whey sometimes bloody and sometimes gravelly or sand appeareth therein more-sometimes they feel an itching in their yard from whence they often put their hands to scratch it The Prognosticks The stone in the bladders of Children is not to be sleighted for although it doth not suddenly kill them yet if it be not in some time cured it proves dangerous and cannot be cured but by cutting And truly there is much danger in cutting them for if the stones be great not only children but also persons of years die therwith Suppression of urine in children is dangerous especially if it proceed from the stone in the bladder The cure For the cure all good means are to be used to prevent the breeding of the stone Therefore let not the stomach be filled too much with food and let both nurse and child avoid all grosse thick and tough meats Let the belly be alwayes kept loose with sirup of Roses solutive Cassia c. Make a bath of the decoction of Mallowes Marshmallowes Pellitory of the wall Parsly Dill Linsed and Fenegreek bath the child therewith and after bathing let the places about the bladder be anointed with oyntment of Marshmallowes oyl of white Lillies and oyl of Scorpions of each a like quantity mixed together And afterwards apply a pultis made with green Pellitory of the wall boyled in oyl of white Lillies or oyl of Camomil Give the child a scruple or two of the powder of magister of crabs eyes or of Amber or Goats blood prepared with Parsly water or two or three drops of the spirit of Vitriol or 4. or 5. drops of oyl of Crabs eyes in the same water or give morning and evening a spoonful or two of Saxifrage of Sampier water or you may give half a spoonful of sirup of Marsh-mallowes morning and evening to the child in posset drink It will also be profitable to give a scruple or more of Cipresse Turpentine If the child be of any bignes give it this following Take oyl of sweet Almonds newly drawn one ounce and a half Pellitory or Saxifrage water one ounce juyce of Lemons a drach make a potion and give in a morning fasting It is necessary that children be caused often to pisse especially when they awake as also when they are change And being of any bignesse let them make water before and after they have eat If it come from sharpnesse of the urine or heat thereof then let the Nurse use a good dyet and cool broths or cool possets for to temper the heat of her blood And if need reqiure let her be let blood and purged with 3. or 4. ounces of sirup of Roses or with two ounces of Manna taken in posset drink CHAP. 26. Of pissing in bed The cause THis disease is frequent with young children and that because of weaknesse of the retentive faculty of the