and speak comfortably to him Let no unseemly action nor uncivil word proceed from him Let him not forsake his Patient for any cause whatsoever Let him consult with God in the beginning of all his cures and heartily give God thanks for the performance of them Let him love godliness and honesty and be an unblameable servant to God and Nature These are the principal and chief Characters by which every diseased man may make choice of his Physician of whom I shall say with the learned Fernelius Medicus remedia confert non solum ut naturae minister fed interdum ut adjutor interdum etiam ut opifex primarius A Physician doth cure not only as Natures servant but sometimes us her helper yea sometimes as the chief workman I shall not build my discourse Theorically but Practically and having in the former Book briefly desctibed the principal parts of man and the humane faculties and virtues thereon depending I shall in this Book declare the Causes Symptoms and Cures of Diseases in those parts which hinder them in the exercise of those humane faculties I shall treat of each disease simply and distinctly and leave this Aphorism to the consideration of the ingenious Simplex affectus simplici remedio compositus composito propellendus A simple Disease is removed by a simple remedy a compound Disease is expelled by compound Medicines CHAP. II. Of Diseases of the Head MAny Diseases are incident to the Head of Man I shall treat of them in order according to the places which they possesse which I shall devide into three parts First the Membranes Secondly the substance of the Brain Thirdly the Nerves which nourish the Brain The Membranes is the first pannicle within the Skull called Dura Mater or without the Skull called Pericranium which are subject to these Diseases viz. the Head-ach the inveterate Head-ach and the Megrim In the substance of the Brain which is the seat and instrument of the intellectual faculties of the Soul viz. imaginations judgment and memory are defects also viz. the depravation of those faculties as a Frensie Melancholy and Madnesse Sleepy Disease Lethargy The Ventricles of the brain are subject to many distempers as Vertigo Falling sicknesse the night Mare the Apoplexy Palsy Convulsion trembling and quaking and Catarrhs Of inveterate Head-ach â—…d the Megrim The inveterate Head-ach is called in Greek and Latine Cephalaea it is a disease of long continuance very painful and upon every light occasion invadeth the Patient with sharp fits that he cannot indure noise nor light but desireth to lye still in the dark sometime this Disease is with continuance and sometimes with intermission The Cause This Disease is caused through blood or other humors abounding or by sharp humors or vapours within or without the Scull inflaming the Head sometimes weaknesse of the Head is the Cause The Sign If fulnesse of humors be the cause of the Disease then is the Head very heavy and lumpish if the humors be sharp the pain is felt with pricking shooting if there be inflammation the Head worketh like the Pulses if wind be the peccant cause there is found distention or stretching out without heaviness or beating if two or more of these Symptomes appear together judge accordingly Note that if the pain be felt superficially or outwardly than is the perieranium grieved If it be felt within which is known by the pain at the roots of the Eys then is the grief within the Dura Mater Hemicrania or the Megrim differeth not from Cephalaea saving if in the Megrim one half of the Head is afflicted whereas in the other the whole Head by the aforegoing Symptoms you may discover the humour offending The Cure As there are diversity of Causes so there is of Cures If the Disease be ingendred of plenitude of humors and the whole boy appâ—…â—…ll it is not amiss to begin the cure with the evacuâ—… of the whole body and if age strength and the season consent open the Gephalick or head Vein If flegmatick and viscuous humors be the Cause it is good to extenuate and make thin the humors thus Take of Oximel scilliticum and syrup of Staechas of each half an ounce distilled water of Marjerom Betony and Parsley an ounce mix these and make a potion for the morning Or else make a decoction in this manner Take Mint Calamint Marjerom Betony Sage of each half a handful the seeds of sweet Fennel Annis and Parstey of each half an ounce the roots of Asparagus Fennel and Parsley of each two ounces Peony root half an ounce shread the hearbs bruise the seeds slice the roots and take out the pith and boil it in a quart of water till half be consumed strein it and add of syrup of Betony compound one ounce and Oximel simplex as much and make a potion for three times take it at night two hours after a light supper the Body thus prepared you may come to purge and evacuate the peccant humours Take half a dram of Pill Cochiae the greater in the morning and keep the Chamber they which are most commendable are pills of Hiera with Agarick Take half a drachm at night two hours after a light supper take some warm broth in the morning and keep the house thus do for a week or longer in like manner you may use Pill Alephanginae and order your body as before and remember that grosse and clammy-humours will not follow a sudden purgation and therefore often purging is used that so they may be drawn out by little and little Also clisters are necessary because they cleanse the bowels and pull back those humours and vapours which ascend and annoy the head Take of Mallows Pellitorie of the Wall Endive Succorie Violet-leaves Cammomell-flowers of each one handfull sweet Fennellseed halfe an ounce Linseed Two drachmes boile them in a quart of Spring water or rather cleare posset-drink till halfe be consumed streine it out and to the decoction adde of the pulpe of Cassia Fistula one ounce Oile of Rue halfe an ounce Benedictae Laxativae half an ounce The Body being purged by discretion it is not amisse for the patient to make use of some diet drink that hath power to warme the braine to exsiccate and concoct crude humours to attenuate the grosse cut that which is tough and expell the thinnest either by Urine or insenfible transpiration You may make it thus Take of Guajacum Sassufras the Root of Salsaperilla of each two ounces English Liquoris and Cinamon of each one ounce Coriander-seed halfe an ounce infuse them 24 houres in 4 quarts of Spring-water the vessell standing in hot embers and close covered afterwards boile it gently to the consumption of halfe sweeten it with honey whilst it is hot let the Patient drink halfe a pint in the morning and dispose himself for sweat and if he drink it for his ordinary drink 15 or 20 dayes more or lesse as necessity requireth it is the better If the Patient become costive
month with Manna Syrups of Roses and Rubarb and every change of the Moon take a dose of the powder before mentioned and oftener if need require To conclude if the Disease be caused by some evill effects in the mouth of the Stomach you must labour to free the Stomach from the humours that offend For the Cure of the Vertigo I shall say nothing but refer you to those Medicines propounded for the Cure of the Falling-sicknesse and to the 2. Chapter viz. Of the cure of Cephalaea proceeding from cold crude and phlegmatick humours it being my present task only to epitomize not to write largely of the cure of Diseases CHAP. VII Of the Palsie PAralysis or the Palsie is a disease wherein the whole Body or part thereof as Atm Hand Leg or Tongue doth lose sense or motion or both Sometimes it followeth the Apoplexy Here note that the Faculty of sense and motion floweth from the Brain as from its proper fountain and is conveyed to all parts of the Body by the Sinews the proper Organs of sense and motion Hence it commeth to passe that if that faculty of the Brain be obstructed that it cannot descend to all parts that all or some of the 〈◊〉 of the Body lose either motion or sense or bâ—… according to the part obstructed The Causes The Palsie is caused by abundance of grosse and clammy humours which stop the sinews and hinder the animal faculty that it cannot come from the Brain or fountain to the members It may be caused by vehement cold or by some inflammation or swelling near the Back-bone or the sinews may be crushed by some binding or hurt by some wound or Ulcer or the like The Signs and Cure There need no more Signs to know this disease by than what hath been declared in the explanation of it This disease for the most part happeneth to old folk and surprizeth them in the Winter time therefore Phlebotomy for the most part is unnecessary and dangerous If plenitude of humours or blood appear open a vein on the sound side draw blood sparingly lest you cool the Body too much Let what part soever of the Body be affected yet you must not forget the Brain but you must purge corroborate and strengthen it If you find the originall of the distemper in the Brain you must apply Medicines which have power to extenuate dissolve and discusse such as are described in the second Chapter for the cure of cold and phlegmatick distempers of the Head To the purging Medicines you may add these Pillulae Fatidae de opopanace Arabicae and Trochisci Alhandall taken in a convenient quantity as you shall be instructed in the next Book and sutable to the season of the year and aâ—…â—f your Patient Let him abstain from drinking â—f strong beer and Wine and let most of his drink be the decoction of Guiacum and the bark of the same and if you add Cephalick hearbs to these it will be the better This Decoction is commendable viz. Take of Guiacum ground two ounces of the bark of the same half an ounce the root of China and Salsaparilla of each two drachms Sasafras three drachms Lignum Aloes and Galanga of each two scruples the root of Angelica Peony and Fennel of each two drachms the seeds of Peony and sweet Fennel of each one drachm Betony ground Pine Sage of each one handfull the flowers of Lavender Rosemary Stechas and Cowslips of each one pugil Cinamons and Polipodium of the Oake of each half an ounce Infuse them in six quarts of water twenty four hours then boil it gently to the consumption of two quarts strein it and add to the decoction of brown Sugar candy and syrup of Stechas of each four ounces Let the diseased take half a pint in a morning three or four mornings as a preparative to purging you must purge once in a week with one of the aforenamed Medicines having respect to the age and strength of your Patient season of the year Or you may prepare the aforesaid water by distillation thus Take of the simples aforenamed and infuse them 24 hours in four quarts of water and two of White-wine then distill them in Balneo Mariae as you shall be taught in the fourth part of this Treatise to a pound of this distilled water add one ounce of the syrup of Staethas and a drachm of Theriaca diatessaron divide it into three parts for three mornings It is convenient to set Cupping glasses to the part affected without scarifying of it but easily drawing the humours and spirits to the place afterwards you must rub and chafe the parts it is convenient to bathe the paralytick part and cause it to sweat with the decoction of Bur root and Elder leaves hot-houses often profit much but much better it is if they can come to natural baths which proceed either from Nitrous hituminous or sulphureous Mines as the Bath of Bath You may safely Bathe two or three times in a week and afterwards annoint the Member with some convenient Liniment viz. Take of the Oyls of Foxes Castor Earth-worms and Rue of each one ounce Unguentum Nervinum and Martiatum of each half an ounce the distilled oyl of Rosemary one drachm Oyl of Spike six drops mix all these and make a soft ointment with which annoint the Back-bone and the other parts that are diseased afterwards wrap them up warm with the skin of a Fox or Hare If the Palsey be caused by an inflammation or hard swelling in any part the cure of the inflammation or swelling cures the Palsie also If bruising of the sinews by pinching or binding be the cause remove the bruised blood and the cure will ensue If the Spondills of the Back be out or broke and that cause the Palsie or Resolution the cure of the cause taketh away the effect If the Palsey ensue a wound or Ulcer in the Head Back or any particular Sinew if the Sinew be curable the Palsie ceaseth CHAP. VIII Of the Covulsion SPasmus Cramp or Convulsion is a disease when the Sinews are drawn or plucked up against a mans will Of this there are two sorts viz. a true Convulsion when there is a constant retraction of the Muscles and the Limb remains unmoveable or a convulsive motion when the retraction is every time new and the Members moved divers ways They differ likewise in their Causes for a true Convulsion proceedeth either from repletion or inanition a convulsive-motion from irritation or provocation Again they are thus divided a true Convulsion is either total by which most part of the Body is contracted or partiall by which one particular member suffereth contraction The Universal Convulsion is caused from the Brain when the Face is plucked together as well as the whole Body or from the marrow of the Back when the Muscles that move the Head and Back are drawn together A particular Convulsion is made from the contraction of the Muscle of some part comming from the
the Pupilla like water they call it Aqua-water but when it is gathered thick about the Pupilla it is called a Cataract If Choler be the humour mixed with the watry humour the Cataract appeareth somewhat citrine or yellow if melancholy then is the Cataract more dull and blackish If it be white as chalk it signifieth a thick and compacted matter if it be of the colour of Pearl then slime and transparent flegme is the humour offending There are two sorts of Cataracts a true and a Bastard-cataract A true Cataract doth for the most part effect one eye onely and if both be affected they are not alike nor affected at the same time as in the spurious Cataract In a true Cataract or Suftnsion a derk matter appeareth in the Pupilla which doth not in the other But here let the Reader beware lest he fall into error for this doth not always hold as a sure distinguishing rule for if the humour be as thin as the warry humour nothing appeareth and many upon this ground have thought it to be Gutta Serena but there is a great difference between Gutta Serena and this for in Gutta Serena the sight is quite left or at least much diminished and no fault appear in the Pupilla But it is not so in this Suffusion which cannot be seen for the sight is but a little diminished because the humour being thin and transparent the objects pierce it like glass Though I need say nothing of the signs of this Disease it being easie to gather the signs from the causes yet I shall and a few words In the beginning of a Suffusion certain small Bodges as hairs flyes cobwebs gnats wool and such like sly before the eyes as it grows on the symptomes are more evident and the objects appear as through a glass when it is perfect the Pupilla is changed in colour and the sight is totally lost what the colours denote I have already laid down If the matter of the Cataract appear dark it lyeth between Chorion or Uyea and Cornea and the Pupilla is dilated and white or red veins appear about the circle of the eye if the contrary appear judge that the matter lyeth between the Christalline and Uvea If the matter lye deep the Pupilla is contracted if higher enlarged When the Cataract if newly begun and the Patient can see as thoug a clad if he be young and the season sutable it may be cured On the contrary if it be confirmed and the matter gross it yields not to medicines but must be couched with a needle And seeing I speak of couching give me leave to tell you that 't is a dangerous operation and often attended with bad success but if you finde it needful and likely to be prevalent make use of a near-handed Chyrurgeon and that you may know whether it be likely or no to be cured consider a few rules Sign of care by couching are these If when the sound eye be shut the Pupilla of the eye affected appear larger and perceive some light there is hopes of cure if the contrary appear judge accordingly A black green yellow and hard Cataract never yieldeth to medicine seldome to the Needle Attempt not the operation on old men nor children You must also consider before you attempt this operation whether the Suffusion be ripe and sit for couching or whether it be not grown too hard The first you must try thus press down the eye affected with your finger and if you alter the shape of the Suffusion and when your finger is off it returneth to its former station then is it thin and not ripe but it the contrary appear it may be couched with a Needle But here note that it must be moderate and not too compact but like a skin that will rowl upon the Needle if it be thick and solid like chalk or hail it cannot be couched For the cure you must observe the same rules prescribed in the former Chapter you must use and abstain from the same kind of diet you must use general and particular Evacuations you must revel the humours offending and strengthen the head and eyes Then you must come to Topical medicines and though I am almost of Galens opinion who saith they are little worth for they promise more then they can perform yet Experience hath taught and Authors have confirmed that Cataracts which have not been of long continuance but taken in the beginning have been cured by Topicks after the use of the medicines before mentioned therefore I shall insert a few of them and leave the Ingenious to find out more First you must make a Fomentation of such things as have power to mollifie and dissolve Take of Celendine Fenel Eye-bright of each one handful of Rue Vervain Clary of each half a handful Melilot Chamomel Flowers and Red-Rose leaves of each one pugil Fenugreek seed one ounce boil them in a pint and a half of Spring water to the consumption of the half pint then put in a half pint of White-Wine and let it boil a little Strein it out and with clothes wet it in the liquor soment the eyes every morning so long as you see occasion If you wash the eyes with Red-Wine sometimes it hinders the defluxion discusseth and dissolveth It is good to let a child lick the eye after it hath eaten sweet Fenel seeds Infuse Crocus Metallorum in White-Wine and wash the eye with the Wine or after a sufficient infusion pour off the Wine clear and with sweet Fenel and Fenugreek seed of each one ounce of Aloes half an ounce Saffron a drachm beat them and searse them into fine powder the blood of a young Pidgeon hot the weight of them all with the aforesaid Wine what is sufficient to make a soft Pultis and apply it warm to the eye at night take it off in the morning Or slit a young Pidgeon and lay it to the eye Then you must come to make use of Topical Medicines called Collyries which many times by Galens favour hath good success if the Cataract be not too much confirmed Take the leaves of Rue Fenel Vervain Celendine and Eyebright of each one handful Centaury the less Burnet Avens Sage of each a half handful Fenel roots and the roots of round Birthwort of each a half pound Red rose leaves and White-violet leaves of each one ounce Radish seed and Fenugreek seed of each one drachm Ammoniacum and the Natural Balsome of each a drachm Tutty two drachms pouder those that are to be poudered the heaths and roots shred and sliced put to them White-Wine honey and the urine of a Boy as much as may wet them all viz. Of White Wine three parts of the Urine two and honey one then distil them in Balneo Marîae drop the water into the eyes morning and evening regarding the course and medicines before prescribed Josephus Quercetanus in his Pharmacopaea doth much commend this following Water viz. Take of the water of the
for which purpose this Gargarism is good Take Violet-leaves Mallows and Parsly of each one handfull whole Barley four ounces Figs and Raisons stoned of each three ounces the seed of Flax and Fenugreek of each one ounce Spring water a quart boyle it to the Consumption of halfe straine it and add four ounces of the syrrup of Jujubes use it as the other before When the humors are suppurate if it break not make incision then cleanse it with Plantane water and Hony of Roses There is another Tumor under the Tongue called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Ranula because it representeth the hinder part of a Frog also because they that are thus affected when they speak do Croake like a Frog This humor is a loose and soft carnosity under the Tongue the tumor therein contained is somtimes hot though for the most part it is cold slimy and pituitous matter which when it is opened is like the white of an Egge somtimes mixed with yellow This disease is not for the most part accounted dangerous unlesse it be in a Child or the humor be Cancrous If nothing prohibite you must begin the Cure with blood-letting that so the humors may be the more obedient you must likewise purge the peccant humors with discretion then you may endeavour to disolve and discusse the humor thus Take of green Mugwort and Hysop of each one handfull Common Salt and Salt Armoniack of each two drachms Galls one drachm beat them well together rub the place often with it But if it submit not to this way of Cure as it seldom doth you must open it with a large Orifice and if you open it on both sides it will be the better Some commend a Cautery of iron after you have opened it squeez out the matter with your finger then wash it with White-Wine and Hony of Roses or thus Take of White Wine and Plantane water of each two ounces dissolve a drachm of Allum then add twenty drops of the Oyle of Sulphur with an ounce of syrrup of Mulberrys make a Lotion and wash the place till it be whole Somtimes the Tongue suffereth a Palsie by which it is deprived of its motion Somtimes it followeth an Apoplexy and somtimes it is joyned with a Palsey which afflicts half the body somtimes it is only in the Tongue when its nerves and moving Muscles are prejudiced by some moist or pituitous matter Somtimes those Nerves may be cut and the Palsie may follow Avicen confirmeth this opinion by an example in his time of a certaine man being cupped and scarified by which the small Nerve was cut and caused a relaxation of the Tongue If this Palsie follow an Apoplexy and the other parts of the body be affected and the Patient be old it is incurable If you have hopes of recovery you must take away the Antecedent cause lodged in the braine and you must dissolve and discusse the conjunct cause viz. the humors which obstruct the Nerves and hinder the motion of the Tongue If you see occasion you may make use of Phlebotomy it profiteth much to open a Vein under the Tongue you may purge with Pills or Cephalick Apozems you may rarifie the humors by sweating drinks cuppings vesicatoryes Cauteryes may be applyed for discussing and drawing forth of the humor let Gargarisms Masticatories and Errhies be followed for strengthening the braine and dispersing offending humors therein contained make use of Fumigations Powders and Quilts for the head for the making and application of which I refer you to the second Chapter of this Book CHAP. XXI Of the Diseases of the Teeth THE Teeth also are subject to Distempers viz. the ache and foulness and rottenness The Tooth-ache is caused by a Flux of Humours either hot or cold which flow to the Membrane Nerves or to the substance of the Teeth Sometimes Worms are bred in hollow and rotten Teeth of an Excrementitious Humour which causeth pain sometimes Wind contained between the Cavity and the Nerve doth cause pain The External Causes are cold Air and South Winds Likewise the debility of the part as hollowness or rottenness of the Teeth do sometimes cause pain Every cause is known by its proper sign for if a hot Humour falling upon the part be the cause the pain is more violent the Patient is sensible of heat about the Teeth and Gums hot Medicines encreasoth pain Signs contrary to these do declare the Humour peccant to be cold If the cause be Worms the pain is with intermission and their motion may be felt If Wind cause the pain it is exceeding violent with sensible extension yet quickly ending after the use of discussing Medicines If it be a hot Humour that causeth the Tooth-ach it is good to open a Vein on the same side by which the Humours are revelled and though the Humour be cold yet Phlebotomy may be needful to revel the Defluxion but it must be regulated according to the age and strength of the Patient The next day you may purge the Humour that principally offendeth Cupping is sometimes requisite and fâ—r the most part Vesicatories to the Neck and behind the Ears are successful to draw back the Humours Astringent Medicines to the Temples are good to hinder the Defluxion Of Plaisters these are good Emplastrum de Mastiche ad Herniam and Gum Elemi spread and applyed to the Temples and behind the Ears Riverius commendeth the Root of Comfry bruised and applyed as before to hinder the Defluxion Riverius Physitian to Henry the Great commendeth this Plaister Take of Cyprus Nuts Red Roses Mustard seed torrified Mastich and Terra Sigillata of each one drachm and an half Steep them in Vinegar of Roses twenty four hours and then dry them Opium three drachms dissolved in Aqua Vitae Pitch and Colophonia of each one drachm Yellow Wax melted in the expressed Oyls of Henbane and White Poppy as much as is sufficient to make an Emplaister which must be applyed as before The Oyl of Bitter Almonds or Vinegar put into the Ear is good to stay the Defluxion if it proceed from a hot cause If the Humours be cold put the Oyl of Rue or a Clove of Garlick into the Ear and wash the Teeth with Red Wine wherein is boiled the Roots of Bistort Cinquefoil Tormentil the Leaves of Vervain Peny-royal and Galls and anoint the Checks or the Check on the same side with the Oyls of Camomel Rue or Roses to asswage the paâ—n If the Tooth-ache come from a hot cause boil the Leaves of Henbane spotted Arsmart Housleek and Nettle Roots in Vinegar and wash the Teeth and to asswage pain anoint the Checks with the Oyl of Lillies Roses sweet Almonds Or you may make a Cataplasm with Barley and Bean Meal the juyce of Housleek and Milk and the aforesaid Oyls and if you add a small quantity of Opium to it it will not be amiss But take this Caution that if the Checks be swelled beware how you
swallow it by which it may be known as also by looking into the mouth You must make use of such Evacuations Revulsions Derivers Repellers as are prescribed in the ninth Chapter of a Catarrh And you must make use of Gargarisms which restrain and dry Take of Plantane Purslane and Shepheards purse of each one handful Cyprus nuts Pomegranate flowers and Red roses of each one ounce Galls and Allum of each one drachm boile them in a quart of Spring water to the consumption of half strain it out and add to it Bolearmenick a drachm Sirrup of Mulberys and Hony of Roses of each one ounce gargarise the mouth therewith Powders are better which have an astringent and drying property Take the Roots of Bistort flowerdeluce and Tormentil the Flowers of Pomegranates and Red Roses of each half an ounce Burnt Allum and long Pepper of each one scruple make them into fine powder and depressing the tongue blow it upon the Uvula If this doth not perfect the cure the superfluity must be cut off this operation must be performed very warily for if you cut too much it will be prejudicial to the speech if there be an inflammation in the Columella you must extenuate such accidents before you cut it lest a greater inflamation follow or a flux of blood if the Uvula be greater at the bottome then it is at the top then it is fitter and safer to cut If the Uvula be onely inflammed you must make use of such medicines as are prescribed for the cure of the inflammation of the tongue There are other distempers of the throat viz. the inflammation and Ulcers of the Tonsills or Almonds of the throat occasioned by a defluxion of crude Phlegmatick and Viscid humors mixed with blood or by excessive drinking of wine or strong liquors or by a greedy devouring of meat they who are thus afflicted swallow with much difficulty and pain and many times have a Feaver For the cure administer a cooling Clister open the Vein under the tongue and if blood abound open the Cephalick-Vein in the arme use all other convenient revulsions Then make a Cataplasme of Barly meal the Seed of Flax and Fenugreek and the Leaves of Mallows bruised with new Milke sufficient and apply it to the throat Then use astringent Gangarisms you have examples enough in the foregoing Chapters If the inflammation increaseth and the pain be sharp and vehement in the Evening then expect suppuration then you must surther it by gargarising with a decoction made of Hysop Figs and the Seeds of Marsh mallows or with aquamulla When it is perfectly rotten squeez it gently that the matter may run forth or else open it with a sharp instrument and let the Patient hold his head down that the matter may the better run out then wash it again with aquamulsa till it be healed For the cure of the Ulcers of the Tonsils you must observe the same rules prescribed for the cure of the Ulcers of the mouth CHAP. XXV Of the Quinzie ANgina or the Quinzie is a disease of the Jaws and Throat by which breathing and Swallowing are hindred withour defect of the breast and Lungs there are two sorts of Quinzyes Legitimate and Bastard Legitimate Quinzy is accompanied with a feaver and inflammation of the part which Galen and the antient Greekes have divided into four sorts the first they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the inflammation is in the inward proper Muscles of the Larynx the second they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the outward Muscles of the Larynx are in flammed the third they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the interiour muscles of the pharynx are inflamed the last they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 because the exerior muscels of the Jaws are inflamed a Bastard Angina or Quinzy cometh without a feaver The cause of the first is blood either pure or mixed with Choler flegm or melancholly flowing from the head to the jugular veins the cause of the Bastard Angina is caused by much flegme falling into the jugular veins and by its glewinesse obstructing the passage of the spirits or by a Tumor in the Vertebrae of the neck caused by a deflux of cold flegm removing the Vertebrae from its proper seat or causing a luxation thereof by loosening their Nerves and making them slippery between the joynts or lastly this may happen by some fall or stroak or some external cause The Legitimate Quinzy may be known by the difficult swallowing and breathing without fault of the breast or Lungs pain about the Jaws and threat red nesse heat and a feaver their sorts may be distinguished by their proper signes In the first there is great hinderance of respiration the patient is almost strangled cannot breathe except he open his mouth and hold his neck streight In the second there is lesse difficulty of breathing but greater of swallowing especially of drink which flyeth out at the nose In the third there is some red tumor about the Jaws less difiulty of brething then in the first but more then in the second The last doth hinder the breath but little or not at all the outward parts of the neck are red and painfull The bastard Angina may be known by the abundance of flegm and humors flowing to the mouth If it comes by Luxation the motion of the head and neck is hurt and a preternatural cavity appeareth in the neck I shall not need to spend time to shew the signes of every distinct humor predominating reason or other parts of this book will informe you A Legitimate Quinzy is an acute disease and very dangerous for want of freedome in respiration therefore the first is worst and the patient in most danger of strangling the other are more or lesse dangerous as they more or lesse hinder respiration If the matter fall upon the Lungs or the swelling vanish away without critical or artificial Evacuation it is very dangerous and for the most part deadly If the patient foame at the mouth it is a signe of death saith Hippocrates in his 43 Aphorism because it is a signe of streightnesse and violent heat about the heart which squeezeth the moisture out of the Lungs and sendeth it to the mouth in a foame Every Quinzy requireth a hasty and speedy cure for it sometimes killeth in one day read Fernelius Lib 5 pag. 284. Let the physitian open the Cephalick Vein and if the body be naturally plethorick and blood the cause of the disease draw as much as the Patients strength will bear and reiterate Phlebotomy according as necessity requireth give a Glister first or after or both or as often as need requireth you must speedily make use of other revulsions as cupping glasses with scarification to the shoulders vesicatories frictions and ligatures to the lower parts purges must be administred and if you find the case desperate you need not Question the time of the day Trallianus reporteth that he was forced to open a
Vein and to purge the same day or else his Patient had bin strangled To derive the humor from the part it is good to open the Veins under the tongue called Ranulae If the ease be desperate open the jugular Vein and if the blood cannot be stopped make use of Galens Emplaister against a flux of blood You must make use of Gargarisms which have power to allay the inflammation somewhat to repel Take the leaves of Plantaine Nightshade Woodbine Strawberry and Cinqueoil of each one handful the flowers of red roses and pomegranates of each one pugill boile them in a quart of running water to a pint Strain it and adde four ounces of Sirrup of Mulberies But beware lest repelling medicines drive the matter to the Lungs The oyle of Vitriol mixed with water sufficient to allay its sharpnesse often taken is good to allay the inflammation of the stomack Liver and veins also the parts inflamed in this distemper Then you must apply loosning and resolving Liniments adding such things as easeth pain Take of the juice of Mallows Chamomel and Orpine of each two ounces the oyle of Chamomel sweet Almonds and Lillies of each one ounce hens grease and frish Buter of each three ounces boile it to the Consumption of the juices and make a Liniment You must apply such things as have power to dissolve among those which have a peculiar property against the Quinzy as Riverius teacheth Take of a Swallows nest and Album graecum of each one drachm powder them flowerdeluce roots and Chamomel of each halfe a drachm Hens grease and oyle of Lillys of each one ounce yellow wax a little make a Liniment Orpine hath a peculiar faculty against the Quinzy if the bruised hearb be outwardly applyed and the juice sweetned with hony often swallowed Let us not forget the old and vulgar medicine viz. album graecum and hony mixed and administred like a Lohock For sqeemish stomacks or such as delight in dearer medicines you may prepare this lohock Take of Species Diatraganthum frigidum and diapenidion of each one ounce Lohock Epinis et Sanum et Expertum of each halfe an ounce mix them and with the Sirrups of Mulberies and Jujubes sufficient make a lohock and take as before If it tend to Suppuration make use of the first Liniment prescribed in this Chapter Cassia newly drawn held in the mouth and gently swallowed easeth pain and maturateth the humors when it is ripe and will not easily break you must open it with a crooked incision-knife or drop a little oyle of Vitriol upon it when it is open let the Patient hold down his head that the matter may run forth then wash it often with barly water and hony of roses CHAP. XXVI Of the Asthma Asthma is a difficulty and shortnesse of breathing which cometh from the stuffing of the Lungs and the obstruction of the Bronchion or gristles of the wind pipe and is naturally with out a feaver yet sometimes it may be joyned therewith This disease is divided into three sorts the first is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 this is a difficulty of breathing caused by the stuffing of the substance of the Lungs and not the gristles and is not accompanied with snorting and this is the least of the three The second is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the bronchia of the Lungs are filled with flegm and doe make a great noise with snorting and wheezing in which the Diaphragma and the intercostal muscles between the ribs and the Abdomen are violently moved The third is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which the Patient fetcheth his breath with much difficulty with his neck stretched upright the aforesaid Muscles together with the Muscles of the breast and shoulders violently moved This disease is caused for the most part from flegm which falleth from the head into the Lungs and obstructeth the wind-pipe sometimes humors brought thither by Arteria Venosa flow to the Bronchia and causeth Asthma with snorting but if they fall into the substance themselves or into the smooth arteries it causeth an Asthma without snothing There needeth no more signes for the discovery of this disease then what may be gathered from its description As to the prognostick I say that this disease is Chronical hard to be cured unlesse the Patient be young and of a strong Constitution if a child hath this disease if it be not speedily removed it dieth of a Catarth In men it ends in Chachexia or the dropsy If it turne to a pleurisy or peripneumonia it is deadly You may begin the cure with blood-letting if the body be plethorick or Corpulent for when the Veins are empty of blood the respiration is free But you must beware of phlebotomy in such bodies where you fear diminishing the natural heat lest flegme increase You may openthe Saphaena or ancle-Vein without danger you must in the next place purge the head of Phlegmatick humors which are prescribed in the second Chapter of this Book It oftentimes hath bin proved that vomitting is good in this case that the stomack may be emptied of flegm and thick vapors which puffing up the stomack compresseth the diaphragma and causeth difficulty of breathing one ounce of Tobacco water sweetened with Sugar will cleanse the stomack by vomit Let the Physitian be careful how he administreth vomits to weak people Sharp Glisters are good in this disease for revulsion but let them be given in small quantityes lest the fulnesse of the Bowels compresse the diaphragma The Patient must make use of such things as extenuate and make thin the humors Take of Coltsfoot-water two ounces Cinamon water one ounce with an ounce of Oximel Simplex and take it in the morning Then let him make use of such as have an Expectorating quality Take of the powder Diatraganthum Frigidum the powder of Liquorish and Colts soot of each one drachm the roots of Elecampane and Marsh mallows Candied Conserve of roses and Violets of each halfe a drachm the flower of Brimstone and Sugar Candy of each a scruple with oyle of sweet Almonds newly drawn and Sirrup of Maidenhaire make a Lohock And let the Patient take the quantity of a Nutmeg Morning and Evening and halfe so much every two houres this I have often given with good successe In the extremity of the Fit rub the breast with a cloath to open the pores then anoint it with this following ointment Take of the Oyle of Chamomel Dill Rew and sweet Almonds of each two drachms the Roots of Elecampane and Flowerdeluce in powder of each one drachm the meale of flax-seed and Fenugreek a drachm Saffron one scruple with wax sufficient make an ointment Out of the fit to perfect the cure you must endeavour to stop the defluxion and to cleanse the Lungs For the first you may find sefficient remedies in the ninth Chapter of this book adding such which respect the breast to them Let your medicines not be
