of Barley boyl a little and mix it with Sugar Let him drink ten ounces at a time some mornings in his bed and sleep after it and somtimes in the evening Hold the Troches in the mouth Take of Gum Traganth and Arabick of each two drams Bole-armenick and Terra Sigillata washed in Rose water of each one dram white Poppy seeds and juyce of Liquoris of each half a dram Sugar Penids one ounce With the Mucilage of Quince seeds extracted with Rose water make little Cakes to be held in the mouth day and night The Spirit of Sulphur and Vitriol three or four drops given morning and evening in convenient Liquor hath great force against all Catarrhs especially against those which come from Inflamation of the Bowels It may be given in drink in a smaller quantity for it goes with the drink through all the veins and hinders the motion of the humors The Crystal Mineral is for the same use given with Juleps and other Medicines When these do not avail we must be constrained to use Narcoticks or Stupefactives Among which Laudanum is the best given to four or five grains at bed time or one ounce or half an ounce of Syrup of Poppies These do wonders being used in the beginning of the Disease New Treacle given at night from a scruple to half a dram hath the same force Benedictus Faventius useth the following Pills in a Salt Catarrh with good success Take of the Juyce of Liquoris two drams wash'd Aloes one dram Filulae de Cynoglosso half a dram With Syrup of Violets make a Mass of which take a scruple at bed time The Troches of Solenander before mentioned are excellent Diacodium album prescribed in the Cure of the Phrenzy is good for this In the mean while the matter flowing must be revelled by Clysters Cupping Glasses Frictions and binding of the external parts and chiefly by Vesicatories in the Neck and finally with Issues in the hinder part of the Head and Arms if the Catarrh be old But for the strengthening of the Head and stopping of the fluxion and consuming the remainder Pouders Bags and Emplasters are good Take of white Amber Sandarach Mastich Benjamin Nutmeg of each one ounce Frankinsence Grains of Kermes and red Roses of each half an ounce all the Sanders Mirtles and Pomegranate flowers of each two drams make a Pouder Vse it to the Head at night and 〈◊〉 it off in the morning Take of the Gum of Juniper two scruples red Roses two pugils Mirtles one dram Mace and Nutmeg of each one scruple Frankinsence and Peony seeds and Poppy heads of each two scruples Cyprus nuts half a scruple Pouder them and take them up with red wool and with a red cloth make a lining for a Cap to wear constantly Take of Mastick and Frankinsence of each half a dram Sandrach red Coral red Roses Mirtles Pomegranate flowers and Peels of each one dram Labdanum two drams Wax and Oyl of Roses as much as is sufficient Make an Emplaster for the Coronal Suture But because this Catarrh for the most part comes from a hot distemper of the Liver therefore you must use Medicines to that Finally This is most remarkable which is also mentioned in the Cure of a cold Catarrh That Excrements use to cause Catarrhs by flowing to the Head when their usual natural passages are stopped And then a Catarrh is best cured by opening those passages with a gentle and constant purging in Broths or the like CHAP. XVI Of the Head-ach THe word Cephalalgia is used generally for every pain of the Head but more especially it signifieth a new Head-ach But the word Cephalaea signifieth an old Head-ach and Hemicranea signifieth that pain which only is in one side of the Head There are other differences of Head-aches they are divided into Internal and External Pains by consent and by propriety and of these one is called a pricking pain another a stretching or extending pain another a heavy another a beating or shooting pain The internal pain of the head is in the Meninges or Membranes that is very deep and reacheth to the roots of the Eyes But an external pain is in the Pericranium or Membrane without the Skull and will not endure the roots of the hairs to be combed back and is made greater by the least compression of the Head This is the Doctrine of Galen which he teacheth 3. de loc aff cap. 1. and lib. 2. de comp med secundum loc cap. 3. saying very solidly That the internal Head-ach is distinguished from the external by this peculiar sign That in the internal the pain comes to the roots of the eyes not in an external and he gives this Reason Because the coats of the Eyes come from the Meninges of the Brain whence it comes that the grief is conveighed to the Eyes But Fernelius contradicts this Doctrine lib. 5. Pathalogiae cap. 1. and affirmeth that external pains do reach to the roots of the Eyes because the Pericranium or Skin of the Skul wherein those pains are doth reach to the cavity of the Eyes to whom Rondoletius answers lib. 1. meth med cap. 5. that the Cavity of the Eye doth not suffer with the Pericranium although it reach to it by reason that the pain of the Pericranium comes for the most part of external cold for a cold part will easily suffer from the like quality But that cold cannot reach to the hollow of the Eye because it is preserved by the heat blood and spirits of the Eyes but if at any time a headach cometh of external heat or the like the Skin of the head is only affected not the Pericranium which lieth deep But this Doctrine of Rondeletius doth not altogether take away all difficulty for although all things which he alledgeth should be granted yet if a pain arise from a tumor gathered upon the Pericranium or of some other cause that dissolveth continuity and divideth there is no reason why the grief should not reach to the hollow of the Eye We can say this in defence of Galen that this sign was given by him for two Reasons First Because the Membrane which reacheth to the hollow of the Eye from the Pericranium is not so sensible and therefore cannot suffer but obtusely but the coats of the Eyes which come from the Meninges are very sensible and therefore have great pain Moreover that Membrane which cometh from the Pericranium doth not touch the Eye so inwardly and deeply towards the optick Nerves as the coats which come from the Meninges whence it is that the external pain cannot extend it self to the roots of the Eyes as Galen saith A pain by propriety is constant and permanent nor doth it follow the disease of other parts But a pain by consent or sympathy depends upon the infirmity of another part so that as that encreaseth or diminisheth the Headach encreaseth or diminisheth Now this pain by sympathy is either by consent from the whol Body as in Feavers
Leaves dried three pugils juyce of Plantane a pound the Roots of the larger Comfry being green and braised two ounces the Herb Hors-tail or Shave-grass one handful the pulp Choak-â—ears and Quinces of each two ounces Purslain two handfuls Bole Armonick one ounce Balaustians and the three sorts of Sanders of each half an ounce Let all these be distilled in an Alembick Let Patient take of this Water three ounces mixed with half an ounce of Syrup of Purslain or of dried Roses For the more tender sort of Women Broths may be made of Calves feet with Plantane Leaves or Bloodwort Or to thicken the Blood a Broth may be made of red Rose-Water alone and the Yolks of new laid Eggs. Likewise Conserve of Bramble Roses is good for them being often used especially if their Liver be distempered with heat In all Fluxes of Blood Practitioners do use to administer Water and Vinegar in a large quantity to be drunk down But in this Flux of the Courses it is to be feared as an Enemy to the Womb which is a Menbranous Part. Among the Specifick or appropriated Medicines are reckoned Filipendula Roots with the outer Rind of the Mulberry-tree Root whose Pouders are administred to the quantity of a dram in some convenient Liquor The Flowers of the Nut-trees are gathered when they are ripe and ready to fall and poudered and adram given in a Cup of Wine warmed in the mornings for divers daies together Solenander witnesseth that all are cured with this Medicament Also it hath a peculiar propriety to help fits of the Mother Spicknard in very fine Pouder and taken to a dram in some convenient Liquor stops the Courses Also being conveighed into the Womb in Lint Wool Cotton rude Silk c. Milk in which red hot Steel hath been quenched being drunk many daies together is very effectuâ—lin an old flux of the Courses for it the sharpness of the Humors and thickens them it nourisheth the Body and stops the Flux Avicenna Rhasis and the rest of the Arabian Physitians extol this Medicine to the Skies and so doth Horatius Augenius a noted Italian Phylitian Yet it is not to be used if we suspect the Body is not yet cleer of the vicious Humors The Acid Mineral Springs whether they have their Tincture from Vitriol Iron or Allum Mines do much conduce to the stoppage of immoderate Courses both by removing the Causes and by strengthening the Bowels affected The Chymists do much commend the Tincture of Coral and Vitriolum Martis Vitriolated Steel and many other Medicines which you shall find in their Books Let the Patient use to drink the Decoction of Mastich Yarrow or of the dried Lentisch or Mastich tree Also the Lentisch or Mastich Wood may be steeped in black harsh Wine which doth very much strengthen the Bowels and stop defluxions It must be diligently remembred That in an old Flux very astringent and thickening Medicaments are not to be used long together For it is to be feared lest they should fill straighten and shut up the secret passages of the Body and so breed Obstructions and very much hurt the principal Bowels which are wont to suffer very much in this Disease But it is much better to persist in the use of such things as strengthen the Liver which have some astriction but so moderate as can do no harm Ludovicus Septalius in his Medicinal Animadversions in the 144. Article gives such commendations of the Decoction of Orange Peels as of a Medicine that never fails that it will worth our while to transcribe his very words When such Medicines as these quoth he have been judiciously administred in the next place such Medicines as havea thickening and astringing quality are to be used among which there is one which I cannot omit to set down wherewith I have cured almost an infinite Number of Women troubled with this Infirmity which I kept long as a Secret and afterwards communicated to some yong Students whom I did inform in the Art of practising Physick and now publish the same to the whol World for the good of Man-kind which Medicine hath scarce ever failed me when there was no Vessel of the Womb exulcerated that fed the Flux It is a Medicine easily gotten and easily made thus Take Seven pints of Water boyl therein the rinds of three sowr Orrenges not throughly ripe being cut into little thin bits or chips and boyl them till two parts of the Water be consumed Give eight or nine ounces of the strained Liquor to the Patient in the morning to drink If you would have it more effectual put an handful of Mous-ear into it when it is almost boyled And it will be yet more powerful if you boyl it in Tunbridg water or the like Medicinal Spring water or if you boyl the aforesaid Ingredients in eight pints of water till two third parts be consumed and then strain it and quench red hot Steel divers times therein Externally this flux may be stopped by Medicaments applied to the outward parts of the Patients Body And in the first place Fomentations may be thus made Take the Roots of Bistort Adder-wort Tormentil and the peels of Pomegranates of each one ounce The Leaves of Plantane Knot-grass Shepheards-purse and Hors-tail of each one handful Cypress Nuts Balaustians Myrtle-berries Sumach of each one ounce Boil them in Water that hath had Iron quenched in it and in red harsh Wine mixed together Strain out the liquor and Bath therewith the whole Share and Privy-parts warmish but not hot Also Boil a piece of Sea-sponge in strong Vinegar and lay it upon the Patients Share and Privities and it wil powerfully stop the immoderate Flux of Courses A Bath made of the aforesaid Decoction the Dose Being augmented will be good for the Patient to sit in But care must be taken that it be not hot but only warmish otherwise it wil by it's heat the more open the Veins of the Womb. A Bath made of the Decoction of Allum is very effectual but it causeth barrenness After Fomenting and Bathing the Patient must be anointed upon her Loyns her Share and Privities and between the Water-gate and the Dung-gate which space is called Perinoeum and wants an English name with an Oyntment made as followeth Take Oyl of Mirtles of Mastich and of Quinces of each one ounce Bole-Armoniack Dragons-blood and Carabe of each one drachm Vinegar one spoonful Make all into an Oyntment Vnguentum Comitissa may also be used or Vnguentum de bolo newly made or this following Cerate which is very effectual Take Ship-pitch half anounce Male Frankinsence one ounce Mastich half an ounce Turpentine one ounce Dragons-blood Red Roses of each two drams Make thereof a Cerate to be applied to the Reins of the Back Plaisters are also profitably applied unto the Navil and Loyns made of the Mass of Plaister against Ruptures the Plaister against the Mother and of Mastich Plaister either alone or mingled together Or of the Plaister of Vigo
Violent that moderate drinking cannot asswage it and to drink over much doth much hurt and oft times endangers the Patients Life we must by other means deceive and asswage the same First therefore let the Patients draw in the cold Air and abide in Silence not speaking a word let them keep their mouths close and breath through their Nostrils and give themselves to sleep Let them wash their mouths with Barley Water Blood-warm or with Water wherein hath been boyled Jujubees Sebestens Prunes Lettice Purslain and such like Let them hold in their Mouths a peice of Liquoris Scraped and steeped in Vineger and Water or let them wash their Mouths with Barley Water either simple or with a little Vineger in it or a little Juyce of Lemons Pomegranats or a little spirit of Vitriol Or let them hold in their mouths the Kernels of Pomegranats or a Slice of a Citron or a Lemmon or an Orange Steeped in Rose-Water with Sugar or Stalks of Lettice Endive or Purslain Leaves of Sorrel Bits of a Gourd Cowcumber or Melon first Steeped in cold Water Or Acid Cherries or red Currence or Res-berries or Tamarinds or a peice of Chrystal or the Stones of sharp Prunes upon which a little of the Pap Hangs and such like Also Sugar Dissolved in rose-Rose-Water with a little spirit of Vitriol and dried again is very good to quench thirst If thirst cannot be taken away with these lighter things they must be permitted to drink not in the beginnings of the Exacerbations or fits nor in the Augment but very spareingly but in the Vigor and especially when it is towards declining for then large allowance of drink doth carry the heat outwards and somtimes moves sweat especially in the fits of Agues in the declination of which it is many times good for the Patient to drink unto satiety Several Materials convenient to make Drinks in these kind of Feavers are set down in the foregoing Chapter But if thirst be caused by a Chollerick Humor contained in the Stomach the said Humor must be voided by Vomit or Stool Vomit may be procured if the Patient be Stomach-sick with an ounce and an half of Syrup of Vinegar Simple with five ounces of Barley Water or of the Decoction of Rhadishes If that will not do purge the Patient with a Bolus of one ounce of the pulp of Cassia and three drams of the pulp of Tamarinds or with two ounces of Manna dissolved in a Decoction of Prunes or Tamarinds or the following Potion may be given Take Cassia new drawn six drams Mucilage