following Powders or Tablets have their turns in the course of Phyfick Take powder of Vipers Flesh prepar'd at Montpellier an ounce Hearts and Livers of the same half an ounce Species Diambroe two ounces make a Powder let a dram be taken twice a day with three ounces of the distilled Water or with Viper Wine with a decoction of the Leaves of Sage of the Roots and Seeds of the great Bur-dock and Eringo roots condited made in a sufficient quantity of Fountain-Water to a half to the quantity of six or eight ounces warm in the morning expecting a sweat Take Solar Mineral Bezoar half an ounce Cloves powdred two drams mix them make a powder to be divided into twelve parts let one part be taken twice a day after the same manner with the use of these kinds of Remedies let gentle Catharticks be pretty ften interlac'd Take powder of choice Roots of Zedoary and the lesser Galingal of each a dram and a half Species Diambror a dram powder of the Seeds of Mustard Rochet Scurvy-grass Water-cresses of each half a dram make a subtle powder of all add pure Oyle of Amber half a dram with six ounces of white Sugar dissolved in compound Peony Water and boyled to a Consistency for Tablets make Tablets according to Art each weighing half a dram let three or four be eaten twice a day drinking after it a dose of some one of the Liquors even now mentioned Take powder of the roots of Virginia Serpentary two drams of the lesser Galingal a dram of the Gummous extract from the residency of the distillation of Quercitans Elixir of Life a dram Flowers of Sal Armoniack or of pure volatile salt of Soot or of Harts-horn a dram Balsam of Peru a scruple Balsamum Capivi what suffises make a Mass let it be made into little Pills rowling them in species Diambrae the dose is half a dram evening and morning or Take Rosin or Gum of Guaiacum three drams species Diambrae a dram Chymical Oyle of Guaiacum excellently rectified a dram and a half liquid Amber what suffices make a mass let it be formed into Pills to be taken after the same manner But if a Palsey hapning in a bilous Temperament or in young Persons admits only mild Medicines being wont to be exaspirated by any that are hot and elastick the following forms will be of use for removing its Procatarxis Take Conserve of the Flowers of Betony Fumitory Primrose Flowers of each two ounces species Diambrae a dram Ivory Crabs Eyes Crabs Claws of each four scruples Powder of Peony Flowers two drams Lignum Aloes yellow Saunders of each a dram Salt of Wormwood a dram and a half with a sufficient quantity of Syrup of Peony Flowers make an Electuary the dose is two drams a day drinking after it either of the simple Water of the Leaves of Aron or of the following compound Water three ounces or of a Decoction of Sage with the Leaves of Tea infused in it four or six Ounces Take Rots of Aron male Peony Angelica Masterwort of each half a pound Leaves of Sage Rosemary Marjoram Booklimes Water-cresses of each four handfuls the Flowers of Primroses Cowslips Marygolds of each three handfuls the yellow coats of six Oranges and four Limons all being slic'd and bruised pour to them of new Milk six pounds Malaga-wine two pounds distill them with common Organs let the whole Liquour be mixt Instead of the Electuary sometimes for fourteen or fifteen dayes let the use of the Syrup of Steel be interlaced wherefore let a spoonful be taken in three ounces of the distilled Water it may be made after this manner Take double refined Sugar dissolved in black Cherry Water and boyled to a Consistency for Tablets eight ounces adding of our Steel powdred three drams let them be stirred together on the Fire and then pour to them by degrees Rosemary Water warmed twelve ounces let them seeth gently for a quarter of an hour taking off the froth and pour it out warm through a hair Strainer Chalybeat Tablets also may be made after this manner viz. To the Sugar sufficiently boyled with the Steel add Oyle of Amber or Chymical Oyle of Rosemary half a dram and presently pour it forth that it may run abroad into a Consistency for Tablets the dose is two drams twice a day drinking after it of the distilled Water or of the following Apozome six ounces Take China Roots an ounce shavings of Ivory and Harts-horn of each half an ounce white and yellow Saunders Mastick-wood of each half an ounce let there be a warm and close infusion for a Night in six pounds of Fountain-water in the Morning add Roots of Chervil Avens Butchers-broom stone-Parsley of each an ounce and a half dryed Leaves of Ground-Ivy Sage Germander Betony of each a handful Coriander Seeds three drams let them boyle to a half then add of White-wine half a pound and strain it into a Bottle on two handfuls of Leaves of Water-cresses bruised make a warm and close infusion for two hours strain it again and keep it in a stopt Vessel In a scorbutick Palsey Juices and Expressions of Herbs often give an excellent relief Take fresh Leaves of Brooklimes Water-cresses Plantain of each four handfuls being bruised together pour to them of the distilled Water even now described eight ounces express it strongly keeping it in a Glass and let three or four ounces be given twice or thrice a day At the earliest and latest physical Hours viz. in the Evening and early in the Morning let the following Pills be taken Take Millepedes prepared three drams and a half Pearl a dram and a half Roots of bastard Dittany a dram Venice Turpentine what suffises make a mass form it into small Pills the dose is half a dram drinking after it a little draught of the distilled water For ordinary drink let either a Bochet be prescribed of Sarsa China yellow Saunders c. or small Ale with the dryed Leaves of Ground-Ivy boyled in it and of Sage with the wood Sassafras infused While these things are done for removing the Procatarxis of the Disease no less a curatory endeavour is required for its conjunct Cause viz. that any places obstructed being again opened may admit and give a free passage to the animal Spirits freed from stupefaction There are two chief kinds of Remedies which conduce much for these ends viz. the one particular and special to be applied to the Places affected to wit that by Fomentations Liniments Plaisters and other outward Applications the stupified Spirits may be raised up again and their Ductus's be opened the other universal to wit that the Blood and Spirits and the other humours and the active particles abounding in the whole Body being very much agitated and put in a more rapid Motion making as it were a swift current may force from before them and remove damms or Obstacles any where sticking by which the Spirits are obstructed The Administrations to be used to the outward
or of Tea Or Take Roots of Chervil Polypody of the Oak of each an ounce and a half leaves of Hearts-tongue Spleenwort Ceterach Germander of each a handful Tamarisk half a handful bark of the same half an ounce Raisins ston'd two ounces one Apple sliced being sliced and bruis'd let them boyl in four pounds of Fountain-water to a consumption of the third part towards the end add leaves of Water-cresses a handful strain it and clarifie it let six ounces be taken twice or thrice a day let it be sweetned with Syrup of Fumitory Iron-Spaw-waters are wont to contribute egregiously to the Cure of Melancholy Persons viz. in as much as being plentifully drank they wash away the salino-sulphureous tincture of the Blood and destroy its evil ferments Moreover they cleanse the filth of the Viscera open obstructions and which is of mighty benefit by their astriction they both strengthen the weak or over-lax Viscera and close the mouths of the Vessels gaping into the Brain that a passage may not lye open into it for the extraneous matter together with the nervous Juyce and in this respect to wit by corroborating the Viscera and closing the passages into the Brain Vitriolick Preparations of Iron are wont to be given with good effect in Melancholy and also in the Vertigo Take our Steel prepared three ounces infuse it in two pounds of the water above prescribed let three or four ounces be taken twice a day by it self or with some other solid Medicine Take filings of Steel an ounce put them in a Glass with two ounces of the Juice of Oranges let it stand for a day shaking it now and then then pour to it water of Apples and White-wine of each a pound or of small and mild Cider two pounds let three ounces be taken twice a day after the same manner Take Vitriol of Mars Cream of Tartar Crabs Eyes of each a dram mix them make a powder divide it into nine parts le tone part be taken every Morning in a draught of an appropiate distill'd Water or a Decoction or appropriate Julep Take Syrup of Steel four ounces let a spoonful be taken twice a day in a fit vehicle Take extract of Steel from our Steel prepared with an appropriate Decoction three ounces powder of Ivory yellow Saunders Lignum Aloes of each half a dram Salt of Tartar two Scruples Ammoniacum dissolved in Water of Earth-worms what suffizes make a mass let it be made into little Pills let three or four be taken every Evening drinking after it three ounces of Water of Apples or of cowslip-Cowslip-flowers Whey if it agrees with the Stomack being drank plentifully for many dayes is often used with good effect for the like reason as spaw-Spaw-waters viz. by washing away the salt and sulphureous Particles of the atrobilarious Blood Whey with Epithymum infused or boyled in it is egregiously commended by some Let Broaths be prepared of the Decoction of a Chicken with the Roots of Polypody Chervil Fennel Butchers-broom and the Leaves of Ceterach Hartstongue Scolopendrium c. let a draught be taken in the Morning and at five of the Clock in the Afternoon in which dissolve Vitriol of Mars from six grains to ten Salt of Wormwood Cream of Tartar of each a scruple Juices and Expressions of Herbs sometimes contribute egregiously to the taking away of the Dyscrasy of the Blood Take Leaves of Borrage Water-cresses of each six handfuls two Apples mash'd the pulpe of two Oranges double refined Sugar an ounce all being bruised together pour to them of excellent Cyder a pound and a half make a strong expression let it be kept in a Glass the dose is four ounces twice or thrice a day In the Summer a Bath of sweet Water inasmuch as it cleanses the filth sticking in the Skin and promotes insensible transpiration does great good to some Because Melancholy persons Sleep with difficulty and after long or frequent watchings are worse therefore let Anodynes and sometimes gentle Hypnoticks be prescrib'd to be taken late at night when there is need For this purpose a decoction of Cowslip-flowers or of the leaves of Lettices or the distill'd water of the red Poppey or Syrup of the same Moreover Emulsions of the seeds of the white Poppey Syrupus de Meconio and other things that are mild and soothing the Spirits are proper There being an infinite number of Melancholick persons as well as of Fools I shall illustrate our hypothesis only with two examples in one of which the Disease began from the sensitive part of the Soul or from the Animal Spirits and in the other from its Vital part to wit from the Blood Some time since a renowned man about forty years of age of a florid countenance chearful and quick at all business being afflicted in mind and very much dejected by reason of some misfortunes became thenceforward very sad and melancholy with a dead and fallen aspect When first I went to see him he complain'd of much trouble and distraction of his thoughts which were so great that his Fancy being occupied day and night without intermission he liv'd wholly without sleep and nevertheless this Person minded not at all the concerns of the Publick nor of his own Family nor was he greatly sollicitous concerning the welfare of his Soul or the health of his Body but rather was continually perplext about petty things and almost of no moment he was so fearful of all things that he fancied some harm or Death would presently happen to him upon any little accident In fine he always liv'd so sad as tho he endeavour'd to exceed Heraclitus in mourning Moreover he was troubled with so great a straitness and constriction of his Heart that it seem'd to him as tho the whole Praecordia were most closely strain'd together as a first contracted and he thought that he always carried a vast and very oppressive burthen there which forc'd him always to go forward and stooping towards the Earth Whilst he was discoursing with his friends that constriction and oppression of the Praecordia was wont somewhat to remit but then upon any unusual object striking him with a terrour it returned with more violence Nor was he only troubled with a certain constriction in the Precordia but in the whole Body besides and a certain weight as it were seemed to lye on the Region of his Loyns also on his Shoulders and Arms. As to the Cure of this Person after various Medicines us'd without any great success at length I perswaded him because it was Summer to drink our artificial Spaw-waters for six weeks Therefore in the first place in four pounds of Fountain-water I infus'd for a night of our Steel prepar'd half a dram and afterward as much in eight pounds of Water The Diseased every morning drank the clear Liquor and within four or five hours discharged the greater part of it by Urine He took moreover going to Bed and early in the morning a dose of an
given craftily and the Person not knowing of it let it be put in a crust of white Bread to be taken in Broath or Milk let this vomitory be frequently repeated viz. once within four dayes Take Mercurius Vitae six or seven grains make a Powder let it be given after the same manner The Emetick Tartar of Mynsicht Hercules Bovii and other various preparations of Mercury may begiven after the sme manner Aurum Vitae or the Solar and also the Lunar precipitate are accounted by Chymists specifick Remedies against against Madness and indeed Mercurial Medicines in as much as they work by Vomit and Seige and often also by Sweat Vrine or Salivation prove egregiously beneficial a copious Spitting and of long continuance has perfectly cru'd some mad persons Strong Pruges where the strength and constitution will bear them in as much as they depress the exorbitances of the Blood and spirits and much evacuate the emunctories for receiving the recrements of the Rlood and Nervous juice often give relief also in this Disease For this use preparations of black Hellebore as especially its extract and the Wine of the infusion of its Fibres or the pap of an Apple boyled with the Roots of it sticking in it are very much commended Take extract of black Hellebore Calamelanos of each a scruple make a Bolus Take Calamelanos a scruple Diagridium from twelve grains to fifteen make a Powder Take Confectio Hamec or the Electuary of the Juice of Roses from half an ounce to six drams let it be given in Broth. Take Gereons Decoction of Senna or the Decoction of Epithymum with two drams of the roots of Black Hellebore six ounces make a draught The Pulvis Diasennae two drams let it be taken in Whey In the mean while that these things are done let the preservatory Indication take care of the Cause of the Disease Wherefore with these frequent Purges and Bloodings let alterig Remedies be interlac'd for tempering the Blood and nervous Juice and for reducing them to their due Crases if haply the diseased being obsequious and tractable do not refuse to take such things methodically Take crystal Mineral or Nitre excellently purified two ounces Pearl powdred two drams Sugar-Candy two drams and a half Camphire half a Scruple let them all be ground into a subtle Powder let two drams of this be put in a Glass-bottle holding a quart with fountain-Fountain-water or small or mild Beer for ordinary Drink wich may be given at pleasure Let boyling Whey be poured to the Flowers of Violets or Nymphea after an infusion for two hours let it be drank off plentifully spaw-Spaw-waters also drank regularly and in a plentiful manner are proper for mad Persons Take fresh and tender tops of Borrage and Bugloss of each four handfuls three mash'd Apples Sal Prunella two drams Sugar half an ounce being bruised together pour to them three pounds of rountain-Rountain-water express it strongly let half a pound be taken thrice a day or oftner Take Conserve of the Flowers of Borrage and Violets of each three drams Confection of Hyacinth Alchermes of each two drams Coral prepared a dram and a half Pearl powdred a dram Salt of Coral a dram Syrup of red Poppyes what suffices make an Electuary wherefore let two drams be taken twice or thrice a day drinking after it of the following Liquour four ounces Take Water of Nymphea Borrage Bugloss black Cherryes of each four ounces of red Poppyes six ounces red rose-Rose-water two ounces Camphire tyed in a Nodulus and hung in a Glass half a dram Syrup of Coral an ounce and a half mix them make a Julep Take the yellow Flowers of a Willow what suffises distill them with common Organs repeat the distillation pouring the Water on fresh Flowers by three Cohobations let it be given to four ounces twice or thrice a day sweetning it with Syrup of Nymphaea Take leaves of the Willow Meadow-sweet Burnet Borrage Baum of each six handfuls Flowers of Nymphaea tops of St. Johns Wort of each four handfuls Camphire powdred three drams all being slic'd together pour to them of fresh Milk eight pounds distill it with common Organs Let Sheeps Brains be distilled with milk and let the Water be given to three or four ounces thrice a day Moreover let specifick Remedies be applyed to use of which kind the Decoction of Pimpernell with a purple Flower is famous also the tops of St. Johns Wort and other Decoctions Opiats and powders against Madness well known by all famous Empiricks As to the cure of Madness caused by the biting of venemous or mad Animals since it is in a manner only Empirial and vulgarly known there is no need for us to discourse of it in this place we having also propos'd our Conjectures concerning it elsewhere Again the Decoction or infusion of Apples either crude or boyled in fountain Water the Liquour Tea Emulsions with many other things forms of which we have given in the cure of Melancholy are proper in this case Moreover many other helps besides Blooding are wont to be afforded from Cbirurgery for curing this Disease Cupping-glasses with a Scarification often do good Vesicatories Cauteries both actual and potential are commended by many Some commend Arteriotomy others trepanning and others Salivation But these kinds of administrations besides that they are of a doubtful effect cannot easily and searce with safety come in practice by reason of the intractable disposition of the Diseased Wherefore it would be superfluous here to enquire into the reasons of the relief or Cure to be expected from those things It is good sometimes the Head being shav'd to apply the warm Lungs of a Lamb or Sheep and other fomentations to the Sinciput and now and then to change them But these Epithemes also in regard they cannot be methodically applied and repeated to the Diseased who admit them with reluctancy often do more hury than good 30. The Vital Indication directs how mad persons ought to be handled as to their Government Diet and Sleep In this Disease otherwise than in many others there is no need of restoring for neither ought the strength to be restor'd with Resumptives nor the Spirits with Cordials but on the contrary a suppression or as it were a certain extlnction is to be us'd to both being too exorbitant of themselves resembling a flame as it were burning above measure Therefore let the Dyet be thin and not delicate the cloathing course the lodging hard the dealing with them severe and rigid But Sleep because it is very necessary if it be wholly wanting ought sometimes to be caus'd by giving Remedies for which end the Hypnotick Medicines prescribed before for Melancholy are proper also in this disease those who have an inveterate habitual Madness are seldom put to a Physical cure but being committed to Hospitals for mad Persons by the ordinary discipline of that Place either return at length to themselves or are kept there from doing hurt to themselves or others It
began to nauseate him I prescrib'd after the following manner Take Powders of Tormentil Roots of Contrayerva Bole Armenick Alexiteriated of each a Dram Pearl Red Coral prepar'd White Amber of each half a Dram make a Powder the Dose is half a Dram in the following distill'd water Take Tops of Cypress and Myrtle of each four handfuls Leaves of Meadow-sweet Burnet St. Johns-wort Avens of each four handfuls Roots of Tormentil Bistort of each six Drams Red rose-Rose-flowers four handfuls Kermes Berries four Ounces Cinnamon Mace of each one Ounce Being all slic'd and bruis'd together pour to them Red Florence Wine and Red Rose water of each four pounds distil all in a common Still let the whole Liquor be mingled and sweetned with Syrup of Coral He took also three or four times a day of the following decoction three or four Ounces Take Roots of Avens and Scorzonera of each an Ounce of Tormentil two Drams Hartshorn burnt and powdred six Drams shavings of Ivory and Hartshorn of each two Drams Tops of St. Johns-wort a handful Flowers of Red Roses and Balaustiae of each a pugil Boil all in three pounds of fountain water till it comes to two adding towards the end of the boiling of Red Lisbon wine four Ounces let it boil close cover'd for an hour then let it be strain'd through Hippocrates Sleeve Every night he took a Scruple of Liquid Laudanum in three Ounces of the Bloody Flux water ev'n now describ'd with three Drams of Syrup of Clove Gilly-flowers in it His common drink was a decoction of burnt Hartshorn with Barley a Crust of Bread Mace and Cinnamon to a Pint and a half of which a Pint of new Milk was added He took the Purging Infusion a second time by the use of which and the things before mentioned within ten days the Feaver left him and the Flux became much more gentle which though without Gripes or much Blood yet still continued with the little pieces of Flesh the fragments of Membranes and a bloody Phlegm or Gelly which daily came from him Therefore to strengthen and heat the intestines the following things were given Take Tops of St. Johns wort Leaves of Perwincle and Mousear of each a handful Red Rose Flowers two pugils Boil them in the Broath of a Sheeps Guts To a pound of the Liquor strain'd add Oyl of St. Johns-wort two Ounces Honey of Roses an Ounce and a half mingle them for two Glysters whereof one was given him in the Morning the other at five a Clock in the Afternoon He wore Emplast de minio Paracelsi upon him Belly He took moreover twice a day three Ounces of Juice of Plantain wrung forth with water of Scordium and Plague water He eat also every day a Quince made hollow and fill'd with the Powders of Olibanum Mastick and Balsam of Tolu and so rosted in the Embers By the constant use of these Remedies he grew perfectly well within a Month. About the same time another robust young man fell into a dreadful Bloody Flux from the first day he was seiz'd frequent stools and very bloody presently brake forth with violence being accompanied with a Pain and Gripes Moreover a strong Feaver with a cruel Vomiting Thirst and Wakings molested him These Symptoms being a little mitigated with Opiats a Delirium and a Vertigo with an intermittent Pulse and horrible extensions and contractions of his Limbs presently seiz'd him this hapning because the malignant matter which was inwardly restrain'd presently flow'd into the Brain and Nerves Nevertheless as often as the Looseness and Vomiting return'd these affects were presently appeas'd On the fifth day Vomiting up a bloody matter he complain'd of a great torture in his Stomach and of a Pain as though it were Ulcerated and in truth I suspected that there might be a beginning of some Inflam'd Blisters or Ulcers in it as it usually happens in the Intestines but by giving him Emollient Broths with Milk in them his Vomiting and the tortures of his Stomach soon ceased his Flux in the mean time encreasing He took that night of Diacodium an Ounce Cowslip water and small Cinnamon water of each an Ounce and a half by which Medicine he was so much reliev'd that in twenty four hours space his Vomiting and Pains left him and he was only troubled with a few Stools and having a good indifferent Pulse and frequent Sleeps he was pretty well yet the following night though he took again the same Opiate his Flux return'd and that with very frequent Stools and bloody as before The next day after he took an Infusion of Rhubarb with Mirobalans Red Saunders and Cinnamon He often voided Bilous and very sharp Excrements but without the least of Blood then in the Evening he took Liquid Laudanum Cydoniated twenty five Grains in a good spoonful of Cinnamon water hordeated he had moderate and quiet Sleeps Afterwards loathing any more Medicines he took only an Opiate every Evening sometimes of one sort and sometimes of another and in a short time grew very well CHAP. V. Instructions concerning Diuretick Medicines or such as work by Vrine with Diuretick Prescripts THe chief Scopes or ends of Diuretick Medicines are as follows First If at any time the Blood becomes so compact and tenacious from a fixt Salt Sulphur and Earth fermented together and mutually combin'd in it that the Watery Particles do not easily separate from the rest Diureticks fit to loosen its Texture and to fuse the Serum must be such as excel in a volatile or acid Salt for such Particles chiefly dissolve any coalitions caus'd by a fixt Salt But in regard this disposition is common both to a Feaver and the Scurvy in the former affect the most proper Diureticks are the temperate Acids of Vegetables also Sal Nitre the Spirits of Sea-Salt of Vitriol c. And likewise such as have a Volatile Salt as the Spirits of Hartshorn of Sal Armoniack Salt of Amber of Vipers and others of this kind which we have also rang'd amongst Diaphoreticks In a Scorbutick disposition when the Urine is but in a small quantity and thick the Juices of Herbs and preparations both of a sharp or tart and acid nature are of excellent use also Salt and Spirit of Vrine of Sal Armoniack of Tartar c. Secondly Sometimes the Blood does not retain the Serum long enough within its Body but either being obnoxious to Fluxions or rather Coagulations it deposes it here and there in a great abundance even more than enough whence it breeds Catarrhs or Tumours in many places Or the Blood being become of a weak habit and withal of a depraved constitution to wit inclining to a sourness its apt to coagulate as to its more gross Particles so that the more subtle Particles being every where thrown off in circulating and falling on the weaker parts cause sometimes distempers of the Head or Breast sometimes an Ascites or Anasarca And we shall hereafter shew how a Diabetes happens from
meet the Acido-Saline Particles of the humours and are combin'd with them they loosen the Texture of the Blood and at the same strongly agitate its Mass by reason of their Heterogenous mixture Hence for a ready separation and driving forth of the Serosities through the Pores of the Skin those things are prescrib'd in the form of a Powder Bolus and Liquor Take Flowers of Sal Armoniack half a Scruple Cristal Mineral fifteen Grains Bezoartick Powder a Scruple mix them Let it be given in a spoonful of Sudorifick water Take Salt of Tartar a Scruple Ceruse of Antimony twenty five Grains Make a Powder let it be given after the same manner Take Powder of Bezoartick Mineral from a Scruple to half a Dram Gascoins Powder a Scruple Make a Powder let it he given in like manner Take Ceruse of Antimony from a Scruple to half a Dram Flowers of Sal Armoniack half a Scruple Make a Powder 2. Those things may be given in the form of a Bolus by mixing the aforesaid Doses with Treacle Mithridate or Diascordium or with the extract of Carduus Gentian or the like Take Bezoartick Mineral a Scruple Flowers of Sal Armonicak six Grains Mithridate half a Dram Make a Bolus Take Salt of Hartshorn eight Grains Bezoartick Powder fifteen Grains Extractum Theriacale a Scruple Make a Bolus or three Pills If a Liquid Form be more proper Take Spirit of Hartshorn or of Soot or of Sal Armoniack from fifteen Grains to twently Sudorifick water from an Ounce to three Ounces Make a draught let it be taken with governance Take Flowers of Sal Armoniack half a Scruple Salt of Tartar fifteen Grains Sudorifick water three Ounces Mix them make a draught 3. Diaphoreticks which have a Nitrous Salt for their Basis are wont to give relief generally in the same cases as those above made of a fixt and a volatile Salt because they destroy the predominancy of the Acid Salt and dispose the mixture of the Blood after such a manner that as it boils its Serum and Recrements are readily separated and discharged from it Take Cristal Mineral three Drams Salt of Hartshorn or of Soot or of Vipers a Dram Mix them the Dose is from a Scruple to half a Dram in a fit Vehicle Take Sal Prunella two Drams Bezoartick Mineral or Ceruse of Antimony a Dram Make a Powder the Dose is from two Scruples to a Dram. 4. Diaphoreticks whose ground is an Acid Salt have a peculiar efficacy against the predominancy of a fixt Salt and Sulphur viz. if at any time the Mass of Blood by reason of Salino-fixt Particles combin'd with Sulphureous or Terrene Particles in it comes to be too much lock'd up and close bound that it does not easily let go its Serosities to be expell'd by Sweat as it sometimes happens in continual Fevers and in Scorbutick affects the Acid Salt after the Medicine is given meeting the fixt Salt in the Body and laying fast hold on it makes void its undue combinations and so opens the boiling Blood and disposes it for a Sweat Take Spirit of Tartar from half a Dram to a Dram Sudorifick water three Ounces Flowers of Sal Armoniack half a Scruple Mix them Take of the simple mixture from half a Dram to two Scruples Give it in a spoonful of Treacle water or Bezoartick water Take Bezoartick Vinegar from half an Ounce to an Ounce Carduus water two Ounces Plague water six Drams Mix them make a draught Take Spirit of Guaiacum a Dram Sudorifick water three Ounces Mix them make a draught Some things meerly or for the greatest part Sulphureous are commonly plac'd in the rank of Diaphoreticks As for instance some Natural and other Artificial Balsams also Chymical Oyls as chiefly of Guaiacum Box Camphire Hartshorn and Soot So likewise the Resinous Extracts of Ponderous Woods with many others which though by themselves they do little for raising Sweat yet being join'd with the other Saline Medicines I do not think them altogether unprofitable because in a cold and Over-phlegmatick Constitution Sulphureo-Saline Medicines Rarify the Blood which is then become too watry and dispose it to a free evaporation no less than such as are Spirituous Take of Opobalsamum from Six Drops to twelve Water of Baum or of Ground Ivy three Ounces Sudorifick water half an Ounce Let it be taken every Morning to provoke Sweat for many days together It is proper for Phthisical Persons and such as have Vlcers in the Reins And so but in a greater Dose may be given the Balsam of Peru also the Tincture of the Balsam of Tolu and likewise compounded Balsams gotten by distillation Take Rosin of Guaiacum powdred two Drams Chymical Oyl of the same a Scruple Bezoartick Mineral Gumm Guaiacum of each a Dram and a half Balsam of Peru what suffices Make a Mass for Pills the Dose is from half a Dram to two Scruples drinking after it a Dose of the Sudorifick water or of the Decoction of Woods CHAP. VIII Instructions and Prescripts for Curing an Excessive or Depraved Sweating FRequent and immoderate Sweating is sometimes the Symptom of some other Disease then affecting the Person for in the Phthisick and Scurvy this is a common thing The reason of it is that the Blood tainted with some filthy infection or become of an ill habit is not able duly to concoct and assimilate the nutritive Juice still passing into its Mass and therefore always degenerating and coming now and then to be full charg'd by the addition of other Excrements it separates them and expells them by Sweat The Cure of this Sweating depends wholly on the Cure of the Diseass whose Symptom it is In the mean time those copious Night-sweats happening in those Diseases plainly shew that the Persons Diet ought to be altogether of light food viz. Milk Grnel Cream of Barly and the like whose gentle and mild Particles the Blood can bear and not of Flesh or strong substances Sometimes an excessive Sweating is the effect of some foregoing Disease which is brought to an end and this is so common a thing after long Agues that scarce any recover of them but this Indisposition still sticks upon them more or less I knew a young man who as he grew well of a Quartan Ague which had held him ten Months and began to lose its fits daily melted into such profuse Sweats that he was fain to change his Shift and Sheets thrice a Night being as wet as though they had been dipt in water This Evacuation continuing so for many Weeks his Flesh so fell away and his strength was so exhausted that he look'd like a Skeleton This Person when he had us'd many Medicines a long time without much benefit at length by drinking Asses Milk Mornings and Evenings and his other Diet being ordered of Cows Milk he grew very well in a short time The chief cause of frequent and copious Sweats seems to consist in the ill habit and weakness of the Blood in that it
be hung about the Neck Moreover let Anticonvulsive Medicines be daily given the Nurse Let her take Morning and Evening a draught of Whey in which the Roots and Seeds of Male Peony and the Seeds of sweet Fennel are boil'd Take Conserve of the Flowers of Betony Male Peony and Rosemary of each two Ounes Powder of the Roots and Flowers of the Male Peony of each two Drams red Coral prepar'd white Amber of each a Dram Roots of Angelica Zedoary prepar'd of each half a Dram with a sufficient quantity of Syrup of Peony make an Electuary Let ber take the quantity of a Nutmegg Morning and Evening Take Powder of the Roots of Male Peony two Drams Seeds of the same a Dram make a Powder double refin'd Sugar dissolv'd in the water of Lime-tree Flowers and boil'd to a consistency for Tablets three Ounces Oyl of Amber a Scruple Let Tablets be made according to Art each Weighing half a Dram let her eat one every sixth hour and let her keep an exact Form of Diet. In case any Infant be actually affected with Convulsions because an Issue works but little and slowly it is proper to apply a Vesicatory to the Nucha and behind each Ear and unless a cold Temperament forbids it let Blood be drawn from the Jugular Veins by Leeches Let Liniments be applyed about the Temples Nostrils and Neck and Plaisters to the Soles of the Feet Let Clysters be daily injected which plentifully empty the Belly Moreover Let Specifick Remedies be taken inwardly often in a Day to wit every sixth or eighth hour Take Oleum Capivii and Oyl of Castoreum of each two Drams Oyl of Amber half a Dram make a Liniment Take of the Emplaster Oxycroceum two parts Galbanum dissolv'd one part Oyl of Amber a Scruple make a Plaister for the Soles of the Feet Let the Powder of Gutteta according to the description of Riverius be given twice or four times a day Take Mans Scull prepar'd Peony-seeds Elks-hoof Pearl prepar'd of each half a Dram Amber-greice six Grains make a Powder the Dose is six Grains in a Spoonful of the Liquour beneath written three or four times a day Or Take Mans Scull prepar'd Pearl of each half a Dram Salt of Amber a Scruple Sugar of Pearl a Dram the Dose is half a Scruple Or Take Spirit of Harts-horn three Drops let it be given every sixth or eight hour in a Spoonful of the Julape beneath prescrib'd To poor peoples Children let Powder of the Root of wild Valerian be given from half a Scruple to a Scruple let it be given twice a day in a Spoonful of Milk or of an Appropriated Liquour Vntzerus greatly commends the Gall of a Sucking Whelp viz. that all the Juice of the Gall-bladder be taken forth and given to the Child with a little Water of lime-tree-Lime-tree-flowers A Learned Physitian lately told me that he had known many Cur'd with this Remedy Moreover Empiricks after the Gall is drank are went also to give to greater Children to eat the Liver roasted Julapes distill'd Waters and other Appropriated Liquours may be prepar'd according to the Forma following Take black Cherry-water three Ounces Antiepileptical-water of Langius an Ounce Sugar of Pearl two Drams mix them Take fresh Roots of Male Peony cut into slices six Ounces Hungarian Vitriol eight Ounces Mans Scull two Ounces Antiepileptical Water of Langius half a Pound mix them and let them distill in a Glass Retort by a Sand heat The Dose is from a Spoonful to two Spoonfuls Take fresh Roots of Male Peony slic'd four Ounces being bruis'd in a Marble Mortar pour to them of Spanish Wine a Pound express it strongly add Manus Christi perlated half an Ounce let it be kept in a Glass close stopt the Dose is a Spoonful or two twice a day When Convulsions happen by reason of a difficult breeding of Teeth this Symptome is look't upon as secondary and not dangerous and therefore in the Method of Cure it is not always the first or chief thing which requires help but sometimes we are rather sollicitous of appeasing the pain and removing the feverish Distemper wherefore both the Patient and Nurse ought to use a thin and cooling Diet when the Teeth are upon eruption let the passage be made open for them either by a rubbing or Section of the Gums And also let Anodines be applyed to those parts when swollen and full of pain Clysters and Bleeding often have place here We must procure sleep and allay the fervour of the Blood Mean while let Anticonvulsive Remedies be us'd but of the more moderate kind and such as little trouble the Blood and Humours Vesicatories in regard they evacuate the Serum which is too apt to be discharg'd on the Head often give relief When Children are troubled with Convulsions and that neither presently upon their Birth nor by reason of an Eruption of Teeth but through other occasions and accidents the cause of such an affect for the most part lyes either in the head or somewhere about the Viscera of Concoction When there is a suspicion of the former as it is wont to appear by signs which shew that a Mass of Serous Filth is gathered together within the head the above-cited Remedies ought to be given in a little larger Dose moreover in those who bear Purging well sometimes a Vomit and a gentle Purge may be order'd them Wine and Oxymel of Squills also Mercurius Dulcis Rhubarb and Rosin of Jalap are of excellent use As often as the cause of the Convulsive Affect appears to be in the Bowels either Worms or sharp Humours causing Gripes in the Belly are found to be in the fault Against Worms a Purge of Rhubarb or of Mercurius Dulcis with the addition of Rosin of Jalap is ordered Formerly to a Child miserably troubled with Convulsions so that he seem'd even a Dying I gave a Dose of Mercurius Dulcis with Rosin of Jalap With his Stools whereof he had four he voided twelve Worms and presently grew well Take Roots of Virginia Serpentary powdred a Dram Coral caloin'd to a whiteness half a Dram make a Powder the Dose is from half a Scruple to a Scruple twice a day for three days one after the other drinking after it a Decoction of Grass Roots Take Species of Hiera a Dram and a half Venice-treacle two Drams make a Plaister for the Belly or let a Plaister of Galbanum be applyed to the Navel If the Convulsive motions are thought to proceed from the Irritation of the Ventricle and the Intestines caus'd by sharp Humours a gentle Purge either by Vomit or Seige or of both the one after the other ought to be ordered For this purpose let gentle Emeticks of Wine of Squills or of Salt of Vitriol be taken to wit if at any time the Diseas'd be of their own accord seis'd with a straining to Vomit but if the Evacuation seems rather fit to be attempted downwards an Infusion of Rhubarb or its Powder Syrup
every sixth hour with a Scorbutick Water or with the Decoction of the Roots and Seeds of the great Burr Dock as it is above describ'd or also with Posset-Drink having the Roots and Seeds of the great Bur Dock and the Leaves of sweet Marjoram and Saxifrage Boyl'd in it and the leaves of Scurvy-grass infus'd In the Scorbutick Colick also in the affects of the Stomack even now describ'd the use of Purging Spaw Waters such as we have at Epsom and Barnet often proves of an excellent effect Of the Diarrhaea or Loosness and Dysenterical Affects AN inveterate Loosness such as frequently happens to Scorbutical Persons ought by no means to be stopt with astringent Medicines nor is it easily cured by altering Medicines or by Antiscorbuticks Spaw-waters impregnated with Iron or Vitriol are the best Remedy for this Affect Next these are Artificial Spaws or Chalybeate Medicines which are wont to give a mighty relief Crocus Martis duely prepared is justly preferr'd before all others I have often used the following Method with good Success In the first place Let a Purge be ordered of the Powder or Infusion of Rhubarb with the addition of Aromatick Astringents and now and then let it be repeated viz. within the space of three or four days on the other days let a Dose of the following Electuary to the quantity of a Nutmeg be taken in the Morning and at four of the Clock Take Conserve of Common Wormwood made with an equal part of Sugar six Ounces in a hot Constitution instead of this let Conserve of Red Roses be taken Species Diarrhodon Abbatis two Drams white and red Saunders powdered of each a dram the best Crocus Martis half an Ounce with a sufficient quantity of Syrup of Steel make an Electuary In Dysenterical Affects and the Tenesmus you must proceed after the like method especially let Spaw-waters be drank if it may be Moreover let Glysters prepar'd of vulnerary Decoctions be frequently used I lately Cured a certain person troubled with a long continued and dangerous Bloody Flux who had daily voided many Ounces of Blood by Siege for a long time with this Remedy Take of the best Rhubarb powdered an Ounce red Saunders powdered two Drams Cinamon a Dram Crocus Martis three Drams Lucatellus Balsom what suffices make a Mass for Pills He took four Pills sometimes every day sometimes every other day for a Fortnight and was perfectly cured To this person also I prescrib'd a Physick Beer of the Infusion of the Roots of sharp pointed Dock and the Leaves of Brooklimes to be constantly taken Of Giddines and Swooning and other Affects usually joyned with it in the Scorbutick Affect A Giddiness often happens upon an inveterate Scurvy to which also a frequent Swooning and almost a continual danger of it and likewise a numness in the Members and a sense of Formication running sometimes in one place and sometimes in another are wont to be joyned which kind of Affects proceed from the failings of the Animal Spirits in their Origine it self and sometimes from the failings of the same with the Nerves both belonging to the Heart and to the Members that serve for motion and in regard thy depend on the Brain and the Genus Nervosum their being very much over-charged with a Scorbutick Salt they are not easily cured Cephalick Remedies such as are proper in a Giddiness and Paralytick Affects raised by themselves ought to be given with Antiscorbuticks mixt with them therefore in the first place a Provision being made for the whole by fit Catharticks and such as are proper in the Scurvy you may proceed after this manner with appropriated Remedies against the foresaid Affects About the beginning of the Cure let Blood be drawn from the Vessels of the Fundament by Leeches and unless somewhat indicates the contrary let it be frequently repeated afterward Take Powder of the Root of Male-Peony half an Ounce red Coral prepar'd two Drams mans Scull Elks-hoof of each a Dram Take double refined Sugar dissolved in Peony-water Compound or in the Water of Horse-raddish and boyled to a Consistency for Tablets eight Ounces Oyl of Amber excellently rectified half a Dram Make Tablets according to Art Take to a Dram and a half or two Drams Morning and Evening drinking after it a Draught of the following distill'd Water Take Leaves of Scurvy-grass Brooklimes Water-cresses Lillies of the Valley Sage Rosemary Betony of each three handfulls green Wallnuts a Pound the Rinds of six Oranges and four Lemons fresh Roots of Male-Peony a Pound and a half being sliced and bruised pour to them of the Phlegm of Vitriol a Pound Whey made with Cyder five Pounds let them the distill'd after the common way let the whole Liquour be mixt together The Dose is from three Ounces to four Of Haemorrhagies Haemorrhagies often threaten a mighty danger in the Scorbutick butick Affect the Diseased being thereby thrown headlong as it were into the Jaws of Death whil'st the Blood breaks froth almost to a Swooning sometimes from the Nostrils sometimes by the Menses or Haemorrhoids Moreover being sometimes cast up from the Lungs or Stomach it gives us a Suspicion of an Ulcer or at leastwise of a great weakness lying hid in the part affected Wherefore excretions of Blood if they are either immoderate or happen in an improper place ought to be stopt for the present and prevented for the future For stopping Blood when it breaks forth immoderately the method is vulgarly enough known and there remains nothing more or peculiar to be done when happening in this Affect by reason of the Scurvy than on other Occasions But yet to prevent Haemorrhagies let Remedies be administred which take away the Acrimony of the Blood and constringe the over-lax and gaping Mouths of the Vessels both intents are excellently perform'd by Chalybeate Medicines the use of Vitriolick Spaw-waters is very proper for this purpose Moreover Infusions Extracts Salts and the like Preparations of Steel which contain chiefly the saline or vitriolick part of the Iron are always very profitable against Haemorrhagies We have shewn before by what means Iron and its preparations produce these effects and divers others in Human Bodies Take Conserves of Red Roses and of the Wild Rose of each three Ounces Species Diarrhodon Abbatis and Diatrion Santalon of each a Dram and a half Salt of Steel a Dram Crocus Martis excellently prepar'd two Drams Red Coral prepar'd a Dram and a half with a sufficient quantity of Syrupe of Steel make an Electuary let the quantity of a Nutmeg be taken thrice a day drinking after it a draught of an Appropriated Liquor To poor people I use to prescribe thus Take tops of Cypress and of stinging Nettles of each four Ounces Brooklimes two Ounces let them be bruised in a Mortar with ten Ounces of double refined Sugar then add Scales of Iron very finely powdered an Ounce Powder of white and red Saunders of each two Drams with a sufficient quantity of the Syrup of
often a very quick and violent vibration of the Diaphragm afterwards the Fit being ended the deception of the Fancy apprehending the dreadful species of an Incubus comes also to be known Now tho we allow the monstrous Species which is conceiv'd of the Incubus to be a meer Dream yet it is manifest that the Praecordia are really affected and that the motions of the Pulse and Respiration are in a manner supprest or letted viz. in as much as that oppression of the Breast is plainly perceiv'd by many whilst they are awake nay as they are freshly stirr'd from sleep and when that is remov'd tremblings and disorderly motions of the Heart and Diaphragm ensue whence it follows that these Parts are cumbred and undergo a real damage Wherefore whatsoever others may think I judge that a Fit of the Incubus is caus'd insomuch as in sleeping a certain incongruous matter is distilled into the Cerebellum together with the nervous juyce which causing a heaviness or certain stupefaction to the Spirits in their first source forces them presently to forbear a little from the performance of their Functions so that by a second Lethargy as it were raised within the Cerebellum the vital actions suffer a short Eclipse during which partly from the striving of the overcharg'd Praecordia and partly from the Blood being very much heapt together and stagnating within them that oppression and sense of an incumbent weight as it were is caused moreover because all the other faculties of the whole Body depend on the motion of the Heart therefore this being hindred and supprest those presently fall into faintings and disorders Tho it be seldom that any Person dyes of this Disease alone yet those that are frequently obnoxious to it if at any time they are seis'd with other cephalick affects as the Lethargy Carus Apoplexy or Lethargy they are in a very dangerous Condition because the morbifick matter sent from the Blood into the Brain easily invades the Cerebellum also being so predispos'd so that the Diseased suffering an Eclipse of the vital function together with the animal are brought into a greater danger of Life hence it s a common observation that those that are wont to be frequently troubled with the Incubus often dye Apoplectical Another Issue of the Incubus is wont to be less pernicious that it often leads to the passion of the Heart and other Affects commonly accounted for Hypochondriacal I have known many troubled with the Incubus in their Youth who as they grew farther in years being free from that were affected with a Trembling and Panting of the Heart and with other Griefs about the Precordia and Hyphochondres and very sorely with Convulsions we judge the cause of this morbid change to be that the morbifick Matter after having been often wont to beset the circumference of the Brain at length making a violent assault penetrates deeper into some private Place and passing its texture rushes into the Nerves appointed for the Precordia As to the Cure of this Disease for as to its Fits because they soon pass away of their own accord there is no need of it the therapeutick Method after a provision to be made for the whole by blooding where it is proper and a gentle Purge suggests to us the chief use of those Remedies which are vulgarly accounted Cephalicks therefore the Powders of Amber Coral Pearl Roots of male Peony bastard Dittany Contrayerva also Electuaries Tablets distill'd waters Tinctures Elixirs and other things wont to be prescrib'd in the Lethargy and Apoplexy have place here but in the first place a due form of Diet being ordered let food that is gross and of an ill concoction Pulse and horary Fruits be avoided nor must the Person indulge himself to sleep studying or reading presently after eating let large and late Suppers and lying on the back be forbidden Because Infants and Children are often troubled with this Disease a sign of which is that they are shaken in their Sleep and upon their awake cry out terribly and having undergone frequent fits of it often fall into convulsive affects therefore as soon as they seem affected with it let a due method of cure be used to them let it be enquired concerning the Milk they suck whether of it self being without fault and landable it agrees well with their Stomack let them not be permitted to Sleep presently after having suckt their fill Let the Nurse using a good form of Dyet take also Morning and Evening a Dose of a Cephalick Powder or Electuary drinking after it a draught of Posset-drink with the Leaves of Sage or Betony or the Roots or Seeds of Peony boyled in it Let the Infant take twice a day a Spoonful of an appropriate distilled Water Let it have an Issue in the nape of the Neck let it lye sometimes on one side sometimes on the other but seldom or never on the back It will not be wholly without benefit for it to wear about the neck or on the pit of the Stomack Coral or Bracelets made of the Seeds or Roots of male Peony If at any time in sleeping being often and sorely shaken they seem to be dangerously affected with this Distemper let Vesicatories be applyed to the Neck or behind the Ears Moreover Evening and Morning let a Dose of the Pulvis de Gutteta or some other that is appropriate be daily given in a Spoonful of distilled Water or in Juleps CHAP. VI. Instructions and Prescripts for curing the Vertigo AFter having viewed the outward circumference of both Brains and discovered the Diseases that beset the sensitive Soul about the first beginnings and the first sources of the Animal Spirits now descending to the middle of the brain where the Fancy and common Sense reside let us see to what affects these Parts are obnoxious Concerning this let it be observ'd in the first place that of the Spirits residing in those places sometimes Troops or rather mighty Armies sometimes also small handfuls are affected and then that the same whether many of them together or a few only are affected either from their heterogeneous combination are made elastick and consequently are forced into disorderly or rather explosive motions as in a Fit of the Epilepsie or undergoing an Eclipse as in the Apoplexy are depriv'd of all motion We have discours'd amply enough before of the former spasmodick affect of the Spitits and concerning the Apoplexy we shall treat in the sequel At present we shall speak of a certain Passion belonging to these Parts viz. the Vertigo in which some Files of the Spirits are affected and their motions seem partly to be perverted and partly to be suppress'd The Vertigo is thus described viz. that it is an Affect in which visible Objects seem to turn round and those that are affected with it find a great trouble or confusion of the Animal Spirits in the Brain so that they do not duly influence the Nerves wherefore the seeing and locomotive Faculties often