too drying lest they thicken the humors and encrease the disease Then you must endeavor to unstuffe and cleanse the Lungs and wind pipe with the before named Lohock or of the like nature I could insert many which I omit for brevitie sake Quercetanus his Sirrup of Tobacco is very good the Tincture of dryed Tobacco as much as a pease held in the mouth and swallowed by degrees draweth abundance of flegm out of the stomack and Lungs or if you take Tobacco in a pipe it is good The juice of red Coleworts made up into a Sirrup and a little Spirit of Sulphur added to it may be taken an ounce in the Morning Or you may make Tablets of great virtue thus Take of the Roots of Elecampane and Licorish of each one ounce the Leaves of Colts foot Maiden haire Scabius and Woodbetony of each a drachm Lac Sulphuris two drams Saffron two scruples make them all into fine Powder and with the Mucilage of Gum Traganth made with Coltsfoot water make Tablets which let the Patient hold in his mouth often Platerus highly commendeth the preparation of a Cock thus Take an old Cock kill pull and draw him stuff him with these things following Fox Lungs fresh or prepared one ounce Raisons stoned and figs of each two ounces Elecampane one dram Hysop Savory Horchound Thyme Calaminth Peneroyal dryed of each one drachm The Seeds of Fenel and Annise of each one drachm Carthamas Seeds bruised and the Roots of Polypody of each half an ounce White Tartar one drachm Salt half an ounce the Yolks of two Eggs Fresh Butter half an ounce Cut and bruise them according to the precepts of Pharmacy and few them up into the Belly of the Cock boile him in a large Vessel and soe much water as will cover him and no more till his flesh come off from his bones strain it and add to every ten Pints one Pound of Hony that it may not quickly corrupt let the Asthmatick person take a Porrenger full every morning in which dissâ—lve of Manna and Cassia newly drawn of each half an ounce It will be the better if presently after he take a dram of Venus Turpetine with penids in form of a Bolus or otherwise The Patient may continue taking this Cock-broath a Moneth or longer CHAP. XXVII Of the Pleurisie and inflammation of the Lungs A Pleurisie is an inflammation of the Membrane Pleura and the internal intercostal muscles girding the sides within the Greeks call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the Latines also Pleuritis The matter causing this disease for the most part is Cholerick blood which doth easily penetrate the Membrane but seeing other humors may cause it it is either Sanguineous Cholerick Phlegmatick or Melancholick but what ever the humor offending be Choler it hath for its Vehicle The signes of a Pleurisie according to Galen are five first a pricking pain of the side caused by a Cholerick humor in the Membrane extending it self either towards the throat or the Hypochondria Secondly a continual sharp Feaver which is either Symptomatical comming from some Sangnineous Tumor about the part or essential that is when a Feaver first invadeth the Patient and the boiling blood is expelled to those parts Thirdly difficulty of breathing because thâ— heart being inflamed as well as the rest greedily desireth refreshment and he parts inflamed cannot sufficiently distend themselves to draw in the cold aire Fourthly a hard Pulse like a Saw which is caused by the stretching out of the Membrane by which defect the Arteries are distended Fifthly and lastly an often and troublesome Cough because nature doth strive to expel those troublesome humors from the part affected also some of the matter sweateth from thence into the Lungs which causeth a Cough I might here add another signe viz. spitting of blood or bloody matter but because it happeneth not in all Pleurisies nor at all times I omit it You may partly judge of the humor peceant by the constitution of the Patient and season of the Year The particular signes are first of blood bloody spittle stretching and pricking pains full Veins especially about the Temples red Urine and the like Signes of Choler are yellow spittle a burning Feaver a hard and quick pulse the pain more acute and pricking restlesnesse bitternesse of the mouth and yellow Urine The signes that shew Phlegm are much sweet and frothy Spittle the Feaver remiss little thirst the pain heavy but not violent the pulse not so hard the Urine white and thick the Spittle black and tough the pain and Feaver moderate a dry Cough the tongue black and rough the belly bound the Urine red and darke are signes of Melancholly As to the prognostick I say This disease afflicting old men women with child Asthmatical persons or such as have had it often is dangerous If the Feaver be violent the breath fetched with dissiculty the Cough raiseth up no matter or the Spittle very bloody or very white and glutinating green tustick black much Spitting and yet the pain abates not the spitting cease and the pain continue all these are dangerous signes On the contrary plentiful vomitting Choler in the beginning of the disease blood or Choler mixed with the spittle c. are good signes The Cure of a Pleurisie consists in the revelling Deriving discussing digesting maturating and expectorating the peccant humors if the Feaver be essential seek its cure in its proper place Bleeding is a very natural remedy for a Pleurisie which you must moderate according to the constitution and strength of your Patient and the violent or remiss symptoms If your Patient spitt freely forbeare blood-letting lest his spitting be stayed and his life endangered Twice or thrice in a day or oftener as you see occasion administer cooling Juleps to restrain the heat of the boiling humors make a Iulep of Poppy water and Sirrup of Violets After bleeding prepare a fomentation Take of Mallows Violet leaves Chamomel Pellitory of the wall of each one handful the roots of Marsh mallows and Lillies of each four ounces the seeds of Flax Commin and Fenugreek of each one drachm boile them well and put them with the liquor into a hogs bladder and foment the side afterwards anoint it with this following Liniment Take of Fresh butter and Hens grease of each two ounces the Oyles of Chamomel Lillys Dill and sweet Almonds of each half an ounce The Chimical oyle of wax a scruple mix them and make a Liniment some slit a live-Hen and apply it some the Lungs or the paunch of a sheep hot others apply hot bread out of the Oven dipped in Butter Then you may make an Emulsion of blanched Almonds and the great cold seeds thus Take of Almonds blanched and steeped in Coltsfoot water one ounce the four great cold seeds of each half an ounce the seeds of Lettice and white Poppy of each one drachm beat them in a Marble morter pouring on by degrees the decoction of Barly Liquorish and Plantane a
and the Troches of Amber of each half a Drachm with Sirrup of Comphrey make an Opiate and let the Patient take a little often Take of the Powder of Rubarb one Ounce the Troches of Sanders two Drachms mix it and give the Patient two Drachms twice a day it evacuateth the Matter and strengthneth the Bowels Both the Sirrup Magistery and Tincture of Coral availeth much and the Decoction of Juniper Berryes in red Wine is no lesse effectual If it continue long and your Patient's strength much decay give Laudanum among your other Medicines The Fume of Fleabane and Mullein taken through a hollow Chair is excellent The Conserve of Hips is good against a cholerick Flux you may mix with it such things which are astringent I shall say no more of the Cure of this Disease but refer you to the next Chapter Onely this if the Disease come by consent of other parts seek the Cure in their proper Chapters CHAP. XLVII Of the Dysentery or Bloody Flux 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a bloody Loosenesse of the Belly depending upon the Ulceration of the Intestines but it is commonly taken for every Bloody Flux the Latines call it Tormina because of the Torture the Patient endureth Galen mentioneth four kinds of Fluxes which he calleth Dysenteries The first is when any usual Evacuation of Blood as the Haemorrhoids or at the Nose is omitted or impedited or any part of the body is hurt and by that means the Blood is sent to the Intestines and voided by the Belly The second is when watry Blood is voided by reason of the weakness of the of the Liver of this I shall treat hereafter The third is when Blood mixed with Melancholy and burnt by reason of long Retention in the Liver and Spleen is evacuated and shineth The last and that which I am now to discourse on is when Blood and Excrements are mixed together and sometimes also Matter is mixed therewith and is evacuated with Torture to the Patient by reason of Ulceration in the Guts this is the proper Dysentery The internal Causes are sharp and ulcerating Humours yellow green and black Choller Salt Phlegm in the Head bred by Heat or in the Belly by putrefaction which being brought to the Guts and sticking to them ulcerateth the part The Causes external are all things which make sharp and evil Humours Meats which soon putrify Fruits which are soon rotten all things unripe the Air thus qualifyed the Winter cold and dry and the Spring very wet and ful of South Winds cause Dysenteryes in the Summer Or if the Winter be wet and full of South Winds and a dry Spring and the North Winds blow much such a Season produceth Dysenteryes Sometimes the Air is infected and produceth a contagious and epidemical Dysentery which is so infectious that the Excrements of the Sick being cast into a Privy infecteth all that sit over it The Diagnostick Signes are often and bloody Evacuations with Pain in the Belly Watching Thirsting Loathing of Meat sometimes a Feaver If the small Guts are affected the Pain is vehement like the pricking of Pins because they are of more exquisite Sense they go not to Stool presently after the Pain and the Blood is mixed with the Excrements The contrary judge if it be in the great Guts the Pain not so sharp they go to Stool presently after and the Blood swimmeth on the top of or a little mixed with the Excrements You may judge of the Humour causing this Disease by the Colour of the Excrements Age and Temperament of the Patient and Season of the year Thus the Prognosticks are made Dysenteryes caused by black Choller are deadly if it be not Critical because the Ulcer groweth cancerous be sure you judg aright between Melancholy and Blood congealed If Loathing of Meat and a Feaver accompany it it is dangerous If pieces of Flesh be voided it is deadly Much Watching great Thirst black bloody and stinking Stools without a Mixture of Humours Hiccough cholerick Vomitings Pain in the Liver and Midriff are for the most part deadly Signes If Choler or sharp Diet be the cause of this Disease it is easily cured salt-Phlegm is worse because it sticks longer to the Guts If this Disease happen to one troubled with a disease in the Spleen or the Gout it is good saith Hippocrates because the Matter is sent forth but this is rather a Diarrhae a then a Dysentery To cure you must evacuate sharp Humours you must asswage Pain cleanse consolidate and dry the Ulcer and stop the Flux To evacuate the Humours you must purge every second third or fourth day according to your Patients Age Strength Season of the year and the like Rubarb is exceeding good in this Disease given a Drachm or a Drachm and an half or two Drachms Or made into a Potion thus Take of Liquorish scraped and sliced and Raisons of the Sun of each three Drachms Tamarinds and yellow Myrabolans of each two Drachms boil them in Barly and Plantane water to three Ounces in which streined infuse a Drachm of Rubarb thin sliced then add one Ounce of the Sirrup of Roses solutive and make a Potion if you think it not strong enough add of Diacatholicon three Drachms or you may give the Rubarb in Powder in the aforesaid Decoction If the Dysentery be accompanied with a Feaver and Inflammation of the Bowels open a Vein and let the Patient bleed according to his Strength Sometimes vomiting is profitable to revell the Humours which fall from the Stomach to the Intestines Omit not vomiting if you find the Stomach very foul Especially if the Sick be inclinable to vomit for then Nature dictates the right way and ought to be imitated In the mean while you must give asswaging mild and cleansing Clisters afterwards glutinous and astringent Thus Take of the Roots of Marshmallows Butter-burr of each one handful Camomil Flowers one Pugil the Seeds of Flax and Fleabane of each two Drachms boil them in Barly water or Milk Chalybeated or Mutton Capon or Sheeps Head Broth to a Pint strain it and dissolve therein the yolks of four Eggs well beaten Oyl of Roses and Sirrup of Quinces of each one Ounce and make a Clister If the Ulcer want cleansing add Century and Wormwood to the former Decoction and to the strained Liquor add Turpentine dissolved in the yolk of an Egg the chymical Oyl of Wax of each one Drachm When there is need of more binding and glutinating make a Clister thus Take of the Roots of Comphry Tormentill and Bistort of each one Ounce Plantane Shepherds purse Knot-grasse and Mous-ear of each one handfull Pomegranate Flowers Mirtles Acorn cups and Cypresse Nuts of each one Drachm parched Rice French Barly and red Roses of each one Pugill Make a Decoction in Smiths water to a Pint of the straining add of the Juyce of Plantane and Yarrow of each one Ounce and the yolks of two roasted Eggs. Or insteed of the Juyces you may add
is sound and the Distemper may be taken away if the Humours which corrupt the Blood be evacuated In the Cure of this Disease your main work is to strengthen the Liver correct the Distemper and stay the Flux If it come from a cold Cause deal with it as with a Dropsy But if it come of a hot Cause as for the most part it doth you may gently evacuate the peccant Humours with Rubarb as you are taught in the Cure of the Dysentery Then you must give Medicines which strengthen the Liver Take of the Roots of Succory Sorrell Bloodwort and Monks-Rubath of each one Ounce the Leaves of Plantane Endive Succory Purslane Agrimeny and Dandelion of each one handfull Wormwood half a handfull Red Sanders two Drachms Coriander seeds prepared a Drachm red Roses one Pugill the shavings of Ivory and Spodium of each a Drachm boil them in Barly water to a Quart and in the straining dissolve of the Sirrups of Quinces Vinegar Simple and dried Roses of each two Ounces of the Oyl of Vitriol as much as will make it moderately sharp and make a Julep for six Doses to be given Morning and Evening First and Last The Sirrup of Myrtles of Succory simple or compound with Rubarb the Sirrup Tincture or Magistery of Pearl is very good and may be made use of as the former or made into a Julep with Plantane or other cooling Waters The Liver of a Wolf is much commended and it may be made into an Electuary Opiate or into any other form with the aforenamed ingredients The Tops of young Nettles boiled in Broth or Water are good and the juyce taken is more powerful to stop the Flux and to purify the Blood It is good to apply an Epitheme to the Region of the Liver made of the aforenamed Ingredients or as many of them as you think good It is convenient that among your Medicines which you give to stop the Flux you administer such as are restorative because in this Disease the Body is much consumed Riverius much commendeth this distilled Water and the truth is it deserveth commendation Take a fat Capon and a Partridge pull and draw them and filth ir bellyes with Succory Agrimony and Snails of each one Handfull Conserve of Roses three Ounces Plantane and Coriander Seeds prepared of each two Drachms Citron Myrabolans one Drachm the Leavs of Bloodwort half a handfull the Troches of Amber and Spodium of each four Scruples the Powder of the Electuary de Gemmis Triasantalon and Diamargariton frigidum of each one Drachm Sprinkle them with Styptick Wine and put them into the Fowls Bellyes boil them in a close Vessel in four Pints of Water till half be consumed then put them into a glasse Limbeck with three Ounces of good Wine and distill them in Balaeo give a little of the Water often by it self or with other Medicines CHAP. L. Of the Worms VVorms for the most part breed in the Guts therefore I shall speak of them here Galen Propounds three kinds of Worms the First are round and long and are called Teretes and are more common then the rest and are bred in the Guts but do somtimes get up into the Stomach The Second are called Ascarides they are little and smal like threds and they commonly ly in the lower part of the thick Intestines and over against the Sphincter-Muscle The third sort are broad Worms and long though seldome seen sometimes they are voided of an incredible length They are bred of such Nourishment as easily putrifieth in the Stomach hence it cometh to passe that Children and such as are gluttonous who eat much Fruit and such things as easily putrify especially more being eaten before the former is digested are troubled with Worms The Signes of Worms in the Guts are divers not in all alike a stinking and sowr Breath Stools like Cow dung in colour Gray like Potters earth Sometimes there is a continual Feaver Heavinesse Fainting Loathing Vomiting unquenchable Thirst and sometimes cold Sweats an unequal Pulse the Cheeks are sometimes red sometimes blew the Eyes shine the Nose itcheth the Teeth gnash a dry Cough There is pain in the Belly sometimes by Inflammation and sometimes by Distention some start in their Sleep Sometimes the Body pineth and the Patient hath an insatiable Appetite this is a Signe of flat Worms which eat up the Food The Ascarides are known by the itching of the Fundament and the Excrements are many times full of them Sometimes the eating away of the Gums is a Signe of Worms Though to Children and older Folk Worms are common and little feared yet many and dangerous Symptoms and Diseases are bred by them In the beginning of a Disease it is evil for Worms to be voided alive or dead especially alone without Dung if they be alive they signify great Crudity and Want of Nourishment if dead great Putrefaction by which they are killed In the declining of a Disease Worms comming forth with the Excrements is a good Signe The Cure of the Worms consisteth in giving Medicines to kill them and to evacuate them being killed The best way to kill them or at least to drive them to the lower Intestines are these Simples which follow viz. all the sorts of Wormwood Southernwood Calamint Dogs-tooth Century Horehound Dittany Hyssop Rew Savin Peach leavs Coriander seed Harts horn Lupines Mints Garlick Elecampane and many other of these Simples may several forms of Medicines be composed mixing with them such things as purge not onely to kill but also to carry away the Cause of Worms Rubarb is much commended because it may safely be given if a Feaver be present Take of Rubarb one Drachm yellow Sanders half a Scruple infuse them in Purslane water three Ounces strain them and dissolve the Powder of Rubarb and the Powder against the Worms which you may have at the Apothecaryes of each one Scruple Sirrup of Roses one Ounce mix them and make a Potion If the Feaver be not great add Hiera picra to your Potion more or lesse according to the strength of your Patient afterwards give a Clister made of the Decoction of Liquorish Raisons Figs or Chicken Broth sweetned with Sugar and Hony of Roses such Clisters are good to draw them down into the thick Guts Afterwards give a Clister made after this manner Take of Wormwood Southernwood Century of each one handfull Lupines half an Ounce the Seed of Wormwood and Coriander seed prepared of each two Drachms In a half Pint or a Pint of the strained Liquor according umo the age of the Patient dissolve one Ounce or two of the Oyl of Wormwood and Salt one Drachm and an half To bring them out being killed add to the former Clister Benedicta Laxativa Hiera picra and Cassia newly drawn of each three Drachms or more if your Patient can bear it Rondoleitus doth highly commend Diaearthamum and the Infusion of Agarick in Oxymel because it not onely killeth Worms but purgeth Phlegm and corrupted
that you make a distinction between the Haemorrhoids and the clefts of the Fundament which are like those chops which are in the lips caused by sharp Northerly winds and the Tumor called Condiloma which is in colour black as the Haemorrhoids are in form long and not in the Veins whereas the Haemorrhoids are in the Veins and round There is also in the Fundament sometimes to be found a carnuons swelling called Thymi and sometimes in the privities of Men and Women and they are like the flowers of Thyme they are little white or reddish without pain the Haemorrhoids are for the most part black greater and painfull The piles are greater then the former they are called Fici they are blew and painfull are like the Haemorrhoids onely they are a carnuous swelling and the Haemorrhoids is a swelling of the Veins The Piles are of a Maligne quality and do sometimes ulcerate The swelling of the Haemorrhoids is not dangerous unlesse it be inflamed and Gangrene Or if it suppurate and come to an Ulcer and chance to turn to a Fistula which may prove incurable To cure you must bleed and make such revulsions prescribed in the former Chapter likewise open the Saphaena You must not use strong purges lest you draw more humours to the place yet you must keep the body soluble least the voiding of hard dung greatly encrease pain keep the body soluble by this or the like Medicine Take of the leaves of Lettice Burrage Buglosse and Mallows of each one handfull Polypody of the Oak three ounces Liquorish Raisons stoned and Currant of each half an ounce Buglosse Burrage and Violet-flowers of each one Pugill Boil it in running water to a pint and an half Strain it and infuse therein an Ounce of Senna the liquor being kept hot six hours then put in of Cassia newly drawn one ounce and let it stand an hour strain it and Clarify it and sweeten it with two ounces of syrrup of Violits make four potions thereof and give it twice in a day first and last Then you must apply such things to them which hath power to case pain viz. the Oil of Peach-kernells Sweet Almonds Nuts Egs Box or oils of the seeds of Poppy or Henbane Of these may divers Lineaments be made good to appease pain discuss the Tumor and to dry the Ulcers Take of the oyl of Eggs made in a Leaden Morter the oyl of Violets and Roses of each one ounce Populeon half an Ounce the Oyl of Box two scruples with Hens Grease and Goats Suet sufficient to make a Liniment and apply it or take of the juice of Purslane and honey of each two ounces white Diachylon mollified with the Oyl of Chamomell two Ounces Opium six grains make an Unguent Horstius commendeth wild Flax made into an Oyntment with Hogs grease To discusse the Tumor the Balsome of Sulphur is much commended or this Cataplasme is good Take of Plantane Pilewort and Mallows of each a like quantity make a decoction in Milk till the liquor be half wasted strain out the hearbs and make a Cataplasm with the crums of white bread adding to it the Oyl of Violets Roses Myrtles and the like Or a Cataplasm made of the heads of Leeks is much commended Green Elder leaves boyled to slime and applyed and often renewed are very good The Lungs of a Sheep or Goat taken hot and some slices thereof applyed or if the sick sit upon them it oftentimes proveth effectuall If you see good you may make a fomentation with Mullein Mallows Marshmallows Pellitory of the Wall Flax and Fenugreek seed in Milk water or Oyl or all of them or with a great quantity make a Bath Or a fume made of the powder of Darnell Mullein Pilewort dried and thrown upon hot coals and the Sumen received The decoction of yarrow Mullein and Pilewort is a good Medicine to take inwardly or a Syrrup made of their Juyces against both Haemothoids and Piles If they will not open bleed them with Leeches or rub them till they bleed If the Piles be ulcerated the Balsom of Sulphur the Oyl of Egs stirred in a Leaden Morter is good to cleanse them To conclude those that are subject to these distempers ought to have an Issue in the Leg. CHAP. LIII Of a hot distemper of the Liver A Hot distemper of the Liver is either with or without matter but for the most part a hot distemper of the Liver doth produce hot and cholerick humours It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it is caused either by hot weather violent exercise anger or such like passions of the mind hot or spiced nourishment drinking much Wine or any thing that is naturally hot This distemper is known by loathing of meat the body Costive and hot especially the palms of the hands and soles of the feet the whole body groweth lean a bitternesse of the mouth and for the most part a Feaver if there be plenty of humours the patient vomiteth or evacuateth downwards Choller he is the worse for hot and the better for cold things This distemper though not very dangerous in it solf yet may be the cause of many diseases It is hard to cure it if the stomach be cold because what you give to cool the Liver increaseth the distemper of the stomach To cure it you must cool the Liver and evacuate Choller First give a Laxative and cooling Clister then open the Liver-Vein in the right arm and draw as much bloud as the patients strength will well bear either at once or at severall times Then make an Apozeme to purge Choller thus Take the roots of yellow Docks or Muncks Ruharb Sorrel Succory and Licoris of each one Ounce the Leaves of Endive Succory Fumitory Dandelion and Burrage of each one handfull of the great cold seeds of each three Drachres Of the Cordiall flowers of each one Pugill Tamarinds one Ounce boil them to a Pint and an half then adde to infuse of Rubarb and Senna of each half an Ounce Syrrup of Succory with Rubarb and of Roses Solutive add at the last and clarify it aromatize it with two drachms of yellow Sanders Let the Patient take it four mornings Let his ordinary drink be Barly-water and put therein the Syrrup of Lemmons or Maiden-hair or if he delight in things that are sharper make it sharp with the spirit of Sulphur or Vitriol Whey likewise is very good it is best if it be made by turning the milk with Vinegar or the juice of Lemmons and add such things as I advised for the Barly water Likewise you may prepare Juleps to cool the Liver Take the waters of Endive Succory Sorrel and Buglosse of each one ounce the Syrrups of Lemmons Sweet Apples and Pomegranats of each one ounce of the Syrrup of Corall compound half an ounce the Oyl of Vitriol ten drops mix them and make a Julep for four doses Or Take of the Conserve of the flowers of Buglosse Violets and Succory of each one
Hydropicall person eate his meat and digest it well and be not sick after have no cough nor pain his tongue not rough nor thirsty if he be in a naturall order without physick and medicines work easily with him if he be not faint and his Urine change according to his Diet he may easily be cured For the cure you must consider if the disease hath its originall from obstructions Tumors c And seek the beginning of your cure out of their proper Chapters Afterwards you must labour to evacuate the matter whether it be in the Abdomen or whole body first make an Apozem thus Take of the roots of Parsly Smallage Fennell Elicampane Bruscus Danewort and Madder of each one ounce The Leaves of Agrimony Wormwood Maidenhaire the tops of St. Johns wort and Century of each one handfull the inward bark of the roots of Capers Ash and Tamarisk of each four drachms Liquorish one ounce the seeds of Fennell Parsly and Juniper berryes of each half an ounce the flowers of Broom Beans and Elder of each one pugill Julep roots two drachms boile them in a sufficient quantity of water wherein steel hath been quenched to a pint and an half strain it and add to the Liquor one ounce of Senna cover it and let it infuse six houres strain it and dissolve therein of the syrup of Harts-tongue one ounce and the syrup of Succory with Rubarb three ounces Clarifie it with the whites of Eggs and aromatize it with two drachms of Cinnamon or yellow Sanders give it four mornings Afterwards once a week give this pouder Take of Senna Jallap Mechoacah Turbith Gum and Hermodacts of each one drachm Cream of Tartar and Salt of Wormwood of each two drachms Cambugia half a drachm Diamher Diarrhodon abbatis and Fennell seeds of each two scruples make a fine ponder and infuse one drachm in a quarter of a point of White-wine all night and let the Patient take it in the morning Of these and such like may be prepared medicines of all formes Some commend the juyce of flowerdeluce roots taken with hony or manna the dose is three ounces and Platerus in his Observations doth highly extoll it Chimists do much commend the extract of black Hellebore Mercurius vitae and Diaphoreticus Mercurius dulcis antimonium Diaphoreticum and such like but let the physitian beware how he gives medicines of this nature except his Patient be strong the like caution let him observe in giving of purging medicines especially such as purge with violence But rather let him if his Patient be weake give discussive and Diuretick Clisters thus Take of Mallows Marsh-Mallows Chamomell pellitory of the wall and Mercury of each one handfull the seeds of Annis Sweet Fennell Caraway Dill and Bay-berryes of each two drachms the flowers of Broom and Melilot of each one pugil boyle them in Posset drink or Mutton broath to a pint dissolve in the strained liquor of Oyle of Camomell Dill and Rue of each one ounce Diacatholicon or Diaphaenicon of each one ounce and if you see good add half an ounce of Benedicta Laxativa and make a Clister you must principally give such medicines which purge by Urine the steeled-wine prescribed in the 55. chap. is very good in the preparing of it you may add if you see occasion any of the aforementioned ingredients which provoke Urine The Spirit of Vitrioll Tartar and Salt is much commended if it be administred in some Diuretick decoction The salt of Wormword and Juniper profiteth much Or you may make a Lee of the Ashes of Juniper and White-Wine giving five or six ounces thereof which Lee alone hath cured some Dropsies saith Mathiolus the same I have known my self Bleeding is prohibited and upon good grounds too unlesse the disease come from stoppage of the Termes or Hemorrhoids bleed not then unlesse it be in the beginning of the disease and the Liver in its naturall condition Issues Blisters and Scarifications are likewise forbidden because they gangren for the most part yet in the beginning of a Dropsie the lower parts being exceedingly swelled I made an Issue in the Leg out of which an incredible quantity of water issued and the Patient perfectly cured Among Evacuations Sweatings are not the least profitable especially in Anasarca but in Ascites and Tympanites the Liver being dry besides the difficulty of procuring it it rather hurteth then profiteth All the time of the cure forget not to strengthen the Liver that you may hinder the encrease of water as well as purge it have recourse to the 55 Chapter of the Obstruction of the Liver Hollerius commendeth this opiate Take of Currance cleansed half a pound boyle them in Sack till they be as thick as a pultis heat and strain them then add of the Conserve of Rosemary flowers Citron peels Candied and Cinnamon of each one drachm the pouder Aromaticum Rosatum Diamargariton Calidum and Diacinamon of each two scruples Lignum Aloes half a drachm Saffron half a scruple mix them and make a soft Electuary Then make a fomentation for the belly with these or hearbs of the like nature Agrimony Danewort Chamomell Calamint Elder Mallows Marsh-Mallowes Marjerom Melilot Broom Penny-royall Rue Snakweed Southern wood Tamarisk Wormwood and the like the seeds of Parsly Dill Cummin Fennell Bay and Juniper berryes foment the belly with spunges dipt in the decoction of these or lay the hearbs themselves in a bag hot to the belly Afterwards anoynt the belly with the oyle of Dill Chamomell Rue Flowerdeluce and the like Or you may make Unguents Cataplasms or Emplasters This harmlesse Cataplasm I have found profit much Take of Wormwood Chamomell Mayweed and Danewort of each two handfulls bruise them in a stone morter then boyle them in Vinegar and Hony then with Bean and Barly meale and Cow-dung dryed of each a like quantity make a Cataplasm Galen commendeth a Cataplasm of Snailes bruised with their shells and layd upon the Navell and there keep it till it falls off of its own accord Radishes bruised and laid to the Belly and Reynes worketh by stoole and Urine To conclude If the body be strong you may use strong purgers in your Cataplasms but if the body be weak forbeare In Anasarca you may often and strongly purge watry and flegmatick humors In Ascites and Tympanites more seldome and gentle In Ascites order your internall and externall medicines principally to purge water in Tympanites let them be Carminative and discussive In every of them have a speciall respect to the Liver and if it be too hot as it somtimes happeneth give cold things mixed with warm openers Let their meat be of the dryest and let them shun sweet-meats as a Plague For drink let them abstaine from it as much as can be and drink none but what is made with Wormwood Tamarisk Elecampane Juniper c or let them only hold it in the mouth to coole and asswage their thirst let them chew Mastick for it draweth water from the