of the seeds of Flea-bane half an ounce the Decoction of Barley Prunes and Tamarinds four ounces Syrup of Roses one ounce Mix all into a Potion The Heat Dryness and Roughness of the Tongue and Throat is cured by divers Remedies apapplied to those parts and contained in the mouth compounded after this manner Take of the Mucilage of Quince seeds one ounce the seeds of Mallows half an ounce Pouder of Diatragacanthum frigidum and Sugar Candy of each one dram white Sugar as much as shall suffice Make of all a Lohoch Or Take of the Mucilage of Fleabane seeds or Quince seeds extracted with Rose Water or Lettice Water half an ounce Syrup of Violets Lemmons or Pomegranates an ounce and an half mix them Let the Patients take now and then a little and bold it in their mouths Or Take Cucumer seeds half an ounce Quince seeds two drams Gum Tragacanth one dram and an half Beat the seeds and dissolve the Gums in the white of an Egg. Mix all and make thereof little Cakes for the Patients to hold in their mouths Or Take Seeds of Fleabane and of Quinces of each one dram and an half Gum Tragacanth half a dram Sugar Candy three drams With Mucilage of Gum Tragacanth make all into little Cakes Or with a thin Rag make Nodules which shall be steeped in Rose Water and held in the Patients Mouth If the roughness be very hard to remove make a Gargarism of the Decoction of Barley Roots of Marsh-mallows Leaves of Lettice Purslain Violet flowers adding thereto Honey of Roses Syrup of Violets or Sugar Candy or Oxymel simple and such like If filth cleaves to the Tongue as it most times happens it must be oftentimes wiped with a rough Cloth dipped in a mixture of Water and Vinegar Whereunto also somtimes may be added the Juyce of Housleek and Sal prunella If the Heat be more vehement with great blackness of the Tongue more refrigerating Medicines must be mixt with the moistening ones after this manner Take Juyce of Lettice Housleek and Lemmons of each an ounce Mucilage of Quince seeds and Sugar Candy of each half an ounce white Sugar as much as shall suffice Make all into a Lohoch Or Take Green Housleek one handful Vinegar of Roses three ounces Barley Water one pint Boyl all till the third part be wasted away In the strained Liquor dissolve of Sal prunella one dram and an half Allum a scruple Syrup of Violets and Mulberries of each one ounce Make of all a Gargarism Or Sal prunella alone may be dissolved in Housleek Water and the Tongue and Throat washed therewith which is very good also some Portion thereof may be swallowed to cool the mouth of the Stomach when it is likewise inflamed Also outwardly let the Neck and Throat be anointed with Oyl of Violets and fresh butter washed in Rose Water with which the Throat being as it were scorched and parched may be moistened For Cooling the Oyntment of Roses and Galens cooling Oyntment may be used with others of like Nature But the Leaves of Lettice and Purslain being bruised and enclosed between two Linnen Cloths and so applied to the Neck and Throat are much more effectual Also those kind of Bugs which we call Sows may be bruised and laid on in the same manner In great Heat of the Breast such as is wont to happen in Feavers the whol Breast must be anointed with Oyl of Violets Water-lillies and of sweet Almonds Yea and if the Heat be very vehement Fomentations ought to be applied to the said part made of a Decoction of French barley Lettice Water-Lillies Borrage Violets and such like after which irrigations ought to be used of the Oyls aforesaid Seeing that according to the Prescript of Galen and Avicenna in such like Feavers great care is to be had of the breast as of the Furnace of Heat Now these kind of Remedies according to the Rule of Trallianus are seldom to be cold because they drive the Heat inward nor luke-warm because they relax but such things ought to be applied to the breast as are actually hot and potentially cold Pain in the Loyns is caused in Feavers by hot and plentiful blood boyling and working in the Vena Cava and it must be eased by Emollient Clysters and Cooling and Emulsions made of the Cold Seeds adding Sal Prunella and by anointing the Loyns with Galens Cooling Oyntment with Juyce of the
pint in Spring Water strain it and infuse in it two scruples of the best Agarick Trochiscated of Cinnamon half a scruple strain it again and dissolve in it three drams of Diaphoenicon and one ounce of Syrup of Roses Let this be the Potion to be given with safe Government Or Take Diacatholicon and Diaphoenicon of each half an ounce make it into a Bolus with a little Sugar You may ad two drams of Diacarthamum and take away as much of the Diaphoenicon or you may make it of equal parts of Diacarthamum and Diaphoenicon without the Diacatholicon Or Take Pill Cochie the less two scruples with the Water of Bettony make them into five or six Pills gilded which let him take early in the morning having eaten but a light supper over night The Pills of Agarick and of Cochie the greater are very fit for this purpose For a Pouder Take Senna Turbith Hermodacts of each a scruple Diagridium half a scruple one Clove Give this pouder in Broth fasting After Blood-letting if it be necessary we come to the preparation and purging of the Humors which may be done with the following Apozeme or opening Drink Take the Roots of Cyprus Flower-de-luce Angelica Zedoary and of Elicampane of each one ounce the Leaves of Bettony Marjoram Balm Penyroyal Organ Calaminth of each a handful of the tops of Time and Sage of each half a handful Annis seeds Seselis or broad Cummin Fennel seeds of each three drams Liquoris scraped and Raisons stoned of each one ounce the Leaves of Senna sprinkled with Aqua vitae two ounces Carthamus seeds bruised and fresh Polipody of the Oak of each one ounce Agarick trochiscated Turbith Hermodacts of each three drams Ginger and Cloves of Each one dram Stoechas Rosemary Sage and Lavender Flowers of each one Pugil or smal handful Boyl them in fair Water to two pints strain it and ad four ounces of white Sugar clarifie it and aromatize it that is make it sweet with two drams of Cinnamon let this be for four morning draughts In the first and last draught dissolve of Diacarthamum or Diaphoenicon three drams and let him drink it with Physical Regiment Or if you ad no Electuary to the last dose the day following you may give the purging Pills above mentioned After Purging that the Brain may be altered and strengthened and the Medicines purging not leave any offence the Patient may take this Bolus following Take of old Treacle one dram Conserve of Rosemary and Roses of each two scruples with Sugar make a Bolus which let him take in the morning two hours before meat and drink after a smal draught of smal Wine But because this is a stubborn Disease and will not alwaies yield to gentle Medicines we must fly to stronger And then after Purging we must use a sweating Diet which dries and warms the Brain and the whol Body concocts crude and raw humors makes the thick humors thin cuts those which are slimy and clammy clenseth those that are foul and dul and sends forth whatsoever is over moist by Urine Sweat or insensible transpiration For the effect of all which it is very good to use a slender Diet at the time of taking it This Diet drink may be made either of a Decoction of Guajacum or Lignum vitae only or by putting to it some Sassaphras or Roots of Sarsaparilla or those things which are most proper for the Head as the Prudent Physitian shall think fit that wil consider the divers tempers and constitutions of Bodies in respect of which he will prescribe a longer or shorter continuance of this Diet to fifteen twenty or thirty daies Now the Sweating drink is made as followeth Take of Chips of Guajacum and Roots of Sarsaparilla of each two ounces infuse them twenty four hours in four pints of Water upon warm â—mbers then boyl them gently without smoak to the consumption of half strain it through a Hippocras bag and keep it in a glass bottle and give half a pint warm in the morning covering him warm and provoking sweat Take of Sarsaparilla two ounces infuse them twelve hours in twelve pints of Spring Water then boyl them as before to the consumption of the fourth part strain as before adding Coriander seeds Liquoris Sugar or Cinnamon as much as will make it pleasant Use this for ordinary Table Drink at the time of the Diet eating Bisket made with Annis seeds roast Meat not boyled Almonds roasted Raisons Pinenuts Prunes boyled with Sugar and the like This is alwaies to be observed in the use of Sudorofick or Sweating Medicines You must give a Purge once a week and that day omit sweating by reason that sweating expels only the thinner matter leaving the thick which must be sent forth by stool Moreover because by the use of sweating Medicines the Body is often bound you must give a Clyster every third or fourth day If the Disease be not yet cured you may use these bags for the Head in the time of sweat Take of Annis seeds Fennel seeds Bay-berries poudered of each three ounces of Milium or Millet seed or Hyrse one pound of common Salt half a pound Fry them in a Pan powring by degrees a little strong Wine upon them With these fill two bags apply them hot one after another to the mold of the head being shaven do this presently after he hath taken the sweating Potion Then wipe off the sweat and clap this strengthening Plaister to the Head Take of cleer Amber Frankinsence Mastick of each one dram and an half Galbanum Opopanax of each one scruple of Misselto of the Oak two drams male Peony seeds half a dram Oyl of Nutmegs as much as is sufficient Make a Plaister of them in an oval form Or you may use the head strengthening Plaister in the Apothecaries Shops at Mountpelior not in the Dispensatory whose description followeth Take of Storax Benjamin Laudanum of each four ounces Peony roots Flower-de-luce roots Misselto of the Oak Mastich of each one ounce liquid Styrax as much as is sufficient to make a Plaister of which one ounce upon Leather in an oval form may be applied to the Coronal Suture If you desire a more drawing dissolving Plaister which is commonly called Epispastick thus you must make it Take of Emplaster de Mucilaginibus two ounces Flower-de-luce roots Hermodacts Pellitory of Spain Staphisagre Cubebs Pidgeons dung Mustard seed of each one ounce Nutmeg Cloves Cinnamon long Pepper and black Pepper of each half a scruple Liquid Styrax as much as is sufficient Make a Body of Plaister and spread a little upon Leather in an oval form for the mold of the head After General Evacuations you may come to Particulars which are made by Errhins or Juyces for the Nostrils sneezing pouders Apoplegmatisms or Medicines chewed in the Mouth Take Leaves of Marjoram Sage and Bettony of each one handful beat them in a Marble stone Mortar sprinkling by degrees Bettony Water and white Wine
one ounce the Conserve of Sage and Rosemary flowers of each six drams Nutmeg candied half an ounce one candied Myrobalan old Treacle and confection of Alkermes of each three drams of the Pouder Diambra and Diamoschi dulcis of each one dram with the Syrup of Citron Barks make it up And let him take every morning two hours before meat the quantity of a Chessnut drink after it a little wine and water This following Balsom doth more strongly corroborate the brain of which he may take now and then three or four drops in wine or broth Take of the Chymical Oyl of Nutmegs three drams Oyl of Marjoram Rosemary and Amber of each half a dram Musk and Amber-greese of each one scruple with a little Oyl of a Mans Skull mix them together You may make the Oyl of a mans Skull thus Take the shavings or raspings of a Skull that was never buried put them in a Retort or Still so called in as much white Wine as will suffice Let them stand in Balneo Mariae that is a kettle of warm water for some time then distill it in Sand till it is dry and you shall find the Oyl swimming upon the Water which is drawn off Anoint your Nostrils within with this Balsom every night and it wil strengthen the Brain wonderfully There is another cheaper for to anoint the Nostrils with which is Take the Oyl of Orange Flowers two drams white Wax one dram melt them gently and put thereto Oyl of Amber half a dram of the Chymical Oyls of Sage and Rosemary of each fifteen drops Oyl of Spike five drops mix them together It is also very good for the drawing away of the matter which breeds continually in the Brain by an issue in the hinder part of the neck Lastly The Baths which come out of Brimstone Niter Bitumen as those called Bellilucanae are very good for the drying and strengthening of the Brain if it be washed therewith for some daies after general evacuations are made Daily experience teacheth us that most grievous Head-Diseases coming of cold Distempers are thereby cured It is profitable also to drink those Waters for the strengthening of the stomach which alwaies doth sympathize with the head Therefore I set down this digestive Pouder Take of Coriander seed prepared one ounce Annis seeds and sweet Fennel Seeds of each three drams Cinnamon and Nutmeg of each two drams Coral Ivory and Pearl prepared of each one scruple Sugar of Roses as much as all the rest or for rich folk twice as much of which let him take a spoonful after every meal not drinking or eating for three hours after CHAP. II. Of Drouzie Diseases called Coma Lethargy Carus and Apoplexy THere are four kinds of Preternatural sleep namely Coma Apoplexy Carus and Lethargie We wil speak of them together in this Chapter because they proceed from the same Causes and are cured all the same way These four Diseases differ one from another after this manner In the Disease called Coma Cataphora or Subeth according to Avicen is a deep sleep but such an one as from which the Patient is raised openeth his eyes and answereth but presently he is again in a deep sleep In a Lethargie the sleep is like that of Coma but it is joyned with a Feaver and Frenzy or Dotage In Carus there is no Feaver as in Lethargy but in Carus the sleep is more deep and profound so that when the sick party is rowsed up he scarce opens his Eyes and answers not as in the former but yet being pinched he is sensible and his breath comes freely In Apoplexy the sleep is most deep and a total privation of sence and motion except breathing and so therefore the sick doth neither open his eyes answer nor feel when he is hurt as also he breatheth very difficultly There are many Causes of these Diseases The first and chief cause is Flegm and waterish humor contained in the brain of which when there is but a smal quantity that moisteneth and cooleth the substance of the brain stopping up its â—ores and passages cometh Coma. But if the same quantity of Humor so gathered together become putrified and corrupt or grow into a tumor or swelling or be dispersed throughout the brain it procureth a Lethargie When it is gathered in a greater quantity without corruption and that the humor is sucked up into the substance of the brain it causeth a Carus And lastly When the humor is in so great a quantity that it doth not only fill the brain but also the ventricles thereof stopping and straitening them and also when it doth offend the Original of the Nerves which comes from the brain and is placed in the basis or bottom of the Skull and when it hindereth the passage of the Animal Spirit it begets an Apoplexy Secondly Sleepy Diseases spring also from abundance of blood in the brain for if the store of blood contained be more raw waterish and cold it thickens the Animal Spirits and makes them unfit to move as also the abundance of humor charging the brain hindereth the free passage of the Spirits and according as the humor is more or less in quantity more or less in coldness it produceth a greater or a lesser Disease So that both Coma Carus and Apoplexy may be caused thereby But drowsie Diseases especially the Apoplexy are usually caused by blood out of its Vessels stopping and compressing the Ventricles of the brain and that falleth out either from a vein broken in the brain or from an over fulness of the Vessels or from some great bruise or contusion of the head or from some cut or punctured wound by which the veins of the brain are divided and so send forth much blood And the Fracture only of the Skul compressing of the brain may produce a dulness drowsiness or sleeping Disease Thirdly It is without doubt that a Tumor in the brain burdening it with its weight may produce a sleepy disease This is reported by Platerus to be found in a certain Barron who for a long time was sortish and sleepy did nothing rationally nor desired meat neither did eat any thing but what was forced into him went not to bed but by compulsion but would sit al day at the Table leaning on his arm with his eyes shut neither did he answer at any time without much asking and importunity and then very little to the purpose After his death his Skul was opened and there was found in his brain a great Kernel hard and of a callous body the cause whereof might be some stroak upon the head which he had received long before the beginning of his Disease Fourthly Many Vapors flying into the Brain may be the cause of a sleepy disease for if the vapors be many and gross that they burden the animal Spirits and darken them as with a mist even as the clouds in the greater world darken and obscure the beams of the Sun But if they be overmoist they do so