morning and evening drinking after it of the following water two or three ounces Take roots of male Peony Angelica Master-wort of each half a pound roots of Zedoary the lesser Galingal of each an ounce leaves of Mistletoe of Apple-trees Rue Sage Betony of each four handfuls the outward coats of ten Oranges and eight Lemmons Cardamums Cloves Nutmegs of each half an ounce all being slic'd and bruised pour to them of White-wine in which two pounds of Peacocks dung hath been infused for a day ten pounds let there be a close infusion for three dayes then distill it according to art let the whole Liquor be mixt Take species Diambroe two drams powder of the roots of male Peony choice Zedoary of each a dram and a half Pearl a dram Oyle of pure Amber half a dram double refined Sugar dissolved in Peony Water and boyled to a Consistency for Tablets six ounces make Tablets according to art weighing half a dram let the Patient eat one or two often in a day at pleasure Within fifteen or twenty dayes the Remedies that they may be less loathsome and more advantageous ought to be changed therefore instead of the Electuary give for a fortnight or three weeks sometimes Spirit of Sal Armoniack saccinated or coralliated or impregnated with Mans Scull or Castoreum sometimes the Elixir of Peony or the tincture of Amber or Coral or Quercitans Elixir of Life mixtura simplex Also instead of the compound Waters let them take either the Water of black Cherries or of Walnuts or of Rosemary or of Lavender simple sometimes a draught of Posset-drink with the Flowers of male Peony or of Lillies of the Vallies boyled in it or a draught of Tea or Coffee in the Morning those Ingredients being first boyled in the Water of which it is prepared or let a Confection of Chocolate be made after this manner Take powder of the Roots of male Peony mans Scull prepared of each half an ounce Species Diambrae two drams make a Powder to every paper of which add Cocao-nut-Kernels a pound Sugar what suffices make a Confection let half an ounce or six drams of this be taken every Morning in a draught of a decoction of Sage of Peony Flowers or the like Take Powder of the Roots of male Peony mans Scull prepared of each an ounce and a half Roots of choice Zedoary bastard Dittany Angelica Contrayerva of each two drams make a subtle Powder of all of them add the yellow Coats of Oranges and Limons preserv'd of each two ounces let them be bruised together to a Powder let about half a dram or a dram be taken an Hour before and after meals For ordinary Drink let a Vessel of four Gallons be filled with midling Ale in which boyle the Leaves of white sweet-smelling Hore-hound dryed six handfuls Anacardiums Cardamums of each an ounce and a half being slic'd and bruised make a Bag. But especially let an exact form of Dyet be observ'd Let a temperate dry and well ventilated Air be chosen let food only of an easie concoction and light be eaten let the Supper be spare or none at all let sleeping at noon drinkings and other ill accustomances about nonnatural things be shunned I might here instance several stories of Apoplectical persons viz. of some who tho seiz'd once or twice are still living and of others kill'd by the first or second or afterward at the third Invasion The Right Reverend Father in Christ Gilbert Lord Arch-bishop of Canterbury lives still who escap'd above six years since from a severe Apoplectick fit God to whom ever be praise giving success to Physical endeavours and from that time tho he has now and then undergone light touches of the Disease yet he has never been so prostrated by it as to become speechless or insensible But it 's to no purpose to dwell long in setting forth this and other examples in regard they contain nothing very rare whence the Aetiology of the Disease may be illustrated I have dissected some dead Bodies but they were in a manner only of such Persons as were seiz'd Apoplectical after the Head being greatly hurt as by a stroke or a fall in all which the Blood extravasated or an Abscess was the cause of Death As to the opening of Persons dead of an habitual Apoplexy we are most commonly hindred by Friends who expecting their revival both delay the Interrment and wholly forbid Anatomy But I shall give you here one notable Anatomical Observation made about five years since at Oxford An ancient Divine an honest and pious man of a gross Body and having a short and full grown Neck being long ill-dispos'd in his health and leading a sedentary life had contracted a very Scorbutick Cacochymia being affected with a difficult and pursy breathing and with an unwonted heaviness and drowsiness of his Head he was scarce able to perform any thing of labour or exercise but to go and come daily from his Chamber to the Chappel and Refectory On a certain morning entring the Chappel a little before Prayers as he set himself on his knees being struck on a sudden and presently becoming speechless and insensible he fell on the ground but being forthwith rais'd up and his Cloaths taken off he was put into a warm Bed My self and other Physicians being call'd and coming as quick as might be we found him not only without Sence Pulse and Respiration but cold and absolutely stift throughout his whole Body Nor could he be brought to life or to a heat by any Remedies or ways of administration tho applied with all diligence for some time Whence we imagin'd that from his first being struck the beat of the Heart was wholly stopp'd and its flame being extinct that presently all motion of the Blood was suppressed The next day after we opened the Body it appearing to be quite dead and stiff nothing doubting but very clear footstepts of an affect so suddenly mortal left within the Brain would shew themselves to the eye but neither there or in any other part was there remaining so much as any shadow of the Disease tho very violent the vessels irrigating the Meninges were indifferently fill'd with blood but without any inflammation or extravasation the Brain Cerebellum and medulla oblongata with all their processes and prominences appear'd every where firm and well-coloured throughout both within and without neither was there Serum nor extravasated Blood heapt together any where within their Pores and Passages nor also within the greater Ventricles nay and the plexus choroeides plac'd both within the Cavity of the Brain and behind the Cerebellum seemed free from all fault so that the morbifick matter being as fine and subtle as the Spirits which it affected remained wholly inconspicuous and we could only argue its presence there from the effect Nevertheless lest it should lye hid elsewhere without the Head after having accurately inspected all the Contents of the Brain we came to the Thorax where the Lungs
must have regard both to the Fever and to the fury The feverish burning or immoderate effervescence of the Blood which for the most part is the antecedent cause of the other affect ought in the first place to be restrained and appeased and withall the Animal Spirits ought to be pacified and freed from any violent excandescence If a Frensy happens about the beginning or middle of a Fever in a manner the same remedies and method of Curing conduce for both ends But if that affect happens upon this whilst it is in its greatest force or height the ways of curing often are contrary to each other and there is need of great caution lest while we give help to one disease we increase the other in this case the vital indication concerning the preservation of the strength has the first place and let not Blooding or Purging be used rashly and in a large measure In the former case when the Fever and Frensy are almost of the same standing let Phlebotomy which is seldom or never to be omitted presently be used and if the strength bears it let it be sometimes repeated for nothing depresses and diminishes the immoderate flame of the Blood as much as this Remedy and nothing more removes or withdraws its burning flame from the Animal oeconomy Wherefore if the case requires it let a Vein be opened sometimes in the Arm or Hand sometimes in the Leg or Foot sometimes in the Neck or Forehead sometimes haply it may be expedient to open the Artery of the Temples and sometimes also to draw Blood from other places by Leeches or Cupping-glasses for this is the chiefest relief And according to Galen this being the first and greatest of all Remedies is wont to satisfie a great many indications in the Frensy Moreover to prevent the violent recourse of the febrile matter from the Viscera to the Head Clysters will be of chief use with which if need be let the Belly always be kept soluble Vemits and Purges unless only such as are lenitive have seldome place here Let Cataplasms of Rue Cammomil Vervain Briony Roots Red Poppy-flowers with Soap be applied all over the Feet or in their place let Pidgeons slit in two be applied whilst they are warm Mean while Juleps Apozemes Powders Confections by which both the boylings of the Blood and the excandescence of the Spirits are appeased ought to be prescribed according to occasion Take the waters of Apples Black Cherries Cowslips of each four ounces of whole Citrons two ounces Pearl powdred a dram Syrup of the juice of Citrons an ounce mix them make a Julep let three ounces be taken three or four times a day Take Roots of Grass Leaves of Wood-Sorrel Burnet of each a handful Barley half an ounce Apples slic'd Corinths or Strawberries or Rasberries a handful let them boyl in four pounds of Fountain-water to the consumption of a third part to the clear straining add Syrup of Violets an ounce Sal Prunella a dram and a half Take fresh and tender leaves of Borage four handfuls Wood-Sorrel two handfuls two Apples pounded to a mash Sal Prunella two drams the pulp of one Orange double refin'd Sugar an ounce being bruis'd together pour to them of Fountain-water two or three pounds make a strong expression keep it in a glass to be clarified by setling Let six or seven ounces be taken at pleasure often in a day For quenching thirst drink at pleasure the divine drink of Palmarius viz. Fountain Water with Sugar and the Juice of a Limon or Water or Whey with the leaves of Meadow-sweet or Burnet infus'd or boyl'd in them emulsions of a decoction of the roots and flowers of Nymphaea with the seeds of Melons or fountain or distill'd Water with the pulp of boyled Apples dissolved in them Hypnoticks are often necessary in this Disease but such as are strong are not proper presently at the beginning nor may they be frequently used because sleep caused by opiats brings the matter more to the Brain and fixes it there more deeply Take Water of Cowslip flowers four ounces Syrup of Maeconium half an ounce Pearl a scruple make a draught to be taken late at night Take white Poppy-seeds two drams Sugar-candy a dram and a half being bruis'd together pour to them of white Poppy-water six ounces wring it forth and take it after the same manner Let Narcoticks consisting of meer cold things be given with caution because they do not agree with some whose Stomachs have their fibres very tender and sensible I have often observ'd that these kinds of Hypnoticks have caus'd a great oppression in the Ventricle and that then presently its inflation and a little afterward distractions and disorderings of the Spirits in the Brain nay in the whole Body followed So that not only a frustration of sleep but a mighty restlesness was caus'd Let a dose of liuqid Laudanum prepared with Salt of Tartar or the Juice of Quinces be given in a convenient liquor Epithemes also which provoke Sleep are often applied to the Temples Forehead and Sinciput with success of which kind are Oxyrrhodinum an Embrocation of Water or Milk liniments of the Oyl of Nutmegs by expression and unguentum populneum to which sometimes let five or six grains of Opium be added or a cake of Roses or of poppy-Poppy-flowers with Vinegar and Nutmeg c. Again on this account rather than for removing the inflammation of the meninx the warm lungs of a Lamb or Weather also Pidgeons or Chickens cut in two often give an excellent relief For this use the great Burr-dock bruised and mixt with Womans Milk and applied to the Sinciput shaved is greatly commended Also Penotus's Epitheme of twelve grains of Musk half a scruple of Camphire and twenty ounces of Rose-water impregnated with the Tincture of Red Saunders is commended by some Moreover not only to the Head but likewise to the Heart Liver and other parts Epithemes are wont to be applied Let a Sacculus of fine Linnen with lays of cordial Species and Cotton stuck in it and irrigated with the distilled Water or Vinegar of Roses be applied to the Praecordia also let Linnen Cloaths dipt in Vinegar of Roses be laid on the Testles Let the Feet be bathed with a decoction of the leaves of Willow Lettice and the heads of the white Poppy But let these kinds of cooling and mitigating topicks be us'd only about the beginning of the Disease in its greatest height let Resolvents and Emollients as the flowers of Cammomil Melilot Elder c. also the leaves of Mallows Arach Marjoram Hyssop and the like be added In the declination of the Disease let Resolvents only and those sparingly be used In the mean while a very great regard ought to be had of the Strength for this being too much broken all hope of Cure is lost Now the strength is wont to be soon consumed by reason of great watchings perpetual agitations of the body and mind a thin dyet and Blooding
appropriate Electuary such as above-described with a Cephalick Julep Within two months he was m uch better and afterward came to himself by degrees Whilst I was writing these things a young man of Quality lately returned from travelling beyond the Seas and being become sickly committed himself to our care This Person being formerly of a sanguine and chearful temperament of a gay behaviour also of an acute wit and a clear disposition as he travelled through Foreign Countries and being in a certain Summer in Spain he felt in himself a great alteration from the intense heats of that place For first he became obnoxious to frequent effervescencies of the Blood with sudden flushings of heat in the palms of his Hands and the soles of his Feet and to prickings often wont to arise in his whole Body and presently to go away again Afterward finding himself worse as to his Appetite and Sleep and likewise growing dull and somewhat sad he began to affect less and sometimes to shun any business or delights nay and conversation with his friends At length this indisposition daily growing worse without any manifest cause or real trouble of mind he became Melancholick so that always being thoughtful fearful and sad he took delight in nothing For Studies Exercises Travelling Conversation with learned men and all other things which before he delighted in were then wont to be a trouble or terrour to him Being affected after this manner for two years he was so much changed from himself as tho he were another man In order to a Cure he consulted the most skilful Physicians of Spain France Holland and of late in England and tryed various methods of Curing tho scarce with any benefit To wit that melancholy Discrasy of the Blood first contracted by the distemper of the Air continuing still caused Spirits of an acetous nature as it were to be supplied to the Animal oeconomy In the first place I thought good to commend to this Person the following Remedies Take Gerion's decoction of Senna with Tamarinds half an ounce four ounces Purging Syrup of Apples an ounce Aqua mirabilis two drams mix them let him take it with governance repeating it within nine days afer Purging let Bood be drawn with Leeches to three ounces Take of our Syrup of Steel six ounces let a Spoonfull be taken in the morning and atfive of the Clock in three ounces of the following Liquor walking upon it for an hour or two Take leaves of Baum Borrage Buglosse Burnet Meadow-sweet Harts-tongue Water-cresses of each four handfuls roots of Borrage half a pound Clove-gilliflowers Marygold flowers of each three handfuls the outward rinds of eight Oranges and four Lemmons Mace half an ounce being sliced and bruis'd pour to them of Whey made with Cyder eight pounds distill it with common Organs Take Conserve of Clove-gilliflowers the flowers of Betony and Borrage of each one ounce and half Pearl powdred two drams red Coral prepared a dram and a half Species of the Confection of Hyacinth two drams Syrup of Coral and red Poppyes of each what suffizes make an opiat let the quantity of a Chesnut be taken every Evening drinking after it two or three ounces of the water of Cowslip flowers After sixteen or twenty dayes the method of alteratives being changed instead of these let him take the following Take powder of Ivory Pearl red Coral prepared of each two drams Roots of male Peony a dram and a half Lignum Aloes half a dram Orange Tablets four ounces a solution of Tragacanth made in baum-Baum-water what suffises make Tablets weighing half a dram let four be eaten in the Morning and at five of the Clock drinking after it a draught of Tea Take of the same Powder without Tablets half an ounce Flowers of Sal Armoniack Salt of Coral of each a dram with Chios Turpentine six drams make amass let half a dram be taken Morning and Evening drinking after it three ounces of the distilled Water Let him feed only on Food of a good Juice and of an easie Concoction let him drink small Ale with the Leaves of Harts-tongue infused in it he may sip a little now and then of Wine with Water in it or of Cyder Let him lead his Life continually occupied sometimes in easie Employs sometimes in moderate Exercises or Recreations of various kinds So far of universal Melancholy in which the diseased are in a manner indifferently affected by any Object so that in every place by any Accidents and Circumstances they are continually perplext with a multitude of Thoughts with a Raving Fear and Sadness A Melancholy is said to be Special when the diseased have regard to some particular thing or to some certain kind of things of which they in a manner alwayes think and by reason of all the Powers of the Soul being continually spent in this one thing they live always pensive and sad Moreover they have absurd and incongruous Notions not only concerning that Object but also concerning many other Accidents and Subjects In this affect the corporeal soul being altered from its proper Species assumes a certain new one and being not conformable to the rational Soul or to the Body or to it self it undergoes a certain Metamorphosis There are two kinds of occasions from which a particular Melancholy chiefly and most frequently arises viz. first if at any time some severe pressure of an Evil present or at hand whether it be true or imaginary lyes upon the Soul or secondly if the privation of a good before obtained or the despair of that which is desired happen In these opposite Cases the corporeal Soul either being allur'd outwardly omits all domestick care of it self or of the Body or of the rational Soul or being inwardly compress'd it leaves or perverts the offices both of the Reason and of the Vital and Animal Function It were a thing of an immense Labour to enumerate the various Cases and wayes of affecting in both kinds among the mighty store of them those which being of greatest moment seem chiefly to require a physical help are a furious Love Jealousie Superstition despair of eternal Salvation the imaginary Metamorphosis of the Body or of its Parts or the fantastical Goods or Evils of Fortune we shall speak briefly of each of these It is a vulgar and most common observation that if any one once being taken with the Aspect and Conversation of a Woman begins inwardly to be love-sick for her and to desire her earnestly and for his most devoted affection gets nothing but denials and Contempt unless he be upheld by a very strong Reason or being seized by other affections be turned another way as it were there is great danger lest he fall into a Love-melancholy with which Passion if he happen to be affected presently he seems transformed from himself into a living Statue as it were he thinks or speaks of nothing but his Mistris he seeks to put himself upon any of the greatest dangers of Life and Fortune
beginnings of the Disease the reason of the difference seems chiefly to lye in this viz. that in some gouty Persons who are yet firm in the Constitution and Tone of the Humours and the containing Vessels and whose Joynts are not yet weakned as often as the Blood and Nervous Liquour are troubled by a medicine their Superfluities and Recrements are not presently precipitated into the Minera of the Disease but yielding to the Medicine irritating and stirring them they are drawn from the Mouths of the Arteries into the Cavities of the Intestines and mean while the emptied Vessels withdraw or drink up again a part of the morbifick matter but on the contrary in tender and weakned constitutions upon the gentlest commotion of a Medicine the Recrements of both humours fall into the Place troubled with the Gout To those therefore with whom purging agrees it ought to be ordered with a strong and exagitating Medicine for this purpose are vulgarly famous the Electuary Caryocostinum Syrup of Buckthorn compound Powder of Hermodacts Pilul ex duobus Pil. Rhasis which if we may believe the Authour will make such as are not able to goe presently to walk about Take of the best Aloes half an ounce red Roses two Scruples Hermodacts pill'd a dram and a half Diagridium a dram Honey of Roses what suffises make Pills Rodericus a Fonseca wonderfully extolls the roots of black Hellebore and amongst other things an Apple with the Fibres of it stuck in it to half a dram rosted under the Embers and eaten Take Calomelanos a Scruple Rosm of Jalap three grains or of Scammony three grains Oyle of Cloves a drop Balsam of Peru what suffises make three or four Pills for one dose In purging what Solenander prescribes happily may be of some moment viz. by putting a Plaister or some other defensive Medicine on the place to hinder the falling of the humour to it Vomiting with those with whom it uses to be safe and easie does well also in this Disease for which end the Emetick Tartar of Mynsicht Sulphur of Antimony its Flowers Mercurius Vitae Vinum Emeticum Gutta Gamba may be given Moreover in a Fit of the Gout Powder of Stones Bones and Shells and also of smart Vegetables do good which being said to be the Antidotes of this Disease subdue all Particles and fermenting with them mortifie them as it were and at length being subjugated send them forth by Urine or sweat Take compound Powder of Crabs Claws two drams Ivory Roots of bastard Dittany Roots of male Peony of each a dram Lignum Aloes yellow Saunders of each half a dram make a Powder let it be taken from half a dram to a dram either by it self in a Spoonful of red Poppey water drinking after it six Spoonfuls of the same or let it be made into a Bolus or Pills with Venice Treacle or Venice Turpentine what suffises the dose is a dram twice a day drinking after it of the distilled water beneath prescribed two or three ounces Or Take of the same Powder six drams conserve of Clove-gilliflowers and Betony Flowers of each an ounce and a half Diascordium two drams Syrup of Maeconium what suffises make an Electuary the dose is a dram to two drams Evening and Morning Mean while that these things are done for withdrawing elsewhere the morbifick Matter which would flow into the places affected or for sending it forth let altering and qualifying Medicines likewise have their turns which may appease the Turgescencies of the Blood and Nervous Juice and stop the fluxions of the Recrements falling from them for this end a thin diet and a drinking of Water if it be proper being ordered let Emulsions Juleps Apozemes of mild things and Anodines be prescribed As to what concerns the other Scopes of curing viz. the discussion of the Minera sticking in the Parts and the mitigating the excandescencies of the Fibres and Spirits we must insist first on this latter without the performance of which we cannot answer the other intent for this end therefore it is expedient to use both outward things viz. Topicks of various kinds and inward things viz. Hypnoticks There being a vast number of Topicks they either being only Anodines have regard to the Pain it self or levelling at this together with the Tumour they are either Repercussives or Resolvents and Discussers there are various Forms and Wayes of Administrations of every kind of these but those of cheifest use are wont to be Fomentations Cataplasms and Plaisters we shall set down some of the most noted of these and first Anodyne Applications which moderate the Fibres and appease the Spirits by a certain soothing for this use a Cataplasm of Milk and Crum of Bread or of those things with the poúndings of the Leaves and Roots of Mallows and Althea and the like are every where in common Practice with the Vulgar Others commend a Cataplasm of fresh Cow-dung applyed warm Take Water of Night-shade or of the Spawn of Frogs of each six ounces Saccharum Saturni a dram mix them let linnen Cloaths dipt in this be applyed warm Take of red Lead three ounces distilled Vinegar two pounds digest them for many dayes let either this Liquour by it self or a Water drawn from it by distillation be used for a Fomentation Also a distilled water made of the Tincture of Verdigrease distilled in Vinegar often appeases Pains I was told by a Gentleman often troubled with a severe Gout that he in the cruel Tortures of that Disease had always present ease from a Fomentation with a Water distilled from the contents of a Bullocks paunch newly killed Against extream Tortures of the Gout outward Narcoticks sometimes ought to be used Take Leaves of Henbane and Hemlock of each three Handfuls let them be put into boyling Water and as soon as they grow tender let them be taken forth to which being bruised add Powder of the Flowers of Cammomil about two drams the yolk of one Egg make a Cataplasm Or Take Tincture of Saffron made in Spirit of Wine four ounces Camphire and Opium of each a dram let there be a close and warm digestion till they are dissolved let the part that pains be anointed with this Liquour there are innumerable Medicines of this kind every where to be found in Books of Physick and are every where wont to be prescribed by every vulgar Person which likewise may suffice for fulfilling the other intent to wit the repercussion of the Humours if at any time it seems to be indicated As to what regards resolvent and discussing Topicks such are not required which only open the Pores that the Serum may evaporate and the Blood may be restored to Circulation as in a Phlegmon or Aedema but whose saline Particles being destinated for strongly assaulting the saline Particles of the Arthritick Minera may either draw them forth by laying hold of them or by precipitating them keep them from their Pain causing Effervescencies wherefore in this Disease when Fomentations or
Remedies all these things are to be done methodically we shall deliver The cure of the Pain of the Colick is begun most commonly and proper enough by a Clyster let this in the first place be only lenifying and emollient by which as by an inward Fomentation the corrugations of the Fibres may be mitigated and the raging of the Spirits be appeased for this end warm Milk with Sugar or Molossus or Syrup of Violets also emollient Decoctions of Mallows Marsh-mallows Herb Mercury and the Flowers of Melilot Elder with Oyle of Almonds or of Olives also a Decoction of a Sheeps-head or Calves Feet are proper sometimes a Clyster of meer Oyle of Olives or of Linseeds are wont to give help before all others But in case mild Clysters do not easily come away or not loosen the Belly let such be used as irritate more and press and draw out by force as it were the Humours from the little Mouths of the Arteries for this end let carminative or better Decoctions be prepared in which let the Electuary Diaphaenicon Diacatholicon or e baccis Lauri or Species Hierae be dissolved Also to those Liquors it is usual to add three or four ounces of the infusion of Crocus Metallorum or to a pound of an emollient Decoction add of Venice Turpentine dissolved with the yolk of an Egg an ounce or an ounce and a half or take Vrine of a sound man a pound Venice Turpentine dissolved an ounce and a half Molossus an ounce mix them make a Clyster I have known this often to have given a great relief the reason of which seems to be that the balsamick Particles of the Turpentine comfort the intestines and like wise being received by the Venous Blood and circulated with it through the whole Body they move Urine so that a copious making of water often follows such a Clyster and it always carries a smell of Violets haply also the Particles of the Turpentine diftus'd every where move the morbifick or stagnating matter or incline that which is acetous or otherwise degenerate to a better Crasis Whilst the Intestines are so washt with Clysters and fomented as it were inwardly let outward Epithems also be applyed to the Abdomen Take leaves of both Mallows herb Mercury Wallwort of each four handfuls flowers of Elder Camomill Melilot of each two handfuls a Calves-head cloven Let them boyl in a sufficient quantity of Fountain-water Let the straining be used for a fomentation with linnen Cloaths dipt into it as warm as may be suffered and wrung forth and applied by turns repeating it as often as the pains press violently In the Intervals of the fomentation let a Cataplasm or Liniment be used To the magma of the Herbs bruised add Outmeal what suffices make a Cataplasm and let it be sewn in rows in two bags of a square figure for covering the Abdomen Let one of these be warmed at a time in a Platter on hot Coals with Oyl of Earth-worms or of Froggs let it be put on warm changing it assoon as it begins to grow cold Or Take Oyl of Earth-worms or of Froggs what suffices let the Part paining be anointed after the fomentation and let cap Paper moistened be applied and worn The Cawl of a Lamb or the Lungs or other warm Viscera of Brutes laid on the Belly and often changed sometimes wonderfully appease pains I have observed in some constitutions and temperaments that Epithems of hot thins or applied hot have rather encreast pains than mittigated them Wherefore in these cases it seems necessary to order fomentations of the Solutions of Nitre or Sal Armoniack or of other Chymical Liquors as in pains of the Gout sometimes as Septalius relates of meet cold Water But if the Gripes of the Belly do not remit by the use of these things we must use hypnoticks viz. which being given in a set dose often give great truce Mean while for refreshing the strength and failing Spirits and to order yet a greater Apparatus against the Disease Take liquid Laudanum tartarized from sixteen drops to twenty give it going to rest in a spoonful of the water of camomil-Camomil-flowers drinking after it of the same six spoonfuls let it be repeated every other or third night if the pains are very pressing In a hot constitution Take water of camomil-Camomil-flowers three ounces Syrup of Meconium half an ounce Aqua Mirabilis two drams make a draught to be taken going to rest Mean while that these things are done for appeasing pains and either for discussing or at leastwise loosning this matter sticking in the morbid fears let evacuating Remedies have their turns to wit both for wholly extirpating the Minera of the Colick and for cutting off the supplies or fuel of it that it grow no further For these ends a Vomit where it agrees and a gentle Purge and also in a hot temperament where a Fever presses or is feared Blooding ought to be used Take Sulphur of Antimony from five Grains to seven or eight conserve of Borage a dram give it in the Morning with Governance In this case according to the Judgment of a Physician present either an infusion of Crocus Metallorum or of Mercurius Vitae the Emetick Tartar of Mynsicht an expression of the Leaves of asarum and in tender Constitutions Salt of Vitriol and Wine and Oximel of Squills may be given Let Purges lest they nauseate the Stomack which is distempered be given only in a very small Dose and in a meet Form Take Rosin of Jalap and of Scammony of each five grains Cream of Tartar a Scruple Cinnamon powdred four Grains make a Powder or let it be made into Pills or a Bolus with conserve of the Flowers of Borrage or of Damask Roses Take Scammony sulphured half a Scruple Cream of Tartar fifteen Grains Diaphoretick Antimony a Scruple make a Powder let it be given after the same manner If a Fever does not press give a dose of Stomak Pills with Gums or of Amber either by themselves or with Rosin of Jalap Take Pilulae Rudii from twenty Grains to half a dram Laudanum one Grain make four Pills let them be taken going to rest these first bring sleep and purge in the morning Or. Take Calomelanos a Scruple Rosin of Jalap six Grains Scammony four Grains Ammoniacum what suffises make four Pills let them be taken going to rest In a long continued Colick when all other Remedies have done little or no good I have often known this Medicine given once or twice to have raised a Salivation to the great relief of the Diseased for if at any time the morbifick Matter plentifully gathered together in the Nervous Plexus's and other places about the Abdomen and there firmly sticking is not able to be moved by other Medicines the Mercurial Particles displaying themselves every way easily dissolve it and divide it into minute parts and drive them variously this way and that and at length wholly dissipate them Wherefore in a long continued and obstinate
or thrice a day in a spoonful of the following distill'd Water drinking seven or eight spoonfuls of the same after it Take Cypress Tops six handfuls Clary Leaves four handfuls the outward Coats of twelve Oranges Cinnamon Mace of each an Ounce the Roots of Cyperus and the lesser Galingal of each half an Ounce being slic'd and bruis'd let them be put into eight pounds of Brunswich Beer and distill'd in an ordinary Still Take Tincture of the Balsam of Tolu extracted with the Tincture of Salt of Tartar an Ounce the Dose is twenty Grains with the same Vehicle the Tincture of Wormwood prepar'd with the same Menstruum may also be try'd Take Powder of the Leaves of Wormwood and Myrtle dri'd in the Sun in the Summer time of each two Drams Cinnamon Flowers of red Roses of each a Dram Cubebs Roots of the lesser Galingal of each half a Dram red Coral prepar'd a Dram make of all a subtle Powder then with six Ounces of double refin'd Sugar dissolv'd in Cinnamon-water and boil'd up to a consistency make it up in little Cakes weighing half a Dram let one or two of these be eaten often in a day as the person pleases Take Conserve of red Roses vitriolated four Ounces Myrobalans condited six Drams Ginger condited in the Indies half an Ounce Species of Hyacinth two Drams the reddest Crocus Martis one Dram Syrup of Corals what will suffice make of all an Electuary the Dose is a Dram twice a day drinking after it a little draught of the distill'd water In the debility or resolution of the Ventricle by reason of the Nerves being somewhere else abstructed Paralytick Remedies joyn'd with Stomachicks must chiefly be insisted on Take Elixir Proprietatis Tartariz'd an Ounce the Dose is a Scruple twice a day with the water above prescrib'd The Tinctures of Salt of Tartar of Coral of Antimony may be us'd after the same manner In this case also the sweet spirit of Salt tht spirit of Sal Armoniack or its Flowers are of great effect Moreover Vomits Purges and even Diaphoreticks are often successively administred I have known this Distemter sometimes happily Cur'd by Bathing in our hot Baths at Bathe CHAP. III. Instructions concerning Purging with prescripts of Purges AS Nature often Purges it self according to three Degrees so there are three Degrees of Purging by Medicine The first is soft and easie gently expelling any loose matter contain'd in the Ventricle and the Intestines The second reaches not only that but Purges likewise other humours from the Bilous and Pancreatick Passages and from the Mouths of the Vessels The third performs all this and that in a more full manner and going yet farther strongly Purges from the Blood and consequently from the Nervous Juice and other parts an Excrementitious matter which is brought by the Arteries into the Intestines As for what concerns the choice to be us'd in Purging Medicines though we do not approve of those cry'd up Classes of Medicines appropriated to this or that Juice or Humour yet we do not think that all Purges are indifferently to be us'd in all cases but that there is need of a strong Judgment and a wary circumspection in a Physician that according to the strength of his Patients their temperament the state and ability of the Viscera their bearing custome and fancy and so according to the nature of the Disease its time and quality he prescribe a Purge more gentle or strong and that of hot things or temperate gentle or more smart and in a solid substance or a liquid or something of some other certain kind and form as he shall see good A Purge therefore being not convenient at all times nor in every state of Body to proceed as we ought we must take a fit season and use a certain preparation and both these have regard to the first passages and to the Mass of Blood As to the first if at any time the Stomach be loaded with a Mass of viscous Phlegm or troubled with the boiling of Turgid Choler a Purge most commonly either becomes of no effect or does hurt unless those contents are first of all cleans'd forth by a Vomit or unless their oppression and effervescency be corrected by digestives As to what regards the Blood a Purge is often unseasonable sometimes also inconvenient and in neither of these cases Preparatives commonly so call'd but only Alteratives are proper for the business is not to dispose those imaginary humours for evacution but the Blood it self ought to be reduc'd from its troubled and confused state to a calm condition or from its debility and fall'n Crasis to its vigour and ev'n temperament Whilst the Blood Feaverishly boiling is disturb'd in its mixture Purging is always found hurtful and so whilst its Mass being become languid and weak does not arise to its due fermentation that sort of Evacuation is no less forbidden Moreover when the Blood is too bilous or watry or too much inclin'd to Coagulations or Fusions Purges for the most part do not take away those its defaults or depravations but most commonly encrease them Wherefore in those cases altering Remedies are rather Indicated which may destroy the undue Separations and Combinations of the Salts Sulphur and Serum and take away other their enormities Of these Digestives and Alteratives which supply the place of common Preparatives we shall speak particularly hereafter The chiefest Compositions of Purging Medicines being Potions Powders Bolus's Electuaries Morsels or Tablets and Physick-Ales or Wines we shall here set down certain of the more Select Forms of each of them and those of a threefold kind according as the operation of the Medicine ought to be gentle mean or strong to which in the fourth place we shall add Prescripts of easily prepar'd Purges for poor People 1. Gentle Potions Take Rhubarb slic'd three Drams yellow Saunders half a Dram Salt of Tartar a Scruple make a cold Infusion all Night in Cichory water and White-wine of each two Ounces and a half to three Ounces of Cleer straining add Syrup of Cichory with Rhubarb half an Ounce Cinnamon water two Drams make a Potion 2. Mean Potions Take of the best Senna three Drams Rhubarb Troches of Agarick of each a Dram and a half yellow Saunders two Scruples Salt of Tartar half a Dram Coriander-seeds a Dram let them have a close Infusion all Night in Spring-water and White-wine made warm of each three Ounces to four Ounces of it strain'd add of the Purging Syrup of Apples an Ounce Aqua Mirabilis two Drams make a Potion Or Take the decoction of Senna Gerionis four Ounces Syrrup of Roses Solutive an Ounce Cream of Tartar half a Dram Cinnamon water two Drams make a Potion Take the best Senna Cassia Fistula Tamarinds of each half an Ounce Coriander-seeds two Drams boil all in ten Ounces of Spring-water till a third part be consum'd strain it and Clarifie it with the White of an Egg add to it the Syrup of Apples
an Ounce make a Potion 3. Strong Potions Take of the decoction of Sena Gerionis with the addition of the strings of black Hellebore and Agarick of each a Dram and a half six Ounces Syrup of Roses Solutive or of the flowers of Peaches an Ounce Aqua Mirabilis two Drams Or Take of the best Sena half an Ounce strings of black Hellebore Turbith of each two Drams yellow Saunders a Dram Coriander-seeds a Dram and a half Salt of Tartar half a Dram let it infuse close all Night in eight Ounces of White-wine made warm to five Ounces of the Cleer straining add of the Electuary of the Juice of Roses three Drams Syrup of Buck-thorn six Drams Cinnamon water two Drams make a Potion Potions of easie preparation for the Poor Take of Flaxweed a handful sweet Fennel-seeds two Drams boil them in a sufficient quantity of spring-Spring-water till it comes to six Ounces add to it of White-wine two Ounces make a Potion After the same manner you may make a Purging Potion of the Flowers of Damask Roses also of Peach Leaves and so of the Roots of Eupatorium Avicennae PILLS First of a gentle Operation Take of Stomach Pills with Gums from a Scruple to half a Dram Tartar vitriolated two Grains Balsam of Peru what will suffice make thereof three or four Pills After the same manner may be made Pills of the mass of Pilul Ruffi of Pilul Mastichin of Pilul de Succino and of our extract Solutive the description of which you may find in our Tract of the Scurvy 2. Mean Pills Take of Stomach Pills with Gumms half a Dram Rosin of Julap from four Grains to ten Tartar vitriolated six Grains Ammoniacum dissolv'd as much as will suffice make four Pills After the same manner may be made Pills of the mass of Pilulae de Succino Tartari Quercitani Also instead of Rosin of Jluap you may put Scammony Sulphurated from six Grains to twelve or Rosin of Scammony from eight Grains to fourteen Or Take Stomach Pills with Gumms a Scruple Rosin of Julap from six Grains to twelve Balsam of Peru as much as will suffice make four Pills 3. Strong Pills Take Pilulae Rudii half a Dram Rosin of Julap from eight Grains to twelve Balsam of Peru what will suffice make four Pills to be taken cum Regimine After the like manner Pills may be made of the mass of Pilulae Cochiae de Sagapeno Take of Pilulae ex duobus from a Scruple to half a Dram Calamelanos a Scruple make four Pills to be taken Cum Regimine 4. Pills easily prepar'd and cheaper Take Powder of the best Jalap two Drams Diagridium a Dram Cloves Ginger of each a Scruple Ammoniacum dissolv'd as much as will suffice make a mass the Dose is half a Dram. Take of Pilulae Cochiae from half a Dram to two Scruples let four Pills be made POWDERS First such as are gentle Take of Rhubarb Powdred half a Dram Salt of Wormwood half a Scruple Cloves two Grains make a Powder give it in a spoonful of small Cinnamon-water or in a little Broath Take of the greater Compound Powder of Sena from half a Dram to a Dram in a little draught of Posset-drink Take Powder of the Leaves of Sena a Scruple Calamelanos seventeen Grains yellow Saunders half a Scruple make a Powder give it in a spoonful of Panada 2. Mean Powders Take Powder of Diasena a Dram Cream of Tartar a Scruple make a Powder give it in a little draught of Broath Take Rosin of Jalap ten Grains Calamelanos a Scruple Cloves six Grains make a Powder and take it after the same manner Take Species of Diaturbith with Rhubarb from half a Dram to a Dram Cream of Tartar from a Scruple to half a Dram. 3. Strong Powders Take Turbith Hermodacts of each three Drams Diagridium a Dram Ginger a Scruple make a Powder the Dose is from half a Dram to a Dram. Take Pulvis Cornachini a Dram after the same manner may be given the Compound Powder of Hermodacts also the Hydrotick Powder of Riverius 4. Cheap Powders and easie to be got Take Powder of the Roots of the best Jalap a Dram Ginger a Scruple give it in a little draught of White-wine so you may give Powder of the Roots of Mechoachan also of the Leaves of Sena in any Liquor BOLUS's and ELECTUARIES First such as work gently Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Syrup of Roses what suffices make a Bolus Take fresh Cassia half an Ounce Powder of Rhubarb half a Dram Cream of Tartar a Scruple Syrup of Roses as much as suffices make a Bolus 2. Mean Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Rosin of Julap six Grains Syrup of Roses what suffices make a Bolus Take of the Electuary Diaphaenicon half an Ounce of the Compound Powder of Hermodacts half a Dram Syrup of Elder what suffices make a Bolus 3. Strong Workers Take of the Electuary of the Juice of Roses half an Ounce Rosin of Julap ten Grains Cream of Tartar half a Dram Syrup of Elder what suffices make a Bolus Electuaries are Compounded of the same things made up in a greater quantity by adding Conserves of Damask Roses or of the Flowers of Peaches the Dose is the quantity of a Chesnut to be taken betimes every Morning or twice or thrice a Week 4. Bolus's and Electuaries easily prepar'd Take Powder of the Roots of Julap an Ounce of Mechoachan half an Ounce of Ginger two Drams of Cloves a Dram Cream of Tartar three Drams Salt of Wormwood a Dram Sugar two Ounces Syrup of Roses Solutive what suffices make an Electuary the Dose is the quantity of a Wallnut Confectio Solutiva Passulae Laxantes the Diapranum of Sylvius in the 30. Page of his Practice of Physick 5. Morsells or Tablets of a mean operation Take Powder of Mechoacan Gummous Turbith of each half an Ounce Scammony sulphurated two Drams Rosin of Jalap a Dram yellow Saunders a Dram Cream of Tartar two Drams Conserve of Violets an Ounce Sugar dissolv'd in Rose-water and boil'd up to a fit consistency a Pound Make Tablets according to Art each weighing a Dram the Dose is one or two The Purging Tablets of Sylvius Page the 28. of his Practice of Physick 6. Physical or Purging Wines and Ales of a mean operation Take Leaves of Sena an Ounce and a half Turbith Mechoacan of each six Drams strings of black Hellebore three Drams Cubebs Galingal Roots choice Cinnamon of each two Drams Put all in a large Glass with four Pounds of Rhenish-wine adding to it Salt of Tartar a Dram and a half let it stand cold and close cover'd for six days add to it Sugar-Candy three Ounces strain it through Hippocrates Sleeve the Dose is three or four Ounces Take Leaves of Sena three Ounces Roots of Polypody of the Oak and of sharp Pointed Dock prepar'd of each two
Ounces Turbith Mechoacan of each an Ounce and a half Epithymum yellow Saunders of each an Ounce Coriander-seeds an Ounce and a half let them be slic'd and bruis'd and put in a Bag according to Art for four Gallons of Ale the Dose is from twelve Ounces to a Pound either every Morning or twice or thrice a Week CHAP. IV. A Cure for Over-purging or of Medicines that stay too much Purging or a Looseness Also the Cure of the London-Flux with Instructions in each Case TO prevent over-purging upon giving any Purging Medicine we must proceed thus Before we give a Purge we must first consider well the Constitution Strength and Custome of the Body to be Purg'd as also the Nature Dose manner of Working and ordinary effects of the Medicine to be given and then by comparing the one with the other we must proportionate the vertue of the Agent according to the bearing of the Patient Secondly whilst the Medicine is working let the Viscera where digestion is perform'd the Blood and the Animal Spirits be kept free from any other perturbation Wherefore during that time let not the Patient eat gross or viscous food or too great a plenty of any food which may offend the Stomach let him carefully avoid the admittance of any outward cold by which the Pores of the Body are shut up also let the mind be kept calm and undisturb'd free from all Cares and toilsome Studies Thirdly The Operation of the Medicine being ended we must appease the angry rage of the Animal Spirits and allay the effervescence of the Blood and Humours for which ends let an Anodine Medicine or a gentle Hypnotick be given according to the following forms Take Water of Cowslip Flowers two Ounces Cinnamon-water hordeated Syrup of Maeconium of each half an Ounce Pearls half a Scruple make a draught to be taken going to rest Or Take Conserve of red Roses vitriolated two Scruples Diascordium half a Dram Pearls half a Scruple Diacodium what suffices make a Bolus to be taken going to sleep In case this Provision be either omitted or does not hinder a Purging Medicine from working to excess let the Patient presently be put into a warm Bed and be ordered as follows First Let either a Plaister of Mithridate be apply'd to his Stomach and to the whole upper Region of the Belly or let those parts be fomented with warm Linnen Cloaths dip'd in a decoction of Wormwood Mints and Spïces in red Wine and so wiung forth presently upon it let him take inwardly either a Bolus of Venice Treacle or a Solution of it in Cinnamon-water Moreover let him drink every now and then a spoonful or two of Burnt-wine diluted with a little Mint-water if he be troubled with Gripes give him a Glister of warm Milk with Treacle dissolv'd in it and warm frictions must be us'd to the remote parts and sometimes Ligatures to draw the Blood outwards and so keep it from too great a Colliquation and from discharging it self into the Cavities of the Viscera then in the Evening if there be strength and a pretty good Pulse let him take a Dose either of Diacodium or of Liquid Laudanum with some fit Vehicle As to other kinds of excessive Purging which are wont to happen without the Administration of a Purging Medicine for the most part they are meerly Symptomatical depending on other Diseases and their method of Cure is wholly the same as of those Diseases whose off-spring they are Nevertheless sometimes a Looseness or Flux seems to be a Disease of it self and because this kind of Distemper Raging almost yearly in the City of London is commonly accounted Endemious or a Disease peculiarly attending Inhabitants I shall here set down its method of Cure I have often and long observ'd that there are two and that very different kinds of that Flux usually call'd the Griping of the Guts which happens here almost yearly about Autumn In one of them the Stools are watry and in a manner cleer with a sudden failing of the strength in the other they are bloody but tolerable withal In the Year 1670. about the Autumnal Equinox a World of People here were seized with a most dangerous Flux though without Blood and joyn'd with a cruel Vomiting which presently caus'd great faintings and a total decay of strength For the Cure of this Disease no Evacuation did good nay Bleeding Vomiting and Purging always did hurt only Cordials and those of the hottest nature to wit such as abounded with Spirit and Sulphur or a Volatile Salt prov'd commonly of good effect insomuch that Brandy burnt a little with Sugar was a Popular and as it were Epidemick Remedy and in that sort of Flux was seldome given without success though in the other sort of Flux which carry'd Blood with it having been us'd without due regard it has often been found to be hurtful The method of Cure which I then took successfully enough with many and am wont still to take in the like case is after the following manner Take Venice Treacle from a Dram to a Dram and a half let the Patient take it in Bed and drink after it seven or eight spoonfuls of the following Julap and let him repeat this Dose every third fourth or fifth hour Take Mint-water Cinnamon-water hordeated of each three Ounces strong Cinnamon-water Plague-water Treacle-water of each two Ounces Powder of Pearls a Dram Sacchari Crystalin half an Ounce mingle them and make a Julap At the same time take a piece of Bread spread some Treacle on it and dip it in Sack or Red-wine warm'd and let it be apply'd to the Stomach as hot as it may be suffered and change it every now and then In the Evening if the Pulse and Breathing seem strong enough to bear it let the Patient take of Liquid Laudanum Cydoniated twenty Grains in a draught of Plague-water Take Diascordium a Dram Liquid Laudanum half a Scruple Compound Powder of Crabs Claws a Scruple Cinnamon-water what suffices make a Bolus to be taken going to sleep To those to whom Treacle or Mithridate prove nauseous or disagreeing give a Dose of the following Powder or Spirit of Treacle every third hour with the Julap Take Compound Powder of Crabs Claws Roots of Contrayerva or Serpentaria Virgin of each a Dram Cinnamon Roots of Tormentil of each half a Dram Saffron Cochinele of each a Scruple make a Powder the Dose is from half a Dram to two Scruples Take Spiritus Theriacalis Armoniacus three Drams the Dose is a Scruple with the Julap every fourth hour or give that and the Doses of the Powder interchangeably one one time and the other the other After the same manner the Spirits of Harts-horne or of Soot may be given let the persons Drink be Ale or Beer with a Crust of Bread Mace add Cinnamon boil'd in it and sweeten'd or let it be Burnt-wine diluted with Mint-water let his Food be Chicken-broth Gruel or Panada with the shavings of Ivory Hartshorn
and the Roots of Scorzonera c. boil'd in it About the Autumnal Equinox in the Year 1671. a desperate Bloody Flux seiz'd on many persons in this City from the first seizing they voided Blood by seige in abundance and that frequently and for the most part it was attended with a Belly-ach and Gripes continual watchings also with a Feaver and a mighty thirst usually troubled them nevertheless their strength held commonly pretty well for some considerable time and if the Flux were stopt sooner than it ought it rendred the Patients conditions worse The method of Cure with the Remedies which I found to give Relief in many persons was according to the following manner Take Venice-Treacle a Dram Liquid Laudanum Cydoniated twenty Grains make a Bolus to be taken going to rest Take Conserve of red Roses vitriolated two Ounces Venice-Treacle an Ounce Powders of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each a Dram Syrup of dry'd Roses what suffices make an Electuary to be taken every fourth or fifth hour and let the person drink after it of the following Julap three Ounces Take the Waters of Mint Baum Cinnamon hordeated of each four Ounces Treacle-water Plague-water of each two Ounces Pearl a Dram Sugar an Ounce mingle them and make a Julap After a day or two give a Purging Potion which leaves an Astringency Take Rhubarb slic'd two Drams yellow Mirobalans slic'd a Dram and a half red Saunders Cinnamon of each a Scruple let them infuse all Night in the Waters of Plantain and Cinnamon hordeated of each two Ounces and a half wring it forth hard then add of strong Cinnamon-water a Dram and a half make a Draught Every Evening and also in certain cases in the Day-time I was wont to give a pretty large Dose of Laudanum nor have I ever known this Medicine to have done any prejudice to a person troubled with the Flux which happen's either because the Narcotick force of the Medicine is subdued or made more gentle by the Acid Juice of the Stomach or rather that its Particles which are transmitted to the Blood are thence presently cast forth again with the Bloody Stools so that they do not affect the Brain If the above-mention'd Electuary be found nauseous to any person or disagrees with him the following Powder may be given in its stead Take Pulvis Pannonici Rubri a Dram Roots of Contrayerva half a Dram make a Powder divide it into three parts and give one part in any Liquor Take Bole Armenick alexiteriated that is impregnated with the Juices of the Leaves of Tormentil Bistort red Roses c. and dry'd in the Sun Roots of Contrayerva of each a Dram Pearl red Coral white amber of each half a Dram make a Powder the Dose is from two Scruples to a Dram. Take the Roots of Avens and Scorzonera of each an Ounce of Tormentil Bistort and Contrayerva of each two Drams and a half burnt Harts-horn three Drams shavings of Ivory and Hartshorn of each two Drams Cochinele half a Dram red Rose-leaves two Drams boil all in a sufficient quantity of Spring Water till it comes to two Pounds towards the end of the boiling add conserve of red Roses three Ounces to the Cleer straining add plague-Plague-water four Ounces the Dose is three Ounces To appease the Gripes and fretting of the Bowels Glysters are commonly prescrib'd Take the decoction of the Tops of St. John's-wort in which Sheeps Trotters or their Mesentery has boil'd eight or twelve Ounces Venice-Treacle two Drams Oyl of St. John's-wort an Ounce and a half make a Glister The Therapeutick Indications into which the method before exprest of curing the Bloody Flux may be resolv'd are chiefly four c. two regard the Blood and as many the Viscera First as to the Blood it s recrementitious and depraved dreggs which tend inwards must be driven forth into the habit of the body that they may exhale by perspiration and its coagulations must be dissolv'd and its Crasis restor'd as soon as may be Secondly as to what regards the Viscera the irksome sensation of the Nervous Fibres and the irritation of the Carnous Fibres to excretory Convulsions must be appeas'd and the Mouths of the Vessels must be shut to keep them from discharging the blood and humours into the Intestines The first of these is usually perform'd with Opiats and the other with Stiptick or Astringent Remedies Besides these we must have regard to urging Symptoms and ill affects usually attending this Disease the chief of which are a Feaver with a Thirst and Wakings Gripings of the Guts and sometimes their fretting Inflammation and Ulcers We must not proceed upon those four chief Indications severally and successively but we must take them altogether and set upon them at once wherefore the Prescripts ought to comprehend Remedies of divers kinds to wit Alexipharmicks Stypticks Diaphoreticks and Opiats And because it is not an easie thing to put these into a set method and under set Rules which may be generally apply'd I have rather chosen to give you here some Examples of Cures performed by me in the Bloody Flux in the year 1671. To a Gentleman 25 years of Age to whom I was call'd the third day after he was seiz'd I prescrib'd the following Bolus Take Venice Treacle a Dram Liquid Laudanum Cydoniated a Scruple mix them let him drink after it a little draught of the following Julap Take waters of Tormentil Mints and Cinnamon hordeated of each four Ounces Treacle water and Plague water of each two Ounces Pearl a Dram Sugar an Ounce make a Julap He took besides of the following Electuary about a Dram and a half every third hour with the said Julap Take Conserve of Red Roses two Ounces Venice Treacle an Ounce Powder of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each half a Dram Syrup of Red Poppies what suffices By the use of these Remedies the rigour of the Disease soon abated so that he had not above six or seven stools in the space of twenty four hours and those also were not very Bloody as before but appear'd full of little flakes of Flesh and of fragments as it were of Membranes Every Evening he took an Opiate with Laudanum The Fifth day of his illness he took the following Potion Take Rhubarb slic'd two Drams yellow Mirobalanes a Dram and a half yellow Saunders half a Dram Powder of Cinnamon a Scruple Salt of Wormwood half a Scruple let them infuse all night in the waters of Plantain and Cinnamon hordeated of each two Ounces and a half to the straining add strong Cinnamon water two Drams It purg'd him three or four times and gave him ease and the next day the Feaver being abated he was better so that seeming to grow well he eat flesh But shortly upon it fell into a Relapse so that the Flux returning with the Feaver it presently became more violent than it was at first Then because the former Medicines
