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A43024 A theoretical and chiefly practical treatise of fevors wherein it's made evident that the modern practice of curing continual fevors is dangerous and very unsuccessful : hereunto are added several important observations and cures of malignant fevors not inserted in the former impression / written in Latin by Gideon Harvey ... ; now rendered into English by J.T. and surveyed by the author.; De febribus tractatus theoreticus et practicus praecipue. English Harvey, Gideon, 1640?-1700?; J. T. 1674 (1674) Wing H1076; ESTC R23411 50,974 135

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any steems the valve of the Colon putting a stop to their passage Lastly That it is a ready means to cleanse the body without weakning or fermentation of the humours corrupted without the vessels which otherwise in process of time might largely contribute to the malignant matter within the Veins for it is the judgement of many that some Fevors which at the beginning were only hurtful through their putrefaction are changed into malignant and mortal by reason the putrid drabby settlement which lay hidden in the folds and coats of the guts is regurgitated into the vessels and that therefore purging glysters once or twice repeated ought to be necessarily put into use afterward they cause a glyster of milk and sugar to be administred once every day to soften deterge revell cool and evacuate There are those but are scarce in their wits that maintain the foresaid glyster ought to be made out of crude milk and to be applied cold conceiving that by boyling the volatil energetick particles might otherwise be evaporated into the air But they are unmindful how hurtful things are to the membranous parts and the guts that are actually cold and that they repel those putrid vapours that steem out of the hidden places of the mesentery and guts to the heart and the brain Others are of opinion one third or half the proportion of water ought to be poured to the boyling milk afterward putting sugar to it they administer it warm Others only simply order milk boyled and sweetned with sugar from half a pint to a pint The lower region of the body being thus cleansed two four or six hours after bleeding is to be celebrated in the right arm which Fermenters do sharply oppose because it doth exhaust the spirits and matter of life which failing the fermentation and concoction are thereby much disturbed and the heterogeneous particles getting the upper hand is a presage of an unlucky crisis However the greater number of this Sect do not think it safe to vary from putrid Physicians in this matter because almost all Fevors are too exorbitant in fermentation and the spirits oppressed by heterogeneous particles the heat being too much heightned the skin being constipated and lockt up through the soot of the pores all which evils bleeding doth very much abate These reasons swaying with the prudent they command a vein should be open'd twice thrice or four times according to the degree of plethory others tap off the blood every third day some every other day until together with the soul they have drawn out the whole In the next place they are to bend their force against the matter fermenting too fiercely by giving Cordials and Diaphoreticks In this particular the Fermenters and the putrid Physicians are differing the later relieving the impared vital faculty only with cold cordials as shall be made known to you in another place The forms of sudorifick Cordials as they are hung on the Apothecaries files and according as they have been prescribed by the more famous sort of Physicians shall now be put down R. Aq. ulmar. citr tot lujul. scabios card Ben. rut dracunt three or four of these ana ℥ j. Aq. Theriac Epidem ana ℥ ss oft ℥ j. or ℥ j. ss Some add Diascord fr. vel Theriac Lond. ʒ j. Spec. è chel cancr comp ℈ ij Syr. garyophyl vel è suc citr ℥ j. m. f. Pot. vel Iul. Capiat cochl 2. vel 3. altern hor. vel cochl 4. quarta quavis hora. This prescription though it hath been in use almost an age some sucking Fermenters have thought fit to make exception against the Treacle-water because vinegar makes a great part of the composition which they say doth enrage the fermentation though according to the judgement of others Vinegar doth qualifie the fermentation and coagulate the fermentative particles moreover it 's adstringent shuts the pores of the body and stops all evacuations for which reasons the use of Vinegar is very much suspected by them therefore instead of the Aqua Theriacalis they allow to the prescription double the measure of Aqua Epidemica the description whereof is made publick in a small Treatise of the Colledge of London Printed a good while since but because the Copies are most dispersed I shall think it no trouble to set down its description here R. Rad. torment angel poeon m. zedoar glycyr helen ana ℥ ss fol. salv chelidon maj rut summit rorismar Absynth ror sol arthemis pimpinel Dracunc Scabios Agrimon Melis Card. Beton centaur min. fol. flor calend ana m. j. incidenda incidantur contundenda