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A62269 Paidōn nosēmata· = or Childrens diseases both outward and inward. From the time of their birth to fourteen years of age. With their natures, causes, signs, presages and cures. In three books: 1. Of external 2. Universal 3. Inward diseases. Also, the resolutions of many profitable questions concerning children, and of nurses, and of nursing children. By J. S. physician. J. S.; Vaughan, William, fl. 1664, engraver. 1664 (1664) Wing S79; ESTC R219790 64,761 200

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Ounces of it with a little Sugar the Stomach being empty Outwardly are useful the rubbing and compressing the hands being annointed with the Oyl of Scorpions If it help not boyle the Pellitory of the Wall in the Oyl of Rue and make a Plaister and lay it to the parts about the neck of the Bladder or Take a Cruce Glass in which Oyl hath been kept a long time put it in hot water then put the Yard of the Child into the Mouth of the Cruce Glass and it is very effectual CHAP. XVII Of the Stone of the Bladder CHildren are very obnoxious to the Stone of the Bladder and are often troubled with it by their much eating causing much crude humours which stay not in the Reyns but is expelled into the Bladder Female Children are seldome troubled with it because they have the Channel of the Bladder broad straight not contorted and crooked The Stone of the Bladder which is immediately made in the Bladder is more often made in Children then in old men because Children are great Eaters thereby abound with much crude humours which is the matter of the Stone and falls into the Bladder besides Childrens native heat is strong which easily hardens the matter into a Stone old men although they abound with crude and earthy humours because their heat is weak in the Bladder the Stone is not made to which may be added the strength of the expulsive faculty the narrowness of the passage and the tenuity of the humour in Children The Stone which is first made in the Reins is in old men more often then in Children as is proved by experience because old mens expulsive faculty is infirm and the Ureters wide so that the thickest and grosse matter is detained in the Reins and consequently turn then into a Stone The material causes are humours thick petuitous and tenacious the efficient cause is the greatnesse of the heat The immediate internal causes are chiefly the narrownesse and straightnesse of the passage or Channel then the hereditary disposition and propriety from parts and the Milk of the Nurse being bad either from Diet or temper for when the Child doth suck impure Milk if the Child hath large Veins from the Stomach to the Bladder the impure matter is carried to the Bladder where it settles with the Urine as muddy water shak'd together in some Vessell and then resting makes a Sediment in the middle which Sediment of the Urine afterwards is conglobated and made round by Phlegme like a little hill and is hardned as Iron in a Furnace The External Causes are the same as in the Strangury The Signes are 1. Groaning and pain in making water 2. The making water by drops 3. The Blood is often mix'd with the Urine 4. The water is somewhat white crude sometimes with a slimy sometimes with a Sandy Sediment 5. Inflamation of the Bladder 6. Itching of the Preputium and foreskin and frequently scratching of the Privities Prog. The Stone of the Bladder is very dangerous and difficult by reason of the pain and in curing Suppression of the Urine which often happens The Stone if it cannot be cur'd by cutting it is mortal for the most part because the Stone growes in Children so great that as the years increase Nature cannot sustain it The Cure is If the Stone be Small and newly begun by such things that break and diminish the Stone by a quality that is either 1. Manifest as by Goats Blood Restharrow Ceterach Saxifrage the Root of Parsley and Fennell Lapis Spongia Lapis Judaicus the Stone that is found in the Call of an Oxe powdered and drank in White wine or a Decoction of Restharrow Take 2. or 3. drams of Turpentine wash'd and melted and mingle it with two Ounces of the Water of Restharrow it is much commended 2. Or an Occult quality and propriety as the Throat of a Hen burnt and powdered and given in Wine So Eryngoes boyled breaks the Stone by propriety Before the use of these remedies the Child is to be put into a Bath Water for some dayes in which Mallows are boyled that the matter may be somewhat softned and more easily and safe done in Children in Men. CHAP. XVIII Of Costivenesse and being bound in the Belly COstivenesse is a preternatural disposition in Children by which they discharge not the filfth and Ordure of the Body either in a due hour and time or in a due measure The Filth ought every day to be expelled and if much be eaten or that is not nourishing the greater the quality of the Excrements ought to be expelled The Causes are the offending the Guts either not by sending the expulsive faculty to them by a resolution of some Nerve or Muscle by a distemper or obstruction or because Choller is not sent to the Guts by which the Guts are stimulated and excited to an Expulsion Or the Expulsive faculty of the Guts is hurt by some Tumor or Skin or some distemper The Guts are offended also by some Errors within by viscid and thick humors wrapp'd and mix'd with the Filth and so gather the Filth together that they fasten them to the Guts that they cannot go forth or with great difficulty or Externally by the coldness of the Air for it is certain that Costivenesse is more in the Winter than Summer much sleep idleness great Meditations they drye the Belly drink that is thick and binding and sparingly used the same Errors also in meats as also preposterous eating taking first astringent things afterwards liquid and they that are accustomed to dine and omit it are bound in their Bellies The Signs are the Child 's not discharging his Belly every day and complaining and if the Child is somewhat great it is troubled in the head and when the Child empties it self it is with pain groaning If it proceed from a cold distemper the body consumes is pale windy and belching if from gross and viscid humours they will appear in the Filth if from the want of Choller sent to the Guts the Colour of the body will be muddy and the Filth of the Guts white or somewhat Ash-coloured Prog. The Astriction of the Belly in most are dangerous especially in Children which great eaters for which Diseases are generated in them in time and in the Time of breeding of Teeth cause Inflamation Feavers and Convulsions the body being full The Cure is 1. In moving the Belly in sucking Children that the Nurse use meat that loosen the Belly as Mallows Dry Figs Raisins and the Broth of Coleworts and all such meats which can loosen the Belly for as the Milk is made out of Blood and it out of meat so it is not to be doubted that the Milk is affected with such meats as the Nurse eats The remedies that are to be used to the sucking Child ought raiher to be External then Internal The External are Suppositories made out of hard Hony or the roots of Mallowes Garlick roasted in Ashes and put