boild in it Take the Deliquium of Salt of Tartar which whilst the Tincture is extracted floats under and is impregnated with the Sulphur of the Wine from two Scruples to a Dram and a half Whitewine from four Ounces to six Syrup of the five Roots half an Ounce Mingle them and make a draught to be repeated twice or thrice a day Take Ashes made of the Prunings of the white Vine half a pound Nutmegs two Drams pour to them of White or Rhenish wine two pounds and a half let it stand a day in a moderate heat and close cover'd then keep the straining for use The Dose is four Ounces twice or thrice a day Let Flints be made red hot in the Fire and be quencht in White wine or stale March Beer Give of the Liquor from six Ounces to eight twice a day Take Water of quick Lime from four Ounces to six Tincture of Salt of Tartar from a Dram to a Dram and a half Make a draught to be taken twice or thrice a day For the same reason as fixt Salts sometimes also volatile Salts are given with good success to move Urine in a sourish distemper of the Blood to wit forasmuch as its Particles when admitted into the Blood destroy the predominancy of the fluid Salt in it so that the Blood recovering its due mixture and being freed from coagulations and fluxions drinks up again what Serum is extravasated and conveys what is superfluous to the Reins to be sent forth by the Ureters But we may note withal that Medicines prepar'd of a volatile Salt having particles somewhat fierce in operation and instigating when they correct the Crasis of the Blood dispose what there is superfluous of Serum to be discharg'd sometimes by Sweat as much as by Urine In this order of Diureticks not only the bare volatile Salt drawn forth of Animals and Minerals ought to be numbred but likewise the integral parts of Animals and Vegetables such as are the Powders and Extracts of Insects and Vegetables of a smart nature Prescripts of Medicines that have a volatile Salt for their Basis TAke Salt of Amber Pure Sal Nitre of each two Drams make a Powder the Dose is from a Scruple to half a Dram in a fit Vehicle Take Flowers of Sal Armoniack Crystal Mineral of each two Drams Make a Powder the Dose is from a Scruple to half a Dram in a good spoonful of Radish water compound Salt of Vrine may be given after the same manner Take Powder of Bees a Scruple Lovage-seed a Scruple Make a Powder give it in a spoonful of distill'd water Take Spirit of Vrine from a Scruple to half a Dram Radish water compound from an Ounce to an Ounce and a half Juniper water three Ounces mingle them make a draught Spirit of Tartar may be given after the same manner in a double quantity Take Millepedes prepar'd two Drams Flowers of Sal Armoniack half a Dram Nutmegs powder'd half a Dram Venice Turpentine what suffices Make Pills let four be taken twice a day Take Powder of Burdock-seeds two Drams Wild Carrot-seed a Dram Salt of Amber a Dram Oyl of Nutmegs half a Scruple Balsamum Capivii what suffices Make a Mass form it into little Pills of which let four be taken in the Evening and as many the next Morning Take Roots of Chervil Stone Parsly Fennel Eringo Cammock or Rest-harrow of each an Ounce Leaves of Saxifrage Clivers or Goose-grass of each a handful Seeds of Gromwel Hartwort of each half a handful Juniper Berrys six Drams boil all in four pounds of fountain water till half be consum'd then add Rhenish Wine a pound fine Honey two Ounces Make an Apozem the Dose is six Ounces twice a day Take fresh Millepedes two pounds Leaves of Clivers Chervil Saxifrage and Golden Rod of each two handfulls Roots of Horse Radish six Ounces Nutmegs an Ounce Juniper Berrys Wild Carrot-seeds of each two Ounces being slic'd and bruis'd pour to them of White-wine Posset-drink eight pounds distil it in a common Still Let the whole Liquor be mixt the Dose is four Ounces twice or thrice a day Take fresh Millepedes wash'd from forty to sixty Nutmegs half a Scruple being bruis'd together put to them distill'd Water of Saxifrage three Ounces wring it forth hard and drink it Take Leaves of Chervil Macedonian Stone Parsly of each three handfulls being bruis'd together pour to them of Whitewine a pound and a half wring it forth hard and keep it in a Glass the Dose is three Ounces twice a day Prepare a Tincture of Millepides Bees Grashoppers or of Cantharides dry'd with the Tincture of Salt of Tartar give it from fifteen to twenty or thirty drops in a fit vehicle Nitre is a sort of Salt but differing from any other Salt or from the nature of Saline Particles being neither Acid fixt or volatile but holds the mean state as it were betwixt those three And in truth Nitre is the thing by which all Plants have their vegetation all Animals live and breath and every Sublunary Flame or Fire is kindled and maintained But as to our present purpose it 's well enough known that Sal Nitre cools the Blood and powerfully provokes Urine though it seems somewhat strange how this which is of so fiery a nature should so quallify the Blood and run it into Aquosities to move Urine I conceive that Nitre works those effects in a two-fold respect to wit as it is a Salt ally'd both to a fixt Salt and a volatile and as it carries a living Root of Fire in it As to the first we observe that Nitre ev'n as fixt and volatile Salts being put into Milk hinders or takes away its coagulation so likewise Blood whilst warm being pour'd to this is preserv'd from coagulation and from being discolour'd no less than if put to those Wherefore since Particles of Nitre inwardly taken preserve the mixture of the Blood entire or restore it it follows that they prevent or take away the fusions or coagulations of the same from which heats and a suppression of Urine very often arise So again Nitre in regard it carries in it a living Root of Fire when inwardly taken cools the inflamed Blood and moves Urine because according to what is hinted before it adds a vigour to the flame of the Blood which before was troubled and full of fumes and so renders it more clear and pure and consequently more mild since therefore the Blood burning clearer by the access of Nitre becomes of a more loose consistency the serous Particles easily get clear of the more gross and pass away in a more plentiful manner Prescripts of Diureticks that have Sal Nitre for their Basis TAke Nitre prepar'd two Drams Barley water with Grass Roots and Candied Eringo Roots boil'd in it two pounds Syrup of Violets two Ounces Mix them the Dose is four Ounces twice a day Take Sal Prunella two Drams Sugar-Candy a Dram make a Powder to be divided into six
he fell at length into a confirm'd Diabetes as it seem'd and almost past hope of recovery For besides that in the space of twenty four hours he voided near a Gallon and a half of clear water and wonderfully sweet as though Honey were mixt in it He was moreover affected with a cruel Thirst and a Fever seemingly a Hectick with a mighty Languor of the Spirits a fall of strength and a Consumption of the whole Body I then prescrib'd him the following Remedies by the use of which he seem'd in a short time to recover Take Cypress Tops eight handfuls Whites of Eggs beaten two pounds Cinnamon half an Ounce being cut small pour to them of new Milk eight pounds distill it in an ordinary Still taking care of an Empyreuma Let him take six Ounces thrice a day Take Gum Arabick and Gum Tragacanth of each six Drams Penids an Ounce Make a Powder let him take about a Dram or a Dram and a half twice a day with three or four Ounces of the distill'd water Take Rhuba-b powdred fifteen Grains Cinnamon six Grains Make a Powder let him take it in the Morning and renow the Dose within six or seven days Take Cowslip water three Ounces Cinnamon water hordeated two Drams Syrup of Meconium half an Ounce Make a draught to be taken every Evening His Diet was only Milk which he took pretty often in a day sometimes crude or diluted with the distill'd water or with Barly water sowetimes boil'd with White-bread or with Barly Growing daily better by the use of these things within a Month he seem'd to be almost Cur'd As he began to grow a little well his Urine which was Insipid did not much exceed the quantity of Liquids he took and afterwards turning a little Salt it became less in quantity than what he drank and so by degrees recovering the wonted tone of his Spirits and a good strength he took to his former Diet. Nevertheless the disposition to this Disease did not so throughly cease but afterwards being apt frequently to Relapses upon disorders in Living and haply upon changes according to the seasons of the year he first made Water in a greater measure than ordinary which by degrees grew clear and sweetish a Thirst and Fever with a Languor of the Spirits accompanying it But by the use of the same Medicines he us'd in a short time to recover again Not long since after a large interval of health a little before he fell into a Flux of Urine he found great irregularities and failings in the Genus Nervosum viz. He was seiz'd with a dull numbness of his Brain and a Vertigo and was taken with sudden Cramps in his Limbs and felt little Leapings of the Tendons and various runnings about him as though it were of a wind creeping here and there And when by the use of fit Remedies the aforesaid Symptoms seem'd to be Cur'd the Diabetes after its wounted manner burst forth afresh viz. the matter flowing forth in abundance from the Fibres and solid parts into the Blood and thence to the Reins and the Urinary Passages In this Juncture the same Remedies were prescrib'd again by the use of which when within a few days he began to grow bettr he was ordered to take thrice a day Water of quick Lime to five or six Ounces Having continued this Remedy four days he made water in a moderate quantity well ting'd and somewhat salt and as to other things he seem'd well as he was before By the same method and chiefly with the Water of quick Lime I Cur'd another of a Diabetes who was look'd upon as past recovery The Kinds and Prescripts of Medicines that stop Vrine flowing in excess A Stringent Medicines properly so call'd to wit such as are austere acerb and stiptick do little or nothing in stopping a Diuresis for the vertue of those things has no effect on the Mass of Blood nor does it reach to the Reins and Bladder But the Remedies that chiefly do good in the Diabetes are of two kinds as we have hinted before viz. First those that hinder the combinations of the Salts and consequently the fusion of the Blood such as the Incrassatives before mentioned Secondly Those that dissolve the Concretions of the Salts and consequently restore the mixture of the Blood of which kind are Saline Remedies of a contrary nature which are apt to cleave to the Acid Salt and so withdraw it from the combinations it has entred into within the Blood as chiefly Medicines endow'd with a fixt volatile or alchalisate Salt Besides these two Primary kinds of Medicines that restrain Urine there rests a Secondary kind to wit Hypnoticks which putting some stop to the Animal Aeconomy cause the vital function to be perform'd with more calmness and consequently with less fusion of the Blood or precipitation of the serous and nutricious humours It remains now to set down some Select Forms of each kind of these Medicines I. The first Scope of Curing to wit by which we endeavour by thickning the Blood to prevent its fusion or to take it away is effected by the Medicines following Take Gumm Arabick and Tragacanth powder'd of each an Ounce Sugar Penids half an Ounce Make a Powder divide it into sixteen parts Take one part thrice a day dissolving it in the distill'd water or in the docoction of the Roots of Comphry in fountain water or Milk Take of the Resumptive Electuary three Ounces Species Diatragacanthi frigidi an Ounce Red Coral prepar'd two Drams Confection of Hyacinth a Dram and a half Gelly of the cast Skins of Vipers what will suffice Make an Electuary of which let the Patient take twice a day the quantity of a Wallnut Take white Amber Mastick Olibanum powdred of each an Ounce Pulvis Haly two Ounces Balsam of Tolu half an Ounce Make a Subtle Powder the Dose is half a Dram twice or thrice a day Take Roots of great Comphry and Water Lillies of each three Ounces Dates slic'd two Ounces Seeds of Maliows Cotton-plant Plantain Fleawort of each half an Ounce Boil them in four pounds of fountain water till half be consum'd to the straining add Syrup of Water Lillies two Ounces The Dose is four Ounces thrice a day Take of the decoction of Barly with Water Lilly-roots a pound and a half Sweet Almonds prepar'd an Ounce and a half Seeds of white Poppies Purslain Lettice of each half an Ounce Make an Emulsion according to art the Dose is four Ounces thrice a day Take Cypress Tops six handfuls Clary Leaves four handfuls Flowers of blind Nettles Comphry Water Lillies of each four handfuls Roots of Water Lillies and Comphry of each half a pound Mace an Ounce all being small slic'd together pour to them of new Milk eight pounds distil them in an ordinary Still The Dose is four Ounces thrice a day with the Powder of Electuary above written II. In the second place though Saline Medicines of every kind and condition are accounted Diuretick
and every of them in certain cases inasmuch as they fuse the Blood and cause a copious separation of its Serosities are in some sort Diuretick Nevertheless for the reason above-mention'd to wit for that meeting with the Acid Salt when it is predominant in the Blood they prevent and take away its fusion and dissolution I do not doubt but sometimes they may be given with good success to stop Fluxes of Urine And I have heard for certain that one was Cur'd of a Diabetes by an Infusion of quick Lime Now in regard the Saline Medicaments which we suppose to take away the predominancy of the Acid Salt and to fetter it as it were contain either a fixt volatile or Alchalisate Salt I shall give you some Forms of Diureticks which have each of these for their foundation 1. First then when a fixt Salt by it self or join'd with Sulphur is requir'd for a Basis Take Tincture of Salt of Tartar or its Deliquium what suffices Give it thrice a day in a draught of the decoction or distilld water before describ'd Take Tincture of Antimony let it be taken after the same manner thrice a day I have found by frequent experience the use of this to be very profitable in this Disease Take Tincture of Salt of Coral a Scruple let it be taken after the same manner Take of the Infusion of quick Lime a pound The Dose is three or four Ounces thrice a day giving before a Dose of the Electuary or Powder above prescrib'd Take Conserves of the Flowers of blind Nettles and of the great Comphry of each four Ounces of the reddest Crocus of steel half an Ounce Coral calcin'd to a whiteness two Drams Syrup of Comphry what suffices Make an Electuary the Dose is two Drams thrice a day Take Lapis Specularis calcin'd an Ounce The Dose is from half a Dram to a Dram twice or thrice a day Country People with this Medicine successfully Cure their Cattle that piss bloody water Take Coral calcin'd to a whiteness and powdred three Drams Powder of Gumm Arabick and Tragacanth of each a Dram Make Powder divide it into ten parts let one part be taken thrice a day with a fit Vehicle to wit with the decoction or the distill'd water Take the reddest Crocus Martis six Drams Gumm Lac powdred half an Ounce red Saunders a Dram Make a Powder divide it into twenty parts whereof let one be taken thrice a day Take Hartshorn burnt and powdred half an Ounce boil it in four pounds of the water of a Smiths forge till half be consum'd adding towards the end a Crust of Bread Roots of great Comphry and water Lillies dry'd of each an Ounce and a half Sacchari Perlati two Ounces let him take four Ounces thrice a day 2. Medicines containing an Alchalisate Salt such as Coral Pearl Cuttle-bone Hartshorn Ivory Powders of Shells and the like as they are commonly us'd against Rheumatick affects so likewise for a Diabetes And inasmuch as they imbibe the Acid Salt abounding in the Blood and so free the Mass of Blood from fusion we may justly expect a benefit from them Take red Coral ground to a great subtlety Cuttle-bone of each half an Ounce Hartshorn Philosophically calcin'd three Drams Pearl Ivory Crabs Eyes of each a Dram Mix them make a Powder the Dose is half a Dram thrice a day with a fit Vehicle Take of the said Powder three Ounces Species Diatragacanth frigid two Ounces Sugar Candy two Ounces Make a Powder and with a sufficient quantity of the Solution of Gumm Arabick make a Paste and let it be form'd into Troches weighing half a Dram let three or four be taken thrice or oftner in a day Take of the said Powder two Ounces of the Resumptive Electuary four Ounces Conserve of the Flowers of water Lillies three Ounces Syrup of the same what suffices Make an Electuary let him take the quantity of a Chesnut thrice a day drinking after it a draught of the Apozeme or of the distill'd water above prescrib'd 3. For the same reason as Medicines endued with a fixt and Alchalisate Salt seem proper in Curing the Diabetes for the same reason do such as have a volatile Salt For these as well as those lay hold on and draw of the Acid Salt by which the Blood is fus'd and dissolv'd into Serosities so that its Liquor recovers its due Crasis Take the Solar Tincture prepar'd as I readily do it with Sal Armoniack an Ounce The Dose is twenty Drops thrice a day The Spirits of Blood Soot and Hartshorn may also be try'd in this Disease Take Salt of Amber a Dram the reddest Crocus Martis two Drams Mix them divide it into twelve parts the Dose is one part thrice a day III. As to the third kind of Remedies in the Diabetes to wit Hypnoticks which by putting a stay to the Animal Spirits retard the course of the Blood and so hinder in some measure its effervescency and fusion I use to prescribe to some persons Diascordium to be taken every Evening and when that does not do I give sometimes every Night and sometimes every other Night Liquid Laudanum Cydoniated or Tartariz'd and that with good success Take the decoction of Barly with the dry'd Roots of Comphry six Ounces white Poppy-seeds two Drams sweet Almonds prepar'd in number six Make an Emulsion according to art let it be taken every Night going to sleep Take of the Magistral distill'd water above prescrib'd four Ounces Solution of Tragacanth two Drams Diascordium from half an Ounce to six Drams Give it going to sleep Take Conserve of the flowers of water Lillies two Drams Laudanum Tartariz'd or Cydoniated a Scruple Tincture of Saffron six Grains Make a Bolus to be taken going to sleep CHAP. VII Instructions concerning Sweating and Diaphoreticks or Medicines causing Sweat with Prescripts of them FOr a ready and plentiful eruption of Sweat these three things are requir'd First that the Blood boiling more than its wont circulates with a more rapid motion Secondly That its Latex abounds with many watry Particles and those loose that is apt to be separated from the rest of the Liquor and to be resolv'd into Vapours for if there be a deficiency of Serum or if it be not easily separable from the Blood through its too great compactness or incrassation by reason of Faeculencies strongly mixt in it scarce any sweat at all will follow though the intense heat of a burning Fever presses for it and most powerful Diaphoreticks are given at the same time Thirdly The Pores of the whole Body must be set wide open for a free passage of the Sweat Therefore Sweating Medicines to be taken inwardly must be such as make the Blood boil more than ordinarily and consequently cause it to evaporate Also such as somewhat loosen and fuse its often too compact and incrassated Mass that its Serosities may more readily depart from it and be separated and they must be such as at the same
time dispose them so separated rather to pass forth by Sweat than by Urine or Seige As to the third thing requir'd to wit the opening of the Pores this is done in a manner wholly by outward Administrations Now because the same Saline preparations which are given to procure Sweat are often given to move Urine and sometimes also for Cordials we must shew by what preparation and other requisites Sweating is to be promoted alone without the other intents And we observe that Sudorificks inwardly taken seldom or never work of their own accord as Emeticks Catharticks or Diureticks but always need some Governance to actuate the Medicine and to determine it to that Energy Wherefore a Diaphoretick being given the Patient must presently be so ordered that the Pores of his Body may be open'd and the beat of his Heart very much heighten'd For these ends either let him be kept in a Bed Bath or Hot-house or let him exercise his Body with some quick or laborious motion and that these things may succeed the better in promoting Sweat when it is in our power let us make choice of a fit time and subject for it viz. when the Blood enjoying a laudable or not very evil Crasis both sufficiently abounds with a Serous humour and has not its Particles in too great a confusion or perturbation but is in a disposition readily to be loosen'd and to separate it self and run into parts For in a Bilous temperament in a thin and dry constitution and in the mindst of a burning Fever when all things are in a trouble and undigested Diaphoreticks commonly prove of no effect or do hurt Moreover when Diaphoreticks are judg'd proper we must not give all sorts of them indifferently but peculiar Medicines must be chosen according to the various disposition of the Blood and the different predominancies of the Element in it sometimes of this sometimes of that and according to the states of the Salts The Kinds and Prescripts of Diaphoretick Medicines SUdorifick Medicines being manifold and of divers kinds and being wont in a various respect to be rang'd in order and reduc'd to Classes In the first place I have thought fit here to distinguish them and set them down both as to their form and manner of Composition and as to the matter out of which they are made Their most usual forms are 1. a Powder 2. Chymical Liquors 3. A Potion 4. A Bolus 5. A Diet. The matter of each of these are either the integral parts of the whole mixt Body or certain Elementary parts of some mixt resolv'd by Chymistry and those are either simple viz. either Spirituous or Saline The latter of which also are either volatile or fixt Acid or nitrous Or lastly the Sudorifick Particles so divided and separated by Chymistry are Elementary parts compounded betwixt themselves viz. Spirituo-Saline and Salino-Sulphureous As we run through each of these Species in order we shall adapt to each matter the more Select forms of Prescripts Diaphoreticks which have the integral parts of a mixt for their foundation in which also a smart or volatile Salt is predominant in this respect often conduce to provoke Sweat that their Particles being admitted into the Blood and being immiscible with it and not to be subdued exagitate its Mass greatly divide it and draw it asunder as it were into most Minute parts so that at length the texture of the Blood being very much loosen'd and set a boiling the superfluous Serosites Recrements and taints of the Blood are cast forth together with the Particles of the Medicine which are expell'd by reason of their Heterogeneity Those that are of this rank are usually given in the form of a Powder Bolus Potion and Diet according to the following forms of Prescripts Take Roots of Contrayerva Serpentaria Virginiana Butter-burr of each a Dram Cochinele Saffron of each half a Dram Make a Powder the Dose is half a Dram with a fit Vehicle Take Powder of Vipers a Dram give it in some convenient Liquor Take Powder of Toads prepar'd from half a Dram to a Dram. When Diaphoreticks ought to predominate in Sal Alchali alone or mixt with the former Take Oriental Bezoar from a Scruple to half a Dram give it in a spoonful of distill'd water or some other Vehicle Take Powder of Crabs Claws Compound from a Scruple to half a Dram give it after the same manner The Bezoartick Powder is made after this manner Take Powder of the Roots of Contrayerva of Crabs Claws simple of each two Ounces Pearl both sorts of Coral white Amber Crabs Eyes Hartshorn Crystal prepar'd of each an Ounce Occidental Bezoar Lemnian Earth of each half an Ounce Ceruse of Antimony two Ounces Cochenele half an Ounce Ambergreece a Dram and a half Musk half a Dram Make a subtle Powder and let it be form'd into little round Balls with the Gelly of the Skins of Vipers the Dose it from a Scruple to a Dram. Take of this Bezoartick Powder a Scruple Powder of Toads prepar'd six Grains Make a Powder give it in a spoonful of Treacle water 2. Bolus's which have for their Basis the integral parts of some mixt made in the form of an Electuary Extract or Conserve Take of Mithridate from half a Dram to a Dram of the Bezoartick Powder from a Scruple to half a Dram Syrup of the Juice of Citrons what will suffice make a Bolus Instead of Mithridate you may put Treacle or Diascordium or Confectio Liberantis de Hyacintho So likewise Bezoar powdred or the Roots of Contrayerva and the Powders of the like things may supply the place of the Bezoartick Powder Take of the Extract of Treacle from half a Dram to a Dram of the Bezoartick Powder a Scruple Make a Bolus Take of the Extract of Carduus half a Dram Bezoartick Powder a Scruple Salt of Wormwood fifteen Grains with a sufficient quantity of the Syrup of the Juice of Citrons Make a Bolus 3. Potious which have for their Basis common decoctions of Vegetables or Infusions and Tinctures Take Roots of Butter-burr an Ounce Seeds of the same two Drams Eringo Roots Condited six Drams Carduus Seeds two Drams boil all in a pound of fountain water till half be consum'd In the cleer straining dissolve of Mithridate half a Dram or two Scruples Let it be taken warm in Bed After the like manner the Leaves of Carduus the Flowers of Marigolds or Cammomile may be boild in a sufficient quantity of Posset-drink of which six or eight Ounces may be given warm either alone or with some Powder Electuary or other Diaphoretick added to it 4. Diaphoretick Infusions and Tinctures of divers kinds may be prepar'd by extracting the vertues of simple Vegetables and Confections with Wine Vinegar or distill'd water which afterwards being strain'd and clarified by setling are often given with success To this place ought to be referr'd the Bezoartick waters Wines and Vinegars prepar'd by Infusion the forms of which are every where
to be found amongst Authors Moreover Tinctures of Vegetables which are of very great effect in a small Dose are made after this manner Take Roots of Contrayerva a pound being bruis'd and put into a Matrass pour to them Spirit of Wine three Pounds Let them digest to draw forth a Tincture then strain it and draw it off in Balneo to the consistency of Honey Keep the Spirit first drawn off apart from the rest pour it again to what stays behind and draw the Tincture again The Dose of which is from half a Dram to a Dram in a fit Vehicle 5. Diets whose foundations are decoctions of Woods design'd for the Cure of the French Pox and other Cronick Affects deeply rooted in the Blood and humours For indeed a very intense and frequent Sweating viz. continued for a long time day by day is requir'd for the Cure of some Diseases to wit that not only the Impurities and Corruptions of the Viscera and humours may be purg'd forth but ev'n the Morbifick Taints deeply Imprinted in them may be wholly abolish'd or as it were eradicated To effect this it will not be enough to give a Sudorifick Powder or Bolus now and then at times but an entire Diet must be ordered for this purpose Wherefore let all the drink the Person takes be a Diaphoretick Decoction after a Dose of which taken each Morning let a copious Sweat be promoted by adding to it the heat of a Bath or of a Hot-house and after that by this means the Pores of the Skin are open'd and Nature is inclin'd to Seeat let the Recrements of the Blood and Nervous Juice for that whole day evaporate by perspiration which must be still maintained by the use of the said Drink By this method not only the French Pox is most safely and for the most part most certainly Cur'd but also some other most difficult Diseases are sometimes easily overcome Take the Raspings of Guaiacum four Ounces Sarsaparilla six Ounces Chinna two Ounces all the Saunders of each an Ounce Shavings of Ivory and Hartshorn of each half an Ounnce Antimony powdred and tied in a rag six Ounces Let them Infuse and Boil according to Art in sixteen pounds of founntain water till half be consum'd and strain it to the remaining Magma add the like quantity of water let them infuse and boil till a third part be consum'd adding to it Raisins a pound Licorice an Ounce Let the straining be kept for a common drink In case of a Bilous Temperament and a sharp and hot Blood leave out the Guaiacum and augment the quanntities of the China and Sarsa Diaphoreticks which consist of the Integral parts of the whole mixt and are easie to be gotten for poor people may be prescrib'd according to the following forms In Malignant Fevers Take Conserve of Wood Sorrel a Dram Mithridate two Scruples and a half mix them Let it be taken drinking after it a draught of Posset-drink that has the Leaves of Carduus Scordium or of Camomil Flowers or Marigolds boil'd in it Take Powder of the Roots of Virginia Serpentary from half a Dram to a Dram Give it with a fit Vehicle or give Powder of the Root of Butter-burr a Dram after the same manner In ordinary cases give the Decoction of Gromwel of the Roots of Butter-burr or Virginia Serpentary or of the Roots and Seeds of the great Burr-dock In the French Pox a Decoction of Soap-wort or of the Raspings of Box and the like may supply the place of the Decoction of Woods which are of greater price 2. Sweating Medicines prepar'd from the Elementary parts of a mixt have for their Basis either a Spirit or a Salt sometimes simple sometimes combin'd with another Salt or with Sulphur Let Spirituous things be prescrib'd according to the following forms 1. Let the Spirit of Treacle Camphorated be given from half a Dram to a Dram or a Dram and a half in a fit Vehicle After the same manner many other Spirits distill'd from the Juices of Vegetables maturated by fermentation and appropriated to certain Distempers may be given to provoke Sweat when it is Indicated Of which kind are the Spirits of Black-cherries of the Berries of Elder Ivy and Juniper with many others the Spirits of Hartshorn Soot Blood and the like ought rather to be numbred in the rank of Salts 2. Diaphoreticks whose Basis are Spirits with other Elementary Particles combin'd may be prescrib'd after this manner Take of the simple mixture a Dram give it in a convenient Vehicle To this place also may be referr'd those things that consist of a Spirit fixt Salt or a Sulphur combin'd Of which kind are the Tincture of Salt of Tartar and Antimony The Dose of which are from a Scruple to two Scruples in some other Liquor Moreover distill'd waters in which the Spirituous Particles are diluted with watry ones are often given to provoke Sweat with good success Take Roots of Butter-burr and Valerian of each two Ounces of Zedoary Contrayerva Virginia Serpentary of each an Ounce and a half Flowers of Butter-burr four handfuls Saffron two Drams being slic'd and bruis'd pour to them four pounds of Sherry Sack distil it according to Art Let the whole Liquor be mixt the Dose is from two Ounces and a half to three Ounces Or take Roots of Angelica and Master-wort of each four Ounces of Zedoary Ele-Campane Swallow-wort low-wort Gentian the lesser Galingal of each an Ounce Tops of Carduus Rue Angelica of each three handfuls the middle Bark of the Ash six Ounces being slic'd and bruis'd add Mithridate Venice Treacle of each two Ounces Mix them and pour to them of Canary six pounds distill'd Vinegar two pounds distil it according to Art The Dose is three Ounces The Doses of the aforesaid Waters may be actuated by the addition of Chymical Liquors or Salts These sorts of Medicines endow'd with a Vinous Spirit are proper chiefly and in a manner only for old people and such as are of a cold temperament and are subject to the Plasy and Dropsy But in a hot constitution and when there is a fervent heat of the Bowels and a Feverish boiling of the Blood by scorching those and enflaming this too much they usually rather do hurt than good Diaphoreticks whose Basis is Saline as they are of a various nature viz. according as the Salt is volatile fixt Acid or Nitrous so they are of a different use and operation and hence in certain cases these and in others those and those are most propper to be given as we have before observ'd in Diureticks 1. Fixt and volatile Salt is most propper for those whose Blood very much abounds with a serous humour Moreover when at any time the Juice which Irrigates the Viscera and the Genus Nervosum begins to turn sharp as it usually happens in Hydropical and Cacochymical persons and in such as are subject to Convulsive Distempers those Medicines are most effectually give to cause a Sweat because that whilst they
the Tincture of Salt of Tartar of Steel and other things that chiefly abound with Spirit and havd a plenty of Sulphur of which sometimes these sometimes those may be taken as every patient lists When by reason of the Bloods being not kindled and consequently of its too greatcorwding and stagnation as it were within the Praecordia a languishing and failing of the Spirits with a great oppression of the Heart happens then Aqua Mirabilis the waters of Cinnamon Cloves Wormwood Compound also of the Rines of Oranges distill'd with Wine are proper to which sometimes a Dose of some Spirit Elixir or Tincture may be added But here great caution is needful that a person do no indulge himself too much to these kind of Cordials for many by often sipping of them get an ill habit continuing their daily use and encreasing the Dose which at length proves fatal to them for the Liver chiefly and other entrails are so dry'd and scorch'd thereby that the stock of Blood being diminish'd and its Crasis perverted an unhealthy Cacochymia follows or an abbreviation of Life In the second Rank of Cordials we put those Medicines which somewhat appease the too great boiling of the Blood and put a little stop to and allay its immoderate deflagration of this kind are distill'd Waters Acids and Nitrous things Take the waters of Wood-sorrel of whole Citrons of Straw-berrys of each four Ounces Syrup of the Juice of Citrons an Ounce Pearl Powdred a Dram Make a Julape the Dose is two Ounces three or four times a day Take the waters of Pippins or Garden Apples of Rasberrys of each four Ounces Syrup of Violets an Ounce Spirit of Vitriol twelve Drops Make a Julape Take fountain water a Pound and a half Juice of Limmons two Ounces Sugar an Ounce and a half Make a drink of which let three Ounces be taken at pleasure Take Grass Roots three Ounces Candied Eringos six Ounces two Apples slic'd or Corinths two Ounces Shavings of Ivory and of Harts-horn of each two Drams Leaves of Wood-sorrel a handful boil them in three pounds of fountain water to two pounds to the clear straining add of Sal Prunella a Dram and a half Syrup of Violets an Ounce and a half Make an Apozem the Dose is three or four Ounces thrice a day Take Conserve of red Roses vitriolated four Ounces fountain water two pounds dissolve it close cover'd and warm then strain it the Dose is three Ounces at pleasure Take Conserve of Barberrys Rob of Rasberrys of each an Ounce and a half Pearl prepar'd half a Dram Confection of Hyacinth a Dram Syrup of the Juice of Citrons what suffices Make a Confection the Dose is half a Dram thrice a day The third rank of Cordials furnishes those sorts of Medicines which being destinated against the exorbitancies of the boiling Blood loosen and open its close texture for the separation and discharge of its drossy superfluities These being chiefly and in a manner only of a saline nature are also of divers kinds according to the manifold state of the saline Particles of which they consist but for the most part their Basis is either a Volatile Alchalisate Acid Fixt or Nitrous Salt we shall set down certain forms of each of these In the First place Cordials endow'd with a volatile Salt are wont to be given with good effect according to the following prescripts both in Feavers in respect of the Blood and also in swoonings and sudden faintings in respect of the Animal Spirits Take Spirit of Hartshorn from fifteen Grains to twenty Treacle water two Drams give it with a spoon drinking after it a draught of some appropriated Liquor After the same manner may be given the Spirits of Blood of Mans Scull of Soot of Sal Armoniack Compound Take Salt of Vipers a Dram Sal Prunella two Drams Powder of Crabs Claws Compound a Dram and a half Mix them make a Powder the Dose is from half a Dram to two Scruples in a spoonful of Cordial Julape drinking after it a little draught of the same Take Flowers of Sal Armoniack half a Scruple Bezoartick Mineral a Scruple Make a Powder give it in a spoonful of some proper Liquor Secondly Those are chiefly call'd by the name of Cordials by the Vulgar whose Basis is an Alchalisate or Petrifying Salt as particularly Oriental Bezoar Pearl Coral and other Powders of Shells and Stones Take Gascoins Powder or Powder of Crabs Claws Compound from a Scruple to half a Dram give it in a spoonful of Cordial Julape drinking after it two Ounces of the same Take Oriental Bezoar from six Grains to twenty give it after the same manner Take Powders of Crabs Claws and Crabs Eyes of each a Dram Pearl both sorts of Coral prepar'd of each four Scruples both sorts of Bezoar half a Dram the best Bole-Armoniack Aurum Diaphoreticum of each two Scruples Bezoartick Mineral a Dram Mix them make a Cordial Powder the Dose is from a Scruple to two Scruples or a Dram with a fit Vehicle In Persons seiz'd with a Plurisie the following things are accounted the most proper Cordials for as much as by destroying the predominancy of the acid Salt they take away or prevent the Coagulations and Extravasatings of the Blood Take the Powder of a Wild Bores Tusk from half a Dram to a Dram Cristal Mineral a Scruple Powder of red Poppy Flowers half a Scruple Make a Powder to be taken in any Liquor After the same manner may be given the Powders of Crabs Eyes and of the Jaw-bone of the Pike-fish To this place belong also preparations of Nitre which are often given with good effect in Fevers according to the following Forms Take Cristal Mineral a Scruple Volatile Salt of Hartshorn from three Grains to six mix them Make a Powder give it in a spoonful of Cordial Julape Take Cristal Mineral Antimony Diaphoretick of each a Scruple Bezoartick Powder half a Scruple Make a Powder give it after the same manner Medicines whose Basis is a fluid or acid Salt are prescrib'd in Fevers after the following Forms to loosen the Texture of the Blood Take Spirit of Vitriol from four Drops to six Carduus water three Ounces Treacle water two Drams Syrup of the Juice of Citrons three Drams Pearl half a Scruple Make a draught to be taken twice or thrice a day Spirit of Salt or of Nitre may be taken after the same manner For the same the drink Cherbet called also the Divine drink of Palmarius are proper Take Powder of Hartshorn Calcin'd or of Antimony Diaphoretick three Drams Spirit of Vitriol or of Salt a Dram bray them together in a Glass Mortar and let them dry The Dose is from a Scruple to half a Dram in a spoonful of Cordial Julape Fixt or lixivial Salts of Herbs often enter the Compositions of Alexipharmicks Moreover Medicines which have these for their Basis as they are accounted very famous Febrifuges so they ought to be numbred amongst Cordials for instance we
propose that known Medicine Take Salt of Wormwood a Scruple Carduus water three Ounces Spirit of Vitriol or Oyl of Sulphur a Scruple Syrup of Violets three Drams Make a draught to be taken three or four hours before the Fit Take the waters of whole Citrons and of Wood Sorrel of each half a pound Salt of Tartar a Dram and a half Juice of Limmons two Drams Sugar half an Ounce mix them make a Julape the use of it is in Anomalous Fevers which though always burning have daily returns of sharp fits The Dose is three Ounces twice a day The last rank of Cordials and truly in some respect the chiefest is of Alexipharmicks because these are more vital than the rest But Alexipharmicks being either for preservation or for Curing In the first place we shall set down Select Medicines to be given to persons whilst yet in a state of health against the Infection of the Plague or any Malignity whatsoever omitting in the mean time what is usually ordered concerning the alteration and rectifying of the Ambient Air And then in the second place we shall give you Select Forms of Prescripts to be used after the Contagion is taken 1. Antidotes for Preservation TAke Conserve of the Leaves of Rue four Ounces Mithridate and Confectio liberantis of each an Ounce Confection of Hyacinth two Drams Salt of Wormwood two Drams and a half Pulvis pannonici rubri half an Ounce Bezoartick Vinegar what suffices Make an Electuary the Dose is the quantity of a Chesnut thrice a day Take Powder of the Roots of Virginia Serpentary Contrayerva Zedoary Species liberantis of each two Drams Camphire two Scruples Sugar dissolv'd in Bezoartick Vinegar and boil'd to a consistency for Tablets six Ounces Make Tablets according to art each weighing half a Dram let one or two be eaten often in a day Take Roots of Virginia Serpentary three Ounces boil them in three pounds of fountain water till half be consum'd to the straining add of the best Honey two Ounces Venice Treacle an Ounce dissolve it warm and close cover'd and strain it The Dose is two or three spoonfuls three or four times a day Take Flowers of Sulphur four Ounces melt them in a Crucible then put into it by spoonfuls one after another Salt of Wormwood four Ounces stirring them together 'till the whole Mass grows red then add the Powders of Aloes Myrrh Olibanum of each a Dram Saffron half a Dram stir them again for a quarter of an hour till they are incorporated the Mass being cool'd and put on a glass plate let it stand till it dissolves into an Oyl like a most beautiful Ruby The Dose is from ten drops to twenty in an Ounce and a half or two Ounces of the Bezoartick water twice a day Or pour to the said Powder some spirit of Wine rectified on the Roots of Contrayerva and Virginia Serpentary till it cover them three fingers over draw forth a Tincture The Dose is from twenty drops to thirty in a fit Vehicle Or Take of the same Powder half an Ounce pour to it of the best Canary two pounds let it dissolve close cover'd and warm The Dose is a spoonful twice or thrice a day After the Contagion is receiv'd and the Crasis of the Blood is vitiated and begins to corrupt the same Medicines are still proper to be taken but in a greater Dose and oftner Moreover the Vinegars and fixt Salts of Herbs are very often added with good success to Alexipharmicks because by them the Coagulations of the Blood are resolv'd and then all Heterogeneous Particles evaporating and the other being brought into a due mixture its liquor at length recovers its former state and keeps it There being innumerable Medicines in the Books of Physicians for this end I shall here only set down a few Antidotes for Curing TAke of the Bezoartick water two Ounces and a half Bezoartick Vinegar half an Ounce Venice Treacle a Dram mix them by shaking them in a Glass Make a draught let the person take it and sweat upon it Take Gascoins Powder Roots of Contrayerva and Virginia Serpentary of each from a Scruple to twenty five Grains Make a Powder give it in a spoonful of Treacle water drink after it a little draught of the same or of a Cordial Julape Take Powder of Teads prepar'd Powder of Crabs Claws Compound of each half a Dram Make a Powder give it after the same manner Take Bezoartick Mineral half a Dram Venice Treacle a Dram Camphire six Grains Bezoartick Vinegar what suffices Make a Bolus to be taken after the same manner Take the waters of Wood Sorrel and Dragon-wort of each four Ounces Water of Scordium Compound two Ounces Treacle water and Bezoartick water of each an Ounce Powder of Pearl a Dram Syrup of Clove-Gillyflowers or of the Juice of Citrons two Ounces spirit of Vitriol twelve drops Make a Julape the Dose is three Ounces often in a day sometimes by it self sometimes with other Medicines CHAP. X. Of the Passions of the Heart and their Remedies AFter Cordial Medicines vulgarly though improperly so call'd it now follows for us to treat of the Passion of the Heart in which the Heart is really ill affected and therefore requires true Cordial Medicines Under that name two affects somewhat differing betwixt themselves are commonly denoted to wit The trembling of the Heart and its panting In both affects the motion or beat of the Heart seems to be disorderly and in a manner Convulsive but the irregularity of the first consists in the frequency of its Vibrations and of the other in their vehemency As to the Cure of the panting of the Heart since its Causes are various and manifold its Cure also must be various for what some affirm that those sorts of Remedies vulgarly call'd Cordials which are reputed to revive the Heart and to relieve it when ill affected are proper in any of all these Cases it is contrary both to reason and common experience We say then that the palpitation or panting of the Heart proceeds either from the fault of the Blood or of the Arteries belonging to the Heart If it happens through the fault of the Blood the chief intent of Curing must be to raise the Blood to a better Crasis it being then become too watery and unmeet for accension and fermenting and to exalt or encrease its active principles which are then depress'd or diminish'd for which end spirituous Medicines also saline Medicines of all kinds Sulphureous and especially Chalybeates conduce And to this place may be referr'd those things which are wont to be prescribed in the Pica or longing Disease in the Leucophlegmatia and in the cold Scurvy Take Conserve of Sea Wormwood the outward yellow Coats of Oranges and Limmons of each two Ounces Powder of Winters Barke two Drams Species of Diacurcuma a Dram Steel prepar'd with Sulphur three Drams Salt of Wormwood a Dram and a half with a sufficient quantity of Syrup of
Citron Pills Make an Electuary the Dose is the quantity of a Nutmeg in the Morning and at five in the Afternoon drinking after it of the following Julape three Ounces and walking upon it Take water of the Leaves of Wake Robin a pound of Pennyroyal and Hyssop of each four Ounces Sugar an Ounce Mix them make a Julape Take of the Tincture of Antimony an Ounce the Dose is from twenty to five and twenty drops twice a day with the said Julape Moreover amongst these we may place the Tincture of Steel and its Syrup also Elixir proprietatis with many others Secondly The panting of the Heart which is more frequent and much more violent happens through some fault in the Arteries belonging to the Heart which fault is either an Obstruction or a Convulsive affect The first default for the most part is continual and often incurable but especially if it arises from Consumptive Lungs or because the Roots of the Arteries are half stop'd or compress'd by reason of some Tuberculum or bony Excrescency in them And in this case all that can be done is to give some ease now and then by Hypnoticks Moreover it is not improbable that the Arteries sometimes are almost fill'd up with Polypous Concretions engendred in them and sometimes within the Cavities of the Heart it self and that thereby the free passage of the whole current of Blood is hindred but as it is diffcult to be satisfied when this is so so it is as rare to find a Cure for it When there is a suspicion of it Saline Medicines seem to be most proper and of those we must give such as have a Volatile or Acid Salt but we must not give them together but for a time those which failing of success try the others Take Spirit of Sal Armoniack Compound viz. distill'd with Millepedes or with other Anti-Asthmaticks three Drams the Dose is from fifteen drops to twenty thrice a day with the Julape or some proper distill'd water After the same manner you may try the Spirits of Hartshorn Soot Blood and of an old Scull Take Spirit of Sea Salt or of Vitriol distill'd and often Cohobated with the Spirit of Wine impregnated with Pneumonick Herbs three Drams the Dose is from fifteen drops to twenty after the same manner for these purposes the Spirits of Tartar Guaiacum and of Box are often us'd The panting of the Heart is very often a Convulsive affect and wont to be produc'd from the like Cause and manner of affecting as other Hypochondriack and Asthmatick affects and its Cure also ought to be attempted by Antispasmodick Remedies but a cholce of them must be made with some difference according as the Disease happens in a hot or cold temperament In respect of the former the following Medicines may be prescrib'd Take Spiritus succini Armoniaci three Ounces the Dose is from fifteen Drops to twenty twice a day with the Julape or some proper distill'd water After the same manner may be given interchangeably the Tincture of Tartar of Steel or of Antimony Of the trembling of the Heart and its Cure THe trembling of the Heart is an effect distinct from its panting or Palpitation and of a different nature from it for in that its carneous and moving Fibres seem affected by themselves nor does the Morbifick Cause as in the other affect seem to lie in the Blood or in the Arteries of the Heart The trembling of the Heart may be well describ'd to be a Spasmodick Convulsion or rather a trepidation of its flesh by which the moving Fibres hastily and only half contracted cause most swift turns of the Systoles and Diastoles but broken and as it were at halfs so that the Blood is brought into and carried forth of the Sinus 's of the Heart only in very small Portions As to the method of Cure to be us'd in the trembling of the Heart since this affect is meerly Convulsive therefore they are not Cordial Remedies but rather Cephalicks and Nervous Medicines that are Indicated which nevertheless according to the temperament and constitution of the Patient must be either more hot or moderate or now of this now of that nature To comprehend all in a few words since there are three sorts of Mecines that are wont to be mighty successful in this Distemper viz. testaceous Medicines Chalybeates and such as are endow'd with a volatile Salt I shall here briefly set down certain forms of each of these and their use Therefore in the first place a provision being made for the whole by evacuatives and a choice being made of that sort of Medicine which promises best you may prescribe as follows Take Coral prepar'd Pearl of each two Drams both Bezoars of each half a Dram white Amber two Scruples Amber-greece a Scruple Make a Powder the Dose is half a Dram twice or thrice a day with a distill'd water or some proper Julape Take Powder of Crabs Claws Compound two Drams Powder of Male Peony Roots and of Mans Scull prepar'd of each a Dram Flowers of Male Peony of Lillies of the Valley of each half a Dram Make a Powder to be taken after the same manner Take Ivory red Coral powdered of each three Drams Species Diambrae a Dram double refin'd Sugar dissolv'd in a sufficient quantity of water of Navews and boil'd to a consistency for Tablets seven Ounces Make Tablets according to Art weighing half a Dram let one or two be eaten often in a day as the person pleases Take Conserve of the Flowers of Lillies of the Valley six Ounces Powders of Coral prepar'd Pearl Ivory Crabs Eyes of each a Dram and a half Vitriol of Mars a Dram Syrup of Coral what suffices Make an Electuary the Dose is from a Dram to two Drams twice a day drinking after it a draught of the following Julape Take the water of Navews and of whole Citrons of each six Ounces of Orange Rines distill'd with Wine two Ounces Sugar half an Ounce Make a Julape Take of our Syrup of Steel six Ounces the Dose is a spoonful in the Morning and at five in the Afternoon with two Ounces of the Julape before written leaving out the Sugar or with distill'd water Take Powder of Ivory and of Coral of each two Drams and a half Species Diambrae a Dram Salt of Steel two Drams Sugar eight Ounces Amber-greece dissolv'd half a Scruple Make Tablets weithing half a Dram the Dose is three or four Drams twice a day Take fresh Strawberies eight pounds the outward Coats of twelve Oranges fresh Filings of Iron half a pound being bruis'd together pour to them eight pounds of Wine let them ferment in a Pot close cover'd for twenty four hours then distill it in common Organs Take Spirit of Hartshorn or of Blood or the like three Drams The Dose is twenty drops twice a day with a fit Vehicle Take Flowers of Sal Armoniack Coral prepar'd of each two Drams The Dose is a Scruple twice a day Take