contunduntur digerantur per triduum in Vin. alb opt lib. viij ac destil in Alemb vitr Nonnulli praescriptis adjiciunt cerasa nigra slor paralys papav Rh. quid non In Childrens Fevors Aqua scordii composita is preferred before Aqua Theriacalis or Aqua Epidemica because it is less hot and consequently less hurtful Let us halt a while here to examine whether the Vinegar being an ingredient in Treacle-water doth suppress the fermentation of a Fevor in the vessels To those that have but had the least tast of the Chymical art it doth appear very plain that fermentation doth arise from a strife there is between the acid and alcalized or lixivious salin particles which in properties are so contrary to each other that through the deficiency or failing of either of them the action of fermentation is immediately cut off the same likewise happens when either doth exceed the other in its just proportion of strength through which they fall on each other It is held for a certain truth that in a burning Fevor the blood is full of lixivious and alcalized salts wherefore by giving of a medicine that is vitriolate diluted with Vinegar it doth necessarily happen through natures ordinary way of working that the fermentation if any such thing may be granted is intended in its fury through the vigor whereof the annoying corpuscles are separated from the mass and expelled thence whereby at last it is perfectly depurated and defecated Moreover that we may lay the case whole open if the concoction in the stomach be performed by fermentation as it 's every where declared by it's Assertors take notice that sauces whereinto Vinegar is poured especially if impregnated with the infusion of Capers Broom-buds or other raw sour things do set a very sharp edge to it for as soon as they are ingested we are troubled with a glowing heat about the Stomach and Hypochonders also about the face and top of the head Secondly Treacle-water being tempered with Vinegar doth become thence more penetrating and more vigorous in its vertue whereby insinuating readily into the most inward and central parts of the body it performs the work of an antifebril medicine Thirdly Since this Treacle mixture is unadvisedly composed of many things that are very hot and sharp as several spices Masterwort and some impure Sulphurs and others Vinegar doth very much blunt
knee the use hereof in eight and twenty days did restore her to her former senses and perfectly freed her from that distraction so that she hath never been troubled with it since The malignant Fevor I formerly cured Mrs. Lamot of whose Husband is a Merchant in Thames street near Fishmongers Hall and some weeks after a violent Rhumatism following which was removed by two bleedings and a dose or two of Hydrotick Pills is a farther confirmation to me of the preceding observation which to illustrate by a greater number of instances I judge is needless and therefore shall proceed to recommend to you a remark of use so important that it may gain the Physitian repute and save the lives of many Patients The observation is such that it gives me occasion to admire so many preceding ages have so grosly erred in their practice and doth likewise detect the cause why malignant and indeed most Synochical Fevors prove so oft mortal It is an universal theorem that in these Northern Climates Fevors are terminated not critically but slowly and gradually by sweat and urine per Diaphoresin Diuresin Through the former viz. sweat the salin volatil and fuliginous matter is expelled through the latter namely urine the fixt salin and lixiviated matter is excern'd To accomplish this usually as I said before are prescribed Diaphoreticks as Aqua Epidemica Theriacalis Scordii Composita c. of one or more of these the measure of an ounce or two is mixed with the same proportion of Alexiterial simple waters and hereof two or three spoonfuls is to be given every second third or fourth hour according to the Capricio of the Physitian undoubtedly the effect doth not answer his expectation and no sweat appears upon this it may be double the quantity is to be used and yet not a drop of sweat is forced out then apologizes your Doctor for himself and tells you if the Patient could but be brought to sweat he would soon mend and further prognosticates if he doth not fall into a a sweat by to morrow or it may be next day he is a dead man and so Buenas Noches Now I will render it as evident to you as the light of the Sun that Mr. Doctor is the cause of this mans death that is to be understood 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 There being nothing more familiar among the fermentators than to explain their notions by theorems taken from the Brewhouse and Kitchin I shall make use of arguments desumed from the same Categories There is possibly a piece of meat to be prepared for to be eaten which to maturate or take away the crudity of it to mollifie or render it tender to dissolve and to purge it from its filth and impurity is to be boiled if you put to it salt wine or other ingredients and there be not a sufficient proportion of water