Tumor of the Head caused by the Collection of Waterish humours in some part of the Members constituting the head The immediate cause is either 1. A Wind which is seldome in regard of the rarity and purosity of the head which appears by the hairiness of it and the Thumes and Tenuity of the Wind made of a very thin humour and so easily dissolved and dissipated 2. Thin and Waterish humour which is sometimes thick and coloured by the mixture of the Ichor of other humours with it This humour is collected more often in the Womb then out of it and in the head then other parts because 1. Of the great moisture of the Brain 2. The plenty of Vapours which ascend to the head and by its coldness turne into Water 3. It being the seat of Waterish humors for the Head is placed over the Belly as the Head of a Still over the body of it 4. The Density of the Skull which retains the Vapours The Signes by which this Disease is known relate to the Cause or Place If Wind be the Cause the head lightly struck will sound like a Drum and the Tumor prest by a Finger yeilds to it and leaves a Dent which presently fills up again If an humour be the cause and not within the Skull the Tumor is soft clear if prest it slowly returns to its former fulnesse the Colour of the Skin is unchang'd and there is crying and want of sleep If the humour be within the Skull the Infant hath an heaviness of the head cryes and cannot sleep and in those of elder years the eyes are prominent and stand out weeping and can hardly be shut and sometimes the fancy is hurt The Presage If the Tumor is within the Skull some think it incureable others think it cureable by Cauteries and by Diaphoreticks If it is on the outside of the Skull it is dangerous because of the Dignity of the Head and the tenderness of it in an Infant for every Disease of the head is dangerous especially in an Infant whose tenderness cannot endure a Disease or Remedy and if the humor should move inwardly there is great danger of a Lethargy or Apoplexy The Cure is by discussing and extenuating the wind and evacuating the humour insensibly or sensibly by purging or manual Operation for the doing whereof a convenient Diet is necessary which ought to be directed to the Nurse if the Child suck otherwise to the Child Wherefore let the Air be hot and dry where the Nurse and Child is kept if it be not so naturally by the season of the year prepare it so by good fires and fumes of sweet and hot woods If the Child suck let the Nurse watch much and if it is wean'd let it sleep lesse then if it was sound because watching doth much dry the body as sleep softens it Moderate Exercise and a soluble belly is very convenient which if need let it be help'd by a Suppository made of Hony The Nurse and Child both are to abstain from Wine and in the place of it a Drink is to be made of Water with Coriander seed prepared and Anniseed let the Meat be such as discusses and breaks wind and dissipates humours wherefore let the Bread have a little Coriander seed in it and the Flesh be rather of Wild Fowl and roasted rather then boyled a Moderate use of spice is profitable and Coriander canded with Sugar All Herbs and Waterish Fruits are to be avoided If the Nurse be sound avoid purging her lest you hurt the Milk if she be unsound purge her as the quality and nature of the humour require External Remedies only belong to an Infant for Purges and other Remedies are to be used to the Nurse and very carefully least they hurt wherefore this Fomentation will be convenient Take of Pennyroyal Maryroom Savory of each an handful Cumminseed and Aniseed of each an Ounce boyl them together in a pint and an half of Water to a Pint in which wet a Spunge and apply it to the head afterwards anoint the head with the Oyl of Cammomile salted if this prevails not the Oyl of Anniseed may be added and to the two Oyles without the Salt you may add a little of the Powder of Anniseed and Fennel-seed It will be convenient for the Nurse to use the following Electuary which will make the Milk discusse wind Take the Conserve of Bettony and of Rosemary of each an Ounce the Powder of Coriander and Anniseed of each an Ounce mixe them and take Morning and Evening half an Ounce In a Child of some years that can endure Medicaments Purge the Child first gently with two Ounces of the Hony of roses solutive mixe it with a little Broath Afterwards prepare the humour thus Take of Mugwort Savory Staccados Celandine of each half an handful boyl them in a pint and half of water to a Pint. Take two or three Ounces of the said Decoction of the simple Hony of Roses of the Syrrup of Staccados of each half an Ounce mingle them and give it the Child 3. or 4. days together then purge the humours so prepared Take of the Pills called Pillula Aurea one Dram and a half of Castor two Grains of the Root of Ireos finely powdred half a Dram mingle them with the Hony of the Syrrup of Roses solutive and make thereof for one Doss or quantity to be taken at once five little Pills If the Child refuse Pills Take an Ounce of the root of Ireos of Raisins of the Sun half an Ounce the Seeds of Fennel and Coriander of each half a Dram boyl them according to Art Take of the Decoction an Ounce and a half of the Trochische of Agarick two Drams infuse them all Night then strain them strongly and add an Ounce and an half of the Hony of Roses solutive After sufficient Purging the use of the Electuary directed before for the Nurse and the External Remedies will be convenient to which may be added this following Lixivium Take of Figtree-wood two pound of Salt or common water twenty pints make of it a Lye according to Art when it is strained add to it Coriander-seeds and Anniseeds of each a Pugill of Bran one Pugill the Leaves of Penny-royal Maryroom and Mugworth one handful and an half boyl them away to a fourth part then strain and use them In the same manner you may prepare a Lye of Brimstone beaten and applied to the head with a drye woollen Cloth it dries the head very much stronger driers are dangerous There may be made Plaisters of the aforesaid Herbs being boyled and bruised to the form of a Plaister and laid upon the head a Plaister made of Snails bruised and applied to the head untill they fall of themselves is an approved of remedy The following Ointment doth very much discusse the water or wind in the head Take of the Oyl of Ireos and Cammomile of each two Ounces of the Powder of Sulphur and Ireos of each two