because they destroy the Acidities of the humours and hinder and put a stop to the dissolution of the Blood and its fusion into Serosities For the like reason and manner of Operating Medicines prepar'd of Sulphur are of such egregious use against the Cough 2. The Second Indication viz. the derivation of the Serum and other dreggy Excrements of the Blood from the Lungs and their Evacuation by other ways is perform'd by Diaphoretick Medicines Diureticks and gentle Purgers which must go along with other Medicines or be now and then interchangeably us'd with them Therefore after Bleeding we usually give a gentle Purge and sometimes repeat it In the Pectoral Decoctions let the Roots of Chervil Butchers-broom Elecampane and other things moving Sweat and Urine be of the Ingredients Millepedes Volatile Salt of Amber and other fixt Salts and Powders of Shells made into Pills with Turpentine are often given with good effect 3. The Third Indication viz. the fortifying of the Lungs and its Ductus's against the Fluxions of the humours and the assaults of the Cold and the suppression of the Catarrh vulgarly so call'd is perform'd by Linctus's Eclegma's and other particular Remedies and has chiefly a regard to two things viz. gently to close the Mouths of the Vessels and Glands that gape into the Trachea with Astringents lest they cast forth the Serosities too much into it And Secondly To make smooth and glib the sides of the Ductus's of the Trachea that they be not offended and thence continually stirr'd up to a troublesome Cough either by the sharp Serum coming upon them or by the assault of any outward Cold and moreover that those Ductus's being made slippery enough the Spittle sticking sometimes very fast to the sides of them may be more easily gotten off and Cough'd up For the First intent it is that Conserve of red Roses Olibanum Mastick Lohoch de Pino Syrup of Jujubes of dried Roses of Cup-moss and other Astringents are so often ingredients in pectoral prescriptions On the account of the second intent Licorice with its various preparations is accounted so famous a remedy against any Cough whatsoever For this end Syrups Eclegma's and all other sweet Pectorals seem to be ordered to which is added Oyl of sweet Almonds either given by it self or reduc'd into the Form of some Milky pap by long stirring it with some Pectoral Syrup These are the chief Therapeutick Indications together with the apt intentions of Curing which seem to be of most considerable use for a new Cough whilst it is yet free from the suspicion of a Phthisick or at least not yet entred its manifest limits It now remains after this general method briefly given unto you to set down some Select Forms of Medicines appropriated to each Intention These though they are manifold and diversly prepar'd yet those that are of chiefest note and most in use are Mixtures Linctus's Eclegma's Tinctures Balsams Troches Tablets Powders Pills Decoctions and distill'd Waters We shall give you some of the most Elegant Receipts of each 1. Mixtures TAke Syrup of Meconium and of Jujubes of each an Ounce and a half Olibanum powdred a Dram Water of Earth-worms or Hysterick Water or Water of Peony Compound a Dram Mix them the Dose is one spoonful going to Bed and after Mid-night Take Water of Snails and of Earth-worms of each an Ounce and a half Liquid Laudanum Tartariz'd two Drams Syrup of Violets an Ounce The Dose is one spoonful going to Bed Take Water of Snails six Ounces Syrup of the Juice of ground Ivy three Ounces Flowers of Sulphur half a Dram Mix them the Dose is a spoonful going to Bed and early in the Morning Take of our Syrup of Diasulphur four Ounces Water of Earth-worms an Ounce The Dose is one spoonful after the same manner 2. Linctus's TAke Syrup of Jujubes and Maidenhair of each an Ounce and a half Syrup of red Poppies an Ounce Mix them let it be taken with a stick of Licorice Take Oyl of sweet Almonds fresh drawn Syrup of Maiden-hair of each an Ounce and a half Sugar Candy two Drams Mix them by bruising them in a Glass Mortar or shaking them in a Glass Vial till they grow white 3. Eclegma's TAke Conserve of red Roses two Ounces and a half Lohoch Sanum an Ounce and a half Species Diatragacanthi frigidi a Dram and a half Flowers of Sulphur half a Dram Syrup of Violets or of red Poppies what suffices Make a soft Lohoch the Dose is a Dram and a half in the Evening and early in the Morning at other times let it be taken with a stick of Licorice Take Powder of the Leaves of Hedge-mustard or of Rockets an Ounce and a half Clarified Honey four Ounces Mix them make a Lohoch give it after the same manner it is proper in a cold Constitution 4. Tinctures TAke Tincture of Sulphur free from any Empyreuma three Drams The Dose is from six drops to ten at Night and early in the Morning in a spoonful of Syrup of Violets or of the Juice of ground Ivy. I know not a more excellent Remedy in any Cough so there be no Feaver Take Tincture of Sulphur of Antimony two Drams The Dose is twenty drops Evenings and Mornings in a spoonful of Pectoral Syrup Take Tincture of Gumm Ammoniacum prepar'd with the Tincture of Salt of Tartar an Ounce The Dose is from fifteen drops to twenty Tinctures of Galbanum of Assa-faetida of the Gum of Ivy prepar'd after the same manner are likewise proper in a cold Constitution 5. Balsams TAke Opobalsamum two Drams The Dose is from six Drops to ten in a spoonful of the Water of Hyssop or Pennyroyal or of any other Pectoral Water Take Artificial distill'd Balsam commonly call'd Mother of Balsam two Drams The Dose is from six Drops to ten in a spoonful of Syrup of Violets or of Canary Wine at Night and in the Morning Take Balsam of Sulphur two Drams The Dose is from five drops to ten after the same manner Take Balsam of Peru a Dram The Dose is from two drops to four or six in Conserve of Violets 6. Troches TAke Species Diatragacanthi frigidi half an Ounce Licorice a Dram Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple Sugar Penids three Ounces Solution of Tragacanth made in Hyssop water what suffices Make a Paste form it into Troches weighing half a Dram let one of them be taken pretty often in the Day or Night Take Seeds of white Poppies six Drams Powder of red Poppy Flowers a Dram Extract of Licorice two Drams Lac Sulphuris half a Dram Sugar Penids two Ounces Mucilage of the Seeds of Quinces what suffices Make a Paste and form it into Troches Take Species Diaireos and of Fox Lungs of each half an Ounce Sugar Penids two Ounces Solution of Tragacanth what suffices Make a Mass to be form'd into Troches Take Powders of Elecampane Roots Anniseeds and Licorice of each two Drams Flowers of Sulphur a Dram
Tablet Sugar an Ounce and a half Juice of Licorice diluted and strain'd what suffices Make a Mass for Troches 7. Tablets TAke Species Diatragacanthi frigidi three Drams Powder of red Poppy Flowers Lac Sulphuris of each half a Dram Sugar dissolv'd in Poppy water and boil'd to a consistency for Tablets four Ounces Make Tablets weighing half a Dram. Take Species Diaireos and of Fox Lungs of each three Drams Flowers of Sulphur Elecampane Roots of each half a Dram White Benzoin a Dram Make a fine Powder and Oyl of Anniseeds a Scruple Sugar dissolv'd and boil'd to a consistency for Tablets eight Ounces Make Tablets weighing half a Dram. 8. Powders THese though seldom yet sometimes are given in a Cough and affects of the Lungs with good success Take of the Reddish tops of ground Ivy what suffices being bruis'd let them be made into a Cake and presently dry'd in the Sun then reduce it into a fine Powder and keep it in a Glass this Plant retains its vertue with its smell and colour excellently well for a long time beyond all Conserves and Syrups and is of wonderful efficacy in a great and obstinate Cough Give from half a Dram to a Dram twice a day with a distill'd water or Pectoral Decoction After the same manner Powders are prepar'd of other Pectoral Plants and are given with good success Take Cup-moss three Drams Lac Sulphuris a Dram Sugar-candy half a Dram Make a Powder the Dose is from a Scruple to half a Dram twice a day This Powder is proper for those that are troubled with a Convulsive or Chin-Cough Take Flowers of Sulphur Olibanum Ceruse of Antimony of each two Drams divide it into twelve parts Give one Mornings and Evenings in a spoonful of some fit Vehicle 9. Pills TAke Aloes Rosat or rather Pilul Ruffi Flowers of Sulphur of each a Dram and a half Flowers of Benzoin a Scruple Juice of Licorice diluted with water of Snails what suffices Make a Mass form it into little Pills let four of them be taken at Night repeating the Dose every Night or every other Night Take Powder of Elecampane Roots Licorice and Flowers of Sulphur of each a Dram Flowers of Benzoin half a Dram Tar what suffices Make a Mass and form it into small Pills the Dose is three or four at Night and early in the Morning Take Millipedes prepar'd two Drams Powder of the Seeds of Nettles and Burdock-seeds of each half a Dram Oyl of Nutmegs drawn by distillation a Scruple Salt of Amber half a Dram Juice of Licorice what suffices Make small Pills let three of them be taken at Night and in the Morning 10. Decoctions THese are taken either by themselves or with Milk added to them Among those of the first kind the Pectoral Decoction according to the London Dispensatory first presents it self which is to be taken twice a day from four Ounces to six or eight Take Leaves of ground Ivy Maiden-hair Harts-Tongue Coltsfoot Agrimony of each a handful Roots of Chervil Butchers-broom of each an Ounce Seeds of Carthamus and sweet Fennel of each half an Ounce boil them in six Pounds of fountain water till half be consum'd adding towards the end either of Licorice three Drams Raisins ston'd two Ounces and six Jujubes or of the best Honey three Ounces Make an Apozeme Scumming off the Froth and Clarifying it with the white of an Egg. The Dose is six Ounces warm twice or thrice a day Decoctions to be taken with Milk are us'd Mornings and Evenings instead of a Breakfast and a Supper according to the manner following Take great Daisie Flowers a handful Snails cleans'd in number three Candied Eringo Roots half an Ounce Barley three Drams boil them in a Pound and a half of fountain water to a Pound Take from six Ounces to eight warm adding as much of Milk and afterwards let the quantity of this be encreased by degrees After the same manner let Cup-moss also the Leaves of ground Ivy St. John's-wort and of other Pectorals be boild and taken with Milk Decoctions of Woods frequently conduce very much to the Cure of an obstinate Cough especially being taken constantly for some time instead of Beer as an ordinary Drink Take Roots of Sarzaparilla four Ounces of China two Ounces red and white Saunders of each half an Ounce shavings of Ivory and Hartshorn of each three Drams Let them infuse according to Art and boil in eight Pounds of fountain water to four Pounds adding to it of Licorice six Drams Raisins ston'd an Ounce and a half In a Phlegmatick or cold Constitution add Raspings of Guaiacum 11. Distill'd Waters EVery Man may make many and different Forms of these as occasion requires and according to the Constitution of the Patient they may choose sometimes Milk alone sometimes Milk with some part of Wine sometimes Ale or Brunswick Beer I shall give you a Specimen of these as follows Take Leaves of ground Ivy Hyssop Pennyroyal of each four handfulls Snails half boil'd in their shells two Pounds Nutmegs slic'd in number six All of them being small shred together pour to them of new Milk eight Pounds Distil them in common Organs the Dose is three Ounces twice or thrice a day by it self or with some other Medicine When it s taken let each Dose be sweeten'd with Sugar-Candy or with Syrup of the Juice of ground Ivy. In a Constitution that is not hot especially if there be no fervent heat of the Blood or Praecordia to six or seven Pounds of Milk add of Canary Wine a Pound or two and in a Phlegmatick or Aged Body instead of Milk let the Menstruum be Ale or Brunswick Beer Moreover in the Winter when Snails are not easily or scarce at all to be gotten the Lungs of a Lamb or of a Weather may properly enough supply their place and sometimes also those of a Calf half boil'd and slic'd very small and let them be distill'd with the foresaid Ingredients and added to a fit Menstruum in common Organs or a Rose-still In this Classis where it s treated of a Cough not yet arrived to a Phthisick we may aptly range the Convulsive or suffocating Cough of Children commonly called the Chin-Cough This Disease chiefly assaults Children and Infants and at certain times viz. in the Spring especially and Fall it s usually Epidemical The Diseased have frequent and very cruel fits of Coughing in which the Organs of Respiration do not only greatly labour but likewise being affected with Convulsions variously interrupt suspend or pervert their Actions But for the most part the Diaphragm being seiz'd with Convulsions by it self or by the impuise of other parts obstinately so continues for a very long space sometimes its Contraction and sometimes its Dilatation that Inspiration or Expiration being hindred for a time the Vital Breath can scarce be drawn at all so that the Coughers cry out as though they were strangled and their Countenance turns black through the Stagnation of
Classes and those are Mixtures Linctus's Lohoch's Tinctures Balsams Troches Lozenges Powders Pills Decoctions and distill'd Waters We shall set before you some Examples of each of these to which also may be added some of the forms of the Medicines prescrib'd before for a beginning Cough and not yet arriv'd to a Phthisick 1. Magistral Mixtures and Syrups TAke of our Syrup of Diasulphur three Ounces Water of Earth-worms an Ounce Tincture of Saffron two Drams Mix them take a spoonful going to Bed and early in the Mornign Take Syrup of the Juice of Ivy three Ounces Snail water an Ounce Flowers of Suslphur a Dram Mix them by shaking them together the Dose is a spoonful Evenings and Mornings Take Tincture of Sulphur two Drams Laudanum Tartariz'd a Dram Syrup of the Juice of Ivy two Ounces Cinnamon water two Drams The Dose is a spoonful at Bed time and if the Person does not sleep towards Morning The Syrup of Diasulphur TAke Sulphur prepar'd after our manner half an Ounce the best Canary Wine two pounds Make a close digestion in B. M. or in Sand for twenty eight hours Which being done take double refin'd Sugar two pounds dissolve it and boil it to a consistency for Tablets in a little Water of Elder Flowers then pour to this by little and little the Wine ting'd with the Sulphur whilst warm let it boil a little on the fire scumming it and strain it through Woollen You will have a mest delicate Syrup of a Gold colour and of great efficacy against the Cough and other affects of the Lungs so there be no bayling heat of the Praecordia nor Hectick Feaver the Dose is a spoonful Evenings and Mornings by it self or with other Pectorals Syrup of Garlick TAke Cloves of Garlick Pill'd and out in slices in number ten or twelve Anniseeds bruis'd half an Ounce Elecampane Roots slic'd three Drams Licorice two Drams let them have a close and warm digestion for two or three days in a pound and a half of spirit of Wine put the clear and warm straining into a silver-dish add of double refin'd Sugar a Pound and a half the Dish being put on hot Coals let the liquor be set on fire and whilst it burns stir it sirain it through Woollen and keep it for use Syrup of Turnips TAke Turnips slic'd and double refin'd Sugar of each half a pound put them in a glaz d Pot a lay of Turnips and a lay of Sugar till it be full Let the Pot being cover'd with Paper be put into an Oven to Bake with Bread when it is taken out press forth the Liquor and keep it for use The Dose is a spoonful Mornings and Evenings Syrup of Snails TAke fresh Snails with their shells in number Forty cleanse them with a Linnen Cloath then each of them being run through with a Bodkin let the Apertures of the shells be fill d with Powder of Sugar Candy and being put in a Linnen Bag let them be hung up in a Cellar and let a Glass Vessel be set under them to receive the Syrup which will drop from them The Dose of this is a spoonful twice or thrice a day in a fit Vehicle viz. Aqua lactis or some Pectoral Decoction 2.3 Linctus's and Eclegma's TAke Conserve of red Roses three Ounces Tincture of our Sulphur two Drams Mix them by stirring them in a Glass Mortar the Dose is the quanticy of a Nutmeg at Night and early in the Morning Sometimes to allay a troublesome Cough you may add to this of Olibanum half a Dram or a Dram. Take Conserve of red Roses four Ounces Flowers of Sulphur four Scruples fine Oyl of Turpentine a Dram Species of Fox Lungs three Drans Syrup of the Juice of ground Ivy what suffices Make a soft Lohoch to be taken after the same manner viz. Mornings and Evenings also to be suck'd at other times with a stick of Licorice Take Powder of Sugar Candy four Drams Tincture of Sulphur two Drams Mix them by stirring them in a Glass Mortar let it be taken after the same manner Instead of the Tincture of Sulphur you may put other Balsamick Tinctures as of Balsam of Peru of Opobalsamum of the Gum of Ivy Guaiacum Amber with many others which may be mixt either in Conserve of red Roses or with Conserve of the Flowers of Colts-foot or with Sugar Candy 4.5 Tinctures and Balsams of the same nature and composition as we have preserib'd before in a beginning Cough are proper in a Phthisick only the Dose must be a little larger Take of Tar an Ounce Water of quick Lime thrice Cohobated two pounds distil them in Balneo to half Then let the filtrated Liquor be drawn off in Balneo to the consistency of honey to which pour Tincture of Salt of Tartar half a pound Let it digest in a close Glass to extract the Tincture The Dose is from twenty drops to thirty with a proper Vehicle After the like manner a Tincture in gotten out of the black Oyl of Soot Liquid Amber Liquid Storax and many other things Take of our Sulphur prepar'd with the addition of Myrrh Aloes and Olibanum in a subtriple quantity an Ounce Let a Tincture be drawn off with Oyl of Turpentine also with Rectified Spirit of Wine The Dose of this is from fifteen drops to twenty 6.7.8 Troches Tablets and Powders because chiefly directed for the Cough are in a manner of the same Nature and Composition with those before prescrib'd for that affect when new taken only that for drying and consolidating the Lungs Sulphureous and Traumatick ingredients are requir'd in a greater proportion Take Powder of the Leaves of ground Ivy a Dram Flowers of Sulphur two Drams Sugar Penids a Dram and a half Juice of Licorice diluted with hyssop-Hyssop-water what suffices Make Troches weighing half a Dram. Take Powder of Yarrow bruis'd and dry'd in the hot Sun half a Dram Flowers of Sulphur Olibanum powdred of each a Dram Powder of red Roses dry'd half a Dram Sugar dissolv'd and boil'd to a consistency for Tablets six Drams Oyl of Anniseeds a Scruple Make Tablets weighing half a Dram. Take one thrice or oftner in a day and especially at night and early in the morning 9. Pills TAke Juice of ground Ivy Clarified in the Sun a pound Flowers of Colts-foot dry'd tops of Hyssop Sage Penny-royal of each a handful Anniseeds Carraway-seeds sweet Fennel-seeds bruis'd of each half an Ounce distill them in Balneo Mariae to half then strain it and distill the straining to the consistency of Pills adding Juice of Licorice half a Dram Powder of Elecampane Roots Flowers of Sulphur of each three Drams Flowers of Benzoin a Dram Balsam of Peru half a Dram Tincture of Sulphur three Drams Laudanum Tartariz'd two Drams Make a Mass form it into small Pills and take three or four at night and early in the Morning 10. Decoctions such as we have before prescrib'd for an obstinate Cough may be also properly taken in a
beginning Phthisick In desperate Cases I have sometimes very successfully prescrib'd the following Decoction to be taken twice or thrice a day and also instead of ordinary drink Take Guaiacum four Ounces China Sassafras of each two Ounces all the Saunders of each an Ounce shavings of Ivory and Hartshorn of each three Drams Let them infuse and boil them in twelve pounds of fountain water to half adding Licorice an Ounce Raisins ston'd four Ounces strain it 11. Distill'd Waters such as before prescrib'd are also proper here to which may be added the Water of Solenander drawn from Hogs Blood with Turpentine also Balsamick Waters distill'd from Turpentine with Pectoral Ingredients Take Leaves of ground Ivy white Horehound Hyssop and Penny-royal of each three handfuls Roots of Elecampane and Florentine Orice of each two Ounces Turpentine dissolv'd with Oyl of Tartar four Ounces Hyssop-water four pounds Malaga-wine two pounds distil them in Sand let all the Liquor be mixt the Oyl being separated The Dose is two or three spoonfuls twice a day with a spoonful of the Syrup of the Juice of Ivy. 12. In the last place We must here prescribe Forms of Vapours and Fumes the use of which sometimes does more good in a Phthisick not past recovery than any other Remedies and this because they go to the Lungs it self and so by an immediate operation Purge it dry it free it from Putrefaction strengthen it and open its Ductus's First Therefore let a moist steam be made after this manner Take Leaves of Hyssop ground Ivy whit Hore-hound of each two handfuls Elecampane Roots two Ounces Calamus Aromaticus half an Ounce Anniseeds Caraway-seeds of each an Ounce being slic'd and bruis d boil them in a sufficient quantity of fountain water Let the Vapour of the hot strain'd Liquor be drawn into the Lungs through the hole of a Paper roul'd up Conically or in the Jhape of a Funnel use it Mornings and Evenings for a quarter of an hour 2. A fumigation or dry Vapour is usually made one while more gentle of meer Balsamicks another while more strong of Sulphureous and sometimes Arsenical substances Take Olibanum white Amber Benzoin of each two Drams Gum Guaiacum Balsam of Tolu of each a Dram and a half Powder of red Roses red Saunders of each a Dram Make a Powder to be strew'd on burning Coals Take Gum of Ivy Frankincense of each two Drams Flowers of Sulphur a Dram and a half Mastick a Dram with a Solution of Gum Tragacanth make Trothes Take white Amber Olibanum of each two Drams Auripigment prepar'd half an Ounce Storax Calamita Laudanum of each a Dram and a half with a sufficient quantity of the Solution of Gum Tragacanth Make Troches for fumigation Empiricks ordinarily prescribe the smoak of Auripigment to be taken in a Pipe lighted like Tobacco and that sometimes with good success Moreover it s a practise with the vulgar to take bits of Cloth Painted with Auripigment such as serves for Hangings in Taverns and shredding them very small to kindle them in a Pipe like Tobacco and so to draw the smoak into the Consumptive Lungs for a Cure Now in the last place it remains for us to speak of the great confirm'd Phthisick which is commonly past Cure and to advise what is to be done when the Lungs being very much vitiated and affected with one or more filthy Ulcers do not convey the Air and Blood according to their due Course but defile or corrupt the Mass of the latter by Ministring to it continually a stook of Putrified matter so that a Hectick Feaver and an Atrophia through want of nourishment seize the Diseas'd with a great decay of all their faculties and daily impairing their strength precipitate them to the Grave The most certain sign generally acknowledged of this Disease growing so desperate is a very troublesome pain with an Inflammation in the Throat for this affect argues a great Putrefaction of the Lungs whence the corrupted Effluvia's exhaling stick against the narrow passage of the Throat and there pierce and vehemently irritate the tender Fibres in that part In this case its in vain to attempt to Mundify the Lungs and to cleanse the Ulcer and dry it for all hot Medicines designed for those ends and proper enough in a beginning Phthisick are not to be endur'd when it s confirm'd because augmenting the Inflammation of the Lungs they increase the Hectick Feaver the Thirst Watchings and other very troublesome Symptoms or stir them up a fresh And indeed in such a state of this Disease when we only propose to our selves to protract Life by helping towards a well-bearing of the Distemper and to an easie death those Remedies are of chiefest use that moderate the fervour of the Blood allay the heat of the Praecordia restore the Spirits and gently cherish them Hence for Food Asses Milk also Water-gruel Barly-Broaths Cream of Barley and for Drink Ptisans Emulsions Milk Water distill'd with Snails and temperate Pectorals are usually of greatest success Let Syrups and Linctus's which lenify the Inflammation of the Throat and Lungs and facilitate expectoration be often or daily given but especially gentle Hypnoticks to procure a moderate rest I shall now give you some of the more Select Forms of each kind Take Barly half an Ounce Candied Eringo Roots six Drams parings of Apples a handful Raisins ston'd two Ounces Licorice three Drams boil them in three Pounds of fountain water or two Make a Ptisan to quench thirst let it be taken three or four times a day and if it agrees let it be used instead of ordinary drink Take twenty Caudae Gammorum Candied Eringo Roots an Ounce a Crust of White-bread Raisins ston'd two Ounces Licorice three Drams boil them in three pounds of running Water to two pounds Strain it take three or four Ounces thrice a day after the same manner you may make a Decoction of Snails Take Snails half boil'd and slic'd three pounds Leaves of ground Ivy six handfuls Nutmegs slic'd in number six Pith of White-bread two pounds Milk from the Cow eight pounds distil it in an ordinary still After the same manner you may distil a Water è Caudis Gammorum The Dose is three or four Ounces thrice a day sweetning it with Saccharum Perlatum or Sugar of Roses Take Ears of green Wheat what suffices distil them in a Rose Still Let the Person drink three or four Ounces thrice a day sweetning it with Saccharum Perlatum Take Syrup of Meconium three Ounces Water of green Wheat six Ounces Mix them let two or three spoonfuls be taken going to Bed every Night or every other Night Take Conserve of the Flowers of Wild or Garden Mallows three Ounces Lohoch de Pino two Ounces Syrup of Jujubes two Ounces Make a Lohoch of which let a Dram and a half or two Drams be often taken I shall now give Instances of some Patients which I have had in Cure in the foregoing Distempers And
First of one troubled with a simple Cough which begins of it self and is free from the suspicion of a Phthisick Some years since I took care of the Health of a Student who from his Childhood had been subject to a Cough and was wont often to undergo severe fits of it and of long continuance he seem'd to be of a pretty strong Constitution only that his lungs being originally weak suffer'd much whenever his blood began to run into serosities in summer as long as a free perspiration lasted he was sound enough but spring and fall when the blood changing its temper either of its own accord or upon some slight occasion offer'd falls into serous fluxions he fell lightly into a Cough accompanied with abundance of thick spittle yet this affect very often vanisht by degrees within six or seven days without any great adoe with Medicines assoon as the mass of blood was purg'd by the lungs But if to the said slight occasion of this Disease other greater Causes were added as chiefly the stoppage of the Pores and errours in Diet sometimes a most violent and obstinate Cough came upon him not soon nor easily yielding to Remedies and threatning nothing less than a Phthisick Then growing ill indeed for the first days he had light shiverings in his whole Body and perceiv'd a Catarrh in his Larynx Afterwards he was troubled with a frequent Coughing accompanied with a thin spittle together with a giddiness deadness of the senses and a dropping at the Nose In this state his best Remedy and often try'd with good success was to drink Sack somewhat freely and as little of any other Liquor as might be for by this means the Acidity and flowing of his Blood being supprest and a more free perspiration rais'd he sound himself very much eas'd and sometimes in a very short space grew well Moreover going to Bed and first in the Morning he us'd to take seven or eight drops of Tincture of Sulphur in a spoonful of Syrup of Violets or of the Juice of ground Ivy Or Take Conserve of red Roses four Ounces Spirit of Turpentine two Drams Mix them the Dose is the quantity of a Chesnut Evenings and Mornings But if these Remedies together with the Canary Antidote and a thin Diet do not do the Disease not being Cur'd by such means runs then to a great length and following him sharply for some Weeks and sometimes Months brings the Diseas'd to a mighty leanness and even to the brink of the Grave For the Cough growing daily worse and very troublesome hinders sleep mightily and interrupts it his strength languishes his appetite is dejected heat and drought press hard upon him In the mean time the Spittle is daily increas'd and cast forth in a vast quantity so that afterwards not only the Serum and dreggy Excrements of the Blood but even the nutritive Juice and the wastings of the solid parts being continually pour'd on the Lungs turn into corruption which is Cough'd forth in abundance but respiration grows difficult the Limbs very weak and the Flesh consumes very much When our Patient was lately ill in this manner we prescrib'd the following Method and Remedies by the continued use of which he at length recovered In the first place a thin Diet being ordered him and Ale or Beer wholly forbidden he took of the following Apozeme about four Ounces twice a day warm and a little of it at other times cold to quench his thirst Take China Roots two Ounces Sarzaparilla three Ounces white and yellow Saunders of each an Ounce shavings of Ivory and Hartshorn of each three Drams Infuse them according to Art and let them boil in eight pounds of fountain water to half adding Raisins of the Sun three Ounces Licorice three Drams Strain it and let it be us'd for ordinary drink Take Tincture of Sulphur three Drams Let him take from seven drops to ten going to rest and early in the Morning in a spoonful of Syrup of Violets or of Syrup of the Juice of ground Ivy. When by a long use of this Medicine he began to loath it the following Eclegma was ordered in its stead Take Conserve of red Roses four Ounces Spirit of Turpentine two Ounces Mix them by bruising them together the Dose is about a Dram at the same hours Afterwards instead of this the following Powder was sometimes taken Take Powder of the Leaves of ground Ivy prepar'd in the Summer Sun three Ounces Sugar Candy half an Ounce Mix them the Dose is half a spoonful twice a day with three Ounces of the following distill'd water Take Leaves of ground Ivy six handfuls Hyssop white Hore-hound of each four handfuls the Lungs of a Lamb half boil'd and slic'd small pour to them of Posset-drink made with small Ale eight pounds distil it in common Organs Let the whole Liquor be mingled and when it is us'd sweeten it at pleasure with Sugar Candy or Syrup of Violets To appease the almost continual toyl of Coughing he swallowed now and then the following Troches or a little extract of Licorice Take Species Diatragacanthi frigidi three Drams Powder of the Seeds of Annise Caraway and sweet Fennel of each half a Dram Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple extract of Licorice diluted with Hyssop water what suffices Make a Paste and form it into Troches Or Take Species Diaireos è Pulmone Vulpis of each two Drams Flowers of Sulphur Roots of Elecampane of each half a Dram Oyl of Anniseeds half a Scruple Sugar dissolv'd in a sufficient quantity of Pennyroyal water and boil'd to a consistency for Tablets six Ounces Make Tablets according to art weighing half a Dram let him take one as often as he pleases swallowing it by little and little In the midst of this Course though he had a weak Pulse and was of a cold temperament he was let Blood in the Arm Besides these Remedies a great benefit accrued to him from the fresh Air which he took daily either on Horseback or in a Chariot For by this he first began to recover his Appetite Digestion and Sleep which afterwards were followed by degrees with an abatement of the other Symptoms so that at length he perfectly recover'd He has us'd a method like to this and with the like success as often as till this time he has been troubled with a tedious and stubborn Cough and now though he be wholly free from that distemper yet he is forc'd carefully to avoid all occasions by which the Pores are stop'd or by which a Fusion or Precipitation of the Blood into Serosities is rais'd such are chiefly his going by Water on the Thames and his drinking Acid Liquors as Cider French or Rhenish Wines The foregoing Relation gives you a Type and way of Curing a Cough caus'd through the fault of the Blood and not reaching the limits of a Phthisick Now follows another which Illustrates the nature of the same affect when it proceeds chiefly from the
and likewise moderate Hypnoticks especially Diacodiats are taken with good success For these by putting a stay to the motion of the Heart allay the fervour of the Blood 2. To close the Aperture of the Vessel Astringent Remedies and Agglutinatives are most proper The chief of these are usually given in the Form of a Linctus so that some of its Particles in swallowing falling on the Aspera Arteria may more immediately communicate their vertue to the part affected But the way of this Operation seems to be of no great moment because the Efficacy of the Medicines reaches chiefly and in a manner only by the way of the Blood to the Root of the Disease Wherefore not only Lohoch's but likewise Decoctions Powders and Pills of Traumatick and Balsamick Ingredients are successfully prescrib'd The Second Indication which is for preservation having regard to the Cure of the dissolution of Unity without leaving any blemish in the Lungs ought to provide against two sorts of evils viz. That the Spitting Blood to which the Persons affected will be always subject does not return at times and that the Consumption which threatens all those that Spit Blood does not follow it For which ends in order to the prevention of this Disease we must take an assiduous care of or use a constant method of Cure to the Blood and Lungs 1. As to the Blood its Mass ought always to be kept in a due quantity a just temper and a gentle and continued motion Hence lest it abound too much or being affected with an evil temperament grows turgid or deposes impure dregs in the Brest we must sometimes use Bleeding and a gentle Purge an exact Form of Diet is always necessary Moreover drinking of Asses Milk or of Mineral Waters contribute sometimes egregiously to the purifying and sweetning of the Blood Again Decoctions Distill'd Waters Juices of Herbs which take away the Dyscrasies of the Blood and derive the Serum and other Impurities from the Lungs and carry them forth by Sweat or Urine must be diligently taken Issues also mightily conduce for this end 2. Nor must less care be taken of the Lungs themselves that their whole frame and especially the place affected be preserv'd in a due Conformation and right Tone Hence all violent motion by which Unity is farther dissolv'd or its restauration hindred is carefully to be avoided Let the Person live in a clear and brisk Air though it must not be too sharp and piercing Let him abstain from gross Food long Sleeps large Suppers and other errours in Diet which cause a Repletion or Obstruction in the Praecordia Besides this let Remedies be us'd which are said to Cure the Lungs by a peculiar or certain Specifick Vertue Having given you the method of Curing Blood Spitting I shall now set down some Select Forms of Medicines answering to each of the Therapeutick Indications and to the various intentions of Curing that belong to them And we justly give the precedency to those which encountring the most urgent Symptome presently stop the flowing forth of Blood cast out of the Lungs by a Cough or otherwise In the First rank of these Medicines we place those which hinder the Blood from flowing to the part affected and have a certain Astringency together with an Agglutinative Vertue by which the Aperture of the Vessel is clos'd and after a Glyster and Blooding unless the weakness of the Pulse and a deficiency of heat forbid it they are presently given in the form of a Julape Decoction Emulsion Juicy Expression Powder Pills and Lohochs I shall give you some of the choicest and most efficacious prescripts of each of these as also of Hypnoticks which nevertheless must not be us'd at random and indifferently but every of them methodically and seasonably according to the various Constitution of the Patient and Nature of the Disease as a prudent Physician shall direct 1. Julapes and distill'd Waters TAke the Waters of Purslain and red Poppies of each six Ounces Dragons Blood finely Powdred half a Dram Syrup of red Poppies two Ounces Spirit of Vitriol of Mars half a Scruple Mix them the Dose is three Ounces repeating it within five or six hours Take Plantain water a pound the Gums Tragacanth and Arabick Powdred of each half a Dram mingle them and dissolve them then add Syrup of dry'd Roses an Ounce and a half Make a Julape the Dose is three or four Ounces every third or fourth hour Take the Waters of Oak-buds red Roses and Nymphaea of each four Ounces Blood-stone very finely Powdred Bole Armeniack Powdred of each half a Dram Syrup of Nymphaea two Ounces Mingle them the Dose is three or four Ounces three or four times a day Take of the Dew or insipid Phlegm of Vitriol a pound Syrup of Myrtles two Ounces Mix them the Dose is two or three Ounces often in the day or in the night Take Cypress tops eight handfuls Willow Leaves or Flowers six handfuls Roots of the greater Comphrey and Nymphaea of each half a pound Balaustia two handfuls all being slic'd small together pour to them of fresh Milk eight pounds distil them in Common Organs The Dose is three or four Ounces thrice or oftner in a day Take of this distill'd water and of Plantain water of each half a pound the Gums Tragacanth and Arabick of each two Drams Dissolve them the Dose is three Ounces every third hour The following Mixture is prescrib'd by Frederick Deckers to be taken a Spoonful at a time and seems to be a good Medicine Take Plantain water two Ounces Cinnamon two Drams Confection of Hyacinth a Dram and a half distill'd Vinegar half an Ounce red Coral prepar'd half a Dram Balaustia Dragons Blood of each half a Scruple Laudanum Opiatum three Grains Syrup of Myrtles an Ounce Mingle them Take the Waters of Plantain red Roses and Purslain of each four Ounces Blood-stone and Dragons Blood reduc'd into a fine Powder of each half a Dram Sugar Candy six Drams Make a Julape A Solution of common Vitriol or of Vitriol of Mars made in fountain water and apply'd to a Wound with a rag excellently stops all Fluxes of Blood but it is not proper to be given inwardly 2. Decoctions Tinctures and Emulsions TAke Leaves of Blood-wort Perwincle Mous-ear Plantain Wood-sorrel both sorts of Daisies of each a handful Flowers of red Roses half a handful Barley half an Ounce Raisins two Ounces boil them in three pounds of Water in which red hot Iron has been quench'd till it comes to two pounds add to the straining Syrup of St. Johns wort two Ounces or of Mous-ear Make an Apozeme the Dose is four or six Ounces thrice a day Take Leaves of St. Johns wort Roots and Leaves of Tormentil great Burnet Meadow-sweet of each a handful Seeds of Purslane Plantain and Sorrel of each a Dram Conserve of red Roses half a pound fountain water four pounds Let them boil close in B. M. for twelve hours to the straining add
long time by such as Spit Blood Chymists and some famous Women cry up above all things a Balsamick Oyl drawn by distillation which they call Mother of Balsam I shall now illustrate this Method of Cure by a Story A famed young man falling from a Scorbutick Cachexia into a Palsey and for the Cure of this Disease having try'd Remedies not only great but likewise disproportionate to his Blood and Spirits viz. Salivation and the use of hot Baths happened to be seiz'd with a Spitting of Blood and its fits of all I ever knew that were not presently mortal seem'd the most dreadful The First appearance of this Blood Spitting was after the operation of Hews's Powder by which having for some time undergone a Salivation though without Curing his Palsey he was brought to a great weakness Then being afflicted with a Catarrh and a very troublesome Cough he began to cast forth a discoloured Spittle and sometimes ting'd with Blood sometimes sprinkled with it But this Disease being mild at First soon vanish'd by the use of Medicines and afterwards the Person going into the Country and breathing a purer Air grew better and in a while seeming to be sound enough in his Brest he went to Bath to Cure his Palsey Where Bathing every day for six Weeks in the hot waters he got his Cough again and soon after fell into a terrible Spitting of Blood so that in twenty four hours space Counghing up Blood almost continually and in a large measure he threw forth a vast qantity Going to see him the First time in this Condition provision being made for the whole I presently ordered Bleeding for Revulsion though after its Administration both then and ever after his Blood Spitting either return'd a fresh or was provok'd more by it Moreover I gave Julapes Lohoch's Decoctions and even Hypnoticks which doing little or no good I ordered Ligatures about his Arms and Thighs which first of all gave a check to the Tyranny of this Disease And as now and then the Evil burst forth again I perswaded him at length that forbearing the use of Beer he should drink constantly a Decoction of Sarsa and China with Pectorals By the almost continued use of this observing likewise an exact Form of Diet and abstaining wholly from Wine hot Aliments and Salt and Sugar he had his health well enough for above two years But afterwards being very much heated in a Crowd he fell again into a terrible Spitting of Blood A Physician being call'd he was presently Blooded in his Arm after which his Blood Spitting became more violent and when on the Second and Third days after he was Blooded again the Evil encreas'd upon him each time At length Ligatures being us'd as before and a Pectoral Decoction and a Lohoch carefully taken the Disease presently abated and in a short time wholly ceas'd Nevertheless he continued the use of his Pectoral Decoction and thin Diet viz. without any Flesh above six Weeks and thereby obtained truce from his Enemy for three years And when afterwards sometimes after drinking Wine or too plentiful a Diet the Blood growing turgid began to burst forth of the Lungs presently by the Ligatures together with the use of the Decoction and Linctus and the thin Diet the force of it was always allay'd Nevertheless he became not so secure but was forc'd to keep in a manner always watch and ward against that lurking Enemy For not long since through the Distemper of the Season he was seiz'd with a very troublesome Catarrh accompanied with a Cough and much Spittle which was now and then Bloody and then the former Medicines did not do Whereupon of his own head he betook himself to new things and First of all he took Evenings and Mornings a spoonful of the Syrup of the Juice of ground Ivy and found thereby great good but that Syrup by reason of the Sugar growing in a short time loathsome to him he took twice a day in a spoonful of some Liquor to half a Dram or a Dram of the Powder of that Herb well prepar'd which Remedy being us'd a long time he became much better as to his Catarrh and Cough but his Blood Spitting breaking forth now and then though it were in a small quantity he chang'd his Medicine again and took twice a day a Powder of the Tops and especially of the hairy Excrescencies of the sweet Bryar Tree Which Medicine alone a certain Physician formerly renown'd for the Cure of Spitting Blood had us'd with great success Nor did our Patient receive a less prosperous effect from that Remedy For by it he presently got wholly free from his Cough Catarrh and Blood Spitting and so continued for a very long time till at length thinking this Disease of his Brest wholly conquer'd and therefore to be slighted he took up arms against the other more ancient viz. the Palsey Wherefore whilst neglecting his Spitting Blood he took daily to overcome that Distemper a large Dose of hot Medicines viz. Magistral waters distill'd with Wine Spirit of Hartshorn of Sal Armociack Aromatick Powders and Confections and indulg'd himself likewise to a more plentiful Diet drinking Ale and Wine moderately the roaring Lion which seem'd before a sleep rous'd himself again viz. he had not long continued that Antiparalitick Method but the Blood Spitting return'd with a very great violence so that in the space of twenty four hours he Cough'd forth above three pounds of forthy Blood and afterwards when a Physician being call'd he was presently Ordered to be Let Blood after bleeding the Blood Spitting beginning to be abated as it was always wont before was provok'd a fresh Which nevertheless after the Application of the Ligatures and the diligent taking of the Linctus and Pectoral Decoction was presently mitigated and in a short time wholly ceas'd And when afterwards he had us'd above Three Months the Pectoral Decoction and an entirely thin Diet viz. without Flesh and of meer Herbs Corn and Milk Meats he revocered in a short time his former health and now lives in that state triumphing over that cruel Disease This Person always found the use of the Pectoral Decoction to do him good Wherefore though he chang'd now and then his other Medicines he always retain'd the same Composition of that and recommended it to many other Persons seiz'd with a Blood Spitting with success The Form of the Prescript is thus Take all the Saunders of each six Drams Infuse them for twelve hours in seven pounds of fountain water then let it boil till a third part be wasted after add of the Leaves of Coltsfoot Maiden hair Mous-ear Speedwel Flowers of St. John's-wort of each two handfuls sweet Fennel-seeds six Drams Licorice slit half an Ounce Raisins ston'd half a pound boil them to four pounds then strain it and use it for your ordinary drink Moreover when the Blood Spitting was upon him or was coming he took thrice or oftner in a day the quantity of a Nutmeg
or Alkalisate Salt destroy the Combinations entred into by the Acid sixt and otherwise Morbifick Salts with other more gross Particles In which respect the Eyes and Claws of Crabs the Tusk of a Boar the Stone of Carps the Jaw-bone of a Pike the Bone in the Heart of a Stag the Pisle of a Deer Sal Prunella Salt of Coral the Volatile Salt of Urine or of Hartshorn Powder of Goats Blood Infusion of Horsedung Spirit of Hartshorn of Sal Armoniack Spirit of Tartar Mixtura Simplex Bezoartick Mineral Antimony Diaphoretick Flowers of Sal Armoniack are very famous Remedies in the Pleurisie The Third and Vital Indication which takes care that the strength and Vital heat be preserv'd in their due Tone and State during the Course of the Disease prescribes principally a fit Diet and likewise Cordial Remedies and Anodines and things which seasonably afford Relief to other Symptoms if haply they present First in a true Pleurisie you must order a most thin Diet viz. consisting of meer Oat and Barley-meats and for ordinary drink Ptisan or Posset-drink is more proper than Beer alone though in a mignty thirst this also may be allow'd in a moderate quantity Moreover to quench thirst Julapes Apozemes and Emulsions may be taken at set times to all which let Sal Prunella be added Secondly let only temperate Cordials be given which may gently refresh the Animal Spirits and not add to the Accension of the Blood which burns before too fiercely For these intents the Waters of Ladies Thistle Carduus Benedictus Bawm Borage Cowslips and Black-Cherries are usually given with good success to which the Powders of Pearl and Coral may be added Thirdly Anodines must be used both inwardly to procure sleep if at any time it be very much wanted as also outwardly to ease the pain of the side The most usual things of the former kind are the distill'd water Syrup and Powder of the red Poppy which are accounted Specificks in the Pleurisie as well as in the Peripneumonia Moreover when a very acute pain and watchings press very much we may give also Diacodiats Against Pains Oyntments Fomentations Cataplasms and sometimes the warm Inwards of Animals newly kill'd are proper to be applyed I shall now give you Select Forms of Medicines adapted to each of these Indications First Therefore about the beginning of the Disease to take away the Inflammation Julapes Apozemes Powders Glysters and gentle Purges are wont to be prescrib'd Take Water of Ladies Thistle eight Ounces Water of red Poppies four Ounces Syrup of the same an Ounce Sal Prunella a Dram Make a Julape the Dose is two or three Ounces every third hour Take Grass Roots four Ounces Barley half an Ounce parings of Apples a handful Raisins of the Sun an Ounce Licorice two Ounces boil them in three pounds of fountain water to two pounds To the cleer straining add Syrup of Violets an Ounce and a half Sal Prunella a Dram and a half Make an Apozeme the Dose is two or three Ounces often in a day Take Sal Prunella two Drams Flowers of Nitre a Dram Powder of the Flowers of red Poppies two Scruples Sugar Candy four Scruples Make a Powder the Dose is half a Dram three or four times a day Take of the Decoction of Mallows Roots and all together with sweet Prunes a pound Syrup of Violets three Ounces Sal Prunella a Dram Make a Glyster Take of whole Cassia bruis'd two Ounces Tamarinds an Ounce white Rose Flowers a handful Coriander-seeds two Drams boil them in a sufficient quantity of fountain water to a pound To the straining add Syrup of Cichory with Rhubarb two Drams Clarify it with the White of an Egg the Dose is five or six Ounces in the Morning for two or three days one after the other Secondly To dissolve the clamminess or coagulating Viscousness of the Blood the following things are of use viz. in the Form of a Drink Powder and Spirit Take fresh Horsedung four Ounces Carduus water a pound and a half make a close and warm Infusion for two hours then filter the Liquor to which add Syrup of the Juice of Dandelion or of Cichory two Ounces Spirit of Sal Armoniack a Dram give five or six spoonfuls three or four times a day For this end Water of Horsedung does admirably well Take Horsedung four pounds Leaves of Carduus Benedictus Ladies Thistle Scabious Pimpernel of each three handfuls being slic'd and mixt together pour to them of fresh Milk six pounds distil them with common Organs The Dose is two or three Ounces either alone or with other distill'd Waters in the Form of a Julape For the same use the Tinctures or Solutions of other Dungs are given by some Physicians and are highly magnifyed by them Helmont deservedly commends in the Pleurisie the Dung of an Ox Panarolus Pidgeons Dung others the White of Hens Dung Epiphanius Ferdinandus usually gave with good success in the Pleurisy the Decoction of Tobacco macerated in new Wine Valeriola used the Decoction of the Flowers of red Poppies as a try'd and familiar Remedy Sylvius prescribes the following mixture to be taken one spoonful after another by little Intervals of time Take the waters of Stone-Parsly and Hyssop of each two Ounces Fennel-water an Ounce simple Treacle water half an Ounce Laudanum Opiatum four Grains Sal Armoniack half a Dram Syrup of red Poppies an Ounce Mix them To this composition Frederick Deckers adds Powder of Crabs Eyes and Bezoartick Mineral of each a Scruple Medicines very efficacious for this use are wont to be given in the Form of a Powder for Example Take Powder of Crabs Eyes two Drams Sal Prunella a Dram and a half red Poppy Flowers half a Dram Mix them make a Powder the Dose is half a Dram three or four times in a day with a fit Vehicle Instead of Crabs Eyes you may use the Powder of the Jaw-bone of a Pike or of a Boars Tusk or of a Stags or Bulls Pisle and if these do not succeed you may try what follows Take Antimony Diaphoretick or its Ceruse or Bezoartick Mineral two Drams Volatile Salt of Hartshorn half a Dram Powder of red Poppy Flowers two Scruples Make a Powder the Dose is a Scruple or half a Dram thrice or oftner in a day It is for the same Intention of Curing that Riverius gives Powder of Chimney Soot from half a Dram to a Dram and that others give the Powder of Pigeons or Hens Dung Nay farther according to this Analogy by which the Dungs of Animals stor'd with a Volatile Salt give relief in this Disease its probable that the Dung of a Dog may prove no less successful in Curing the Pleurisie than in the Squinancy and so much the more likely because these Diseases often interchange their Types and the one assumes the likeness of the other Chymical Liquors endow'd with a Volatile Salt sometimes also work great effects in the Pleurifie Take Spirit of Blood two Drams Red