but you must mix some thickning things that may constrain the humor as red Roses Mastich Coriander Nutmeg and other things which we shall declare more at large in the hot Catarrh You may make an Errhine for this purpose as followeth Take of Marjoram Water four ounces the Juyce of Bettony one ounce Nigella or Gith seeds poudered half a dram Nutmeg one scruple For rich people you may ad two grains of Musk and Amber-greece Or Take of Lignum vitae one ounce Spring Water one pint Infuse it all night upon warm embers then boyl it to the consumption of half adding in the conclusion sweet Marjoram and red Rose leaves of each two pugils So when the matter is but thin you may make a Masticatory either of Mastich alone or after this manner Take of Nutmeg one dram Mastich and Gum Arabick of each half a dram Pouder them with Rose water make Troches to chew The best Neesing is made of black Hellebore and Sugar equal parts The Extract of Tobacco made in Aqua vitae and held under the tongue in the bigness of a Pease brings forth abundance of Water but if you take too much or swallow it down it will cause violent vomiting We have shewed that Cauteries to the Arms hinder part of the Head and behind the Ears are very good as also to the nape of the Neck and Shoulders which are now adaies in great request But there is a new place found out by some namely in the Neck neer the Jugular veins between the Muscles And by this means two men have been cured of old Catarrhs which caused hoarsness Finally After convenient Evacuations things that strengthen the Brain and dry it are to be used both internally and externally as Opiates Pouders Bags Fumes described in the Cure of the cold distemper of the Head But you must remember to put unto them some Conserve of Roses Nutmeg or white Frankinsence when you cure a Catarrh The Decoction of Mastich Wood used as a Sudorifick dries the Brain and stops Defluxions For which the following things are good Take of Coriander seed prepared half an ounce Nutmeg and Frankinsence of each three drams Liquoris and Mastich of each two drams Cubebs one dram Conserve of red Roses one ounce white Sugar dissolved in Rose water ten ounces Make a Confection in little rolls weighing three drams Let him take one morning and evening These following Troches are much commended by Solenander Cons 10. Sect. 4. which he borrowed which he borrowed from both the Ancient Greeks and Arabians Take of the best Frankinsence and Juyce of Liquoris of each one dram Opium Saffron and Mirrh of each one scruple With Syrup of Poppies make Troches or Pills to be taken now and then two scruples or half a dram at a time These Tablets following are very good Take of Diambra and Diamoschi dulcis of each one dram white Amber one scruple Oyl of Annis seeds three drops Sugar dissolved in Lavender Water four ounces Make Tablets of two drams in weight take one morning and evening The Balsom for the Head prescribed in the Chapter for the cold distemper after the Opiate is excellent taken inwardly and into the nostrils Lac Sulphuris and the flower of Brimstone are commended by Chymists for the Cure of a Catarrh and the Galenists use it much in Tablets In a new Catarrh Water of Nuts with Hydromel given three nights together doth much hinder it Shave the fore part of the head and apply a Cataplasm of two ounces of Leaven and two drams of Amber But if the Patient will not permit his head to be shaved let it be cut and lay a bag of Chamepits or Groundpine mixt with Amber Besides the afore mentioned Fumes one made of Tacamahaca is excellent for it dries a Catarrh and hinders his Motion neither is the scent too strong but the Patient may shut it into his chamber without offence It is profitable to dry the Head with bags of Bran Gromwel and Salt Leaves of Sage Bettony French Lavender Annis seeds Fennel seeds and the like Lastly If the Disease be stubborn all those Medicines which are mentioned in the cold distemper of the head are to be used A hot Catarrh is Cured by Medicines which discharge the matter offending and which do thicken it and revel it as also by correcting the distemper of the parts sending and receiving it For this end first let blood if nothing hinder by which the humor flowing is revelled and the sharpness abated Then carry away part of the humor by a gentle Purge which may no waies stir violently the humors as followeth Take of the best Rhubarb four scruples Citrine Myrobalans rubbed with the Oyl of sweet Almonds half a dram yellow Sanders half a scruple Infuse them in Lettice and Purslain Water and strain it adding of Manna and Syrup of Roses Solutive of each one ounce Make a Potion Or instead of the Waters afore mentioned you may make a Decoction of cold Herbs and Tamarinds to which you may put your Purgatives Then you must alter and thicken the humor with convenient Juleps Take of Lettice Purslain and Plantane of each one handful the four great cold Seeds white Poppy seeds of each two drams Violets Water-lillies and red Poppies of each one pugil boyl them to a pint Dissolve in the straining the Syrup of Violets and dried Roses of each one ounce and an half Make a Julep for three draughts to be taken twice in a day Or instead of this Decoction use the distilled Waters of those Herbs or Emulsions of the four great cold Seeds After use a little stronger Purge putting to the former Senna or Catholicon or Diaprunes or the like A light sweet Medicine thickening and sweetening the humor is made of the Yolks of two new laid Egs dissolved in five or six ounces of spring Water with one ounce of Sugar heat them well and stir them upon the fire and take it as hot as you can morning and evening for three daies together And at last you must labor for a stronger restraning of the flux and thickning of the humor with this Syrup Take of Syrup of Violets and dried Roses of each one ounce Syrup of Poppies half an ounce Give an ounce at a time in a spoon at Bed time The following Opiate is good for the same purpose Take of old Conserve of Roses six drams the species of Diatragaganth frigid two drams Bole-armenick washt in Rose water two scruples With the Syrup of dried Roses make an Opiate Take the quantity of a smal nut at night This Barley Cream is very profitable Take of clensed Barley as much as is sufficient steep it six hours and then boyl it well and strain it then take three ounces of blanched sweet Almonds Pompion seeds husked one ounce and an half Melone seeds one ounce white Poppy and Lettice of each half an ounce Beat them together and with Barley Water take out the Milk which with two pound of the Pulp
it which few other Medicines have It clenseth very powerfully without any sharpness The same Fonseca sayes the Water following is admirable Take many Swallows beat them with their feathers in a Morter put to every pound of them four ounces of bread crums of white wine four pints infuse them six dayes and distil them in Balneo till they are dry then set that Water in a Glass in the Sun for twenty dayes and drop it into the eyes morning and evening There is a Water made of Rosemary flowers which discusseth Films in the Eyes after this manner Take of Rosemary-flowers as many as are sufficient to fill a Glass which must be well stopt and set it in the Wall against the South Sun thence will an Oyl come which with a feather anoint the Eyes with Some Authors commend the Galls of Beasts because they clense and discuss strongly but they cause pain with their sharpness and therefore are seldom used Forrestus Obs 35. Lib. 1â— commends a certain Fish in his Country out of whose Liver there comes a moisture by which he saith Cataracts are presently as by a miracle Cured See in the place cited the use of it William Lozellus saith That he hath Cured many stark blind after universal Medicines have been used with this Water Take of the Liver of a sound Goat two pound Calamus Aromaticus and Honey of each half an ounce the juyce of Rue three drams the Waters of Celondine Vervain Fennet Eyebright of each three ounces Long Pepper Nutmeg and Cloves of each two drams Saffron one scruple Rosemary-flowers bruised half an handful Sarcocol and Aloes of each three drams the Gall of Ravenous Birds Capons or Partridges one ounce let those that are to be sliced be sliced and that are to be bruised be bruised then mixed altogether with two ounces of white Sugar and six drams of Honey of Roses cast them into an Alembick of Glass and distil them in Balneo Mariae with a gentle fire keep this Water in a Glass close stopt for precious which you may drop twice or thrice in a day into the eye affected Zacutus Lusitanus commends the Water following in these words For an old Disease in the Eyes called Ophtalmia or any other which cometh of overmuch moisture and gross humors and mists as in thickness whiteness the Haw and Suffusion this Water is the best in his Experience if after sufficient Purging you drop six drops cold every night three hours after meat into the Eyes then about two hours after you shall have Water flow out of them in abundance Take of Aloes three drams Rue Fennel and Pettony of each two handfuls Vervain and Tormentil of each one handful Sarcocol three drams the froth of Nitre two drams and a half Sugar Candy three ounces syrup of Roses four ounces the Vrin of a yong Boy half a pint Lizzards dung three drams Horehound three handfuls Eyebright one handful and a half Ginger Spicknard long Pepper Cloves and Tutty of each two drams Balsom three drams Honey of Roses two ounces Verdegreese one dram Licium two scruples Radish leaves one handful powder those which are to be powdered mix them and infuse them in the best white wine in a Still putting to a fourth part of the best Honey for ten dayes and stir them daily then Distill them and keep the Water The same Zacutus commends the Oyntment following in these words For the drying up of moisture flowing from the Head into the Eyes and for Purging them by the Corners very strongly this Magistral Oyntment is excellent being applied after universal Evacuations from the Head and the whole Body let the upper Eye-brows be anointed lightly therewith morning and evening twice in a day three hours after meat one hour after there will slow plentiful Water from the corners of the Eye especially from the great corner Take of the Oyl of Roses three ounces Rose-water nine ounces Camphire one dram Tutty one scruple Honey two ounces the Gall of a Goat half an ounce Lupin meal half a dram Aloes Succotrine one dram Sugar candy half a dram the juyce of Horebound Fennel and Rue of each half an ounce Mirrh one scruple Ammoniacum half a dram Sarcocol one dram and a half Pouder them that may mix them and boyl them a little with a gentle fire and the grease of a Goat or Sheep and a little wax make an Oyntment according to art Finally when al Medicines fail when the Disease is almost desperate it were good to try an experience with the Oyntment of Quicksilver which Fonseca saith was his invention yet seldom used for in his 19. Consultat lib. 1. he thus saith I have thought sometimes that the Vnction used for the Cure of the French Pox hath power to take away Cataracts in their beginning and increase by the same reason that it takes away the Humors remaining in the Eyes from the French Pox for by it the Head may be so Purged that a Cataract may be Cured and I have determined to make tryal of it Fonseca had much commended his Judgment if he had seen Skenkius his Observation 309. Lib. 1. which is taken out of the 5. Book of Alexander Trajanus Petronus of the French Pox Cap. 1. One saith he before he had the French Pox was blind of one Eye with a Cataract or thick Suffusion by the Vnction with Quick-silver was freed wonderfully from his Pox and Cataract both at once Neither is it without reason that Cataracts may be dissolved with that Vnction when we see by Experience that very hard Tumors of thick and gross Flegm are powerfully dissolved by the Vnction of Quick-silver When a Cataract can be dissolved with no other Medicines the last Remedy is the Chirurgical Operation which with a Needle put into the Eye after the matter of the Cataract being thick and turned to a little skin thrusteth it to the lower part of the Eye so that the sight is restored as if a window were opened This Operation is successful sometimes but often not But when the case is so that no hope remains of other wayes it is better according to the Opinion of Celsus formerly Commended to try an uncertain Medicine than none But it useth not to be tryed by reason of its uncertainty by ordinary Chirurgions but of Quacksalvers who go to and fro practising and therefore the time and manner of the Operation is to be left only to them But because those things ought not to be hid from a Physitian you may find them exactly treated on in divers Practical Authors when the Cataract is Cured Whether it be with dissolving Medicines or manual Operation you must use a course of Physick long after because there is a great fear of a Relapse For the Eyes having been much weakned by a long Disease are very ready to receive any Defluxion again from the brain Therefore you must follow the usual Purging you must have Issues continually for diversion and use often strengtheners