which make Phlegme all which is done by 1. A Convenient Diet let the Air be hot and dry the sleep little exercise moderate avoid much rubing or kembing of the head and bearing weight on the Head avoid all perturbations of the mind except moderate anger and Wine that is strong and thick if you use Wine do it moderately and mixe it with water Let your meat be attenuating and drying as Bread well bak'd and with Anniseeds or Coriander-seeds Let your flesh be of Wild-fowl and rather roasted then boyled avoid Spices as filling the head with vapours and all thick grosse viscid and cold meats as Beef Cheese Milk Eggs fried or hard and the like Hence it is that the Children of poor persons are more troubled with this Disease then the Children of rich men because they eat grosse and ill Diet which makes and ●oments the humour 2. Purging Take of the Leaves of Senna half an Ounce of Polypode two Drams Ginger 15. grains half an Ounce of Raisins stoned Sebestens Pruins of each three in number of the Flowers of Borrage Violets Red Roses and Rosemary of each half a dram boil them in a pint of fountain water until half be consumed Take of the Decoction two Ounces of the hony of Roses two or three Ounces Let the humours be prepaired thus Take of the Leaves of Brownwort Plantain Dry Bettony and Mint of each half an handful boyle it according to Art of the Syrrup of Roses and Oxymel of each half an Ounce mingle them After the humours are prepared purge thus Take 30 or 40. grains of the Pills of Agarick or infuse two Drams of the Trochische of Agarick in three Ounces of the Water of Bettony all night strain it and add 2. or 3. Ounces of the Hony of Roses solutive Observe that most gentle Remedies often used is better then violent and hath often cur'd 3. By the restraining of the moving of the humour into the Part by rubbing Cupping-glasses and Blisters and there is no remedy so effectual and fit for derivation diversion and evacuation of the humour and in all Swellings and Tumours in Children about the Neck as is the exulceration of the Skin of the Head which is best done with Mustard-seed and a Nettle but with prudence and moderation but have a care you use not Cautharides which cause great pain and pissing of blood 4. By discussing the humour in the part if it be moderately thick and viscid which is done by inward Medicaments as by the use of the Trochische of Vipers and Treacle but principally by outward Medicaments first by softning it and then by dissolving it Emollient or softning Medicaments are the Plaister of Diachilon with the Gums or this Ointment Take four Ounces of Diachilon one Ounce of Hyssop four Ounces of the Root of Ireos finely powdred mingle them and with the Oil of Almon●s make an Ointment which use several days until the matter is softned then use Discutients as drye Figs or a Plaister made of Hony or the root of a wild Cucumber bo led in old Oyl to the form of a Plaister is very effectual so is this following which is stronger Take of Stavesacre Nitre of each two Ounces Rocket four Ounces with as much Turpentine as is convenient make a Plaister The Ashes of Colworts mixt with Hony is also very good Observe that strong Discutients may not be used lest Feavers are caused and the tender Flesh of the Child hurt If the matter be very viscid and contumacious it is not cur'd but by cutting or burning it which is very dangerous and turns them into Cancers that are mortall as is experienc'd in the using such remedies for the Kings Evill in the Neck Breasts or Grayn CHAP. IV. Of Pustules and little Risings in the Head PUstules or Risings or Swellings for the most part they are in the Head but sometimes in the whole body In the beginning they are small and little afterwards they are sore and make hard white Scabs and Crusts by the driness of the humour In sucking Children they are call'd Crusta in those of elder years they are called Achores they are ulcerous Tubercles or Ulcers with small risings perforating the skin with small holes through which passeth a sanious or filthy matter The cause is as some think a nitrous and salt Phlegme mixt with Choler Others a putrid corrupted and Ichorous blood but I consent to them who think the humour is mix'd partly thick and partly thin waterish salt and nitrous and according to the various mixture of the humours with the salt waterish humours the various colours of the Sores arise being thereby black red white or yellow and those humours are either generated in the womb of the Mother out of the Menstruous blood or after the Child is born by the fault of Milk or Diet nature purifying and purging her self sends them forth into the outward parts of the body The signs are manifest to Sight the Child cries cannot sleep and are watchful the Child Itches and after Itching they are sore a bloody humour passes forth and oftentimes the Child is lowsy If they proceed from blood there is a redness pain and more easie Itch but if from a more sharp humour there is a great Itch. The Presage Pustules sometimes degenerate into great Ulcers and sometimes corrode the Skull by the Malignity and badness of the humour that the Membranes may be seen They many times preserve Children from great and many Diseases as Feavers Falling-sicknesses and others by natures purging her self by the skin They heal frequently of their own accord by Time and Age. The Cure is in 1. A Convenient Diet by avoiding salt sharp hot and sweet things fish and fruit If the Pustules are moist a drye Diet is convenient as the eating of Wild-fowl roasted bread twice bak'd c. which ought to be us'd only by the Nurse if the Child suck 2. Evacuation of the humours by Blood-letting Leeches or Cupping-glasses and purging the Nurse if the Child suck not prepare the humours with Cichory Eudave Fumitory and Agrimony of each an handful boyle them in a pint and an half of Water until half a pint be consumed Take thereof three Ounces and add the Syrrup called Syrrup Byzantius and the Syrrup of Fumitory of each half an Ounce or temper the humour that is faulty with the Syrrups of Borrage and Fumitory The humours being prepared Take of Rhabarb one Dram infuse it all night in three Ounces of Endive-water in the Morning strain it well and add an Ounce and an half of the Syrrup of Roses solutive The Body being purged the part excoriated is to be cur'd by outward Remedies A Bath of common Water in which the Leaves of Scabius Agrimony and Plantane are boyled is very good The Ointments of Litheridge Cerusse or Diapompholiges cures it CHAP. V. Of Chapt Lips in Children THe Lips are made not only for Beauty but also for use for the defence of the Mouth and