Greek is a Disease which modern Writers call Scalding of the Urine it differs from Stranguria in this that more Water is made and with farr more pain Any thing that can wound the Sphincter-Muscle or passage of the Bladder may be the Cause The usuall Cause is either a mixture of sharp Humours with the Urine or sometimes the sharpnesse of the Urine caused by the eating of hot and sharp Meats or by the hot Distemper of the Bowels Liver or other parts or from evill Concoction in the Stomach or Liver by which the Blood is not freed from salt and tartarous Humours which being sucked to the Kidneys is sent to the Bladder causeth pain Filthy Matter comming from an Ulcer in the Reins or Bladder may be the Cause he who is troubled with a Gonorrhaea or Running of the Reins is seldom free from scalding Urine To conclude the Stone or large Gravel may be the Cause The Knowledge of this Disease is evident the Signes of the Causes are easily gathered If it be caused by the Stone Inflammation or Gonorrhaea it is known by their proper Signes If from sharpnesse of Urine by the mixture of Humours the Urine will be thin and high coloured or in it will appear a mixture of Choller Phlegm or Matter the Patient hath eaten hot things or else hath some hot Distemper This Disease is not very dangerous unlesse it continue long and ulcerateth the Neck of the Bladder Sometimes it is hard to be cured especially if the Patient be old The Cure must be wrought by taking away the Cause If a mixture of sharp Humours make the Vrine sharp first make use of Phlebotomy which is good to correct the hot Distemper of the Liver and other parts make use of this Evacuation as often as the Patient's Constitution will bear and the Distemper require then to derive it from the part affected open the lower Veins Then purge with Cassia Manna Rubarb Mirabolans Tamarinds and such things which purge gently if you give it with the Decoction of Plantane Mallows Lettice Purslane and the like it will be the better A gentle Vomit is much commended as a good Revulsion Cooling Clisters are good Inwardly the Whey of Goats milk or Mineral Waters that cool are good for ordinary drink Or this Julep Take of the Roots of Marsh and common Mallows of each one Ounce Lettice Endive Purslane and Violet Leavs of each one Handfull Jujubes and Sebestens of each one Ounce of the four great cold Seeds a Drachm the flowers of Violets Roses and water-Lillyes of each one Pugil boil them in Spring Water to a Pint and an half strain it and add of Jujubes Violets and Poppyes of each one Ounce and an half Oyl of Vitriol twenty Drops make a Julep for four Doses to be taken Morning and Evening If there be no Feaver give Milk by it self The Troches of Winter Cherryes is good If the pain be very great let the Patient when he maketh Water put his Yard into warm Milk or a Decoction of Mallows and other cooling Herbs Or inject Milk Plantane-Water or an Emulsion of the cold Seeds into the Passage Baths and Fomentations made of cool Herbs are good and if the Privities be anointed with Unguentum Populeon the Oyl or Unguent of Roses Oyl of Lillyes and the like it profiteth If the Liver Reins or other parts by their Heat be the Cause use Medicines that are good to cool them If the Liver be too hot bleed the Haemorrhoids or make an Issue in the right Leg. If it come from the Stone Inflammation or Vlcer of the Bladder or Kidneys cure them according to the Rules in their proper Chapters but the cooling Medicines before mentioned are good to allay the Symptomes CHAP. LXX Of Pissing of Blood THough Blood may come from divers parts of the Body to the Passages of the Vrine yet I shall here speak onely of that bloody Vrine which is made from the defect of the Reins or Bladder The usual Causes are much sharp Blood which corrodeth the Veins or plenty of Blood which bursteth them Sometimes a Stone in the Reins or Bladder being moved by Riding or violent Excercise by its roughnesse teareth the part A Fall or Stroak vehement Motion lifting or carrying may break a Vein Sometimes the Weakness of the Reins being not able to divide the Vrine from the Blood may cause this Disease This Disease is apparent to the Senses for when Blood is mixed with the Vrine it appeareth like Water wherein Flesh hath been washed with Clods of Blood at the bottom if it stayes too long in the Bladder it looks black The place that is pained shews the part affected If it come from the Reins it is more mixed with the Urine then if it come from the Bladder If it come from the Bladder it is in a lesser Quantity If it come from the Stone in the Kidneys or Bladder the Signes mentioned in their proper Chapters will appear If it come from Repletion or Sharpnesse of Humours the Abundance of Blood Choller Melancholy or such Humours appear in the Body If it come by a Blow Fall violent Exercise c. the Patient is able to inform This Disease if it be violent and continue long is very dangerous for sometimes the Patient falleth into a Consumption sometimes into the Dropsy Sometimes it causeth a Stoppage of Urine and sometimes an Vlcer breedeth in the place from whence the Blood Floweth If Blood or sharp Humours abound begin the Cure with blood-letting after a while for derivation let the Haemorrhoids and the Saphaena or Ancle-Vein be opened Then purge the chollerick Humours with those Medicines that are prescribed in the 30 Chapter Of Spitting of Blood After you have purged sufficiently give things that knit the Veins and stop Blood For this purpose give four or five Ounces of the Juyce of Plantane and a Scruple of the Troches of Amber or of Gordonius Morning and Evening Forestus in his Observations doth much commend Sheeps Milk six Ounces with one Drachm of Bolearmenick is the Dose The Decoction of Knot-grasse Purslane Horse-Tail Comphry roots Plantane Pomgranats Quinces and the like Likewise the Powder of red Coral Blood-Stone Sanguis Draconis Terra Sigillata given with the Water or Juyce of Plantane is good Giye cooling Juleps to allay the Heat of the Blood Apply such things to the Loins as cool and astringe thus Take of the Roots of Bistort Comphry and Clowns-Wound-Wort of each one Ounce Horse-Tail Plantane Purslane Knot grasse and Shepherds purse of each one Handfull Pomgranate peels half an Ounce Sumach Myrtle Berryes and Hypocystis of each two Drachms Acorn cups red and yellow Sanders of each one Drachm red Roses three pugils boil them in Smith's Water and Vinegar therewith soment the Reins Then anoint the Loins with Unguentum Comitissae and Refrigerans Galeni and if you would have it bind more add the juyce of Plantane or such like Sanguis Draconis c. Then wear a
of the root of Night shade finely powdered and Hogs-grease make an oyntmnt or you may use unguentum è Solano or the white of an egg and Stiptick Wine and such like Then you must consider if the distemper be hot or cold if hot whether it is of the whole body or the part only if the whole body be distempered it is a Fever and you must seek the cure in the second book if the distemper be in the Member only foment it with the decoction of Plantane Roses and such like with the Oyl of Roses unguentum album populeon c if the member suffer by a cold distemper which you may know by the swart colour loosnesse and softnesse of the part then you must apply heating medicines unguentum Basilicon will do very well in this case If a Convulsion happeneth you must consider what is the cause if repletion or fullnesse of phlegm be the cause let the place wherein he lyeth be naturally or art ficially hot and dry let him lye free from perturbation and trouble let his sleep be moderate and only in the night Let him be very moderate and sparing in his Diet which ought to be rere Eggs Barly Cream the flesh of Chickens Capons and Hens Raisons Pine-Kernells sweet-Almonds of hearbs Sage wild Time Hysop Marjarome and such like Let the phlegmatick humor be purged and the convulsed part anointed with the oyle of Nard Bays Castor Rue Nutmeggs c. Vesalius commendeth this following oyntment Take of oyle of sweet-Almonds Hens grease and the marrow of Calves feet of each nine drachms oyle of Violets six ounces the fat of a Kid and Calfe of each fifteen ounces boyle them in the decoction of Mallowes the root of March-Mallowes and the seeds of Quinces till it be consumed then strain it and bring it into the form of a Liniment If Convulsion come by repletion of blood and inflammation open the middle vein and draw blood at severall times give Clysters and deal with this inflammation as with another If emptinesse be the cause of Convulsion direct a moist diet rest of body and mind and much sleep To the diet aforesaid add small stone fishes let his drink be Barly-water and if a little Liquoris and Cinamon be sodden therein it will be the better herbs proper for him are Lettice Spinach Arach Borage Buglosse Mallow and such like of fruits Melons Gourds Damask Prunes Peaches ripe Grapes c. The conserve of Violetts Borage Buglosse Diatraganthum frigidum and bathe his body or the part with warm water and oyle or anoint with the oyle of sweet Almonds Be sure to remember to have respect to the greatnesse of the disease the season of the yeare the age strength and constitution of the Patient Swooning often happening to wounded persons if vioient pain be the cause labour to appease the pain you have rules enough before going If it be occasioned by unmeasurable Evacuation cast Rose-water or cold water into his face use strong Ligatures and fricarions to the extream parts If some venemous quality by reason of a bite of some venemous Creature or wound with some venemous weapon be the cause of this symptome you must seek the remedy in the third Chapter If Raving and Madnesse happen appoint a mean diet betwixt hot and cold labour to provoke sleep to loosen the belly and to expell all perturbations of the mind If the body abound with blood and nothing forbid it open a vein then alter and prepare the humors with Juleps made of the syrup of Roses Violets Water-Lillyes Poppyes and Endive then empty the body with Manna Cassia or some such gentle thing or with an Emollient Clister but above all have a speciall regard to the wound because pain there may be the cause therefore let it be often opened and bathed with Vinegar and oyle of Roses or something that may powerfully appease the pain If the Palsie happen you must be very circumspâ—ct and appoint such a Diet as for the Convulsion let his drink be honyed water and boyle therein Sage and Cinamon or this Take of Cinamon two ounces Ginger half an ounce graine of Paradice Galanga and long Pepper of each one drachm Cardamoms one drachm and an halfe Nutmegs Cloves and Mace of each one drachm boyle them in water to the wasting of a third part strain it and sweeten it and let the Patient drink two or three ounces in a morning For medicines internall or externall go to the seventh Chapter of the second book If the wounded person be costive and he begin to suffer prejudice thereby give him some Lenitive medicines or a suppository If he suffer by stoppage of Urine give him somwhat which gently provoketh Urine see the 68 Chapter of the second book If Vomiting happen and it ceaseth not in due season Take Leaven half a pound the juyce of Mint extracted with Vinegar as much as is needfull boyle them in to the form of a Cataplasm lay it warm to the Stomach If the Patient feel heat and astonishing about the wound anoint the woâ—nd with the oyle of Camphire If the wound swelleth with heat and pilleth under the finger boyle Water-Cresses and Water-Lillyes in Rose Vinegar and apply it If there appeare the Flux of the Sinews which is a viscous liquor from the Nerves dresse it with a vulnery oyle and lay on Emplastrum Sticticum If the wound putrifie and goeth back from healing swelleth with heat looks black blew or swart Take of Litharge one pound Allum one pound and an half Salt two ounces Frankinsence four ounces Roman Gum five ounces of Wine Water and Vinegar of each one pound boyle them a quarter of an hour and apply it warm If there grow a Pustulous Fistula that is when the wound is healed too soon without any firm foundation so that it putrifie underneath and break out again in this case Paracelsus adviseth this Cerat to be used Take of common oyle Virgin Wax and Litharge of Gold in Powder of each one pound boyle them together into the formes of a Cerate to which add Opoponax prepared with Vinegar and Mummy of each three ounces Aristolochia Mastick Frankinsence and Mirrh of each half an ounce Turpetine three ounces Oyle of Bayes two ounces Camphire two drachms mix them upon the fire afterwards make it up with oyle of Camomel So much for the generall cure of wounds and their accidents CHAP. VII Of Sanguine Tumors FIrst Phlegmon is a Tumor begotten of pure blood and is for the most part incident to the fleshy parts the Antecedent cause is abundance of blood In which Tumor are three things considerable first the part that sendeth it either by reason of its plenty strength or streightnesse of passages Secondly the part receiving it either by reason of weaknesse largenesse or opening of the passages or by the lownesse of its scituation Thirdly the part drawing it which it doth either through heat or pain within it The conjoyned cause is much blood
two or three Choclearies either by it self or mixed with Syrup of Myrtles dryed Roses or Syrup of Comphry and if the Flux of Bloud be very violent give a scruple of the Tincture of Corral with it CHAP. II. Of Syrups OF syrups there are three sorts syrrups made by infusion juyce and decoction syrrups made by infusion are made of flowers and such flowers as soon loose both colour and strength by boyling as Violets Roses Clove-gilly-flowers Peach-flowers c. and they are thus made Having picked your flowers to every pound add three pints of water made boyling hot put them into a Pewter-pot with a close cover and keep it hot twelve hours If you would make your syrrup very strong put in more fresh flowers as often as you please having strained it out put the liquor into a Pewter-Bason and to every pint add two pound of fine Sugar put it upon a Chaffin-dish of Coales and melt it stirring and scumming it till the Sugar be perfectly melted without boyling Secondly to make a syrrup of the juyce of an hearb you must make choice of such hearbs as are full of juyce then beat it in a stone Morter presse out the juyce put it over the fire and clarifie it that is scum it as long as any scum arise then boyle it till a quarter of it be consumed to a pint of this add a pound of Sugar boyling it to a syrrup and scumming of it You may know when it is enough if you coole a little in a spoon After this manner you may make syrrup of Wormwood simple of Betony Buglosse Borrage Chamomell Carduus Endive Succory Strawberryes Funtitory ground Jvy St. Johns-wort Mercury Mous-care Plantane Purslane Apples Raspberies Sage Scabius Scordium Housleek Colts-foot and such-like and when you have done so and would know what they are good for see the virtue of the Simples Thirdly Syrrups made by decoction for the most part are compounds though you may make Syrrups of Simples by decoction the operation is thus Take of what hearb root flower or seed you please and bruise it a little if you make a Syrrup of roots or wherein there are many roots let the roots macerate in the water twenty four houres then add the hearbs and the rest and boyle it till half the water he consumed then let it stand and when it is almost cold strain it through an hypoeras-bag without pressing to every pint of the decoction add one pound of Sugar and boyle it till it comes to the thicknesse of a Syrrup or new hony After this manner the most part of the Syrrups following are made except they be made of flowers or juyces Take this for an example Take of common Worm-wood meanly dry half a pound red Roses two ounces Indian spicknard three drachms old White-wine and juyce of Quinces of each two pound and an half steep them a whole day in an Earthen Vessell then boyle them gently strain it and adding two pound of Sugar boyle it into a Syrrup according to art This Syrup is very good for cold and Flegmatick Stomachs it helpeth concoction strengtheneth the Stomach and Liver provokes an Appetite breaks wind and is good against the Jaundise the dose is from one ounce to three Syrupus Acetousus simplex vel compositus Syrup of Vinegar simple or compound These Syrups cut Flegme and tough Humors they coole the body quench thirst and ease any stuffing in the Stomach and are good to prepare the body for a Vomit especially the first if you use it so take from one ounce to two or three in other cases take it with a Liquorish stick Syrupus de Agno Casto Or Syrup of Agnus Castus I conceive by its composition it was intended to prevent immoderate Letchery and nocturnall pollutions for without doubt it dryeth and cooleth the naturall seed thereby restraining venereall thoughts for my part I can say nothing of it by experience Syrupus de althaea Syrup of Marsh mallows This is a fine cooling opening slippery syrup good against the paines of the Stone Gravell or Chollick You may give an ounce or two it is so safe and harmlesse you cannot err in the giving of it Syrupus de Ammoniaco Syrup of Ammoniacum It opens Obstructions of the Liver and Spleen and cooles the parts and helps all diseases arising from their Obstructions and heat as Scabs Itch Leprosie and such like You may take an ounce or more if you see occasion Syrupus de Artemisia Syrup of Mugwort It helps the coldnesse wind paines and all other diseases of the Womb it strengthens the Nerves corrects the blood opens the pores and provokes the Termes You may take an ounce at a time or from half an ounce to two Syrupus de Betonica compositus The compound Syrup of Betony It is good against diseases in the Head and Stomach proceeding of Cold and Wind Vertigoes and Madnesse it concocteth Melancholly and provokes the Termes The dose is from half an ounce to two Syrupus Bizantius Simple and compound It strengtheneth and freeth the Liver from Obstructions and diseases thence proceeding cures the Yellow-Jaundise cuts tough Flegm and is good against the Rickets Take it with a Liquorish stick or from half an ounce to two Syrupus Botryos Syrup of Oake of Jerusalem This Syrup is commended in the Asthma and cold diseases of the breast Coughs and shortnesse of breath Take it with a Liquoris stick Syrupus Capillorum Veneris Syrup of Maidenhaire This strengthens the Stomach and Lungs and helps their infirmities it also cleanseth the Reins of Gravel for the first take it with a Liquoris stick for the last give an ounce or two Syrupus Cardiacus a Cordial Syrup It comforts the Heart and revives drooping Spirits it is good for people in Consumptions it is of an opening quality and expels those Vapours which offend the Brain Take it from one ounce to three Syrupus infusionis Caryophillorum Syrup of Clove Gilly-flowers This Syrup is good in any Feaver Pestilential or not it strengtheneth the Heart Liver and Stomach and refresheth the Vital Parts The Dose is from half an ounce to an ounce and an half It is so harmless you cannot err in the taking of it Syrupus de Cinnamomo Syrup of Cinamon It strengtheneth the whole Body and helpeth Digestion and comforteth the Stomach and Womb and cheareth the Spirits Take one ounce in a Cordial Syrupus aceto sitatis Citriorum Syrup of the Juyce of Citrons This Syrup hath a refrigerating cutting attenuating penetrating faculty it allays Choller and tempers the heat of the Heart cools the bloud and is therefore good against Feavers Pestilential or not small Pox or Measils it resisteth Poyson The Dose is from one ounce to four Syrupus corticum citriorum Syrup of Citron Pills It is of a most grateful savour and most pleasant odour it strengtheneth the Stomach Liver and Heart amends the heat of them and resisteth Palpitations Faintings Swoonings it strengtheneth the Vitals is profitable in
age Before you come to purging make use of altering or preparing medicines Take of the slowers of Borage Buglosse and Violets of Harts-tongue Fumitory and Tamarisk of each one handfull Raisons of the Sun stoned one ounce barke of the root of Capers three drachms roots of Fennell Parsly Lycorish of each a drachme boile them all gently in three pints of water till one be consumed streine them out and clarifie the liquor with whites of eggs add to the same of the syrups of Fumitory Epithimum and Apples magisteriall of each one oâ—nce Take halfe a pint in the morning use this or medicines of this nature three or four dayes twice in the week purge gently twice in a month administer a strong purge ever remember in the meane time to use Phlebotomy as necessity requireth forget not to empty the body by Clysters if there be occasion The night after you have let your patient blood be sure you administer such things as have power to procure sleep which you may do thus Take of conserve of Roses Violets and Buglosse flowers of each halfe an ounce the conserve of the young tops of Tamariske and Clove Gilliflowors of the stalke of Lettuce and Citron rindes preserved of each four draâ—… Mirabolanes and Emblicks of each one Confectio Alchermes and de Hyacintho of each two drachms Corall and Pearles prepared of each two scruples pil diá Margariton frigidum and Laetificans halfe a drachme mix them well in a marble or glasse Morter adding one ounce of syrup of sweet-sented apples The dose is the quantity of a Wall-nut drink after it a little of some convenient Julep or decoction You must likewise apply repelling and discussing medicines to the head the Chapter of the Frensie will furnish you with such medicines But if the Cholerick and melancholly humors in the Braine are grosse and hard to be removed prepare a fomentation in this manner Talte a sufficient quantity of Cephalick herrbs viz Betony Penny-royall Rosemary Lettice Plantane Willow-leaves Housleek Strawberry-leaves Violet-leaves Fumitory Water-Lillys or their Flowers Staechas Poppys boile them in a sufficient quantity of Fountaine water then take of Bay-berries and the root of black Hellebore a sufficient quantity crosly bruise them and sow them with some of the softest of the hearbs into a long bagg boil the bagg a little in the aforesaid decoction bathe the head being shaved with the decoction an houre as hot as may well be indured with double cloathes then bind the bagg to the crowne of the head with hot clothes let the patient lye in his bed and sleep if he can this will wonderfully expell the humours through the Emunctories of the head for it wonderfully discusseth the fuliginous matter gathered in the head which other remedies can scarcely performe This you may do for nine dayes together if you see occasion but be sure to keep the head warme afterward If you find that obstruction or inflammation of the Spleen or defects of the Stomach be the cause of the distemper you must administer inward and outward medicines to open the obstruction and allay the inflammation for such medicines I referr you to those Chapters where I shall treat of the distempers of those parts CHAP. V. Of the Apoplexy Lethargy and Sleepy-disease THe Apoplexy is a depriving of sense motion throughout the whole body coming suddenly without let or hurt of all voluntary functions Causes It is caused of humours cold grosse and tough which fill up and obstruct the Ventricles of the braine which are engendred by overmuch crudities drunkennesse is oftentimes the cause Somtimes a blow or fall causing humours to flow thither is the cause Somtimes of a grosse melancholly humour Or the excrements and humidity of the braine are congealed and thickned by the coldnesse of the aire Signes The Symptomes or forerunners of this disease are violent and sharp paines of the head the Vertigo the swelling of the Veins of the neck a slownesse to move the extreame parts of the body cold When the disease cometh to its height the breathing is so diminished that it cannot be perceived and that is a very evill signe or else it is holden for a while and then fetcht with great violence so much the more it differeth from the naturall course so much stronger is the disease Hippocrates in his Aphorismes saith that it is impossible to cure a strong Apoplexy and not easie to cure a weak one The Lethargy is likewise an inexpugnable desire of sleeping sluggishness Its name in the Greek viz. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 signifieth forgetfulness and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 dull viz. dul oblivion The cause is the same with the former in quality they differ only in this that the Lethargy is accompanied with a Feaver and raving the Pulse is great and striketh seldom and as if they were full of water they fetch their breath weakly alwaies sleepy and can scarcely be compelled to awake If you call them very loud they will sometimes open their eys but soon shut them again they gasp and gape and sometimes forget to shut their mouths c. Coma is a profound sleep from which if he be roused he will answer to any Question but soon fall asleep again sometimes the sick watcheth much yet cannot hold open his eyes but is very desirous to sleep Carus is also a sleepy disease and differeth from the rest it differeth from Coma and the Lethargy because they that have Carus lye in a dead sleep call them pull them and prick them they will not answer Again for the most part a violent Feaver goeth before Carus in the Lethargy it followeth it differeth from the Apoplexy in it the breath is very streight that the sick can scarcely breath at all but in Carus the sick hath his breath at liberty The Cure They who are afflicted with either of these Diseases are in much danger and have need of the speedy help of an able Physician who must without delay use his best endeavours First let him endeavour to awake his Patient out of this dead sleep by presenting forcible objects to every sense Let him place him so that the Sun beams or some clear light may shine upon his face Let him fill his ears with noise clamours and sounds and call him by his name with a loud voice put up into his nose things that are sharp as Rue Castoreum and Vinegar do the like to his mouth Likewise you must provoke the sense of feeling by frictions pulling of the hair pulling out and solding the fingers and all other parts binding c. You must provoke the body to stool by sharp Clysters thus Take of Sage Betony Rue Centory of each one handfull Camomel Calamint and Penny-royall of each half a handful the seeds of Cummin sweet Fennel and Dill of each three drachms the roots of Polypody six drachms Agarick three drachms pulp of Coliquintida one drachin boyl them in a convenient quantity
not here trouble my selfe or the reader to insert examples of the aforegoing medicines the Chapters beforegoing together with every Artists ingenuity will sufficiently insorme Take this for a generall rule that when a Catarrh or Deflaxion is caused by excrementitious humours flowing from any of the inferior parts by reason of the naturall passage being stopped you must open the obstruction by often purging or by medicines regarding the nature of the obstruction and by that meanes turn the humours offending into their naturall channell after convenient Evacuations with internall and externall medicines labour to corroborate the head and dry up the humours Internall medicines may be prepared thus or after this manner Take of Coriander seed prepared and Coltsfoot dryed Nutmegs and Frankinsence of each halfe an ounce Liquoris Mastick and Cubebs of each two drachms flos Sulphuris three drachms Conserve of red Roses one ounce with a pound of white Sugar dissolved in Popy-water make rolls weighing three drachms or half an ounce Take one morning and Evening Or you may make Troches in this manner Take of the best Frankincense and juice of Liquoris of each one drachm Lac Sulphuris half a drachm Opium Saffron and Mirrh of each one scruple the oyles of Annise-seed and Nutmegs of each three drops with Diacedium as much as sufficeth to make Troches or if you please you may make them into pills and take halfe a drachm morning and evening It is good to apply bags of hearbs to the fore part of the head which have a drying quality shave the fore part of the head and apply the gum Sacamahaca spread upon a cloath in the forme of a plaister and add thereto a little Mirrh or if you make a fume thereof and shut the Chamber close it profiteth If the defluxion proceed from a hot cause you must administer medicines which have power to thicken the humours to repel and evacuate it you must likewise correct the distempers and fortifie the parts both sending and receiving and that you may so do you must revel or pull bâ—ck the humours by Phlebotomy if nothing hinder it You must thicken the humours by administring Juleps made of the Waters of Plantane Purslane Lettice the Sirrups of Poppies Violets Water-Lillies of dryed Roses and Meconium and such like Having thus thickned and prepared the humours you must evacuate them by gentle Purgatives Take of the Bestrhabarb a drachm infuse lit in any of the afore-named waters as much as is sufficient for a potion six hours in warm Embers strain it out and add to the liquour one ounce of Manna and as much Sirrup of dryed Roses and administer it To make the potion stronger you may dissolve therein Catholicon Diapranam Solative or Lenitive Confectio Hamech c. or such like having respect to the age and strength of your Patient and humour offending You must endeavour to restrain the Flux thus take of Conserve of Roses one ounce Diatraganthum Frigidum and Palyis Haly of each a drachm Bolearmenick prepared with Rose-water a drachm with the Emulsion of the four great cold Seeds and Sirrup of dryed Roses make an Opiate and give the quantity of a Nutmeg to bedward These Troches are much commended take Gum-Dragant and Arabick of each two drams Bolearmenick and Terra Sigillata washed in Rosewater of each one drachm White Poppy seeds and Juyce of Liquorish of each half a drachm Sugar-penid one ounce with the Musilage of Quince-seeds extracted with Rosewater make Troches to be held in in the mouth day and night The Spirit of Sulphur and Vitriol given three or four drops in a convenient Julep morning and evening worketh no small effects against a defluxion especially if it proceed from an inflammation of the bowels If you find the Disease too stubborn to yield to these medicines you must make use of Narcoticks of which Laudanum is none of the worst four or five grains given at bed-time Faventius extolleth these Pills in a Salt Catarrh or defluxion of salt humours Take of the juyce of Liquoris two drachms washed Aloes one drachm Pillulae de Cynoglosso half a drachm with Sirrup of Violets make a Mass and take a scruple thereof at bed-time It is convenient to make pouders to apply to the head which have power to strengthen to stop the defluxion and consume the humours Take of white Amber Benjamin Mastich Nutmegs of each half an ounce Betony Sage Rosemary Lavender Marjarome of each half a handful Frankinsense graits of Kermes Red-roses Peony seeds and Poppy heads of each two drachms Sanders Myrtles Cyprus nuts and Pomegranate flowers of each one drachm make a powder for the lining of a Cap or Quilt or if you had rather you may make a plaister with the same Simples with Wax and Oyl of Rofes according to art and apply it to the head being first shaved CHAP. X. Of Diseases of the Eyes and first of the Diseases proceeding from Obstruction in the Optick Nerves IN the former book having given you a brief account of this worthy member and what varicty of wonderful operations God and Nature hath placed in so little a subject yet of the parts and faculties thereof it is too hard a task for the most exquisite Philosopher to conceive aright or for the most eloquent Orator to express such wonderful notions But seeing God hath indued every man with this member by whose curious inspection he is inabled to pry into all things it is the duty of every Naturalist to exercise this member in finding out its own constitution and curing the distemper and maladies to which it is subject For the benefit of those who want better helps I shall as briefly as may be discover the diseases and cures of the eye as they are in which work I adhere to the opinions of the wise and learned Physitians verified by Reason and my own Experience Sometimes it happeneth that the sight of the eye is totally extinguished and no fault appears in the eye And this cometh to pass either by obstruction or adstriction of the Optick Nerves and is called by the Latines Gutta Serena and Amauresis Obstruction for the most part is the cause of this Disease which happeneth by the flowing down of a watry humour upon the Nerves which causeth blindness or dimness of sight the like obstruction happening to the other Nervs causeth the Palsie Adstriction or compression sometimes happeneth by some moist humour gathered about the Optick Nerves as blood or filthy matter gathered In the brain sometimes bp humours sometimes by inflammation in malignant Feavers and may be the cause of this Disease For the Nerves being thus obstructed or compressed the animal Spirits cannos pass from the brain to the eyes To this I may add that in case by a wound in the head the Optick Nerves be cut without controversie it causeth blindness The sign of this Disease is the loss of sight and the eye appearing in its natural condition onely the Pupilla or sight
Sugillatio Sometimes the Cornea is made yellow by the Jaundise All these Diseases are easily discovered and their causes are laid down in the Description That which cometh after a Wound or Ulcer and is a Scar is not easily cured But the cure of the Pin and Web consists in Emollients attenuating and discussing medicines But the Antecedent cause must first be removed by universal evacuations such as are described in the 10. and 11. Chapters Then you must soften the hard matter with the decoction of Fenugreek Mallows Melilot Celendine Fenel and the like Then let a Child chew sweet Fenel-seed and afterwards liek the eye or make a Water thus Take of Honey a pint the juyce of Fenel-Brooklime and Celendine of each half a pint Sugar-candy dissolved in the juyces an ounce with the natural Balsome a scruple clarifie them together or distil them in Balneo Mariae and drop it into the eye The seed of Oculus Christi put into the eye is good If it be a scar after the use of the former medicines use the Water of Honey afterwards put a quantity of the Gall of an Ox to the Juyces before spoken of and thicken it with Gum-Traganth If the Eye be blood-shod and yieldeth not to the fore-going medicine you must seek its cure in the Chapter of the Cataract As for the yellowness of the Eyes caused by the Jaundise take away the cause and the effect ceaseth CHAP. XIV Of the Inflammation of the Eyes THis Disease is called Ophthalmia which is an inflammation of the Tunicle Adnata and is sometimes extended to the Cornea By the Latines it is called Lippitudo bloodshontess This Disease is divided into three kinds the first is called Taraxis by the Greeks and by the Latines Conturbatio and it cometh from an external cause viz. the Sun Smoke Oyl Dust or the like If it comes from an internal cause namely from distempers of the stomach it is called Phlogosis and is a light inflammation but is the Original of the true Ophthaliny which always proceeds from an internal cause accompanied with tumour redness and pain and a thick Exerement called Lippa from whence the Latines call it Lippitudo or bloodshotness The third sort is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in in Latine also Chimosis this is attended with vehement pain and the eye-lids are so inverted that they can scarcely cover the eye the red covereth most part of the Iris and it proceedeth from repletion and flegmy humours I might here shew you how Hippocrates hath divided these Diseases namely a moist and dry Ophthalmy the moist I have already spoken of the dry he calleth 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it wanteth humidity and proceedeth from Choler and adust Melaneholy there are other subdivisions if there be itching joyned with it he calleth it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and if it come with hardness of the eye-lids 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Galen mentions another which he calleth Ophthalmia Tabida which ends with a Consumption and loss of the eye this happeneth to them who have moist heads and weak eyes sit to receive a defluxion The immediate causes are defluxion or congestion and sometimes both The defluxion cometh from the head either by the internal veins which comes from the brain under the skull or by the external veins which come from the Pericranium to the Eyes These signs demonstrate the Disease and the cause thereof if redness appear without swelling it is a Contâ—rbation If swelling heat and tears be joyned to the redness then is it a perfect Ophthalmy but if it cover the black of the eye and invert the eye-lids then it is called Chimosis If blood abound and cause the distemper the eye and face will be red and the veins swelled If Choler be the cause the Patient feeleth a pricking pain sharp tears which corrode the cheeks and corners of the eyes If it proceed from Flegme the pain is heavy many slâ—my and glutinâ—…tious tears If Melancholy cause the grief the tumour is but small the colour of a dusky redness few tears the humour thick the constitution of the Patient melancholy If the defluxion come from the internal parts of the head the pain will be felt inwardly and about the roots of the eyes if through the exterior vessels the contrary signs appear the veins of the forehead are distended and there is much shooting about the Temples For the cure the external causes must be removed the antecedent causes evacuated revelled and repelled the conjunct cause derived and discussed and the parts affected strengthned Let the Patient observe an orderly and temperate Diet and eat such things that are of easie disgesture let him avoid all sharp and salt things and such as fume up to the head and such things as breed Choler Let him abstain from strong drink let most of his drink be Barley water Let him avoid all motion let him lie still as long as he is able and sleep as long as he can Let him keep his eyes shut and what ever you do endeavour to keep his body soluble Phlebotomy for the most part is convenient but let it be regulated and moderated according to the constitution strength age and sex of your Patient and nature of the Disease If the body be Plethorick and the Disease hath its original from blood you must take away the greater quantity for Galen in his book de curat per sang mis reiateth how one was cured of an Ophthalmy by bloed-letting first three pound and four hours after one pound understand this onely in the case before mentioned though I could instance many cases more cited by eminent Authors and Fathers of Physick yet let this serve for all to avoid prolixity If onely one eye be affected bleed your Patient on the contrary side If you finde a stoppage of any accustomed evacuations viz. the Terms or Hemorroid veins if the first be stopped open the Saphaena if the other bleed them with Leeches To make revulsion some do apply Cupping-glasses to the shoulders and back others open the veins of the head and temples sometimes the veins or the corners of the eyes and behind the ears and some bleed these veins by Leeches all which are very profitable for derivation When you have bled and made sufficient revulsion you must purge the humour that offendeth and causeth the blood to be inflamed but first let the humours be prepared then purge gently and often and if you see occasion after all this you may purge more strongly Prepare the humours thus Take of Endive Succory and Fumitory of each one handful Red. Rose leaves one ounce of the greater Cold-seeds half an ounce Of Lettice and Poppy-seeds of each two scruples boil them in a quart of Spring water to the consumption of half shrein it and with Sirrup of Violets two ounces and Sirrup of Fumitory one ounce make a Julep for three potions afterwards you must administer such medicines as have power gently to carry away the peccant