Poppy water three Ounces Syrup of the same an Ounce Mix them give a spoonful of it every other while Take Spirit of Sal Armoniack distill'd with Olibanum three Drams the Dose is from twelve drops to fifteen or twenty three or four times a day in a fit Vehicle After the same manner you may give Spirit of Vrine of Soot or of Hartshorn Take Spirit of Tartar three Drams The Dose is a Scruple in a fit Vehicle Take Mixtura Simplex three Drams The Dose is from a Scruple to half a Dram. 3. As to the Third Indication besides a thin Diet Cordial Remedies and Anodines are prescrib'd Forms of the former kind may be supply'd by the Julapes and Apozemes prescrib'd for the first Indication and by the Spirits and Powders for the Second Inward Anodines to be given in Watchings and in a very Intense pain are prescrib'd according to the Forms following Take red Poppy water two Ounces Syrup of the same six Drams Spirit of Hartshorn twelve drops Make a draught to be taken going to Bed If we must go higher Take Carduus water two Ounces Diacodium from three Drams to half an Ounce or six Drams Spirit of Sal Armoniack with Frankincense half a Scruple Make a draught Sometimes though rarely its necessary to rise to Laudanum's which being seasonably given have a mighty good effect inasmuch as they procure Sleep and move Sweat and Vrine Take water of Cowslip Flowers two Ounces Laudanum Tartariz'd from sixteen drops to twenty Spirit of Blood half a Scruple Syrup of Violets two Drams Mingle them make a draught Outward Anodines are usually prescrib'd in the Form of an Oyntment Fomentation and Cataplasm Take Oyntment of Marsh-Mallows two Ounces Oyl of sweet Almonds an Ounce Album Graecum two Drams Mix them by braying them together Take of the Emplaister of Mucilages two Ounces and a half Malax it with Oyl of Linseed and let it be apply'd upon Lawn Paper Take the tops of Both Malbows Leaves of Mercury and Beets of each three handfuls Boil them in a sufficient quantity of fountain water let the straining be us'd for a Fomentation Take the remaining faeces of the Herbs after the Liquor is wrung forth and being bruis'd add to it of Oat-meal six Drams Linseed Fenugreek-seeds of each two Ounces Oyntment of Marsh-Mallows two Ounces Make a Cataplasm I need not go far for Stories and Instances of persons troubled with the Pleurisie for I have a notable Example of this Disease now under Cure viz. a very fine young Woman subject most frequently and as it were habitually to that affect is committed to our care This Virgin who is very fair of a Sanguine Complexion but of a weakly Constitution has been wont for many years past upon every slight occasion viz. upon taking Cold or by errours in any of the six nonnatural things nay sometimes upon the meer change of the Season or of the Air to fall into a Feaver presently accompanied with pains of the Pleura a Cough and a difficulty of Breathing and for the most part horrible Convulsions following them She has been taken so very ill formerly of this Distemper that she has been often forc'd to keep her Chamber six Months or more every year but of late though she be not freed from this affliction yet she is seldomer tormented with it The last year she was pretty well all the Summer and well near all the Autumn about the beginning of Winter she fell sick of that Disease and now towards the end of it is fallen ill again The Pleuritick pain constantly possesses the right side where the Blood sticking and being extravasated in its passage about the Intercostal Muscles the Irritated Fibres commence a most tormenting pain together with a Convulsive motion of Coughing which they reiterate almost perpetually In the mean time the Lungs being found enough and open in their passages readily convey the Blood as clammy as it is without any lett or stay which often is the cause of a Peripneumonia No Remedies are wont to do good to this person without Bleeding which is always so particularly necessary that every time she is ill we are forc'd even whether we will or no to repeat it two or three times nay sometimes oftner The Blood emitted has constantly a Viscous and whitish Film on its surface This Disease was always a simple Pleurisie without any Peripneumonia and for its Cure she constantly us'd the following method with success Take Spirit of Sal Armoniack with Gum Ammoniacum three Drams give from fifteen drops to twenty thrice a day with the following Julape Take Carduus water Black-Cherry water of each six Ounces Hysterick water a Dram Sugar six Drams Betwixt whiles she took a Dose of Powder with three Ounces of an Apozeme Take the Powders of Crabs Eyes of a Bores Tusk of Sal Prunella of each a Dram Make a Powder divide it into six parts Take Grass Roots three Ounces Candied Eringo's an Ounce shavings of Ivory and Hartshorn of each two Drams parings of Apples a handful Raisins of the Sun an Ounce Boil them in three pounds of fountain water to two pounds add to the straining Syrup of Violets an Ounce Sal Prunella a Dram Mix them make an Apozeme Glisters of Milk with Syrup of Violets were administred sometimes every day and sometimes every other day if at any time Opïats though never so gentle were given her to allay pain commonly afterwards an aking and heaviness of the Head and Convulsive Affects most sorely tormented her CHAP. V. Instructions and Prescripts for the Cure of an Empyema BY the word Empyema according to its usual acceptation is denoted a Collection of Pus or corrupted matter within the Cavity of the Thorax by which the Organs of Respiration are opprest That Pus commonly flowing thither either from a Pleurisie or a Peripneumonia and sometimes haply from a Squinancy suppurated and broken As to the Cure of an Empyema we must in the First place consider whether the signs of this Disease as to the reality of its present Being be certain or doubtful if certain there will not be much need of Physick but only the Body being prepar'd you may presently proceed to open the side Therefore if after a Pleurisie or Peripneumonia not rightly Cur'd or after an inward effusion of Blood occasion'd by a stroak fall or wound there be perceiv'd a floating of Pus or of corrupted or bloody matter within the Cavity of the Thorax and this with little or no Spitting we need no longer think of Maturating or Expectorating Medicines but the Belly being loosen'd and the Blood and humours duly qualified by Julapes Apozemes and Anodines either order a bare Incision or in tender and timorous persons First let a Cautery be apply'd betwixt the sixth and seventh Vertebrae and after the Eschar being rais'd let the Incision Knife be entred obliquely towards the hinder and upper parts and that leisurely and by little and little till it penetrate
prescrib'd as follows Take Spirit of Gum Ammoniacum distill'd with Sal Armoniack three Drams Let him take from fifteen drops to twenty in a spoonful of the following Julape drinking after it five spoonfuls let it be repeated every sixth hour Take the waters of Elder Flowers Cammomil and Penny-royal of each four Ounces Snail water two Ounces Sugar an Ounce mix them Between whiles he took a Dose of the following Powder with the same Julape or Pectoral Decoction Take Powder of Crabs Eyes two Drams Sal Prunella a Dram and a half Salt of Amber half a Dram max them Divide it into eight parts for as many Doses Large Vesicatories were apply'd in the inside of his Arms near his Armpits Glisters were daily administred and frequent Frictions By the use of these things he received a sudden and unexpected ease and within a few days got wholly free of that Fit and afterwards as often as he perceiv'd a little touch of the said Distemper coming he presently took a large Dose of that Spirit with the same Julape thrice or four times a day By which Remedy being frequently taken sometimes for preservation and sometimes for Cure he has now past above two years without any great and terrible fit of his Asthma which before was habitual though he has now and then undergone some light touches of it but easily blown off An Honourable old Gentleman upon taking cold as 't is judged found himself ill for he complain'd of a pain in the middle of his Brest by his Sternum which at Night as soon as he was warm in his Bed growing worse disturb'd his sleep and was very troublesome to him for the most part of the Night Nevertheless without any straintness of Breath or evident sign of an Asthma To take away this pain he was both Purg'd and Blooded Pectorals and Antiscorbuticks were daily given him Oyntments and Fomentations were apply'd to the place pain'd yet without any great good or ease For the change that happen'd after was rather for the worse for the pain being a little abated he was seiz'd with a laborious and troubled Respiration so that after his first sleep or as he began to slumber he was taken with a fit of the Asthma and being out of Breath and opprest about the Praecordia was forc'd to sit upright in his Bed Moreover this painful Breathing and Convulsive agitation of the parts for Respiration did not only return every Night but daily grew more violent and continued longer upon him Insomuch that one Night awaking from his first sleep he was seiz'd with a most violent fit of the Asthma which lasted for many hours and brought him as near death as a Man might be and live No Physician being present a Barber then let him Blood which gave him some relief in the Morning upon a consultation of Physicians he was ordered for that day a thin Diet and a loosning Glister At Night and the Morning following he took twelve drops of Spirit of Gum Ammoniacum distill'd with Sal Armoniack in a Vehicle proper in that case and continued its use afterwards for many days Vesicatories were apply'd to the insides of his Arms near his Arm-pits Moreover Julapes and Pectoral Decoctions Lohoch's Glisters nay and sometimes gentle Purges had their truns Bleeding also was repeated after two days Whereas before he was wont to drink for his Mornings draught about a pint of Beer with Wormwood and Scruvygrass Instead of this he took about eight of the Clock fifteen drops of Elixir Proprietatis tartariz'd in a draught of Coffee prepar'd with a Decoction of Sage By these Remedies the Asthmatick Fits presently abated of their wonted fierceness insomuch that the beginning and end of every Night were quiet enough though about the middle of it some uneasiness about the Praecordia kept him waking and made him sit upright in his Bed for an hour or two at length growing weary of Physick he took only now and then some of the Medicines above mentioned But in the mean time though his Asthmatick Fits troubled him little or not at all by Night as before yet by reason of his Lungs being very much stuffed and a Serous humour falling into his Feet he could not walk fast or go up any steep Ascent without a great difficulty of Breathing and danger of being choak'd and at present an Asthma or Phthisick is not so much fear'd as a Dropsie CHAP. VIII Instructions and Prescripts for Curing the Dropsie of the Breast IF at any time the affect of the Dropsie or Anasarca being general has taken possession every where or in most places of the Flesh and Cavities of the Viscera It s no wonder if that filthy Mass of Waters gets possession also of the Breast but besides this it sometimes happens that the Region of the Thorax is either originally or alone overwhelm'd with waters the other parts in the mean time being every where sound enough or injur'd only Secondarily That Serous humour causing the Dropsie of the Breast arises there either in the Form of a Vapour which exhaling from the Praecordia and Sides of the Thorax is readily condens'd into Water or Secondly the Serum is there depos'd in its proper Form as it distils into that Cavity from the Mouths of the Vessels viz. of the Arteries there open'd Or Thirdly the Lymphaeducts or sometimes though rarely the Chyle Vessels somewhere opening themselves or being broken may produce that affect A young Man of a healthy and strong constitution who had long us'd himself to violent exercises both by riding and other ways perceiv'd at length a fulness or as it were a certain windy rising in his Thorax insomuch that the left side of his Lungs seem'd to swell and his Heart to be thrust forth of its place towards the right side for in that part it was perceiv'd to beat most After he had continued in this condition some time he perciv'd on a certain day a Rupture as it were of some Vessel within the Cavity of his Thorax and after it for half an hours space he could not only perceive in that Region a dropping of humour as it were from the top to the bottom of his Brest but it could also be head by the standers by Notwithstanding this finding himself otherwise well dispos'd he slighted Physick but afterward upon motion stooping or any stirring of his Body he perceiv'd in his left side a floating of waters inwardly gathered together Nay and the motion and sound of it was most manifestly perceiv'd of others both by handling and by the ear Hence as it was plain that this Person had a Dropsie of the Breast so it seemed most probable that this Disease took its rise from this that the Lymphaeducts appertaining to the left side of the Lungs being first obstructed near their Insertions into the Ductus Chyliferus had swollen up to a vast bigness and afterwards being broken distill'd forth their humour into the Cavity of the Thorax This Gentleman not perceiving
quick motion of his Body or his going up a steep Ascent tormented him above measure he could not rest long on either side but was forc'd to lye always on his Back and with his Head raised And if he try'd to lye on either side presently a pain followed the Position of his Body and if haply he rolled himself from one side to the other the pain also being presently remov'd he felt as it were waters floating from one place to another So if he let his Body hang downwards over the Bedside he presently felt waters falling towards his Clavicular Bones Moreover if at any time his Body was heated more than ordinary by motion the heat of a Bed or of a Fire presently he felt in his Brest a boiling as it were of waters on the Fire and at the same time complained of a Giddiness and of a little fainting of his Spirits Being well satisfied by a due consideration of these things that he had a Dropsie of the Brest I prescrib'd the Method and Medicines following with success Take Calamelanos fifteen Grains Rosin of Jalap half a Scruple Syrup of Roses solutive what suffices make three Pills He took them early in the Morning and had twelve Stools which gave him great ease Then again on the third day he had only four Stools by the same Medicine though with greater relief to him than before He took afterwards for many days of a Diuretick and Pectoral Apozeme six Ounces And Lastly the same Purge being repeated he grew perfectly ivell SECT 2. Of Medicines regarding the Region of the Belly CHAP. I. Instructions and Prescripts for the Cure of the Jaundise AS to the method of Curing this Disease there are three Primary Indications all which since we are in a manner always at a loss which of them is the chiefest and first to be put in Practise must be prosecuted together Therefore the Intentions of Curing must be First That the obstructions of the Ductus's must be open'd if haply there are any either in the Porus Biliarius or Meatus Cysticus or elsewhere about the Liver or Vessels that convey the Choler Secondly That the Blood be reduc'd to its due temper and Crasis lest it engender Choler in too great a plenty or render it unapt for separation Thirdly That the strength be upheld and that the Symptoms chiefly prejucicing it be provided against 1. To satisfy the First Incication Cathartick evacuations both by Vomit and Seige are greatly conducing with which the descent of the Choler towards the Intestines is Irritated and the obstructed Vessels being by this means mightily agitated are freed from their stoppages Secondly We must give Medicines that are smart bitter and salt and others endow'd with a certain instigating vertue which may sharply stir up the motion of the Gall gathered together in the Liver and there stagnating In this place also we must range such Medicines as are thought to be good against the Jaundise by a similitude of substance and as it were by a Signature viz. as being endow'd with a yellow Juice though many of these because they move Urine or Sweat may aptly enough be plac'd in the same rank with the former viz. amongst evacuative Medicines The Second Indication requires altering Medicines altogether viz. such as may depress the exaltations or wild efforts of the Sulphur and fixt Salt and help to the restitution of the Volatile Salt which was depress'd before For these purposes Medicines containing an Acid or Volatile Salt and likewise Chalybeats will do excellently well Hence Spirit of Salt of Vitriol Juice of Limons also Spirit of Hartshorn and Sheeps dung Goose dung Crocus Martis and other preparations of it of divers kinds are often prescrib'd in the Jaundise with good success The Third Incication being for the support of the strength and for removing Symptoms that prejudice it suggests to us many and diversifyed manners of Curing but to avoid tediousness I shall only set down certain general Rules concerning Diet and some Cordial and Anodine Remedies peculiarly proper in this case The Therapeutick Indications being thus laid before you it remains for us now to adjust Select Medicines viz. both simple and compound to each of those Intentions before propos'd and to explicate the manners and ways of operating of those Remedies which are accounted of most note in this Disesse First therefore we shall set before you the Forms of Evacuating Medicines appropriated to the Jaundise 1. Vomits EMetick Medicines most commonly are of good effect in a new Jaundise whilst the tone and strength of the Viscera hold good forasmuch as they both ease the Ventricle of its offensive load of viscous Phlegm with which its in a manner always opprest in this Disease and likewise by irritating the Vessels which convey the Choler and strongly shaking the Ductus's of the Liver they clear them of their stoppages and bring the Choler to pass by the ways it formerly was wont Take of the Infusion of Crocus Metallorum from half an Ounce to six Drams Vinegar of Squills an Ounce Oxymel simple half an Ounce Make a Vomit to be taken with governance Sometimes it is proper to give the Evening before the following Mixtrue as a preparation to facilitate the Vomiting Take Powder of the Roots of Asarabacca Faecula of Aron Roots of each a Scruple Tartar vitriolated half a Scruple Oxymel simple an Ounce Mix them Take Sulphur of Antimony seven Grains Scammony sulphurated eight Grains Cream of Tartar half a Scruple Make a Powder give it in a spoonful of Panada Take Nine Leaves of Asarabacca being slic'd and bruis'd pour to them of Whitewine three Ounces press forth the Juice give it in the Morning with governance Take Cambogia prepar'd eight Grains Tartar vitriolated seven Grains Make a Powder Catharticks PUrging Medicines have place in this Disease whether it be new or inveterate viz. both that the plentiful supply of Excrements be now and then clear'd from the first passages and that the Vessels that convey the Choler be stirr'd up to excretion Take Electuary of the Juice of Roses three Drams Rhubarb a Dram Salt of Wormwood Cream of Tartar of each half a Scruple Syrup of Rhubarb what suffices Make a Bolus Take Roots of sharp pointed Dock prepar'd an Ounce tops of Sea Wormwood and of the lesser Centory of each two pugils Roots of Gentian and Turmerick of each two Drams yellow Saunders a Dram boil them in a pound and a half of fountain water to a pound towards the end add of the best Sena six Drams of the best Rhubarb three Drams Agarick a Dram and a half Coriander-seeds two Drams Whitewine two Ounces let them boil close covered for two hours then strain it and let it settle till it be clear The Dose is from four Ounces to six with Syrup of Rhubarb an Ounce water of Earth-worms three Drams Make a Potion to be taken for three or four days together or every other day In a weaker Constitution TAke
Choice Rhubarb two Drams Agarick Trochiscated half a Dram Cinnamon half a Scruple Ginger half a Scruple Make an Infusion in Whitewine and Succory water of each three Ounces being close cover'd and kept warm for three hours In the straining dissolve Syrup of Rhubarb an Ounce water of Earth-worms two Drams Take Rhubarb powdred from half a Dram to a Dram Salt of Wormwood a Scruple Make a Powder Take Pilulae Ruffi a Scruple Extractum Rudii half a Scruple Make four Pills let them be taken in the Morning with governance repeating them within four or five days In the Third place follow Deopilatives and these are Diureticks or Diaphoreticks of which also some are accounted Specificks for their Similitude of substance these sorts of Medicines both promote the separation of the Choler from the Blood and being separated force its way through the straitest passages and Pores in the Liver Moreover at the same time by fusing the Blood they cause its Serosities and Bilous Excrements to be sent forth in some measure by Sweat and Urine Take Elixir Proprietatis an Ounce give twenty drops in the Morning and at five in the Afternoon with a fit Vehicle After the same manner the Tincture of Antimony or of Salt of Tartar are often given with success also Mixtura Simplex in a greater Dose For Vehicles also for the same Intention of Curing Apozemes distill'd waters and Julapes are proper Take Roots of the greater Celandine stinging Nettles Madder of each an Ounce tops of Sea Wormwood white Horehound dry'd Agrimony Germander of each a handful Worm-seeds two Drams shavings of Ivory and Hartshorn of each two Drams yellow Saunders a Dram and a half Coriander-seeds two Drams boil them in three pounds of fountain water to two pounds add of Whitewine four Ounces and strain it add Syrup of Cichory with Rhubarb two Ounces Water of Earth-worms an Ounce and a half Make an Apozeme the Dose is from four Ounces to six twice a day Take Leaves of white Horehound dry'd of the lesser Centory of each a handful Roots of Gentian and Turmerick of each three Drams Cinnamon a Dram Saffron half a Dram being slic'd let them be put into a Glass with White or Rhenish Wine two pounds Make a close Infusion the Dose is three Ounces To this place belongs the famous Anti-Icterick of Gesner Take Roots of the greater Nettle a pound Saffron a Scruple Bruise them well and extract a Tincture with Whitewine the Dose is three Ounces in the Morning for four or five days Like to the former is that of Fr. Joel Take Roots of the greater Celandine slic'd two handfuls Juniper Berries a handful being bruis'd pour to them of Rhenish Wine a pound and extract the Juice The Dose is four Ounces twice a day The Juice of white Horehound is mightily commended by Dioscorides for the Cure of the Jaundise and its Syrup by Forestus Instead of the Elixir and other Chymical Liquors which are ordered to be taken in a very small quantity to avoid nauseousness You may give more successfully Electuaries Powders and Pills to others of a strong Constitution Take Conserve of Sea Wormwood the outward yellow Coats of Oranges and Limons of each two Ounces Species Diacurcumae an Ounce and a half Powder of Ivory yellow Saunders the Lignum Aloes of each half a Dram Troches of Capers a Dram Troches of Rhubarb half a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrup of Cichory with Rhubarb make an Electuary the Dose is the quantity of a Chesnut twice a day drinking after it of the following Julape three Ounces Take Waters of the greater Celandine Fumitory Wormwood simple and of Elder Flowers of each five Ounces Magisterial water of Snails Water of Earth-worms Compound of each two Ounces Sugar half an Ounce Mix them make a Julape Or Take Roots of the greater Nettle Angelica Gentian of each four Ounces the greater Celandine entire six handfuls Wormwood Tansie both Southernwoods of each four handfuls the outward Coats of twelve Oranges and of four Limons Earth-worms prepar'd Snails of each a pound Cloves bruis'd two Ounces being slic'd and bruis'd pour to them of Whitewine eight pounds distil it with common Organs Let the whole Liquor be mixt Or Take Filings of Steel a pound fresh Strawberries six pounds put them in a glazed Pot and stir them together and let them stand for a day then add of the Roots of English Rhubarb slic'd a pound the Rinds of four Oranges being slic'd pour to them of Whitewine six pounds and distil them according to art Let the whole Liquor be mixt The Dose of this and the former is three Ounces twice a day after the Electuary or other Medicine Take Powder of the Roots of Turmerick and Rhubarb of each a Dram and a half Rinds of Caper Roots Asarum Roots of each half a Dram Extract of Gentian and Centory of each a Dram and a half Salt of Wormwood four Scruples Seeds of Water-cresses half a Dram of Rocket half a Scruple Elixir Proprietatis a Dram Gum Ammoniacum dissolv'd in a sufficient quantity of Water of Earth-worms Make a Mass Form it into little Pills the Dose is half a Dram Evenings and Mornings drinking after it of the distill'd Water three Ounces Sylvius highly commends for the Cure of the Jaundise a Decoction of Hemp-seeds in Milk and a Solution of Soap The Second Indication having regard to the altering or due tempering of the Blood that it engender Choler only in a moderate quantity and duly separate it requires those kinds of Medicines which depress the Sulphur and fixt Salt when too much exalted For these ends I know not by what chance or guidance Medicines endow'd with a Volatile Salt as Earth-worms Snails Millepedes nay Lice the Dungs of Fourfooted Beasts and of Fowl being introduc'd into Practise for Curing the Jaundise are usually given not only by Empyricks but likewise prescrib'd by Physicians of the best account These sometimes by themselves but oftner joyn'd with Evacuatives and Deopilatives enter the chief compositions of Anti-ictericks Fonseca prescribes Goslings Dung gathered in the Spring time and dry'd and also the white Dung of Chickens the Powder of both which is given from half a Dram to a Dram in a fit Vehicle Take Powder of Earth-worms prepar'd Goose dung of each three Drams Ivory yellow Saunders powdred of each half a Dram Saffron a Scruple Make a Powder divide it into six parts for so many Morning Doses with some Liquor fit for the purpose To the Anti-icterick Apozem and Tincture above prescrib'd Earth-worms also Goose-dung and Sheeps-dung are usefully added Take of fresh and live Millepedes in number from fifty to a hundred Saffron half a Scruple Nutmegs a Scruple being bruis'd together pour to them of Celandine water four Ounces water of Earth-worms two Ounces wring it forth hard and drink it After this manner let it be taken first once afterwards twice a day for a Week It s a vulgar and
injur ' Moreover when a Sweat is thus unduly rais'd the Blood being forc'd to a fusion and precipitation of Serum discharges more yet into the watery Mass of the Ascites therefore when some prescribe Fomentations and Liniments to be apply'd to the swollen Paunch and order Bathing for the most part it falls out for the worse to the Patients for besides Feverishness a Head-ach Vertigo faintings of the Spirits and other ill Symptoms of the Heart and Brain most frequently caus'd by such means the Belly also swells the more by it because the Blood being agitated and dissolv'd deposes the Serum there in a larger measure Nay and the Mouths of the Vessels are thereby made more loose and open so that they distil forth waters faster they being now dispos'd to part from the Mass of Blood The Remedies which are wont to be Administred with most success when we will not proceed to an Incision are Glisters and Plaisters The former draw the Serum out of the Vessels and Glands of the Intestines and Mesentery without fusing the whole Mass of Blood which strong Catharticks will do which being so emptyed receive into them some of the extravasted Lympha For this end the following Glister usually prescrib'd by us in the like case is mighty proper in regard at the same time it irritates the Fibres of the Intestines and draws the Serum imbib'd by the Blood or before contain'd in it to the Reins Take Vrine of a sound Man that drinks Wine one pound Venice Turpentine dissolv'd with the Yolk of an Egg an Ounce and a half Sal Prunella a Dram and a half Make a Glister repeat it daily Plaisters sometimes do good in an Ascites but let them be such as strengthen the Viscera by some restringent and comforting vertue and help to close the Mouths of the Vessels that they do not dicharge the Serosities in too great a plenty For this end I usually apply Emplastrum Diasaponis to the swollen Belly with good success Or Take Emplastrum de minio and Paracelsi of each what suffices Make a Plaister to be apply'd to the Belly If at any time this Disease be complicated with a Tympany other sorts of Epithems are proper as we shall decalre hereafter The great and most present Remedy for an Ascites is to make an Inision and draw forth the water tho this practice as often Kills the Patient as Cures the Disease wherefore there is need of great caution in what Persons and in what time of the Disease this ought to be attempted In Cachectical Persons and such as have been long ill in whom the Conformation and temperament of the Viscera are generally vitiated it cannot prove of any good effect to let forth the waters by piercing of the Belly for presently upon it the Spirits faint the strength is dissolv'd nay and a fresh inundation of the Morbifick humour soon succeeds it But those who before having a good constitution of the Viscera and being sound enough as to all other parts fall into an Ascites upon some great evident cause as they need not presently at first attenmpt an Incision so they ought not to defer it long if it be judg'd requisite For upon a long delay the Viscera which are immerg'd in the waters and as it were sodden in them become incorrigibly vitiated It s besides my purpose to describe here the Administration of this Incision whether it be perform'd the ordinary way or according to the way of Sylvius with a Perforated Needle As physicians seldom prescribe this operation they looking upon it as dangerous so Quacks and Empiricks never consulting them attempt it very often inconsierately and uprosperously For conclusion I shall here give you a relation of a true and terrible Ascites lately Cur'd without an Incision A young Woman tall and slender an Merchants Wife giving Suck to her Child drank both by day and by night to increase her Mild an immoderate quantity of Ale sometimes plain and sometimes made into Posset-drink after having us'd this ill way of Diet for six Weeks she feel suddenly into a cruel Ascites the beginnings of which she never had minded for her Abdomen being full of waters floatig within it swell'd mightily and its Bulk when she turn'd her self from one side to the other fell without the Ilia and the borders of the rest of her Body in the mean time the Flesh of all her Members was mightily consum'd and she seem'd not less Consumptive than Hydropical The Child being wean'd and better Diet ordered she entred upon Physick and in the first place took gently Hydragogues both Purging by Siege and Urine but without any benefit nay after all Purging she was worse Afterwards being Committed to our care and almost in a desperate condition I proceeded with her after the following method Having wholly forbidden her the use of Ale and all other drinks but what were Physical I prescrib'd these things Take Leaves of Plantain Brooklimes Clivers of each four handfuls being bruis'd together pour to them water of Earth-worms and Radish-water Compound of each three Ounces wring ti forth she took it twice a day viz. at eight of the Clock in the Morning and at five in the Afternoon she continued the use of this Medicine a long time but altered now and then the Composition changing sometimes the Herbs sometimes the Liquor to be poured to them Take of the reddest Tincture of Salt of Tartar an Ounce and a half she took twenty Drops going to Bed and early in the Morning in two spoonfuls of the following Julape drinking after it seven spoonfuls Take of the reddest Tincture of Salt of Tartar an Ounce an da half she took twenty Drops going to Bed and early in the Morning in two spoonfuls of the following Julape drinking after it seven spoonfuls Take water of the Flowers of Elder and of Saxifrage of each six Ounces the waters of Snails Earth-worms and Radish Compound of each two Ounces On her Belly she wore a Plaister made of Empl. de Minio Oxycroceo The following Glyster was given her first every day afterward every other or third day Take Vrine of a sound Man a pound Turpentine dissolv'd with the Yolk of an Egg an Ounce and a half Sugar an Ounce Sal Prunella a Dram Make a Glister By the constant use of these things in six Weeks time the swelling of her Belly came down but her flesh daily falling away a Consumption was fear'd Wherefore to prevent it she went into the Country and drank Asses Milk and by the benefit of this nourishment and of the fresh Air taking continually the above mention'd Medicines she recover'd perfectly within three Weeks or a Month and lives still and is in good health CHAP. IV. Instructions and Prescripts for Curing the Tympany A Tympany may be thus defin'd or at least describ'd viz. that it is a fixt and continued tumour of the Abdomen equal hard stiff yielding a sound upon striking taking its rise from a sort of
Convulsive Inflation of the Membranous Parts and Viscera by reason of the Animal Spirits being driven into those Fibres in too great a plenty and there hindred from a Recess through the fault of the Nervous Juice obstructing it To which affect a gathering of Winds in the empty places is consequently added for compleating it That we may have timely notice of its beginning we must understand that there are some previous affects which dispose to it as especially a Hypochondriack Colick Hysterick and sometimes an Asthmatick disposition And if after frequent returns of Fits in any of these Distempers a tumour of the Abdomen follows though never so small at first a Tympany is presently to be fear'd A Tympany seldom kills of it self but after it has continued a long time to make more sure work it joyns to it self at length an Ascites as a forerunner of death In order to the Cure of a Tympany as in most other Diseases there are three primary Indications whereof the first and always the most pressing being Curatory endeavours to remove the tumour of the Abdomen by recalling the Animal Spirits from that Convulsive extention and reducing them to order The Second being preservatory keeps those Spirits or others from inordinate excursions into the Nervous Fibres of the Belly and at the same time corrects the faults of the Nervous Liquor accompanying them as to its Crasis or Motion The Third is Vital and by removing the Symptoms that are most pressing relives and upholds as much as may be all the functions that are opprest or weakned The First Indication is always of chiefest moment the whole stress of the Cure consisting in it but it s very difficult to be perform'd For it does not readily occur to us with what remedies or ways of Administration it ought to be attempted Bleeding has no place here but in a manner always is shun'd as hurtful also Catharticks for as much as they irritate the affected Fibres and trouble the Spirits and drive them more violently into those Fibres do rather increase than diminish or Cure the tumour of the Belly So likewise Diaphoreticks force the Spirits together with the Morbifick Particles deeper into those Fibres from which they ought to be summon'd forth and withdrawn The chief means of Cure seems to be plac'd in the use of Diureticks and Glisters and great things are likewise expected from Topicks because they are apply'd more immediately and by contact to the Disease it self and because we see they excellently dissolve or discuss tumours in other places but all dissolvents are not proper here even though in other tumours they are very Medicinable For those that are hot being accounted discussors most commonly rather do hurt than good in a Tympany whether they are us'd as a Fomentation or Liniment or apply'd in the Form of a Cataplasme or Plaister For they both open and dilate the Ductus's of the Fibres so that they lye more open to the Inroads of the Spirits and at the same time rarify the Particles sticking in them so that they coming to occupy a greater space the Inflation and Swelling of the Belly is augmented Lastly as to Alteratives even of those which do good against other affects of the Genus Nervosum only some few are proper in a Tympany for where the Morbifick matter sticking within the strait Ductus's cannot be driven forwards or quite through Elastick Medicines by fastning the matter deeper render the obstruction still greater or more fixt Wherefore the Spirits of Harts-horn Soot Sal Armoniack and so Tinctures Elixirs and other Medicines endowed with a Volatile Salt or Particles otherwise active do not only cause a very troublesome heat and drought in persons troubled with a Tympany but also make the Abdomen swell more because they trouble the Spirits and fuse the Blood and Nervous Juice so that the Particles deposed by each of these are forc'd into the parts affected Nowwithstanding Physick can do so little against this Disease we must not cease to move every stone in order to Cure or give ease to the Patient Therefore in the First place because it is the Custom to begin with Evacuatives though strong Catharticks always do hurt and the more gentle are scarce ever able to carry off the Conjunct Cause yet these latter for as much as they withdraw somewhat of that which feeds the Disease and prepare the way for other Medicines to exert their Energies more freely ought to have their turns in the Practice of Physick viz. once in six or seven days and at other times let Glisters the use of which is much better he frequently Administred Hydroticks being forbidden let moderate Diureticks be diligently plyed to which at the same time let such things be joyn'd which regard the altering and reducing of the Spirits and Humours which truly make up the chiefest part of Pharmacy for a Tympany Moreover in the mean time let not the use of Topicks be neglected We shall set down certain Select Forms of Medicines appropriated to each of these ends For a Medicine gently loosening use the Laxative Wine prescrib'd for a Tympany by the famous Greg. Horstius in the Fourth Book of his Observations Chap. 30. or instread of it let the following be prescrib'd in a shorter Form Take Flowers of Peaches and of Damask Roses of each two Pugils of Broom Elder and the lesser Centory of each a Pugil Leaves of Agrimony and Sea Wormwood of each a handful of the best Sena an Ounce Rhubarb six Drams Carthamus-seeds half an Ounce of Dwarf-elder two Drams yellow Saunders three Drams Galingal Roots two Drams being slic'd and bruis'd sew them up in a Silken Bag and put it in a Glass with two pounds of Whitewine Saxifrage water a pound Salt of Tartar a Dram and a half let them stand for forty eight hours then let the Patient begin to drink it taking about four or six Ounces every third or fourth day In a hotter constitution let the following Form be given which I have sometimes try'd with good success Take of Purging Mineral waters eight pounds Salt of Wormwood two Drams let it evaporate with a gentle Bath-heat to two pounds To this I use to add of water distill'd from Purgers with Wine four Ounces The Dose is from four Ounces to six Or to that Liquor evaporated to two pounds add of the Roots of Mechoacan and Turbith of each half an Ounce Rhubarb six Drams yellow Saunders two Drams Cloves a Dram Let there be a close and warm digestion for two hours filter it warm through lawn paper the Dose is three or four Ounces Glisters are of frequent use in this Disease because they loosen the Belly without any great irritation of the Fibres Take water of the Infusion of Stone-Horse-dung with Cammomile Flowers a pound Honey of Herb Mercury two Ounces After the same manner also let Decoctions or Infusions be prepar'd of Dogs-turd with Carminatives Take of the Emollient Decoction a pound Sal
and let it Clarifie by setling the Dose is three or four Ounces in the Morning and at five in the Afternoon Take Powder of Aron Roots and of Crabbs Eyes of each three Drams Chrystal Mineral two Drams Vitriol of Mars a Dram and a half Sugar of Rosemary Flowers two Drams Mix them the Dose is half a Dram twice a Day with a fit Vehicle Hartman highly extolls the Liquor of the Flowers of the Herb Mullein as a Specifick Remedy in this Disease Put those Flowers fresh gather'd into an Alembick and press them in hard then the Vessell being carefully stopt that nothing can breath forth let it stand in an Oven whilst bread is bak't and afterwards the Flowers being taken forth press forth the Liquor very hard and let it be Distill'd in Balneo The Dose is a Scruple in Decoction of the Seeds and Roots of Fennel Certainly if this Medicine can do any thing it ought to be given in a greater Dose Johannes Anglicus Commends the Electuary Rosata Novella with Diatrion Santalon and Ants Eggs which Medicine truly being probable enough seems to promise something In Imitation of these I shall here propose the following Take Conserve of the Flowers of Cichory and Indian Cress of each three Ounces Powder of Aron Roots Lignum Aloes yellow Saunders of each a Dram Crabbs Eyes a Dram and a half Salt of Wormwood an Ounce Ants Eggs an Ounce Liguor of male Mullein half a Dram with a sufficient quantity of Syrup of Citron Pills make an Electuary the Dose is two Drams twice a Day Drinking after it of the former Distill'd water or of the following Julape three Ounces Take water of the Leaves of Aron of the Juice of Elderberryes water of Juniper and of Elder Flowers of each six Ounces Magisteriall waters of Snails and of Earth-worms of each two Ounces Syrup of the Juice of Elderberryes two Ounces mix them make a Julape The third Indication being vital Prescribes Remedies chiefly against Faintings of the Spirits and difficulty of Breathing and against Watching and Thirst I shall briefly set down certain Forms of both kinds 1. Cordials TAke water of Navews of Marigold and Cammomill Flowers of each three Ounces Dr. Stevens's water two Ounces Tincture of Saffron two Drams Sugar an Ounce Pearl a Dram make a Julape the Dose is four or five Spoonfuls thrice or oftener in a Day in Faintings Take Conserve of Marigold Flowers two Ounces Confection of Alkermes and of Hyacinth of each two Drams Pearl Powdred an Ounces of the Juice of Citrons what suffices make a Confection take the quantity of a Nutmeg Evening and Morning drinking after it a Draught of the Julape 2. Hypnoticks TAke Aqua Hysterica six Drams Syrup de Meconio half an Ounce mix them take it late at Night Or Take small Cinnamon water an Ounce Diacodium three Ounces Tincture of Saffron two Drams mix them take to the quantity of a Spoonfull late at Night if Sleep be wanting Or Take Syrup of Cowslip Flowers three Spoonfulls Compound Peony water one Spoonfull Laudanum Tartarizd a Dram take a Spoonfull late at Night if you cannot Sleep Quenchers of Thirst must be frequently given in this most Thirsty Disease but it must be in a very small quantity that we may allay that most troublesom Symptom without much Drink which is always pernicious For which end Take Conserve of Wood-Sorrel passed through a Sieve three Ounces Pulp of Tamarinds two Ounces Sal Prunella a Dram Syrup of the Juice of Wood-Sorrel what suffices make a soft Lohoch of which let him lick often CHAP. V. Instructions and Prescripts for Curing the Anasarca AN Anasarca is describ'd after this manner that it is a white and soft Tumour of the whole outward part of the Body or of some parts of it yielding to the Touch and leaving a Pit uppon Compression proceeding from an Aqueous Homour extravasated and heapt together both within the Interstices of the Muscles and within the Pores of the Flesh and Skin and even of the Glands and Membranes That watery Humour proceeds wholly or for the greatest part from the Blood for being continually produc't within the Mass of Blood through the defect and fault of Sanguification it is pour'd forth of the Mouths of the Arteries in a greater quantity than that it can be receiv'd and carried back by the Veins and Limphaeducts and be sent forth by the Reins and Pores of the Skin and other Emissaries of the Serous Latex And Anasarca whilst it is simple is the least dangerous amongst all the species of Dropsies And a particular Anasarca occupying only the Inferior Members so the Belly do not swell withal is much safer than an Universal one In order to a right proceeding towards a Cure two chief scopes of Curing here present themselves viz. First we must take Care that the water betwixt the Skin and the Flesh be some way Evacuated and Consum'd and Secondly that a new supply be not continually engendred and heapt together For which end we must use what means we may both that the Viscera of Concoction being cleans'd from Excrements and free from Obstructions prepare always a good Chyle and supply the Mass of Blood with it in a due quantity and likewise that the Blood its Principles being restor'd to their fermenting Power may duly ferment and convert into its own Nature the Juice of the Chyle continually sent into it The Vital Indication seems not necessary in this Disease as in many others because Faintings of the Spirits or Watchings for which Cardiacks and Hypnoticks are required seldom happen here And there is little need of restoring Diets because Fasting and Abstinence do more good and most commonly are the greatest part of the Cure the reason is that the Vessels being drain'd by Fasting drink up the waters Stagnating betwixt the Skin and the Flesh or elsewhere and send them forth partly by the Reins the Pores of the Skin and other Emissaries and partly employ them most Advantageously for nourishing the Body they being yet full of a Nutritive Juice First to perform the first Indication which is for the Evacuation of the Morbifick matter all Hydragogue Medicines both Simple and Compound and likewise the Forms of Medicines set down before in the Chapter of the Ascites ought to be apply'd to use Moreover not only Catharticks and Diureticks but likewise Diaphoreticks have often place in the Cure of the Anasarca though for the most part they are forbidden in other kinds of the Dropsie In a simple Anasarca you may Purge Strongly and it often does much good I have given you before Forms of Hydragogue Catharticks of both kinds viz. of such as exert their force both upwards and downwards and both of a gentle and strong Operation from whence you may take them and apply them to the present Method of Curing If you ask how Catharticks work in this Disease and wherefore they carry forth waters better and more efficaciously than in other kinds of the
and so will continually Distill forth till all the swelling be gone from the place prickt Then the next time after somtimes twelve somtimes eighteen somtimes twenty four hours prick again in some other part either of the same Leg or of the other and so continue to make such Vents for the waters once or twice a Day in this Member or that one alone or two or at the same time in many For after this manner the Hydropical Corruption may be drayn'd more freely and safely than by any other exteriour operation whatsoever and if in the mean time its flesh supply be provided against by inward Physick Physick the Disease will be the more easily Cur'd Moreover in a desperate Dropsie that Administration serves very well to prolong Life because the waters being continually emptied forth by those outward Vents the inward and vital Inundation is the longer delay'd A Man of late seventy years of Age plung'd in a Dropsie over his whole Body has continued in Life and kept his head above the waters for these many Months beyond the expectation of all Men by the means of this only Remedy So far of the kinds and forms of Remedies prompted to us by the first that is the Curative Indication As for the Preservative Indication which takes care to restore the Crasis and fermenting or Sanguifying Vertue of the Blood it suggests to us those Medicines with being endowed with hot and elastick Particles raise up the active or deprest Principles of the Mass of Blood or repair them being wasted for which ends the vulgarly call'd Altering Remedies are wont to be prescrib'd in the Form of an Electuary Powder Pills Distill'd waters Julapes Apozemes and Dyets to which also Spirits Tinctures Elixirs are somtimes added for the greater Efficacy I shall give you an example or two of each of these 1. Take Conserves of Sea-Wormood Scurvy-grass and the yellow Coats of Oranges of each two Ounces Winters-Bark two Drams Species Diacurcumae a Dram and a half Steel prepared with Sulphur three Drams Salt of Wormwood two Drams Syrup of Citron Pills what suffices make an Electuary The Dose is two Drams in the Morning and at five in the Afternoon drinking after it a Draught of Julape or of the Distill'd water to three or four Ounces Chalybeats very often do great good in this Disease as in the Green-sickness Insomuch that the whole or at the least the chief scope of Curing Falls frequently on this Remedy But we must note that these kinds of Medicines do not all equally agree in these cases For those that are chiefly in use viz. Salt of Steel or Vitriol of Mars and others prepar'd with Acids and wholly depriv'd of Sulphur do no good at all because they do not promote the Fermentation of the Blood but on the contrary rather fix it when too Exorbitant or Elastick But for an Anasarca and any other oedematous Cachexia in the habit of the Body let those Chalybeats be given in which the Sulphury Particles are left and are Praedominant as especially in the Filings of Iron and in its Scales reduc't into a fine Powder and in-Steel melted with Sulphur and Powdred these Powders being taken are presently dissolv'd by the Acid Salts within our Body upon which the Sulphureous Metallick Particles being set free and convey'd into the Blood ferment its whole Mass raise up the Symbolous Particles there before lying dormant and being joyn'd with them give a vigour to the Blood and renew its fermenting or sanguifying power before deprest Wherefore we find after a little use of these Chalybeats the pallid colour in the Green-sickness goes off and turns to a Florid Aspect 2. Take compound Powder of Aron Roots and Winters-bark of each three Drams Roots of the lesser Galingal Cubebs of each a Dram and a half Steel prepar'd with Sulphur half an Ounce Sugar of Rosemary Flowers six Drams make a Powder divide it into twenty parts the Dose is one part every Morning and at five in the Afternoon with a Draught of the Sudorifick Decoction prescrib'd before 3. Take of the Gummous extract remaining after the Distillation of the Elixir Vitae of Quercetan half an Ounce powder of Earth-worms prepar'd two Drams Roots of the lesser Galingal Winters-bark of each a Dram and a half Salt of Wormwood two Drams Iron Rust two Drams and a half Balsam of Peru a Dram Tincture of Salt of Tartar two Drams Balsamum Capivii what suffices make a Mass form it into little Pills the Dose is half a Dram at Night and early in the Morning Drinking after it of the Julape or distill'd water following three Ounces 4. Take Elder Flower water and the Fermented Juice of its Berryes of each a Pound Magisteriall water of Earth-worms Raddish water compound Aqua Mirabilis of each two Ounces Syrup of the Juice of Elderberryes two Ounces mix them make a Julape 5. Take Leaves of Garden Scurvygrass Rochet Pepperwort of each six handfulls Roots of Calamus Armaticus the lesser Galingal Zedoary Florentine Orris Elder Aron of each six Ounces Wintersbarke Jamaica Pepper of each three Ounces Juniper Berryes four Ounces Cloves Ginger Nutmeggs of each an Ounce Being slic'd and bruis'd pour to them of old Rhenish-wine eight Pounds distill it in common Organs let the whole Liquor be mixt 6. 7. An Antihydropick Decoction is Prescrib'd before amongst Diaphoreticks A Dyet-drink to be taken instead of Beer may be made according to the Form following Take Raspings of Guaiacum and Sassafras of each four Ounces Roots of Florentine Orris Calamus Aromaticus the lesser Galingal Elecampane of each an Ounce and a half Juniper and Lawrell berryes of each two Ounces Seeds of Anise Caraway sweet Fennell Coriander Dill of each an Ounce long Pepper Cubebs of each an Ounce and a half Cloves Nutmeggs Ginger of each half an Ounce Jamainca Pepper two Ounces dry'd Leaves of Salvia Acuta Wood-sage Calamint Agrimony of each a handful Licorice four Ounces being slic'd and bruis'd Let them boyl in four Gallons of fountain water to half when the straining is cold let it be put up in Glass-bottles for use I have known many persons almost given over in an Anasarce who by the constant use of this Drink have perfectly recover'd Of many examples of persons Cur'd of Dropsies I shall now give you one A certain Robust Man of a middle Age after having gotten an Epidemical Quartan Ague and being ill manag'd at first had lain under it above a year and in the mean time had us'd an ill Dyet fell into an Anasarca which afterward upon his indulging himself to Drink very freely for quenching his Thirst which was exceeding great grew in a short time to a vast height so that all his Members from the Head to the Foot and his Belly likewise being swollen he was not able to turn himself from on t side to the other in his Bed without the assistance of Servants As I first visited him and despairing of Cure I plainly