an Ichor thin waterish humour and that it is by Ebullition appears in the heat colour and Accidents that happen By this we may resolve our selves 1. That in our dayes scarce any man but hath this Disease because it is hereditary which came first by the fault of the Stars which affected all or almost all and now is propagated As Indians now generate children with long heads which in former Ages they endevoured to make by Art and now is become a natural disposition 2. This Disease is mortal to some and not to others by the abundance and badness of humours and ill constitution of body that the blood and Ichors boyling causes an unquenchable Fire and remedilesse putrefaction besides the badnesse of the Air and errors in the ordering of the person 3. They happen most to Children because they are full of blood and thin waterish humidity and abound with heat being nearest to the principle of Generation besides they are given much Motion 4. They that have most thin and waterish humours have most breakin gs out and the thicker and more tenacious the humours are the worse the marks and deformities are 5. The face is most troubled because of the Ebullition of the blood the vapours ascend to the head and so impetuously that neither the Spirits of the head or face or the Air to which the face is exposed can resist besides the face is moist and rare and apt thereby to receive them 6. The Feet and hands next to the face are chiefly troubled notwithstanding the Skin is hard because of the Sympathy between these parts and the Liver which is seen in a hot Liver by the burning of the hands and feet 7. The Small Pox troubles the eyes more then the Meazles because the matter is thicker and can be lesse resisted and repelled 8. The Small Pox is contagious and infectious by the boyling of the blood which sends vapours at a great distance which enter into other persons and infect them as it is in those that have sore eyes and by the Hereditary Propriety so that consanguineous persons are more easily affected in regard of the Similitude of their temper and for that reason whole Families in a Plague are destroy'd 8. Some have this Disease twice very rarely thrice almost all once because this Hereditary Disposition only disposes and continues as long as the Seminary parts in which it is implanted doth remain which most commonly is consum'd the first time the Blood is inflam'd and set on fire especially the second time when the Blood Ferments 9. Scars and blemishes are left chiefly in the Face Lips and Foreskin because the Skin of them is without Flesh or hath but very little and therefore difficult to heal The mediate causes of the Small Pox are 1. Internall hot and moist temper soft and fat habit of body and tendernesse of Age. Boys are more dispos'd to it then Girles by the disparity of heat in them boys being hotter 2. External hot and moist Air Southern constitution Spring time and an hot and moist region or Contagion or other things that move or corrupt the thin and waterish part of the Blood By what hath been said the Small Pox may be defin'd to be a disease having Pustules in an outward part of the Skin with a continual Feaver by the peculiar Effervessency and Ebullition of the Ichorous Blood excited by the expulsive faculty The Signes that this Disease is Imminent and coming which either immediately accompany the Disease or proceed it are Pain in the Neck and Breast with a heavinesse of the Eyes Itching of the Nose Shortnesse of Breath Suddain trembling and starting Often Sneesing Urine sometimes muddy sometimes sound weepings of the Eyes and tears falling of their own accord from them a continuall Feaver The Signes of the Disease present are manifest being little swellings and spots in the Meazles they are Red and not high in the Small Pox they first appear as the head of an Needle or Pin immediately after they are greater and red and daily increase untill they are ripen'd grow white are made an Ulcers and Soars and are dryed up Presage If the Small Pox and Meazles are White and a few appear without any other accident or if many appear and the Feaver is diminish'd and other accidents and the breathing easie there is no danger If the Small Pox are black or green or if few or many appear and the other accidents are worse and exasperated and the breathing difficult then it is pernitious and Mortall They who dye of the Small Pox dye either with a Sounding an Inflamation with which they are strangled or a looseness of the Belly which destroys the strength of the Child The Cure is in 1. Preserving the inward and outward parts the outward are call'd so because they are seen and they are the Eyes Ears Nose and Mouth The internall are Liver Lungs and chiefly the Guts the eyes are frequently troubled with heat and a tenacious Ichor that Exulcerates them whereby the Children cannot sleep which is helpt by cooling and moderately binding Medicaments as the water of Roses or Plantain mix'd with Sumach Take of the water of Roses and Plantain of each five Ounces Sumach half an Ounce infuse them all night and with a little white of an Egge mix them wet a little Cotten in it and wet the eye often with it if there be pain and Itching take the water of roses and milk and add a little Myrrh to them the scratching of the Eyes are to be avoided If the Ears be pain'd itch and run let them be kept open if the pain be great dip a Spunge in hot water with the Oyle of roses and lay it to the Ear the scratching whereof is very hurtfull The Nose is defended from Ulcers if Roses or Plantain be boil'd in water and the steam taken in at the Nosthrills The Mouth is helpt by this Gargarisme Take of the water of Barly one Pint and an half the leaves of Plantain and Flowers of Roses of each one Dram to which you may adde the Juice of Barbaries or Orange and wash the mouth with it 2. In helping of nature in expelling the humour which is perform'd by 1. Dyet that is convenient The Air is to be temperate or rather somewhat hot that the Pores may be opened and the coming forth of the Small Pox promoted therefore let the child be kept in a close room that the cold Air by no means may come in by the opposition of the Air many Children have dyed with a Benigne and gentle Small Pox the matter of the Disease being repercuss'd to the interior Parts let a red cloth be laid next the Skin which is conceiv'd by divers to be helpfull by a similitude it hath with the boyling Blood Be carefull your cloathing be not too much lest the Child be Smothered and Swound and so provide that the outward Parts are rather hot then cold but that neither the heat of the Air
or weight of Cloathing encrease the Feaverish heat of the Child and if the tongue waxes black with heat the breathing is short and Swounding is fear'd let some cold water be near the Childs mouth that he may suck the cold Air in Sleep is helpfull but the troubles of the mind especially Fear is to be avoided only a little Anger may be admitted which help the expelling the humour If the Belly be bound a very easie Clyster or Suppository may be used which doth not hinder the motion of nature because they only work in the Guts and the motion of nature is to the Skin and in the Veins besides Clysters do not deject us that they may be fear'd contrary to what some think Avoid fulnesse and emptinesse let the body be kept in quiet and rubb'd a little for it expells the humour let the drink be Barly Water with the Juice of Limmons or Barberies or a Decoction of the roots of Sorrell or a Decoction of Ivory or Hartshorn especially in the beginning and whilest the Feaver is vehement If the Feaver is not very vehement a Decoction of Barly and Figs will be most convenient and commonly with successe hath been