humours Take of Cassia newly drawn one ounce and a half Manna dissolved in rose-Rose-water an ounce Catholicon half an ounce Powder of Rubarb two drachms with Sugar sufficient make a Bolus for three times If the body be slagmatick purge with pills of Agarick or Lucis Majores but take this caution along with you that you administer no strong purgation in this distemper without the advice of an able Physition After sufficient Evacuations you may profirably apply a Cataplasme to the forehead and temples that hath an astringent power by which the humours flowing to the eyes may be stopt Take of Bolearmonick Mastich Frankinsence Sanguis Draconis and Wheat-flower of each one drachm the powder of Lentils and Red-Roses of each two seruples with the White of an egge juyce of Nettles Vinegar of Roses of each a like quantity sufficient to make a Cataplasme An Apple roasted with Frankincense and Mastick in it moisten it with the White of an Egg beaten to water and as much of a sound womans breast-milk make a Cataplasme and apply it to the eye or with crums of bread and womans milk with a little Rose water you may make a convenient Cataplasme Then you must prepare Collyries Unguents and Fomentations which must be used with discretion and varied as the pain or inflammation increaseth or decreaseth or as the humours are discussed or fixed c. out of the multiplicity of such medicines I shal insert a few and but a few for brevities sake Take the Salt of Lead one scruple Sal-Armoniack six grains Rose-water and Plantine-water of each three ounces the White of an egge beaten to water one ounce let them be mixed therein and the Salts well dissolved drop a little into the eye morning and evening Quercetan commends the infusion of Crocus Metallorum made in Eye-bright and Fenel-water and used as before Paenotus his Ointment is very good in these ocular inflmamations and the way to prepare it is thus Take of Tutry prepared an ounce and a half Camphire one drachm Verdegreece 12. grains beat the Tutty and the Camphire together in a morter into fine powder likewise the Verdegreece by it self then take of fresh butter or May butter if you can have it one ounce Rosewater one drachm boil them gently together then take them from the fire first put in the Camphire and Tutty then the Verdegreece by degrees stir them well together and strein them through a piece of Sarsenet put it into a glass and keep it for your use anoint the inside of the eye-lids especially about the corners and you shal find ease whether it be a moist or dry inflamation If you make an Ointment of fresh butter and juyce of Tobacco you may do wonders in this case but you must onely anoint the outside of the eye lids In the declination of the Disease you may make a fomentation which hath a power to discusse and resolve of the decoction of Camomel Melliot Roses Eyebright and Marjerom and with clothes foment the eyes If the Disease hath its original from a flegmatick humour your resolvents must be the stronger Baths also the drinking of Wine hath been approved and much commended by Galen and Hippocrates as a means to extenuate dissolve diffuse and discuss the thick humours gathered in the eyes and to open obstructions If you find that the Ophthalmy is caused by defects of the brain by defluxion or a hot distemper of the Liver then labour first to remove the cause as the several Chapters thereof entreating will instruct you Sometimes if the humour cannot be resolved there is a suppuration and an Ulcer sometimes followeth it and sometimes matter gathereth under the Cornea this is called Hypopye this cometh also sometimes by a contusion sometimes it covereth the Pupilla and sometimes compasseth the Circle of the eye and is like a mans nail Hence the Greeks call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 This Disease is known by the inflamation going before the matter is white under the Cornea and when the eye is moved it hath a motion For the cure of this you must if any of the inflamation remain use the aforegoing medicines afterwards do as you are taught in the cure of a Cataract Sometimes not onely in the Cornea but also in the Adnata little blisters do arise like little bubbles like Pearls or Grumwel seed it hath its original from a sharp and watry humour it is called Phlyctaenae in the Adnata they are red in the Cornea white within but if they be on the outside they are black They which are in Cornea are more dangerous then those that are in Adnata and the more superficial they are the less is the danger The cure consisteth in the resolving the matter conjoyned and averting of the antecedent cause labour to prevent a Suppuration lest an Ulcer follow For the particular cure of this Disease you must use those medicines proper for the cure of the Ophthalmy After an Ophthalmy and blisters in the eyes ulcers sometimes happen in the aforesaid Tunicles when the humours there gathered or the blisters come to suppuration and sometimes they follow sharp corroding and watty humours flowing into the eys Some of them are superficial or profound broad or narrow A hollow narrow and hard Ulcer is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Latine Fossula or a little Ditch An Ulcer that is broad and not so deep is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that which cometh in the Circle of the eye is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Ulcus coronale They that are deep solid hard and crusty are called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 If the Ulcer be in the Cornea there will be a small white blemish in the black of the eye If it be in the Adnata there will be a small red blemish in the white of the eye because the Adnata is full of blood All Ulcers in the eyes are dangerous and hard to cure but more in the Cornea than in the Adnata If it happen in the pilla though it be cured it much prejudiceth the sight because it leaveth a scar which hindereth the perspicuity of the Cornea For the Cure you must use such medicines as dry and cleanse moderately such as asswage pain and revel and restrain the humours flowing upon the eyes You can scarcely read thus far and be ignorant of particular medicines yet for the benefit of the unskilful I shall insert one or two Take an egg boiled hard pilled and cut in two pieces take out the yolk and fill the hollow with Sugar-candy and Mirth in Powder tie them last and hang them up in a Cellar and a Water will drop from it which is good to cleanse the eye without pain the water of honey distilled hath been found very effectual But if these medicines are not strong enough do as followeth Take of Plantane Vervane and White rose water of each one ounce honey two ounces the Whites of ten new
laid eggs boiled hard of Mirth Tutty and the white Troches of Rasis of each a drachm Sarcocol Frankincence Aloes and Ceruse of each half a drachm pouder them that are to be powdered and mixe them all in a stone morter then put them into a smal glass body with a head and receiver and distil it in Balneo This Water is excellent against Ulcers in the eys These three Diseases I thought good to annex to the cure of the inflamation of the eyes having a dependency thereupon CHAP. XV. Of the Cancer and Rupture of the Cornea SOmetimes a Cancer groweth up and is perfected in the eye of which there is two sorts either occult or ulcerated The occult is called a Cancerous Tumor or Cancer of the Eye The ulcerated is called a cancerous ulcer in the eye It is known by a blew leaden colour and unequal hardness the veins adjoyning are very full and blew and the eye the temples and the whole head is afflicted with a strong and pricking pain If the Disease be fixed and perfect it is incurable except it be taken away by manual operation but if it be taken in the beginning it may be cured you must administer convenient Physick and adjoyn a sutable diet You must draw bloud on the same side if you finde occasion bleed the Hemorrhoid veins by Leeches and apply them behind the ears after the use of these or the like revulsions purge melancholy often and gently once or twice a week if the body be strong enough purge with the extract of black Hellebore These remedies will much diminish the humours and decrease the pain after which you must use Topicks such as have prepared Tutty and the white Troches in them for which have recourse to the preceding Chapter The flesh of young Pigeons or Chickens applyed to the Cancer hath been found very available The Rupture of the Cornea is when the Tunicle is so divided that the watry humour and sometimes the Uvea cometh forth The cause of both is a Wound Ulcer or a great afflux of humours by which the Cornea is so distended that it cracks and the humours contained are let out and sometimes the Uv a shooteth out Paulus divideth this Disease into four kinds the first cometh forth like the head of a Fly and therefore he calleth it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The second is when a greater part cometh forth and is like the stone of a Raisin and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The third is when the Eruption is so great that it seemeth like an Apple and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The fourth is when the Uvea being come forth is hard and is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The Cure is very difficult alwayes but for the most part it is incurable After bleeding if need be and purging the peccant humours you must use astringent and glutinating medicines as the white Troches and the white of an Egg dropt into the Eye then make a Cataplasme to the part thus Take the root of Solomons Seal four ounces Quinces pared and fliced two ounces Red-rose leaves a handful Acatia a drachm Saffron two scruples boil these in red wine and Plantane water of each a like quantity as much as is sufficient to make a Cataplasme Afterwards to make a perfect consolidation take an ounce of the Mucilage of Gum Traganth made in Plantain water the clarified juyce of Plantain and of the root of Solomons Seal of each one spoonful of the white of an egg beaten to clean water and a womans breast-milk of both a spoonful washed Aloes prepared Tutty and Sarcocol of each two scruples Saffron one scruple pouder what is to be poudered and mix them for a Collyric CHAP. XVI Of the Diseases of the corners of the Eyes and Eye-lids SOmetimes there happeneth a Tumor in the corner of the Eye at the root of the nose if it do not break it is called Anchylops if it do break it is called Aegylops Sometimes this Tumor cometh without inflamation and is bred of a thick flegmatick slimy humour as the Tumors called Atheromata Steatomata c. of which you shall have a brief account in the next book When it cometh with inflamation it is like a Bile with shooting pain and very red and it cometh by thin and cholerick bloud flowing thither and then imposthumateth which being open produceth an Ulcer then it becomes hollow and is called Fistula Lachrymalis The Cure is very difficult because it is ill applying medicines the eye being so near If it hath not been of long continuance and the Orifice to be seen externally it may be cured by medicines But if it hath continued a year the Bone is foul and hard to be cured without burning If it turns to a Cancer it is incurable because medicines will enlarge it and increase pain and is known by the hardness and blewness of the skin the extension of the veins and extremity of the pain You must open a vein if nothing hinder and revel the humours by purging which you may do by these following Pills viz. Cochiae Arabicae Aureae and Lucis Majoris then you must endeavour to stop the progress by repelling medicines take the juyce of Night shade Shepheards purse and Knotgrasse of each two ounces Acacia the flowers of Balaustines Bolearmeniack Gauls Frankincense and Roch-allum of each a drachm boil them well together then with four ounces of white Wax and four drachms of Turpentine make a Cerate to be applyed to the fore-head Afterwards endeavour to resolve the humours Amatus Lucitanus commends this following Cerate Take of the Powder of Cockle-shels two drams Mirrh Aloes and Frankinsence of each half an ounce Sarcocol Sanguis Draconis and Ceruse of each three drachms Opopanax dissolved in Wine Vinegar and Bloud-stone of each one drachm and an half Saffron two scruples Wax and Rozen of each three ounces make a Cerate according to art and apply it to the corner of the Eye and Forehead If after all this it will come to Suppuration make use of such things as will hasten it least the humours corrode the part apply a Plaister of Diachilon Simplex If an inflamation approach apply a Cataplasme made with white bread and milk If it break not suddenly open it with a Launcet cleanse the Ulcer and heal it But if it prove a Fistula you must be the more careful first to cleanse it thus Take of Aqua vitae and Honey of Roses of each one ounce Mirrh two ounces with Allum and Verdegreece of each a drachm boil them together and make a Liniment Unguentum Aegyptiacum and Apostolorum is of great virtue in this case If the bone be foul it must be cured by an actual Cautery yet Fabricius Hildanus saith he cured a Lachrimal Fistula with medicines he applyed Euphorbium and upon the same an Emplaister of Gum-Elemi and this he did till he skaled the bone afterwards with the Tolutan Balsome a drop upon a little lint he incarnated and
the Ear. If the Humor be sharp and you find sharp Medicines disagreeing to it make use of the Oyls and yelks of Eggs of sweet and bitter Almonds If any thing be fallen into the Ear you must endeavour to get it out with an Ear-picker but beware lest you thrust it further If you cannot prevail so inject Oyl into the Ear to relax it that it may the easier come out and anoint the Ear-picker with Birdlime and see if by that means you can draw it out Provoke sneesing with the Mouth and Nostrils shut and by that means it may be forced out If a Flea being got into the Ear procure pain and trouble to the Patient make a little Ball of Dogs hair and put it into the Ear and the Flea will come into it If by swimming or washing the Head Water getteth into the Ear and is the cause of pain hop on the contrary foot to that side and hold your Ear downwards or put in a dry Spunge into the Ear and as it groweth moist take it out and put in more till you be freed CHAP. XVIII Of the Diseases of the Nostrils AS God and Nature hath wisely instituted and ordained this Member as needful and official to the service of the body so the Corruption of Nature by our Fall hath brought many Distempers therein viz. the Ulcer of the Nostrils and Ozaena Sarcoma and Polypus the loss of Smelling in the Nose the Coryza Sneezing and Bleeding the last of which I shall treat of in a Chapter by it self and speak briefly of the rest in this Chapter And first of the Ulcer of the Nostrils which whilest it is new is called the simple Ulcer of the Nostrils when it is old it is called Ozaena The cause of the simple Ulcer is either internal or external Internal when a sharp or salt Humour floweth to the pare External either by a Wound or Contusion The cause of Ozaena is a malignant and acrimonious Humour or the other Ulcer neglected They are easily known and distinguished one from the other The simple Ulcer causeth but little pain sometimes sends forth bloud and sometimes casteth forth a Scab The Ozaena is more painfuls foul and stinking anoying not onely the Patient but all that come near him If it turn to a Cancer it eateth the Gristle of the Nose and destroyeth the Pallat and for the most part hath its original from the French Pox or Elephantiasis The New Ulcer may be easily cured the old one hardly If it turn to a Cancer it is never cured If it hath its original from the French Pox or Elephantiasis it cannot be cured till the Disease be cured For the Cure you must use convenient Evacuations Purging and Bleeding Revulsions and Derivations by Cupping Vesicatories or Causticks applyed to the hinder parts and then strengthen the head and withall appoint a good Diet which may hinder and asswage the sharpness of the Humour This being done if the Ulcer be covered with a Scab you must endeavour to take it off gently and not rashly for fear of a Defluxion of Humours and to that end you must mollifie the Scab with Oyl of sweet Almonds or fresh Butter and warm Water Then you must cleanse it by washing it with Barley Water and if you mix a little Oyl of Roses with it it will not be the worse then apply Medicines which are astringent as the Oytment of Tutty the white Oyntment more commonly known by the Latine Name Unguentum Album the Oyl of the yolks of Eggs the Oyntment of Tobacco is good being carefully applyed Ozaena must be carefully cleansed Take of Smiths water half a pint Barley water four ounces the juyce of Plantane and Wormwood of each two Ounces boil them together till half be consumed and scum it carefully then put in sour Ounces of Honey of Roses let the diseased often snuff it up into his Nostrils wherein the ulcer is You may make an Oyntment more powerful for this purpose thus Take of the juyce of unripe Grapes half an Ounce the Peels and Flowers of Pomegranates of each three drachms of Myrrh Allum and Laudanum of each two drachms Aloes Chalcitis and Frankincense of each one drachm the Oyl of Roses and Myrtles of each two Ounces with red Wax as much as sufficeth to make an unguent which apply to the ulcer Or you may wash it with Allum Water and if it want cleansing mixe a little Aegyptiacum with it The sublimate Water doth dry and cleanse wonderfully and you may prepare it thus Take of Crude Sublimate in Powder twelve Grains put it into four Ounces of Plantane water and boil it to the consumption of half Now and then touch it with this water When it is throughly cleansed you must prepare Medicines which are powerful to dry it up Rondeletius commendeth the smoke of a Wax Candle taken up into the Nose often or you may make a Fume thus Take of Labdanum Benjamin Hypocistis Maslich Myrrh Red Storax and Calamith Sandarach Frankincense Bark and red Arsenick of each three drachms with surpentine sufficient to make Troches of which let the Patient take the Fume Morning and Evening Sarcoma and Polypus is a preternatural Tumor or Excrescency of Flesh in the Nose The first groweth without shape like proud flesh but Polypus springeth as it were from small Roots and hangeth down to the lower part of the Nose and sometimes out of the Nose If it be rooted high it sometimes falleth into the passage that goeth into the Pallat. It is a spungie soft flesh white red or blew and it is fuller at the full of the Moon then at the Change The cause of both is a gross Humour coming from the Brain mixed with bloud The first for the most part is easily cured The second with more difficulty The lower it is rooted in the Nostril the easier may the Cure be effected If it be soft white or red it is more easily cured but if hard and blew it is dangerous You must prescribe a dry and attenuating Diet you must purge the Humour you see abound you must revel and repel the Humours and strengthen the Head as you are taught in the aforegoing Chapters Then you must apply such Medicines to the Tumour as are drying and astringent If it may not be thus cured it must be taken off by a Caustick or by Incision But apply the mildest Medicines first Take the Juyce of the three sorts of Pomegranates beil it to the thickness of Honey apply it often to the Excrescencie Then make use of this Sublimate Water spoken of before in the Ulcer This following Water is commended by Weckerus Take of unripe Grapes three pound Pomegranate Peels and Flowers and Sumach of each two pound macerate them in Vinegar and distil them then add to the water thus distilled Allum one pound Vitriol three Ounces Distil them again and with this water often touch the Tumor for it hath a great power to dry and consume it You
Pint and an half strain it out and dissolve Sirrup of Jujubes two ounces Sirrup of Violets one ounce make an Emulsion for three doses give it Morning and Evening If his Cough be violent let him alwayes have in his mouth Sugar of Roses Sugar Candy or penids or the Tablets of Diatraganthum Frigidum or with Sirrup of Violets and Jujubes you may make it into the form of an Celegma or Lohock If his spittle be thick and tough adde Oxymel Simplex or the Sirrups of Liquoris or Coltsfoot Let his constant drink be Barly water boile it in Currans Borrage and Bugloss Flowers Hartshorne Maidenhaire Coltsfoot Liquoris and such like give it warm You must not purge in this disease till the declination thereof and then use a gentle potion Many medicines there are proper and special for a Pleurisie as Stone-horse dung or White-hens dung soaked in Carduus water and strained give a quarter of a pint this hath a peircing and discussing quality by reason of the volatile salt in it and doth wonderfully disperse the humors in the Pleurisie An Apple made hollow and a dram of Frankincense put therein and rosted given to the sick drinking three ounces of Carduus Water after it and laid to sweat is good saith Quercetan Goats Blood also is good If the Sick fall into a loosness in the height of this Disease it is very dangerous in the declination it is good but if it so happen give him the Sirrup of Myrtles and do as you are taught in the Cure of Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Or The inflammation of the Lungs is a disease not much different in the causes or signes from a Pleurisie but only in the part affected Sometimes this Peripneumonia commeth alone and sometimes followeth another Disease as the Quinzy or Pleurisit which is a dangerous Symptome on the contrary if a Pleurisie follow the inflammation of the Lungs it is a hopeful Symptome This Disease is more dangerous then a Pleurisie and for the most part deadly by reason of want of respiration and the nearness of the heart The cure is the same with the Pleurisie therefore I shall say no more of it CHAP. XXVIII Of Empyema EMpyema 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or a Collection of matter in the Cavity of the Thorax is a Disease which for the most part followeth a Pleurisie and Peripneumonia and sometimes a Quinzy when they are not carefully cured and the inflammation commeth to Suppuration and when the Imposthume breaketh the matter falleth into the cavity of the breast Sometimes blood falling into the Thorax by the breaking or wounding of a Vein may come to Suppuration or rather Corruption Sometimes flegm falleth from the head and other parts into the breast and there putrifying begetteth matter like quitter The signes of Suppuration beginning according to Hippocrates are these First the Pleurisie being not purged the Feaver increaseth while the matter is turning into Pus Secondly the sharpness of the matter touching the Membranes causeth quaking the Third is weight and sense of heaviness in the part To these we may adde the difficulty of breathing for although when the Imposthume is broken the Diaphragma and the Muscles of the Thorax move more freely yet the Lungs are oppressed by the matter lying about them But an old and confirmed Empyema is known by a lingring putrid and partly Hectick Feaver more violent towards night and much sweating a constant troublesome Cough the Cheeks grow Red the Eyes hollow the legs swell Pustles break out on the breast If the Suppuration break and the Feaver continueth are thirsty want appetite the pus green livid or frothy brought up with much difficulty and a loose belly all these are signes of Death or of long sickness the contrary are the signes of recovery They who in this condition doe lift up the whole breast when they breathe by reason of the matter contained are quickly choaked If the matter be not spit forth in forty dayes it turneth to a Consumption and death followeth The Supuration on both sides is more dangerous then that of one that on the left side the worst by reason of the left Ventricle of the heart If the matter flow plentifully by Stoole and Urine and the Patient strong and hearty it is a signe of recovery For the Cure you must endeavour to help nature in Suppurating the humors if Suppuration cannot be hindred by this or the like Cataplasme Take of Chamomel Melilot and Mallows of each one handful the Roors of Althaea one handful Figs and Raisons stoned of each four ounces after due boiling beat and strain them adding to the Liquor the Oyles of sweet Almonds Lilies and Fresh Butter of each one ounce with the Meal of Wheat Fenugreek and Flax Seed sufficient make a Cataplasm and apply it In the mean time let the Patient take of this Lohock Take of the Conserve of the Flower of Bugless Violets and Roses of each one ounce Maidenhaire Liquorish and Coltsfoot of each one ounce Oyle of Sweet Almonds newly drawn one ounce Sugar Candy one ounce Powder what is to be Powdered and with Sirrup of Liquorish or Colts foot sufficient make a Lohock and let the Patient take thereof often Venice Turpentine washed and with Liquorish powder made up into Pills are good to maturate discuss and cleanse give three drachms in the Morning But if the matter will not be spit up you must open it between the fourth and fifth Rib and apply a Plaister to draw out the matter giving the Patient a Wound-drink in the mean time If you desire particular direction herein read Hieronymus Fabricius ab aqua pendente in Libro de operationibus Chirurgicis CHAP. XXIX Of spitting of Bloud Sputum Sanguinis or spitting of Blood called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is an unnatural Flux of Blood from the vital parts viz. the breast Lungs and Aspera Arteria The Immediate cause is Organical or common the Organical twofold either the opening of the Vessels called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Rarefaction called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The common Disease is twofold also as the breaking of the Vessels called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Erosion of them called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Blood offending in quantity or quality may be the cause of opening rarifying breaking or Corroding of the Vessels To be further satisfyed therein Ipray you have recourse to the nineteenth Chapter of Bleeding at the nose Some external cause as Fall Wound or the like may be the cause of Haemoptysis Immoderate Cold may be the cause by hardening the Tunicles that they cannot be extended It is very difficult to judge of the part from whence it commeth If it comes from the head it is cast forth by Coughing hawking and there is a tickling in the Palat as in a Catarrh That which comes from the breast and Lungs causeth Coughing that which comes from the Lungs is Frothy that which comes from the breast is Blackish
when the Pain is under the Ensiformis it shews that the upper Orifice of the Stomach is affected a very sharp Pain that the Patient cannot rest and sometimes fainteth the Vapours sometimes offend the Brain and cause inveterate Head-Ach the Megrim Vertigo and Epilepsy In the other parts of the Stomach there are not so violent Symptomes but great Paines like the Chollick Thus you may know the Causes The Humours offending may be known by the Excrements avoided at the Belly or Mouth also Choller Phlegm Wind or Worms may be knowne by their proper Signes The Diseases of the Stomach or parts adjoyning causing this Disease may be known by their proper Signes Prog This Disease is more dangerous then any other Disease of the Stomach The danger is greater if a Feaver accompany it if the extream Parts be cold Death is at hand thus saith Hippocrates It is least dangerous if it proceed from Worms yet sometimes dangerous Symptoms appear and the Patient dyes sometimes if the cause of Wind cannot be removed a dry Dropsy followeth If it come from other Parts there begin your Cure if it be in the Stomach properly consider the peccant Humour If Wind be the Cause first administer a Clister Take of Camomil Penny-royall Miats and Pellitory of the Wall of each one handful the Seeds of Annise Fennel Cummin and Dill of each two Drachms make a Decoction in white Wine Posset Drink add Benedicta Laxativa half an Ounce the Oyls of Dill Rue and Chamomil of each half an Ounce the Chymical Oyl of Juniper Berries ten Drops make a Clister and give it or the like as often as need requireth Make a Fomentation with the Herbs and Seeds aforesaid or with others of the like Nature then anoint the Stomach with the Oyls of Sage and Cloves Chymical Oyl of Dill Camomil Rue and the like Then administer this or the like Julep which hath power to asswage Pain discusse Wind and strengthen the Stomach Take of Wormwood Pennyvoyall Century the lesse and Agrimony of each one handful the Flowers of Camomill and Juniper Berryes of each one Ounce the Seeds of sweet Fennel and Anise of each two Drachms Boil them in a Quart of white wine to the consumption of half sweeten it with the compound Sirrups of Wormwood and Betony of each two Ounces Let the Patient take a spoonful of this often and six spoonfuls Night and Morning this have I often proved with good successe let the Cause be what it will If the Disease be yet too stubborn to yeeld to ordinary Medicines make a Bath of mollifying Herbs and let the Patient sit in it giving inward discussing Medicines In vehement Pain some do give a Purge and mix Narcoticks with it to allay the Pain and this following is much commended by Forestus Take of Diaphenicon half an Ounce Philonium Romanum two Scruples with Camomil water in want thereof the Decoction make a Potion If Choller cause pain purge it administer Juleps cooling and thickning Foment the Stomach and apply a Cataplasm made of mollifying cooling and discussing Herbs and Seeds CHAP. XLII Of the Inflammation Ulcer and Imposthume of the Stomach The Inflammation of the Stomach is a Tumor comming of Blood sent into the Stomach and its Membranes from the Vena Porta by the small Veins which Blood is either pure and maketh a proper Phlegm or mixed with Choller and maketh an Erisipelatous or with Phlegm making an Oedmatous or with Melancholy making a Schirrous Tumor In a word all things that may inflame the Blood may be the Cause of this Tumor Diagnostick Signes are great Pain burning pricking distending beating even to the Back you may see or feel the Tumor belching and sometimes vomiting of Blood and the Breath is ferched difficultly and a burning Feaver If it be onely of Blood it is somwhat gentler but if it be with Choller there are grievcus Symptoms But be carefull to distinguish this Inflammation from that of the upper side of the Liver see the Chap. of the Inflammation of the Liver This Disease for the most part is deadly If the Inflammation be in the upper part of the Stomach or over the whole or much loathing of the Stomach or rumbling in the Belly all these are deadly Symptoms If the Inflammation kill not and the Feaver and Pain ceaseth and the Tumor remain then it turns to an Imposthume which being broken there remaineth an Ulcer which is known by voiding of Matter by Vomit and Stool But an Ulcer may be bred in the Stomach from other Causes as sharp salt cholerick Humours bred in the Stomach or sent thither from other parts the breach of a Vein which could not grow together again a Wound not well cured Poyson or corroding Medicines taken The Signes of an Ulcer bred in the Stomach are the same with the former to which I add these a constant lingring Feaver stinking Belching no Appetite a pricking Pain and Burning when any thing is taken which is hot cold sharp salt or sowr This Disease for the most part is deadly because Cleansers encrease Pain and Dryers cannot execute their Office but are hindred by Meat Drink and Chylus The Cure of theso Diseases must be diversly considered Purging is altogether prohibited lest more Humours be gathered to the Stomach but give an emollient and cooling Clyster every day such an one as is prescribed in the last Chap you must let Blood in both Arms as much as strength will bear bleed the Haemorrhoids if you see Occasion cup and scarify the Shoulders Back and Buttocks rub and bind the extream Parts and heat them with the Oyl of Spike or Flowerdeluce and the like You must give Medicines which are altering and strengthning and with them mix such which have power to dissolve This Julep is good Take of Barley water well clarified two Ounces Fennel and Purslane water of each one Ounce the Sirrups of Water Lillies and Violets of each one Ounce the Sirrup of Poppy half an Ounce Diamarganiton frigidum a Drachm mix them and make a Julep for three Doses give it Morning Noon or Night Foment the Stomach with â—he Decoction of cooling and mollisying Heâ—… Roots and Flowers and afterwards anoint it with Oyl of Roses Violets and the like Some commend Turpentine washed in Wormwood water given in Pills three or four times which will quickly dissolve or maturate the Imposthume If you find that the Imposthume tend to Suppuration apply this Cataplasm Take of the Roots of common and March Mallows of each one Ounce Camomill two handfuls red Rose leaves a handfull boil them well together and then beat them in a stone Morter then add of the Meal of Barley Flax seed and Fenugreek of each one Ounce with Hen's Grease and Oyl of Roses and Camomill alike QUantity sufficient to make a Cataplasm which must be applyed and often removed When the Imposthume is broken cleanse the Ulcer with new Milk and Sugar or Hydromell or Take of Barley water 3.