parts most expos'd to the Sun and Air because their Skin being of a subtle Texture transmits the Humour rarified by the heat of the Sun so far till it be stopt by a thick Scarf-skin near the places where it should break forth This affect as to the State of Health does not foreshow or threaten any ill These Spots differ little or nothing from those they call Lenticular Spots There are other large Spots about the breadth of the Palm of the Hand which defile the Skin in many places but especially about the Brest and Back with Stains sometimes of a dun colour sometimes wan or blackish These being wont to rise and go away at certain times and as I have observ'd in many in certain parts are commonly call'd Liver-marks though not properly for these Stains happen on this account that the Filthy Dreggs and Refuse of the Blood when not sufficiently receiv'd by the Vessels of separation are carried to the Skin together with the Serum with which they are diluted and there being thrown off by the Blood and left by the Serous Latex which evaporates they stick fast to the outward Pores and little Orifices as a Mossy down does to the narrow passages of a River Those Spots appear chiefly in the Summer and most upon the Back and Brest viz. at that time and in those places that Men are most apt to Sweat in that is to say that Serous Latex which has carried those Filthy Dreggs from the Mass of Blood to the narrow Pores of the Skin leaves them there as being unmeet to pass forth by Evaporation This affect has no evil joyned with it nor is it the Symptom of any present Disease nor does it portend any shortly to ensue and in regard for the most part coming in places out of sight it causes no deformity or trouble there seems little or no need of its Cure But because an opinion is spread amongst the vulgar that the Liver is much in danger by reason of those Spots and that it necessarily requires help therefore to fatisfy some importunately desiring Physick besides outward Consmeticks we are wont to prescribe inward Hepatick Remedies the use of which though not very necessary yet because thereby the Blood is purified and the Obstructions of the Bowels are open'd they are not altogether in vain The inward Medicines useful for this purpose are set down before amongst Hepatick Remedies The very same outward Remedies or Topicks are proper in this as in all other kinds of Spots of which we shall give you some choice Forms Having treated elsewhere professedly concerning Spots of the Plague and Scurvy I need not repeat them here especially because the Method for these is quite dissering from that of the other For in one kind of Spots in a manner only outward Medicines are wont to be administred without any that regard the Heart or the Viscera of the Belly and in the other only inward things are given without applying any thing to the Skin Therefore as to the Summer Spots Lentiginous Spots and the vulgarly call'd Liver Spots the Art of Beautifying properly takes care of them and for removing these Blemishes from the Skin only Cosmetick Remedies are prescrib'd without any Method of Cure there is an infinite store of these amongst curious Ladys and others that are nice in keeping the Skin fair but all of them having regard only to two intentions of Curing may be reduc't to these two heads viz. either by opening the Pores of the Skin and Scarf-skin and sometimes by excoriating this they endeavour to draw the Humour outward and wholly to evaporate it or on the contrary they are administred and that with no less success to strike back the Impure Matter which makes the Spots and to drive it inward I shall here set down some ordinary Forms of Topicks of both kinds which have been rationally invented and often us'd suceessfully enough since I may not without offence to great Persons unvail the more secret Mysteries of the Cosmetick Art and prostitute them to the vulgar First therefore to cleanse the Skin and to draw the Matter of the Spots outward Take of a small Lixivium of Salt of Tartar four Ounces Oyl of bitter Almonds made by expression what suffices let it be mixt in such a proportion that the whole Liquour presently turn white and so let it stand Let the parts affected be anointed and gently rubb'd Mornings and Evenings with this mixture Take fresh Roots of Aron Briony and Solomons-seale of each an Ounce Powder of Fenugreek Seeds a Dram Camphire half a Dram being bruis'd together pour to them Oyl of Tartar per Deliquium three Ounces express it let it bapply'd with a Ragg dipt in it twice a Day Take Sulphur-vive powdred an Ounce black Soap two Ounces bind it in a Ragg let it hang in a Pound of Vinegar for nine Days then apply it to use washing and rubbing the places affected with it twice a Day Secondly for the other intention viz. for discussing the Spots from the Skin and repelling the matter and driving it inwards Lac Virginis was a famous Medicine amongst the Ancients and is still commended and us'd by many The preparation of this is well known viz. a Solution of Litharge made in distill'd Vinegar by the affusion of Oyl of Tartar per Deliquium is precipitated into a Liquour as white as Milk With which let the Face and Hands be washt and gently rubb'd twice a Day A Medicine like this or the same at leastwise of the same Vertue is prepar'd of a Solution of Minium or Ceruse made in the same Menstruum and preclpitated with water of Allom or Sal Gemm Or Take Camphire slic'd two Drams bruise it in a Glass-mortar pouring on it by little and little the Juice of one Limon then add to it of White-wine a Pound strain it and let the Camphire remaining behind be tyed in a Ragg and hung in a Glass Take Verdigrease four Ounces pour to it of White-wine two Pounds being put into a Gourd-glass let it be distill'd in Sand let the Phlegm first coming off be kept for use wherewith let the Face be anointed twice a Day For this purpose also the Dew or Phlegm of Vitriol distill'd by it self does excellently well some are content with the water of bean-Bean-flowers or the simple distill'd water of Fumitory or with the water which Bleeds from the Sprout of a Vine cut in the Sprin But the more curious Women and Pretenders to the mosi exquisite knowledge in the Cosmetick Art are scarce satisfied with any Remedies for the Skin but Mercurial Wherefore the following water is highly recommended and sold by Empiricks at a great rate for all Blemishes of the Face Take Mercury sublimate an Ounce being reduc't to a Powder let it be put in a Tin-vessel with three Pounds of fountain water let it stand for twentyfour hours stirring it now and then with a Woodden Spatula till the whole Liquor grows black which nevertheless being
new stock of the same Disease biginning to spring forth grew up in a short time to its wonted Maturity Moreover when one of these persons would repeat this Medicine and another after two returns of the Di2ease would try it a third time both of them at length despair'd of Cure after they had underwent so much Misery Whence it appears that the French-pox though Malignant in the highest Nature and causing most Filthy and Virulent Ulcers consuming the Flesh and Bones may much more easily and ceratinly be Cur'd than the running Scab The reason of ti is that the cause of the Pox consists in a Malignant and altogether Heterogeneous Miasin defiling and as ti were Poysoning the Blood and Nervous Liquor for some time though not wholly subverting their Crasis or utterly depraving them for the future Wherefore that Cure is perform'd by Salivation or a Sweating Diet extirpating all that Venom the Genuine Disposition of the Blood and Humours then remaining But in a deep sort of running Scab the Elementary and Originally composong Particles of the Blood are corrupted so that unless the Crasis and due Disposition of these be restor'd all sorts of Evacuations and Purgings of the Malignant and Venemous matter though never so fll and eradicative will effect little or nothing Wherefore it is not without ground that many famous Physitians formerly have judg'd this Disease when coufirm'd and drawing near to a Leaprosie to be hardly or never Cur'd 2. No better event attends this Disease when if succeeds an inveterate Scurvy Haply the intentions of Curing are somewhat more certainly pitcht upon when this effect is suppos'd to be the basis or root of that viz. the Terapeutick intention being thence taken we insist chiefly on Antiscorbutick Remedies but yet the more smart and hotter things of this kind as Scurvy-grass Cresses Horse-raddish Pepperwort and other things irritating the Blood too much in regard they more dissolve its Crasis and drive the Tartarous Concretions more plentifully to the Skin are always found rather prejudicial than advantageous And for this reason the use of hot Baths or Bathing in hot waters which in regard it evacuates the Humours of the whole Body by a most plentiful Sweat and cleanses the Pores of the Skin and mightily purges them amy seem to be very available in this Disease most commonly is so far from doing good that the Eruptions are wont thence to be mightily encreast and exasperated For I have known many persons not very much over-gone with the running Scab who going to our Bath to bathe themselves in the hot waters have return'd thence perfectly Leaprous Wherefore when this affect is a Symptom arising from the Scurvy all Smart and Elastick things being avoided let only the more temperate and such as are endow'd with a Nitrous Vitriolick or Volatile Salt be administred We shall give you some kinds and froms of each of these sorts In the First p ace things chiefly excelling in a Nitrous Sal are Chrystal Mineral the Juices or Decoctions of certain Herbs and some Purging Mineral waters Take Chrystal Mineral or Nitre purified to the highest degree an Ounce Flowers of Sal Armoniack a Dram bruise them together in a Glass Mortar give to a Dram thrice or four times in the space of twenty four hours Take Leaves of the great House-leek two handfuls being bruis'd boil them in two Pounds and a half of fresh Milk till it turn to Whey and Curd being strain'd let the clear Liquour be taken to a Pound twice a Day Take Leaves of Dandelyon six handfuls being bruis'd put them in a Glaz'd Earthen Pot with a cover which put in an Oven after the Bread is draum and let it stand for six or eight hours then the Mass being put in a strainer let the clear Liquour run out the Dose of which is from four Ounces to six thrice or oftner in a Day Cucumbers being endow'd with a Nitrous quality are found by experience to be good against this Disease wherefore let store of them be often eaten as a Sallet Moreover let three or four of them being cut into slices be infus'd and close stopt in three Pounds of fountain water all Night to the clear Liquour pour'd off add of Sal Prunella two or three Drams the Dose is half a Pound thrice or oftener in a Day for the same purpose also Decoctions of the Leaves together with the Fruit made in fountain water are proper Some Mineral Purging waters as especially those of North-hal being resolv'd by Evaporation mainifestly shew the Nitrous Salt wherewith they are imbued And I have sometimes found by expericence that dayly drinking about two quarts of them for many Days Cures a small running Scab 2. But as I have hinted before Mineral waters endow'd with a Vitriolick Salt as those of the Spaw and ours of Tunbridge and Astrope far exceed those Nitrous waters nay and all other Medicines and are of greater efficacy in the Cure of the running Scab To those who have not the conveniency of using these waters I ordinarily give with good success against this Disease common waters impregnated with our Steel and so most exactly resembling those Mineral waters It happens that Tin and Antimony by reason of their Mineral Salts or at leastwise by reason of the Mercurial Particles in them are extol'd by many for curing the running Scab and are wont to be prescrib'd with other Medicines Let Shavings of Tin and Powder of Antimony be infus'd in Beer for ordinary Drink they enter also the Decoctions of Sarza with Woods which are ordered against this affect The use of the Viper and preparations of it sufficiently recommend the excellent Vertue of Volatile Salt for the Cure of the deep sort of running Scab nay of the Leaprosie it self For it being manifest by frequent observations that Remedies prepar'd of Vipers do good in the running Scab and Leaporfie certainly the reason of the help it affords ought to be ascrib'd to the Volatile Salt with a great plenty of which this Animal is endowed For the Particles of this destroy the fixt and acid Salts predominating in the Blood of the Diseas'd and dissolve their Combinations Nevertheless the Salt Spirit and Oyl of Vipers Chymically extracted by reason of their Empyreumatick and mighty Elastick Particles which they draw from the Fire are not proper in this Disease so neither the Spirit or Volatile Salt of Harts-born Soot or Blood and other such like Armoniacks because by exagitating the Blood and Humours above measure they cause their Crasis to be more dissolv'd and their Corruptions to be driven forth more plentifully to the Skin Wherefore the more simple preparations of Vipers as Broaths of their Flesh boil'd in water Drinks impregnated with Infusions or Incoctions of the same and Powders made of the same dryed and beaten are rpescrib'd with more success against this Disease Moreover not only the Flesh of Vipers but of other kinds of Oviaprous Snakes being boil'd and eaten for ordinary Food
hours then let the same Retort luted with a large receiver be put in a Reverberatory Furnace that the Acid Spirits may be forc't so long by a strong Fire till they go forth Let the whole Liquour distill'd be drawn off in a less Glass Retort by a Sand heat and in a Matrass let there be pour'd to it Roots of Male Peony cut in slices and dry'd four Ounces Seeds of the same an Ounce Mans Scull prepar'd Elks-hoof red Coral of each half an Ounce Mistletow of the Oak two Drams let it digest with a gentle heat for many Days till the Tincture be extracted let the Liquour being decanted be drawn off in a Glass retort till only a third part of it remains let that which is distill'd be kept apart by it self To the remainder pour a like quantity of Spirit of Wine highly rectified and impregnated with the Infusion of the same Ingredients and let them digest for six Days in Horse-dung Make an Elixir whose Dose is from half a Scruple to a Scruple Let the distill'd Liquour be given from half a spoonful to a whole one for the same intentions Or let an Oyl be prepar'd of Salt of Venus according to the prescript of Henricus ab Heer 's and let it be given as before Empirical Remedies AMongst Specifick Remedies which in case those before do no good may also be try'd we may account the Liver of Froggs the Bladder of a Boar dryed with the Urine the Powder of Briony Roots the Powders of a Cuckow or of Crows the Rennet and Lungs of a Hare the Liver of a Wolf Stones taken out of Swallows the Liver of a Kite Crows Eggs daily to be taken amongst your Food and Medicines with many other things a famous Catalogue of which you may find in Henricus a Bra a Physician of Zutphen and out of which prescripts for the poor may be taken as being easy to be had and of a small price Whilst these kinds of Medicines are inwardly taken according to the foresaid Method some Administrations outwardly apply'd contribute help and are justly taken in as a part of the Cure Wherefore always in this Disease let Issues to wit one or two be made in fit places also let Vesicatories be often apply'd Periapts hung about the Neck or worn on the Pit of the Stomack are judg'd to be of use Let fresh Peony Roots cut into bits and run through with a Thread be made into Bracelets to be worn all round the Neck Assoon as they are withered let new ones be put in their place and let those be made into Powder to be taken inwardly Take Roots and Seeds of Peony of each two Drams Elks-hoof Mans Scull prepar'd of each a Dram Mistletow of the Oak half a Dram being grosly powdred let them be sewen in red Silk and make a Bag to be hung about the Neck An Amulet of a young Shoat of Elder found growing on a Willow is greatly commended Plaisters IT is proper for some to have their Hair shav'd off and to have a Plaister applyed to the Sinciput Take Roots and Seeds of Peony Castoreum Mistletow of the Oak Mans Scull very finely powdred of each a Dram Betony Plaister two Ounces Caranna Tacamahacca of each two Drams Balsamum Capivii what suffices make a Mass spread it on Leather make a Plaister for the Sutures of the Head Let the Temples and Nostrils often be anointed with Oyl of Amber by it self or mixt with Oleum Capivii Let Sneezing Powders and Apophlegmatisms be constantly us'd Mornings Take white Hellebore a Dram Castoreum Euphorbum of each half a Dram sweet Marjoram Leaves of-Rue of each two Drams make a Powder Let a Decoction of Hyssop or Sage with the Confection of Mustard-seed dissolv'd in it be gargal'd in the Mouth and Throat Let Glysters sometimes be given according as need requires In regard Solid Medicines ought sometimes to be diluted with Liquids or these to be drank after those let distill'd waters Julapes Decoctions or Tinctures that are endowed with some Specifick Vertue against this Disease be in a readiness for this purpose Take Hungarian Vitriol four Pounds fresh Mans Scull powdred four Ounces Peony Roots slic't six Ounces being bruis'd together in a Mortar pour to them of Sack or small White-wine or Wine of the Juice of black Cherries fermented in a Vessel two Pounds let them be distill'd in a Glass Retort by a Sand heat Take Raspings of Box Hungarian Vitriol of each two Pounds Leaves of Mistletow three handfuls Leaves of Rue two handfuls being bruis'd together pour to them of Sack four Pounds let them be distill'd in a Gourd-glass by a Sand heat Take common Vitriol six Pounds Roots of Male Peony six Ounces Mistletow of the Oak an Ounce green Walnuts eight Ounces being slic't and bruis'd let them distill in a Glazed Pot with a Glass Alembick set over it by a Sand heat Take of this Liquour a Pound water of black Cherries and of Lime-tree Flowers of each half a Pound double refin'd Sugar four Ounces mix them make a Julape The Dose is two or three Ounces twice or thrice a Day Oxymel of Squils also Hydromel with Hyssop boil'd in it are very much commended by the Ancients Or let this kind of Apozeme be prepar'd whereof you may give from four Ounces to six or eight twice a Day Take Roots of Male Peony Angelica Master-wort Valerian of each six Drams Leaves of Betony Sage Lillies of the valley Penny-royal of each a handful Seeds of Rue Gith of each three Drams of Peony half an Ounce Raisins three Ounces Licorice half an Ounce being slic't and bruis'd let them boil in six Pounds of Fountain water to a consumption of the third part Towards the end add Wine of black Cherries half a Pound or ten Ounces strain it and let it be kept in Vessels close stopt the Dose is from six Ounces to eight twice a Day after the Remedies above prescrib'd Or let the foresaid Ingredients the Licorice and Raisins excepted be boil'd in six Pounds of Hydromel to a consumption of the third part the Dose is from four Ounces to six But if the foresaid Method consisting in the use of Catharticks and Specificks being tryed for some time proves wholly without effect we must come to Remedies of another kind and especially to those which are call'd great In this rank we place Diaphoreticks Salivation hot Baths and Mineral waters Alphonsus Ferrius says he has Cur'd a great many Epileptical persons by a simple Decoction of Guaiacum being prescrib'd twice a Day from six Ounces to eight and a second Decoction of it being taken instead of ordinary Drink as is usual in the French-pox If to such a Decoction the Roots of Peony and other Specificks be added haply it will be more efficacious It seems probable that a Salivation powerfully rais'd by Mercury and afterwards followed by a Sweating Diet Drink will infallibly Cure this Disease What hot Baths or Mineral waters will do is not
yet known to me either from my own experience or that of others I shall try haply some time what our artificial Mineral waters viz. impregnated both with Iron and Antimony being taken for many Days in a great quantity will be able to effect towards the Cure of the Falling-sickness CHAP. II. Instructions and Prescripts for Curing the other kinds of Convulsions and in the first place of the Convulsive motions of Children IT happens that Infants and Children are so generally and frequently troubled with Convulsive affects that this may be accounted as the chief and almost only kind of Convulsions for those kinds of Symptoms in Adult persons are denoted by other Names and are wont to be refer'd to the Epilepsy Hysterick Hypochondriack or Colick passions or also to the Scurvy but in Children as it were by way of excellency they are call'd Convulsive motions Concerning these we may observe that Children are found to be very subject to Convulsions chiefly at two times viz. within the first Month after they are Born and about the time of the eruption of Teeth Though Fits of this Disease happen also often at other times and for certain other causes For in those in whom the Seeds of a Convulsive Disposition are rooted these Seeds sometimes display themselves and come to a Morbid Matureness either presently after the persons are Born as is said before or lying hid for a while sometimes precede in them the Eruption of Teeth sometimes follow it at a great distance of time after and at length in an uncertain course break forth in act for other evident causes viz. either inward or outward such as are an unhealthy or pregnant Nurse Milk coagulating in the Ventricle or degenerating into an acid or bitter Corruption a Feverish Distemper of the Head and Ulcers of other parts breakings forth suddenly disappearing changes of the Air Conjunctions or Opposite Aspects of the Sun and Moon and the like These Convulsions in Children are wont to infest three Regions of the Body viz. the parts of the Head and Face the Members and outward Limbs and the Praecordia and Viscera And we observe that sometimes these sometimes the others sometimes two of them or all the Regions together are troubled with the Morbifick cause according as the same is fixt either about the Origines or extremities of the Nerves And when the first of these happens according as the superiour middle or lower spinal part of the Medulla Oblongata to wit one of them alone or more of them together are set upon by the Morbifick cause In Children obnoxious to Convulsions hereditarily the Convulsive Fits are excellently provided against if presently after a Child is Born an Issue be made in the Nucha and Blood be drawn from the Jugular Veins by Leeches for by the former the Corruptions of the Nervous Juice are convey'd away and by the latter the impure Efflorescencies of the Blood are withdrawn from the Head A person whose Children dyed all of Convuisions within three Months time at length to prevent the like fatal Accident in a Child fresh Born sought for Remedies Being call'd after some Days after the Birth I advis'd that in the first place an Issue should be made in the Nucha and then the next Day after that a Leech being apply'd to the Jugular of both sides Blood should be drawn to the quantity of two Ounces moreover that near each of the Conjunctions and Opposite Aspects of the Sun and Moon about five Grains of the following Powder should be given in a spoonful of Julape for three Days Mornings and Evenings Take Mans Scull prepar'd Roots of Male Peony of each a Dram Pearl powdred half a Dram double refin'd Sugar a Dram mix them make a subtile Powder Take black Cherry water three Ounces Langius's Antiepileptical water an Ounce Syrup of the Flowers of Male Peony six Drams mix them I ordered also that the Nurse at the same Physical hours should take a draught of Whey in which Seeds and Roots of the Male Peony and Leaves of the Lilly of the valley were boil'd The Infant continued well for about four Months but then began to be troubled with Convulsive affects At which time the same Remedies were given in a greater Dose both to the Infant and to the Nurse Vesicatories were also applyed behind his Ears and Blood was drawn by Leeches from both Jugular Veins and within two or three Days the Child grew well afterward when within four or five Months the Convulsions return'd at times still by the use of the same Remedies he was Cur'd After a year and a half the Convulsive affects wholly ceast but about the lower part of the Back-bone a Tumour without Pain grew up whence some Crookedness of the Vertebrae and a weakness of the Leggs and at length a Palsy were caus'd It seems in this case that the Convulsive matter which was wont to assail the Origines of the Nerves at length entering the Spinal Marrow and being thrown down into its lower part wholly stopt the Mouths of the Arteries belonging to it to wit because to the explosive Particles other narcotick and grosser Particles had joyn'd themselves The Therapeutick Method against Convulsive affects in Children IN Infants and Children we must take care either to prevent imminent Convulsions or being already begun to Cure them For if former Children Born of the same Parent have been found obnoxious to Convulsions that evil ought to be prevented in the rest of the Children Born afterward by a seasonable use of Remedies For this end it is usual to pour into the Mouth of an Infant newly Born assoon as it begins to Breath some Anticonvulsive Medicine Hence some are wont to give it some drops of most pure Honey others a spoonful of Canary sweetn'd with Sugar and others Oyl of sweet Almonds fresh drawn By some persons a drop of Oyl of Amber or half a spoonful of Epileptical water is put into its Mouth Besides these first things given Children which truly seem to be of some moment certain other remedies and ways of Administration ought to be us'd viz. let a spoonful of a Liquour appropriated to this affect be drank twice a Day For Example Take water of black Cherries and of Rue of each an Ounce and a half the Antiepileptick water of Langius an Ounce Syrup of Corral six Drams Pearl prepar'd fifteen Grains mix them in a Glass On the third or fourth Day after it is Born let an Issue be made in the Nucha then if it has a Florid Countenance let a little Blood to an Ounce and a half or two Ounces be drawn from the Jugular Veins by Leeches care being taken lest he Bleed too much when he Sleeps Let the Temples and Neck be gently rub'd with such a Liniment Take Oyl of Nutmeggs by expression two Drams Oleum Capivii three Drams Oyl of Amber a Scruple let a Periapt of the Roots and Seeds of the greater Peony with a little addition of Elks-hoof
of Cichory with Rhubarb or of Roses with Agarick ought to be given And I have often seen a Convulsive affect in Children Cur'd by these Remedies when seasonably administred moreover Clysters in this case are of frequent use But withal let not outward Medicaments be omitted viz. Fomentations Liniments and Plaisters to be applyed to the Belly Take Cammomil Leaves small slic't two handfuls let them be put into two bags made of fine Linnen or Silk which being dipt into warm Milk and wrung forth must be applyed successively to the Belly Take Tops or Flowers of Mallows slic't boil them in fresh Butter or Hogs Lard and let them be applyed to the Belly in the form of an Ointment or Cataplasm CHAP. III. Instructions and Prescripts for Curing Convulsive Diseases in Adult Persons hapning by reason of the Origine of the Nerves being chiefly affected THough Convulsive affects which happen to Adult Persons being denoted by other Names are also vulgarly accounted to have another Origine and are wont to be refer'd to those they call Hysterical Hypochondriacal or Colick passions or to the Scurvy nevertheless if the thing be a little more attentively considered it will easily appear that certain Convulsive Symptoms frequently happen both to Men and Women which properly and duly claim the name of a Convulsion Now these may be variously distinguisht according to the Manifold seat of the Morbifick cause but especially into these three kinds viz. into certain Convulsions caus'd by reason of the Origine of the Nerves being chiefly affected and into others which are caus'd by reason of the extremities of the Nerves being stopt with a Morbifick Matter and lastly into others whose Morbifick Matter descending from the Head gets possession of the whole or the greatest part of the Ductus's of some peculiar Nerves or of them altogether We shall treat of each of these kinds of Convulsions one after the other Therefore first of all as to Convulsions hapning by reason of the Origine of the Nerves being affected we must note first that the Morbifick Matter besetting the Origines of the Nerves sometimes passes chiefly into the foremost Pairs of Nerves viz. which attend the Muscles of the Eyes and Face and thence Contractions and tremblings sometimes of the Nose Cheeks or Lips sometimes of the Eyes or Mouth ensue Secondly sometimes the Par Vagum and Intercostal chiefly imbibe the Heterogeneous Particles and then Inflations or Contractions of the Abdomen and Hypochondres and also a Palpitation and Trembling of the Heart a difficult and interrupted Breathing an intermitting Pulse and other Symptoms of the middle or lower Region of the Belly chiefly molest us Thirdly but sometimes the Morbifick Cause lying behind chiefly affects the Spinal Marrow and therefore the outward Members and Limbs are rendred obnoxious to Twitchings and Contractions Moreover as we may conjecture from various Types of the Con\vulsive affect it seems that the Convulsive Matter going to these or those Nerves or to many of them together either lodges it self in a manner only about their Origines so that upon frequent Explosions of the Spirits there an almost continual and very troublesome Vertigo arises and so Tremblings and a short Fainting and danger of Swounding are perceiv'd about the Praecordia and often Twitchings and gentle Contractions in the Bowels or Muscles Or Secondly the explosive Particles convey'd to the Origine of the Nerves enter deeper into their Processes and often falling down into the Plexus's of the Nerves belonging to the Praecordia or Viscera of the Belly or also to the outward Members make there other seats as it were of Convulsive affects so that as often as the Spirits are forc't to Explosions about the Origine of the Nerves presently Fits as it were Hysterick Asthmatick or otherwise Convulsive arise in the Belly Thorax or outward Members I shall now give you some instances of Persons in whom the Morbifick Matter besetting the Origine of the Nerves and not yet fall'n deeper into their Processes caus'd frequent Vertigo's and only gentle Convulsions of the Viscera and Praecordia 1. A Lady of great Quality about Thirty years of Age of a tender Constitution and of a thin habit of Body was wont to be sorely afflicted every Winter with a Catarrh distilling on her Trachaea and Lungs with a Cough Hoarsness and great Spiting but the last year through a diligent care and caution us'd she escaped that evil But after the Winter solstice upon taking cold she was seis'd with a violent Head-ach a ringing in the Ears a Vertigo with a mighty Distillation of Rheum at the Eyes and Nose whence it easily appear'd that the filthy Mass of Serum which was wont before to distil on the Brest was then wholly depos'd within the Head and Brain The effect whereof moreover was that as often as she began to sleep she was very much troubled with a sort of Hysterick Fits to which she had never before been obnoxious For if at any time beginning to sleep she clos'd her Eyes presently it caus'd a rising of a heavy thing in her Belly a Suffocation in her Throat and Tremblings and Twitchings about the Praecordia Which affects nevertheless when she was perfectly awak't presently ceas't so that the Diseas'd was forc't to abstain in a manner wholly from sleep for many days and nights together Being call'd to this Lady after she was become very weak upon many days Sickness I was forc't to use only gentle Medicines Therefore I ordered four Ounces of Blood to be taken from her Foot and a Clyster of Milk with Sugar to be daily given her after which she was wont to have three or four Stools Moreover every eighth hour I gave her a Dose of Spirit of Harts-horn in a Spoonful of the following Julape Take Water of Penny-royal Wallnuts black Cherries of each three Ounces Hysterick Water two Ounces Syrup of clovegilly-Clovegilly-flowers an Ounce and a half Castoreum tyed in a Nodulus and hung in the Glass half a Dram Pearl powdred a Scruple mix them I applyed with good effect Vesicatories behind the Ears and Cataplasms of Leaves of Rue and Aron with Bryony Roots Sea Salt and black Soap to the Soles of the Feet Sometimes in the Evening I gave half an Ounce of Diacodium in a little Draught of the Julape before ordered which was followed by a moderate sleep without being attended according to wont with Convulsions Which kind of effect I have often experienced in such a case after Opiats given For quenching Thirst I gave a Ptisan with Diuretick Ingredients boil'd in it By the use of these things she was very much reliev'd within a short time But that which fell out much for her good was that an Abscess in the left Ear breaking of its own accord first discharg'd a yellow Gore and afterward for many days a vast quantity of thin Ichor After which Evacuation the Convulsions of the Bowels and Praecordia wholly ceasing the Disease was perfectly determin'd I have known many
to half add of White-wine a Pound let it be strain'd into a Matrass to which put Leaves of choice Sena an Ounce Rhubarb six Drams Gummous Turbith half an Ounce Epithimum yellow Saunders of each two Drams Salt of Worm-wood and of Scurvy-grass of each a Dram the outward yellow Coats of Oranges two Drams let them digest close luted in a Sand heat for twelve hours let the straining be kept for use Let it be sweetned if need be with a sufficient quantity of Syrupus Augustanus or with Syrup of Cichory with Rhubarb the Dose is six Ounces once or twice in a week Each day in which Purging is omitted let Remedies be given for strengthning the Brain and for garding the Animal Spirits from incurring Heterogeneous Combinations or from entring upon Explosions Of which nevertheless let a certain choice be made according to the Temperament Habit of Body and Constitution of the Diseas'd For to such as have a thin habit of Body and a hot Blood Medicines must be given which are not hot and which do not stir the Blood too much On the contrary to phlegmatick and gross Bodies whose Urine is thin and watery and whose Blood circulates but dully let hot Remedies be ordered and such as are apt notably to ferment the Humours In the former case you may prescribe after this manner Take Conserve of the Flowers of Betony Tamarisk and Male Peony of each two Ounces Species Diamargariti Frigidi a Dram and a half Powder of the Roots of Peony and of the Seeds of the same of each a Dram red Coral prepar'd two Drams Vitriol of Mars two Scruples Salt of Worm-wood two Drams with a sufficient quantity of Juice of Oranges make an Electuary Let it be taked twice or thrice a day drinking after it a little draught of the Julape beneath prescrib'd Take of red Coral ground with the Juice of Oranges on a Marble or in a Glass-mortar and dryed half an Ounce Powder of Mistletow of the Oak and of the Roots of Male Peony of each two Drams Sugar of Pearl three Drams make a Powder the Dose is from a Scruple to half a Dram twice or thrice a day Take Species Diamargariti Frigidi two Drams Salt of Worm-wood three Drams Aron Roots powdred a Dram mix them make a Powder let it be divided into twenty parts and let a Dose be taken in the Morning and at four of the Clock Take Powder of the Roots of Butter Bur an Ounce the Dose is from half a Dram to a Dram twice a day Take Leaves of the Bur-dock and of Aron of each six handfuls being slic't and mixt together let them be distil'd The Dose is from two Drams to three twice or thrice a day after a Dose of the Electuary or Powder Take of this distill'd Water two Pounds of our Steel prepar'd two Drams mix them in a Glass let them be taken after the same manner Take Water of Wallnuts simple and of black Cherries of each half a Pound of Snails four Ounces Syrup of Flowers of the Male Peony two Ounces the Dose is from an Ounce and a half to two Ounces after the same manner Take Shavings of Ivory and Harts-horn of each three Drams Roots of Chervil Bur-dock Valerian of each half an Ounce Leaves of Betony Ground-pine Scolopendrium tops of Tamarisk of each a handful Barks of Tamarisk and of Bitter-sweet of each half an Ounce let them boil in four Pounds of fountain-Fountain-water to the consumption of a third part add of White-wine eight Ounces strain it into a Flaggon to which put Leaves of Brook-limes and of cuckow-Cuckow-flower of each a handful make a warm and close Infusion for four hours let the straining be kept in Glasses close stopt The Dose is six Ounces twice a day after a Dose of a solid Medicine Sometimes in such an Apozeme let two Drams of our Steel be infus'd and taken after the same manner In the Summer time the use of Mineral Waters is proper for want of them let our Artificial Waters be given in their stead But if for the reasons above cited hot Medicines are indicated we may proceed after the following method Take Conserve of rosemary-Rosemary-flowers and of the yellow Coats of Oranges and Limons of each two Ounces Wallnuts and Mirobalans condited of each in number two Lignum Aloes yellow Saunders Roots of Serpentaria Contrayerva Angelica and Aron of each a Dram Vitriol of Mars or prepar'd Steel four Scruples Salt of Worm-wood and of Scurvy-grass of each a Dram with a sufficient quantity of Preserve of Wallnuts make an Electuary Let the quantity of a Nutmeg be taken twice a day drinking after it a Dose of an appropriated Liquour Take Roots of Male Peony Angelica red Coral prepar'd of each two Drams Sugar dissolv'd in water of Snails boil'd to a consistency for Tablets six Ounces Oyl of Amber highly rectified half a Dram make Tablets according to Art each weighing about half a Dram let one or two be taken twice or thrice a day drinking after it a Dose of an appropriated Liquour Take Roots of Virginia Serpentary Contrayerva Valerian of each two Drams red Coral prepar'd Pearls of each a Dram Winters-bark Roots of bastard Ditany of each a Dram Vitriol of Mars Salt of Worm-wood of each a Dram and a half Extract of Centory two Drams Ammoniacum dissolv'd in Hysterick-water what suffices make a Mass for Pills Let four Pills be taken in the Morning and at four in the Afternoon Take Spirit of Harts-horn or of Soot or of Mans Blood or of Sal Armoniack what suffices take from ten to twelve Drops Morning and Evening in a Spoonful of the Julape drinking after it a little draught of the same Take Leaves of Betony Vervain Sage Cuckow-flowers Aron Bur-dock of each two handfuls green Wallnuts in number twenty the Coats of six Oranges and four Limons Cardamoms Cubebs of each an OUnce being slic't and bruis'd pour to them Whey made with Cider or White-wine six Pounds let it distil according to Art The Dose is two or three OUnces twice a day after a Dose of a solid Medicine To two Pounds of this add of our Steel two Drams Take Water of Earth-worms and of Snails of each six Ounces of Wallnuts simple four Ounces Raddish-water compound two Ounces double refin'd Sugar two Ounces make a Julape The Dose is four or six Spoonfuls twice a day after a Dose of a solid Medicine Take Millepedes cleans'd a Pound Cloves slic't half an Ounce pour on them of White-wine two Pounds let them distil in a Gourd-glass the Dose is from an Ounce to an Ounce and a half twice a day We may prescribe for poor People Remedies more easie to be had after this manner Take Conserve of the Leaves of Rue made with an equal part of Sugar six Ounces Let the quantity of a Nutmeg be taken twice a day drinking after it a Decoction of the Seeds and Roots of Bur-dock made in Whey prepar'd of White-wine Or let a
to be taken on occasion when the Spirits faultered He also Drank Oat-bear Alter'd with temperate and Diuretick Herbs By the use of these things he past at least seven years without any great alteration for the worse At length Old Age pressing opon him and the Disease together the Convulsive fits growing more violent seis'd him not as before when his sleep was over but as soon as he was warm in his Bed so that he was forc't wholly to forbear going to Bed and he put off his Cloaths but seldom unless it were to change Linnen Hence transpiration being hindred the Serous and other Filthy Dregs which were wont to evaporate were fixt on the Lungs which first brought a thick Breathing afterward an Asthmatick affect and lastly a Mortla Consumption If the reasons of the foresaid affects be enquired into it will appear that all these Evils proceeded from the ill Constitution of the Brain and Genus Nervosum and more immediatly from the Dyscrasy and Default of the Juice that lies in these parts The reason is plain why this Disease first increasing by degrees was soon rais'd to a far worse state by the use of hot Baths for it is manifest by experience that hot and sulphureous Baths very much exalt the Saline and other Morbid Particles that abound within the Viscera or Humours of Human Body and soon carry them to the highest pitch viz. by exagitaing them they render them more wildly exorbitant and froce them from the first passages into the Blood and thence into the Brain and Genus Nervosum nay and joyn them together being first sever'd and lying idle and stir them up to a certain Fermentation Wherefore such as being hereditarily obnoxious to the Gout or or Stone have not yet felt any Fits of those affects after the use of hot Baths very often find that both those diseases are presently brought to a maturity in them You may find the reasons of the other Symptoms in Dr. Willis at large So much for universal Convulsions which for the most part being joyn'd to the Paralytick affect are raised at once in many places separately there remain others which we call continual viz. because being conveyed on a sudden from these parts to others they mutually succeed each other and force the Members sometimes these sometimes others and often the whole Body to be mov'd involuntarily and to be bent and agitated divers ways I shall give you an instance or two of this affect A Beautiful Virgin tall and thin grown begotten of a Father obnoxious to very great distempers of the Genus Nervosum about the twentieth year of her Age was afflicted for many days with a very violent and Periodical Head ach at length the Winter Solstice being near at hand the pain of her head remitted but in its stead a mighty Catarrh succeeded with thin and much Spittle and with an Ulcerous affect of the Nostrils Mouth and Throat having undergone the tediousness of this for some time at length by the advice of some old Women she drew into her Mouth the smoke of Amber through a Tube and was presently Cur'd viz. the Catarrh was suddenly stopt but presently upon it she complain'd of a mighty giddiness with a Pain of the Head and a Ringing in the Ears on the third day the Tendons of the Neck were Convuls't that her head was bent sometimes forward sometimes backward sometimes sideways and sometimes it stood stiff and immovable in a short time after this such a Convulsive affect seiz'd the ontward parts of the whole Body and the Limbs the Arms and Hands were so wonderfully twisted that no Jugler of Mountibank was able to imitate their Flections and Convolutions Her Legs qand Feet were forc't awry this way and that and were made to beat aginst each other and to cross each other alternatively after this manner she was perpetually affected with Convulsive Motions either sitting in a Chair or lying in Bed unless when she was overwhelm'd with sleep and when she contained her members a little by much forcing her self presently she was seized with a difficult and short Breating and with a danger of being Choakt yet in the mean time the Eyes Jaws Mouth and inferiour Viscera continued free from any Convulsion Nor was she troubled with a Vomiting Rumbling nor Inflation of the Hypochondres Moreover her mind held always sound and she duly performed the functions of Memory Understanding and Imagination she neither spake nor did any thing shewing want of Reason or Indiscreetly but amongst all these stupendious evils always using Pious and Vertuous expressions she gave an admirable specimen of Christian Patience and Piety her appetite was soon dejected so that she was averse from all food unless very much press'd to it but thirst continually prest upon her she was so very weak she could neither stand nor go Her Urine was of an Orange Colour very much Impreguated with a Saltness on the Surface of which a thin Tartareous Film grew Being call'd to this Lady the sixth day after her being ill I proceeded in order to her Cure as follows In the first place having made a gentie preparation of the Body I gave her a Loosning Potion of an Infusion of Sena and Rhubarb with the addition of Yellow Saunders and Salt of Wormwood whereby she had twelve stools which gave her great ease the day following I drew eight Ounces of blood from her left Arm every evening I gave her an Opiate of the Water and Syrup of Cowslip flowers with the Powder of Pearl Moreover once within six hours I ordered her a Dose of Spirit of Harts Horn to be taken with a little draught of the following Jalape Take Water of black Cherries Wall-Nuts and Peony Flowers of each three Ounces the Antiepileptical Water of Langius two Ounces Syrupe of Male Peony Flowers two Ounces Pearl powdred a Scruple mix them make a Julape Because she could not bear much Purging Glysters of Milk and Sugar were frequently us'd Besides Anticonvulsive Liniments apply'd to the Neck and Spine we ordered Frictions of the Members affected with Woollen Cloths moistned in an appropriated Oyl and warm'd By the use of these things within six days the diseased seem'd to be very much relieved for the Convulsive Motions in a manner wholly ceast she could keep her Members in their due Site and without Motion only she was forc't sometimes by a slight Contraction to bow her head gently this way and that Moreover she was able to arise from her Chair and Walk a little but as she Walk't she did not go upright but inclining to one side 's Parting from her at that time I left her in a manifest state of Recovery she seeming to be much better But somewhat more then a week after a boistrous North Wind arising in the night time and blowing strongly on the diseas'd as she lay in her Bed the window being not well shut presently upon taking Cold she fell into such a relapse that she became not
Rising from her Bed at ten a Clock in the Morning she was well and carryed her self so well in her countenance walking and discourse that no man would have suspected that any thing ail'd her At eleven a Clock she began to complain of a Plenitude and as it were Inflation in the Brain and a Deadness of the Spirits with a light Scotomia by and by she felt in the left Hypocondre a mighty beating and Springing as it were of a live Animal I plainly felt this Motion by applying my hand to her side then a Retching and great Crying followed whereupon she was presently led to Bed and given to be held by a maid servant sitting on the Bolster This person clapping her Arms about the middle of the diseas'd held her very hard in her Lap during the Fit Moreover servants were at hand and relations standing about her who sometimes held her Hands and Arms sometimes prest down her Belly and Hypocondres which rise to a mighty Bulk still forcing upwards The chief Symptoms of the disease which being rais'd by turns divided in a manner the whole Fit were these two viz. Sometimes violent Convulsions of the Viscera infested her so that the Abdomen rising to a mighty Bulk withstood the hands of standers by prest against it that it could not be kept down and withal the Praecordia being drawn upward the Motion of the Heart and Blood was in a manner stop't For which space of time the Virgin hanging down her head with a weaken'd and no Pulse as it were lay Speechless and almost insensible After two or three minutes of an hour these Fits ceast And then the Sick raising her self look't round her chearfully and for some time converted the Impetus of the disease into Discourses and Songs both which she uttered most Pleasantly and Elegantly above her Natural disposition she past such Sayings and Scoffs on all persons about her that there is nothing in any Comedy to be met with more facetious then she would Sing most Sweet and Pleasant Tunes of Harmony such as neither any person else could Sing or herself at another time After the she had thus past about six or seven Minutes of an hour in Jesting and Singing she fell again into the Convulsions of the Viscera and Hypochondres and the loss of Speech as before And these remitting in a short time and the Impetus of the Spirits flying back from the inferiour Nerves to the Brain she gave her self again to the pleasantryes of Talking and Singing When at any time she discourst with the standers by if any thing that was Sharp or Ignominious were replyed by them she fell into more Violent and Lasting Convulsions of the Bowels After this manner she uses to be troubled with an alternate affect of the Viscera and Brain for about the space of an hour Then the Fit drawing toward an end the Convulsions of the Bowels becoming more gentle return'd three or four times with very little intermission Afterward these wholly ceasing the Impetus of the disease passes into the outward Members whence presently it wholly vanishes For the Arms and Legs undergo contractions and twitchings for a minute of an hour and presently after the diseased rising up comes off from her Bed and is free from all Convulsion till a new Fit returns nay and having an indifferent good strength walks up and down the house and during the interval of the affect cheerfully performs the usual Offices of Life still excepting that her Stomach being weak loaths food during the day time in the evening after the second Fit of the disease she eats a little supper About the beginning of this sickness of the Convulsions of the Bowels were much more violent and she lay Senseless with them and during their intervals she would talk absurdly Sing Songs out of tune and fall out a Laughing or Crying without any ground of reason But at length the Animal Spirits being forc't into lasting explosions perform'd them so regularly sometimes this way sometimes that as it was most proper that they seem'd to be done in some sort by the moderation and command of the will After I had been again to see this Lady having lain under these periodical Fits for many weeks I ordered that three hours before the second Fit ten Ounces of Blood should be drawn from the Vein of her foot whereupon the Fit expected in the Evening wholly left her nor did it ever return afterward But the other Fit obsrving its ancient course return'd daily till upon Bleeding a little before its coming the Patient was free of it that day which nevertheless returning the next day after followed her for many months according to the same form In the mean while because the winter cold was very fevere she delai'd for some time the use of Remedies But as the Spring came on the noble Lady being brought to Oxford was cur'd by the following Method In the first place I gave her this Purge and took care for it to be repeated every sixth or seventh day Take Sulphur of Antimony six Grains Mercurius Dulcis a Scruple Rosin of Jalap four Grains Ginger six Grains Let them be bruis'd together on a Marble then adding Conserve of Violets a Dram make a Bolus It was wont to make her Womit twice or thrice and to give her three or four Stools Her Menses constantly flowed from her at set time in a plentiful manner Wherefore her Blood seeming to be in great plenty and hot in the middle time betwixt the monthly periods I ordered Bleeding twice or thrice Moreover on all those days that she did not Purge she took four Pills of the following Mass Drinking after it a little Draught of the Julap beneath prescribed Take Roots of Male Peony half an Ounce of Virginia Serpentary Contrayerva and Bastard Dittany of each two Drams Mans Scult prepar'd a Dram and a half Elks Hoof a Dram red Coral prepar'd Pearl Powdred of each a Dram Salt of Wormwood two Drams Salt of Coral a Dram with a sufficient quantity of Syrupe of Male Peony flowers make a Mass Take the Waters of Male Peony Flowers Black Cherries and Wallnuts of each four Ounces the Antiepileptical Water of Langius two Ounces Syrup of Peony Flowers an Ounce and a half Castoreum tyed in a knot and hung in hte Glass a Dram mix them make a Julap When she began to loath the Pills omitting them she took twice a day viz. early in the morning and late at night about a Scruple of the following Powder in a spoonful of the Julap Drinking after it four or five spoonfuls of the same Take Bezoar Stone of both kinds White Amber Pearl prepar'd Red Coral of each a Scruple Mans Scull two Scruples Roots of Virginia Serpentary Seeds of Rue of each half a Dram mix them make a Powder let her take a Scruple Morning and Evening with a Dose of the Julap above prescribed Afterward when this also began to nauseate her she us'd Pills or
when green Herbs are scarce we may prescribe after this manner Take Leaves of Scurvy-grass four handfuls tops of Broom of the Pine-tree and of Juniper of each three handfuls the Middle-bark of Elder and Ash of each four Ounces Roots of Horse-raddish and of Polipody of the Oak of each three Ounces the Rinds of four Oranges and of as many Limons Winters-bark four Ounces being slic't and bruis'd pour to them of White-wine or of Cider or of Whey made with either of them eight Pounds let them be distil'd The simple Water of the Leaves of Aron distil'd in the Spring time is an efficacious Remedy against the Scurvy if three or four Ounces are given twice a day with another Medicine The simple Water of Scurvy-grass pour'd again on fresh Leaves bruis'd and distil'd and so iterated by frequent Cohobations becomes an efficacious Remedy Moreover a hot Spirit of Scurvy-grass is prepar'd after this manner Take Leaves of Scurvy-grass what suffices being bruis'd let it be made into Balls such as are made of Woad for Dying Then let those Balls be kept in a Glaz'd Pot for three or four days very close stopt in a cold place either Water of Scurvy-grass or Wine of the same being pour'd to them and covering them over above four fingers deep Then an Alembick being put on let the whole matter be distill'd Let the distill'd Water being put into a Cucurbit be rectified the hot Spirit will come off first whereof let fifteen or twenty drops be taken in a fit Vehicle 6. Antiscorbutick Wines and Beers I Use to prepare a simple Antiscorbutick Wine of excellent use after this manner In the Spring or Summer-season Take Leaves of Scurvy-Grass gathered in clear and dry Weather what you think good being bruised let the Juice be prest forth and let a Vessel containing three or four Gallons be fill'd a spoonful or two of Yest being put to it let it ferment for two Days then the Vessel being close stopt let it be plac't in a Wine-Cellar for six Months and then let the clear Liquor which will be of an Amber colour like Spanish Wine be drawn out into Bottles and be kept for use it continues good many years The Dose is three or four Ounces twice a Day Physick Wines whereof a Glass or two may be daily taken at Physical Hours or also at Dinner may be prepar'd after this manner Take Leaves of Scurvy-Grass four handfuls Raspings of Horse-radish four Ounces Winters-bark bruised half an Ounce the outward Coats of four Oranges and of so many Limons Let them be put in a Glass with twelve Pounds of White Wine or Rhenish or small Spanish Wine The Vessel being stopt let it be kept in a cold place Let the Wine be pour'd off clear as often as you use it It 's more usual to prescribe a Physick Ale or Beer to Scorbutical persons to be drank constantly for their ordinary Drink Let Beer be prepar'd to fill a Vessel of four Gallons instead of Hops let three Handfuls of Pine or Fir-tops be boiled in it After it has wrought in the Vessel put into it Leaves of Scurvy Grass three Handfuls Roots of sharp pointed Dock prepared four Ounces the Rinds of four Oranges After it has stood a Week to clear let it be expos'd to Drink These kinds of Physick Drinks with other Ingredients may be variously prepar'd according to the Temperament and Affect of the Patient by which kind of Remedy in regard the Physical Particles altering the Dyscrasy of the Blood are forthwith convey'd into its Mass together with those of the Food often much good is done in removing the Cause of the Scurvy But since we have shewn the cause of this as also the Nature of the Disease to be twofold and since the Medicines hitherto proposed regard in a manner only the Salino-sulphureous Distemper of the Blood we must next direct Medicines which are proper in the other viz. the Sulphureo-saline Dyscrasy of the Blood CHAP. III. Of Medicines of each kind of the foregoing forms which have regard to the Scurvy raised in a hot Constitution and in a Sulphureo-Saline Dyscrasy of the Blood IN certain Scorbutical persons the use of Scurvy-grass Horse-Radish Winters-bark and of other smart things and such as are greatly endow'd with a volatile Salt is found to be very offensive wherefore in those kinds of cases where the Morbifick Cause consists in a hot Dyscrasy of the Blood resembling over-fretted Wine temperate Medicines and such as do not exagitate the Particles of the Humours which are apt to boil too much of them selves are indicated Wherefore we shall set down Forms after the same order and running as it were parallel with those before and in the first place we shall give you solid Medicines Electuaries Take Conserve of Brooklimes and Cuckow-Flower made with an equal part of Sugar of each three Ounces Species Diatrion Santalon Diarrhodon Abbatis of each a Dram and a half Ivory powdered a Dram Pearl half a Dram Salt of Wormwood and of Tamarisk of each a Dram with a sufficient quantity of syrup of Coral make an Electuary Take Conserve of Wood-sorrel and of Hips of each three Ounces or Conserve of the Roots of sharp pointed Dock and of the Roots of Cichory of each three Ounces Troches of Rhubarb two Drams Species Diamargariti Frigidi a Dram and a half Bark of Tamerisk a Dram Sal Prunella a Dram and a half Myrobalanes condited in number two with a sufficient quantity of the syrup of the Confiture of Mirobalanes make an Electuary For poor people I use to prescribe this easy prepar'd Electuary Take Leaves of Brooklimes six Ounces of Wood-sorrel two Ounces double refined Sugar eight Ounces let them be pounded adding Powder of sweet Fennel-seeds half an Ounce Ivory powdered two Drams Sal Prunella a Dram and a half with a sufficient quantity of Syrup of the Juice of Brooklimes make an Electuary Confections TAke Powder of the Roots of China and of the Male Peony of each a Dram white and yellow Saunders of each three Drams Ivory a Dram and a half Pearl half a Dram Crabs-eyes a Dram Coral moistened with Juice of Oranges and ground on a Marble two Drams white Tartar a Dram and a half double refined Sugar dissolved in a sufficient quantity of compound Scordium Water six Ounces Make a Confection Take Roots of Eringo and Scorzonera preserv'd of each three Ounces Powder of Aron-roots compound half an Ounce Species Diatrion Santalon two Drams Sal Prunella a Dram and a half with a sufficient quantity of syrup of clove-gilli-Clove-Gilli-flowers Make a Confection Powders TAke Powder of the Leaves of Ground-Pine of Aron-roots Compound of each an Ounce and a half Ivory powdered red Coral prepared with Juice of Oranges of each two Drams Tablets of Oranges two Ounces mix them Make a Powder The Dose is a Spoonful twice a day Pills TAke Species Diatrion Santalon and Diamargariti Frigidi of each two Drams Seeds of Citrons and of Carduus