used by most eminent Physicians for that effectually expells the humours to the Skin If Wine be permitted it must be but a little and in it steep Lettice Endive or Sorrell Avoid gross meats Spice Salt and Sweet meats for sweet things destroy and so doth bitter things being dry and contrary to the Childs nature which is moist wherefore the meat must be easie to concoct cooling as Barly Broth or Broth in which cooling Hearbs are boyled and when the danger is over you may feed them with Broth and Yelks of Egs put into it with some Juice of Limon or Vineger A dried Fig is good meat for it expells the humour to the skin 2. Emptying of the blood before the Eruption and breaking forth of the Small Pox or Meazles If the Feaver is great and there be a fulnesse of blood then it may be admitted unlesse the Age is very tender or something else hinders it It may not be used upon Children that are weake and forbeare the emptying of blood in Children before they are 10. Months old though the Arabians appoint at five months The lessenning of blood ought to be upon the first visit of the Physician because of the beginning of the Ebullition of the blood which is commonly then the Fervour whereof ought to be abated and nature eased so that one ought not to stay until the fourth day but it may be done when one will before that time and not after The lessening of blood is done several ways as by letting blood which ought to be very seldome Cupping-glasses or Leeches the latter is most easie and one or two may suffice in the place of Cupping-glasses or opening a Vein 3. Medicaments All Physicians agree vehement remedies are not to be used but some think gentle means may be used in the beginning of this Disease but I conceive that Medicaments may not be used in the beginning because the operation of it will trouble nature in her work which is critical the Physician being called when the blood is boyling and it is a rule there is nothing to be done unlesse nature act imperfectly which cannot be known in the beginning but a Clyster may be then and at any time used for that works only on the Guts as is said a little before Take a pint of Barly-water 4 Ounces of the Syrrup of Violets three Ounces of Butter and an Ounce of red and course Sugar mingle them for a Clyster the quantity is to be altered as the capacity of the Child is A dried Fig is a convenient Suppository and one made of hony Where the humour moves forth and the whole matter comes forth there no evacuation must be used for there the Child and all things are quiet But if the Child is troubled the trouble may be taken away with a Lenitive Take of Tamarinds half an Ounce Sebestens 15. of Barly two drams of the Flowers of Borrage Violets and Roses of each a Dram boyl them in a pint of water to half a pint Take 4. Ounces of this Decoction and an Ounce of Manna or more as the Child is Some think a gentle purge before the eruption breaking out and appearance of the Pox and Meazles if the Child abound with ill humours and the Feaver rage may be used for it lessens the ill humours that thereby nature doth expel more cheerfully but if the Small Pox begins to break forth then a Purge is pernicious and mortall The rest of the Cure is in helping nature in expulsion wherefore if Nature doth not expell readily and strongly but slowly use such a remedy as cools binds and opens Take of Lents one Ounce of Figs 10. Maidenhair two Drams Smalledge roots half an Ounce Sorrell half a handful boil them in a pint and an half of water to a pint use it morning and Evening from four Ounces to six as the Child is If nature expels strongly omit the opening things in regard of the Feaver which is great and the openings are not then to be used but when nature expels slowly which is known by the fewnesse and slownesse of their coming forth This expels Take of Lents two drams of Figs fifteen of Barly one dram of Lettice and Sorrell of each an handful boyl them in a pint and an half of water to a pint use 6 7 or 8. Ounces of it Morning and Evening as the Child is Note that Lents boyled alone loosens the Belly from whence are mortal Fluxes nor it is not to be used alone for a remedy because of its thickness and binding qualities Take of French Barly one Pugil slic'd Liquorish half a dram red Cicers one dram of the greater Cold seeds of each half a dram Cordial Flowers of each one Pugill three Figs boyl them well in water to 6 Ounces after it is strained dissolve in it half an Ounce of the Syrrup of Granat which is to be taken at twice it is very good it mitigates and tempers the Feaver These that follow are also good to expell as Confection of Hyacynth Alkermes Contraherva Harts-horn or Scabius boyled so is Antimonium Diaphoreticum Bezar-stone and the Bezardical Minerall some use to bath with Luke-warm water to promote expulsion by relaxing the Skin Observe that Medicaments that are Cordials and expelling are to be used from the appearing and first coming forth of the Small Pox to the Eleventh day which some call the increase and state of Eruption of the Ebullition If the Scabs dry not of themselves and have matter in them and are ripe they are not to be opened unlesse they be malignant for if they be ripe and white their heat and fervour and eating of the flesh is gone and they will dry and fall of themselves and so there is no danger of its putrefying and leaving holes and marks If the
Scabs drye not of themselves fast enough use Aloes Litharidge Cerusse and Sanders and wash them in salt water in which Plantain Roses or some other drying thing is that may take away the acrimony of the Salt If they do not ripen fast enough boil Figs and Mallowes together and dip a Cloth in it and touch them often with it being warm it mitigates pain and ripens them In the end of the Disease the Scabs sometimes turn into Ulcers which are cur'd with the Ointment of Litharidge and Cerusse and an ill colour is left which is taken away thus Take of Lupine Barly and Beans of each two Drams bruise them and boil them in a convenient quantity of water until it is thick and with it wash morning and evening the Childs hands and face until the Scales fall off The Scars and holes left by the Pox is hardly cureable the fat of a man and the Oil of Egs is very much commended Chap. IV. Of the Consumption A Consumption is called Leanness Gracility and Tenuity If it be considered as an habit and a certain durable and permanent state of the body and as hurting the Actions of the body it is a Disease if as it depends on a vitiated Nutrition and as a simple Disposition then it is rather to be called a Symptome and an effect of a Disease A Consumption is an Extabescency and Exiccation of the whole body arising from a want of nourishing of the body The Subject is the whole body the harder part whereof may be dried and diminish'd the Veins and Nerves may be so extenuated that they may seem to be much lesse that a great vein may seem to be a little vein c. but these parts cannot be so lessened as that the whole