Chyle of which Worms breed and are nourished but this remember they are not proper Remedies in Feavers Therefore if the Sick hath a Feaver you must be careful how you administer hot Medicines the like you must observe if you administer any thing to people of hot Natures Women do commonly give Wormseed to their Children for the Worms mixed with sweet things which is a Medicine not to be despised But least it should hurt by its Hear infuse it two hours in Vinegar afterwards mix it with boyled Hony and make an Opiate which Amatus Lusitanus much commendeth Forrestus as highly commendeth burnt Harts-horn given with Raisons Aloes are much in use likewise but the Pill de Aloe rosata is much better if half a Drachm be given at Night The Juyce of Lemmons is good if there be a Feaver and a good corrigent for hotter Medicines If they have not a Feaver the Chymical Oyl of Juniper given one drop in Broth is excellent and no lesse effectual is spring Water made sharp with Oyl of Vitriol Many and those very learned Physitians have much commended Quicksilver who say it may be taken in a moderate quantity with admirable successe and without the least danger to the Body for Dioscorides saith that it killeth no otherwise but by tearing the Guts with its great weight therefore we fear not to give it in a small Quantity because its Weight and Roundnesse will easily carry it through the Body Of this opinion also was Mathiolus Brassavolus Fallovius Platerus Fabricius Hildanus John Baptista Zappata Baricellus ' Sanctorius and many others who extol the benefit of this Medicine to the heavens for its Virtue and say they never found any inconvenience by it Those that dread the use of that let them use Mercurius Dulcis well prepared the Dose for once taking is from eight to ten Grains for a Boy of ten years of Age it will be better if you mix of Diagridium half the weight of the former to carry it sooner out of the Body and to expel the Worms if you give it to a child yonger or to a weak Child give it in a smaller quantity Lastly you may make Topicks of what form you please to apply to the Belly Take of the Oyls of Wormwood Mints and bitter Almonds of each one Ounce the Juyce of Wormwood and Rue of each two Ounces Wormseed Aloes and Elicampane in powder of each a Drachm Colloquintida six Drachms of the Gall of an Ox two or three Ounces with Wax sufficient to make an Unguent or so much if you please as will make a Plaister and apply it if the Sick be loose leave out the Colloquintida CHAP. LI. Of the immoderate Flux of the Haemorrhoids Though a moderate Flux of the Haemorrhoids be healthfull and preserveth a man from many and dangerous Diseases viz. the Pleurisy Peripneumonia Stone in the Kidneys Madnesse Melancholy and from many other Diseases yet the immoderate Flux is very perillous and brings many pernicious Diseases viz. Weaknesse of the whole Body Coolnesse of the Bowels and Liver an Arrophy Cachexia and Dropsy for want of natural Heat for by this Flux the Blood is wasted which is the Treasure of life and Cherisher of the whole Body This Flux hath the same Cause that other bleedings have viz. Blood offending in Quantity or Quality In Quantity when plenty of Blood it brought to the Haemorrhoid Veins and dilateth and openeth the Orifices or overmastereth the retentive Faculty hence followeth a Flux If the Blood offend in Quality as Sharpnesse and Thinnesse it stirrs up the expulsive Faculty and sendeth forth both good and bad Blood This Disease is known by weaknesse and a yellowish Colour of the Body comming upon a long Flux of the Haemorrhoids If too much Blood be the Cause of the Flux there went before Causes of encrease of Blood and the beginning of the Flux was a refreshment to the Patient but the Flux continuing he grows weak If the Flux came from Sharpnesse and Thinnesse of the Blood there preceded Causes which breed Choller or sharp Water the Body is of a cholerick Constitution the Blood floweth violently and is shining whereas if it offend onely in Quantity it is black and Melancholy To perform the Cure you must stanch or moderate the Blood by revelling deriving thickning and astringing Means First open a Vein in the Arm and if the Patient hath not lost much Blood but aboundeth therewith draw Blood plentifully otherwise draw little and often Rub and bind the superior parts and Cup and Scarify the Shoulders that the Blood may be revelled By gentle Purges derive the cholerick Humours which make the Blood so violent purge with such things as have an astringent Quality as Rubarb Myrabolans Tamarinds such as are prescribed against vomiting of Blood and bleeding at the Nose But beware lest the Body be too much bound lest by straining the Veins will be more open therefore after the use of astringents let the Patient eat sharp French Prunes before and after Meat Then you must give such things as may thicken the Blood have recourse to the 19 30 and 39 Chapters Lastly you must prepare astringent Fomentations and Unguents to be applyed to the Haemorreoid Veins boil Mullein in Smith's water and foment or you may add other Herbs of the same Nature to it thus Take of the Roots of Bistort half a Pound the Leaves of Plantane Mullein Shepherds purse Bramble and Oak Leavs of each two Handfulls Pomegranate Flowers and Peels Galls and Sumach berries of each one Handfull red Roses two Pugills Myrtles half a Drachm Allum one Ounce boil them in three parts of Smith's Water and one of red Wine and soment the part therewith but let it be but moderately hot Or with a greater quantity of the Simples you may make a Bath for the Sick to sit in but let it not be hot Or you may make an Ointment with their Juyces and Bolearmenick Terra Sigillata Sanguis Draconis Ceruse Vinegar and such like Unguentum Comitissae is good to anoint the Veins and the Back The Dripping of un Eel is much commended Or take the Hairs of an Hare burnt Spiders Webs mixed with the white of an Egg and apply it Or touch the Vein with Oyl of Vitriol and in a desperate Case with Aqua Fortis If the Veins should ulcerate cleanse the Ulcer as you are taught in divers places of this Treatise But be sure you consider the State of the Liver and Spleen if they be hot or weak cool or strengthen them as you are taught in their proper Chapters CHAP. LII Of the pain of the Haemorrhoids THe Haemorrhoid-Veins sometimes do swell and cause very great pain The cause of this differeth not from the former for the blood offending in quantity or quality and cannot open the ends of the Veins causeth a Tumor or inflammation These Tumours are sometimes like Grapes Mulberries Warts and sometimes like bladders Some are externall others internall It is convenient
very dangerous and few escape thereof But if it be little and onely in one part of the Liver and the Matter white which comes forth by Urine and Stool the Sick escapeth if it be in the outward part of the Liver it may be opened by an actual Cautery and if the Matter which cometh forth be white the Patient escapeth After the Imposthume is broken there remaineth an Ulcer if the Patient continueth the Ulcer is hard to cure and bringeth the Patient into a Dropsy or Marasmus But sometimes sharp cholerick and corroding Humours in the Liver produce an Ulcer without Inflammation This Ulcer is discovered by the Signes following Pain in the right Hypocondrion mattery and bloody Stools and pain in the Bowels as in the Dysentery onely here the Weight and Pricking about the Liver maketh a Distinction sometimes pieces of the Liver have been voided by Stool If the outward part of the Liver be ulcerated the Urine is mattery without any Disease in the Bladder or Reins The Colour is yellow sometimes small Pimples in the Face a stinking Breath Loathing Flesh and the Sick fainteth often An Ulcer in the Liver is accompanied for the most part with an Hective Feaver for the most part Death lodgeth not farr from it that which followeth an Imposthume and Inflammation is more dangerous then the other If it tends to Suppuration it is hardly cured yet you must proceed thus Take of the Emplaster of Diachilon magnum and Melilot of each one Ounce Gum Ammoniacum dissolved in Vinegar half an Ounce Oyl of Wormwood and Wax make a Plaister and spread it upon Leather in the form of an half Moon and apply it to the Region of the Liver Make use also of mollifying Cataplasms Give inwardly Chicken Broth and boil therein Marsh and common Mallows Figs c. When the Imposthume is broken make use of the Medicines prescribed for the Cure of an Ulcer in the Stomach give him to drink Whey or Barly-Water and Hony of Roses If the Suppuration be outwardly and after the opening thereof the Matter is filthy red and stinking Death must perfect the Cure but if the Matter evacuated be white and concocted there is hopes of Recovery CHAP. LV. Of the Obstruction of the Liver 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Obstruction of the Liver is a Disease organical a preternatural Straitnesse of the Branches of the Vena Porta and Vena Cava as also the whole Substance of the Liver which hinders the distribution of Blood and Nourishment by reason of a preternatural Humour which shutteth up the Passages The Quantity or Quality of the Humours may be the Cause of Obstruction Plenty of Humours cause Obstruction in the Cavity of the Vessels which by fulnesse are so distended that they cannot contract themselves to send forth the Matter The Quality of the Humours is grosse tough and clammy Excrements sticking to the Passages and are more thickned by the Heat of the part viz. Phlegm which easily groweth thick and clammy Mela choly which is cold thick and drossy Choller staying long in the Liver grows thick and sometimes the Thicknesse of the Blood may cause Obstruction sometimes grosse Vapours may cause Obstruction as in the Chollick All things which make thick and clammy Humours as a cloudy and thick Air Meats that are astringent cold of grosse Juyce hard of Concoction being immoderately eaten or more eaten then the Constitution of the Body can well dispense with as Beef Bacon Pork and Fish dryed in the Smoak Cheese Pease Beans c. Pears Quinces Medlars Services and Mushrooms Bread not well baked muddy Ale and astringent Wine A cold Distemper of the Liver which cannot well concoct the Chylus but turns it into a salt tartarous and mucilaginous Matter may be the Cause of Obstruction Distempers of the Stomach by reason of which it cannot well concoct but beget crude Chyle which the Liver cannot well order may be the Cause Diag In this Distemper the Excrements are not naturall but are moist white chylous or bloody The Urine white thin and warry when the Patient walketh fast or up a Hill he breatheth with difficulty the Face pale the whole Body lean and dull a sense of Weight in the Hypocondria especially after Meat and though the Sick hath eat Meat light and little in Quantity yet he seemeth as if he had overgorged himself Sometimes the Hypocondria is extended and a dry Cough The Causes are thus known If the Pain be heavy extended and fixed grosse Humours are the Cause Sharper Pains and more moveable declare Wind. If cold Humours be the Cause there is more Weight the Face is pale no Thirst nor Feaver a thick and cold Diet preceded the contrary Signes declare hot Humours to be the cause Choller maketh the Face yellow and blood-red Prog An Obstruction newly begun may be easily cured but an old hardly If the Obstruction of the Liver be not removed it breeds many dangerous Diseases in a word it may be well called the Mother of all Diseases That which comes of crude phlegmatick Humours is worse then that which comes of Wind. You must begin the Cure with universal Evacuations suitable to the Nature of the Disease the Strength and Constitution of the Patient If Blood abound open the Liver-Vein but beware lest you cool the Body too much Then you must make opening-Broths thus Take of the Roots of Smallage Parsly Fennell and Asparagus of each one Ource Agrimony Maiden-hair and Polypody of the Oak of each one handfull the Seeds of Annise Parsly and Fennell of each one Drachm boil them in Chicken or Mutton Broth and strain it every Morning give the Sick a Porringer full dissolving first therein Cream of Tartar one Drachm Salt of Wormwood and Tamarisk of each half a Scruple Or every other day infuse in his Broth half an Ounce of Senna and give it as before Baths and Fomentations made of sottning and opening things are good Take of the Roots of Marsh mallows Lillyes and Briony of each two Ounces the middle Rind of Tamarisk the Bark of Caper Roots the Roots of Sea holly Cypresse and dwarf-Elder of each one Ounce The Leaves of Marsh and common Mallows Camomill Mints Germander Penny-royall Violets and Wormwood of each one handfull the Seed of Flax Foenugreek and Juniper Berryes of each one Ounce the Flowers of Broom Elder Camomill and Mililot of each one Handfull boil them in chalybiated Water and if you please add one part of white-Wine and foment the Region of the Liver or with a greater Quantity make a Bath Your Wit if you have any will teach you how to make Unguents of the same ingredients to anoint the part after fomenting It is good to have in readinesse an Opiate that openeth Obstructions strengthneth the Stomach Liver and other parts Take of the Conserve of Wormwood two Ounces the Root of Elicampane and Citron Peels candied of each one Ounce Candied Nutmegs half an Ounce one Myrabolan candied Confectio Alchermes
Ounce Liquorish two Drachms Camomill and Saxifrage of each one Pugill Winter Cherryes twenty Red Cicers four Ounces Raisons of the Sun two Ounces the four great cold Seeds a Drachm and an half French Barly four Ounces boil them gently in the distilled Water of Saxifrage Cammock and Parsly of each half a Pint when it hath boiled a while add half a Pint of white Wine and let it boil till half be consumed to the straining add six Ounces of the Sirrup of Marsh-Mallows drink three or four Ounces in the Morning To the Region of the Bladder must be applyed mollifying and asswaging Fomentations If all Medicines fail and the Patient's pains unsupportable Necessity requireth the dangerous Operation of Cutting Let the Physitian prepare the Patient's body by Purging Bleeding and Diet according to the Constitution and Condition of the Patient's Body and let the Patient prepare his Soul for God CHAP. LXIV Of the Inflammation of the Reins and Bladder THis Disease is a Tumor in those parts caused by the flowing of Blood or Choller unto them The Causes of this Inflammation are natural unnatural or preternatural Natural when there is a natural haereditary Infirmity in the parts or great Heat originally which violently draw the Humours thither Causes not natural are Gluttony Drunkennesse much Venery great Passions of the mind violent Excercise Stoppage of some usual Evacuation as the Terms or Haemorrhoids all things which cause Repletion or evill Concoction and drive the Humours to the inward Bowels Things preternatural may be the Cause as a Stroak Wound or Bruise upon the Reins or Bladder constant Feavers the Matter of the Pleurisy or Empyema carried away by the Urine Heat or Stoppage of the Urine the Stone or Exulceration of the part may cause an Inflammation The Inflammation of the Reins is known by those Signes a weighty and beating Pain about the part which extendeth it self to the adjacent parts the Patient cannot help himself nor ly otherwise then upon his back If he doth sneez or move his Body the pain encreaseth he hath a Numbnesse in the Leg on the same side he maketh Water with difficulty he hath a constant sharp Feaver with Watchings Dotings and dangerous Symptomes He vomiteth Choller Phlegm and other Humours the Urine is first thin and yellow afterwards thick and red If the Bladder be inflamed the Patient is vexed with a sharp Feaver Watching Vomiting c. as aforesaid The Share becometh hard and hath vehement pain he hath almost continuall Provocation to go to Stool as in the Disease Tenasmus Prog The Inflammation of these parts do threaten continual danger of Death Convulsions Dotage Watchings cold Sweats are the Messengers of Death If the Inflammation suppurate and the Imposthume break and the Matter be evacuated by the Urine there is hopes If the Haemorrhoids bleed there is hopes that the Inflammation will cease You must begin the Cure with a mollifying and cooling Clister to the Decoction for the Clister prescribed in the Chapter of the Stone in the Reins add of Cassia and Diaprunes Lenitive of each half an Ounce Sirrup of Violets one Ounce the Oyl of Violets two ounces make a Clister Then open the Liver-Vein on the same side the Inflammation is If the Bladder be inflamed open the Liver-Vein on the right Arm draw as much Blood as your Patient's Strength will bear And if you open the inferior Veins it is a good derivation Then give the Clister again and as often as need requireth but remember to give it in a small quantity least it oppresse the Tumor Use Cupping and Scarifying Frictions and Ligatures to the extream parts to draw the Humours outwards You must allay the Heat of the Blood by cooling Juleps in which use no Diuretick Simple lest it carry Humours to the part and increase the Inflammation in the declination of the Disease Diuretick Medicines may be given You may make a cooling Julep thus Take of the distilled Water of Endive Lettice Plantane and Purslane of each four Ounces Sirrup of Pomegranats two Ounces the Sirrup of Water-Lillyes and Violets of each one Ounce Oyl of Vitriol as much as sufficeth to give it a gratefull Relish mix them for four Mornings and Evenings Draughts Or you may make an Emulsion of the Seeds of Sorrel Letrice Purslane Poppy Almonds Pine-Nuts and the like The great cold Seeds are diuretick and must not be used in the beginning of the Disease for the reason before given Nor ought you at first to purge till the Declination then you may profitably purge with Medicines which are gentle as Manna Cassia Rubarb Tamarinds Diaprunes lenitive Sirrup of Roses c. Outwardly you may apply Cataplasms Liniments Unguents that are cooling repelling and if the Inflammation be in the Bladder astringing when the Defluxion is stopped use Softners and Dissolvers If the Strangury or any other dangerous Symptome appear converse with their proper Chapters If the Tumor tend to Suppuration which you may know by the encrease of the Feaver and Symptomes trembling and vomiting you must help Nature with mollifying Cataplasms the Chapters of Inflammations of other parts will advise you If the Tumor appear outwardly you must open it with a Cautery or Incision-knife If it break and the Matter fall into the Abdomen it brings sudden Death or a Hectick Feaver If the Tumor grow hard and the Feaver gone it breeds the Dropsy evill Habit or some such Disease and is incurable for the most part you must deal with it as with the Schirrhus of the Liver CHAP. LXV Of the Ulcer of the Reins and Bladder THis Disease is caused either from an Imposthume broken there from Sharpnesse of the Humours or from a Stone which doth corrode them This Disease is known by the voiding of much Matter with the Urine To know whether the Reins or the Bladder be diseased take a few Rules If the Ulcer be in the Reins the pain is there the Matter is more concocted more in quantity and more mixed with the Urine making it appear like Milk which standing settleth to the bottom sometimes much Blood is voided and pieces of Flesh which sometimes stops the Passage When the Ulcer is in the Bladder contrary Signes appear the pain is neer the Privityes the Matter is lesse in Quantity and not well concoct but of divers Colours and stinketh sometimes Matter is voided without Urine If the Ulcer be old callous and hard snotty Phlegm is voided such as is voided if there be a Stone in the Bladder for the most part little Skins like Scales or Bran are voided As all inward Vlcers are dangerous so are these much more because the continuall Flux of Humours with the Vrine to the part doth nourish the Vlcer The Violence of the pain causeth Watchings and a Consumption of the whole Body If the Vicer be taken in time and the Patient yong it may be cured else not The Cure must be performed by evacuating the peccant Humours by cleansing drying and healing the
thin plate of Lead about the Reins pricked full of holes Let the Patient's ordinary drink be Beer in which is tunned Mastick-wood sliced and cut small Plantane and the Herbs before named If the Liver be distempered with Heat conferr with the 53 Chapter If the Stone or Gravell be the Cause use no strong Diureticks because they provoke the Flux but that which I have known very effectuall in this case I shal here commend and put an end to the Chapter Take of the four greater and lesser cold Seeds of each one Drachm Quince Seeds half a Drachm the Seeds of Marsh-Mallows white Poppy and Winter Cherryes of each one Scruple make an Emulsion with the Decoction of Marsh-Mallows and give two three or four spoonsuls in the Morning and if you add a little Oyl of Vitrioll it will be the better Venice Turpetine made into Pills with the Powder of Rubarb half a Drachm taken in the Morning doth gently cleanse the Reins CHAP. LXXI Of the Green-sicknesse THis Disease is called by some the Virgins Disease the white Feaver the white Jaundice but vulgarly the Green-sicknesse It is an evill habit of the Body proceeding from the Obstruction of the Veins about the Womb Liver Spleen and Mesentery causing a heavinesse unweildinesse of the whole Body difficulty of Breathing panting of the Heart and Head-Ach a desire after Food that is evil and a loathing of good The Veins about the Womb being obstructed that Blood which Nature hath ordained to go thither having not free passage runs upwards and oppresseth the Heart Liver Spleen Diaphragma stops the Vessels and destroys the naturall Heat hence it cometh to passe that the Stomach and Bowels cannot concoct well as they ought to do so Crudityes are dispersed throughout the body and make an evill Habit. Sometimes by this means the Hypocondria is swelled which depressing the Diaphragma causeth Shortnesse of Breath This grosse Blood being carried in the great Artery to the Heart which least it should be suffocated by it labours for its deliverance often moving of its Arteryes causeth a Palpitation and Beating of the Temples The Stomach by this means being filled with Crudityes and excrementitious Humours causeth a Loathing of Food and a desire after such things which ought not to be eaten as Salt Chalk Coals Ashes Oat-meal Wheat Tobacco-Pipes c. which Disease is called Pica Malacia and we have spoken of it in the 35 Chapter of this Book This Obstruction is caused many wayes as drinking cold Drink to Bedward eating raw or unripe Fruits Some go to Feasts and upon a full Stomach dancing and sporting all Night disturb the naturall Frame of the Body and want Rest others sleep too much and sit long at their work as Seamsters Bonelace-makers and the like By these and the like means Concoction is hurt the naturall Heat is extinguished and the Body filled with crude Excrements and thick slimy Humours which cause Obstructions This Disease is easily known and you may know the diseased if you do but veiw their Faces which are pale and white sometimes of a Lead colour blew or green the Face and Eye-lids the Legs and Feet swelled The whole Body is unweildy and lazy When the body is stirred by Exercise or Walking especially going up a hill or steep place there followeth Palpitation of the Heart and Shortnesse of Breath Beating in the Temples and great Head-Ach behind if the Womb be obstructed before if the Hypocondria be afflicted there is great loathing of wholesome Meat and desiring the contrary the Pulfe is swift and quick as in a Feaver and when the Disease comes to the hight the Terms are stopped This Disease continueth a long time yet is seldom dangerous sometimes by long continuance it breeds Corruption in the naturall parts Dropsyes Feavers Consumptions which end in Death If the Veins of the Womb onely are obstructed a Husband will cure her Women that have a long time been in this condition bring forth weak and sickly Children and sometimes they are barren This Disease is cured by opening the Obstructions evacuating the filthy Humours and strengthning of the parts The Obstructions are opened by such Medicines as are mentioned in the cure of the Obstructions of the Liver and Spleen you may add to them such things which respect the Womb as Mugwort Fetherfew Pennyroyall c. If the Spleen be obstructed add such things which are proper for that as Caper-bark Ceterack Spleenwort c. Open the Saphaena or Ancle-Vein but first if the Maid be full of Blood open a Vein in the Arm. Then purge often with such Medicines as are prescribed in the Cure aforenamed and make use of such Medicines as powerfully open Obstructions there prescribed Zacutus Lusitanus doth much commend the Conserve of Mugwort given thirty dayes together drinking after it a little of the distilled Water of Savin in which Rubarb hath been infused The Salt of Mugwort is very good and Faecula Brioniae mixed with the Conserve hath an effectuall and powerfull operation If the Obstructions are stubborn and not easily opened make a Bath thus Take of the Roots of Marsh-Mallows Briony Elder and Lillyes of each two pound Balm Fethersew Mallows Mercury Maddir Mugmort Nep Pennyrorall and Violets of each three Handfulls the Seed of Flax and Fenugreek of each two Ounces boil them in a sufficient Quantity of Water and let the Patient bathe her self in the Morning and Evening two dayes let the Decoction be renewed the second day The next day open the Vein under the Ancle if the Terms be stopped as for the most part they are in this Disease then give Medicines that powerfully open Obstructions when you find that the Obstructions are opened which you may easily perceive by the decay of the aforenamed Symptoms then you must discusse the peccant Humours that remain in the Veins and other parts of the Body by Sweats for which you must use the Decoction of Guajacum in cold constitutions or of China and Sarfa in those that are hot In the mean while every fourth or fifth day give a purge to cleanse the Body of the crude Humours which cannot be sent forth by Sweat CHAP. LXXII Of the Stoppage of the Terms MEnsium Suppressio or the Terms stopped is when a Woman of ripe Age hath little or no Evacuation of Blood by the Womb once in a Month yet gives not suck nor is with Child Divers Diseases of the Womb may cause this Suppression viz. A cold and dry Distemper which thickneth and bindeth the Womb. A hot and dry Distemper dryeth the part Inflammation Tumor Ulcer or Erosion of the mouths of the Vessels in Abortion or Tumor in the adjacent parts by compression may cause this Stoppage The Vessels of the Womb may be obstructed by thick and phlegmatick Humours or they may be compressed by a Tumor in the parts adjacent The cause may be in the Blood when it offends in Quantity Quality or Motion in Quantity when there is
and it will be more powerfull it a little Bolearmenick Sanguis Draconis and Terra Sigillata be given with it Among a multiplicity of Medicines which are astringont and proper for this Diseale I shall insert but one or two Zecheus doth highly commend this following Electuary Take of Gum Arabick and Gum Tragant of each two Drachms Corall of both sorts Eg-shells burnt Harts-horn Dill Seeds Amber of each four Scruples Hony of Roses as much as will make into it an Electuary give half an Ounce in the Morning and fast two howers after it This Julep I have found of great virtue Take of the distilled Water of Plantane red Roses Oak Leavs and Knot grasse of each four Ounces infuse therein a whole Night of the Flowers of Comphry Buglosse and red Roses of each one Pugill strain them out and make it sharp with Oyl of Vitriol with the Sirrup of Comphry and red Roses make a Julep for four or five Mornings Draughts Whatever part sendeth pblegmatick Matter to the Womb you must seek its cure from its proper Chapter To conclude the Medicines prescribed in the former Chapter are good against this Distemper Outward Remedies as Fomentations Unguents Fumes Pessaryes and Injections such as are prescribed in the Chapter aforesaid are usefull here CHAP. LXXV Of the Mother THis Disease is called the Hystericall passion Uteri Strangulatio by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it the Mother and Strangling of the Womb. It is caused by the Seed menstruall Blood or other excrementitious Humors retained besides the intent of Nature in the Womb and there putrified and corrupted breedeth venemous and malignant Vapours which arising doth afflict divers parts of the Body Now these Vapours do not alwayes afflict but when they are stirred up by some cause the most noted are sweet odours sweet meats eaten anger terror and grievous passions of the mind these and such like bring Women subject to this Infirmity into their Fits wherein their breathing is impaired sometimes to appearance abolished the Body becomes cold their Speech gone and Pulse intercepted so that they ly for dead and sometimes have been laid out for burial and yet have revived Sometimes these choaking Fits are not so extream yet is accompanied with other hystericall Symptomes as Vomitings Ravings Convulsions Swoonings and the like Sometimes the Patient feeleth herself as it were choaked by an halter or rope this is caused by abundance of Vapours and Winds ascending from the Womb sometimes seconded by hypocondriack Melancholy which Vapours compressing the Diaphragma and Lungs hinder Respiration and the Patient feeleth herself as it were strangled Others will have it proceed from the Nature of the malignant Vapours whose property is to cause Suffocation Sometimes she loseth her Breath without pain or sense of Strangling by reason of the stupefactive Power of these Vapours which taketh away the vitall Action from the Heart and so hindreth Respiration For Nature having ordained the drawing of Breath to cool the Heart and the Heart is extreamly cooled by these venemous Vapours having no need of the cool Air Breathing ceaseth For the vitall Spirits being destroyed the Animall which are made of them must needs lose their functions We may also say that these venemous and stupisying Vapours do fly up and assault the Brain and hinder the Influx of the animall Spirits whereby the Motion of the Diaphragma and the Muscles which serve for Respiration are hindered Likewise the Womb being filled with these flatuous Vapours doth ascend towards the upper parts as it were by a convulsive Motion which causeth a Compression of the Midriff and Muscles of Respiration Sometimes these sharp and malignant Vapours ascend to the Head and disperse themselves into the membranous parts and cause divers pains pricking and smarting and sometimes stretching and swelling sometimes they cause pains beating like the Pulse Sometimes the Falling-Sicknesse cometh from the Womb by reason of sharp and malignant Vapours which having gotten a powerfull Acrimony do sharply smite the nervous parts These Vapours assaulting the Heart the Heart laboureth to expell them hence ariseth Palpitation Likewise it causeth a great Pulsation in the Back The Stomach doth oftentimes suffer much by this Distemper according to the Nature of the Humours afflicting or part of the Stomach it gets possession of as Want of Appetite or a depraved Appetite that is destring Food which Nature disdains as Coals Chalk c. Loathing of Meat Vomiting Belching Hiccough and pain in the Stomach If in the Womb menstruall Blood is retained it floweth back by the Voins into the Liver from thence shed abroad into the whole Body hence cometh Swelling Feavers and other Diseases If it flows back to the Spleen Swelling Stopping Melancholy and hypocondriacal Diseases are bred Lastly Women have pains in their Loins Thighs and other parts which are caused by these Vapours conveighed from the Womb. Therefore to know this from other pains mark well the Signes of this Disease Much may be gathered from what huth already been said remembring this you must not expect all the Symptomes in one but some in one and some in another the Breathing faileth Sense of Strangling Coldnesse of the Body the Pulse ceaseth and the like which I have mentioned before There goeth before the Fit a Noise in the Belly below the Navill Belching Inclination to Vomit Wearinesse Stretching the Face pale and wan As it gathers Strength it bringeth Suffocation or Choaking afterwards all the vitall animall Actions are depraved diminished and as it were abolished the Womb may be felt in divers parts of the lower Belly gathered round like a Ball tossing and tumbling to and fro When the Fit begins to be over a moist Humour floweth out of the Womb the Body beginneth to be warm they have a Colour in their Face they open their Eyes they sigh they begin to move and so by degrees are freed from the Fit Signs of the Causes are thus known If the Seed corrupting in the Womb hath been the Cause there hath preceded those things which might gather together or excrease Seed and cerrupt it in the Womb as flourishing Age high keeping and an idle life Sanguine Complexion and ripe for Generation or one formerly accustomed to the Actions of Generation and left it of if any such fall into this Disease and have their monthly Purgation well you may judge that Corruption of Seed is the Cause If it come from the Putrefaction of menstruous Blood the Menstrues are stopped or come not down well and the Woman wanteth no carnall Embracements If evill Humours be the Cause the Woman enjoyeth camall Excercise and hath her monthly Purgation but her Body is full of evill Humours Prognosticks we make thus This Disease is seldom mortall but of long continuance the Patient is in great danger if it continue long because Respiration being so often hurt there is danger that the native Heat be suffocated Young Women when they come to bear Children for the most part