at some distance apply often those Cupping-glasses to the Hypochondria or under the Ribs And let him take the following Julep thrice every day Take of Plantane and Poppy Water of each two ounces Syrup of dried Roses one ounce Lapis Prunellae one dram Mix them for a Julep Lastly You must often purge the serous and Chollerick humors which make the blood more thin and fluid with Medicines that have an astringent Vertue As Take of Rhubarb one dram yellow Myrobolans half a dram Tamarinds half an ounce Infuse them in Plantane Water strain it and dissolve in it Pouder of Rhubarb half a dram Syrup of dried Roses one ounce Make a Potion Then give Medicines that close the Orifices of the Vessels by an astringent quality but such as will not retain the blood in the Breast by too much astriction therefore mix somtimes with them such as dissolve and expectorate the congealed blood which is out of the Vessels Of all which these following are the best Take of Bole-Armenick Terra Sigillata both sorts of Coral Blood-stone of each half a dram Sugar of Roses half an ounce With one white of an Egg well beaten with Rose Water make a Lohoch Or you may make one more speedily and more pleasant thus Take of the Water of the white of an Egg well beaten two drams Sugar of Roses one ounce white Starch three drams Mix them for a Lohoch Or Take of Conserve of Roses and the greater Comfry of each one ounce Bole-Armenick and Terra Sigillata of each one dram With the Syrup of dried Roses make an Opiate to be often held in the mouth and swallowed by degrees Take of Conserve of dried Roses Troches of Amber and of sealed Earth of each half a dram prepared Pearls one scruple Sugar of Roses as much as of all the rest Mix them and let him take a spoonful thereof one hour before meat Take of the Juyce of Purslain twelve ounces Sugar eight ounces Boyl them to a Syrup of which let him often lick This is the best for spitting of blood And if you want Purslain you may take Plantane The Syrup of Comfry according to Fernelius prescribed by Bauderon is good for the same Take of Yarrow with the white Flower and yellow Flower of each two handfuls Green Roots of Tormentil with the Leaves if they may be had otherwise of the dry one ounce the greater Burnet one handful Conserve of red Roses half a pound spring Water sixteen pints put them in a glassed pot covered and luted that the vapors may not come forth then boyl them in Balneo Mariae sixteen hours keep the straining in a glass and take six ounces thereof every morning noon and night Take of the Troches of Amber one dram Plantane and Rose Water of each one ounce and an half Syrup of Mirtles and dried Roses of each half an ounce Mix them for a Julep Take of Spirit of Vitriol half a scruple Plantane Water four ounces Mix them for a Potion This presently stops blood coming either by Cough or Vomiting Two spoonfuls of Syrup of Coral taken every day is good against all manner of bleeding But the Tincture of Coral drawn with Juyce of Lemmons is more powerful Quercetan in his Dispensatory prescribeth this following Water against spitting of blood which is very excellent Take of the Roots of Snakeweed Comfry and Tormentil of each one ounce Knotgrass Yarrow Veronica Winter-Green Sanicle Shepheards-purse with the Roots of each one handful Bramble tops and Mastich wood of each half a handful Sumach and Myrtle berries the seeds of Plantane Barberries and white Poppies of each six drams the flowers of Water Lillies Guords Quinces and red Roses of each two pugils Bruise them and mix them then steep them four daies at the fire in the Juyces of Plantane Purslain Sorrel and Agrimony of each two pints then strain them well and put to them Acacia and Hypocistis or Conserve of sloes of each two ounces sealed Earth Bole-Armenick of each half an ounce the Electuary of Diatragacanth frigid two drams then macerate them again four daies and distill them Take two or three spoonfuls of this Water alone or with some proper Syrup The Chymical Oyl of Amber doth pierce astringe and dry powerfully if you give two drops thereof in Plantane Water As Cesalpinus teacheth in his Speculum Artis Medicae Mercurialis in his consultations doth highly commâ—nd the seeds of white Poppies or white Heâ—ane to be tak en every morning in the quantity of a dram with Sugar of Roses and Syrup of Purâ—â—ane So you may also use the white Diacodium or Syrup of Poppies prescribed in the Cure of the Phrenzy Amatus Lucitanus doth highly commend the Juyce of Nettles in these words They which have vomited blood after they have been given over by Physitians have been cured only by the juyce of Nettles drunk five or six daies fasting in the quantity of four ounces and by Nettle Broth. Sanguis Draconis doth wonderfully conglutinate all inward Veins if you give half a dram thereof with Plantane Water or other proper Liquor or Medicine The usual Pills to hold under the Tongue may be made thus Take of the Mucilage of Gum Arabick and Tragacanth drawn with Plantane Water of each two drams Mummy and Mastich of each one dram Sugar of Roses as much as will make Pills of which let him hold one continually in his mouth And take this following Pouder in his Broths Take of red Coral and prepared Pearl of each half a dram Gum Arabick and Tragacanth of each two drams Make a Pouder Or boyl white Poppy seeds and Sumach tied in a clout in his Broth. Narcoticks are good in this case and you must use them thus Take of Syrup of Poppies Jujubes and dried Roses of each one ounce Mix them and take a spoonful every night Or Take of Syrup of Poppies and Purslain of each three drams Terra Sigillata half a dram Purslain and Plantane Water of each one ounce and an half Make a Potion to be taken at night Or Take of Syrup of Myrtles and Poppies of each one ounce Bole-Armenick half a dram mix them to be taken at night Somtimes you may give Treacle of four months old as Galen teacheth 5. Method cap. 13. or Philonium Romanum or Laudanum Platerus reports that he cured one only with the Troches of Winter Cherries with Opium dissolved in Goats milk taken some daies and also that he cured a Woman with one ounce and an half of Manna given in Broth and with blood and the use of the Tablets following morning and evening for many daies Take of the Seeds of white Henbane poudered finely two scruples red Coral half a dram Gum Arabick one scruple new Violets ten the Juyce of Barberries two drams Sugar dissolved in Rose and Plantane Water two ounces Make Tablets Trallianus lib. 7. cap. 1. doth highly commend the Blood-stone by which he saith that he cured many giving it to four scruples with
the Lungs and to Cure Ulcers Take this following for an Example Take of green Coltsfoot eight handfuls Hysop two handfuls bruise them and put them in a Pot with a little water lute it close then set it into the Oven when the Bread is half baked and then take it out with the Bread and put a Funnel into a hole made at the top and so take in the smoak through the mouth at the Lungs and put it out at the Nose and it wonderfully provokes spetting You must also Morning and Evening use a Cooling Liniment to the Breast As Take of Gum Tragacanth and Arabick of each one dram infuse them in Rose water a day and a night put then thereto of Oyl of Violets one ounce and an half Fresh Butter half an ounce Sal. Prunellae two drams Camphire one scruple Breast-milk as much as will serve Mix them in a Mortar to an Oyntment To Repair a Consumption or to Prevent or Hinder it besides Restoring Diets which are principally made of Barley Almonds Pine-nuts Rice Nuts and the like which Authors declare Milk commended at first is very good and a Bath of hot Water of Barley and Almonds bruised but this is not good in a Catarrh nor while there is a putrid Feaver nor when the Lungs are ful of Excrements Let his Drink be Water and Sugar Barley Water and Liquoris an Infusion of Liquoris a thin Hydromel or a weak Decoction of China The End of the Seventh Book THE EIGHTH BOOK OF THE PRACTICE OF PHYSICK Of the Diseases of the Heart The PREFACE THE Heart hath many Diseases Similary Organick and Common But because few will submit to the Physitian in regard of the nobleness of the part which will endure long pain but a man is suddenly gone and there is no time for Physick we who intend to bring all our Labors into practice will lay down only three Diseases of the Heart which are usual and require many Medicines and we shall bring them into three Chapters The first shall be of Swooning The second of Palpitation of the Heart And the third of Weakness Chap. 1. Of Syncope or Swooning Syncope is defined by Galen 12. meth c. 5. to be a sudden failing of all the Strength For although the Heart only suffer and the Vital Spirits are only intercepted yet when it fails the rest must suffer because they have a continual and necessary influence from it It is called a sudden failing of all the Strength that it may be distinguished from other Diseases in which the strength goes by degrees till death come nor is the Doctrine of Avicen against it Fen. 1. Lib. 3. Tract 2. Cap. 2. where he propounds the sign of a Syncope that comes by degrees for although the Causes that dissolve the Spirits do somtimes work by degrees yet when they grow great they make a sudden Syncope and therefore Avicen rather propoundeth the signs that go before a Syncope than those that accompany it Moreover This Definition may seem to agree with an Apoplexy in which there is a sudden failing of all the strength but in an Apoplexy there is strength in the Heart and the Pulse is generally great and full And also there is great hinderance of breath with snorting but in a Syncope the breath is no waies stopped The question is Why When the action of the heart ceaseth doth the action of the Brain also cease since the Animal Spirit is made of the Vital by way of Concoction and must therefore stay some time in the Brain although the Vital do not constantly come to it We answer That the Brain as all other parts for the perfecting of its actions doth alwaies stand in need of adventitious heat which is brought to it by the Vital Spirits and therefore when the Vital Spirits come not neither doth heat come for the Brain to perform its functions There are other Diseases very like to Syncope differing only in degrees from it namely Eclusis Leipothumia and Asphuxia Eclusis is a light fainting Leipothumia or Leipopsuchia or Apopsuchia is a very strong and great fainting Syncope is the greatest which if it go so far that the pulse in the whol Body ceaseth to beat it is called Asphyxia which is next unto death The word Synchope was not used by Hippocrates and the Ancient Greeks but they call'd this Disease Leipothymia Lipopsychia and Asphyxia But it was invented a little before Galens time and used for the greatest so Galen 1. ad Glauc cap. 14. saith Leipothymia is an imperfect Syncope and goes before it By what hath been said it appears that the part affected is the Heart where the Vital Spirits are all made by whose influence the Natural heat and Spirits in every part are made to act therefore when that ceaseth by stoppage of the Influx of the Vital Spirits it is necessary that the strength of all parts should fail and their actions cease The immediate Cause of this Disease is the defect of the Vital Spirits not wholly for then sudden death would come but so great that Nature is constrained lest the strength of the Heart should totally fail to fetch the Spirits from the other parts to the Heart by which means the parts lose their functions Now this defect of Spirits comes four waies Either because they are Naturally few or because they are dissipated and spent or because they are preternaturally altered and corrupted or lastly because they are suffocated and destroyed They are few by fault of the faculty making or matter from which they are made The Faculty is hurt either by a disease proper to the Heart or by consent from another part The proper Diseases of the Heart which are the chief are great distempers which overthrow the Natural temper or destroy the substance of the parts or of the Natural heat as swooning Feavers sharp and malignant Syntacticae or Colliquantes or fainting pestilential hectical or Marasmodes which consume to this come organical diseases as too much constriction and dilatation and constant solutions which come to the Ventricles of the Heart The Faculty may be hurt by consent from other parts which have great sympathy with the Heart as the Brain and Liver and somtimes from the mouth of the Stomach by reason of its neerness and exquisite sence from whence a Syncope is divided into a Heart and Stomach Syncope The Cardiaca or Heart Syncope is when the Heart is principally affected but the Stomachia or Stomach Syncope is that which comes by consent from the Stomach Somtimes it comes from the Mother by filthy vapors sent from thence to the Heart from whence comes the Suffocation of the Matrix Apnoea or want of breath and Hysterical Syncopes as those vapors do assault the Lungs Diaphragma or the Heart The fault is in the Matter when the Air or Blood is defective or corrupted from whence the Vital Spirits are generated There is defect of Air when the Respiration and Transpiration is hindered but the defect of
the same Seed be put into a cloth and often smelled to When the Disease is violent these Pills following are very good Take of Castor and Myrrh of each three drams Sal gem half an ounce Diagridium and Mastich of each one dram Agarick newly trochiscated three drams Aloes as much as all the rest make them with Juyce of Mints into a mass of one dram whereof make six Pills gilded Let him take two or three in the morning twice in a week two hours before meat Plaineâ— Pills and almost as good may be made of Hiera with Oxymel of which you may give a drama In the daies between the taking of Pills give this Pouder Take of Dill seeds half an ounce Zedoary Lignum Aloes Nutmegs Cloves and pouder of Diambra of each one dram Let him take two scruples in a morning with a little sweet Wine or put to them three ounces of Common Salt and let him eat it with all his Victuals Apply this Cataplasm following to the Stomach Take of Roots of Aristolochium or long Birthwort Flowerdeluce Bay-berries dried Leaves of Riâ—e and Mints of each three drams Castor and Myrrh of each two drams Cloves and Hypocistiâ— of each one dram Make a Cataplasm with Honey of Rosemary At length when the disease is stubborn you must use the Decoction of Guajacum and Baths of Brimstone as the best Medicines That which comes from wind is cured by the same Medicines adding thereto things to expel wind Apply also Cupping-glasses to the region of the Stomach which miraculously do presently abate and take away the windy diseases of the Stomach That which comes from a sharp Chollerick Humor besides those Remedies which were prescribed in want of Appetite coming of a cold distemper most proper also to this Disease must be cured by Phlebotomy if there be Plethory or fulness by vomiting and gentle purging every third day thus made Take of the pouder of Rhubarb sprinkled with Endive Water half an ounce the pulp of Tamarinds two drams the seeds of Endive and Purslain and of Spodium of each one dram yellow Saunders and Diagridium of each half a dram with syrup of Lemons make a Mass of Pills of half a dram whereof make Four or Five Pills to be given in the Morning as aforesaid Upon other daies let him take Conserve of Roses and Borrage mixed with a little Triasantalon or the Opiate mentioned in the Cure of Want of Appetite Emulsions often used made of the Cold Seeds do powerfully asswage the sharpness of the Humor or in a disease not very hot the milk of sweet Almonds Syrup of Apples with Syrup of Quinces is to be given in a spoon He must take Broth often And must drink cold or warm Water or Ptisans often The Oyl of sweet Almonds doth asswage the sharpness of the humors Let the Stomach be Fomented with a spung dipt in Rose water Take of the Cerat of Saunders and Oyntment of Roses of each one ounce Mastich half an ounce Citron peels and pulp of Quinces of each one dram with Juyce of Housleek and a little Turpentine make two Emplaisters of which lay one to the fore part another to the hinder part of the stomach Anoint the region of the Liver with Cooling Oyntments because the Humors use to flow from thence to the stomach If you suspect any infection you must give Treacle and other Antidotes and anoint the stomach with the Oyl of Scorpions according to Matthiolus These Medicines following are good against the Hiccough of what cause soever First Expel the Humor offending by Vomit if the Patient can wel endure it and Repeat it if the Disease abate and give stronger if necessity