body should decrease wherefore the whole body is said to be extenuated in respect of the more soft parts as the fat and flesh the fat is first consumed because it is caused by cold and whatsoever is concreted by cold unlesse it be vehement is easily dissolved by heat Moreover fat hath scarce any other use but to preserve the natural heat After the fat the flesh is consumed which is as a bond of the Constitution of mans Body but not necessary to Life but the seminary parts as Veins Nerves Arteries c. are the foundation of Life and cannot be consumed with the preservation of Life as the flesh can be which is not necessary for Life and it is of three sorts 1. Musculous which consists of Veins Membranes and Arteries 2. Glandulous as that of the Breast anp Testicles 3. Pure Flesh as that which is between the Teeth and in the top of the Yard These three sorts of Flesh consume in this order First the the Musculous Flesh. Secondly the Glandulous and last of all the pure flesh The immediate cause of this Disease is the frustration of nourishing either by the fault 1. of the Aliment being deficient and too little or vitious that it is not assimilated or attracted by the parts of the Body 2. or fault of the Nutritive faculty when the naturall heat and radicall moisture is Defective The nourishment and food is too little when the appetite in the Stomach and other parts is wanting as in an Universal weaknesse or when it is not distributed the Meseraick Veins by their drynesse are often so shut and close that the Chile cannot passe from the Stomach into the rest of the Body and so the parts are extenuated So likewise as often as the meat is prepar'd and sent another way there is Leannesse as in Vomiting and Fluxes so it is by worms consuming the nourishment that ought to be turned into flesh The Blood is faulty cause of Leanness when it is too Melancholical for where the Spleen flourishes the rest of the body growes Lean and where the rest of the body consumes the Spleen growes So likewise when the Blood is too Cholerick for then it is offensive to nature for no blood can be turn'd into the substance of the body that hath Choler mixt with it or if it be waterish whereby bodies also consume as in Dropsies so likewise if the blood be Salt leannesse is caused for Salt things are Earthy Dry and contrary to nourishment and dry the body and is not assimilated and therefore consume and extenuate directly and naturally by accident Salt may conduce to nourishment by exciting an Appetite and distributing the Food but naturally it is contrary to nourishment insomuch that some have Writ that Fishes are not nourish'd with Water or Juyces that are Salt but with sweet things or other things that are found in the Sea Nourishment is also hindered by the fault or distemper of the Part that should assimilate the nourishment when it is too dry so it happens to old walls to which Lime cannot be agglutinated by reason of the great drynesse of it Moreover Leanness is also made by causes that dissolve the fat and flesh as great Feavers do but in Children it is caused for the most part by the defect of nourishment being either too little or vitious and unusefull proceeding from the fault of the milk wherefore it is that Children by one Nurse fattens and consume by another or Worms destroying their nourishment and sometimes by a distemper of some principall part as the Stomach Liver or Heart and it is observ'd that an old and contumations and native consumption cannot be without the Liver be affected and the temperament dry but that which is new may be from any one of the causes aforesaid The external causes of a Consumption are a hot or dry Air hence it is that most Aethiopians are lean and most men consume in Summer Watching and Care consumes a Body and as it were eats it Meditation Grief Study Immoderate Venery natural Bathes that drye Scarcity of Food and feeding once a day consume men and Children of which quality are sharp things It is also conceived that Children by reason of the softnesse and tendernesse of their body grow lean and consume by Fascination proceeding from their touching unhealthy bodies or the unwholsome vapours out of the Eyes or Mouthes of Women not well which truely is not Fascination for Witchcraft is rather the work of the Devil then by any proper power of the Sages The Signs of a Consumption are manifest for the Flesh and Fat are visibly consum'd the face like one that is dead and the figure of the whole hody deprav'd If it is from a cause that melts and dissolves the Fat and Flesh there was or is a violent Feaver If from want of food it is known in elder Children by their not taking what is necessary in Sucking Children by the Flagginess and Emptiness of the Nurses Breast the ill dyet of Nurses the Child pisses little and doth not wet his Cloaths cryes and Sucks eagerly If the want of food is the cause because nourishment goes into other parts it is known by the loosness of the Belly
plenty of Urine and worms If the defect is because the meat is not exactly prepar'd in the Stomach there is belching of Wind Vomiting and want of Appetite or some hot distemper If from the fault of food if in Infants the Nurses milk is not good for milk is made of food by the colour and ill constitution of the Nurse it is easily known if the Milk is bad it will not be very white have an ill taste not sweet of an ill smell and more thick and fluid then it ought to be The thickness and thinnesse of the Milk is known if some Milk is Milk'd upon the Nail of the Thombe and if it presently runs off it is too thin if it stayes and moves not off it is too thick Or if you curdle it the whey and curds ought to be equall else it is to thin or to thick besides if the Milk be thin andsharp the Child is troubled with Pain loosenesse and very ill breakings out If the milk is thick the Child is costive and there are little Inflamations Swellings and Vomitings they pisse little move and breath with difficulty and are full of Phlegm In those that are elder the badnesse of food is known by the colour of the Skin and out-side of the body wherefore if the countenance be ill colour'd scabby or pimpell'd or if any other part is weak as the head Stomach or Liver or if their be any infirmities distempers or passions of mind it is certain the Leanness is from the fault of the food Also it happens by the weaknesse from some Disease If these things had not been the Child would have had a florid and fresh colour good appetite and would eat and not complain If Leannesse be from Fascination no art or natural means is effectual and there is no internal or external cause of Leannesse in regard of the Nurse or Child Presage 1. All Suddain Leannesse proceeding from a Feaver is mortal because of the Vehemency of the cause weakness of the strength tenuity of the humour and laxity of the whole Body 2. Consumptions that are seldome and not from Feavers especially those that are great and ill are sometimes cureable 3. Lean bodies that are moist