Inflammation imposthumate and gather Matter the pain and Feaver encreaseth and the Patient hath shaking Fits and most of all about the Evening Sometimes it turns to an Ulcer which is known by avoiding of snotty Matter or Quittor out of the Womb. If it be party-coloured greenish or Lead coloured stinking and cometh away with great pain it is the worse If it depend upon the French Pox or Gonorthaea their Symptoms will declare the same Sometimes the Inflammation turns not to an Imposthume nor Ulcer but to a painlesse hard Swelling called a Schirrus which is thus known the Feaver and pain ceaseth and the Swelling remaineth there is a hardnesse heavinesse and Sense of Weight bearing down when the Woman standeth As to the Prognostick I shall say a word or two of either of them An Inflammation of the Womb is a dangerous and de adly Symptome especially if the whole Womb be inflamed If a Woman with Child suffer Inflammation of the Womb the Child dyeth and probably the Mother followeth Ravings Hiccoughs Coldnesse of the Hands and Feet and cold Sweats are the Messengers of Death If it imposthumate and turn to an Ulcer it ought not to be slighted because the Womb is of exquisite Sense and hath a fellow-felling with the principall parts of the Body If the Ulcer turns cancrous hollow or fistulous it is seldom or never cured but vexeth the Patient miserably all her life-time An Ulcer in the Neck of the Womb is most easily cured because Medicines may be applyed to them immediatly A Schirrhus or insensible hard Swelling is seldom cured because the naturall Heat is so weak in that part that it can hardly discusse such an hard and almost stony Substance If it be not cured it soon brings a Dropsy and if it be tampered with with over hot and moist Medicines it turns to a Cancer The Cure you must prosecute thus First in the Inflammation of the Womb give a cooling Clister then open the Basilick Vein on the same side the Womb is inflamed if all the Womb be inflamed repeat your Phlebotomy afterwards open the lower Veins Rubbings and Bindings are good and Cupping-Glasses fastened to the Loins and Back Purge the Humour offending with such things as purge gently Then give cooling Juleps or Emulsions to allay the Heat and sharpnesse of the Humours mix therewith Narcoticks to give ease and rest if the Patient be tired out Apply cooling Liniments and Cataplasms In Liniments use the Oyl and Ointment of Roses Galen's cooling Ointment Ceratum Santalinum and such like and with the Oyl of Roses white Bread and Milk make Cataplasms adding the Juyce of Henbane Night-shade Plantant and Sorrell or instead of the white Bread the Meal of Barly Flax and Fenugreek Seed Of such cool Herbs make Injections and Pessaries But use not cooling and repelling too long lest the Tumor be fixed and hardned but rather use softning and discussing Medicines with repelling such as these viz. Marsh and cōmon Mallows Mugwort Melilor Camomill Fenugreek If the Patient be subject to be costive give gentle purgers or mollifying and cooling Clisters If the pain be very violent make Injections with new Milk and a little Opium and make Pessaries of Philonium Romanum and a little Cotton and apply it If it tends to Suppuration apply a Cataplasm made of the aforenamed softning Herbs fat Figs Yolks of Egs Saffion Oyl of Lillyes and fresh Butter When it is broken we must endeavour to purge out the Quitter and cleanse the Ulcer You must often purge with gentle Medicines as Senna Rubarb Tamarinds Mirabolans Agarick Catholicon and such like that the evill Humours may be diverted from the Womb for such who are easy to vomit a gentle Vomit is very profitable Make a vulnerary Drink to cleanse and heal the Ulcer Take of Agrimony Burnet Mugwort Knot-Grasse Plantane and Yarrow of each one Handfull China Root half an Ounce Rha Ponticum one Ounce Currance and French Barly of each two Ounces boil them in Chicken-Broth and let the Patient take somewhat more then a Quarter of a Pint Morning and Evening Venice Turpotine washed in Mugwort Water or in the Water of any other Herb respecting the Ulcer is good to cleanse and heal it If the Humours be sharp and painfull inject the Emulsion of the cold Seeds Goats Milk or for want thereof Cows Milk with the Juyce of Shepherds Purse or of any of the Herbs aforenamed To dry and fill up the Ulcer make a Decoction of the aforenamed Herbs or of the like Nature made in Water wherein Steel hath been quenched or in Plantane Water add thereto Acacia Hypocistis Sanguis Draconis Bolearmenick fine Starch Aristolochia rotunda great Comphry c. Unguentum Egyptiacum de Plumbo de Ceruso and de Apio are very good in Injections and the Oyl of the Yolks of Egs stirred in a Leaden Morter is much more commended If the Ulcer in the Womb come by reason of the French Pox a Fumigation made of Cinnabaris or Minium taken into the Cavity of the Womb hath a peculiar property to cleanse and heal the Ulcer the same virtue hath Quick-Silver Ointments If it come to a Schirrhous Tumor you must purge the melancholy and rebellious Humours and give steeled and such Medicines which powerfully open Obstructions of the Womb or other parts Then you must prepare emollient and resolving Medicaments to be applyed outwardly as the Fomentation and Cataplasm mentioned in the 56 Chapter Of the Schirrbus of the Liver Likewise the Liniment there prescribed may serve here for an Injection To conclude you must use a great deal of care diligence and industry in this Cure lest that the Tumor become harder or which is most dangerous degenerate into a Cancer CHAP. LXXVII Of the Womb swelled by Wind or Water There is a twofold Dropsy of the Womb one from Wind which is like that sort called Tympanites the other from a watry and wheyish Humour answering to Ascites Some add a third answering to Leucophlegmatia which is seldom seen This Wind or Water is contained in the Cavity of the Womb or in the Membranes thereof or in certain Bladders It is caused by the weaknesse of naturall Heat in the Liver or Spleen from which parts Wind Phlegm or wheyish Humours are sent to the Womb or by the weaknesse of the Womb those Humours are collected Causes which weaken the naturall heat of the womb are many viz. cold aire heedlesly taken into the womb or staying in the cold or padling in cold water whilst the courses flow the use of cold meates and drinks add to these abortion hard labour immoderat flux of the Termes all diseases proper to the Womb. This disease is best discovered by signes which distinguish between this and the universall Dropsy of the Belly The Womb-Dropsy causeth a swelling chiefly in the lower Belly in the other Dropsy the swelling is in all parts in this the Body decays not nor there is not such a Thirst and Drinesse of
and Tormentill Bolearmenick Sanguis Draconis Pomgranate Rinds Balaustians red Roses the Whites of Egs Vinegar Oyl of Roses of unripe Olives and the like If the Patient be strong and easy to vomit give a gentle Vomit to carry away the Humours in and about the Stomach soon after vomiting purge strongly Sweating Medicines are very good to discusse the wheyish Matter if a Feaver be present give Harts-horn with Carduus water In a Gout without a Feaver the Decoction of Sassafras Salsa and China may be given it is not amisse if the Heat thereof be allayed by boiling with it Endive Succory Sorrell Burrage Buglosse and the like The Waters of Bath do provoke Sweat and do readily and profitably discusse the Matter contained in the Joynts Forrestus commendeth the Decoction of the Root of the great Burdock for this purpose Likewise a Decoction of Elder Bay Leavs Sage Rosemary and such like receiving the Vapour in a sweating Tub. Afterwards come to locall Medicines Amatus Lusitanus doth commend the Milk of a Goat milked warm upon the part affected or you may make a Cataplasm with it and white bread and the Musilage of the Roots of Marsh-Mallows the Leavs of Henbane Violets and the like and if the pulp of Cassia and Venice-Treacle be added it will be much more effectuall The distilled Water of Frogs Spawn is very good against the pains of the hot Gout if the part be bathed therewith with it you may mingle the Oyl of Calves Feet or with the Flowers of Camomill Melilot Roses Mullein Mallows beaten you may bring it into the form of a Poultis Green Tobacco leavs are much commended and so is a living Whelp laid to the gouty part When the Pain rageth violently use Narcoticks as Plantane Lettice Henbane Housleek Night-shade Mandrakes Purslane and Poppy Heads but be sure you let them not ly on too long for they are inimicall to the naturall Heat and to the Nervs Some do commend this Fomentation Take Spirit of Wine well tinctured with Saffron four Ounces Camphire one Scruple boil them a little and dissolve one Drachm of Opium and bathe the pained part The Oyl of Wax is good to ease the Gout and the Oyl of Mans Bones is preferred before all other and it is thus made Take the Bones of a man fresh and unburied break them small and let them ly in Oyl till they have drunk up as much as they can then distill them in a Retort The Root of Briony and Cuckow-pintle bruised mingled with Cow dung is an excellent Cataplasm I might here fill a Volume with Receipts against the Gouts but passing by all I shall onely insert one or two out of Quercetanus his Dispensatory Take Brine Salt and the Urine of a Boy of each equall parts distill them and dip linnen Cloaths in the Water and apply them to the place affected changing them often Take green Elder Leavs and Flowers of each one pound beat them in a Morter and macerate them in Aqua-Vitae three dayes then distill them till all be dry use it as before Take of rectifyed Spirit of Wine two pound of the best Hony one pound distill them in Balneo Roris from which will come two Liquors the first waterish the second strong and sulphurous keep them by themselvs To the Foeces add of orientall Saffron whole one Ounce and an half Venice Turpetine two Ounces Castor six Drachms Tartar calcined white half a pound Salt dissolved one Ounce Phlegm of Vitriol not seperated from the Spirit four Ounces Lye made of the Ashes of Vine Branches two pound macerate them twenty four hours then distill them till all be dry keep this also by it self To the Dregs remaining pour on the former Water which you kept macerate and distill as before Lastly put all these Waters together and distill them in Balneo Roris wet linnen Cloths therein and apply it to the gowty place Riverius Lib. 10. Ch. 1. p. 378. prescibeth another which he accounts inferiour to none which penetrates into the Roots of the Disease and resolveth and attenuateth the salt tartarous and stony Matter in the Joynts and he supposeth it to be that which the aforesaid Quercetanus reservs to himself as his Master-peice to brag of it is thus made Take of â—…slaked Lime four pound slake it in River water as much as is convenient and let it stand in a Wine Cellar the space of three dayes that the Salt may be extracted the better afterwards boil it a little and strain it through Hippocrates Sleev In twenty Pints of this Liquor quench first Plates of Steel then of Copper made red hot seven or nine times thirdly ten Ounces of Vitriol calcined till it be white fourthly half a pound of Antimony melted in a Crucible fifthly half a pound of Litharge or Ceruse heated in a Crucible sixthly white Precipitate once washed one Ounce and an half lastly Erasse burnt and finely powdered half an Ounce after all this let the Water stand in a Cellar the space of 10 dayes afterwards boil it and strain it and apply it with linnen Rags To raise Blisters upon the part hath been found by experience to be very effectuall In the use of all Medicines take speciall notice which do harm or hurt for the Nature and Complexions of Men are divers and the Excrements bred in severall men are of divers kinds Hence it is that the same Disease doth much differ in severall persons and what cures one doth prejudice another Therefore the Physitian ought to have severall Medicines in readinesse and use thâ—se that Reason and his Experience doth approve of To prevent its return let the Patient bleed twice in a year viz. at Spring and Fall and purge 4 times in a year and make use of sweating Drinks and frequent sulphurous and nitrous Baths The Sciatica differeth nor from the other Gout onely in its Scituation which is in the Hip extending the pain to the top of the Buttock the Loins and Ossacrunt and reacheth down the Hip and Leg even to the Foot This peculiar Prediction belongeth to this Disease that if it continueth long it putteth the Hip out of Joynt The Cure is performed allmost in the same manner with the other Gout First open the Vein in the Arm on the same side afterwards open the lower Veins on the same side viz. Vena Poplitea about the knee or the Vein neer the outward Ancle called the Sciatica Vein if you open the Vein on the contrary side it will not do amisse bleeding the Haemorrhoid Veins by Leeches doth wonderfully help those that are Hipgouty for there is a great consent between those Veins But be not too forward to let Blood unlesse you find Blood to abound Then let the Humours be purged strongly by Pillulae Faetidae or Hermodactylls or the Powder of Hermodactylls compound but beware how you give the latter except to strong Bodyes Mercurius Dulois with Scammony is much commended and the Chymists do much esteem of
in the part which before it cometh to suppuration causeth a Tumor Rednesse heat and pain but when it is suppurate the Tumor is soft yielding and growing to a point a pricking and beating pain last of all the skin breaketh and the pus issueth out somtimes if the humors be thin and the skin of the same nature the Tumor may be resolved without suppuration To this Tumor happeneth evill accidents somtimes if the Chirurgion want care or skill Sometimes it turneth to corruption and is seen by its leaden black colour and stinking savor Somtimes the matter maketh a regression and the Tumor diminisheth but the whole body is inflamed with a Feaver and such like accidents And somtimes it turneth into a Schirrhous hardnesse In the cure the Antecedent cause must be first removed Therefore first let the Chirurgion open the Liver-vein or any other vein which he finds hath more affinity with the sending part if he see good he may bleed him in the opposite part for a revulsion and derive the matter to some part adjacent by cupping frication or Ligatures and apply to the part affected medicines that cool and repell or beat back the flowing humors and of this sort are these simples Acatia Vinegar Balaustines Bolearmenick Camphite sealed Earth Myrtles Pome-granate Peels unripe Grapes Vine-leaves the leaves of Cyprus Plantane Oake Sumach Night-shade Henbane Housleeke Lettuce Purslane Roses and such like Of these you may make somentations or Cataplasmes to be used in the beginning of the Tumor to hinder and beat back the blood which floweth to feed it Take this caution that in some cases these medicines ought not to be medled with to wit when the humor is Malignant or thick or if the Tumor be Criticall Or upon some of the Glandulous parts Next you must deale with the conjoyned cause or the blood impact in the part affected If you judgo that the blood is thin and apt to be discussed discussing medicines are to be applyed This Cataplasm is good Take the leaves of Mallows Melilot and Camomell of each one handfull the seeds of Dill Flax and Fenugreek of each half an ounce boyle them to the Consumption of the Water then beat them in a Stone-Morter and add to it the oyle of Dill and Camomell of each one ounce a little Honey and Leaven and make it into the form of a Cataplasm But if the matter be thick and not fit to be discussed then labour to bring it to suppuration For which these Simples are proper Warm water Butter Wheaten Bran or Wheaten bread the grease of an Hogg Calfe Goose c. Grease tryed from the Wool of a Sheep Rozin Pitch Figs Saffron Frankinsence c. Of these you may make Cataplasms and remove them twice a day If the hot intemperature doth stirr up a Fever let the diet be ordered and such medicines administred as the nature of the Fever requireth see the second book among the Chapters of Feavers when you find it very soft and well suppurated open it with a Lancet where it is softest and in the most convenient place for the matter to come forth afterwards mundifie incarnate and Cicatize it A Carbuncle is a Sanguine Tumor the antecedent cause of it is black thick hot and faculent blood flowing to the place the conjoyned cause is the settling of the blood in the part as you have heard before The signes of a Carbuncle are sometimes but one and somtimes many small pustu'es like burnt blisters which being broken a crusty Ulcer ensueth If it be pestilentiall the crust is black or Ash colour about it rednesse Inflammation and grevious pain the Patient is troubled with Loathing Vomiting losse of Appetite Palpitation of the heart and Swooning Carbuncles for the most part are attendants of the Plague and Epidemicall causes If they come upon the Emunctuories there is very great danger lest the venemons humors fall upon some principall part If it break out about the Stomach or Jaws there is danger of Choaking If the colour be first Red after Yellowish it is laudable but if it be black or blew it is dangerous If the accidents which accompany the disease vanish there is hepes In the cure first have regard to the antient cause which is thick hot blood and must be altered and evacuated to alter the quality of the blood give him broath of Chickens with Lettice Purslane Pomegranates and Lemons and his drink Barly-Water give him medicines cooling and concocting as Juleps made of syrup of Vinegar Pomegranates Citrons Lemons and Endive and the distilled water of Lettice Purslane and the like But if the Pestilence be present you must have respect to the malignity and give such medicines which strengthen the Heart and Vitalls See the 90. Chapter of the second Book the quantity must be diminished ether by blood-letting cupping or medicines as gentle Purges or Clisters in all which be well advised if the Plague be present If there be a great fluxion of blood to the part lay on discutients and repressings discutients you have before Take this caution that you apply gentle ones in the beginning and stronger when the matter is gathered to lay defensives to the adjacent parts as the Oyntment of Roses Bolearmenick or the oyle of Mittles and Vinegar also attractives are convenient as hot Bread the warm Lungs of beasts new killed the taile of a Cock made bare and a little Salt put into it and applyed or young Pidgeons slit alive and applyed warm The cause conjoyned must be taken away by Chirurgions or Medicine first scatifying of the Tumor if nothing orbid it deeply and wash it with warm-water Horsleeches are good When the matter cannot be dispersed or otherwis delt with you must apply such things as have an altering or ripening quality as is aforesaid If the Carhuncle be very venemous this is commended viz. Take a great Onion and cut off the head of it and pick out the core or middle part fill the hollow place with good Venice Treacle pasle on the head again with a little Leaven and roast it in the Embers when it is soft pill it and beat it in a Morter and apply it warm to the Sore and renew it every 6 hours This Cataplasm is much commended Take of Onions and Garlick heads of each of them four one Lilly Root the Seed of Flax and Fenugreek of each one spoonful Snails with their shâ—ls four or five sour Figs Leaven as much as a Walnut Barrows grease as much as two Walnuts beat them all in a Morter very well warm it and apply it Then you must mundifie and heal it but if there remain a crusty Escar you must resolve it for which purpose this Plaister is good Take the flower of Wheat and Barley of each three ounces with the decoction of Mallows Violets and Althea Roots and make it into a solid Plaister then add to it fresh Butter and Hogs grease of each two ounces the yolks of two new laid Eggs. This
making it is thus Take of any pectorall hearbs or ingredients make a decoction then add twice its weight of Hony or Sugar and boyle it to a Lohoch Some are made of the pulp of fruits roots and seeds if there be gums in them they must be dissolved If you would know the manner of making each of them particularly you must peruse the London dispensatory Lohoch de farfara The Lohoch of Coltsfoot Take of Colts-foot roots cleansed eight ounces Marsh-Mallow roots four ounces boyl them in a sufficient quantity of water and presse the pulp through a sieve dissolve it again in the decoction and let it boyle once or twice then take it from the fire and add two pound of white Sugar Honey of Raisons fourteen ounces juyce of Liquoris two drachms and an half stir them well with a wooden pestle sprinkling in of Saffron and Cloves in Powder of each one scruple Cinnamon and Mase of each two scruples make them into a Lohoch according to Art It is good for a Cough ond roughnesse of the Wind-pipe Lohoch de papavere Lohoch of Poppys It is good against salt humors and sharp distillations upon the Lungs it it very good in Feavers accompanied with want of sleep it is of great use in a Pleurisie and allayes the sharpnesse of the humors which cause roughnesse of the throat Lohoch è passulis A Lohoch of Raisins This is a fine medicine for Children and is good not only against Coughs and Consumptions of the Lungs but also against Convulsions and falling sicknesse Lohoch è pino A Lohoch of Pine-nuts It succours such as are Asthmatick helps continuall Coughs and difficulty of breathing it cuts and attenuates tough humors in the brest Lohoch è portulaca A Lohoch of Purslane It is good against inward bruises or wounds in the Lungs or those parts for such as spit blood it is very binding Lohoch è pulmone vulpis A Lohoch of Fox-Lungs It is very good in Phthisicks cleanseth and healeth Ulcers in the Lungs Lohock Sanum Expertum a sound and well experienced Lohoch It is good in cold Distempers of the Breast and Lungs and attenuates thick and gross Humours there No better Romedy for those who have lost their Tongues by Cold. Lohoc Scilliticum a Lohoch of Squils It hath the same virtue with Oxymel of Squils but more gentle it helps Asthmas and difficulty of Breathing it carryes away all offensive Humours from the Breast and Lungs and thereby furthers Digestion Lohoch Caulium a Lohoch of Coleworts It opens Obstructions of the Liver and Spleen and is thought to be good against the Rickets it cuts attenuares and concocts the thick and viscuous Humours in the Breast Stomach and Bowels of Children To these I add one of Quercetans Lohochs Take of the Roots of Marshmallows well cleansed half a pound or as much as you please boil it till it be tender in common Hydromel then beat it well and rub it through a Sieve of which take two Ounces of the Species Diarragacanthi and Diaireos of each three drachms of white Sugar and Penies of each half an ounce Flos Sulphuris rightly prepared two drachms◠Syrup of Maidenhair and Coltsfoot of each as much as sufficeth bring it into the form of a Lohoch and take it with a Liquoris Stick It is an excellent Remedy saith he against all inveterate Coughs whether they have their Original from a hot or cold cause against the Asthma Ptysick stoppage of the Pipes and all other Diseases of the Lungs it maturates the Plurisie and causes it to be spit up CHAP. V. Preserves Conserves Sugars and Lozenges Preserves are made of Roots Barks Fruits and Flowers And first of Roots Take of what Root you please scrape it very clean and if there be any Pith therein take it out boil them in Spring Water or in Rose-Water if you can afford it till they be soft then take them out and to a pint of the Liquor add a pound of white Sugar boil it to the thickness of a Syrup then put in the Root and let it boil a little then put it into a glass or a glassed pot and keep it for your use So you may preserve the Roots of Angelica Acorus Burrage Bugloss Succory Elecampane Eringo Ginger Burnel Satyrion Comphry Zedoary the stalks of Artichokes Angelica Burs Lettice c. before they be quite ripe making this difference that whereas before you took out the Pith of the Roots you must of these make use of none but the Pith. In like manner you may preserve Barks as Citron Pills the Pills of Lemons and Or anges and the green Rind of Walnuts viz. Take of the exterior or outmost yellow skin then boyl it as before till it be tender make a Syrup and preserve it You may preserve Fruits as you did the former viz. Pare and quarter them and take out the Oore boil them till they be tender and do as you are before taught Another way is this Pate quarter and take out the Core of some of others pull off the outward skin and pull out the stones take their weight in Sugar and dissolve it put in the fruits and let them boyl a little Thus may you preserve Apples Peares Quinces Apricocks Plums Peaches Citrons Myrabolans Nutmegs Grapes Barberryes Cherryes Cornells c. or of any of these fruits you may preserve the pulp by boyling them till they be tender then pulp them through a Sieve boyle the pulp gently till the water be consumed then add its equall weight in Sugar and boyle it to its due thicknesse Though flowers are seldom yet they may be preserved thus Take a glasse broad both at the top and bottome first cover the bottome of the glasse with fine Sugar then cover the Sugar with the flowers you would preserve lay them even and smooth then cover them with Sugar and that againe with flowers till your glasse be sull Tye a Paper over the top and you will have a pleasant preserve The virtue of Preserves you may easily gather if you consider the nature of the root stalk fruit bark or flower preserved they are of great use in physick and many times welcome to sick people but are most commonly used at banquets Conserves Conserves are made either of hearbs or flowers if you make your conserve of herbs you must take only the tender tops and leaves and beat them in a stone Morter when they are beaten pretty small add to them their treble weight in Sugar beat them very well you cannot beat them too much till if you eate it it feels not rough in your mouth then put it into earthen pots well glazed and keep it for your use Conserves of flowers are done in the same manner only remember to do them whilst they are fresh pick them clean and cur off the whites I shall say no more of Conserves but leave the virtue and use of them to the ingenious Lozenges Diacodium Solidum sive Tabulatum Take of
hurt of that Nerve which is ordained for his motion The immediate Causes as I said before is repletion or inanition the Nerves being too full of moisture or too dry are extended or contracted and the Muscles into which they are united are by that means drawn back to their original The mediate Causes of a Convulsion proceeding from repletion are flegm and waterish humours slowing to the Nerves stretching them in breadth must consequently make them shorter and sometimes cause an inflammation But here in the way lyeth an Objection namely why a watery humor obstructing the Nerves and the cause of the Palsie and Conuvlsion should sometimes bring one and sometimes the other the humour offending and the parts affected being one and the same The diverse opinions and long disputations of writers I shall not here repeat the difficulty of the matter having distracted them into divers opinions I shall answer the objection briefly and adhere to the most able modern Physicians and say they differ thus A Palsie is caused of a pure watery humour without mixture which softeneth the Nerves extends them not The Convulsion is caused of the same humour but mixed with much wind by which the Nerves are stretched and the Muscles contracted to their original It is the opinion of all Physitians that wind is the cause of Convulsions and experience teacheth us that the greatest distentions are caused by wind as we see in the Dropsie Tympanites and the Chollick Sometimes an inflammation in or near the original of the Nerves may cause a contraction of those Nervous parts and the cause of this inflammation is sometimes internal as a flux of blood upon the part or external by a wound contusion or bruise The Causes of a Convulsion by emptiness are all immoderate evacuations whatsoever diseases diet and Medicines which are hot and dry A convulsive motion is caused by humours or vapours which are full of Acrimony or Malignancy and it sometimes so happeneth in malignant Feavers and Diseases of choller occupying the Head or Stomach From what hath been said it is easie to know a Convulsion proceeding from fulnesse or emptinesse or convulsive motion A Convulsion near the Brain is dangerous in the Muscles of the brest gives fear of suffocation If it come after bleeding or purging it is deadly So is a Convulsion following a Frensie A Convulsion coming upon a Fever shews malignant matter which ends in death but if a Feaver follow a Convulsion it taketh away its cause The cure of this disease is as various as the cause The Convulsion caused by emptinesse requires moystening medicines both internall and externall This disease seldome happening and almost if not altogether incurable I shall say nothing of it A Convulsion comming of repletion or fullnesse must be cured by evacuation of the pecant humours if you see occasion make use of Phlebotomie and purge the humours with medicines agreeable to the age and strength of your Patient and somtimes with sharp Clysters such as are described in the fifth Chapter If you see it not convenient to let blood apply Cupping-glasses alwaies above the parts grieved that so the humours may be brought back to their originall that is to say if the Convulsion or Cramp be in the Leggs apply them to the Buttocks and Loines observe the same rule where ever it be The part affected ought to be chafed with oyles and oyntments sutable to such a distemper viz. the oyles of Rue Camomill Dill Spike the oyle of Foxes c the oyntments of Marsh-Mallows Martiatum Nervinum to which may be added the Mucilage of Briony with which you may make convenient Liniments to anoint the parts affected and the root of the Nerve which comes to it Ducks oâ— Goose-grease prepared in manner following is much commended viz. Take a fat Duck or Goose pluck it and draw it then fill it with these things following viz. of Sage Marjerome and Staechas of each one handfull Gum Ammoniacum and Bdellium of each one ounce Calamus Aromaticus Nutmegs Mace and Cloves of each half an ounce beat them in a Morter moystening them with oyle of Earth-wormes after sew them into the belly of a Goose or Duck spit it and roast it receiving the dripping in a pan half full of Vinegar and anoynt therewith Or you may make it stronger thus Take of the aforesaid dripping six ounces The Chimicall oyles of wax Nutmegs and Sage of each two drachms mix it and make a Liniment when you have anoynted the part affected cover it with a hot sheeps skin a Hares or Foxes skin To put the part affected into an Oxe or Sheeps belly or any other newly killed or to apply the Lungs of a Sheep yong Pidgeons Whelps or Chickens slit in the middle is much commended and hath been successefully proved For those that are thus affected it is very good to bathe themselves in the Bath of Bath or such like proceeding from a sulphureous Mine If you cannot conveniently come to this Bath you must make a Bath with thesethings following Of Marsh-mallow roots and Lillys of each two pound Of the leaves of Penniroyall Lawrell Rue Marjerome St. Johns wort Violets Mallows Sage and Wormwood of each two handfulls Linseeds and Fenugreek of each one pound boyle all these in water sufficient to make a bath and let the party diseased sit therein not too long but let him come out as soone as he finds ease If you dare venture to be at the cost make your bath with oyle boyling a Fox therein together with the aforesaid hearbs you may purge the head with sternutations Gargarisms and such medicines as you may find in the second Chapter for the cure of a cold Phlegmatick distemper of the braine and it is good to soment the hinder part of the head and neck with hot Aqua Vitae The infusion of Castor or the Spirit of the same the dose is a drachme or halfe a drachme according to the age or strength of the Patient Mathiolus his Bezoar water the like dose the compound water of Peony give these mixed with other cooler medicines The syrrup of Peony compound Diamoschu dulce Diacorum diatessaron are much commended for the cure of this disease I might adde variety of medicines for the cure of this distemper but what I have said I hope is sufficient to give light to the ingenious searching Spirits CHAP. IX Of a Catarrh or Desluxion A Catarrh is a Desluxion of excrementitious humours from the head into the inferiour parts The braine requiring much nourishment must necessarily void much excrements which if they are in quantity moderate and naturall they are received into the fore-Ventricles and conveid to the moist gladules and spit out from the Palat If it grow more plentifull yet naturall it is dispersed through the films of the brain and sent forth by the Nostrill as well as the Palat. But when the brain is weak and affected with distempers and receiveth more nourishment then it can concoct it aboundeth
greater Celandine six ounces Crocus Metallorum one drachm infuse it in the same water and drop two or three drops into the eye three or four times a day as long as need requireth I could insert many more Receipts of Learned and able men but I fear my Book will swell too big I shall onely insert the Ointment of Zacutus Lasitanas which he commends for drying and purging the moiffure flowing into the eyes Take of the Oyl of Roses three ounces white Rose-water nine ounces Camphire one drachm Tutty one scruple Honey two ounces the Gall of a Goat half an ounce Lupin meat half a drachm Aloes Succotrine one dram Sugar-candy half a drachm the juyce of Horehound Fennel and Rue of each half an ounce Mirrh one scruple Ammoniacum half a drachm Saicocol one dram and a half Pouder them that are to be poudered mixe them and boil them a little with a gentle fire and with the grease of a Goat or Sheep and a little Wax make an Ointment accorbing to Art anoint the Eye-brows twice in a day three hours after meat which will purg plenty of water out of the head through the corner of the eye When you have finished your Cure whether by Mâ—…es 〈◊〉 by the Needle you must keep your Patient 〈…〉 of Physick for fear of a Relapse and administer such things as threaten the head and eyes and hinder defluxion It is good to wash the head and eyes every morning with white wine wherein hath he en infused sweet Fennel seed in pouder till they smart but for other medicines to strengthen the head and eyes I refer you to the preceding Chapter CHAP. XII Of the enlarging and dilating of the straitening or contracting of the Pupilla THis Disease is called in Greek Mydriasis because too much light going in hurteth the sight hence it is that those that are thus distempered see better in a darkish place than in the light And this may be demonstrated by the natural change of the Pupilla in sound eyes in bright and obscure places For when a man is in a bright and clear place the Pupilla is contracted and made less lest the light going in too fast should dissipate the spirits so that a man going suddenly out of a very light place into a house or place more obscure at the first entry he seeth almost nothing at all the Pupilla being so lately contracted he remaining in the same place the Pupilla is soon dilated or enlarged to receive more light and then he seeth perfectly those things which before he could not Then if he go out suddenly into a very light place his eyes are dazled and he seeth not perfectly because the Pupilla is enlarged and the Light going in so fast doth dissipate and dispierse the Visive Spirits Hence you perceive that the Light ought to pass into the Eye in a moderate quantity and the Pupilla ought to be of a moderate size Hence Galen observes that they who are born with narrow Pupillas see best The Pupilla is enlarged or contracted by dryness or repletion It is enlarged by dryness which stretcheth the Uvea which maketh the form of the Pupilla larger as Leather being pierced when it is dry the hole is larger and this proceeds from Feavers and such drying Diseases which are attended with want of sleep So may the Pupilla be straitned by dryness when the Tunicle Uvea by reason of the diminishing of the humours of the Eye loseth its former extension falls together and is wrinkled and so the hole of the Pupilla is made streighter whereas in the former the Tunicle though dry holdeth its extension It is made larger also by repletion namely by vapours or wind sent unto the Eye or by the extraordinary flowing of the watry and other humours to the eye or by the swelling of Uvea it self it is distended and the Pupilla made larger So the same watry humour may work a contrary effect namely by relaxing the same Tunicle and by that means making the hole streighter The Pupilla is inlarged sometimes by Convulsion as may be seen by some Epileptick Children Sometimes a stroak or fall may cause a deflaxion into the eyes hence comes extension retension of the Spirits causeth wind and humours and that causeth distension of the Pupilla and sometimes the Pupilla is made streighter by reason of the want of the visive spirits to extend the Tunicles for want of which they are relaxed and fall together as may be seen in old men These Diseases though they are contrary yet are to be cured by the same medicines remember this that if these Diseases be of long continuance and in ancient people they are without doubt incurable But if the Patient be young and the Disease of no long continuance you must proceed with this consideration that the cure must be varied according to the variety of causes If it proceed from dryness you must refresh the body with medicines which are moist and restaurative and such you shall finde in the cure of the Hective Feaver If it comes from a humour filling the Eye you must purge and cleanse the head and whole body of that humour as you are taught in the cure of a Cataract If from Wind after due Evacuations you must labour to discuss the Wind with the decoction of Fennel Rue Dill Cammomel Red-Roses made in Red Rose Water and White-Wine and the Eyes fomented therewith If there be occasion for Astriagent Medicines to bring the Pupilla being enlarged to its former state make use of this following taught by Ryverius Take of Red-Roses dryed two Scruples Saffron Spicknard and the Bark of Frankinsense tree of each half a scruple Tutty prepared Burnt-Ivory and Acatia of each one scruple make them into fine pouder and tie it up in a fine linnen rag and hang it in three ounces of Red Rose water woen you have occasion to use it squeez the cloaih and drop the water into the eyes and wash them therewith If a blow in the eye causeth an inflammation cure it as the inflammation of the eye but if by the blow the Pupilla be enlarged without inflammation drop in a drop or two of Pidgeons blood and apply a Cataplasme made with Bean-flower and Red-Roses juyce of Plantane and Red-rose water CHAP. XIII Of the Pin and Web. THE Tunicle called Cornea sometimes loseth its colour and brightness somtimes it grows thick by driness as in old men and is incurable Sometimes gross humours are fastened to it by reason of inflamation Sometimes by resolving Medicines the thinner humours are dissolved and the thicker remain or by the use of cold medicines the humours are thickned and a white humour is contracted which is called by some Leucona by others Albugo commonly a Pin and Web. Sometimes it comes from a Sear after an Ulcer and so the Cornea loseth its transparentress Sometimes the Eye is bloud-shod and that spoileth the natural colour of the Cornea and this is called