or that the water boileth away too much especially if the meat be left dry it will not only harden but be burned smell of adustion or empyreum and soot and be entirely corrupted and spoiled whereas if it had been supplied with water the meat would have been softned concocted and depurated from its recrements and impurities which it casts forth into a scum The case is not different in the blood that boyelth up in the veins and arteries of fevorish Patients which being full of salin adust and other heterogeneou particles is by ebullition to be depurated of the said impurities if then the blood wanteth water or serum to dissolve those salin particles it must necessarily grow dry coagulate and be burnt up and consequently death must be the unavoidable issue Now observe that a Patient that hath been broyling under a continual Fevor for eight or ten days or longer his entrails scorcht and parcht his blood dried up and affected with an empyreum how impossible it is he should be put into a sweat by hot cordials though diaphoretick as Aqua Epidemica Theriacal lap Contrajerv to be given every third or fourth hour by spoonfuls or scruples These certainly must render the blood hotter and dryer and totally absorb the remaining moisture The infallible way to prescribe a remedy to Patients of this nature is to observe that for to cast one into a sweat you are to consider the subject the matter of sweat the efficient of sweat the several causes that hinder c. but chiefly the matter of sweat and the efficient The matter is the superfluous serosity of the blood The efficient is the spirits that expel the foresaid serosity to the circumference These two are nearest causes without both which at the same time no sweat can be procured for if we have only abundance of spirits and no abounding moisture the spirits will be provoked into a greater rage and force and consequently if there be any moisture remaining they will absorb that and so quite exsiccate the body this is that end which the Fermentators and the Putrid Physitians attain by their Cochleatim cordials The indication drawn hence doth direct that to procure sweat which as I said before is a common terminator of malign Fevours is to moisten the body well with appropriate Juleps or Apozems Which done give but two drams of any alexipharmacal water or five or six drops of spirit of Hartsh●rn rectified and you shall certainly cause an abundant sweat In the next place consider though there be moisture sufficient to subminister matter for sweat as sometimes there is in malign Fevors there either may be a defect of spirits or the spirits may be opprest by the malignity and in a manner rendred languid or drowned by moisture too much abounding then in this case Putrid Physitians do commit a killing error in forcing the Patient to swallow down their acid Juleps and Apozems The indication desumed hence doth direct so subtil cordials as through their penetrability may insinuate into the most intime effuges of the body and disintangle the spirits from those malign particles that oppress them which done they will soon expel their malign enemies through the pores by sweat But since nothing can illustrate this point more than experience I will give you a most convincing instance I was not long since called out out of my bed to see the child of Mr. Harvey in Fetter lane end next Holborn who I was told lay a dying The child was two years and an half old or almost three I found she fetcht her breath with great difficulty her Pulse did beat convulsive vibrating and extreamly frequent as in like cases it usually beateth some two or three hours before death She was delirious not knowing any that were used to be about her her eyes were very hollow dim and very slow in motion her face was pale and cadaverous I examined how she had been the day before I was told that she had a high colour had been very burning and was very droughty and drousie She had been ill some four or five days After I had examined her mouth and belly I soon understood what it was viz. a malignant Fevor occasioned by the Small Pox which nature could not cast forth for want of moisture for hot cordials she had taken in abundance almost every half hour and would undoubtedly have been dead in three hours more had they gone on in that method I prescribed four or five drops of rectified spirits of Hartshom with a grain two or three of Bezoard mineral and a dram of Aq. Scordii comp to be given in a large draught of pure posset drink in less than two hours the Small Pox appeared and she was put into a tolerable sweat then caused two Epispasticks to be applied to the Wrists which had singularly performed their operation by extracting a great proportion of malignant serosity By next morning her senses were returned her aspect appeared florid and vivid her Fevor very much abated and all her malignant symptoms vanisht insomuch that within two or three days she was perfectly recovered Some other observations I must refer to the next opportunity in the mean time I wish Physitians would prefer experience before their opiniater notions FINIS