Flowers of Tamarisk also shavings of Harts-horn or of Ivory which sweeten the Liquour and preserve it from turning four viz. in as much as the Particles of the fluid Salt which abound in the Cider and are apt to make it sharp are taken up in dissolving the foresaid Ingredients Temperate Physick Drinks may be prescrib'd after this manner viz. let a small Ale be prepar'd to fill a Vessel of five or six Gallons into which instead of Hops let tops of the Pine-tree of Firr or Tamarisk or the Raspings of either of their Woods be put them after it has wrought let the Roots of sharp pointed Dock dryed be put into the Vessel than which certainly there is no Remedy more excellent in the Scurvy To these sometimes let the Leaves of Brook-limes Water-cresses Winter-cresses c. be added Also Pomecitrons or Oranges cut in slices Leaves of Harts-tongue put into a little Vessel of midling Ale after it has wrought gives it a grateful savour and odour CHAP. IV. Of the Curatory Indication of the Scurvy whereby we obviate the Disease it self and the Symptoms that are most pressing HItherto we have shewn concerning the Cure of the Scurvy what regards the Preservatory Indication to wit the removal of the Morbifick Cause viz. both the intentions of Curing and the Remedies indicated Which kind of method being seasonably begun and duly prosecuted often does the whole work viz. in as much as the Cause of the Disease or the Root of it being cut off the affects depending of it dye of their own accord Nevertheless we must not go on with this course of Physick always directly but turning aside several ways For sometimes severe Accidents and Symptoms happen which require a peculiar and as it were extraordinary Physical help to which we must Immediately attend and often interrupting the general Cure Concerning these we must observe that as affects which happen upon the Scurvy require Appropriated Remedies according to the Nature of each of them and to the disposition of the Patient yet Antiscorbuticks ought always to be mixt with them I will not be needful to order a Method of Cure against all diseases and affects with which the Scurvy is wont to be attended for so the whole Practice of Pyhsick would be here transcrib'd but we shall have regard only to the Symptoms that are chiefly pressing by which either the life of the Patient is endanger'd or the principal Cure Obstructed after what manner and by what Medicines such are Cur'd I shall now shew Of Curing a difficult Breathing and Asthmatick Fits A Difficult Breathing with a straitness of the Brest and Asthmatick Fits ought presently to be removed by appropriated Remedies to be prescrib'd besides the general Method for other wise the diseased is soon brought in danger of life Since these sorts of evils arise in Scorbutical persons for the most part either through the fault of the Blood stagnating in the Heart or by reason of the Nerves of the Lungs being hindred in their Function therefore they are Gur'd either by Cordial or Anticonvulsive Medicines Spirit of Harts-horn of Soot of Blood of Mans Scull also the Tincture of Castoreum of Antimony or of Sulphur Flowers of Sal Armoniack Flowers of Benzoin also Elixir Proprietatis are often of excellent use in these Cases which kind of Medicines may be frequently given with a Dose of some Antiscorbutick Liquors appropriated also against the foresaid afects For the appeasing of a sudden difficulty of Breathing which is meerly Convulsive if at any time it very sorely presses I have found no more present remedy then our Tincture of Laudanum with Opium given to ten or twelve drops in a convenient Liquour For Sleep Stealing on the Spirits remit of their disorders and in the mean while being refresh't they resume afterwards their accustom'd offices after a due manner Take Roots of the great Bur Dock of Butter-Burr and Chervil of each an Ounce Leaves of Maiden-hair and Germander of each a handful Seeds of the Great Bur Dock of Bastard Saffron of each three Drams Raisins two Ounces being slic't and bruis'd let them Boyl in three pounds of Fountain water till the third part be Consum'd add of White-wine four Ounces strain it into a Flagon into which put leaves of Scurvy-grass slic't a handful Roots of Elecampane preserv'd and small slic't half an Ounce make a close and warm Infusion for three hours the Dose is six Ounces twice or thrice a day Of Affects of the Stomach which are wont to happen in the Scurvy SCorbutical persons are wont sometimes to be troubled with a great Oppletion and Pain of the Stomach also with a Nauseousness and Belching and sometimes also with a frequent and violent Vomiting which kind of distempers sometimes arise from the Chyle there degenerated into a Mass of Corruption but oftner from the Morbifick Matter brought thither either by the conveyance of the Blood or also of the nervous Juice and either depos'd within the Cavity of the Stomach or fixt in the Plexus's of the Nerves and in the Membranes In these kinds of Cases if a Viscous Stinking or otherwise Offensive Matter be cast up by Vomit and there be a suspicion that the cause lyes within the Cavity of the Stomach its proper to give a gentle Vomit of Wine of Squills or of Salt of Vitriol Or let the offending Humours be Purg'd off by Stool either by Extract of Rhubarb or by its infusion with the addition of Salt or Cream of Tartar But if the Matter sticks deeply within the Membranes or the Plexus's of the Nerves Diaphoreticks or things that moderate the effervescencies of the Salts do better Let Elixir Proprietatis or Flowers of Sal Armoniack or Spirit of Soot be frequently taken with Raddish Water Compound water of Earthworms or some other Antiscorbutick Liquour Mean while once or twice a day let Fomentations of Wormwood Centory Flowers of Cammomil Roots of Gentian and other things Boyl'd in White-wine be applyed to the Region of the Stomach with Wollen Cloths dip't into it warm and wrung forth The use of Glysters is proper and Opiats often give great help Of the Belly Ach and the Scorbutick Collick SCarce any affect requires a more speedy Physical help than the Colick and gripes in the Belly which frequently happen in the Scurvy Against these evils Glysters of various kinds Fomentations Liniments and Cataplasms are administred The use of Opiates is found to be very necessary here Certainly in this Case that Praescript of Riverius chiefly has place viz. that Purging Pills be given with Landanum mixt with them for a plentiful Evacuation by seige and Sleep being caus'd the Fit often is taken away Moreover Powders of Shells by which the sharp Salts are Imbib'd or fixt conduce very much to the removal of the Morbifick cause for example Take Crabs Eyes and Egge Shells of each a Dram and a half Pearl a Dram make a Powder divide it into twelve Doses whereof let one be taken
Spirit of Blood Tincture of Antimony of Coral Decoctions of the Roots and Seeds of the great Burdock Ground-pine and Germander do excellently well and let those kinds of Remedies be taken twice or thrice a day with Antiscorbutick distill'd Waters A Water distill'd from Horse-dung with the addition of Scurvy-grass Brook-limes Ground-pine and the like is sometimes very profitable mean while let Fomentations Liniments Cataplasms or applications of other kinds which appease Pains be outwardly Administred Of the Scorbutick Gout moving from one place to another OF this Affect Eugalenus Wierus Medicus Campensis and Georgius Horstius have written peculiar Tracts If is said to be very Common in the Northern Parts of Belgia a certain token of which appears by putting a live Earth-worm to the place affected for its presently wont to spring bend and knit it self and to faint and dye which indeed I have found pretty often to happen in this Disease even amongst us which effect seems to proceed from the very sharp and as it were Corrosive Effluvia that plentifully flow from the place Pain'd and Swoll'n By Reason of the effect of that Experiment the Cure of the Disease is wont to be undertaken by Worms viz. by Remedies prepar'd of them though I know not whether being inwardly taken they will as certainly destroy the Disease as being outwardly applied they are dispatcht by it However Earth-worms as also Snailes Millepedes and other exanguious little Animals in as much as they abound with a volatile Salt often prove a pretty efficacious Remedy Henricus Petraeus tells us of two Remedies very much us'd in Westphalia against this Disease Take nine Earth-worms bruis'd with two Spoonfuls of Wine in a Mortar and strain'd through a Cloth to these let half a Measure of Wine be added let three Spoonfuls be taken at Morning Noon and Night for many days 2. Take two or three Branches of Savine Virgin Hony two spoonfuls boyl them with a Measure of Wine till it pitches two Fingers Let the straining be taken to four or five spoonfuls thrice a day To the former Medicine a certain vulger potion mentioned by Horstius called Monasteriensis is allied Take Sage Betony Rue of each five Leaves Earthworms with Circles about their Necks in number five a little Savine and Roots of Devils-bit in number two let them be bruis'd with Water of Elder Flowers and let the exprest Juice be given for raising a Sweat A like prescript also is propos'd in Forestus à Medico Campensi Certainly in this affect the Magistral Water of Earth-worms prescrib'd in the London Dispensatory is of excellent use And I have often given with good success the Spirit and Salt of Harts-horn Spirit of Blood and Flowers of Sal Armoniack Moreover teslaceous Powders viz. Crabs Eyes Coral Pearl and Vegetables which are accounted Antidotes against the Gout as Roots of round Broth-wort Leaves of Ground-pine Germander and the like being joyn'd with Antiscorbuticks conduce to the Cure of this Disease outwardly for appeasing Pains besides Anodynes which are us'd under the form of a Liniment Fomentation or Cataplesm Oyl of Earth-worms of Frogs and Toads are often very availing I have been told by a worthy Person who was very obnoxious to this Disease that Water drawn by Destillation from the Contents taken out of the Stomach of a Beefnewly kill'd and Cloaths being dipp'd into it when Warm and applied as a Fomentation would most certainly give ease Of Convulsive and Paralytick Affects that are wont to ensue upon the Scurvy IF at any time the Scrobutick taint passing into the Brain and Genus Nervosum greatly corrupts the Liquor residing in each Province thereupon divers kind of Affects and especially Paralytical or Convulsive are wont to arise viz. according as the Morbisick Matter brought in to be Animal Aeconomy is either Narcotick or Explosive Which kind of Affects though in this case they are Symptomatical yet when they are grown to a hight they challenge both the name and the better part of the Cure before the Scurvy their parent so that the diseased are said to be troubled with the Palsy or Convulsions rather than with the Scurvy also Medicines design'd against those Affects have the preference to any others at the same time required by reason of other intents For Curing these kinds of Affects hapning upon the Scurvy let this chiefly be observ'd that Remedies appropriated to those same be duly Complicated with Antiscorbuticks As to Convulsive Diseases the Remedies that are in the foregoing Tract may easily be Transfer'd hither And as to the Palsey Lethargy and many other Affects of the Brain and Genus Nervosum we shall discourse of them particulary in some other Tract Of the Atrophia also of the Scorbutick Fever which is often the Cause of the other or its Effect THere are three kinds of Causes having some orderly dependance on each other from one or more of which a Scorbutical Atrophia is wont to be produc'd without a Consumption of the Lungs viz. either the Chyle is perverted through the fault of the first passages so that a laudable or sufficient Store or it is not convey'd to the Blood Secondly or being brought into it yet through the fault of the Blood it is not duly chang'd into Blood and a nutritive Juice Thirdly and lastly the nutritive Juice prepar'd in the Mass of Blood is not duly assimilated to the solid parts through the fault of the nervous Liquor The Remedies appropriated to this Symptom regard either the amendment of the first Passages or the correction of the foresaid Humours As to the former it sometimes happens by reason of the Tone of the Stomach being broken or its Ferment being vitiated that the Food taken into it is not duly concocted but passes into an unprofitable Mass of Corruption For these sorts of evils let gentle Catharticks Digestives and Corroboratives be us'd But the work of Chylification is oftner hindred by reason of a Schirrous Tumour rais'd sometimes in the Ventricle sometimes in the Mesentery or in other adjacent parts In this Case Deobstruents and Dissolvents are proper the use of Spaw-waters has the preferance to any other Rinds of Medicines Moreover Fomentations Liniments or Plaisters ought to be outwardly applyed Again it sometimes happens that without any Tumour rais'd in the Viscera the Lacteal Vessels are so much obstructed by a gross and viscous matter sticking in them that a sufficient store of the Chyle though it be laudable enough and plentifully prepar'd is not convey'd into the Blood In this affect the Belly for the most part discharges Excrements plentifully but they are White like coagulated Milk and not as other Excrements ting'd with Choler or Stinking The reason of which is that the Blood being depauperated more sparingly engenders Choler from the eflusion of which into the Intestines the Colour and Stink of the Excrements proceed In this case Spaw-waters are chiefly proper also Deobstruents being inwarldly given let Liniments Fomentations and Baths be outwardly us'd
Purging to apply Anodyne and mitigating Epithemes to the Places affected and also often to give gentle Hypnoticks by frequent changes Apozemes also and Juices and Expressions of Herbs that allay the Fervour of the Choler and gently carry it off by Seige and Urine are of excellent use but in the mean time let smart or strong Medicines whether they operate by Seige Urine or Sweat in regard they too much fuse and exagitate the Blood and Humours be carefully avoided I have often observ'd in Persons troubled with an acute and obstinate Pain of the Head that the Serum swimming on the Blood when let forth have been ting'd with a Yellowness or with bilous excrements incocated in it and that also in this Case a spare and frequent Bleeding and afterward a free drinking of Whey and Spaw-Waters have given a notable Relief and beyond other Remedies 4. Moreover if the Parts of the Head suster through the Fault of some one of the Viscera as of the Stomach Liver Spleen Womb or any other by reason of the Transmission of the ill Ferment then in the Cure of the Disease let such Remedies as regard the Viscera be administred together with Cephalicks hence to certain Persons troubled with the Head-ach whose Stomach also is in a Fault Elixir Proprietatis Mynsichts Elixir of Vitrol Tinctura sacra Vitriolum martis the compound powder of Aron Roots and other things vulgarly accounted for Stomachals often do good to others whose Heads participate of the evils of the Spleen Chalybeats often give help Some Women sometime find ease of their Head-ach by hysterick Remedies in like manner when the Faults of other Parts contribute to the Head-ach let the coindicated things taken from those Parts be joyned with the first things indicated 5. Sometimes the nutritive Juice is the Cause of a periodical Head-ach viz. in as much as being mix'd with the Blood and not duely assimilated it causes a Turgescency in it by reason of its disagreeing Particles so that the Blood boyling to the Head throws off its Refuse in its Meninges or certain Parts of them predispos'd for it and so irritates the Fibres to painful Convulsions For this Reason I have known many to have been obnoxious to a daily Head-ach after the Measles Small-Pox and other Fevers or Sicknesses with which the Mass of Blood is wont to be vitiated viz. so many Hours after Meals sometimes sooner sometimes later first a flushing of Blood in the Face then a Plentiude and Pain in the Head infested them moreover after drinking of Wine or eating of turgid Food they were more severely punish'd The Access of the Distemper is wont to happen sooner or later after they have eat or drunk according as the Chyle begins to grow turgid either a little after its first entrance into the Blood or after it has stay'd some while in it This affect is free from Danger and for the most part is easily enough cur'd After a Provision being made for the whole a gentle Purge and sometimes blooding being ordered Remedies which restore the Crasis of the Blood such as are chiefly antiscorbuticks and Chalybeats prove mighty beneficial Take Conserve of Fumitory Tansey Wood Sorrel of each two Ounces compound Powder of Aron Roots three Drams Ivoy Crabs Eyes Coral prepar'd of each a Dram and a half powder of yellow Saunders Lignum Aloes of each half a Dram Vitriol of Mars a Dram salt of Wormwood a Dram and a half syrup of the five Roots what suffices make an Electuary let the Quantity of a Chesnut be taken in the Morning and at five a Clock in the Afternoon drinking after it three ounces of the following Liquor Take Water of the Leaves of Aron Vervain and of the Flowers of Elder of each six Ounces magistral Water of Snails and Earth-worms of each two Ounces Sugar on Ounce mix them Various Medicines wont to be us'd against the scorbutick Diseases of the Blood may be rang'd here and giv'n with good Success for Head-aches which are so familiar in the Scurvy oftentimes proceed from the Fault of the Blood perverting the nutritive Humour and discharging its Recrements in the Membranes of the Head wherefore the Remedies mention'd by me elsewhere against that affect claim a place also here 6. There remains yet another Humour to wit the nervous Liquor which being carried into the Fibres of the Meninges and other parts of the Head sometimes becomes disproportionate to the Fibres by its own disagreeing nature as it is sharp or otherwise degenerate sometimes twitches the containing Parts and irritates them into Convulsions or painful Distentions as it strongly ferments with some other humour viz. the nutritious or serous Humour flowing thither The nervous Humour where it is thus morbifick either being vitiated in its whole Mass brings a very great Injury on the Brain predispos'd for it or being faultless of it self is perverted within the Fibres affected and so becomes morbifick secondarily the Cure of which then depends on the Restitution of the containing Parts viz. If the Weaknesses of the Fibres or their injur'd Conformations be amended the Humour irrigating them will presently be free from Fault With what Remedies the Defaults of the Parts predisposed for Head-achs are remov'd we shall presently acquaint you Mean while if the nervous Humour being degenerate in its whole Mass causes a great Offence to the Head predispos'd for Pain let those kinds of Medicines and that method be us'd with which being reduc'd to its due Crasis and gently passing through those Fibres it may irritate them little or not at all for which end neither strong Purging nor large or frequent Blooding are proper in regard they exagitate the Blood and Humours and impair the Strength and consequently give a greater Acrimony and Rage to the nervous Humour which was faulty before But gentle Loosners and a spare Bleeding will now and then be of use whereby the Viscera may be cleans'd and the Mass of Blood be somewhat purg'd and a way be prepar'd for other Medicines which will succeed the better afterwards Now the Medicines that render the nervous Liquor more friendly and benign to the Membranes of the Head which are wont to be offended by it are those which are vulgarly call'd Cephalicks viz. whose Particles being active enough and withall fine and subtle pass the Blood without any Turgescency or Tumult and then insinuating themselves into the nervous Liquor gently actuate it and cause the Ductus's of the Nerves so to open themselves that thereby the animal Spirits more freely irradiate all Bodies both sensible and motive and inspire them without Swoonings Convulsions or anomalous Distentions These kinds of Remedies tho not always efficacious nevertheless often remove some Head-achs that are not very inveterate and in others tho never so obstinate they frequently do good moreover those things that are prescribed against Pains of the Head are also given against Affects of the Brain and Genus Nervosum and on the contrary the things
that are prescrib'd in these are also given with good Success against those viz. the Vertue of them being display'd within the Brain does good against the Apoplexy Palsie Lethargy and other Diseases allied to them also within are moving Fibres against Cramps and Convulsive Motions and likewise exerting their Forces within the sensible Fibres they often relieve Pains Great stores of these Medicines are vulgarly set forth in Physical Books but so that their Plenty has brought either a Poorness or Confusion to the method of healing those things which would do most good often lying hid or being concealed amon gst that confus'd heap of Remedies even as Wheat is with more difficulty separated from much Chaff than it is first gotten clean from the Ear. Therefore in this Case Provision being made for the whole and then those things being given both by Dyet and Physick which put a stop to or presently appease the Turgecencies of the Blood let the Medicines call'd Cephalicks or such as remove the Disorders of the nervous Juice be prescribed to be carefully taken I shall set down some few Forms of these Take Conserve of Flowers of Betony and Clovegillyflowers of each three ounces Powder of male Peony Roots half an ounce bastard Dittany a dram lignum Aloes yellow Saunders of each a dram red Coral prepared Pearl Ivory of each an ounce and a half Salt of Vervain a dram and a half syrup of Peony flowers what suffices make an Opiate let the quantity of a Chesnut be taken drinking after it of the following Julep three ounces Take Water of Black-Cherries Wallnuts simple Vervain of each four ounces Water of cowslip-Cowslip-flowers three ounces compound Water of Peony three ounces Sugar six drams Or Take Leaves of Vervain Mistletow growing on Apple-trees of each ten handfuls male Peony Roots two pounds Mace Nutmegs of each half an ounce Coriander Seeds an ounce being slic'd and bruised pour to them of fresh Milk eight pounds or of Milk seven pounds Malaga Wine one pound distill them with common Organs let the whole Liquor be mixt Let three Ounces be taken at a time Take Powder of male Peony Roots half an ounce red Coral prepared two drams Ivory Pearl prepared of each a dram make a fine Powder of them all add of Sugar dissolv'd and boyl'd to a Consistency for Tablets in a sufficient quantity of Black-cherry Water six ounces Tincture of Cotal a dram make Tablets according to Art weighing half a dram let three or four be eaten in the Morning and at five a clock in the Afternoon drinking after it a little draught of Tea Or Take Tincture of Coral an ounce take from fifteen drops to twenty twice a day in a little Draught of the Julep or distill'd Water Those that are of a cold or flegmatick Temperament may take twice a day a Dose either of the Tincture of Antimony or of Spirit of Armoniack impregnated with Amber or Coral or of Spirit of Harts-horn or of Soot in an appropriated Vehicle The use of Millepedes ought not here to be omitted or set lightly by in regard that their express'd Juice distill'd Water and also the Powder prepar'd of them often contribute egregiously to the Cure of ancient and obstinate Head-achs I might here propose many other Medicines of various kinds nay transfer hither the forms in a manner of all those which I have formerly heap'd together against convulsive Affects But the most difficult thing of all concerning the Cure of the Head-ach yet remains viz. How the Conjunct and fixt Cause of this Disease consisting in the Weakness or injured Conformation of the Fibres may be heal'd or remov'd Now this though it will be sometimes incurable as when a schirrous or callous or some other ancient and fix'd tumour has possest the Meninges nevertheless since the Diagnostick of this is uncertain and the Procatarxis of a Disease how unconquerable soever it may seem sometimes by a continued method of Cure is overcome therefore in every kind of Head-ach as long as the Patient will admit of Remedies let not a Physician be backward in prescribing those things that shall seem most proper Therefore in the first place as we hinted even now we must diligently endeavour that the Fuel of the Disease being out off and intercepted the frequent Accesses of the Fits be stopt for so the indisposed Fibres whilst they are no longer molested sometimes recover their sound state Nature alone effecting the Cure The helps of the Art of Physick indicated in this Case are taken from Chirurgery rather than from Pharmacy for whatsoever is taken by the Mouth passing through long Circuits spends all its Virtue before it reaches the Membranes of the Head Amonst Chirurgical things first Topical Remedies occur and of those Plaisters are of most advantagious use and often prove very beneficial Let not these be extreamly hot which may draw the Humours more to the place affected but moderately discussing and corroborative I use to prescribe Emplastrum de Minio or Diasaponis with a half quantity of Paracelsus's Plaister to be applyed to the Place grieved after it is shaved and to be worn for some time As to the Ancients frequent use of Phenigms and Sinapisms and to the present Practice of applying Vesicatories against violent Head-aches sometimes to the whole hinder part of the Head sometimes to the Sinciput if at any time ease has ensued these not Topicks it was for this reason Because by those Administrations a mighty store of sharp Serum was voided from the Part affected Liniments of Oyls and Unguents tho freuently us'd do little because as I gess in case they penetrate deep they render more lax the Tones of the Fibres whereby they lye more readily open to the Incursions of the morbifick Matter moreover they stuff the Pores of the Skin that the Effluvia do not evaporate for the same Reason in a manner it is that warm Fomentations prepar'd of Aromatick or other cephalick Decoctions oftner do Hurt than Good because they draw Humours towards the Parts affected and withall open the Pores and Passages whereby they are more readily admitted and therefore also it is that bathing of the Head by pumping Water on it in hot Baths is used to Persons troubled with the Head-ach with no better Success whereas on the contrary it would be good for many to wash their Temples Fore-head and Sinciput every Morning and Evening with cold Water nay to bath their Heads every Morning by pumping cold Water on it or at leastwise to dip it in a deep Vessel or Well Another Chirurgical help cryed up for the Head-ach especially if violent and inveterate is wont to be a burning or cutting of Issues in several parts of the Body It 's a thing without doubt that these being made in the Arms or Leggs are both less troublesome and prove somewhat beneficial viz. inasmuch as they withdraw the fuel from the Part and lead it far away from the place affected Moreover an Issue in the
through their own fault in as much as being spent or affected with a stupefactive force they are congeal'd as it were or because their Paths or tracts are obstructed in the outward part of the Brain and are possess'd by a strange guest so that they have not a space granted them fit for their expanson The chief Symptoms of this Disease are Sleep and Forgetfulness a cessation of every other knowing or spontaneous function an uneven and slow respiration a Fever and often the affect growing worse Cramps leapings of the Tendons and lastly universal and mortal Convulsions The prognostick of the Lethargy is included in very narrow bounds for the Fit of the Disease being for the most part acute is soon terminated in Death or a Recovery and most commonly is wont to give more cause of fear than hope If it happens upon a Fever that is malignant or of a difficult determinations or if upon other cephalick or convulsive Diseases as the Head-ach Frensy Mania Epilepsy or also if on a long continued or severe Cholick or Gout the Physician can prognostick nothing but ill nor is it less to be fear'd if it happens in a cacochymical Body or in one long subject to sickness and in old age In like manner it is an ill Omen if the Diseas'd being presently overwhelm'd with a great deadness and becoming almost Apoplectical cannot be awak'd if he breaths unevenly and flowly or with great snoarings Moreover if the Disease growing worse and worse the sick Person be affected with Tremblings Cramps leapings of the Tendons and lastly with convulsive motions he is to be look'd upon as in a desperate condition But if the affect without any great Procatarxis be rais'd by an evident Cause alone as from over-eating drunkenness the use of Narcoticks or from a stroak or wound of the Head that are not very dangerous we may expect a less fatal event Moreover if the affect arising on such an occasion happens to a Body which was sound and robust before if at the first invasion it does not wholly take away the Sense and Memory and after a little time the symptoms begin to remit we may not despair of such a sick Person In any Lethargy if the cause of the Disease seems somewhat to be shaken and mov'd so as plentiful and laudable evacuations by Sweat Urine or Seige happen by the help of Medicines or by the instinct of Nature and give ease if upon the application of Vesicatories a great glut of filthy Waters flows forth if inflamed swellings or great pushes arise behind the Ears or in the Neck if a great sneezing with a dropping at the Eyes or Nose shall happen we may thence conceive some hope of recovery And sometimes an Empyema hapning upon a Lethargy puts an end to it viz. inasmuch as the morbifick matter which was fix'd in the Head and first caus'd the Lethargy being afterward drank up again by the Blood and depos'd in the Breast produces the Empyema In the description of the Epidemical sleepy Fever which reign'd An. 1661. we have observed that this hapned to many Concerning the Cure of this Disease since it allows no truce we must not be long deliberating After the injection of a smart clyster presently let a Vein be open'd for the Vessels being emptied of Blood more readily drink up again the Serum or other humours depos'd in the Brain Moreover I advise in this case the Jugular Vein to be open'd rather than a Vein of the Arm because by this means the Blood very much heap'd together and haply stagnating within the Sinus's of the Head will be more easily reduc'd to an even circulation After Bleeding other Remedies of every kind are presently to be applied to use let large Visicatories be applied to the Neck and Legs the Faces and Temples are to be anointed with Oyl of Amber or Cephalick Balsams let Cataplasms of Rue Pepperwort or Crowfoot well pounded together with black Soap and Sea-Salt be applyed all over the Feet let smart frictions be us'd to the Limbs let Salt of Vrine or Spirit of Sal Armoniack be frequently held to the Nostrils In the mean while let Cephalick Remedies be now and then taken Take Water of Peony Flowers Black Cherries Rue Walnuts simple of each three ounces compound Peony Water two ounces Castoreum tyed in a Nodulus and hung in the Glass two drams Sugar three drams mix them make a Julep let four or five spoonfuls be taken every third or fourth hour moreover to each dose of this add from twelve to fifteen drops of Spirit of Harts-horn Amber or Sal Armoniack or a paper of the following Powder Take Powder of Male Peony Roots Mans Scull Roots of Virginia Serpentary Contrayerva of each a dram Bezoar Pearl of each half a dram Coral prepar'd a dram make a Powder divide it into twelve parts Moreover it is here to be considered whether a purging by Vomit or Seige ought not to be ordered just at the beginning I know that this is variously controverted amongst Authors and I have known it us'd in practice with a various success which being considered and compared betwixt themselves I shall briefly declare what is my opinion If a Lethargy has arose from a fresh over-eating or being drunk or if from taking improper and narcotick things presently let a vomit be raised Wherefore let Salt of Vitriol be given with Wine and oximel of Squils or in robust Persons an infusion of Crocus Methallorum or Mercurius Vitae with Black-Cherry Water and afterward unless it works of its own accord let a Vomit be provoked by thrusting a Quill into the Throat But if the invasion of the Disease happens upon a Feaver or other Cephalick affects or if it be raised primairly or per se by reason of a Procatarxis first laid in the Blood or in the Brain Vomits and Purges given presently at the beginning whilst the matter is flowing are wont oftner to do more hurt than good to wit inasmuch as whilst the humours are in motion those Medicines more exagitate them and since they are not yet able to subdue them and lead them forth they drive them into the part affected On the second day if the dead sleepiness be not yet remitted let bleeding in case the Pulse indicates it be repeated or in its stead let Blood be taken away in the Shoulder-blades by Cupping-glasses after Scarification Then a little afterward let an Emetick Medicine if nothing prohibits it or a Cathartick be given Take Sulphur of Antimony five grains Scammony sulphurated eight grains Cream of Tartar six grains mix them make a Powder let it be given in a spoonful of the Julep prescribed Or Take Scammony sulphurated twelve grains Cream of Tartar fifteen grains Castoreum three grains make a Powder give it after the same manner Mean while let the same or the like altering or deriving Remedies be still continued On the third day and afterward those things which at the beginning of the Disease were
manner only the surface of the Brain or the meer cortical substances of the Anfractus the medullary part within being as it were untouched in which regard it differs not only from the Lethargy but also from the Coma for in the affect which we describe tho Sleep be continually pressing yet it is easily broken off and moreover being perfectly awak'd the diseased remember a great many things discourse with the Friends being presently ready to fall again into their sleepiness whence it appears that the cause of the Disease sticks only in the outward border of the Brain nor does it enter deeply its substance as in other sleepy affects This affect as I have observed in many is not very dangerous for either as it is often done it is perfectly cured or at leastwise continuing for many years without a Carus or Apoplexy which are wont to be feared it does not presently become mortal or terrible the release of this affect often happens upon the change of the seat of the Disease to wit the Brain becoming clear the morbifick matter is conveyed to the Cerebellum where lying it produces Tremblings of the Heart the Asthma Faintings of the Spirits and other troublesome Symptoms accounted for Hypochondriacal The Therapeutick method suggests chiefly these intentions viz. that after a provision being made for the whole by bleeding if it be proper and by purging these Remedies may be afterward carefully given with which the Blood and Brain may be freed from their watery filth and the later may be corroborated that it may not for the future receive and retain serous Superfluities For these ends let the Pilulae de Succino or Cochiae be given with Rosin of Jalap once or twice a Week at other times going to bed and early in the Morning let a dose of a Cephalick Electuary or of the Spirit or Tincture of Sal Armoniack Amber Soot be daily taken with a Cephalick Julep The Forms of which may be chosen from those before written At eight a Clock in the Morning and at five in the Afternoon let a draught of Coffee be taken first boyling in the Liquour of which it is prepar'd Leaves of Sage or Rosemary till it acquires a green Tincture for ordinary Drink let a Decoction of Guaiacum be taken adding about the end Leaves of Sage Betony and other Cephalicks Moreover it will be profitable to make two large Issues betwixt the Shoulder blades and likewise frequently to apply Vesicatories about the Neck the Hair of the Head being cut off let a little Cap of Cephalicks and Armoaticks be worn Let a Vessel filled with Salt of Vrine or Spirit of Sal Armoniack be now and then held to the Nostrils Moreover an exact form of dyet being ordered let some Servants attending the Diseased not only stir him up now and then as he falls asleep but keep him waking daily for some set Hours A certain Gentleman of a sanguine temperament and whilst he was young of an acute and subtle understanding afterward in his declining age being given to Idleness and Drunkenness became dull and torpid and likewise Hydropical with a great Paunch and swellings of the Thighs and Leggs but from these Diseases into which he frequently fell if at any time he abstained for some while from his drinking and applyed himself to Physick he both often and soon recovered but at length tho free from his Dropsy he was opprest with so great and almost perpetual Sleep that he would be sleeping in all places and doing any thing moreover being awak'd by his Servants or Friends he was wont to be present enough to himself and to discourse well enough for some Minutes of an Hour of things proposed falling presently again into his Sleep To this Person after many Medicines tryed almost to no purpose I prescribed at length that he should take every Morning and Evening a Spoonful of the Powder of the Leaves of Betony dried in the Summer Sun and kept in a Glass in a little Draught of Water distilled from the Flowers of Lavender by which Remedy receiving ease within a few days he was perfectly cured within a Months space and enjoyed an entire Health for four years from that time Afterward when by reason of an ill course of Diet the same evils returned he repeated the same Remedy tho not with so great success But besides there being need also of other Medicines he took sometimes Spirit of Harts-horn or of Soot with an appropriate Julep sometimes Electuaries of Cephalick Conserves and Powders adding sometimes steel As often as he would indulge himself to his wonted genius of drinking instead of Wine or Beer he drank Coffee moreover for his ordinary drink he had sometimes Ale with the Leaves of Scurvy-grass Sage and Aromaticks infused in it sometimes a Decoction made physical with Woods Spices and Cephalick Herbs for many years Afterward being in a Manner always intemperate and cacochymical yet he lived free from the Lethargy at length a Cachexia seizing his Breast being cast down by degrees by a Cough with an Asthma he dyed The next sleepy affect viz. somewhat greater than the former and less than the Lethargy is that which is vulgarly called the sleepy Coma those that are obnoxious to this for the most part are opprest with a great sleepiness to which in a manner always giving themselves over they lye with the mouth open and the lower Jaw fallen more like to Persons dead than living being stirr'd up by hard pinching or pricking they look about them speak to the standers by answer to things askt but presently sleeping again they seem very much troubled to be hindred or disturbed from Sleep thus pleasingly stealing upon them and being indispos'd after this manner they continue in a sleepiness for many dayes nay and sometimes Months without a Fever accompanying it or following it or an injur'd respiration and being easie to be awak'd and not very forgetful in which things they differ from Lethargical Persons mean while they differ no less from others troubled with the affect even now described for as much as those that have the Coma keeping for the most part to their Bed or a Chair do not walk abroad or take care of domestical Concerns as the others They answer appositely to some short Questions but are not able to hold a Discourse or deliberate of things to be done The cause of this doubtless is of the same kind as of the former Diseases but of a middle degree betwixt both before described For we may conjecture that in this affect the morbifick matter penetrates the Brain a little farther than in the continual Sleepiness viz. that it invades the outward parts of the Anfractus or Gyri together with the lesser Branches of the Medulla inclosed but that it does not reach to the greater Sinus's of the Medulla joyning to the Corpus Callosum and which are wont to be possest in the Lethargy The Coma sometimes beginning primarily and of it self as the Lethargy
of the Brain they raise a thousand and often horrible Fantasms with which Sleep is kept off or directing farther their Tendency into the Genus Nervosum they raise there great disorders which continually drive away and break off Sleep tho seeming never so much to be stealing on or to be at hand As for the former of these I have often observed some troubled with watching who dreaded to begin Sleep tho it came on according to desire for as soon as being about to sleep they closed their Eyes presently starting up again they cryed out that a confused multitude of Fantasms made them mad so that they found themselves necessitated to abstain from Sleep Secondly when the Spirits being become exhorbitant are called from the circumference of the Brain towards the inward parts in order to Sleep sometimes they convert their Sallies into the Genus Nervosum and then either rushing in a tumultuous manner into the Nerves that go to the Precordia or Viscera they cause disorders in the respective Parts hence to such as are so affected as often as closing their Eyes they invite Sleep either Tremblings Leapings and Constrictions of the Heart with Failings of the Spirits and a letted Respiration happen or inflations and Swellings of the Viscera a Sense of Suffocation and other Symptoms vulgarly accounted for hysterical or secondly the Spirits being called from their Watchings and converted to the Genus Nervosum sometimes transfer their Sallies into the spinal Marrow and thence into the Nerves that pass into all the outward Members wherefore to some when being a Bed they betake themselves to sleep presently in the Arms and Leggs Leapings and Contractions of the Tendons and so great a Restlessness and Tossings of their Members ensue that the diseased are no more able to sleep than if they were in a Place of the greatest Torture Sometime since I was advised with for a Lady of Quality who in the day time was wont to be afflicted with a Cardialgia and a Vomiting and in the Night was hindred from Sleep by reason of those spasmodick affects which came upon her as now and then she was upon the point of rest nor indeed was she able to sleep all Night unless she took first a pretty good dose of Laudanum Wherefore of this Medicine which at first was allowed her only twice a Week she took afterward daily for about three Months receiving no injury thereby either in the Brain or about any other function and when in the mean while by the use of other Remedies the discrasies of the Blood and Nervous Juice being corrected the animal Spirits became more benign and mild she afterward leaving off wholly the Opium was able to sleep indifferently well As to the cure of the VVatching-evil which we even now describ'd because it cannot be long endured therefore those things are chiefly to be given which give a present relief for this end those things are proper which sooth the Spirits and gently appease their Disorders as the vulgarly called Anodines viz. distilled waters Decoctons Syrups and Conserves of Flowers of Nymphea Cowslips Mallows Violets Knapweed the Leaves of Lettice Purslan the Willow also Emalsions or juicy Expressions And if the restles Spirits will not be mitigated by fair means we must force them to be quiet by imposing Fetters as it were and using Severity their stores ought to be diminish'd and withall the spaces in which they may freely and without tumult expand themselves ought to be dilated and cleared from the stuffings of other humours viz. of Blood and Serum for which ends opening a Vein sometimes is proper Vesicatories in a manner always have place moreover let Diacodium and Laudanum in case they agree well be frequently taken and mean while that the Opats give truce from the violence of the Disease let the cause of it be eradicated by the use of other Remedies as much as may be Wherefore day after day at Physical hours let things be given that take away the sharpness of the Blood and Nervous Juice and restore them to sweetness In which rank we account Testaceous Powders Apozemes and altering distilled Waters of temperate Antiscorbuticks gentle preparations of Steel spirit of Harts-horn of Soot and above all things tincture of Antimony There remains another kind of Watching-evil whose cause consists for some part if not mostly in the almost continual opening or too great gaping of the Pores or Passages in the cortical part of the Brain for besides that the animal Spirits being sharp and somewhat exhorbitant refuse to lye down of their own accord and to yeild to rest and that they are not kept down or subjugated by the Nervous Liquor entring the Pores of the Brain but being free and exempt from all imposed Burthen they are expanded also within the outward spaces of the Brain which are every where open for them for which cause those that have the watching evil perceive no drowsiness or heaviness of the Sinciput no appulse or desire of Sleep I have known some affected after this manner who when they had past many Nights one after the other wholly without Sleep yet being still chearful and brisk having a good Stomack and ready at business seemed not as yet to have wanted Sleep The cause of this doubtless is a burnt and melancholy Blood which supplies the outward part of the Brain with a Nervous Juice not mild and benign but too much scorcht and filled with adust Particles which consequently is neither apt to flay long within the Pores of the Brain nor kindly to receive and contain the Animal Spirits Moreover the Spirits themselves ingendred from it become too elastick and restless in their Nature so that they are neither easily appeased nor inclin'd for Sleep of their own accord Nevertheless being of a fixt Nature they do not readily fly away nor are soon tired so as to flag but last a long time and continue vigorous without any great refreshment Concerning this sleepless Disposition of the animal Spirits since it is the same as in Persons troubled with melancholy we shall have a fit place of speaking somewhat more largely of it in the sequele We may observe that Coffee also on the same account keeps Persons from Sleep for that Drink insinuates its adust Particles with which we find it to abound both by the tast and smell first into the Blood and then into the Nervous Juice which thereupon by their Agility and Restlessness both keep the Pores of the Brain still open and add spurs and a certain rage to the Spirits all other Combination and Stupefaction being deposed by which they are stirred up to a longer execution of their Functions Again as to what regards the prophylactick cure of this Watching-evil or the removal of the morbifick cause we shall give it you in the Sequel where we shall treat of Melancholy mean while for the immediate removal of that Symptome as often as it sorely presses we observe that Opiats will not do
is either in fieri or in its disposition or in facto or in its habit both require a peculiar way of Cure Of the former there are two chief cases in both of which the Therapeutick method regarding only the Procatarctick causes is ordered after the like manner to wit whether any Person be in danger of being seiz'd with the Palsey or recovering from it be in hazard of a relapse we must insist in a manner on the same Medicines Therefore the Intentious of Curing must be first that the functions of Chylification and Sanguification being duly perform'd a laudable matter for the generation of Animal Spirits be sent to the Brain in a sufficient plenty and then secondly that the Brain being still firm and of a due conformation admits into it and duly exalts into Animal Spirits all apt particles excluding such as are heterogeneous for these ends we have thought good to propose the following method which ought to be varied according to the various constitutions of the Diseased Spring and Fall let solemn courses of Physick be entred upon nay and the whole year besides let some Remedies be constantly used Bleeding is not generally proper for all Persons and if we forbid this it is not for the same reason with the Ancients supposing the Palsey to be a cold Disease but because the Animal Spirits are both engendred from the Blood and become elastick within the moving Fibres by reason of a sanguineous combination therefore if the store of this be lessened too much they will fail and flag Which truly I have observed in many and that for the most part in the Arm from which the Blood was drawn languishings and tremblings have begun Nevertheless a spare and moderate Bleeding sometimes agrees with some that are endued with a Blood that is hot and sharp and apt to too great effervescencies tho they are disposed to the Palsey About the Equinoxes purging ought to be ordered and to be repeated by due Intervals three or four times but in the first place let a Vomit if nothing indicates the contrary be given of Salt of Vitriol Sulphur of Antimony or an Infusion of crocus metallorum or Mercurius vitae afterward let Pillulae de succino or Aloephanginae be taken by themselves or with Rosm of Jalap every seventh or eighth day At other times let Cephalick Remedies such as we have prescribed for the sleepy affects viz Electuaries Powders Spirits and volatile Salts Tinctures Elixirs with distill'd Waters or Apozemes viz. sometimes these sometimes those or others be frequently used Let Issues be burnt in the Arm or Leg nay in gross and cachectical Persons together in both or near the Shoulder-blades Let a Physick-drink of Sage Betony Stoechas the wood Sassafras Winters bark c. be drank the whole year Wine and Venus ought either to be forbidden or to be allowed only sparingly But if the Palsey after a previous disposition in the whole or in one side or in certain members throughly seises and notwithstanding the first encounter of Physick comes on again for its cure a long and complicated method which is alwayes requisite often times does not suffice for not only the Disease or its conjunct or procatarctick Cause severally but all together must be assaulted for which ends blooding for the most part being forbidden only a gentle purge and that but now and then is proper Again and indeed chiefly against the Procatarxis of the Disease Cephaliâ—â— and Antiscorbutick Medicines are wont to do good but not all of these kinds agree with all Persons but as we have observed in the Scurvey according to the various Constitutions of the Diseas'd the Remedies also must be of a differing kind and vertue for with bilous paralyticks in whose sharp and hot blood there is much Salt and Sulphur and very little Serum hot Medicines and such as are endowed with very active Particles do not agree nay often prove offensive to them which nevertheless prove greatly beneficial to phlegmatick persons whose blood is colder and contains a great deal of Serum and a few active Elements Wherefore according to this two-fold state of the Diseased it seems fit for us to propose here a double method of Cure and two Classes of Medicines whereof this will do well to be given to cold paralyticks and the other to such as are hot In the former case for the removal of the procatarctick Cause after a Vomit and a Purge duely ordered I advise to be prescribed according to the following forms Take Conserve of the leaves of Garden Scurvy-grass and of Rochet made with an equal part of Sugar of each three ounces Ginger condited in the Indies an ounce the yellow coats of Oranges and Limons preserv'd of each six drams powder of the Claws and Eyes of Crabs of each four Scruples species diambroe two drams winters-bark a dram and a half roots of Zedoary the lesser Galingal Cubebs the seeds of Garden-cresses rochet of each a dram Spirit of Scurvy-grass and of Lavender of each two drams Syrup of the conditure of Ginger what suffices make an Electuary Let the quantity of a Walnut be taken at eight a clock in the Morning and at five in the Afternoon drinking after it a pound of the following decoction or six ounces of the Tincture of Coffee with the Leaves of Sage boyled in it or three ounces of Viper-wine Take Raspings of Guaiacum six ounces Sarzaparilla Sassafras of each four ounces red and yellow Saunders shavings of Ivory and Harts-horn of each half an ounce infuse them according to art and boyle them in sixteen pounds of fountain-Water to a half adding Crude Antimony powdred and tyed in a Nodulus four ounces roots of Calamus Aromaticus the lesser Galingal of each half an ounce Florentine Orris an ounce Cardamum six drams Coriander seeds half an ounce six Dates make a Decoction and let it be used for ordinary drink Going to Bed and early in the Morning let a dose be taken either of the Spirit of Soot or of Harts-horn of Sal Armoniack succinated of Blood c. with three ounces of the following distilled Water Take of the Leaves or Roots of Aron a pound Leaves of Garden Scurvy-grass the greater Rochet Rosemary Sage Savory Time four handfuls Flowers of Lavender three handfuls the outward rinds of ten Oranges and six Limons Winters bark three Ounces Roots of the lesser Galingal Calamus Aromaticus Florentine Orris of each two ounces Cubebs Cloves Nutmegs of each an ounce all being slic'd and bridsed pour to them of White-wine and Brunswick Beer of each four pounds let them be distilled with common Organs and let the whole Liquour be mixt Sometimes instead of the Electuary for fifteen or twenty dayes let a dose of the Tincture of Sulphur terebinthinated or the Tincture of Antimony or of Amber sometimes also let the Elixir Proprietatis or of Peony be taken in a spoonful of the distilled Water drinking after it three ounces of the same Sometimes also let the