consolidated the Fistula in a very short time After this Lachrymal Fistula there followeth a consuming and diminishing of the Caruncle in the corner of the Eye sometimes it also happeneth by a sharp humour falling down thither and sometimes by cleasing medicines applyed without discretion this Disease is called Rhyas there is another Disease conrrary to this which is an immoderate growth and increase of the flesh in the corner of the eye which proceedeth sometimes for want of orderly drying up of the Ulcer and sometimes by a defluxion of bloud to the part and this is called Enchanthis For the cute of the first you must perform it by Incarnative Medicines Take of Aloes Borax Frankincense Dragons Bloud Cypress Nuts and Mprtles of each one dragm the flowers of Pomegranates Red Roses and Comfrey of each two scruples theseeds of Sumach on scruple Let them be boiled in old Canary and Plantane and rose-Rose-water of each half a pint to the consumption of half and with this Collyrie often wash the part affected the other you must cure by taking away the superfluous flesh with eating medicines as Burnt Allum Burnt Vtriol Unguentum Aegyptiatum or Apostolorum or you must cut it off and burn it with an Iron But proceed which way you will you must not forget convenient Evacuations for fear of a defluxion and you must beware least you take it not away too near least it turn to Rhyas There is also a defluxion of Rhenm issuing out of du the corners of the Eyes and is called involuntary weeping and by some Epiphora for the producing of this Disease there is an indisposition in the part sending and the part receiving the part sending is the brain which being too hot or too cold attracteth a watery humour and sendeth it to the inferiour parts By the weakness thinness thickness of the Caruncle in the corner of the Eye it is made uncapable to resist such a defluxion which often happeneth in the three fore-mentioned Diseases This defluxion is conveighed sometimes by the external and sometimes by the internal veins Sometimes the defluxion is hot and sometimes cold If it be conveighed by the external veins the veins of the Forehead and Temples are distended and the pain is felt without the Skull if internally the pain is felt contrarily If the humour be hot it causeth the more pain heat redness and exulceration of the eye-brows follow If this Disease cometh from an outward cause if it hath not continued long it may be soon cured but hardly if your Patient be old If it proceed from a Lachrymal Fiflula Rhyas or Echanthis it hath its cure with those Diseases You must take away the defluxion and strengthen the part you must evacuate the humour offending by purging likewise if the body be phlethorick and nothing prohibite you may open a vein You must make revulsions of the flowing humours by Cupping Vesicatories Blisters behind the neck and Issues in the arms For derivation apply Leeches behind the ears and Masticatories in the morning strengthen the head and brain whether the humour be hot or cold the Chap. of the Catarrh and of the coldest distempers of the brain will particularly inform you how to purge revel and derive the peccant humours and strengthen the part affected Then you must apply astringent medicines to the Fore head and temples if the humour flow through the external veins If it be a cold humour take of Frankinsence Tacamabacca and Mastich of each two drachms Terra Sigillata one drachm Mace pulverized and Juniper Gum of each two scruples Turpentine and Wax sufficient to make a Cerate for the forehead and temples But if it be a hot and sharp humour take of Endive and Knot-grass of each one handful the Root of Solomon's Seal one pound beat them well in a Stone morter and with a pint of White-Wine Vinegar let them boil till half of the Vinegar be consumed then take of Bolearmenick Sanguis Draconis Pomegranate Flowers of each two drachms Frankinsence Mastick and Red-Roses of each half a drachm pouder them and mix them with the other and make a Caraplasme to be applyed as aforesaid You must likewise apply drying and astringent medicines to the part affected Take of prepared Tutty Egg-shels Aloes Frankinsence and Mastich of each two scruples Sarcocol Sanguis Draconis and Sumach seed of each one scruple Mirrh and Spicknard of each six grains make them all into fine pouder and tie them up in a rag and steep it in white Wine Fenel Eye-bright or white Rose-water and squeez it often into the eyes These medicines prescribed for an Ophthalmy are good likewise in this distemper There is another disease appertaining to the corner of the Eye it is called by some Pterygium by other some the Haw in the Eye and by others Unguis and it is a hard and Nervous Membrane growing out of the corner of the Eye covering the white and in time the Pupilla also Somtimes it is thin and white and somtimes it is red and full of Veins It is caused by Ulceration of the Caruncle of the Eye and is bred by excrements flowing to the part as well as blood hence it cometh to passe that variety of Haws are bred according to the seeding humour and may be thus distinguished A red Haw comes of pure blood a Yellow of Choler a white of Flegme a dark and black one of Melancholly It the Eye affected grow lesse it is an evill signe and little hopes there is of recovery If you take it whilst it is new and beginning it may with difficulty be taken off by medicine but if it be far gon it must be done by Chirurgery you must Evacuate and purge the Antecedent cause as you have heard sufficiently already in the other Chapters of the diseases of the eyes and you must use the same Course of Dier Then you may make use of those Topicks spoken of in the Cure of blisters in the Eyes Take of Cuttle bone in fine powder and put it upon the Haw this I have known take the Haw from the Eye of an Horse if you mix Tutty and Vitriol to it it may prove the better I shall instance one more commended by Forestus Take of the juyce of Fennel four ounces the juyce of Celandine three ounces of Rue two ounces and of Mallows two ounces and an half Aloes one drachm Vitriol two scruples Verdegrease one scruple Ginger and Cinamon of each half a scruple the Gall of an Eel half an ounce the Gall of an Oxe two drachms Sugar-Candy two scruples let the juyces boyle with the rest then clarifie it and make a Collyrium with which dresse the Eye and if this prevaile not it must be taken off by Chirurgery I shall say no more but put an end to this Chapter and the diseases of the Eyes CHAP. XVII Of the diseases of the Eares THe Eare is the Organ of hearing the most spirituall sense the agent of understanding the gate through which
Patient be weak and indisposed to Vomits give often Clisters or purge the Body with this or the like Pills Take de Aloe lota three Drachms yellow Myrabolans and Rubarb in Powder of each half a Drachm red Sanders and prepared Coral of each one Scruple with the Sirrup of Roses solutive make them into a Mass give a Drachm every other or third day and if the Sick be weak give but half so much If the Vomiting be violent give two Scruples and an half of Cochie the lesse with three grains of Laudanum in the morning Then you must strengthen the Stomach with the sirrup or conserve of Quinces conserve of Roses Mastick in a small quantity sirrup of Mints Plantane water made sowr with Oyl of Vitriol c. All these strengthen the Stomach and stay Vomiting of which you may make Medicines in divers forms Foment the Stomach with a sponge dipt in Plantane water Rose water and Rose Vinegar But First boil in the water a handful of Mints Or apply this following Cataplasm Take of Marmalade of Quinces or Quinces boiled soft in Rose water or Vinegar four Ounces the roots of Bâ—stort and Tormentill of each two Drachms Mastick Moce and Nutmegs of each two Scruples Sowr Leaven halfe a pound with the juice of Mints and Vinegar make a Cataplasm and apply it If your Patient vomit Blood the Causes and Sâ—gnes you may find in the 19 and 30 Chap. and the Medicines prescribed in the 30 Chap. Of Spitting of Blood ordered by an able Head-peece may perform the Cure CHAP. XL. Of Cholera 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Cholerica Passio in Latine is a Disease violently sending forth by Vomit Stool sharp and cholerick Humours this Disease is a symptom of the expulsive Faculty being hurt by Meats not well concocted and if the retentive Faculty be also in fault the Disease is the worse and more violent Some will have two sorts of Choller a moist and a dry A moist is that which hath relation to what hath been said The dry is more rare and cometh from a windy spirit produced in the Stomach by the fiery Heat of the Part corrupting the Meat or by Meats which are Rank and Windy and this is the opinion of Hippocrates himself Sennertus from the Hermetical doctrine addeth another Cause viz. Salt and adust Humours in the Hypochonaria which grow hot by the mixture of another Humour and demonstrateth it by the mixing of Aqua fortis and Oyl of Vitriol with Salt of Tartar which produce very flatuous Spirits So that the immediate Causes of this Disease are cholerick burnt sharp salt or rotten Humours in the Stomach Bowels Spleen Mesentery or some Nourishment of an evil Quality or some strong Medicine or Poyson taken The signes of this Disease are often and plentiful Evacuations of cholerick sharp and corrupted Humours by Vomit and Stool swelling with Wind Thirst and a Gnawing of the Stomach and Guts a Loathing which is appeased a little with cold Drink which is soon after cast up The Pulse is small and unequal Sweating with Convulsion of extream Parts Swooning and such dangerous Symptoms It is easily discovered whether the Cause come by some violent Medicine Poyson or offensive Diet. The internal Causes are known by the Quality of the Humours that are ejected If there be a continual Loathing and Gnawing the Disease is in the Stomach If a malignant Feaver be joyned it is in the Veins If it hath its original from some evil Food there is hopes that when the Matter is cast forth the Disease will end If it be very violent it is dangerous I had almost said desperate for the greater the Convulsions Swoonings and Coldnesse of the extream Parts be the nearer is Death at hand In the beginning of the Cure you may help forward Evacuations with gentle cooling and cleansing Clisters thus Take of Milk half a pint Sirrup of Violets and Lettice of each one ounce The Oyles of Roses and water Lillyes of each halfe an ounce The yelks of two new laid Eggs well beaten mix them and give it Or you make a Clister with Chicken Broth or Oxycrate It is good to open a Vein by which means the burnt and boiling Blood may be cooled revelled and asswaged but do it with discretion twice or thrice if the strength be not impaired by the first You must endeavour to qualify the sharpness of the Humours thus Take of the waters of Plantane Purslan and Mint of each two Ounces Sirrup of Quinces and dried Roses of each one Ounce Sirrup of Vinegar half an Ounce mix them and dissolve therein two Scruples of Theriack Andromachi and six drops of the Oyl of Vitriol give now and then a Spoonful But if the Patient hath someease and the Symptomes abate or appear not beware lest they suddenly return and destroy the Patient as it sometimes happeneth in this case Therefore nourish him and strengthen his Stomach with this restoring Opiate Take of the Gelly of Harts-horn made with Canary Wine four Ounces of the Conserves of Roses Burrage Bugloss and Clove-Gilliflowers of each one Ounce Confectio Alchermes half an Ounce Citron Barks and Nutmegs candied of each three Drachms the Essence of Cloves Mace Nutmegs and Cinnamon of each three drops with the Sirrup of Clove-Gilliflowers make an Opiate of which let the Patient take often the Quantity of a hazel Nut and more Mornings and Evenings To conclude the Medicines prescribed in the last Chapter against cholerick Vomitings may be useful here CHAP. XLI Of Pain in the Stomach Dolor Ventriculi or Pain in the Stomach is caused by naughty venemous and gnawing Humours contained therein the Ancients made this distinction viz. that if the upper Orifice of the Stomach which is of exquisite sense by reason of the great Nerve which it hath from the fifth Conjugation be affected the Pain is very sharp which maketh the Heart the most Noble part and near unto it sensible of the same from thence it is called Cardialgia But if the Membranes of the Cavity or lower Orifice called Pyloras be affected it is called Dolor Ventriculi or Colica Ventriculi especially if it comes of Wind. The Cause of this Disease is either Worms gnawing the Tunicles of the Stomach or Wind lodged in the Cavity of the Stomach which causeth Swelling and painful Distension or sharp and malignant Humours therein contained as salt Phlegm green and black Choller whose sharp Vapours cause Pain corrupt Matter from an Imposthume of the Liver or the Breast Diseases of the Stomach and the Parts adjoyning evil Humours from the whole Body in Feavers Choller from the Liver Melancholy from the Spleen and salt Phlegm from the Head all these may be the Causes of this Evill The external Causes may be evil and corrupt Nourishment or Meats that are too hot that breed Wind or Choller Meat taken in too great a Quantity Poyson strong sharp and deadly Medicines not well corrected Diagnostick Signes are thus taken
Couch-grasse Garden and Horse-radish Maddir Marsh and common Mallows Liquorish Onions Parsly Knot-grass the Leavs of Bettony Camomill Penny-royall Marsh-Mallows Pellitory of the Wall Maiden-hair Parsly peart Filipendula Saxifrage Savin Burnet Goats-Thorne Kidney-Wort Melilot Golden-Rod the seeds of Nettles Parsly Gromwell Burdock Winter Cherryes Bay Ivy and Juniper Berries the four cold Seeds the stones of Hips Haws Medlers c Of these you may make Decoctions Powders or distilled Waters and the like the Description of which sot brevity sake I will omit Quercetanus in his Dispensatory commendeth this following Powder Take of the inward skins of Hen's Gizzards and their white Dung of each half an Ounce the inward skins of Egg shels dried and powdered two Ounces and an half Rupture-wort and Cinnamon of each four Scruples the Stones of Medlars two Drachms the Seeds of Annise and Fennell of each one Ounce powder them and give half a Drachm or a Drachm in white-Wine Goats Blood prepared is excellent and the Water distilled from it in Balneo Mariae doth wonders And some do commend the Urine of a Goat taken out whilst he is alive and drunk and the Entrails applyed Chymists do highly extoll their Salts and Experience tells us that if they be well prepared and carefully administred they work no small effects viz. the Salt of Bean Cods or stalks of Camomill Tartar vitriolate Oyl of Vitriol the Spirit of Salt Mercurius Dulcis c. Zacutus Lusitanus commendeth the naturall Balsom a few drops thereof taken with Oyl of sweet-Almonds Crato had as good an Opinion of Filberts eaten and confirms his opinion by Experience Minerall Waters are good for they do not onely dissolve the slimy Tartarous Matter which breeds the Stone but also allayeth the hot Distemper of the Liver and Reins Of all Diuretick Medicines Turpetine is the safest given the Quantity of a Nut with Sugar every Morning for Diureticks taken very often for the most part hurt by carrying the Humours from other parts to the Reins but Turpetine seldom or never worketh any evill effect You may use it thus Take of Venice Turpetine washed with Saxifrage Water half an Ounce Cassia newly drawn six Drachms Ruharb and Liquorish in Powder of each half a Drachm mix them and make a Bolus To conclude give Clisters often or if you see it more convenient purge the Body between your Diuretick Potions for the reason before given your best Purgations are Cassia Diaphaenicon Rubarb and such like If the Liver and Reins are distempered by Heat make use of those Medicines prescribed against the hot Distemper of the Liver If Crudities in the Stomach be the Cause seek Medicines out of the Chapters which treat of the Diseases of the Stomach If you do carefully consider the Cause or from what part of the Body the Reins fetch their stony Materials and order your Medicines accordingly with prudence and reason by the blessing of God you may find the Cure of the Stone not to be so difficult as it is commonly adjudged For my part I have cured several people who have been grievously vexed with this Grief for which Mercy I do and shall praise God CHAP. LXIII Of the Stone in the Bladder I Shall speak nothing of the Cause of the Stone in the Bladder the material and efficient Cause being the same with that of the Reins This Disease happeneth to Children oftner then to people of riper Age who are more subject to the Stone in the Reins because Children eating much and often their Urine is thick and the expulsive Faculty in the Reins is stronger in them then in men and sendeth the Urine speedily to the Bladder where being long kept by reason of much sleep or play the Urine settleth and is retained till it by Heat becometh a Stone for the passage is narrow in Children and the Urine not being very sharp doth not powerfully provoke the expulsive Faculty Fernelius was of an Opinion that the Stone in the Bladder was alwayes first bred in the Reins and falling from thence into the Bladder and getting fresh Matter there encreaseth Fern Lib. 6 cap. 13. pag. 317. Many times it so happeneth but daily Experience teacheth that many have the Stone in the Bladder who never had pain in the Reins especially Children The Knowledg of this Disease in the beginning is difficult but when the Stone is grown great is evident enough to the Patient's sorrow The first sign is pain in the Neck of the Bladder reaching to the end of the yard especially after pissing The yard itcheth and the Patient handleth it often He feeleth a great Weight about the Neck of the Bladder when the Stone is grown great the Urine suddenly stoppeth and he is in pain like a Woman in travel his yard standeth often and he maketh Water with most ease lying upon his back because then the Stone falleth out of the Neck of the Bladder When he hath need to make Water he is also much provoked to goe to stool by reason of the consent of the Sphincter Muscles of the Anus and Bladder being moved by the Branches of the same Nerve Many signs more I might insert but these I think sufficient for the ingenious To be fully satisfyed the best way is to make use of the Catheter This Disease is alwayes exceeding painfull and no lesse dangerous if the Stone be like Flint it can never be dissolved if soft or brittle it may be dissolved by the long use of strong Medicines but sew there are that have Patience enough to make use of so many Medicines The Cure is not altogether so difficult in Women as in Men because the passage in them is wider In the year 1656 I cured a Woman who was a long time grieved with the Stone and intended to venture upon the last and terrible Cure by Cutting with in the space of a Month having first dissolved part of the Stone by Medicines she voided a Stone without the help of manuall operation in bignesse two Inches in length an Inch and an half without prejudice to the Uritery parts she was then aged 63 and is yet a live and lusty to praise God for so great a deliverance For to perfect the Cure you must do as you are taught in the foregoing Chapter so that I need not here repeat any thing onely lay down the Medicine so much commended by Horatius Augenius it is thus prepared Take of Sows or Wood Lice prepared a Drachm or four Scruples Aqua vitae two Scruples the Broth of red Cicers nine or ten Ounces take it in the Morning fasting Sennertus also commends it and this Medicine likewise Take of Salt of white Tartar one Ounce Parsly water one Pint mix them and strain them with a brown paper If after the use of Medicines you find the Neck of the Bladder wounded or much pained by the roughnesse of the Stone make a Decoction thus Take of the Roots of Marsh Mallows Fennel Coughgrasse and Cammock of each one
Vlcer You must parge the Humours which flow to the part affected with gentle Medicines such as are prescribed in the Chapter aforegoing If there be Repletion or Inflammation in the part let Phlebotomy be used Evacuate the Humours by gentle purgers mentioned in the Chapter aforegoing Mercuvius Dulcis doth cleanse and heal the Vlcer Turpentine is a good cleanser It is good for the Patient to vomit often After due Evacuations you must use cleansers as the Milk of Cows Goats or Asses which are very good and cleanse with their wheyie part and heal with their cheezie but give it not in a Feaver Let the Patient drink Water and Sugar thin Hydromell or Barly Water In Hydromell if there be a Feaver boil the cold Seeds Mallows Liquorish c. Waters that spring from Allum and Iron Mines are good for they correct the Heat and cleanse the Ulcer The Decoction of China Guajacum Sarsaparilla and the like is good to dry up the Humours to purge the crude Matter in them that have the French Pox and have no Feaver nor Flux of Blood But lest the Bowels should be inflamed give cooling Broths at Night After the use of cleansers you may see by the Vrine when the Vlcer is cleansed viz. when it appeareth white and clean without any dreggy or filthy Matter then you must give astringing glutinating and healing Medicines Take of Conserve of Roses four Ounces Bolearmenick Terra Sigillata red Coral and Sanguis Draconis of each two Drachms the Seeds of Lettice Purslane and Plantane of each one Drachm red Roses and Shavings of Ivory of each two Scruples with Sirrup of Comphry make an Opiate Or you may make of it a Masse for Pills with Venice Turpentine or if that cause pain with the Juyce of Liquorish Chymists do much commend Antimonium Diaphoreticum Mercurius Dulcis Diaphoreticus To allay the vehemency of the pain you must sometimes mix Anodines with your Medicines as Laudanum the Sirrup of Poppyes and the Emulsion of the cold Seeds Outwardly foment the Region of the Kidneys thus Take of Camomil Mallows Melilot Pellitory of the Wall and Violets of each one Handfull the Roots of Marsh-Mallows and water-Lillyes of each two Ounces the Seeds of Flax Fenugreek and Winter-Cherryes of each three Drachms make a Decoction and foment the part Then apply this Liniment Take of the Oyl of Violets and Sweet Almonds of each one Ounce and an half Oyl of Roses one Ounce of the Musilage made of the Seeds of Marsh-Mallows and Fenugreck of each two Ounces Saffron one Scruple make a Liniment If the Ulcer be in the Bladder you must make an Injection twice in a day with new Milk Whey Hydromel or Barly Water with Hony of Roses to cleanse afterwards add Astringers and Driers as the white Trochts of Rhasis or of Gordonius or boil in Whey or Barly-water the Roots of Comphry Allum Mirth Tragacanth and the like CHAP. LXVI Of extraordinary Pissing 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diabetes is a quick and plentifull making of Water after which followeth violent Thirst and a wasting of the whole Body The Cause of this Disease is a hot Distemper of the Reins which draweth Water violently from the Veins which causeth a great Thirst after drink which as soon as it is taken is carried to the Reins where burthening the retentive Faculty and provoking the expulsive it is soon sent to the Bladder Some attribute it to choletick sharp and salt Humours in the Kidneys which draw Water thither as such Humours which stick to the Tunicles of the Stomach in Feavers cause Thirst Others will not admit of this opinion because the Kidneys onely suffer in this Disease and that Choller and other burnt Humours are first bred in the Liver They say there is a venemous Quality bred in the Kidneys Galen himself is of this opinion that divers kinds of Poisons may breed in the Body of Man In Lybia there is a Serpent called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dipsacos which name the Greeks give this Disease from the unquenchable Thirst with which it is accompanied which Serpent if he biteth any man infecteth him with such a Poyson as begets an unquenchable Thirst The Signes of this Disease are clear from what hath been said viz. An unquenchable Thirst an extraordinary Pissing and voiding the Drink as soon almost as it is drunk and a Decay of the whole Body This Disease is deadly if it be not taken in the beginning and the Patient yong for it brings a Consumption If you judge the Patient curable you must labour to allay the hot Distemper of the Kidneys to correct their poysonous Quality to thicken the Humours which flow to them and to strengthen them First give mollifying and asswaging Clisters and purge if you see occasion as you are taught in the Chapter Of the Inflammation of the Kidneys Gentle Vomits do evacuate and draw the Humours from the Ureters If nothing forbid open a Vein in the Arm. To correct the Distemper and thicken the Humours make a Julep thus Take of the distilled Water or the Decoction of Plantane four Ounces of Lettice Poppy and Purslane of each two Ounces the Sirrup of Myrtles Comphry and Quinces of each one Ounce the Sirrup of Poppyes half an Ounce the Spirit of Vitriol twenty Drops mix them and make a Julep If you will have a Medicine more astringent or binding thus Take of the Seeds of Plantane Purslane and Coriander prepared of each one Ounce the Flowers of red Roses Pomegranats and yellow Mirabolans of each half an Ounce Nutmegs half a Drachm Corall and Pearl prepared burnt Harts Horn Bolearmenick and the Roots of Tormentill of each one Scruple make them into Powder Or if you please make them into a soft Electuary with the Sirrup of Myrtles Comphry or Quinces The Milk of Asses Cows Goats or Sheep is good especially if Flints be often quenched therein Sweating is a good Remedy if it be provoked by outward means or with China Sarsa and such mild Medicines for it drives the watry Humour outward but beware of strong Medicines least they purge by Urine and encrease the Distemper Outwardly foment the Loyns with things which cool and bind as the roots of Sorrel Plantane Pomegranate-peels Sumath Seeds c. boiled in Vinegar afterwards anoint with the Vnguent of Roses Sanders and Comitissa CHAP. LXVII Of involuntary Pissing THis Disease consisteth in the hurting of the retentive Action of the Bladder Some are subject to this Distemper while they are awake which is the worst Others are subject to it sleeping onely which is not so bad because then the animall Functions are lesse excercised There are two Causes of this Distemper First the Weaknesse and Loosenesse of the Sphincter Muscle of the Bladder Or Secondly the exquisite Sense of the Bladder and the Sharpnesse of the Urine which stirreth up the expulsive Faculty with consent of the Will The first Cause is apparent in sucking Children weak people and such whose
Mercuriall and antimoniall Purges and many preferr Vomits before all Then apply resolving Decoctions made of the Roots of Briony Danewort the Leavs of Ground-Pine Mint Marjarom Sage Savin Rue Rosemary Pennyroyall c. the Flowers of Camomill Melilor and Mallows the Seeds of Flax Fenugreek Bay Juniper Berryes and such like and foment the part therewith Also Juniper Berryes fryed in a pan being first beaten with Salt and Bran and moistned with Canary Wine and put in a Bag and applyed warm With the aforenamed Ingredients Cataplasms may be made and with the Oyls following let the part be anointed viz. Oyl of Camomill Dill Nord Orice Rue Scorpions Tiles Turpentine of Foxes and the like the Ointment of Marsh-Mallows and Spanish Soap dissolved in Spirit of Wine This is much commended Take a good Quantity of Snails bruise them well in a Morter then make Paste with them and Rye Flower adding a little Spirit of Wine and fasten it to a Spit and roast it a Liquor will drop from it with which anoint the part for it is of excellent Virtue Then lay on this Plaister Take of Shio-Pitch Rozin of each two Ounces Gum Ammoniacum dissolved in Vinegar and Emplastrmm Diachylon cum Gummis of each one Ounce Brimstone and Hermodactylls powdered of each three Drachms Turpentine three Drachms and Wax sufficient make a Plaister If the Disease do still continue proceed to a Vesicatory add to the former Mass for a Plaister Cantharides their Wings taken off Staves-acre and Mustard Seed of each one Drachm In the whole course of the Cure let not frequent Clisters be neglected And if the Disease be old make an Issue in the Leg on the same side on the outside of the Leg. If you find Symptoms of a Catarrh which may occasion the Sciatica by a Defluxion of Humours make an Issue in the hinder part of the Head and use other means to correct the Distempers of the Brain See Chap. 9. by this means hath the Sciatica been cured when all other means failed Sometimes the Matter causing the Sciatica doth imposthumate and after it is opened there remains a filthy Ulcer which for the most part pineth the Patient away brings him into a Consumption The Cure whereof belongeth to an expert Chirurgion CHAP. LXXXIII Of one day-Feaver THis Disease is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ephemera in Latine Diaria Febris in English One day-Feaver because for the most part it finisheth in one day of its own Nature It is caused by some internal cause as some hot fiery Swelling on some part of the Body or when some hot Excrements shut up in some part do offend the Heart by Retention of Excrements and Obstruction of the Vessels by which the Pores of the Skin are shut and Transpiration is hindered Or secondly it is caused by externall causes as vehement Motions of the Body or Mind by which the Spirits are inflamed by being heated with the Sun or Fire by Surfetting Drunkennesse especially with Meats and Drinks of a hot Nature By what hath gone before you may know this Feaver the Pulse is swift and great and so he fetcheth his Breath he is very hot and his Head aketh He hath no Shivering Cold nor Wearinesse unlesse it came by the Heat of the Sun or by cold You must give the Sick such things as are cooling moistning as cooling Broths Barly Cream Ptisan Drink small Beer and Sugar Water and Sugar or mix Sirrup of Violets Lemmons or Maiden-hair with his Drink If the Disease was caused by the Heat of the Sun give him cooling things and lay him in a cooling Lodging and anoint his Temples with Vinegar of Roses If he took his Feaver being in the cold provoke Sweat the like observe if the Pores be obstructed If it come by over eating and drinking let him take a Clister If evill Humours abound in the Blood and Body open a Vein and purge if putrified Humours lodge in the Stomach vomit If it continue above three dayes it degenerates into a simple Synochus putrid or Hectick Feaver CHAP. LXXXIV Of the Feaver Synochus non-putrida IF the Feaver aforesaid light upon a plethorick Body or one who is grosse and thick skinned it turns to a simple Synochus It is known by the corpulent and swelling Habit of the Body high Colour of the Face He breathes with difficulty he is much pained in his Head and his Temples beat strongly The Pulse is orderly but quick and full The Urine little differeth from its naturall colour yet a little thick and red and the Heat is not very violent It lasteth to the fourth and sometimes to the seuenth day if it ends not then it degenerates into a putrid Feaver The Cure is to be performed by blood-letting by cooling and by opening the Pores of the Body Before blood-letting if the Patient be costive and his Body foul give an emollient and laxative Clister Then give cooling Juleps made of the Decoction of Barly and cool Herbs or with their distilled Waters as of Endive Succory Sorrell Buglosse Borrage and the like with the Sirrups of Succory Lemmons Vinegar Violets Pomgranates and the like adding some drops of Oyl of Vitriol or boil in the distilled Waters Triasantalon or Diamargariton frigidum lest the Waters encrease Crudityes by their Rawness Or you may make an Emulsion of Almonds the great cold Seeds and white Poppy Seeds with Barly water or the distilled Water of the aforegoing cooling Herbs Galen adviseth to give the Patient cold water in great abundance till his colour fade but beware this Cure unlesse the Patient be strong corpulent and not full of ill Humours and that he take it in the height of the Fit I confesse I have seen many so cured and have experimented it upon my own Body but durst not advise it Anoint the Liver and Loyns with Unguentum Rosatum Refrigerans Galeni or Ceratum Santalinum Or make an Epithem of the distilled Waters of Endive Succory Sorrell c. the three Sanders and Powder of Diamargariton frigidum If the Disease end not quickly after bleeding purge with gentle things that do not heat nor much stirr the Humours as Rubarb Cassia Manna Tamarinds Sirrup of Roses Catholicon and such like CHAP. LXXXV Of continuall putrid Feavers I Shall describe the causes and Cures of all putrid Feavers in one Chapter for though there are divers sorts yet the Cure is almost the same in all therefore laying aside particular precepts let the Judgment and Dexterity of every Physitian put a difference between them I shall likewise wave many nice descriptions and definitions of Feavers first as not beneficiall to the young Student in Physick secondly as not befitting this Volume Synochus putrida is engendred of the same causes as the simple Synochus as the shutting up of the Pores of the skin and Obstruction of the Vessels by much Blood or clammy Humours by which means the Transspiration of fuliginous Vapours is hindered and Putrefaction is bred