and have a moist Skin may be made fat because all soft bodies are apt and fit to be extended into any dimension 4. Bodies that are dry and have their Skin hard and rough can scarce be fatned 5. Bodies that have the Skin dry and cleaving to the bones that neither by the hand nor Art can be stretch'd out there is no hope of fatning them but if the Skin be wrinkled and rugged so that it may be drawn forth and as it were seperated from the bones there is some hope of making them fat The Cure is 1. in Children that suck if the Milk be too little or bad change the Nurse and choose one who hath good Milk the notes whereof you have before let her be of a good constitution of a white and red colour of a good converversation and behaviour not under 20. nor above 40. years old having had Children twice and being not above 2 or 3 moneths from her last delivery broad chested having breasts neither big nor small but moderate If the Nurse may not be chang'd let her be in a temperate Air let her Sleep well it augments Milk let her avoid Passions especially Anger Grief and Love for they corrupt the Milk and congresse with a man spoils the Milk or provokes the menstruous Flux that the Milk is lessened A Nurse that lives with her husband is allowed coition and congresse with him lest She be disturbed by desire of it and by experience we see that Mothers that live with their Husbands and use congresse Nurse the Child without any hurt The Nurse ought to use moderate exercive rubbing of her bosome and breasts before she eats is convenient let her not drink or very little and that which is sweet which lest offends the head lest by increasing Milk the Child hath the Falling Sicknesse The meat ought to be of a good and plentifull nourishment avoiding sharp salt and bitter things the best bread the Flesh of Birds Veal Mutton and the like Fish is to be avoided Broath especially with the Milk of Almonds increase Milk If the Milk be faulty by the coldnesse moisture and thinnesse of it the Dyet must be hot for the correcting of it If the Nurses body abound with cold and moist humours prepare and purge them but with gentle Purgatives as the Syrrup of Roses or Rhabarbe whose weak vertues are extinguish'd before they are communicated to the blood if you purge strongly let not the Child suck the Nurse two or three days after If the Milk is too thick the Diet is to be attenuating Vinegar Raddishes and the like are good a gentle Vomit is more convenient then a Purge If the Milk be sharp and hot the Nurse is to be kept in a cold Air Rest Baths of fresh water are convenient Wine is hurtful let the meat be Barly broth with cooling Herbs especially Lettice which cools and thickens the blood and increases Milk avoiding salt and things acrimonious and Spices If the fault be not in the Milk but in some part of the Infant the Nurse is to be dieted and purged and the Infant is to take no inward Medicament but external because these Ages bears not vehement Medicaments wherefore external remedies are only to be used and therefore if the Childs Stomach be cold and moist hot or dry Plaisters Bathings and Oyntments are to be used for the correcting of them Take the Leaves of Marjoram Mint of each one handful the Aromatick Reed and the Flowers of red roses of each half a handful the water of Calamint one Pint of Sweet Wine two Ounces boyle them well and with a Cloth dipp'd in it bath the Stomach if it be cold Afterwards annoint it with this Take the Oyl of Mastick half an Ounce the Powder of Cinamon and Cloves of each half a Dram mixe a little wax with them and make an Oyntment If the Stomach be dry bath it with Milk and annoint it with this Take fresh Butter the fat of an Hen of each half an Ounce Saffron four grains the Oyl of Wormwood three Ounces mingle them and make a Liniament If the Leannesse is from heat Take Cichory Endive Water-lilly and Wormwood waters of each four Ounces Vinegar two Ounces make a fomentation for the Liver afterwards annoint the side with this Take of the Oyntment of Sanders ●i●hory and Liverwort waters of each two Ounces of the Vinegar of Roses one Ounce make a Liniament If Leanness is from Loosness the Nurse is to use binding meats as Quinces Services Rice Medlers or Broth of an old Hen and Calves feet Corral or Jaspers Stone hung about the childs neck is convenient So is this Take of Mirrh and Quince of each half an Ounce powder of Red Coral two Ounces of Oakwater two Ounces the powder
Afterwards to evacuate the humors Take of the Decoctions of Tamarinds two Ounces and an half of Rhubarb two drams of Spike 10 Grains infuse them all night then strain them well and add half an Ounce of Electuary Lenititve and make a Drink If all these remedies are ineffectual use half a Scruple of Laudani Opiati in one of the Clysters as is above directed CHAP. XXII Of Worms VVORMS are very familiar to Children by reason of crudity and corrupt Phlegme from their eating of fruits and milk after other meats for it is observed that sucking Children which eat Flesh are most troubled with Worms because their tender Stomach cannot concoct solid meat and therefore it corrupts and breeds Worms besides Milk is presently concocted and passes into the Guts if flesh unconcocted be mingled with Milk and passes with it into the Guts it putrifies there Worms are Annimals generated in the body variously hurting the Operations of the Body Worms are found almost in all parts of the body as appears by the diffection of Bodies and the Excretion of Worms but it is doubted whether the Worms were bred in those parts or crept there especially Worms found in the Stomach Some think Worms may be bred in the Stomach because the matter of Worms is no lesse communicated from food or defluxion or otherwise from other parts and that the efficient cause being also not wanting in the Stomach but more frequent they breed in the Guts The Cause is a petuitous crude and viscous humour which ariseth from immoderate eating meat easily putrefying and causing a thick Juice as Cheese Milk Summer fruits things that are sweet sugared honied and the like having something that hath an analogy to seed instructed with a formative virtue which disposes the matter to receive this form of a Worm and not another and informs the matter so disposed as we see peculiar Worms to proceed out of Wormwood the Salt of the Sea Milk Hony and other things The difference of Worms according to their Figure is threefold some are round and long others broad and long and some small compared with the other two sorts Worms differ in their colours being white red livid ash-colour or yellow the variety of which colours proceeds either from the crudity or coction of the matter out of which they are made or from the variety of the nourishment or diversity of corrupted matter out of which they are generated The Signs of the three sorts of Worms in common are many a Stinking breath unquiet sleep with starting trembling grating of the Teeth Itching and often rubbing of the Nose paleness