requires As Platerus sheweth in his Practice of which he gives an example in his Observations in these words A Chirurgion being sick began to Hiccough day and night so that he could neither sleep speakwell or take meat at last being thus weak and nothing profiting him when he was in an agony we gave him not without fear but at his own entreaty a strong Chymical Vomit at hand by which he vomited abundance of choller green and black and so was cured If the Patient abhor Vomits Purge him But prepare the Humors first or before you repeat it with cutting and clensing means after use these following Apply Cupping Glasses to the Back against the Stomach or before Bind the Stomach that it may not be dilated Use Ligatures to the remote parts Take Annis-seed for they say that doth specifically cure And give often Clysters to draw the Humors from the Stomach Apply yong Creatures to the Stomach And Take Vinegar of Squils in a spoon Neezing doth shake off the Matter which is compacted in the Tunicles of the Stomach as Chrysimachus the Physitian in Plato cured Aristophanes by Neezing when he could not be cured by holding his breath and gargling of cold water Galen 8. de comp med sec loc mentiones the Medicine of Asclepiades of which he examineth every Simple and approveth them as if it had al Faculties fit for this intention namely To discuss and Evacuate the Matter hurtful by Stool and Urin to strengthen the stomach and lastly to mitigate sharpness The Composition is thus Take of Costus or Galangal Saffron Spikenard Roses Mastich of each four scruples Asarabacca and Aloes of each two scruples Opium one scruple with the Juyce of Fleabane make them into little Balls or Cakes and let him take one of a scruple in weight every morning In imitation of that you may quicklier prepare Pills for one Dose of one dram of Aloes two or three grains of Laudanum And if you wil Purge more give three or four grains of Diagridium Duretus testifieth what excellent force Aloes hath in this Disease in these words Many when they have been almost dead with the Hiccough have been cured with Purging five dayes together with Hiera after they have voided black glutinous humors Platerus reports in his Observations That he Cured a Boy of ten yeers old that was troubled night and day for eight dayes together with the Hiccough with the Water of green Nuts distilled with Rhadish first macerated in Vinegar which he gave as a Vomit and though he vomited not yet he was eased and taking a draught thereof at night was presently Cured Forestus reports That he Cured one with one draught of the Decoction of Dill-seeds Carva Purslain and white Poppy-seeds made in smal Ale Claudinus doth highly commend Diaphoenicum with Philonium Romanum when the Cause and the Symptome are very violent Lastly Narcoticks only do alone Cure this when al other things fail by stupifying of the sense of the part which is too exquisite Chap. 8. Of Nausea and Vomiting NAusea and Vomiting differ only in degrees and both are the motion of the Stomach by which it either expelleth or labors to expel things contained therein therfore Nausea is a desire to Vomit with trouble and only sending and pewking forth a thin waterish Humor
it with Broth and take it in the morning Or Take of Oyl of sweet Almonds and Manna of each one ounce Dissolve them in Broth to be taken two hours before dinner Take of pulp of Cassia two ounces Tamarinds and Manna of each one ounce the pouder of Senna half an ounce Cremor Tartari two drams With Syrup of Roses solutive make an Opiate Let him take half an ounce or an ounce Or dissolve in the Decoction of Prunes half an ounce or an ounce of Manna let him take it one hour before dinner as all the aforesaid for so they will work better Ptisans of Succory Agrimony and Sorrel cast into Water that begins to warm and infused one night either drunk alone or with Wine for ordinary Drink doth keep the Body loose This following Broth doth most certainly loosen the Belly and keeps it so Take of Beets and Mercury of each one handful Boyl them in Broth and take it one hour before dinner Or Take of Conserve of Damask Roses with Manna and Sugar of each equal parts one ounce for adose Lastly A Bath or Tub with a Decoction of Emollient Herbs is very profitable to moisten all the parts Natural and mollifie the Belly Chap. 4. Of Lientery and Coeliack Passion LIentery is a kind of Flux of the Belly in which the Meat is quickly sent through the Belly as it was taken unchanged But in the Coeliack Passion the Meat comes forth crude and imperfectly concocted whence it appears that these two Diseases differ only in degrees so that Lientery is referred to the act abolished and Coeliack Passion to the act diminished For although the Meat is sent forth either altogether unconcocted or imperfectly concocted yet these Diseases are not to be referred to concoction hurt but rather to the retention for they are either il concocted or not at al because they are quickly sent forth and are not long enough retained to be concocted Hence it is collected that though this Disease bereckoned among the Diseases of the Guts yet the Stomach is much affected and somtimes more than the Intestines Hence Galen 6. de loc aff cap. 2. saith that a Lientery and Coeliack Passion come both by fault of the Stomach and Guts Many Causes of these Diseases are propounded by Authors all which we may refer to three Heads the cold distemper of the Stomach and Liver the provocation of those same parts and a great debility of the retentive faculty from some deadly disease The cold distemper generateth great plenty of flegmatick and glutionous humors which covers and 〈◊〉 over the wrinkles of the Stomach so that it cannot retain the food Hence we may admire why Galen 6. Aph. 1. doth speak against the old Greeks who called this Disease Lienteriam or smoothness of the Intestines therefore because the internal superficies or the Stomach being made smoother doth not retain the Meat whereas the Stomach doth not retain the Meat til a perfect concoction be made so much by the roughness of the inward coat as by an innate propriety of aâ—â—ringing For as we must confess that the principal cause of retent on is the faculty so also must we acknowledg that the faculty doth want instruments fitly disposed without which it cannot act and therfore since the in ward Tunicle of the Stomach is made rough and wrinkled that the Meat may be retained in the Stomach it is no doubt but if that roughness be taken away while the wrinkles are filled up with flegm the retention of the Stomach wil be hurt so that the Food wil slip away unconcocted The like is in the Womb whole inward Tunicle is rough and wrinkled that it may the better retain the Seed for Conception but if it be covered with glutinous Humors it doth not retain and the Seed presently comes forth whence many Women are barren But let us note That if any wil strictly exmine this word he shal find that this Symptome is rather to be called the Smoothness of the Stomach than of the Intestines neither doth it comprehend al its sorts but only that which comes from Flegm which because it is most usual the rest have their denomination from it The provocation of the Stomach and Guts is by sharp Humors which by twiching those parts 〈◊〉 them to send them forth too soon as it is in the Bladder which being pricked by Acrimony doth often piss Hence comes the Strangury Galen 6. Aph. 1. saith That by those sharp humors there is an Ulcerous Disposition in the Stomach as the Aphthae or Thrush is in the mouth of Children The great imbecillity of the Retentive Faculty in great and deadly Diseases often causeth a Lientery as you may see in a Dysentery which when nature is conquered degenerateth into a Lientery the Stomach being drawn to consent with the Guts which are so grievously affected and its Faculties being overthrown so also in Malignant Feavers there happeneth often a Lientery wherby the broth as soon almost as taken is cast forth unconcocted and the same is when Poysonous and Hurtful things are taken There is also another Cause different from the former which peculiarly makes a Coeliake Passion namely The Obstruction of the Mesaraike Veins which hinder the paslage of the Chylus to the Liver whence it must needs be cast forth by the Belly but that this may be it is necessary that al the Mesaraick Veins or the greatest part of them be stopped as in Children who have the Struma or Kings Evil whose Mesentery is found ful of Glandles by which the Mesaraike Veins are stopped and these continually have a Chylous and Coeliake Flux They eat much and grow leaner til they fal into a Marasmus Aetius and Celsus and many of their followers do propound another Cause of the Lientery namely A Smooth and Thick Scar in the Guts remaining after a long Dysentery by which the mouths of the Veins being stopped the distribution of Nourishment is hindered and thence comes a Lientery which Cause we cannot entertain for then al the Guts should have been Ulcerated and the Scar in them al should stop al the meseraiks which is not agreeable co reason because it is impossible that al the Guts should be ulcerated and the man not die The chief Signs of these Symptomes do appear by what is said for if crude meat and unchanged descend quickly and often through the Guts signifieth a Lientery but if it be somewhat changed and seem like Chylus it shews a Coeliack Passion The Signs of the Causes are thus gathered If Lientery or Coeliake Passion come of a cold distemper and Flegmatick humors there wil be sowr belchings the excrements of the belly are Flegmatick there wil be thirst and want of pain if the Flegm come from the Head as it often doth the excrements are frothy and the Flux is greater after sleep And there are other Causes which alter the Head and other Signs of a Catarrh If it come from Irritation or provocation there
hapneth a Critical Diarrhoea without a Disease in some bodies which use to lay up evil Humors and being strong do throw them forth at times when they abound and burden nature as Galen taught 7. meth Cap. 11. of which Flux Celsus maketh mention lib. 4. cap. 19. in these words It is healthful for to go often to the Stool in one day and in many dayes together if there be a Feaver and if it cease before the seventh day for the Body is purged and that which inwardly would have hurt is now sent forth Among Critical Fluxes the Serous is one which comes without a Disease aforegoing in them who have much Water in their Veins and that chiefly in the Harvest time or Autumne namely when the night and morning cold of Autumne finding the passages external and pores of the skin open by reason of the heat of Summer aforegoing doth therefore insinuate it self deeper into the body pressing forth internally the Serous Humors contained in the Veins which Nature afterwards being over-burdened with sends by the Meseraick Veins into the Intestines and many times into the Uriters Hence it is that many in the beginning of Autumne and in the first cold weather do make abundance of Urine for many dayes together But if a Diarrhoea be Symptomatical it troubles the patient much and weakeneth him and the Disease upon which it comes is encreased or at least is in the same state This Symptomatical Flux in burning Feavers and Malignant is often melting and hence it is known because the Excrements appear unctious and the body forthwith becomes lean and consumed and almost in a Marasmus If the Diarrhoea comes from the Brain the Stools are frothy as Hippocrates taught Aphor. 30. Sect. 7. which is not alwaies so For Flegm may flow from the brain without Wind which is the only cause of froth as also Wind may be mixed with Humors that are bred or contained in the stomach or intestines from whence the Excrements may be frothy though they come not from the Head Therefore we must joyn other Signs to this namely If the Brain have any manifest Disease as a Catarrh Deafness Lethargy Apoplexy or great Heaviness Pain or Sleepiness and if the Flux be more at night than day If it come from the fault of the Stomach there wil be the Signs of the Concoction of the Stomach Hurt As if the Food be corrupted and have a sharp and stinking quality by which the Expulsive Faculty is stirred up to expel them Also there wil then be the Signs of a Hot Distemper of the Stomach So if the Stools be Crude and Flegmatick and if Concoction be slow and diminished we argue that the Concoction of the Stomach is hurt by a cold Distemper and lastly we know that the fault is in the Stomach if the Patient did before fill himself with evil Food which would easily corrupt The Flux of the Belly comes from the Guts when they are ful of Worms and then there wil be signs of Worms which you may take from their proper Chapters If from the Liver The Stools wil be Chollerick because Choller is bred there and there wil be Signs of a Hot Distemper Inflamation Obstruction and other Diseases of the Liver If from the Spleen The Stools wil be commonly black or blackish a distention in the left Hypochondrion a heaviness also or pain there and other signs of the Spleen Distempered wil appear If from the Mesentery There wil be extension stretching or pain in that part But Humors gathered in the Mesentery come commonly from the Liver and Spleen If from the Womb There wil be stoppage of the Courses or the Symptomes of the Womb affected which use to be more violent and the Flux also at that time when the Terms ought to flow The Prognostick of a Diarrhoea is made thus A Flux of the Belly which is easily endured and in which the Patient finds refreshment is good On the contrary that which is painful and weakneth is evil The first is to be accounted Critical the last Symptomatical When the Liquid Excrements grow thicker it is good For it signifieth That the Faculty Worketh well by Concocting of evil Humors which is done by making them thick Thin Excrements with pain often voided are evil for they signifie great sharpness of Humors which do violently pul stimulate prick and gnaw the Guts Liquid Stools without Feeling when they are voided are evil For they either signifie Disturbance of Mind or Doting or Dissolution of the Natural Heat which is followed by the loss of Sense Liquid Stools beginning with an acute Disease and continuing with the same is evil for it signifies great plenty of Matter or an evil quality therein which forceth Nature to so sudden a flux If a strong Diarrhoea comes upon him who hath the Leucophlegmatia it causeth recovery Hipp. Aph. 29. Sect. 7. For there is an Evacuation of the Matter which was in the whol Body But this wants a limitation The Aphorism is true if this flux happen in the beginning of a Disease while the strength is good otherwise it doth not take away the disease but the Patient If a Woman with Child have a flux of the Belly she is in danger to miscarry Hipp. Aph. 34. Sect. 5. For the food which should nourish the Infant is for the most part carried away and the strength is abated as also the Ligaments of the Womb are relaxed by a continual flux of Humors thither as also the Child and the Womb are infected by the vapor of those excrements which are continually voided Yellow Stools like Yolks of Eggs green like Verdegreece livid black of divers colors or very stinking are evil For the reason which we gave in the Chapter of Vomiting As to the Cure Since a Symptomatical Diarrhoea comes commonly from corrupt Humors Chollerick Flegmatick Melanchollick or Serous and especially from Chollerick which provoke the expulsive faculty of the Intestines by their sharpness You must begin the Cure by Evacuation of the Humor offending which must be done by a Medicine which doth astringe by purging lest that flux should be encreased by motion of the Humors and you may make it thus Take of the best Rhubarb one dram Citrine Myrobalans half a dram Yellow Sanders half a scruple Infuse them in Plantane Water dissolve in the Liquor strained half a dram the pouder of Rhubarb and one ounce of Syrup of Roses Make a Potion You may ad Diacatholicon or other Medicines according to the condition of the Humor to be purged Also Vomiting is somtimes good because it Revelleth and Evacuateth the Matter of the Disease If there be signs of blood abounding and strength you must first let blood And if there be a Feaver you must open a Vein though there appear no Plethory or fulness Before and after Purging give clensing Clysters such as these Take of whol Barley two pugils Bran and red Roses of each one pugil Liquoris scraped and Raisons whol of