sort are these the Powder of Mercury Unguentum Aegyptiacum or Apostolorum with Natural Verdegrease Of the stronger sort are Quicklime Red Vitriol Burnt Vitriol Mercury sublimate Of these may many Compounds be made which for brevity sake I omit If the Lips of the Ulcer be hard soften it with mollifying Medicines made of the fat of a Goose Hen Duck Lion Bear Calf Oxe or the like the Oyl of Lillies Sweet Almonds Earth-Worms Foxes Unguentum Basilicon Diachilon and Emplastrum de Mucilaginibus If it be so hard that it will not yield to Medicine make use of In cision Cautery or of the aforenamed corrosive Medicines If the Bone be defiled by an Ulcer take it off with a Scaling Instrument or an hot Iron after you have loosed the Scale the first three days apply Oyl of Roses and the White of an Egg warm the next three days the yolk of an Egg and Oyl of Roses after that with Butter and Hony If the Bone lie so deep that you cannot apply your hot Iron inject this Water Take of White Wine one pound and an half the distilled Waters of Plantane and Roses of each one pound Mercury sublimate three drachms Bolearmenick half an ounce Burnt Allum one ounce and an half white Vitriol and Borax of each half an ounce White Sugar two ounces Maslick Sarcocol of eath one ounce and an half Powder what is to be powdered boil it to the consumption of half then filter it and add of the best Aqua Vitae one pound and reserve it to your use It is good also to lay this following Powder to the putrified Bone Take of round Birthwort and the Bark of the Pine-tree of each three drachms of the Root of Hegs Fennel and Reeds of each two drachms of Agarick and Tartar of each one drachm and an half Eupborbium one drachm make a Powder lay it upon the putrified Bone or mixe it with Honey or Aegyptiacum or such like If Worms breed in the Ulcer take away the humidity and putrefaction whereof they are ingendred kill the Worms with the Juyces or Decoction of Wornewood Centory Eupatorium Wormwood and such like bitter Hearbs So much for the general cure of Ulcers CHAP. XII Rules for Vomiting and Purging THE first thing herein confiderable is the matter offending what part of the body is afflicted and which is the best way to evacuate the peccant humour The matter offending is either Flegm Water Choller or Melancholy Purging Simples work gently or strongly those that work gently onely are to be given to weak Bodies the strongest to stronger persons Be well advised of the offending humour before you purge least instead of helping you weaken Nature Before you take a purge let the Humours be prepared by some Medicines proper for the purpose especially if Flegm or Melancholy be the humour you would purge Prepare the body before with Medicines that are attenuating and cutting and let your Purge be made up with it The next Book will furnish you with variety of altering and preparing Medicines It is a matter of consequence to consider what part of the body is afflicted and to form your Purges accordingly If the remote parts of the body be afflicted as the Head Arms Feet and the like let your Purge be made up into a hard form as Pills that by their long stay in the body they may be the better able to draw the humours from those parts If the oftending humour lye in the Bowels or adjacent parts use liquid Medicines and in all these look not upon the multitude of Ejections but of the matter ejected If the humours lye in the Tunicle of the Stomach a Vomit is necessary and in many cases more it is a good Revulsion but take them not without advice from an able Physitian If the Purge work not at all give warm Broath and Posset Drink and if the Purge were strong give a Clister If it work too stronâ—ly which is worse give such things as make the Bowels slippery for Ejection as the Oyl of Almonds which is good if the mouths of the Veins be opened or if there happen excoriation for the same purpose Quince-seeds and Mallows boiled in milk is good and Gum Traganth dissolved in water or Milk the Syrup or Marinalade of Quinces have the like virtue If Vomiting hold too long give a draught of Milk with a little Mastich therein and lay to the Stomach Emplastrum è Crusta Panss If either Vomit or Purge work too churlishly some give a Pill of Laudanum and with good success Anoint the Stomach and Belly with Oyl of Roscs and lay on it the Powder of Mastich of Galls and Red-Roso leaves Chymical Medicines if they be rightly prepared and administred with care and judgment are the best for they stay but a little while in the body and do not bind afterwards because the Terrene part is taken away If the Humour be tough it is not easily carryed away therefore in such cases purge gently and often The Dose ought to be regulated by an able Brain In the next Book I shall give you the Faculties and Dose of most of the Medicines in use amongst us For the Times and Seasons of purging in respect of the motion of the Moon and Stars I have given you a few general Rules at the latter end of my Almanack for the Year 1659. to which I refer you An end of the Third Book BOOK IV. IN this I shall shew you the Faculty and Natural Operation of most of the compound Medicines now in use amongst us and sold by the Apothecary together with a general Rule for the making of all such kind of Medicines Those that desire a more particular Description of their Ingredients or Compositions let them peruse the Dispensatory made by the Colledge of Physitians of London If they cannot understand the Latine Tongue let them make use of the Translation thereof by Mr. Culpeper it being unbefitting for this Volumne Be pleased therefore to accept of their Faculties and Doses from the least to the greatest which must be regulated with judgment and discretion according to the age or strength of the Patient the Season of the Year and the nature of the Distemper CHAP. I. Of Distilled Waters COld or simple Distilled Waters are drawn out of Hearbs Flowers Fruits and Roots all which ought to be distilled when they are in their greatest vigour and ought to be gathered in a dry day about Noon The common way is to distil them in a Peuter Still the Water thus distilled is of all Medicines the weakest yet is of use in mixing them with other Medicines that they may be the better taken To avoid burning put fifted Ashes under the Vessel which holds the Hearbs and give a gentle fire But to make the Water have more smell and vertue of the Hearbs do thus Take what green Hearb and Roots or Flowers fresh gathered if you please bruise them and mix with them some Leaven and let them stand close
white Poppy heads meanly ripe and newly gathered in number twenty steep them in three pints of warm spring-Spring-water the next day boyle them till the virtue is our then strain out the Liquor and with a sufficient quantity of good Sugar boyle it according to art that you may make it into Lozenges They are good against thin humors distilling from the head upon the Lungs Stomach and Throat they provoke sleep and coole the body in Feavers Saccharum Tabulatum simplex periatum Lozenges of Sugar simple and pearled commonly called manus Christi It is cooling and very Cordiall and therefore is good in Feavers and for weak people who are subject to Hectick Feavets and Consumptions Saccharum Tabulatum Compositum Lozenges of Sugar compound Is is very good for cold Stomachs and it frees the Stomach of Choller and Flegm and is good against Wormes Saccharum Penidium Sugar Penies For the most part they are used in other Compositions of themselves they are good against Coughs Saccharum Rosatum Sugar of Roses They strengthen weak Stomachs easeth pains in the Head restoreth loft strength they cherish a weak Brain and comfort drooping Spirits stay vomiting and pissing of bloud they are convenient for people in Consumptions to carry them in their pockets and now and then cat a bit of them In like manner are all the rest to be taken CHAP. VI. Of Troches THey are also called Placentule or little Cakes they were invented principally to keep Pouders from losing their virtue by the intromission of the air which this Form doth resist and keep it pure the longer Besides they are convenient for a man to carry about him when he travelleth their form for the most part is little round and flat The general way of making them is thus Take what quantity of Gum Tragacanth you please the like quantity of Rose-water or any other fuitable to the Distemper you aim at put it in a Galley pot and cover it in six or seven hours the Gum will be turned into Musilage with which you may make any fine Powder into Paste with the Paste you may make Troches or little Cakes and print what you please upon them Then dry them in the shaddow and keep them for your use Trochisci de absynthio Troches of Wormwood are thus made Take of the Leaves of Red-Roses Wormwood and Annis-seeds of each two drachms Juyce of Maudlin made thick the Roots of Asarabacca Rhubarb Spicknard Smallage seeds Bitter Almonds Mastich Mace of each one drachm Juyce of Succory as much as is sufficient to make Troches They strengthen the Stomach and provoketh an appetite open Obstructions of the Liver and Bowels and carry away Watry and Chollerick Humours The frequent use of these Troches will be beneficial to such as are inclinable to the Jaundise or Dropsie The Dose is from half a drachm to a drachm and an half Agaricus Trochiscatus Agarick Trochiscated They purge Phlegm and Choller mixed and free the Head and Brain thereof purge gross and viscous Humours from the Stomach They are seldome or never used alone therefore I forbear the Dose Trochisci Albi the white Troches They are cooling and drying and of great virtue if a drachm of them be finely poudered and mixed with an Injection for the Yard ulcerated Trochisci Alexiterii Troches against Poyson They are good against all Pestilential and Epidemical Diseases and a good Preservative in Pestilential Times and they strengthen the Heart Take a little now and then Trochisci Alhandal It powerfully purgeth gross Humours from the exterior parts it is good in the Palsie sleepy Disease Apoplexie and Convulsion coming from a cold cause The Dose is from two grains to four It is violent and best mixed with other milder Medicines or given in a Clister Trochisci Aliptae Moschatae They are commended for Children that cannot swallow their Milk well The Dose is from two grains to six given in Breast-milk Others say it is very good for Barren Women taken inwardly and outwardly mixed with a Plaister for the Womb. It is very dear and good for Ladies Trochisci Alchelengi Troches of Winter Cherries They are a good Medicine to allay the heat of Urine and give ease in Ulcers of the Reins Bladder and passage of the Urine and is good against the Stone The Dose is from half a drachm to two drachms Trochisci Bechici Albi Nigri Pectoral Rouls white and black They are very good for a Cough and Hoarsness The Dose is from half a drachm to a drachm Trochisci de Berberis Troches of Barberies They are very good in any Flux cooling in Feavers and allay unnatural heat in any part The Dose is from half a drachm to two Trochisci de Camphora Troches of Camphire They are good in Burning Feavers against the heat of Bloud and Choller and against the hot distemper of the Stomach and Liver or any other part against the Jaundice Hectick Feavers c. The best way is to take a little often Trochisci de Capparibus Troches of Capers They are very profitable against schirrhous Tumors in the Spleen and openeth Obstructions of the Liver and are good against the Hypochondriack Melancholy The Dose is from half a drachm to a drachm Trochisci de Carabe Or Troches of Amber They are good to stop fluxes of bloud in any part of body The Dose is from one scruple to four Trochisci Cypheos It is used in Treacle and Methridate It is good against Ulcers in the Lungs and other parts of the body Trochisci de Eupaterio Troches of Maudlin These Troches are good against the Jaundice and the Dropsie and is good in any Tumor in the Liver or Splean Trochisci Galliae Moschatae They strengthen the Womb the Brain Heart Animal and Vital Spirit Trochisci Gordonii They are good against any inward Ulcers or Ulcers of the Yard and to cool the body in Feavers Take half a drachm with Syrup of Marshmallows Trochisci Hedichroi They strengthen the Heart and Brain they are of a heating quality therefore good for such as have cold Stomachs they are seldome used alone Trochisci Hysterici Troches against the Mother They serve principally against Fits of the Mother expels the Birth and After-Birth cleanseth a Woman after her Labour The Dose is from half a drachm to a drachm Trochisci de Ligni Aloes Troches of Wood of Aloes It chears the Heart and Vital Spirits it is good against Heart-qualms and Faintings and against the Dropsie and is a pretty Medicine for a Stinking-breath The Dose is half a drachm Trochisci è Myrrha Troches of Myrrh They powerfully provoke the dead Child after Birth and Womens Monethly Purgations The Dose is from half a drachm to a drachm Trochisci de Plumbo Troches of Lead It is good to cure Ulcers in the Eyes Trochisci Polyidae It is good in green Wounds and Ulcers Trochiscide Rhabarbare Troches of Rhubarb They have a cutting attenuating strengthening and Choller-purging quality by Urine and otherwise they are
Diseases are such as last long Critical day in Feavers is that day as the Moon comes to the square of her place of the decumbiture or first falling sick which for the most part happeneth on the 7th day Cupping-Glasses are Glasses fastened with lighted tow or flax to draw forth blood by scarifying of the place Cumulation See congestion D. DEcoction the Liquor wherein hearbs and other ingredients are boiled Defluxion A flowing of humours from the brain to other parts also humours gathering into any part causing a Tumor Delirium Dotage talking idly raving in sickness Declination of a Disease is when the Symptomes decay and the Patient begins to recover Derived Turned away from Demonstrated proved by Argument Depravations Marrings hurting spoiling Depressed Made flat hollow or dented Debility Weakness Derivations Is to draw the humour that offends from the grieved part to another near it Diureticks are medicines that provoke Urine Distillation of Humours See Defluxion Diagnosis The knowledge of a Disease by the signes thereof Diminished Lessened Discuss is to dispel invisibly when a swelling is wasted without breaking Diverting Medicines are such as hinder the defluxion of humours to any part Dislocation is putting out of its place Diffuse spread abroad Dissipate scatter abroad Dilated made wider Distorted crooked writhed wrested Digestive Medicines are such as prepare humours for Evacuation Dissolved Melted or consumed Distention Stretching Diaphragma the Midriff Diagrydiates such Medicines that have Scammony in them Dissolution of natural heat is a decay of Nature Diaphoreticks are such Medicines as provoke sweat Dura mater is the hard membrane which covers the brain and lyeth next to the skull Dung-gate is the Fundament or Arse-hole Dyspnaea is shortness of breath E. EBullition boiling of the blood or humours Egression coming forth Empyema A corrupt matter between the Breast and the Lungs following a Pleurisie Emunctuaries The ways and paffages of Nature finds to drive ill humours into Emollients such things as soften Embrochated Bathed moistned bedewed Emplastick Diet such meats as are of a clammy substance as Gellies Tripes Feet of Beasts and such like Emulgent veins which bring the wheyish excrements to the Kidneys Emulsions are milks made of Almonds or the cold seeds Epipastick a plaister to draw a blister Epithemes are certain powders put in bags wet in wine and applyed to the Region of the Heart Liver Spleen c. Epidemical are Diseases which arise over a whole Nation as the Plague small Pox c. Errhines are Liquors to be snuffed up to purge the Brain Eruption Breaking forth Eroded Eaten or eaten asunder Eradicate To pluck up by the Roots Escharoticks See potential Cauteries Eschar is the Core that falls from the place where a Caustick hath been applyed Evacuation Is purging emptying or voiding Evaporation A steaming forth by Vapours as boiling water doth Eventilated The body purged by exercise which opens the pores oâ— the body and purgeth the body as Corn is purged by Fanning Excrement is the Dregs of Digestion voided by Dung Urine and Sweat Expulsion Driving forth Extinguished Put out or quenched Extension Stretching out Extenuating Making thin Excrementitions Of or belonging to Excrements Expressed Squeezed out Extraction Pulling out Exquisite Perfect Exasperated Vexed pained molested Excrescencie is any supernatural growing of flesh Exuberation is the same with an Ulcer Expectorating Spitting any thing from the Breast Stomach or Lungs F. FAbrick Composition making up or frame Faeces Are the Dregs or such things which settle in the bottom Fermentation is the working of the Humours Fistula A hollow deep and narrow Ulcer Filtration Straining any liquid thing thorough a brown Paper or by a piece of cloth hanging out of one vessel into another Fluid That runs like Water Flatuous is windy Fluxive The same with Fluid Fomentation Is when Linnen Clothes dipped in some warm Decoction of Liquor is applyed to the diseased part and often renewed Five opening Roots are the Roots of Smallage Sparagus Fenel Parsley and Knee-Holly Fortified Strengthned Fracture is a breaking of the Skull Arm Leg c. Frictions Rubbings Frontal vein is the vein of the Fore-head Fumigations Perfumes or things burnt to sweeten a Chamber Fuliginous Smoaky or footy G. GArgarisms Medicines to wash the Mouth and Throat Gangrene is a Corruption of the part tending to mortification Generating Breeding begetting Glandules Kernels such as are about the Throat and are called the Almonds of the Ears Glutinous Clammy or gluy H. HAbit of the body Is the whole substance thereof Hemiplegia The Palsie on one side Hereditary From Father or Mother Hemorrhoids Are the Veins in the Fundament Hemorrhagies Is bleeding from any part Hermetical Doctrine Is that which is delivered by Physitians who have made up their Medicines by Chymistry or Distillation Horrours Shiverings Hyppocras Bag A Bag that it made of Woollen-cloth in form of a Funnel to strain Medicines Hypochondria The parts beneath the Ribs Hypogastrium That part of the Belly which reacheth from the Navel to the Hair of the Privy-Parts Hydromel Honey and Water Hysterical Sickness Is Womb-sickness or Fits of the Mother I. INanition Emptiness Inflammation Great Heat Irritation Provoking Infusion Steeping Impulsive cause Is the moving cause Intervene Come between Inversion Turning the in-side out Intermission By â—its ceasing leaving off Incarnate To breed flesh Incision To cut or lay open Impact Thrust setled wedged in Indication Is a hint to the Physitian what he ought to do as extream fulness of blood gives indication of blood-letting Inherent Seated sticking and abiding within Inordinate Disorderly unnatural Intercepted Stopped Incrassate To thicken Inveterate Old of long continuance Infirm Weak Infipid Tastless Intestines The Guts Intension Increase and Decrease Injection Is a Medicine cast into the Womb Bladder or Fundament Inspissate Juyce Is the Juyce of an Hearb boiled to the thickness of Honey Invasions of the Ague Gout c. are Fits of the same Intense strong vehement Irrigations Waterings Sprinklings and Moistnings Intermitting Pulse Is that which beats sometimes and then holds still again Incoctability An unaptness to be concocted or digested L. LAxe Loose slack Laxative Which makes the Belly loose Lambative Is the same with Lohoch a Medicine to be licked Lenitive Gentle Ligatures Are strings by which the Joynts of Bones and Gristles are bound together The same is used for an artificial binding of any part to draw the blood and humours from the diseased part to the part that is bound Livid Black and blew Looseness of continuity is the dividing of the skin and flesh which were formerly united as in a Wound M. MAsticatories Chewing Medicines to bring away Rheum Malignity A venemous and poysonful quality Matrix The Womb. Mamillares Nerves like Tears which serve for Smelling Malax To soften Macerate To steep or infuse Maturate To ripen Menings Films or Coats that cover the Brain Meseraick Veins that charge Chyle from the Stomach to the Liver Membranes Skins or Coats of the Arteries and Veins Mercurial
of water untill half be consumed to a pint of the decoction adde the oyls of Lillies and Rue of each half an ounce Hiera Picra Benedicta Laxativa and Diaphaenicon of each half an ounce Honey of Roses an ounce Salt a drachm mix them and make a Clyster If your Patient be young strong and full of hot humors and blood you must soon after the operation of the Clyster open a vein in one Arm let him not bleed too much at once lest his strength fail in a few hours space open a vein in the other Arm for by that means the disease will be the more abated and the strength the more preserved After the first vein opened if you perceive his countenance more lively his pulse beat more orderly and his breath fetcht with more ease it is a good sign and a good encouragement to open another vein Make the Orifice wide or else the grosseft blood will lye behind Where you see the body abound with blood draw blood liberally if not draw blood sparingly After letting blood if you see hopes of your Patients recovery within a few hours you must administer some purgation the time of the day matters not one ounce of Elect. Diacarthamum half a scruple of Castor dissolved in Betony water you may in this case make use of Pillulae Cochiae the greater or the lesse or Pillulae de Agarico pills of Agarick But in the Lethargy by reason it is accompanied with a Feaver you ought to administer more gentle purgations as Pillulae Hiera cum Agarico I shall lay down some generall Rules for purging in the next Book which serve to divert the humours flowing to the Head But the humours there fixed must be purged with Scammony one Scruple Castor two scruples administred in Oximel which hath been proved with good successe If hitherto your Medicines prove unsuccessful you must venter to administer stronger not fearing the danger or strength of your Medicine seeing without it nothing can be expected You may use such Medicines as are extracted out of Antimony or those lesse violent as is the infusion of Crocus Mettallorum or two drachms of the Tincture of Tobacco extracted with the Spirit of Wine doth powerfully evacuate upwards and downwards both cholerick and flegmatick humours and cleanseth not only the Stomach and Bowels but the Brain also Also Frictions and Ligatures on the extream parts are necessary that the vapours do not ascend to the Head You may fasten Cupping glasses to the Shoulders Arms and Thighs with scarification if you have not let your Patient blood otherwise without forget not the often administration of Clisters or instead thereof you may use Suppositories made thus Take two ounces of Honey boiled to a due thicknesse of Hiera Piera two drachms Coloquintida Agarick and Scammony of each two seruples Salt gemme one drachm make them into fine powder and mix them with the Honey and make Suppositories as long as you think good You may apply things to their Noses which have a property to awaken them as Vinegar Castoreum Galbanum Sulphur Goats-horn or Harts-horn burnt and holden to the Nose A fume made with white Amber is of excellent vertue in the Apoplexy You must pull them by the hair and prick their Legs or rub them with Salt and Vinegar You must annoint the Palare of the Mouth with strong and sharp Medicines as Mithridate Mustard powder of Masterwort and rub the bottoms of the Feet with Salt and Vinegar and the Palms of the Hands with the Oyls of Rue and Castor If the disease be of long continuance provoke sneezing with those Powders prescribed in the second Chapter to which you may adde Rue and Castor You may apply resolving Medicines but first you must make them thus Take the leaves of Betony Sage and Rosemary of each one handful the tops of Lavender and Marjerom Rue and Savoury of each half a handful the roots of Angelica Masterwort and Setwall of each one ounce Bayberries and Juniper berries of each half an ounce boyl them in a sufficient quantity of Vinegar and with a Spunge or cloth dipped in the decoction bathe the Head of the sick If the Disease yield not to these Medicines you may fasten Cupping gâ—asses to the upper part of the Neck about the first or second joynt Some use to draw Blisters there and with good successe Many precious Medicines against this distemper have been left to posterity I shall omitting many insert this one viz. Take of the root of Peony and Misleto of the Oake of each two ounces Calamus Aromaticus Galanga Cyperus of each one ounce of Betony Sage Marjerom of each one handful the seeds of Peony Annis Fennel and Carraway of each three drachms the flowers of Lavender Stechas and Rosemary of each half a handful of Nutmegs Mace Cubebs Cloves Grains of Paradice of each half an ounce Cinamon two ounces Saffron half a drachm of Species Diambrae and Diamoshi of each two drams Let all these ingredients be shredd and bruised and put into a glasse Limbeck powre on them of the best rectified Spirit of Wine enough to cover them the breadth of three fingers digest them in a Bathe eight daies afterward distill it and upon occasion administer a drachm or half a drachm in some other convenient liquor In like manner may the Spirit of Castor be administred in Oximel and 't is a good Medicine against these Diseases Moreover be very careful that you wel understand the nature of the humor offending as if blood offend use not too many refrigerating Medicines and bleed the more I need say no more Verbum sapientibus c. If after so many Evacuations the Brain become too cold and much weakened you may strengthen it with Lozenges made thus or after this manner Take of the distilled oyls of Annis Cinamon and Nutmegs of each three drops oyl of Cloves one drop Amber-grease half a scruple with four ounces of Sugar dissolved in Betony water make Lozenges take a drachm in a morning Likewise you may make Pills to strengthen the Head in this manner Take of the Species Cordiales temperatae and Aromaticum Rosatum of each two drachms Mastick Nutmegs and Cloves of each one scruple Ambergrease half a scruple and Musk three grains make it into a Masse for Pills with the juyce of Marjerom and take a scruple to bedward once or twice a week or you may take half a drachm of the powder called Diarrhadon Abatis night or morning If any fear the return of this Disease again after cure or any by the aforegoing Symptoms fear its growth upon them let them carefully consider the humour offending if blood abound lessen it by opening a vein if Choler flegm or melancholy by purgation How you may know which humour offendeth or by what it may be purged this Treatise if you have any ingenuity will inform you CHAP. VI Of the Vertigo and Falling-sickness THe Vertigo is a Disease which maketh a man think every
Ounces Sugar of Roses and the Oyl of sweet Almonds of each one Ounce make a Julep and give it The drinking of Mineral Waters is good Before you endeavour to heal it you must endeavour to cleanse the Stomach as well as the Ulcer Take of Cassia one Ounce Powder of Rubarb one Scruple dissolve it in Whey and drink it you may with this or the like Purgers which attract not the Humours to the part cleanse the Stomach as often as Necessity requireth Then fement the Stomach with the Decoction of Comphry roots Quinces Wormwood Roses Pomegranate flowers and peels Myrtles Galls Frankincense Mastick and the like then apply astringent Unguents and Emplaisters to the Stomach and inwardly give Medicines of the same Nature Take of the Conserve of Roses and Comphrey roots and of Marmalad of Quinces of each one Ounce Bolearmenick Sanguis Draconis Terra Sigillata of each one Drachm Gum Arabick Red Corall and Blood stone of each half a Drachm Hypocistis Sarcocol and Frankincense of each one Scruple with Sirrup of Comphrey make an Opiate a little of which let the Patient take often if his Stomach loath the often use of one Medicine let Troches be made of the Powders and the Musilage of gum Traganth or into any other form How to make Troches see the fourth Book Give him for his Food in the mean time Chicken Broth and boil therein astringent Herbs fresh Barley and China Root CHAP. XLIII Of the Chollick The attractive and digestive Facultyes are not only hurt but the expulsive Faculty which chiefly respects the Intestines may also be defective and cause many distempers in the Body the first of which is the Chollick This Disease took its Name from the Part affected which is the Gut called by the Greek Colon and the Disease 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which is caused by excrementitious Matter retained too long and by distending pricking or corroding causeth grievous pain Sometimes it is caused through Crudities bred by a cold Distemper of the Stomach and Intestines which causeth Wind to afflict the Guts being obstructed especially the Gut Coion sometimes cold grosse and phlegmatick Humours sticking to the Tunicles or Coats of the Guts cause constriction and divulsion and a gnawing pain also salt and sharp cholerick and melancholy sowr Humours by pricking and twitching the Cuts cause Pain Here note that if Wind or Humours remain onely in the Cavity of the Guts they might be easily excluded by evacuating cleansing and curminative Medicines but being for the most part fixed to the Coats of the Guts they are not expelled without difficulty There are other lesse usual Causes of the Chollick viz. Tumors in the adjoyning parts causing compression of the Guts Tumors and Inflammations in the Intestines causing Narrownesse Knots of Worms or Stones bred in the Guts which stop them sometimes a poysonous and malignant Matter engendreth a pestilent Chollick or Plague in the Guts The External causes are either a cold Aire which doth constringe the Belly or an Air too hot indurating the Excrements Raw Fruit Meats grosse and of hard Digestion in a Word every thing which disturbeth the concoction of the Stomach may here be taken for an External cause Diagnostick Signes are a very sharp pain sometimes moveable sometimes in the Region of the Stomach Liver Spleen Reins sometimes above and sometimes beneath the Nayel oftentimes in the left side so that by comparison of other Signes you must distinguish between this and the Spleen and Stone The Pain is like the Boaring of an Auger he vomiteth chole rick and phlegmatick Matter if the Stomach consenteth The pain is greater after Meat the Belly for the most part is bound that the Patient cannot so much as break Wind when he voideth Excrements they are windy like Cow dung with Water on the Top. The causes are also distinguished by their Signes If Phlegm be the cause the pain is not so violent the Sick hath used a phlegmatick Diet but if Wind be joyned with it the part seemeth as if it were boared through with a Wimble the Urine is crude and white yet sometimes the violent Pain enflameth the Spirits and the Urine appeareth yellow or red He is better for hot and the worse for cold things If cholerick Humours cause the Chollick there is a violent pulling and pricking Pain the Urine is cholerick a Diet breeding Choller went before he is the worse for hot Medicines there is great Heat Thirst and sometimes a Feaver If the Chollick proceed from Wind there is a stretching Pain and the Belly swelleth and the Wind rumbleth therein he findeth ease when he breaketh it If the Wind be in the Cavity the Pain is moveable and encreaseth and decreaseth If in the Coats of the Guts the Pain is fixed in respect of place and constant Prognostick signes are It the Chollick be gentle moveable and the Belly soluble it is easily cured on the contrary if the Pain be great and fixed the Belly bound the Patient wanteth Sleep vomiteth and is troubled with cold Sweats Hiccoughs Doting and Coldnesse of the extream parts it is alwayes dangerous and for the most part deadly An Epidemical and pestilent Chollick is very dâ—…ous If it come of sharp chollerick Humours â—…generateth sometimes into other worse Diseases as the Palsy Falling-Sicknesse and the Gout You must vary the Cure according to the diversity of Causes if Phlegm and Wind be the cause you must administer an emollient discussing and carminative Clister See Chap. 41 Of Pain in the Stomath three or four times in a day Or make a Decoction of emollient and carminative Herbs and boil therein three Drachms of Colloquintida If two or three Clisters provoke not to Stool make use of this Suppository Take of Hony sodden half an Ounce Hiera piera one Drachm Diacolo-Cynthidos one Scruple Salt Gemm half a Scruple mix them and make a Suppository It is not amisse if after all this you purge the noxious Humours mixing with your purge Narcoticks See Forrestus his Medicine prescribed in the aforenamed Chap. Or give an Ounce and an half of Manna of Oyl of Sweet Almonds newly drawn two Ounces give it in Broth. Then you must foment bathe or anoint the Belly See the aforesaid 41 Chap. The Bowels of a Wolf pulverized and the white Dung of the same is much commended if the Patient take a Drachm in white Wine The Electuary of Bay berries taken as much as a Nutmeg often easeth Pain This Medicine I have used with good Successe Take of Pellitory of the Wall Mints Parslypearch of each one handfull the Roots of Fennel Parsley Marshmallows and Butchers Broom of each half a handfull Juniper Berries one Ounce the Seeds of Aunis sweet Fennel and Cummis of each half an Ounce Bay berries three Drachms bruize slice and powder them Infuse them in white wine twenty four houres and distill it in Balneo after sufficient Evacuations give one Ounce Galen much commendeth the Application of a Cupping-glasse to the Navil