of the Face red by Intervals the Eyes hollow and darkish the white whereof being turned pale or yellow spitting much Phlegme the swelling of the belly with murmuring and noise in it the Griping of the Belly which is worse when one is fasting sometimes looses Vomiting and Epilepsy The Signs of the particular Worms if they be long then the biting of the Belly is more vehement a little drye Cough Hiccough a vain desire of Vomiting abominating meat sounding troublesome dreams with trembling rising up and crying out If the Worms are broad they are known by Excrements not unlike the Seeds of Goardes an unsatiable desire of eating sudden dejection of things newly taken leanness and consuming a great pain sometimes in the right side sometimes in the left If short Worms the pain is continual a most troublesome Itch about the Fundament with a continual desire of evacuating Prog. Broad Worms are the worst because for the most part they continue longest The short Worms are the least hurtful because they are little and thin and are bred in the thick Guts most remote from the noblest parts and easie to be expelled with the Excrements and for Medicaments to be applied to them 4. Worms that are great fat thick and fill'd with blood are worse then thin short and extenuated because these showe the scarcity of matter those the abundance of matter 5. White Worms are scarce dangerous but Worms that are yellow livid or red are much worse 6. Worms that are expelled dead where there is no Feaver or a Feaver that is benigne dye by the scarcity of the matter but in malignaut Feavers they dye rather by the venome and so worse then living Worms The Cure is 1. In a convenient Diet the Air is to be temperate and inclining to drynesse sleep and watching moderate avoiding sleep immediately after meat immoderate Exercise avoiding idleness and rest the Belly soluble if it be bound loosen it with a Clyster or Suppository the Drink if there be no Feaver ought to be Wine and Water somewhat binding bitter or sharp not sweet Vinegar and Water is good so is sharp Wine but if there be a Feaver in the place of Wine let there be a Decoction of Pruines that are sharp or facid Cherries or Granates The meat ought to be easie to digest attenuating and penetrating wherefore convenient meats are such as are sharp acid bitter oyly and sweet things viscid thick and fat things are hurtful the flesh of Birds is much commended Beef and Veale are greatly discommended with what is not convenient mix'd Vinegar Verjuice the Juice of Granates or some other sharp Juice avoid all Fish and things made of Milk only such fruits are to be used which are acid as Granates Oranges Limons Services Medlars sharp Pruines avoiding all crudities and indigestable meats either from the quality or quantity of them 2. In the use of Sena Tamarinds or Mirabulous but above all Aloes for the consuming of the matter of Worms which is in the Stomach or Guts Take of Aloes Succotrinae two drams Mirrhae Scordum White Dictamus of each a Scruple with the Syrrup of Wormwood make Pills the quantity at once is half a dram or forty grains 3. In the killing or dulling of them that they cannot resist the remedies which is done by things that are bitter sharp salt acid oyly in the use of which observe 1. That bitter or salt things or such as kill Worms are to be mixed with sweet things which delight them and drawes them to that which kills them otherwise they avoid it 2. Remedies used by the Fundament ought either to be sweet things alone or else to prevail in sweetnesse above other things which are mix'd with them for the Worms drawn by sweetnesse move the lower parts of the Guts but remedies taken in at the mouth ought to be more sharp and bitter then sweet otherwise the Worms would move into che Stomach and cannot be conveniently kill'd 3. The remedies ought not to be vehement because they would offend the Stomach and the Worms agitated by them would be more grievous and offensive 4. The Stomach ought to be empty when the remedies are used else they would be obtruded and extinguished in regard they are weak 5. There is no remedy which commonly kills all Worms and there is no remedy so present as Coralline and Sea Mosse 6. If the Child hath a Feaver then remedies which are cold ought to be used if not then hot remedies may be used Every kind of Worm hath its proper remedies and the Long Worm being in the next place to the Stomach requires not such strong remedies as the oother Worms do wherefore Wormwood Southernwood Coriander seed or the Decoction of Calament are sufficient which may be used in powder or a De●oction The Syrrup of Mint Wormwood or Purslane is very good so is a Decoction of Sebesten Outwardly apply above the Navil for Long Worms are in the first Guts a little above the Navil this Oyntment Take the Juice of Wormwood and Southernwood of each one dram and an half the Powder of Scordum Aloes of each two Scruples of common Oyle one Ounce of Wax a little make an Ointment or take of Mirrh and Aloes of each a dram Powder of Scordum and the Seeds of Wormwood and Citron of each half a Scruple with Wax and Rosine as much as is sufficient make a Plaister Treacle dissolved with the Juice of Limon or Vinegar is good applied above the Navil or taken inwardly so are the Seeds of Nettles Fennel Cummin and Mint and in regard that Worms that are killed are not expelled therefore use such remedies as kill and expel them as Rhabarb Hiera Aloes Agarick take 2 drams or half an Ounce of the Syrrup of Sychory with Rhubarb with an Ounce of the Water of Grasse which given every day is much commended If there happen a loosness that is not moderate and dejects the strength restrain it gently with Plantane or Purslane boyled in broth The Broad Worms are cured like the Long Worms but require stronger remedies because this Worm is greater Ferne Cardamon Costos and Treacle are commended The Ascarides or Little Worm require stronger remedies then the Long and Broad Worms do because they are most remote from the Mouth and Stomach wrapt in viscid humours and are made of viscid and thick humours These Worms have also peculiar remedies Take the Leaves of Wormwood one handiul Lupines one Pugil and an half boyle them then take of that Decoction 12. Ounces Hony of Roses 3 Ounces of Salt one dram and an half mingle and make a Clyster Take of Nitre of Salis Gemma of each one Scruple of the Gall of a Bull one dram of Hony as much as suffices make a Suppository or foment below the Navil or about the Fundament with the Decoction for the Clyster Also is good flesh salted and the fat cut from it and made in the form of a Suppository and put into the Fundament So is old Cheese Many things are propounded by Authors to be taken in at the mouth as Scammony and Co'oquintida which are too strong for Children the Juice of Ireos will be better and convenient for it moves the Belly and consequently expells the Worms and by a peculiar faculty kills them Pillula Ruffi Hiera cum Agarico are also good FINIS