contrary to the opening Faculty which they desire Moreover There is another wrong done to this Medicine when it is made in a Brass Kettle which leaves a malignant quality upon the Medicine for it is a known and vulgar saying among Apothecaries You must not boyl sharp things in Brass Vessels because they easily pierce and attract a noxious Tincture from them But the Crystals of Tartar are most sharp called by some Acidum Tartari or the sharpness of Tartar This Error is often made by Apothecaries and almost all they who make this Crystal themselves use Brass Vessels so that I have seen some Tartar look Skie-colored from the Verdugreece which it hath taken from the Copper Therefore Physitians shall do conscienciously honorably and for the good of their Patients if they cause their Apothecaries to make Crystal of Tartar themselves and in Glass Iron or Earthen Vessels glassed The Salt of Tartar hath great power to open Obstructions and may well be mixed with Apozems Opiates and opening Pills But the chief use of it is in a loosening Ptisan or Barley Water made of two drams of Senna infused in eight ounces of cold Water with one scruple or half a dram of Salt of Tartar by which the Tincture of the Senna will be powerfully extracted so that this Ptisan shal work better than any ordinary one and continued many daies it takes away all Obstructions we have seen Quartan Agues cured by the use of it fifteen daies together If you fear the sharpness of the Salt of Tartar you may correct it with the Spirit of Sulphur or of Vitriol putting fifteen drops of Spirit to half a dram of Salt You may find the use of the Spirit of Tartar in our Observations for the Cure of the Dropsie under the Title of a Diuretical Spirit Of Vitriol only the Oyl or Spirit is used in Apozemes Syrups and other Forms of Medicines This following Syrup which is good against all Obstructions of the Liver Mesentery and Veins may be for an Example by which many through continual Feavers falling into evil Habits and Dropsies have been perfectly cured Take of the Roots of Smallage Elicampane Sparagus Eringus of each one ounce Leaves of Agrimony Ceterach Maiden-hair Dodder Carduus of each one handful the tops of Sea Wormwood and of the lesser Centaury of each half a handful Winter Cherries one ounce Spring Water six pints boyl them till two pints of the straining remain in which dissolve of the Juyce of Succory and Burnet refined of each one pint the juyce of Fumitory and Hops of each six ounces Fennel and Parsley juyce of each three ounces Vinegar of Squils one pint and an half white Sugar six pound make a Syrup to which add of the Oyl of Vitriol as much as will make it sharp of which let the Patient take three spoonfuls before Break-fast and as much before Dinner and Supper The Natural sharp Baths shew the Efficacy of Vitriol the use whereof is frequent and profitable in all Diseases coming of Obstructions But the Spirit of Vitriol mixed with the Salt or Spirit of Tartar is much commended by the Chymists and of them they make Tartar Vitriolate and that rare mixture of Spirit of Vitriol Tartar and Treacle which may be mixed with other openers Lastly There are divers Medicines made of Steel both by Galenists and Paracelsians which plainly opening Obstructions presently compel al men to use them even those who reject all Medicines made of Mettals as Enemies to our Natures These Medicines of Steel are made either in the Form of Wine Syrups Opiates Pills or Lozenges Steeled Wine is made thus Take of the Filings of Steel four ounces Eryngo Roots and Elicampane of each one ounce and an half yellow Sanders one ounce red Coral and shavings of Ivory of each six drams Cloves Nutmeg and Cinnamon of each two drams Flowers of Broom Rosemary and Epithimum of each two pugils the best white Wine six pints steep them eight daies in Balneo Mariae or behind an Oven then strain them through a Hippocras bag and let the Patient take two or three ounces every morning two hours before meat for fifteen daies or more if need require Or make it thus Take of Steel prepared with Sulphur one ounce Elicampane and the middle rind of Tamarisk of each half an ounce Senna three ounces Epithimum one ounce Foecula Brioniae and Cinnamon of each two drams Pouder of the three Sanders one dram and an half Agrimony Water and white Wine of each one pint Infuse them three daies in Balneo Mariae Let him take three or four ounces when it is strained three hours before meat Commonly they use the Infusion of Steel in white Wine or Claret for ordinary Drink with much Water for two or three months together You may make a Syrup of Steel thus Take of Filings of Steel steeped in Vinegar two ounces the inward rind of Tamarisk half an ounce Ceterach half a handful Cinnamon three drams Wormwood and Agrimony Water of each half a pint white Wine one pint Infuse them six daies in a warm place add to the staining Sugar one pound and an half make a Syrup Let the Patient take every morning two or three ounces For the Preparation aforesaid of Steel you must steep it in Vinegar in the Sun while the Vinegar is consumed three times and then grind it upon a Marble This Syrup may be made Purging and better if you dissolve the Sugar with a pint of Water wherein three ounces of Senna and half an ounce of Rhubarb have been steeped a whol night The Pouder of Steel is made thus taken out of Quercetan's Dispensatory Take of the shavings of Steel either commonly prepared or with Sulphur one ounce the faecula of the Root of Cuckow-pintle one dram and an half Amber-greece half a dram for the Poor a Cordial Species will serve instead of Ambergreece Coral and Pearl prepared of each two drams Amber prepared and Cinnamon of each four scruples Sugar as much as is sufficient to make a pleasant Pouder of which let him take half a spoonful or two drams with Wine for fifteen dayes Of the same Pouder and Sugar dissolve in Turnep Water and Confection Alkermes may be made very pleasant Lozenges to be taken as the former Or Take of Steel prepared with Brimstone half an ounce confection Alkermes two drams Ambergreece one scruple Sugar dissolved in Rose Water four ounces make Lozenges Let him take two drams every morning Instead of the Pouder the Extract of Steel may be used made in white Wine for those who are dainty Divers Opiates are made also of Steel these following are best Take of the conserve of the Flowers of Tamarisk and Maiden-Hair of each one ounce and an half conserve of the Roots of Elicampane six drams Steel prepared either with Sulphur or Vinegar one dram Salt of Tamarisk one dram Spirit of Vitriol half a scruple with the syrup of candied Citrons make an Opiate of which let him
the Roots of Danewort and Elder of each one ounce Elicampane Roots half an ounce dry Wormwood and Dodder of Time of each one pugil clean Senna one ounce Soldanella or Sea-foal-foot two drams the Troches of Rhubarb and Agrimony of each one dram Mace and Cinnamon of each half a dram Scammony four scruples white Wine two pints and an half Infuse them three daies in Balneo Mariae the vessel being well stopped keep it without straining Let him take two or three ounces in the morning twice or thrice in a week Among Medicines for drawing forth of Water the Juyce of French Flowerdeluce is very much commended if it be drawn forth with white Wine it may be given to three ounces it provoketh stool and urine very powerfully But because it is very offensive to the mouth and stomach with its sharpness it useth to be mixed with Manna or Honey Massaria gives it thus Take of Juyce of Flowerdeluce newly drawn with white Wine three ounces the best Manna one ounce and an half Mix them for a Potion Platerus in his Observations I gave saith he to one in a Dropsie of the Juyce of Flowerdeluce to drink with Honey two ounces and he often pissed and purged and after he had taken it twice or thrice his Belly ceased swelling and his Feet and he was cured Rhubarb is commended of some because it purgeth noxious Humors and strengtheneth the Liver And Stocherus saith that he cured many with the use of Rhubarb given every third or fourth day one or two drams in an opening Decoction Also in Scoltzius his Epistles there is a famous Story of one who was cured of a Dropsie only by the use of Rhubarb which he took every day in such a quantity as was necessary to purge The Troches of Rhubarb are much commended by all Authors And Mathaeus de Gradi reports that a certain Duke of Orleans was cured with them alone taking two drams twice in a week Michael Paschalius saith that he cured a Dropsie with the same making them into Pills by reason of their bitterness The Chymists commend the Extract of black Hellebore Aquila Coeleftis and Mercurius vitae and they mix them with other vulgar Medicines from whence followeth a plentiful Evacuation of Water But they had need of strong Bodies who take them Mercurius dulcis works most gently and Mercurius Diaphoreticus But Antimonium Diaphoreticum cures without manifest Evacuation if it be calcined with Salt-Peter till it be white but the Diaphoretick or Sweating Medicine made of the Butter of Antimony cures all kinds of Dropsies best But you must observe in the giving of all sorts of Purges That they especially if strong are not to be given often as Galen teacheth Lib. 9 Cata Topous because they weaken the body and then there will more water be bred afterwards Therefore you must prescribe strengtheners and openers oftener than purgers And Experience teacheth us That the Evacuation by Urine in this Disease hath better success than that by stool Instead of Purgers you may give Clysters which discuss wind purge water and take down the belly made thus Take of Mallows Mercury and red Coleworts of each one handful Soldanella or wild Mercury half a handful Annis Caraway and Dill seeds of each three drams Chamomel Melilot French Lavender and Broom flowers of each one pugil boyl them to a pint In the straining dissolve of Diacatholicon one ounce Hiera Picra half an ounce Oyl of Dill and Lillies and of common Honey of each two ounces Make a Clyster twice in a week Or Take of very sowr Leaven half an ounce common Salt one pugil Boyl them in as much Water as is sufficient strain it and add to it the Vrine of a Child four ounces Oyl of Rue three ounces Clarified Honey one ounce Make a Clyster This Valeriola commends highly This following Clyster brings forth Water in abundance Take of Coloquintida one dram Infuse it for a night in three ounces of white Wine when it is strained add thereto Tripe Broth one pint common Oyl two ounces Salt-Peter melted one ounce strong Vinegar one spoonful make a Clyster Or Take of the Pulp of Coloquintida one dram Clean Bran one handful boyl them in white Wine for a Clyster Or Take of Carthamus seeds one ounce the best Agarick half an ounce the pulp of Coloquintida three drams Centaury the less Germander and both the Wormwoods of each half a handful boyl them to a pint In the straining dissolve of Oyl of Chamomel Rue and Capars of each one ounce Honey of Roses two ounces make a Clyster Or Take of the Emollient Decoction one pint thick vomiting Wine the Infusion of Crocus metallorum four ounces Diaphoenicon one ounce make a Clyster Blood-letting here is for good Reason omitted except the Disease come from stoppage of the Terms or Hemorrhoids And then you must not bleed except it be in the beginning of the Disease before the Liver be grown too cold Issues Blisters and Scarrifications use to cause Gangrenes or mortifications in a Dropsie because the heat of the part being smal is quickly extinguished Therefore it is better wholly to abstain from these kind of Remedies although somtimes they have done some people good Paracentesis or cutting of the Skin is seldom to be used because few are cured thereby especially because the Patients or their kindered will not yield to it before the Disease is confirmed and the Bowels are so putrefied that there is no hope Therefore for the most part they die the second or third day after they are cut The wiser sort will have the Incision made in the beginning or encrease of the Disease before the Bowels are corrupted Neither is it necessary at that time because the disease being smal may more safely be cured with other Medicines Among emptying Medicines Sweatings are accounted most profitable which as they are alwaies good in Anasarca so in a Tympany or Ascites they somtimes hurt namely when driness of the Liver which is usual causeth the Disease Moreover it is commonly impossible to make men in Dropsies sweat But if the Liver be not dry Sweats are good in all kinds of Dropsies especially when they decline to discuss the reliques of the watery Humor by the Habit of the Body So Valeriola reports that he cured an Ascites with a Decoction of Guajacum given fourty daies together It is good to make the Decoction with steeled Water and Wine The Chymicks commend Antimonium Diaphoreticum Martinus Rulandus makes a Sudorifick of Juniper Berries which because they are forceable to provoke Urine may do good both waies It is thus made Take of Juniper berries bruised three handfuls Sack as much as is sufficient boyl them to halfs and give two ounces every morning covering warm after it Horatius Reserus in Scholtzius boasteth that he hath cured many Boyes and some Women of the Anasarca with Syrup of St. Ambrose which is a Sudorifick Its description is in an old Dispensatory called Luminare