frequent access of it often begets a disposition to a Carus Apoplexy or Palsey This affect as often as it seems safe does not require a Cure for the Fit soon and easily passes off but because some whose Brain is weak and lax and whose animal Spirits being too dissipable are apt to a flight and confusion being troubled on any light occasion are wont presently to act or speak delirously therefore there is need of Physick for these tho not of Hellebore but of Cephalick Remedies for corroborating the Brain and fortifying it against the incursions of the morbifick Matter also for strengthning the animal Spirits and rendring them more fixt and stronger to resist We have given the Forms and wayes of Administration of these Medicines before they being profitable for removing the Procatarxis of any other Cephalick Disease A Delirium hapning upon continual and malignant Fevers requires a peculiar way of cure for it particularly indicates that the morbifick matter dangerously convey'd toward the Head ought to be revuls'd thence some way or other for which end let Vesicatories be applied to the Neck Plaisters or Cataplasms or the Flesh or warm Viscera of Animals to the Feet Inwardly let Temperate Cephalicks be given as Powders of Coral and Pearl the Waters of Black Cherries of the flowers of Cowslips and Poppies and other things refreshing and soothing the Spirits These things being thus premitted concerning the first and lightest manner of Raving let us ascend to a higher degree of it viz. the Frenzy which is far greater and more durable than the former affect In a Delirium the perturbation rais'd in the Spirits residing in the Brain seems like an undulation of Waters in a River upon throwing in a stone but in a Phrensy their commotion seems as the troublous motion of the Sea-waves raging upon a tempest The Phrensy is defin'd That it is a continual raving or a depravation of the chief faculties of the Brain arising from an inflammation of the Meninges with a continual Fever With this Disease another allied to it is rank'd viz. the Paraphrenesis and its cause is said to be not the Inflammation of the Membranes that cover the Brain but of the Diaphragm moreover in both affects the Fever as tho it were only symptomatical is said as also in the Pleurisie tho falsely to arise from the same Conjunct Cause viz. a Phlegmon of some Part but that the Phrensy rather succeeds the Fever both Hippocrates heretofore and now every Vulgar Person observes and that it is produc'd because the boyling Blood conveys its adust recrements to the Head viz. forasmuch as the Urine of a Feverish Person being changed from being troubled and thick to be thin and watery indicates an imminent Phrensy of which affect therefore the cause is gathered to be the removal of the febrile matter into the Brain But as to the Conjunct Causes of the Phrensy and Paraphrenitis it will be easie to shew that the former does not alwayes proceed from the inflammation of the Meninges and the latter never from that of the Septum in Anatomical Diffections I have commonly seen the Meninges nay sometimes also the outward circumference of the Brain beset with a Phlegmonous tumour but the diseas'd being not affected with a Phrensy but on the contrary with a drowsiness dyed of a Carus or other sleepy diseases And indeed Reason plainly dictates the thing to be thus for inflam'd Meninges and much more swollen greatly compress the Brain and stop the passages of the Spirits which causes a Lethargy whereas in a Phrensy the Spirits are dilated above measure the Pores of the Brain being all open'd tho it may happen by a long continuance of that Disease that the Blood being heaped together too much within the Veslels of the Meninges and there stagnating at length begets a Phlegmon in them but then we suspect for that cause by reason it frequently falls out so that the Phrensy passes into a Carus or Lethargy of which such as have the Phrensy often dye Nor do we less reject the inflammation of the Diaphragm which Galen with others have assign'd for the cause of the Paraphrenitis Anatomical observations plainly make out the contrary some time since opening the Body of a Girl dying of a sudden Leipothymia we found in the fleshy part of the Diaphragm a great Abscess with a bagg full of a gore and little bladders of Water yet she was never wont to be troubled with a delirium or phrensy And heretofore when we dissected the Body of a Renowned Person of the University who dyed of a bastard and long continued Pleurisie it manifestly appear'd that a great Abscess in the Pleura and intercostal Muscles being suppurated and broken inwardly had pour'd a mighty quantity of Pus into the cavity of the Thorax which corroding the subjacent Diaphragm had made a mighty hole in it and yet this Person in all his sickness had neither the Phrensy nor was delirous wherefore I judge that this affect is scarce ever produced by such a Cause but that opinion seems to have risen thence that oftentimes in a true Phrensy together with a continual Raving the motion of the Diaphragm is wont to be hindred or perverted as may be gathered from the uneven and difficult Respiration viz. sometimes being painful and suspended as it were sometimes thick and swiftly repeated with an Inspiration sometimes doubled which kind of symptoms and withall the alienation of the mind are said to proceed from the Septum being inflamed and therefore convuls'd wherefore the Ancients called the Diaphragm Phrenas tho they need not have done it if they had considered that all the action of the Diaphragm depends on the efflux of the animal Spirits from the Cerebellum and therefore if when the Phrenetick matter invades the Brain some part of it withall rushes into the Cerebellum besides the raving the motion also of the Septum tho in it self being without fault will be altered Therefore the formal nature of the Phrensy seems to consist in this that the animal Spirits being very much irritated chiefly in the whole brain are driven into disorderly very confused and withall impetuous Motions so that the acts of every animal Function are depraved and variously perverted the Ideas of things are confounded c. Moreover the Spirits not only in the Brain but likewise in the Cerebellum and every where in the Genus Nervosum being struck as it were with a rage fall in a tumult wherefore such as have the Phrensy do not only speak ravingly but breath unevenly cry out beat their Fists throw their Hands and Feet and exert all their Members with a mighty strength and force that really the whole Soul seems furiously to fret and rage in the whole Body or rather being set on fire as it were to be all in a flame and indeed the Phrensy cannot be more aptly defin'd than that it is a Phlogosis or inflammation of the whole sensitive Soul or of the animal
sometimes it being often needful Wherefore we must take a great care lest whilst we go about to eradicate the Discase by Purging and frequent Bleeding we on a sudden weaken the Vital function if this begins to waver neglecting the Frensy and allowing a more nourishable Food we must cheifly use Cardiacks Take Tincture of Coral half an ounce let twenty grains be taken twice or thrice a day with a dose of a Cephalick or cordial Julep or let the milkly solution of Coral made with the Juice of Oranges be given to a spoonful often in a day Take Rob or Conserve of Rasberryes and Barberryes an ounce Pearl prepared Magistery of Coral of each a dram Confection of Hyacinth two drams Syrup of the Juice of Kermes what suffises make a Confection let the quantity of a Nutmeg be taken three or four times a day drinking after of the following Julep three ounces Take Waters of the Flowers of Nymphaea red Roses and of the Leaves of Medow-sweet of each three ounces Syrup of Coral two ounces Aqua Cordialis Saxoniae a dram mix them Take Conserve of the Flowers of Nymphaea of Violets of each an ounce Lettice Stems condited half an ounce Powder of red Coral ground on a Marble with the Juice of Oranges and dryed two drams Species Diamargariti frigidi a dram white Poppey Seeds a dram and a half with a sufficient quantity of Syrup of the Juice of Wood-sorrel make an Electuary let the quantity of a Nutmeg be taken often in a day In the Phrensy not only the Belly but likewise the Bladder when unmindful of its Office ought frequently to be moved or irritated to it Wherefore the diseased are to be admonisht and a Chamber-pot being presented to be entreated to make water which if they do not obey Let the Region of the Share be fomented with a Decoctionof Pellitory of the Wall Elder Flowers the Seeds of Parsly and wild Carrots with a Spunge and after the Fomentation let it be anointed with Oyle of Scorpions and Vnguentum Dialthaea in a long Suppression of Vrine you must put a wax Candle into the Vrethra So many and so various Cases and Stories of Persons troubled with the Frensy are written by Hippocrates in lib. Epidem that it may seem to little purpose to add others here especially because it would be a thing of an immense Labour and Tediousness to relate the various Conditions and Gestures of Franticks mean while as to the event of the Disease no great diversity occurs For for the most part either the Fever being determined the Frensy ceases by degrees or that having no Crisis or an ill one either death or a long raving ensues Nevertheless for the Illustration of our Hypothesis concerning the Inflammation of the Spirits I shall here set before you one rare instance Soime time since I was called to cure a robust Maid servant who being in a Fever and very much distracted was continually kept bound in her Bed to this Person I ordered Blood to be drawn in a plentiful manner and afterward the blooding to be repeated the Belly to be frequently loosned by a Clyster and all other Administrations usual in this case to be performed in order mean while I gave her Emuslions Juleps Hypnoticks but these doing little or no good she continued still for seven or eight dayes without Sleep and extreamly raving howling and crying out contintually for cold Drink wherefore it being allowed her to drink her fill of cold Water she became not at all the more appeased or less dry Therefore it being Summer I ordered that in the midst of the night being taken up by Women and led forth she should be put into a Boat then her Cloaths being taken off and the Cords with which she was bound being untyed she should be dipt in the deepest part of the River only a Cord being bound about her middle to keep her from drowning but there was no need of that support for she swam of her own accord almost as well as a man that had well learned after the third or fourth part of an hour she was taken out of the Water sound and sober then being put to bed she slept and sweated freely and afterward grew well without any other Remedy This Cure hapned so suddenly and successfully in as much as the excesses both of the vital and animal flame being increased to a vast height together were taken away by the proper Remedy of an intense Fire viz. a Humectation and Infrigidation CHAP. X. Instructions and Prescripts for the curing of Melancholy AS the Frensie arises from the burning of the animal Spirits or from the inflammation of their Substance so other affects of raving proceed from their Substance being altered after other manners and its being changed from its genuine disposition viz. spirituo-saline into an acetous or sharp nature resembling aqua stygia or into a flatness or deadness which therefore are either Melancholly or a Mania or Madness or a Morosis or fatuity of which we shall now speak ion order and in the first place of Melancholy Melancholy is commonly defined a Raving without a Fever or Fury joyn'd with fear and sadness whence it follows to be a complicated affect of the Brain and Heart for that melancholick Persons rave it proceeds from the fault of the Brain and the disorder of the animal Spirits residing in it but that they are sad and timorous this is attributed to the Passion of the Heart There are various and sundry kinds of the Imagination'sbeing depraved in Melancholly concerning which we may observe in general that the affected either rave concerning all things or at leaswise concerning most so that they pass a right judgment in a manner concerning no subject or they imagine amiss only in one or two particular cases but of most others form notions not altogether absurd First we shall enquire concerning this affect as it is more Universal how the Imagination is prevaricated concerning most things to wit for what Causes and with what difference of Symptoms this is wont to be done afterward we shall speak of the particular raving Tho the delirous affect of universal Melancholy contains manifold symptoms yet they consist chiefly in these three things first that the affected are almost continually occupied in thinking so that their Fancy is scarce ever idle and at rest Secondly in thinking they comprehend fewer things in their mind than they were wont before so that they often roul in their mind the same Object day and night being nothing follicitous of other things which sometimes are of far greater moment Thirdly the Ideas of Objects or Conceptions appear often deform'd and like frightful Apparitions as it were and they are alwayes represented in a greater Species so that every small thing seems to them great and most difficult and by reason of this horrid and unusual appearance the Image once conceived is not easily nor soon let go The Indisposition of the animal Spirits in this
manner in any sorts of Distractions the reason of this partly consists herein that the viscous load of the Ventricle which as we have shewn elsewhere greatly oppresses the mind being cleans'd forth the Spirits thereupon being more free expand themselves more vigorously and cheerfully Moreover in as much as vomiting compresses and evacuates the neighbouring Receptacles of the Humours to wit the Gall-bladder the Ductus of the Pancreas and the Glands of the Mesentery it keeps their Contents from being conveyed to the Head Vomits Take Oxymel of Squills an ounce and a half wine of Squils an ounce Syrup of Tobacco two drams mix them make a Vomitory if it works not at all or slowly let a Vomit be rais'd by a free drinking of Posset-drink having the leaves of Carduus boyl'd in it Take of the decoction of the middle bark of Elder four ounces Salt of Vitriol from one scruple to two scruples Oxymel simple three drams mix them let it be taken after the same manner To strong and well set People give the Infusion of Crocus Metallorum or Mercurius vitae also the Emetick Tartar of Mynsicht or Sulphur of Antimony Take roots of Polypody of the Oak half an ounce Epithymum three drams Senna half an ounce Tamarinds six drams Coriander-seeds three drams yellow Saunders two drams let them boyl in fourteen ounces of Fountain-water to ten ounces adding Agarick two drams Rhubarb a dram and a half to the clarified straining add of the purging Syrup of Apples two ounces let six ounces be taken repeating it within three or four dayes Take choice Senna three drams Epithymum Rhubarb of each a dram and a half yellow Saunders half a dram Corinader-seeds two scruples Salt of Wormwood half a dram Celtick Spike a scruple let there be a close Infusion for a Night in White-wine and water of Apples of each four ounces to five ounces of the clear straining add Syrup of Epithymum six drams Aqua mirabilis two drams mix them make a potion In Bodyes hard to be wrought on let there be added to these fibres of black Hellebore macerated in Vinegar a dram or two Those who like better Pills Powders Bolus's or Syrups may use the following Take Quercitan's Pills of Tartar or Crato's Pills of Amber half a dram Rosin of Jalap or Scamony six or eight grains Tartar vitriolate half a scruple Ammoniacum dissolved in Aqua mirabilis what suffices make pills let four be taken going to bed and unless they work first one the next morning Take Calomelanos extract of black Hellebore of each a scruple Resin of Jalap six grains Ammoniacum dissolved what suffices make four Pills let them be taken with governance The Powder call'd Haly is greatly commended by Valescus de Tarenta Pereda and others And indeed in rustick or robust Bodies this seems a pretty fit Cathartick Take Epithymum half an ounce Agarick Lapis Lazuli of each three drams Scammony a dram Cloves in number thirty make a Powder the dese is from half a dram to a dram Take Pulvis Diacennae Diaturbith with Rhubarb of each half a dram make a powder let it be taken in a draught of posset-drink or in a single decoction of Epithymum to four or five scruples Take choice Senna two ounces roots of Polipody of the Oak two ounces Epithymum an ounce and a half yellow Saunders half an ounce Tamarinds an ounce Coriander-seeds six drams let them boyl in four pounds of Barnet-water to an half strain it and let it evaporate by a bath heat to the consistency of a Syrup adding towards the end pure Manna double refin'd Sugar of each four ounces make a Syrup the dose is stwo or three spoonfuls in three ounces of a convenient distill'd water or in any other Liuqor Or Take of the same Liquor evaporated to the consistency of Honey six ounces fresh Cassia four ounces pulp of Corinths two ounces Cream of Tartar Salt of Wormwood of each a dram and a half pulvis Diasennae two drams yellow Saunders powdred three drams mix them make an Electuary the dose is from three drams to half an ounce Catharticks must not be used without intermission nro too frequently but let it suffice to give them within six or seven dayes and at other times let the belly if it be bound be loosened by Clysters as to what regards other Medicines which do not evacuate tho the Ancients plac'd the least we put the greatnest stress of the Cure in them for they with whom also many Moderns accord concluded that there was nothing more to be done for curing Melancholy than to purge forth the atrabilarious Humour Wherefore making purging the thing of chiefest moment they ordered the rest of Pharmacy called by them preparatory only for the sake of this directing thus their intentions that as soon as the Humour was brought to a fit consistency by altering Medicines and the wayes made open enough for its excretion then to carry it forth by Catharticks which kind of hypothesis seems not to agree with Reason or Physical Experience to wit in as much as melancholy Persons after a frequent purging how methodically soever ordered receive rather an injury than a relief Therefore we placing the cause of this Disease in the dyscrasies of the Blood and Spirits and in the weakness or ill conformation of the Brain or Viscera put alteratives and corroboratives in the first rank of Medicines and sometimes interlace Catharticks only for the sake of these Purging therefore being prescribed for the due removal of Impediments and at due intervals of time as to the rest you may proceed after this manner Take Conserve of Clove-gilliflowers and Borage flowers of each two ounces and a half myrobalan rinds condited six drams Coral prepar'd Pearl of each a dram and a half Ivory Crabs-eyes of each a dram Confection of Hyacinth two drams Syrup of Coral or red poppyes what suffices make an Electuary let two drams be taken morning and evening drinking after it three ounces of the following Julep or distill'd water Take water of cowslip-Cowslip-flowers and of Black-cherries of each six ounces of Bawm four ounces Dr. Stevens's Water two ounces Sugar six drams mix them make a Julep Take leaves of Bawm Borage Bugloss Fumitory Water-cresses Brooklimes of each four handfuls Clove-gilliflowers flowers of Marigolds Borage Cowslips of each three handfuls the outward coats of six Oranges ' and four Lemmons being all sliced and bruis'd pour to them of Whey made with Cyder eight pounds distill them with common Organs let the whole Liquor be mixt Take powder of Pearl Ivory Coral prepar'd of each two drams Species loetificantis Diarrhod Abbatis of each a dram Oyl of Citron-pills half a scruple double refin'd Sugar dissolv'd and boyl'd to a consistency for Tablets in a sufficient quantity of Bawm-water six ounces make Tablets according to art weighing a dram let two or three be taken in the morning and at five of the clock in the afternoon drinking after it a draught of the distilled water
Colick they may sometimes be given with success in order to agentle Salivation Baths and Sudorificks are generally wont to be prescribed in Pains of the Colick tho as far as it has appear'd to our Observation seldom with good success for these by exagitating the Blood and nervous Humour make them depose more yet of Matter into the Minera of the Colick nay and make the Matter there deposed serment more and be more unruly and very seldom perfectly discuss it Diureticks are wont to be given much more advantageously by which in regard the Blood it fus'd and its Serosities are copiously precipitated thereby the Fuel of the Disease is cut off and the mass of Blood being emptied receives into it a part of the morbifick Matter so that the remainder of it is easily discust For this end Take Spirit of Tartar excellently rectified half an ounce let half a dram be given twice or thrice a day in a Spoonful of two of the following Julep drinking after it of the fame four or five Spoonfuls Take Water of the Leaves of the great Bur-dock or of Aron or Arsinart a pound Water of the flowers of Elder and Cammomil of each four ounces compound water of Gentian and compound Raddish water of each two ounces Sugar six drams mix them After the same manner as Spirit of Tartar you may give in a meet dose sometimes Tincture of Salt of Tartar sometimes Mixtura Simplex or Spirit of Sal Armoniack succinated Take Millepedes prepar'd two drams flowers of Sal Armoniack tartariz'd a dram Oyl of Nutmeggs half a scruple Turpentine what suffises make a mass let it be form'd into Pills let three or four be taken once or twice a day drinking after it a dose of the Julep or five or six spoonfuls of the following distilled Water Take fresh Millepedes cleansed a pound and a half the yellow Coats of six Oranges and of four Limons Nutmeggs in number six being slic'd small add to them Crum of stale white Bread a pound all being bruised together and well mix'd pour to them of fresh Milk four pounds Sack two pounds distill them according to Art let the whole Liquour be mixt and sweetned with Sugar or Syrup of Violets at pleasure In a long continued and obstinate Colick where there are a hot Temperament and Viscera purging Spaw-waters or Whey with Syrup of Viclets is often wont to be drank with great relief for both Liquours where they agree being drank in a plentiful manner cool the Stomack and hot Intestines and presently ease and relax them being contracted with Cramps and painful Corrugations or being convulsively extended with Flatus's Moreover whence I conceive they chiefly give help insinuating saline Particles of another Nature into the morbifick Minera they conquer and subdue the Saline and Irritative Particles residing in it and often carry them forth by purging In this Disease since all things do not agree with all Persons nay nor the same alwayes or a long while with the same Person there is need of the careful observation and daily advice of a prudent Physician that by coindications taken from things that do good good or hurt the method of Cure may be rightly ordered and now and then chang'd The Vital Indication ought to be joyn'd to the Curatory and be now and then interchangeably us'd with it for since the Diseased being almost continually affected with tortures watchings vomiting and abstinence often fall into faintings and are sometimes in danger of Life let Remedies which support the strength refresh the Spirits and procure certain times of truce against the Fits of the Disease viz. Cordials and Hypnoticks have their turns Take water of the Flowers of Camomil and Elder of each four ounces of Cinnamon hordeated of the whole Citron of each two ounces Pearl powdred a dram Sugar four drams make a Julep let five of six spoonfuls be taken now and then Take powder of Pearl Crabs-eyes of each a dram divide it into four parts let one part be given twice or thrice a day with the Julep or with the Decoction of the roots of Contrayerva Take Conserve of Clove-gilliflowers an ounce Confection of Hiacinth Alkermes of each two drams Pearl powdred a dram and a half Syrup of the Juyce of Citrons what suffices make a Confection let the quantity of a Nutmeg be given twice or thrice a day with a Julep In Constitutions that are not hot Spirit of Harts-horn of Soot of Sal Armoniack succinated also Tincture of Antimony or of Coral often do excellently well Opiats in the Cholick are of necessary Use without which the Diseased can neither live nor the Physicians be at any rest or quiet Take water of cowslip-Cowslip-flowers three ounces Syrup of Meconium half a dram Aqua mirabilis two drams mix them make a draught to be taken going to rest If the pain being very intense will not yield to such a Remedy you must give Preparations and Compositions of Opium Paracelsus's or the London Laudanum Pillul de Styrace or Cynoglosso are proper a Solution of Odium tartariz'd to sixteen or twenty drops is wont to be of chief use with me Which Medicine I have truely given to some Persons long and miserably troubled with this Disease sometimes for a long time one while every night another while every other night with good success 3. The Preservatory Indication having place only in the Intervals of the Fits endeavours the removal of the present Procatarxis of the Disease and the hindring of a future so that the Invasions of Pains may return seldom or never afterwards In order to these things the Blood and nervous Liquour ought to be purified and kept in a due Crasis that they do not engender a morbifick Matter and the Brain and nervous Plexus's of the Abdomen to be strengthned that they do not receive it too readily For these ends a way of dyer being ordered Spring and Fall let solemn Courses of Physick such as we have prescribed for the Prophylaxis of the Gout be entred upon Let Vomiting if it agrees never be omitted in this Case as by which the Emunctories of the Viscera being emptied they may more plentifully receive the Recrements of the Blood and nervous Liquour which would otherwise encrease the morbifick Matter And likewise that the nervous Plexus's and all the parts may be so shaken that nothing which would turn to a Minera of the Disease may be permitted to stagnate or be heap'd together there Let purging for three or four times by due Intervals also in a hot Constitution let blooding be used Moreover let altering Remedies and chiefly Chalybeats when the Person rests from purging be daily taken at physical Hours But above all other Medicines whatsoever Spaw-waters coming from Iron drank in the Summer time for a Month are wont to give most relief but when they are drank diligent care must be taken that they pass off well and quick by Urine or Seige least happily if they stay long in the Body by taking
and Thirst abated by degrees the Urine was less ruddy with somewhat of an Hypostasis afterward for three days the Fever leisurely declin'd yet he had every Night a certain Fit tho more remiss than before On the eleventh Day he sweated more freely and came to a perfect Crisis During the whole time of the sickness he used a very spare Diet as desiring no Food but small Ale and Whey made with it he took now and then cooling Drinks and Juleps of a Decoction of Barley and distill'd Waters every day if he had not a Motion to Stool of his own Accord an emollient Clyster was injected he used no Medicine beside viz. either Cathartick or Cardiack but the Fever being over he was twice purg'd and afterward soon grew well A young Student about twenty five Years of Age of a pale Countenance and a melancholy Temperament without a manifest Cause in August 1656. began to be sick first he complain'd of a feverish Distemper with a Thirst a spontaneous Lassitude and a want of Appetite On the second day he was troubled also with a Pain in the right side and a Distension of both Hypocondres also with an almost continual Vomiting Watchings and a violent Head-ach On the third day a Physician being called presently twelve Ounces of Blood were taken away in the Evening he grew hotter and delirious afterward a Sweat tho small hapning he was better the next Morning On the fourth day he presently threw up again whatsoever was given him and was troubled with an almost continual striving to vomit the giving of a Vomitory being propos'd by the Physician both the sick Person and his Friends refused to admit of it being taught by Experience of the Danger of it before a Clyster being given him he had six Stools and seem'd to be somewhat relieved and the Night following he slept a little On the fifth day again there was a frequent Vomiting with a continual Thirst he burned inwardly but the sense of that immoderate Heat was not perceivable outwardly to the Touch because the Recrements of the boyling Blood which ought to have breath'd forth through the skin seemed to stagnate within and so float the Viscera therefore in the Evening for provoking a Sweat this Bolus was given Conserve of Roses vitriolated a dram Gascoins Powder a Scruple Laudanum dissolv'd in Bawm Water a Grain That Night he slept indifferently and a copious Sweat ensuing the Symptoms seem'd to be mitigated nevertheless on the sixth day all things grew bad again a Heat throughout the whole Body a Thirst and a burning of the Praecordia prest violently On the seventh and eighth days the Pulse was uneven and disorderly for the most part he spoke delirous and if he was stirr'd in his Bed he fell frequently into a fainting Fit On the ninth Day the same Symptoms continued moreover he was troubled with a Contraction of the Tendons in the Wrists and with Convulsive Motions of other Parts so that we despaired in a manner of his well-doing That Morning because Nature seemed to yield her self overcome it concerned us to do what Art could afford wherefore intending a copious Sweat as the last Refuge I gave him at one taking a Dram of Spirit of Hart-born in a little Draught of a Cordial Julep from thenceforward for four Hours being very restless and raving he could scarce be kept in Bed but afterward Sleep stealing upon him he sweated very much and his Case was soon brought to be out of danger the following Night in order to continue the Sweat I ordered a Dose of the Powder of Contrayerva to be given him every six Hours The Fever and the Affects of the Genus Nervosum ceas'd in a short time and the sick Person recovered A Woman about thirty Years of Age of a robust Body and a melancholy Temperament as we might guess from her very austere way of Behaviour in the third Month after Child-birth as she gave her Infant suck in the Night the Cloaths falling from her took Cold and shortly upon it fell into a cold Shivering a Heat greater than usual followed it which afterward a gentle Sweat arising soon remitted On the second and third days she was very thirsty and had no Appetite tho without any immoderate Burning that she scarce yet believed her self in a Fever every Night she lay quiet but wholly without Sleep the Urine was intensly ruddly and somewhat thick and opake through the multitude of contents which nevertheless being not disturbed by the cold continued still after the same manner without an flypostasis or subfiding of the parts on the fourth day the heat was kindled throughout the whole wherefore a Physician being then first called about twelve ounces of Blood were taken from the Arm after the letting Blood and the Belly being copiously emptyed the same day by a Clyster given in the Evening she fell into a Sweat by which Nevertheless being not relieved she past the Night without Sleep as before tho an Anodyne Medicine were given her on the fifth day after a Clyster injected she had three stools and found ease the Urine still continued the same ruddy and troubled when it was prescribed her to have Blood taken from the Vein running under the Knee the Diseased earnestly refused it thinking herself upon a Recovery the Night following after that she had lain without Sleep and restless for a long time at length she fell into a sore fit such as is vulgarly said to be Hysterical and in the first place she was affected with a certain Numness or a Sense of pricking which seised the extream parts of the Body especially the Feet Leggs and Thighs and withall with a Flatus violently distending the Intestines Ventricle and Hypochondres she selt in the lower part of her Belly a certain great and heavy things as it were to rise up gently which when it was risen to the Heart and thence to the Brain presently the Diseased failed in her Understanding and for all the Night afterward lay delirous and talkt light-headed on the sixth day after the Belly 's being loosned by a Clyster she came to her self again was very sound in her Mind and seemed to be indifferently well but in the Evening as she was moved in her bed she began to feel an invasion of such a kind of fit as before to wit in her whole Body she had a sense of Pricking as tho she were stung with Nettles and withall in her Belly she felt a Ball as it were which creeping upwards distended the intestines and Ventricle so that store of Flatus'd and Belchings were thence caused for relief she desired cold Water might be given her to drink moreover Remedies usual in Hysterick Affects as Castoreum a smell of Assafetida Fumes of Feathers burnt Ligatures and Frictions of the Legs and Thighs and the like things were used by which she seemed for the present free from the said affect and was wholly cleared from it for four hours but as she lay
be given for I have diligently observ'd that an over-hasty eating of Flesh or of a rich Food has oftentimes brought these Fevers For Women in Child-bed ought to be managed not only as Persons sorely woulded but as having gotten a feverish Indisposition from a troubled Crasis and Distemperature of the Blood for in them the Blood being for a long time too much exalted and inspired with an impure Miasm presently upon the Access of any sulphureous Fuel takes a light Flame The second Care after Diet must be that the Pores be not clos'd or the Lochia stopt upon the unwary Admission of an outward Cold for upon the lightest occasion the way of the Transpiration being chang'd the Blood before fermenting falls into Disorders also the Womb being touch'd with the breath of the Air contracts it self and closes the Mouths of the Vessels that the Lochia do not flow wherefore in any wise Women ought to be kept in Bed five days after Child-bearing I know its the vulgar way to take Women out of Bed the third day but I have known many to have fall'n into Fevers thereby and in truth if we will have Child-bearing Women secure from danger the safest way will be to keep them in Bed longer There remains a third Scope concerning Preservation that in Women in Child-bed by giving somewhat gently to stir the Blood we continue a flowing of the Lochia for this end Midwives are wont if at any time after a difficult Child-birth that Evil be fear'd to give Sperma coeti Powder of Irish Slate or Saffron steep'd with White-wine moreover to prepare Broths that they may fuse the Blood more of Water mixed with White or Rhenish Wine in which or also in Whey they boyl Mary gold-gold-flowers Penny Royal or Mugwort There are a great many other kinds of Administrations in use for Women in Child-bed which I willingly pass by as being valgarly known The Cure of the Fever following Child-birth far differs from the Method used in Putrids for in that it is not to be expected that the Blood being struck with a Febrile Burning should burn on by degrees and then should subdue the adust Recrements heap'd together by degrees in its Bosom and should separate the same by a Crisis but rather as is best done in a malignant assoon as the Blood boyls immoderately it is good to exagitate it and to send forth its haeterogeneous and impure Mixtures by Remedies gently promoting Sweat wherefore it is usual among the Vulgar and that not amiss to give presently Sudorificks to Women in Child-bed that are feverish by this means the Blood being eventilated its Effervescence is appeased also by reason of its Agitation the Lochia apt to be restrained are stimulated to a flowing It is much disputed among Authors whence the Beginnings of these kinds of Fevers ought to be computed to wit Whether from the Birth it self or from the first Sense of the Feverishness but it little matters whether it be concluded this way or that for since this Fever does not justly observe the wonted Stages of Putrids nor is to have a Crisis nor at all admits the use of a Cathartick Remedy there is no cause for us to be any ways sollicitous concerning its Period or Mensuration as to days but it will be only useful for us to distinguish concerning its curative Indications of what things are to be done in the Beginning Encrease and End of this Disease what also we ought to attempt while the Strength holds somewhat good and what in the same being depressed and greatly dejected When therefore any Woman brought to Bed is first affected with this Fever whose Invasion is distinguished from the Lacteal because it begins for the most part with a cold Shivering presently we must endeavour that the Fewel be plentifully withdrawn from the burning Blood and as I have advised above let the Flesh of Animals or Broths made of the same be wholly forbidden for these fix the Blood and constipate it too much and hinder its purging which is very necessary both by the Lochia and by cutaneous Transpiration and rather tho the Fever be pressing let Decoctions Powders and Confections be given of moderately hot things of this kind as I said before are the Decoctions or distilled Waters of the Flowers of Marygolds of the Leaves of Penny-royal of Mugwort of the Roots of Scorzonera also bezoartick Powders Spirit of Harts-horn the fixed Salts of Herbs c. If the Lochia are stopt we must try all ways to move them to flow again for promoting these Frictions conduce and Ligatures about the Thighs and Legs also in the Soles of the Feet sometimes cupping Glasses or Vesicatories about the Thighs or Hips also in the Soles of the Feet sometimes also Blooding in the Ancle is good mean while let a Fomentation of an hysterick Decoction be applyed about the Share or let a Weathers Caul taken forth warm be laid on the lower Part of the Belly it has been found by Experience that Pessaries and uterine Injections have sometime done good if the Belly be costive let it be gently loos'ned by the Violet Suppository or an emollient Clyster We must beware of a too strong Irritation because it is known that in Child-bed the Strength is suddenly cast down with a Swooning by a copious Purging even as in a Malignant Fever If at any time with a Suppression of the Lochia there be a mighty Perturbation of the Blood with a Vomiting a Thirst and Watchings I have often known Laudanum mix'd with Saffron given with good Success Instead of a cooling Julep this kind of Mixture may be proper viz. Take Water of Penny-royal and of Bawm of each three ounces Histerick-water two ounces Syrup of Mugwort an ounce and a half Tincture of Saffron two drams Castoreum tyed in a Rag and hung in the Glass a Scruple Mix them Let three or four Spoonfuls of this be taken divers times in a day 2. If notwithstanding the use of these kinds of Remedies the Fever still grows worse and is increased by degrees with a worse Apparatus of Symptoms so that besides the Disorders of the Blood the Brain and nervous Parts begin to be affected Medicines tho a great many of them of every kind are tryed oftentimes can do nothing nay in this ease the Indications are in a manner coincident with those that are to be made use of in the Plague it self for the Lochia being a good while supprest they cannot easily or searce at all be brought again in a great Confusion of the Blood and Humours therefore it is good quickly to raise a Sweat to wit That the Corruptions made in the Blood and nervous Juice and restagnating from the Womb may in some sort be sent forth by Sweat and insensible Transpiration wherefore here Bezoartck Powders and Confections Spirit of Harts-horn or of Soot Tinctures of Coral or of Pearl conduce I have sometimes seen that by the help of these kinds of Medicines in a desperate
but during the Interval of Fits for while the Blood violently ferments or is resolved into a Sweat Nature ought not to be diverted from its Works begun nor its Attempts be disturbed by the Prescripts of Physicians wherefore after the Access is over and the Sweat entirely ended let a Purging be ordered by a gentle Cathartick and let the same afterward be sometimes repeated on the like occasion for by this Method not only the store of the excrementitious Matter is withdrawn from the first Passages but especially the Choler-Vessels being emptied the Bile is plentifully drawn from the Mass of Blood and thereby the Blood is restor'd toward its natural Crasis Let Blooding if it be indicated be put in Practise from the beginning for so its Liquor growing too turgid is eventilated whereby it both less perverts the nutritive Juice and when the Fit presses it burns with a more mild Blast together with the morbifick Matter but otherwise if after a long Sickness a Vein be opened when the Blood being depauperated and rendred watery has heaped together more of morbifick Matter and does not duely concoct it and purge it forth much is drawn from the Strength of Nature from the Power of the Disease nothing In the Interval of the Accesses when Blooding nor Purging may not be admitted let the Belly be kept soluble by a constant use of Clysters also let digestive Remedies of acetous or saline Liquors and Powders be giv'n such as Cream of Tartar the fixt Salts of Herbs Tartar Vitriolate burnt Harts-horn Spirit of Vitriol and of Salt c. for these restore the Ferments of the Viscera lost or grown sluggish depurate the Blood by fusing it also separate and as it were precipitate the morbifick Matter also at this time if obstinate Watchings chance to prove infesting and impair the Strength of the Diseased we may interlace Anodyne and gently Narcotick Remedies but by no means give them in the Access for then they greatly hinder the subduing and secretion of the febrile Matter and prolong the Fit which would sooner end So far concerning what is to be done in the Intervals of the Fits but in the Fit tho the Diseased then chiefly send for and call upon Physicians yet their Prescripts at this time are limited within a narrow Scope if a Vomiting tho an Emetick be giv'n before be still infesting let it be freely promoted by Posset-Drink either simple or with bitter Herbs boyled in it but let the chief way of the Cure be in qualifying the Heat and Drought which are wont to torture severely the Diseased in this Fever for whilst the Blood fermenting with the morbifick Matter and being kindled in the Heart springs into the Lungs it raises there a most violent Inflammation which requires a pouring on of cold Water as it were for extinguishing a Flame wherefore they desire to be pouring in Drink without measure without which the Diseased faint through the too much burning and in a manner all their Blood being rarefied as it were into a Flame and a Smoak does not easily continue the thread of Circulation wherefore Drink by all means ought to be granted to those that are in the Fever which nevertheless if it be pour'd in in too great a quantity first it exagitates more the boyling Blood and again brings a Confusion of the febrile Matter began to be separated that thereby the Work of subduing and Secretion is longer protracted and the Fit is made longer moreover a great pouring in of Drink proves offensive to the Stomach and by troubling it and often by raising a Vomit hinders Transpiration and calls in a Sweat breaking forth or haply already broken forth wherefore when the Heat of the Fever is first kindled let the Diseased tho very dry drink only by sipping and what they may let them refrain it afterward when the burnt and subdued Matter begins to be sent off by Sweat let them more freely gratifie themselves with it for so the Sweating is greatly promoted and the Fit is sooner over as to the nature of the Drink sometimes let Posset Drink sometimes small Ale or Barley Water be given sometimes Fountain Water either alone or sharpen'd a little with the Juice of Limons in this case the use of Sal Prunella is justly commended given in any Liquor for this by its Nitrosity wonderfully restrains the boyling Blood and powerfully moves Sweat I have often observ'd in the middle of the Fit that the Diseas'd have fall'n into a Fainting or a Swoon where the Cordials and hot Liquors which are wont presently to be pour'd in very much increase the Violence of the Fever and cause greater Troubles than usual that the Fit is more difficultly ended but these Swoonings for the most part happen either from the bilous Humour sent into the Ventricle or by reason of a Sweat broken off abruptly and against these I have always found the most present Remedy that either a Feather being put in the Throat a Vomit be promoted or that a thin Liquor being drank in a plentiful Measure the Sweat be again rais'd and in the whole Course of this Fever I am wont to give no Cordials or Alexipharmicks A Diet in this Fever only thin and not rich ought to be ordered let all Food prepar'd of the Flesh of Animals be wholly shunn'd for these abounding with Sulphur plentifully afford a Fuel to the boyling or kindled Blood as Oyl pour'd on a Flame moreover let nothing spirituous as hot Waters strong Ale or Wine be allowed but let Oat or Barley Decoctions or Broths altered with cooling Herbs be chiefly used also let Posset Drink small Ale or Whey be drank by the Diseased at Pleasure for since by this Means a very thin and watery nutritive Juyce is conveyed to the Mass of Blood the resolved Particles of the Sulphur are burnt off sooner and with less Tumult also the Recrements of the adust Matter are more readily sent forth from the Mass of Blood but if on the contrary a rich and plentiful Nourishment be used the Effervescence of the Blood is thereby much encreas'd and the Blood is more infected with the Mixture of an adust Matter When after frequent Fits the Blood being much burnt off and the Fever being in its declining State has remitted of its Fervour and Fierceness Care must be taken that the Diseased while upon their Recovery do not fall into a Cachexia or Scorbutick Affect for the Crasis of the Viscera being injured and the Blood being very much depauperated the nutritive Juice tho it be not scorch'd as before yet is not duely concocted and maturated into a perfect Blood but through defect of a Pneumatosis serous Excrements imbued with a fixt Salt are very much heap'd together and sometimes being fixt in the Viscera sometimes in the extream Parts bring forth various Affects Wherefore in a long continued languor of the Diseased or otherwise in order to a quicker Recovery let Remedies be given which volatize the Blood
viz. such as are prepared of Tartar Sulphur the fixt Salts of Herbs of burnt Harts-horn also of the Claws or Eyes of Crabs For Example Take Cream of Tartar three drams Salt of Wormwood a dram and half the Dose is half a dram in an aperient Decoction twice a day out of the Fit Or Take Cream of Tartar two drams Powder of Crabs-eyes a dram Nitre purified half a dram mix them let it be giv'n after the same manner Or Take burnt Harts-horn two drams Spirit of Vitriol as much as the Powder will receive by imbibing the dose is a Scruple It is of excellent use when those that are in the Fever are troubled with Worms These kinds of Remedies promote the Secretion of the febrile Matter and restore the almost lost Ferments of the Blood and Viscera The second Intent to wit the due Management of the Diseas'd in the Fits comprehends many things first a neat Form of Dyet ought to be ordered that a large heaping together of the degenerate Juyce for a Matter for the Fit may be hindred wherefore let the Diseased feed only on a thin Food let them wholly abstain from Flesh or Broth made of it from Eggs generous Wine and all rich Fare being content only with Barley or Oat Broths Panada Whey and small Ale in regard a more plentiful Dyet is not concocted or assimilated but it oppresses the Stomach and being mixt with the Blood it troubles its Liquour and forces it to boyl vehemently as the Fit comes on and during the while it lasts unless it be for quenching Thirst let no Food be taken but for qualifying the Heat and Drought cooling Juleps and Decoctions and especially small Ale and Whey ought to be allowed Secondly a little before the feverish Access is expected let a gentle Medicine be given which either may keep off the Fit by preventing it or may render it easie by procuring an easie Sweat For this Use the febrifuge Potion of the Learned Riverius does well made of Carduus Water with Oyl of Sulphur and Salt of Wormwood Or take Cream of Tartar Salt of Wormwood Nettle Seeds of each a Scruple let it be given in a Decoction of the Roots of Sorrel When the Fever begins to decline and the Fits are a little more remiss Febrifuge Epithemes outwardly apply'd often stop the febrile Accesses tho in the mean while as long as the Fits return let the Diseased be so managed that every Access the feverish Matter heap'd together in the Blood may be wholly blown off wherefore when a Sweat happens with difficulty let it be a little raised with temperate Medicines also let the Diseas'd be kept in Bed with a gentle Sweat for many hours nor let them be permitted to rise too soon for I have often observ'd that the Diseased have still grown worse because being impatient of lying in Bed they put on their Cloaths before the watery Effluvia were exhal'd enough Thirdly as to the Symptoms and particular Accidents with which the Diseased are wont to be troubled in this Fever a great many of them are sufficiently provided against with the Remedies and Method of Cure hitherto deliver'd against the Thirst Burning the Roughness of the Mouth and Tongue Vomitings the Loosness a Swooning or danger of Fainting the Prescripts commonly used in other Fevers may aptly enough be transferr'd hither But the Things which in this Disease seem to require a peculiar Method of Healing are chiefly the Affects of the Head and Brain with the Genus Nervosum by which unless seasonably obviated the Diseased are soon brought into a great danger of Life Concerning these kinds of Evils of the Head the Indications are of two kinds If it appears by a Drowsiness a Sleepiness a Vertigo or a Head-ach that the nervous Juyce is too dull and as it were vapid and therefore that it does not vigorously enough actuate the Brain and nervous Bodies besides the Remedies above deliver'd and especially the Vesicatories Medicines full of a volatile Salt excellently conduce in this Case wherefore Spirit of Harts-horn of Blood also the Salts of the same are of excellent Use but if the nervous Liquor be too sharp or the Effluvia sent from the boyling Blood drive the Animal Spirits into Distractions those kinds of Remedies of volatile Salt are given with benefit in somewhat a less quantity Moreover a frequent Letting Blood and Medicines allaying its fervour do good as Emulsions Whey pure Water plentifully drank let Opiates be used in this Fever with great Caution for the Frenzy appeas'd by them is oftentimes chang'd into a Lethargy or a deep Stupor FINIS THE TABLE A. AChes in the Head see Headach Ach in the Belly see Belly Aches or Pains in the Limbs hapning by Night their cure p. 361. Ague see Fever Alexipharmicks see Cordials Anasarca its Description p. 167. Whence it proceeds ibid. The least dangerous of Dropsies ibid. The two chief Scopes of curing it ibid. Hydragogue Medicines of good use in curing it p. 168. How Catharticks work in this Disease ibid. Lixivial Medicines the best Diureticks in this Disease p. 169. Some Praescripts of them ib. Diaphoreticks of use when the swelling begins to abate p. 170. A Praescript of them ib. p. 171. Outward Administrations to be used in this Disease ib. p. 172 173. Medicines for Preservation against this Disease p. 174 175. An Instance of a Person falling into this Disease and recover'd of it p. 176. Antidotes see Cordials Apoplexy where seated p. 420. What the Word Apoplexy imports p. 421. Two kinds of it ib. The various Invasions of the Apoplexy and the causes of them ib. p. 422. The Subject of this Disease ib. Its Prognosticks ib. p. 423. The Therapeutick Method for removing the Fit ib. p. 424. The prophylactick or preservatory method with Praescripts of Medicines p. 425 426. Instances of Persons seis'd with the Apoplexy ib. p. 427. Ascites its Description and whence it proceeds p. 150. what to be considered in order to its Cure ib. Catharticks often do well in it p. 151. An Enumeration of hydragogue Emeticks and Purgers and Prescripts of them ib. p. 152 153 154 155. Diureticks when proper in an Ascites ib. p. 156. What Diureticks proper ib. Diaphoreticks of little or no use in an Ascites p. 157. The best Remedies when we will not proceed to an Incision are Clysters and Plaisters ib. An Incision in whom to be admitted p. 158. An Instance of a Woman cur'd of an Ascites ib. p. 159. Asthma or difficulty of Breathing its description p. 126. Two primary Indications in the method of Cure ib. What to be done in the Fit ib. p. 127 128. What to be done out of the Fit for Preservation ib. p. 129 130 131. Two Instances of Persons troubled with the Asthma and the Methods used with them ib. p. 232. Asthma Convulsive see Cough Asthmatick Fits hapning in the Scurvey their Cure p. 353 354. Atrophia Scorbutick its Cure p. 363 364. B. BElly-ach in the