when other Medicines did nothing While you give intermitting Purges let the Body at other times be moistened with Baths or half Baths or Fomentations by which both the violence of the Humor is restrained and the Body made moister Also at those times you must use strengtheners which will also open Obstructions and they use to be made often like Opiates or a hard Electuary or Lozenges thus Take of Conserve of Bugloss Roots half an ounce Conserve of Borrage Flowers and Violets of each one ounce Conserve of Roses and candied Citron peels of each half an ounce one candied Myrobalan Confection Alkermes three drams Pouder of Ivory Harts-horn and Bezoar stone of each one dram Loetisicans Galeni and Diarrhodon Abbatis of each two scruples Coral and Pearl prepared of each half a dram Amber-greece half a scruple the best Musk five grains Gold three Leaves with Syrup of Apples and of candied Citrons make an Opiate of which give the quantity of a Chesnut two hours before meat every day drinking after it a little white Wine A plainer and better tasted Opiate is made of one part of Confection Alkermes and four parts of Conserve of Borrage Flowers And to open more powerfully if you fear no hurt by hot things add Conserve of Tamarisk flowers Elicampane Roots Wormwood Maiden-hair and the Salts of Wormwood and Tamarisk c. You may make Lozenges thus Take of Diambra Diamoschi dulce and Loetisicans Galeni of each one scruple Confectio Alkermes three drams Sugar dissolved in Borrage and Rose Water four ounces make Lozenges of two drams in weight gilded Let him take one every day two hours before meat Or you may make them more pleasant thus Take of Confectio Alkermes two drams Amber-greece one scruple Sugar dissolved in Rose Water four ounces Make Lozenges Amber-greece alone given five or six grains at a time every day with Wine or Rose Water doth cheer the Spirits and the Natural Heat and much rejoyce the Heart Some Authors do much commend the use of Bezoar stone against all Melanchollick Disease because it doth much strengthen the Heart and you may give five or six grains in Rose Water or other Liquor After the Body is well purged if it be Spring or Summer you may give Whey for fifteen or twenty daies which will open the Obstructions of the Bowels and amend the hot distemper Make it by boyling and clarifying it and putting into it every night two drams or half an ounce of Epithimum You must proportion the quantity according to the strength of the Stomach For if it can easily pass through the Veins being somwhat open and be sent forth by stool and urine it is good to give it in great quantities as Mineral Waters prescribed in the hot distemper of the Liver with this Caution That you strengthen the Stomach with Baggs and other things hereafter mentioned and give every day at evening a Cordial strengthening Opiate Instead of Epithimum you may mix with the Whey the juyce of Succory Borrage or of any other proper cool Herb thus Take of Goat Whey four or five pints the juyce of fresh Lemmons four ounces the new juyce of sweet Apples six ounces Conserve of Roses or Violets or white Sugar one ounce Clarifie these with whites of Eggs. Let him take every morning three or four more Cups thereof if his Stomach will bear it In Bodies that are very lean after the Obstructions are a little opened you may give Asses Milk with Sugar of Roses and if there be rumbling in the Hypochondria a little Aromaticum Rosatum or Diarrhodon Abbatis wil do very wel But your sharp and Vitriol Mineral Waters are beyond all Medicines which by correcting the distemper of the bowels do powerfully open Obstructions especially the warmest which do make the Humor thin and clense it There is great dispute among Authors concerning drinking those Waters Some with Sennertus do allow it because they receive Vertue from their Minerals and do thereby both clense the passages and send forth the filthy Humors which stick to them by stool and Urine they warm the Stomach and strengthen the Liver and Spleen And we may rather fear that these Waters wil hurt by the use of them external than internal by heating and drying Others with Claudinus do altogether deny them by reason of their drying quality Others with Montanus do neither altogether reject them nor wholly approve of them they say they are good by reason of the coldness of the Stomach which is alwaies in this Disease and by reason of Obstructions But in regard the Liver and Spleen are hot they wil have them defended with the cool Oyntment of Galen And also the Loyns for then saith he the water will not hurt because it staies longer in the Stomach and cold places but only passeth through other parts We suppose that the use of them is convenient if the Stomach being cold have much thick and clammy flegm in it and if the heat of the Liver be not very great Which part is not like to suffer if the aforesaid Oyntment be not only given but also cool Broths after the Waters and after they have been used enough cold and moistening baths for some daies Medicines made of Steel use to be of great Vertue to open these Obstructions such as are mentioned in the Obstruction of the Liver and of the Spleen avoiding those which do heat and dry much In hot bodies you may give Steel prepared with Brimstone or Vinegar with Conserve of Borrage and Succory made in the form of an Opiate For dainty folk the Syrup of Steel afore mentioned in the Obstruction of the Liver and Spleen is excellent or the Froth which remains in the Glass after the Evaporation of the Wine which hath been often steeled mixed with the aforesaid Conserves But Salt or Vitriol of sron goes beyond all Medicines because it opens Obstructions strengthens the Bowels and qualifies their heat The Dose is from twelve to twenty grains with a fit Liquor Syrup or Conserve But because it is displeasing to the taste I use to make it into Pils with the Mucilage of Gum Tragacanth You must use it long and therefore get a great quantity which is not easie to be got after the way that Beguinus and others make it We will shew you the easie way of making it which few men know Take of the Oyl of Vitriol or of Sulphur half a pint the Spirit of Wine one pint Put them in a new Iron Pan that is clean and cover them well within fifteen daies of them there will be a Salt-like gathering which you must set in the Sun to dry it throughly somtimes stirring it with an Iron Spatula In Winter you may dry it upon a gentle fire or in a Hot-house Let the Salt being well dried be kept in a close Glass for if it be exposed to the Air it easily turneth moist Also the Pills that are made thereof of Tragacanth must be hardened with the Pouder
or drops in the Vrine and pain in the lower part of the Belly the Pecten or Perinaeum these have their disease from the Bladder If it come from the stone the signs thereof which are mentioned in its proper Chapter wil appear if they do not you must conclude that it comes from too much blood or sharpness thereof The abundance of blood wil be known by the signs of repletion and sharpness by the signs of Choller or Melancholly predominating also salt flegm in the Urine wil make a great stoppage of Urine and pissing of blood this hapneth often in old men that are very apt to be troubled with salt flegm And the pissing of blood from sharp humors is distinguished from that in the stone that in which there were first pains of the Reins and voiding of stones but not in the other whose Urine is cleer with no strange things therein And the Disease proceeds not only from immoderate Exercise which is ordinary to both causes but also from the passions of the mind when it comes from sharp humors which are much stirred up by passions so that they who are subject to this Disease after Anger and Sadness or great disturbance of the mind use commonly to piss blood As for the Prognostick A plentiful and often pissing of blood is very dangerous for it wil bring either a Consumption or a Dropsie And if it continue long it may cause an Ulcer in that part from whence the blood floweth if much blood flow at one time it wil cause a great stoppage of Urine in the Bladder or some other evil Symptomes as it encreaseth therein and grows evil qualified The Cure of this Disease is divers according to the variety of the cause And first if it come from blood abounding or from sharpness it must be first cured with Phlebotomy on the same side often and little for the better revulsion And by Cupping Friction and Ligatures in the upper parts and if blood flow violently Cupping-glasses must be applied to the Hypochondria For derivation let the Vein of the Ancle be opened and the Hemorrhoids When watery Chollerick Humors cause it let them be purged with Medicines mentioned in spitting of blood often repeated at distance To which also you may add these following at your discretion Take of the Pouder of torrefied Rhubarb one dram prepared Coral half a scruple Goats Whey or Plantane Water three ounces Make a Potion Take of Cassia newly drawn half an ounce the Pulp of Tamarinds six drams Eastern Bolearmenick half a scruple With Sugar make a Bolus After due Evacuations and Revulsions or at that time if need require you may use things to stop blood and knit the Veins And these are not presently to be used at the first left being stopped too suddenly it should grow cloddy in some part For this purpose the Juyce of Plantane newly drawn is much commended given four or five ounces in a morning and evening which is good for any kind of bleeding But if you fear it will cool the Stomach too much you may boyl it a little with Sugar Sheeps Milk is much commended by Forestus Lib. 24. Observ 13. Often saith he I have cured pissing of blood with only Sheeps Milk six ounces and one dram of Bole-armenick The same is an Experience of Gatinaria who also commands that none do sleep presently or exercise after it Also Hollerius and Duretus from Avicen and Hippocrates commend the same Also Decoctions of Knot-grass Horstail Purslain and Bramble tops are good for this adding the third part of the Juyce of sharp Pomegranates or Quinces Or to allay the heat of the Blood let him take the Apozeme following many times morning and evening Take of Lettice Purslain Plantane and Comphry of each one handful all the cold seeds of each one dram Jujubes three pair Liquoris half an ounce Water-lillies Violets and Roses of each one pugil boyl them to a pint and an half In the straining dissolve of Gum Traganth one dram and an half Syrup of Violets and dried Roses of each one ounce and an half Lapis prunellae half an ounce the Troches of Winter-cherries without Opium half a dram Make a Julep for four Doses To thicken and stop the blood more put one ounce of Syrup of Poppies thereto Also you may give the Pouders that stop blood as of red Coral Blood-stone Bole-armenick fealed Earth either with the Apozeme or with Rose or Plantane Water If the Disease continue give this Opiate Take of Conserve of Roses and Comphry Roots of each two ounces Sealed Earth Bole-armenick Sanguis Draconis red Coral Blood-stone and Troches of Amber of each one dram Hypocystis or Conserve of Sloes Kermes berries and Plantane seeds of each one scruple with Syrup of Poppies and Myrtles of each equal parts make an Opiate of which let him take the bigness of a Chesnut morning and evening drinking after a little Plantane Water If it yet continue it is good to give at distance the Decoction of Myrobalans in Whey or the like Hollerius affirms and Duâ—etus that the Troches of Gordonius are the best for it Christopher Vega commends the Troches of Amber given with Plantane Water and saith that he cured this Disease with giving them only once at night For ordinary Drink give the Infusion of Mastich wood in Wine made thus Take of sliced Mastich wood one ounce spring Water four ounces Infuse them in Balneo Mariae very warm in a close Vessel Keep the straining for your use But because clods of blood are often retained in the bladder which beget grievous Symptomes give warm Water and Vinegar or Mallow Water and sharp Vinegar warm Let the Vinegar be so little that it is scarce tasted Apply Topicks to the Loyns that cool and astringe Take of Snakeweed and Comphry Roots of each one ounce Plantane Purslain Hors-tail Knot-grass and Sbepheards-purse of each one handful Pomegranate peels half an ounce Sumach and Myrtle berries and Hypocystis of each two drams Acron Cups red and yellow Sanders of each one dram red Roses three pugils boyl them in Smiths Water and a little Vinegar With the straining let the Reins be fomented hot Of the same Decoction you may make a Bath to sit in adding more simples Take of Vnguentum Comitissae and refrigerans Galeni of each one ounce and an half wash it with Oxycrate and anoint the Loyns therewith Or to bind more Take of the Juyce of Plantane and Blood-wort of each two ounces Vinegar half an ounce Oyl Olive six ounces boyl them till the Juyces be consumed then add of Sanguis Draconis Mastich and Pomegranate peels of each two drams Camphire half a dram Vnguentum Comitissae four drams Wax as much as will make a Liniment put a little Vinegar to it when you use it Also a Plate of Lead ful of holes worn about the Reins is good You must guard the Liver when it comes from sharp Humors with Epithems and Oyntments When it comes from the
let the Patient take it twice or thrice in a month The ordinary Pils mentioned in the Cure of the stoppage of the Liver are most excellent to which you may add the Medicines there mentioned of Tartar Vitriol and Steel Zacutus Lusitanus Observ 99. Lib. 2. reports of a certain Woman which had the Green-sickness ten yeers with stoppage of her Terms and could not be cured with divers opening and purging Medicines and some made of Steel that he cured her with nothing but Conserve of Mugwort given thirty daies together drinking after it the distilled Water of Savin in which Rhubarb had been a whol night insused The same Zacutus Observ 117. Lib. 3. tels of a Virgin which eating much Salt every day felinto a Diarrhoea of Choller mixed with a Consumption which he cured after general Medicines with Goats Milk steeled and cold things applied to the Liver In the greatest Obstructions an Issue made in the right or left Legg as the Liver or Spleen is affected is very good After the Obstructions are opened you must diseuss the flegm like serous humors that remain in the Veins and in the habit of the Body by sweats for which you must use the Decoction of Guajacum in cold Constitutions or of China and Sarsa in those that are hot for fifteen or twenty daies with this Caution That every fourth or fifth day you give a Purge to clense the Bowels of Humors which cannot be sent forth by sweat and which if they continue wil grow hard and putrefie and be the occasion of Feavers and other Diseases For this Purpose you may use Brimstone Baths both for drink and bathing for by the drinking thereof when the passages are first open by the Medicines aforesaid the Humor that is contained in the first and second Region of the Body is clensed and sent forth by the belly and urine and the third Region is clensed by sweating in them And lastly Copulation if it may be legally done after the use of opening Medicines is very good for thereby the Natural heat is stirred up in parts Natural by which the Vessels of the Womb are much enlarged And Experience teacheth that somtimes these Women have their Terms the first night after Marriage and that others who in good health have them before their accustomed time Chap. 2. Of the stoppage of the Terms THe Terms are said to be stopped when in a Woman ripe of Age which gives not suck and is not with Child there is a seldom smal or no evacuation of blood by the Womb which used to be every month The cause of this stoppage is either in the Womb or in its Vessels or in the blood which comes or ought to come that way Divers Diseases of the Womb may cause this Disease namely a cold Distemper and dry which thickeneth and bindeth the Body of the Womb or a hot and dry distemper by drying the part or burning up the nourishment thereof from whence come evil humors which being fastened in the part hinder the Terms from flowing Also the Organical Diseases of those parts as inflamation or scirrhus the turning of the inward mouth thereof or compression from the Tumors of the parts adjacent or the Omentum or Caul growing too thick The thickness of the Womb it self Ulcer or Scars which they leave or from the tearing of the Cotyledones or Mouths of the Vessels in a great Abortion The Vessels of the Womb do often suffer Obstruction which is the chief cause of stopping of the Terms and they come from cold and thick Humors somtimes there is a suppression of those Veins by binding of them and that is from the parts adjacent being stretched and swoln as we said in the binding or closing of the Womb. The blood offending either in quantity quality or motion may be cause of the obstruction of the Courses It offends in quantity when it is too much or too little too much when it stretcheth out the Veins so that they cannot contract themselves to expel it as in the bladder when it is too full of Urine it cannot contract it self to send it forth too little when the Body hath not blood enough to nourish it The blood offends in quality when it is thicker and more slimy of its own Nature by reason of the cold distemper of the Liver and other parts or from the mixture of thick and flegmatick or melanchollick humors from whence commonly Obstructions come The blood offends in motion when it passeth other waies as by the Nose vomiting spittle urine hemorrhoids and many other parts I saw a Maid who had a Sore in her head which opened every month and bled plentifully and we have seen many that have sent forth blood at fixed times by their Lungs and this evacuation was instead of a Menstrual flux The external Causes are cold and dry Air Northern winds often going into cold water especially in the time of their flux too little or two much meat either too thick and cold or too astringent also hot things as too much Salt and Spice by drying of the substance of the Liver and other parts and by drying up the blood by which it groweth thick and fit to stop violent exercise and watchings which do consume the blood long sleep and idleness which do weaken the Natural heat and cause Crudities too long retaining of Excrements by usual bleeding at the Nose Hemorrhoids Diarrhoea and other evacuations by vomit urine or sweat and lastly great passions of the mind anger sudden fear sorrow jealousie and the like The Knowledge of this is to be taken from the Patients relation but because it comes either from Natural or Preternatural Causes we shal lay down some distinguishing signs left the Physitian be deceived by Women that would dissemble their being with Child and left he should rashly prescribe Medicines to provoke Terms to Women with Child First If they be with Child they have commonly their Natural Complexion but others are pale and ill colored Secondly The Symptomes which Women with Child have at the first do dayly decrease but in others stoppage of the Terms by how much the longer the Terms stop by so much the more the Symptomes encrease Thirdly In Women with Child after the third Month you may perceive the Scituation and Motion of the Infant by laying your hand upon the inferior Belly in others there is a Tumor to be felt but it is oedematous or flegmatick not hard neither is it proportionable to the Womb. Fourthly If a wise Midwife touch the inward Mouth of the Womb it will not be so close shut as in women with Child but rather hard and contracted and full of pain Fiftly Women with Child are commonly merry and little disturbed but when the Terms are otherwise stopped they are sad and sorrowful The Signs of the Causes are these The faults of the Womb which use to cause stoppage of the Terms shal be laid down in the following Chapters but the greatest
another making alwaies choyce of such as a rational Method shall most approve of When the Gout becomes stony and knotty it is extreamly hard to cure especially if it be of long standing But new knobs may with Emollient and Resolving Foments Unguents and Plaisters be dissolved The most Specifick or Appropriate are these which follow Galen exceedingly commends a Plaister compounded of old strong Cheese made into a Plaister with the Decoction of a poudered Sows pestle or Leg. Others boyl poudered Sows Legs till they come to a slimy substance or Gelly Afterwards they mingle therewith two parts of old Cheese pouder of Water-cresses one part and so make a Plaister thereof Or Take Juyce of Tobacco three ounces yellow Wax two ounces Rozin of the Line-tree an ounce and an half Turpentine one ounce Oyl of Chamomel as much as shall suffice Make all into a soft Cerate or Plaister Or Take of those Eastern Berries which the French call Coques de Levant and Mirrh of each half a pound Pouder them and mix them together with strong Vinegar into the form of a Cataplasm Gum Ammoniacum dissolved in Vinegar doth powerfully soften Rulandus anoints those hard Swellings in the morning at noon and in the Evening with Oyl or Balsom of Sulphur hot and then he laies on a Plaister hot of Emplastrum Diasulphuris But this Plaister following is your rare Plaister because besides easing the pain it draws the gritty stnoy substance out of the Joynts likewise Take Roman Vitriol one pound Roch Allum half a pound Salt four ounces Calcine all these together in a Crucible or Earthen pot letting it to steem so long till the spirits shall begin to go away Which when you perceive by their smel to rise leave presently your calcining and let all cool and then pouder them Take of this Pouder and Barley Meal of each a like quantity mingle them with Wine Lees to the form of a Pultiss which spread upon a rag as thick as a knife and apply to the place affected When it is dried dissolve it again with Lees of Wine and apply it again until in the first place the pain be discussed and in the next place until all the stony substances be consumed out of the knobbed and knotted Joynts In the mean while it fals out often that the Skin will break which need not affright us for either afterwards the Vlcers close of their own accord or at least by laying Wax upon them in manner of a Plaister they are closed up the Joynts having regained their motion with activity Finally If the Gout be very exceeding old and perfectly knotted by the preceding Cure a mitigation of pain is to be hoped but the stony substances wil hardly give way therefore with a gentle Caustick the Skin is to be opened and then the stones are to be taken away with a drawing Plaister of Gums The Cure of the Gout when present is performed by the Remedies aforesaid But because this Disease is wont to return by fits especially in the Spring and Fall we must now shew the way to prevent the same Which Prevention ought to aim at the hindering of any Gouty Matter like to fall into the Joynts from gathering in the Body or if any be collected that it may be carried away And finally that the Joynts may not be so disposed to receive the Humor which flows unto them The collection of Matter will be hindred by an excellent Diet and by Medicines rectifying the distempers of the Bowels The Matter collected will be carried away by Evacuating Medicaments And the Joynts will not so easily receive if they be fortified with corroborating Medicaments As for the Matter of Diet although in this Case it be of very great yea greatest moment yet the Nature of this work will not give me leave to describe the same I shall only speak of the Patients Drink so as to say that Wine is extream hurtful to all Gouty Persons and many have recovered only by abstaining therefrom Yet if the Patient in regard of some other Infirmity cannot wholly abstain from Wine let him drink weak Wine or well allaied with Water Hollerius instead of Wine commends thin Metheglin viz. Of forty or forty eight Parts of Water to one of Honey Yet this suites not with such as abound with bitter-choller and those that are dry and thirsty This following Diet drink suits all Natures and hath done much good to very many persons Take Salsa parilla Roots two ounces Liquorish one ounce Cinnamon and Annise Seeds half an ounce Make all into a very sine Pouder Of this Pouder mix one spoonful with so much smal Beer or ale as the Patient is wont to drink at a Meal Brew them together out of one Pot into another three or four times Then strain the Liquor for the Patients ordinary drink Doing the like for every Meal And as for Evacuations Bleeding must be first practised especially in the spring and fall in such as abound with Blood and whose Blood is wont to work and ferment or be very hot But Purgation is not only to be used spring and fall but four times in a yeer yea and every month in every Cacochimical Body that is which abounds much with evil Humors To which purpose many forms of Purgations are handed to and fro of a special property for this Disease These that follow are the chief which are so to be used by the discreet Physitian as that he must make many changes both in respect of the materials and the Dose according to the various Constitutions of the Patients Take Senna clensed Turbith Hermodactiles and Pouder of a Mans Skull that hath never been in the Earth of each one dram Diagridium half a dram Make all into a Pouder of which give one dram at a time in Groundpine Water or in Broth. Or Take Salsa parilla one ounce Senna six drams Turbith Hermodactiles Jalap Mechoacan of each half an ounce Agarick Trochiscated two drams Diagridium and Cinnamon of each half a dram Make all into a Pouder Steep a dram thereof in white Wine all night in the Morning let the Patient drink Pouder and Wine Electuarium Caryocostinum is by Petrus Bagerus exceedingly commended and is approved by al Practitioners and it is described in the London Dispensatory in Folio 111. and in that of Bauderon It is given to half an ounce But in hot Constitutions it may do harm Rhasis Commends his Pils so far as to say that they can make such as are fain to Ride to go on Foot again Thus they are made Take Aloes of the best half an ounce Red Roses two scruples Hermodactiles white and purged from their outmost Skin or shel one dram and an half Diagridium one dram With Water of Ground-Pine and honey of Roses make all into a Mass of Pils the dose one dram These also are good which follow Take Aloes Hermodactiles of each half an ounce Groundpine or Chamepitys two drams Chamaedris or Germander Stcoehados of each
the inner bark of the Nut-tree sleeped in Vinegar which he saith had been by him used with success Finally Others apply such things as are apt to blister the Skin as Garlick Onions Crow-foot and the like which are less safe than the former and very troublesom to the Patient Chap. 4. Of a Quotidian Feaver A Quotidian Ague is so called because its fits do return every day Wherein it agrees with a double Tertian and a triple Quartan but is distinguished from them by signs proper to it self This Feaver is most rarely seen so that among six hundred Patients that have Agues which come every day scarce one of them is troubled with a Quotidian or every day Ague This Ague is caused by flegm putrefying in the first Region of the Body And therefore all such things as multiply flegm in the Body may cause this Ague such as are a cold and moist distemper of the Bowels old Age Childs Age an idle life Autumn Season Meats cold and moist long Sleeps and such like The Diagnostick Signs are such as testifie flegm to abound in the Body as greatness of bulk softness and fatness white color or pale dull sence profound sleep and dreams of Waters Also this Feaver for the most part comes in the night and that without shaking only with a coldness or light shivering because the Morbifick Matter being benign and not much an Enemy to Nature doth less provoke her and therefore the heat is not suddenly drawn inward as in a Tertian Ague but retires by little and little The time of Coldness being over Heat is slowly and unequally kindled so that the Patient feels somtimes heat and then cold and then heat again Also the heat is mild and not at all scorching and thirst little The Urines are at first white thin and undigested and in the process they appear more thick and better colored The Pulse is smal seldom and slow The Parts about the short Ribs do swel and are commonly puffed up and distended The fits do commonly last twelve hours and do not end but so as to leave some Feaverish heat behind them because this Feaver is like a fire of green wood which is both long in kindling and leaves much smoak behind it Somtimes the sit is extended to twenty four hours and it seems to be a continual Feaver Now these Signs are very variable and appear more intense or remiss according as the flegm is either simple or mingled with other Humors and likewise according to the different kind of the flegm which putrefies So that according to Galen in his Book of Plenitude Chap. 11. Salt flegm makes the Patients thirsty acid or sowr flegm makes them hungry sweet flegm makes them sleepy tastless flegm makes them without appetite to Meat and likewise Feavers which are caused by acid or Glassie flegm are wont to come with a shaking fit This Feaver is wont to be perpetually long because of the thickness and contumacy of the Morbifick Matter and lasts forty daies and somtimes three or four months Neither is it without danger seeing it may degenerate into a Cachexy Dropsie Lethargy and other grievous Diseases The longer or shorter durance of this Feaver is known by the signs of Crudity and Concoction and also by the Evacuations which for the most part Nature endeavors by Vomit Stool or Sweat For those Evacuations appearing shew the Disease shorter but if Nature endeavor no Evacuation the Disease wil prove the longer A Quotidian Ague that comes in the day time is less dangerous than that which comes a nights as Hippocrates doth teach us in 3. Epidem Sect. 5. T. 64. He calls the former a Diurnal the latter a Nocturnal The reason of which Prognostick is because that the Diurnal have longer fits for teaching unto night in which the pores of the Skin are closed the putrid vapors are kept within not having freedom to breath forth by which means the fits are lengthened and as Hippocrates himself saith do very often bring the Patient into a Consumption Ad hereunto That seeing the Intermission happens in the night we are forced to give the Patient Meat in the night which is unâ—easonable and hinders the Patient from sleeping by which means great weakness is caused and the Patient is much hurt and the Functions of the Body quite put out of frame The Cure must be in a manner the same with that which was propounded for a bastard and lingring Tertian yet so as that among such things as prepare the Humors and open Obstructions we make choyce of such which have a greater power to attenuate and cut the Humors Also in this Feaver a special care is to be had of the Stomach which for the most part is grievously afflicted and therefore must be recreated with strengthening Medicaments both given in and out wardly applied The Cataplasm of Mint and Worm wood propounded in the Cure of a Tertian Ague is very good in this case Zacutus Lusitanus propounds two Medicines with which he glories that he had vanquished most stubborn Quotidian Agues The one is a Decoction of Chamomel made after this manner Take Flowers of Chamomel three pugils Tops of Roman Wormwood two pugils Boyl all in three pints of Water to a pint and an half Add to the strainings four ounces of Sugar Let the Patient drink five or six ounces every morning The other is a Decoction of China and Guajacum drunk twenty five daies together which though Physitians are afraid to use in such Feavers as these because of the over-great heating and drying Faculty yet is it mightily commended by such as have writ whol Books of the Spices and Drugs of India Yet we must remember that Zacutus Lusitanus practiced Physick in a Country cold and moist where these Medicines may more safely be used And therefore in other Countries that are hotter they must not be given save unto very Flegmatick and Cachectical bodies Chap. 5. Of a Quartan Ague AQuartan Ague is that which hath its Fits returning every fourth day and it is caused by Melancholly putrefying in the first Region of the Body Now Melancholly is of two sorts Natural and Preternatural The Natural is bred of the thicker and more earthy part of our Nourishment being cold and dry The Preternatural is caused by adustion of Choller and is therefore hot and dry Hence arise two sorts of Quartan Agues for that which is bred of Natural Melancholly is called a legitimate Quartan that which is bred of Preternatural Melancholly is called a bastar Quartan Howbeit the bastard Quartan may also come of Natural Melancholly being mingled with some portion of Choller Again A Quartan Ague is either Single Double or Triple A Single Quartan is when one Fit alone comes every fourth day A Double is when two Fits happen upon two daies one immediately after the other and the third day is free A Triple Quartan is when the Fits come every day as they do in a Quotidian and in a